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http://hdl.handle.net/10397/93550
Title: | Neighborhood-based subjective environmental vulnerability index for community health assessment : development, validation and evaluation | Authors: | Ho, HC Wong, MS Man, HY Shi, Y Abbas, S |
Issue Date: | 1-Mar-2019 | Source: | Science of the total environment, 1 Mar. 2019, v. 654, p. 1082-1090 | Abstract: | Neighborhood-based environmental vulnerability is significantly associated with long-term community health impacts. Previous studies have quantified environmental vulnerability using objective environmental datasets. However, environmental cognition among a population may influence subjective feelings of environmental vulnerability, and this can be associated with community health risk. In this study, a mixed-methods approach was applied to estimate neighborhood-based environmental vulnerability based on objective environmental measures and subjective environmental understanding from a local population. The synergistic use of both qualitative and quantitative data resulted in a “subjective environmental vulnerability” index which can demonstrate environmental deprivation across Hong Kong. The resultant maps were compared with a mortality dataset between 2007 and 2014, based on a case-series analysis. The case-series analysis indicated that using a subjective environmental vulnerability index as an approach for neighborhood mapping is able to estimate the community health risk across Hong Kong. In particular, the following types of cause-specific mortality have significant association with the subjective environmental vulnerability index: 1) mortality associated with mental and behavioral disorders, 2) cardiovascular mortality, 3) respiratory mortality, and 4) mortality associated with diseases of the digestive system. In conclusion, the use of a subjective environmental vulnerability index can be implemented within a community health planning program, especially to reduce long-term adverse impacts on population with mental impairment. | Keywords: | Community health Deprivation index Environmental cognition Environmental measures Environmental vulnerability Spatial analytics |
Publisher: | Elsevier | Journal: | Science of the total environment | ISSN: | 0048-9697 | EISSN: | 1879-1026 | DOI: | 10.1016/j.scitotenv.2018.11.136 | Rights: | © 2018 Published by Elsevier B.V. © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ The following publication Ho, H. C., Wong, M. S., Man, H. Y., Shi, Y., & Abbas, S. (2019). Neighborhood-based subjective environmental vulnerability index for community health assessment: Development, validation and evaluation. Science of the total environment, 654, 1082-1090 is available at https://doi.org/10.1016/j.scitotenv.2018.11.136 |
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Ho_Neighborhood-based_Subjective_Environmental.pdf | Pre-Published version | 1.43 MB | Adobe PDF | View/Open |
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