Disadvantaged Urban Areas Research Articles

Marked increase in severe neurological disorders after nitrous oxide abuse: a retrospective study in the Greater Paris area

BackgroundRecreational nitrous oxide (N2O) use has become more widespread worldwide, leading to an increase in myelopathies and peripheral neuropathies. The aim of this study was to describe clinical and socioeconomical characteristics of severe N2O-induced (NI) neurological disorders (NI-NDs), to determine its incidence in the Greater Paris area and to compare it with that of similar inflammatory neurological disorders.MethodsWe performed a retrospective multicentric cohort study of all adult patients with severe NI-NDs in the neurology and general internal medicine departments of the Greater Paris area from 2018 to 2021. The incidence was compared with that of non-NI-myelitis and Guillain–Barré syndrome (GBS) using a sample of 91,000 hospitalized patients sourced from health insurance data.ResultsAmong 181 patients, 25% had myelopathy, 37% had peripheral neuropathy and 38% had mixed disease. Most were aged between 20 and 25 years, lived in socially disadvantaged urban areas, and exhibited high rates of unemployment (37%). The incidence of NI-NDs increased during 2020 and reached a peak mid-2021. The 2021 incidence in 20–25-year-olds was 6.15 [4.72; 8.24] per 100,000 persons for NI-myelopathy and 7.48 [5.59; 9.37] for NI-peripheral neuropathy. This was significantly higher than for non-NI-myelitis (0.35 [0.02; 2.00]) and GBS (2.47 [0.64; 4.30]). The incidence of NI-NDs was two to three times higher in the most socially disadvantaged areas.ConclusionThe recent increase in recreational N2O use has led to a rise in the incidence of severe NI-NDs, particularly in young adults with low socioeconomic status for whom NI-NDs strongly outweigh similar neurological disorders.

Exploring the impacts of neighborhood disadvantage on Medicare beneficiaries’ early COVID-19 vaccine uptake

A variety of factors influenced the American public's experiences with the COVID-19 pandemic and initial availability and uptake of COVID-19 vaccines. To examine variation in early COVID-19 vaccine uptake based on neighborhood disadvantage along with individual sociodemographic and health characteristics, we used Spring 2021 data from the Medicare Current Beneficiary Survey (MCBS), a nationally representative, longitudinal survey of the Medicare population conducted by the Centers for Medicare & Medicaid Services. Bivariate analyses showed that beneficiaries in disadvantaged neighborhoods were less likely to have received at least one vaccine dose than those in less disadvantaged neighborhoods (49.7%, SE = 1.6 versus 66.6%, SE = 1.0, p < 0.0001). After accounting for individual characteristics, the relationship between neighborhood disadvantage and vaccine uptake was not statistically significant. However, interaction effects of neighborhood disadvantage by urbanicity showed a more complex picture, where those in disadvantaged urban areas had the lowest odds of vaccine uptake (p < 0.01). The relationship between neighborhood disadvantage and vaccination is multifaceted, requiring further research to inform future vaccination efforts targeting the most vulnerable beneficiaries.

Systematic surveillance tools to reduce rodent pests in disadvantaged urban areas can empower communities and improve public health

Rodents are notorious pests, known for transmitting major public health diseases and causing agricultural and economic losses. The lack of site-specific and national standardised rodent surveillance in several disadvantaged communities has rendered interventions targeted towards rodent control as often ineffective. Here, by using the example from a pilot case-study in the Bahamas, we present a unique experience wherein, through multidisciplinary and community engagement, we simultaneously developed a standardised national surveillance protocol, and performed two parallel but integrated activities: (1) eight days of theoretical and practical training of selected participants; and (2) a three-month post-training pilot rodent surveillance in the urban community of Over-the-Hill, Nassau, The Bahamas. To account for social and environmental conditions influencing rodent proliferation in the Bahamas, we engaged selected influential community members through a semi-structured interview and gathered additional site-specific information using a modified Centers for Diseases Control and Prevention (CDC) exterior and interior rodent evaluation form, along with other validated instruments such as tracking plates and snap trapping, to test and establish a standardised site-specific rodent surveillance protocol tailored for the Bahamas. Our engagement with community members highlighted poor disposal of animal and human food, irregular garbage collection, unapproved refuse storage, lack of accessible dumpsters, poor bulk waste management, ownership problems and structural deficiencies as major factors fuelling rodent proliferation in the study areas. Accordingly, results from our pilot survey using active rodent signs (that is, the presence of rodent runs, burrows, faecal material or gnawed material) as a proxy of rodent infestation in a generalized linear model confirmed that the variables earlier identified during the community engagement program as significantly correlated with rodent activities (and capturing) across the study areas. The successful implementation of the novel site-specific protocol by trained participants, along with the correlation of their findings with those recorded during the community engagement program, underscores its suitability and applicability in disadvantaged urban settings. This experience should serve as a reference for promoting a standardised protocol for monitoring rodent activities in many disadvantaged urban settings of the Global South, while also fostering a holistic understanding of rodent proliferation. Through this pilot case-study, we advocate for the feasibility of developing sustainable rodent control interventions that are acceptable to both local communities and public authorities, particularly through the involvement of a multidisciplinary team of professionals and community members.

An assessment of WRF-urban schemes in simulating local meteorology for heat stress analysis in a tropical sub-Saharan African city, Lagos, Nigeria

Megacities, such as Lagos, Nigeria, face significant challenges due to rapid urbanization and climate change, resulting in a higher intensity of the urban heat island effect, coupled with high population density, making the city fall under the category of moderate to high heat stress/risk. Despite this, very few studies have analyzed the urban impact on heat stress over the coastal city, albeit with poor resolution data. In this study, we assessed the performance of an integrated high-resolution WRF-urban scheme driven by the readily available urban canopy information of the local climate zone (LCZ) to simulate local meteorological data for analyzing the spatiotemporal pattern of heat stress over the megacity. Our results show that the WRF-BEP scheme outperformed the other evaluated urban schemes, reducing the normalized root mean squared error by 25%. Furthermore, using humidex, we found a generally high incidence of intense discomfort in highly urbanized areas and noted the significant influence of urban morphology on the pattern of heat stress, particularly at night due to the combined effect of urban warming and higher relative humidity. The most socioeconomically disadvantaged urban areas, LCZ7, were most affected, with “hot” heat stress conditions observed over 90% of the time. However, during the afternoon, we found reduced heat stress in the core urban areas which might be due to the shading effect and/or cold air advection. Our findings would be relevant in the development of the urgently needed climate/heat adaptation plans for the city and other sub-Saharan African cities.

Becoming a ‘youth at risk’: how professionals conceptualise risk among young people in disadvantaged urban areas in Sweden

In Sweden, the gap between prosperity and poverty has increased over the last three decades. As a result, groups of youth are forced to live a strictly limited life in segregation and poverty. Youth living in these circumstances are often viewed as being at risk. The purpose of this article is to investigate how different professional groups – specifically, police officers, social workers and school health teams – talk about and describe the risks that young people face when growing up in disadvantaged urban areas and the various measures taken to deal with those they define as ‘youth at risk’. The results point towards how being at risk is made intelligible in relation to specific socio-spatial and institutional contexts. However, there is an overall tendency to individualise and situate problems within the youth themselves, thus making young people growing up in disadvantaged urban areas responsible for their own vulnerability.

Impact investing in disadvantaged urban areas

AbstractResearch SummaryWe examine whether impact investing is more effective in fostering business venture success and social impact when investments are directed toward ventures in disadvantaged urban areas compared to similar investments directed toward ventures outside these areas. We explore this question in the context of loans made to business ventures in French “banlieues” versus “non‐banlieues.” We find that, following the loan issuance, banlieue ventures achieve greater improvements in financial performance and greater social impact in terms of the creation of local employment opportunities, quality jobs, and gender‐equitable jobs. This suggests that impact investors are able to contract with ventures of greater unrealized potential in banlieues, as banlieue ventures tend to be discriminated on the traditional loan market. The latter is corroborated in a controlled lab experiment.Managerial SummaryWe shed light on the unrealized potential of business ventures in economically disadvantaged urban areas, known as “banlieues” in France. Our results show that, after receiving loans from an impact investor, banlieue ventures achieve greater financial performance compared to non‐banlieue ventures. What is more, banlieue ventures achieve greater social impact by creating more jobs that benefit the local community. Why are traditional investors missing out on these opportunities? Our results point toward discrimination of banlieue ventures on the traditional loan market. This is confirmed in a controlled lab experiment, in which participants are less likely to approve loans to banlieue ventures compared to identical non‐banlieue ventures. These insights can guide managers and investors seeking sustainable, socially impactful, and financially viable investment opportunities.

‘The air is a little too dangerous’: how children navigate between rules and risks in times of COVID-19

The COVID-19 pandemic and the corresponding government measures to prevent the spread of infection have affected children living in socially disadvantaged urban areas in distinctive ways. While their role and responsibility concerning contagion risks are subject to debate, the regulations impact their lives in multiple areas, including peer interactions, family life and education. Understanding their perception and navigation of pandemic risks is therefore crucial to supporting coping strategies and to fostering self-protective behaviour. By employing the concepts of social navigation and emotion – risk assemblage, this study provides a novel perspective on these children’s assessment and management of contagion risks in the context of the COVID-19 pandemic. Based on a qualitative field study conducted at two elementary schools in socially disadvantaged neighbourhoods in two different cities in Germany, I show how children negotiated risk through interaction with bodies, places and materials they classified as risky or protective, and how their risk construction was shaped by social and cultural processes. I further demonstrate that uncertainties, such as contradictory information, or desires, like security and freedom, led the participants to lean on combined rational and non-rational tactics. Finally, I demonstrate how situational adjustment of risk assessment and rule adherence became a navigational tactic that allowed the children to balance safety and liberty within an environment of constant change.

보건복지분야 도시건강 관련 연구의 동향

This paper discusses the trend of research on urban health in the disciplines of health and welfare by reviewing publications on urban health. Publications were searched using city and health related keywords in Korean Health and Welfare Institute’s open access repository. Research on urban health mainly discussed social issues, including family, housing, homelessness, socio-economic and physical environments in urban and rural areas. Local governments’ health and welfare policy budgets were also commonly addressed in studying the wellbeing of the residents in disadvantaged urban areas.&#x0D; Research on health impact assessments were found to address the broader social and environmental determinants of health in cities. As the findings illustrate, urban health research needs to continuously address those environmental and social determinants of urban health with a focus on transforming policy and governance through community empowerment.

Precarious Pro-school Positions: Boys and Schooling in a Stigmatized Urban Area

In recent decades, differences in school performance have increased considerably in Sweden, creating a growing number of students, especially boys in disadvantaged urban areas, who are ineligible for upper secondary school. A recurring explanation for boys’ poor school performance is an anti-school culture and boys’ lack of interest in school and learning. Drawing from ethnographic fieldwork, this study aims to scrutinize how boys attending a compulsory school, in which many of the students lack eligibility for upper secondary school, comprehend and relate to their schooling. The results show that the boys’ backgrounds and experiences, their parents’ precarious work situations, and the violence in their neighbourhood do not necessarily contribute to an anti-school culture. On the contrary, the structural difficulties that surround the boys appear in their narratives as conditions contributing to a positive attitude towards schooling.

Misrecognised as Muslim: the racialisation of Christians of Middle Eastern heritage in the UK

ABSTRACT Since the early 2000s in many countries of the Global North, Muslim religious identities have become racialised through the global ‘war on terror’, the ascendancy of right-wing populists, and localised but high-profile disturbances in disadvantaged urban areas. The racialisation of religion, which conflates concerns about the religious Other with race and ethnicity, has led to an environment where those from non-white ethnic backgrounds are mistakenly presumed to be Muslim. Drawing on theorisations of misrecognition by Taylor and Fraser, the present study contributes to the emergent literature on misrecognition as Muslim by exploring a novel case study, Middle Eastern Christians in the UK. Findings are based on qualitative research with Coptic, Iraqi and Assyrian Christian communities in London and central Scotland, involving 53 semi-structured interviews and six focus groups with members of the case study communities. We identify three main types of response by those who are misrecognised, namely education, resignation, and differentiation. Following Taylor, the education and differentiation responses are interpreted as forms of cultural defence, yet such responses also risk producing the ‘problem of reification’ theorised by Fraser, exerting pressure on members to conform to a unitary fixed view of the group.

The Effectiveness of Community Participation in Urban Water Supply: A Narrative Review

Debates on the effectiveness of top-down versus bottom-up approaches in water management in urban areas are still ongoing. This study examines the effectiveness of community participation as a bottom-up approach. The narrative review is employed to describe 16 cases of community participation. Three themes emerge from the case studies: the success story and failure of community participation from outside of Indonesia, lessons learned and best practices of community participation from Indonesia, and self-supply as an alternative water provision. Then a discussion of the findings based on the themes found in the literature was carried out. The study found that community participation would be successful if the participatory elements were satisfied, including sufficient capacity and knowledge of the community involved to ensure meaningful participation, involving local government in the education of how to manage and conserve water supply, and involving women in project sustainability. Hence, a pure community participation approach, particularly in disadvantaged urban areas, cannot be achieved. Therefore, a holistic approach combining a top-down and a bottom-up approach is recommended. Self-supply water provision emerged as another method that has largely been ignored by the government and academia but serves as a common practice, particularly in developing countries.

Teaching Spelling with Twitter: The Effectiveness of a Collaborative Method for Teaching French Spelling

Twictée, a portmanteau of Twitter and dictée (French for dictation), is a collaborative method for teaching spelling that promotes the metacognitive reasoning needed to understand and assimilate the morphosyntactic features of French spelling. The present study evaluated Twictée’s impact on spelling performance in 40 classes of 4th-, 5th-, and 6th-grade students (N = 893 students). Mixed-model analyses showed a significant improvement in global spelling performance over time, but the impacts of the interaction between time and condition reached significance for only four specific aspects of spelling performance. Nevertheless, further analyses showed that Twictée’s overall impact on spelling performance was significantly greater in schools in disadvantaged urban areas and in large classes. We discuss these results in the light of previous qualitative analyses carried out on this corpus

Pathways to Drug Dealing in the Middle and Upper Classes: Early Marginalization, Relative Disadvantage and Countercultural Opposition

Abstract Drug dealing is widespread in all sectors of society but is still studied predominantly in disadvantaged urban areas. We identify three main pathways to drug dealing based on qualitative interviews with middle- and upper-class individuals in Oslo, Norway. First, problems in the family and school and a lack of belonging in affluent neighbourhoods intersected with drug use and eventually led to recruitment into the illegal drug economy. Second, criminal entrepreneurship developed among relatively disadvantaged people who dealt drugs in an affluent low-risk context. Third, dealing emerged from involvement in drug liberalization and medical marihuana countercultures. The first pathway is similar to trajectories in disadvantaged urban areas, while the others reveal the importance of studying drug dealing in the upper layers of society.

The Incorporation of the 2030 Agenda in the Design of Local Policies for Social Transformation in Disadvantaged Urban Areas

According to the United Nations, the current COVID-19 crisis is threatening decades of development gains. This situation is aggravated in disadvantaged urban areas where 25% of the world’s population lives. Such concentration has aggravated the multidimensional problem that requires an integrated policy approach. Internationally, this approach has materialized in the formulation of global policies such as the 2030 Agenda. However, many doubts remain about the extent to which global policy such as the 2030 Agenda is able to inspire the formulation of local policies from the multidimensional perspective proposed by the Sustainable Development Goals (SDGs). To answer this question, in this contribution we rely on a comparative case study of two public policies aimed at promoting the social inclusion of the most vulnerable groups in the urban context: the “Andalusian Regional Strategy for Social Cohesion and Inclusion. Intervention in disadvantaged areas” (ERACIS) and the “Barcelona Strategy for Inclusion and Reduction of Social Inequalities 2017–2027”. The results show how the government sphere, the logic of intervention, and other aspects of policy design influence the incorporation of the principles of the 2030 Agenda in local policies, highlighting both risks and potentials of such policy transfer, crucial to the effective achievement of the SDGs.

Impact Investing in Disadvantaged Urban Areas

We examine whether impact investing is more effective in fostering business venture success and social impact when directed toward ventures located in vs. outside disadvantaged urban areas (i.e., areas with high crime, unemployment, and poverty). We explore this question in the context of loans made to business ventures located in French “banlieues” vs. “non-banlieues”. We find that loans issued to banlieue ventures, compared to non-banlieue ventures, yield greater improvements in financial performance, as well as greater social impact in terms of the creation of local employment opportunities, quality jobs, and jobs for minorities—all of which contribute to the social inclusion of marginalized communities and the development of sustainable cities.

The Food Environment of Primary School Learners in a Low-to-Middle-Income Area in Cape Town, South Africa.

Rapid changes in food environments, where less nutritious foods have become cheaper and more accessible, have led to the double burden of malnutrition (DBM). The role food environments have played in shaping the DBM has attained global interest. There is a paucity of food environment research in low-to-middle-income countries. We conducted a case study of the food environments of school aged learners. A primary school in Cape Town was recruited. A multi-method design was used: a home food and eating behaviours questionnaire completed by 102 household respondents and four questions completed by 152 learners; learner participatory photography; a semi-structured school principal interview; a tuckshop inventory; observation of three-day tuckshop purchases. Foods that were commonly present in households: refined carbohydrates, fats/oils, chicken, processed meats, vegetables, fruit, legumes, snacks/drinks. Two thirds of households had rules about unhealthy drinks/snacks, ate supper together and in front of the TV, ate a home cooked meal five–seven times/week and ate breakfast together under two times/week. Vegetables were eaten under two times/week in 45% of households. A majority of learners (84%) took a lunchbox to school. Twenty-five learners photographed their food environment and 15 participated in semi-structured interviews. Six themes emerged: where to buy; what is available in the home; meal composition; family dynamics; peer engagement; food preparation. Items bought at informal food outlets included snacks, drinks and grocery staples. The principal interview revealed the establishment of a healthy school food environment, including a vegetable garden, although unhealthy snacks were sold at the tuckshop. Key dimensions of the food environment that require further investigation in disadvantaged urban and informal settlement areas include the home availability of unhealthy foods, eating behaviours in households and healthfulness of foods sold by informal food outlets.

An Interaction Path of Mothers' and Preschoolers' Food- and Physical Activity-Related Aspects in Disadvantaged Sicilian Urban Areas.

Background: The relationship between mothers and their children’s lifestyle is still unclear, especially in disadvantaged areas. Consequently, the study aims to identify a path explaining the extent to which maternal eating habits and physical activity (PA) level predict food-related aspects, PA practice and Quotient of Gross Motor Development (QGMD) in preschoolers from disadvantaged urban areas. Methods: In this cross-sectional study, a total of 79 dyads of mothers and children were recruited from kindergartens. Information related to family socio-demographic aspects, mothers’ and children’s dietary intake frequencies and PA/sedentariness, mothers’ weight and height, mothers’ perception on children’s food intake, and children’s food literacy (FL) was collected with a questionnaire and the Food Literacy Assessment Tool (preschool-FLAT), while gross-motor skills were measured with the Test of Gross Motor Development (TGMD); weight and height of children were directly collected. Results: Associations were found between mothers’ and children’s food habits; mothers’ and children’s fruit/vegetables consumption, and intake of the other items; mothers’ education or PA level and children’s FL; mothers’ PA or sedentariness and children’s QGMD; mothers’ BMI and food habits and children’s BMI; education and food habits. Conclusions: These findings can be useful to plan effective interventions targeted both to preschoolers and their mothers of disadvantaged urban areas for promoting healthy lifestyles, which have become increasingly difficult to achieve during COVID-19 pandemic.

Risk and Protective Factors Associated with Adolescent Food Insecurity in Baltimore

While emerging evidence is highlighting a growing problem of food insecurity among adolescents in disadvantaged neighborhoods, very little is known about the factors that may either protect or place adolescents at higher risk for food insecurity. The primary objective for this analysis, therefore, was to examine the associations between individual-, family-, and neighborhood-level risks and protective factors and food insecurity among 452 adolescents in Baltimore, Maryland. Results show that nearly 30% of our sample were food insecure (29.4%). Food insecure youth were more likely to be unstably housed (OR 5.17, 1.24-21.62), live in larger households (OR 1.14, 1.08-1.20), and perceive their neighborhoods unsafe (OR 2.37, 1.47-3.83). Protective factors included perceiving both male and female adult support (OR 0.55 and 0.47, respectively), having a higher sense of community belonging (OR 0.91, 0.32-0.95) and having positive perceptions of their neighborhood's physical environment (OR 0.93, 0.88-0.98). These results suggest that strengthening family and neighborhood relations and resources may promote the health of adolescents in disadvantaged urban areas.

Can Differing Opinions Hinder Partnerships for the Localization of the Sustainable Development Goals? Evidence from Marginalized Urban Areas in Andalusia

The 2030 Agenda for Sustainable Development and the Sustainable Development Goals (SDG) were set up under the idea that no one—and no place—be left behind. Today, the tendency for population growth concentrates in cities, causing social segregation and the proliferation of marginalized urban areas. In this global context, SDG 11, which addresses the urban dimension of the 2030 Agenda, is becoming crucial. To achieve inclusive and sustainable development, especially in disadvantaged urban areas, collaborative partnerships have been suggested as essential to building habitable spaces where life is worth living. However, the literature reveals how the commitment to multistakeholder partnerships depends on many factors, such as the perceptions the participants have about their reality and the problems they face. In this study, we rely on the information collected from 118 surveys conducted among the leaders of private, public, and civil society organizations already collaborating in six disadvantaged neighborhoods in Andalusia. The results show how and where their perceptions about their own neighborhoods differ and the intersectional reasons behind these differing opinions. This is a critical starting point to elucidate how to enable and sustain local collective actions to start the process of fighting for human dignity.

The Enigma of Commoning in Precarious Times: A Critical Perspective on Social Transformation

The article explores movements for social transformation in precarious times of austerity, dispossessed commons, and narrow nationalism. The authors contribute to social theory by linking questions by critics of “post-politics” to precarity studies on changing conditions of citizenship, labour and livelihoods. They discuss an ambiguous constitution of precariat movements in the borderlands between “civil” and “uncivil” society and “invited” and “invented” spaces for civic agency, and posit that contending movements of today are drawing intellectual energy from past movements for democracy, recognition and the common. The paper discusses the issue of an urban justice movement in Sweden emerging from the precariat in this formerly exceptionalist welfare state’s most disadvantaged urban areas. With its vision of reconstructing commons with roots in the working class movement, it has put forward claims for an egalitarian and non-racial democracy while confronting politically grounded frames of institutional conditionality.