Dataset Information

Deconstructing laws of accessibility and facility distribution in cities.

ABSTRACT: The era of the automobile has seriously degraded the quality of urban life through costly travel and visible environmental effects. A new urban planning paradigm must be at the heart of our road map for the years to come, the one where, within minutes, inhabitants can access their basic living needs by bike or by foot. In this work, we present novel insights of the interplay between the distributions of facilities and population that maximize accessibility over the existing road networks. Results in six cities reveal that travel costs could be reduced in half through redistributing facilities. In the optimal scenario, the average travel distance can be modeled as a functional form of the number of facilities and the population density. As an application of this finding, it is possible to estimate the number of facilities needed for reaching a desired average travel distance given the population distribution in a city.

SUBMITTER: Xu Y

PROVIDER: S-EPMC7486098 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Deconstructing laws of accessibility and facility distribution in cities.

Xu Yanyan Y Olmos Luis E LE Abbar Sofiane S González Marta C MC

Science advances 20200911 37

The era of the automobile has seriously degraded the quality of urban life through costly travel and visible environmental effects. A new urban planning paradigm must be at the heart of our road map for the years to come, the one where, within minutes, inhabitants can access their basic living needs by bike or by foot. In this work, we present novel insights of the interplay between the distributions of facilities and population that maximize accessibility over the existing road networks. Result ...[more]

PMID: 32917706

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Project description:Accessible urban nature is a key component of creating sustainable urban communities and promoting human health and well-being. To balance the economic, social, and environmental dimensions of sustainable development, the United Nations adopted several sustainable developmental goals (SDGs), such as SDG 11 for sustainable cities and communities, which aims to improve urban planning and management, including equitable access to urban nature. However, more information is still needed regarding how planners and managers can promote urban nature visitation and equitable access during health and environmental crises, such as the COVID-19 pandemic. The purpose of this study was to examine trends in urban nature visitation during the pandemic and then to determine if the effect of the pandemic on the frequency of urban nature site visitation varied by distance to home, using an innovative approach of analyzing both publicly available large-scale mobility data and a web-based survey of urban residents of Tel Aviv-Yafo, Israel. The mobility data results showed that there was a negative mean % difference in park visits compared to baseline during the first and third lockdowns, but an increase compared to baseline between lockdowns and even during the second lockdown. This suggests that urban residents had greater need to reconnect with urban nature during and after periods of intense stress. In addition, the survey results showed an increasing negative effect of distance on urban nature site visitation during the pandemic, specifically for urban nature sites located more than 1 km from home. Altogether, the mobility data and survey results suggest that people who lived within 1 km of their preferred urban nature site had disproportionate access to the benefits of urban nature during and after lockdowns than others. To effectively make social and ecological transitions toward urban sustainability, it is vital that cities promote urban nature accessibility during current and future environmental and health crises. Cities should collaborate with diverse stakeholders to create/maintain accessible urban nature sites nearby all sociodemographic groups, provide sustainability education and training to convey the benefits of urban nature, and pursue participatory solutions for understanding urban nature needs and preferences. In this manner, it will be possible to address the growing influence of proximity/travel distance and additional factors that affect urban nature visitation and ultimately, human health and urban sustainability.

Project description:ImportanceGiven high rates of opioid-related fatal overdoses, improving naloxone access has become a priority. States have implemented different types of naloxone access laws (NALs) and there is controversy over which of these policies, if any, can curb overdose deaths. We hypothesize that NALs granting direct authority to pharmacists to provide naloxone will have the greatest potential for reducing fatal overdoses.ObjectivesTo identify which types of NALs, if any, are associated with reductions in fatal overdoses involving opioids and examine possible implications for nonfatal overdoses.Design, setting, and participantsState-level changes in both fatal and nonfatal overdoses from 2005 to 2016 were examined across the 50 states and the District of Columbia after adoption of NALs using a difference-in-differences approach while estimating the magnitude of the association for each year relative to time of adoption. Policy environments across full state populations were represented in the primary data set. The association for 3 types of NALs was associated: NALs providing direct authority to pharmacists to prescribe, NALs providing indirect authority to prescribe, and other NALs. The study was conducted from January 2017 to January 2019.ExposuresFatal and nonfatal overdoses in states that adopted NAL laws were compared with those in states that did not adopt NAL laws. Further consideration was given to the type of NAL passed in terms of its association with these outcomes. We hypothesize that NALs granting direct authority to pharmacists to provide naloxone will have the greatest potential for reducing fatal overdoses.Main outcomes and measuresFatal overdoses involving opioids were the primary outcome. Secondary outcomes were nonfatal overdoses resulting in emergency department visits and Medicaid naloxone prescriptions.ResultsIn this evaluation of the dispensing of naloxone across the United States, NALs granting direct authority to pharmacists were associated with significant reductions in fatal overdoses, but they may also increase nonfatal overdoses seen in emergency department visits. The effect sizes for fatal overdoses grew over time relative to adoption of the NALs. These policies were estimated to reduce opioid-rated fatal overdoses by 0.387 (95% CI, 0.119-0.656; P = .007) per 100 000 people in 3 or more years after adoption. There was little evidence of an association for indirect authority to dispense (increase by 0.121; 95% CI, -0.014 to 0.257; P = .09) and other NALs (increase by 0.094; 95% CI, -0.040 to 0.227; P = .17).Conclusions and relevanceAlthough many states have passed some type of law affecting naloxone availability, only laws allowing direct dispensing by pharmacists appear to be useful. Communities in which access to naloxone is improved should prepare for increases in nonfatal overdoses and link these individuals to effective treatment.

Dataset Information

Deconstructing laws of accessibility and facility distribution in cities.

Publications

Deconstructing laws of accessibility and facility distribution in cities.

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