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Comparison of perceived sustainability among different neighbourhoods in transitional China: The case of Chengdu.

ABSTRACT: There have been increasing concerns about neighbourhoods' contextual characteristics and the importance of applying integrated sustainability principles to develop sustainable neighbourhoods. Among the contextual characteristics, the role of residents' perception of their neighbourhoods is critical when identifying various local sustainability issues and developing sustainable neighbourhood planning. However, little research has been done on evaluating residents' subjective perceptions of different neighbourhoods' sustainability performance, particularly in this time of transitional China. Thus, this research employed an empirical approach to investigate residents' perceived sustainability performance in three different neighbourhoods, including the traditional danwei, resettlement and commodity housing neighbourhoods in Chengdu. Questionnaire surveys and expert interviews were conducted to analyse the sustainability performance and critical sustainability issues in different neighbourhoods. The results demonstrated that infrastructure and public engagement were two common and significant factors affecting the sustainability of all three neighbourhoods. Most importantly, the three different neighbourhoods showed different sustainability challenges which called for developing contextual framework for sustainable neighbourhood development. Several theoretical and policy implications for planning were also provided.

SUBMITTER: Zhang Q

PROVIDER: S-EPMC7406297 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Comparison of perceived sustainability among different neighbourhoods in transitional China: The case of Chengdu.

Zhang Qi Q Kwan Yung Esther Hiu EH Wan Chan Edwin Hon EH

Habitat international 20200805

There have been increasing concerns about neighbourhoods' contextual characteristics and the importance of applying integrated sustainability principles to develop sustainable neighbourhoods. Among the contextual characteristics, the role of residents' perception of their neighbourhoods is critical when identifying various local sustainability issues and developing sustainable neighbourhood planning. However, little research has been done on evaluating residents' subjective perceptions of differ ...[more]

PMID: 32834300

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Project description:PurposeThis study aimed to assess and explore perceived sustainability and challenges of the intervention among Health Care Providers (HCPs) who were involved.MethodsThe study applied mixed-method embedded design to analyze both quantitative and qualitative data. Quantitative approach was used to evaluate sustainability perception from 20 intervention clinics via self-reported assessment form whereas qualitative data were obtained through in-depth interview (IDI) and focus group discussions (FGDs) 14 health care professionals participated in IDI session and were either care coordinators, liaison officers (LOs)/clinic managers, or medical officers-in-charge for the clinic's intervention. Nine FGDs conducted comprised 58 HCPs from various categories.ResultsHCPs from all the 20 clinics involved responded to each listed Enhanced Primary Healthcare (EnPHC) intervention components as being implemented but the perceived sustainability of these implementation varies between them. Quantitative feedback showed sustainable interventions included risk stratification, non-communicable disease (NCD) screening form, referral within clinics and hospitals, family health team (FHT), MTAC services and mechanisms and medical adherence status. Qualitative feedback highlighted implementation of each intervention components comes with its challenges, and most of it are related to inadequate resources and facilities in clinic. HCPs made initiatives to adapt based on clinical setting to implement the interventions at best level possible, whereby this seems to be one of the core values for sustainability.ConclusionOverall perceptions among HCPs on sustainability of EnPHC interventions are highly influenced by current experiences with existing resources. Components perceived to have inadequate resources are seen as a challenge to sustain. It's crucial for stakeholders to understand implications affecting implementation process if concerns raised are not addressed and allocation of needed resources to ensure overall successfulness and long term sustainability.

Project description:ObjectivesThis study aims to investigate molecular epidemiology and clinical characteristics of enterovirus associated hand-foot-mouth disease (HFMD) in Chengdu, China, 2013-2022. Monitoring the molecular epidemiology and clinical features of HFMD for up to 10 years may provide some ideas for future protection and control measures.MethodsWe conducted a retrospective analysis of the medical records of all patients with laboratory-confirmed HFMD-related enterovirus infection at the West China Second University Hospital from January 2013 to December 2022. We described the characteristics in serotype, age, sex distribution and hospitalization of enterovirus infection cases using data analysis and graphic description.ResultsA total of 29,861 laboratory-confirmed cases of HFMD-related enterovirus infection were reported from 2013 to 2022. There was a significant reduction in the number and proportion of EV-A71 cases after 2016, from 1713 cases (13.60%) in 2013-2015 to 150 cases (1.83%) in 2017-2019. During the COVID-19 pandemic, EV-A71 cases even disappeared. The proportion of CV-A16 cases decreased from 13.96% in 2013-2015 to 10.84% in 2017-2019 and then to 4.54% in 2020-2022. Other (non-EV-A71 and non-CV-A16) serotypes accounted for 95.45% during 2020-2022, with CV-A6 accounting for 50.39% and CV-A10 accounting for 10.81%. Thus, CV-A6 and CV-A10 became the main prevalent serotypes. Furthermore, There was no significant difference in the enterovirus prevalence rate between males and females. The hospitalization rate of EV-A71 patients was higher that of other serotypes. In general, the proportion of HFMD hospitalizations caused by other pathogens except for EV-A71, CV-A16, CV-A10 and CV-A16 was second only to that caused by EV-A71. The proportion of children over 4 years old infected with enterovirus increased.ConclusionThe incidence of HFMD associated with enterovirus infection has decreased significantly and CV-A6 has been the main pathogen of HFMD in Chengdu area in recent years. The potential for additional hospitalizations for other untested enterovirus serotypes suggested that attention should also be paid to the harms of infections with unknown enterovirus serotypes. Children with HFMD were older. The development of new diagnostic reagents and vaccines may play an important role in the prevention and control of enterovirus infection.

Dataset Information

Comparison of perceived sustainability among different neighbourhoods in transitional China: The case of Chengdu.

Publications

Comparison of perceived sustainability among different neighbourhoods in transitional China: The case of Chengdu.

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