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PubMed1976

Distribution of private practice offices of physicians with specified characteristics among urban neighborhoods.

The office location of New York County physicians in private practice is determined for a verified subpopulation of the "Medical Directory of New York State" listing for the year 1970-71. Physicians are categorized by specialty status, medical schools attended, dates of graduation, and hospital affiliations. Multiple regression analysis is performed to relate numbers of physicians per Health Area (average population: 20,000) to demographic, economic, and medical care characteristics of the areas. There is considerable unevenness in the number of private physician offices among Health Areas (mean, 66; standard deviation, 173; range, 1 to 1,043). Multiple regression analysis shows a strong, positive association between practice location and median area income. The influence of population size on practice location is also found to be significant for many categories of physicians but less strong than that of income. Other independent variables are found to have a weaker to nonsignificant impact on practice location. Disaggregation of physicians into specified categories reveals differences in elasticity of location estimates that would have gone undetected had only the aggregated physician population been investigated. Itis concluded that policy decisions concerning physician distribution should be made on the basis of data on smaller areas than has been done in the past, and on specified categories of physicians rather than on aggregates.

Age Factors↗
PubMed2004

Biodiversity, biosphere reserves, and the Big Apple: a study of the New York Metropolitan Region.

The objectives of this article were to assess the dimensions of biodiversity-urban society interactions within the New York Metropolitan Region, a 31-county area with a population of 21.5 million, and to explore pathways to reconcile dysfunctional relationships between these two ever-entwined systems. The article builds on the premise that urban biodiversity exists at a crucial nexus of ecological and societal interactions, linking local, regional, and global scales, and that urban ecologies are projected to become even more dynamic in the future, particularly as a result of global climate change. The pathway proposed to reconcile the biodiversity-urban society relationships is the incorporation of biosphere reserve strategies into regional environmental planning efforts focused on the New York/New Jersey Harbor/Estuary specifically and on the greater New York Metropolitan Region in general. The concepts of the "ecological footprint" and vulnerability to global environmental change are used to analyze the current interactions between biodiversity and urban society, and to evaluate the efficacy of adopting biosphere reserve strategies in the region. New York has long been at the forefront of American environmentalism and landscape planning. Coupled with this history is a still small but growing interest in regional environmental planning efforts (e.g., the U.S. EPA Harbor Estuary Program) and green infrastructure (e.g., the 2002 Humane Metropolis Conference organized by the Ecological Cities Project). The research presented here aims to contribute to these nascent activities. As a megacity, New York may serve as a model for other major cities of the world.

City Planning↗
PubMed1989

Sero survey of human immunodeficiency virus infection in women at a family planning clinic: absence of infection in an indigent population in San Francisco.

To determine the seroprevalence of human immunodeficiency virus (HIV) in contracepting women, 1,308 consecutive attendees at an inner-city family planning clinic completed a risk factor questionnaire and were then asked to have an HIV test. None of the 1,000 women tested was seropositive. Preventive efforts in family planning clinics are likely to be productive because few contraceptors, including those with risk factors, are already infected. The factors which determine differences in HIV positivity between childbearing and contracepting women, who are similar in demographic and HIV risk characteristics, warrant further investigation.

Adolescent↗
PubMedDate not supplied

Healthy cities: overview of a WHO international program.

Health is the outcome of all the factors and activities impinging upon the lives of individuals and communities. The last decade has seen an emerging understanding within development circles that living conditions are greatly affected by local action, by the work of local government, and by community groups and organizations. In addressing health and environmental issues and making interventions, an integrated approach, based on 'settings', exemplified in the Healthy Cities approach, has proved most effective. A Healthy City project can involve people and organizations in the programs and activities that are needed for better health, and enables a city or neighborhood to mobilize the human and financial resources required to address many health and quality of life issues. The WHO program involves implementating city projects and networks in all regions of the world and serves as a vehicle for many health programs, including major disease control initiatives. Healthy City projects allow Ministries of Health to develop stronger partnerships with local government organizations (such as the Union of Local Authorities and its members, "Local Agenda 21" initiatives, and others). One focus for the program is the development of 'multi-'multi-city action plans' for major global priority issues, including AIDS, sanitation, women's health, and violence, to ensure that major public health programs are strengthened by wider community participation. It is recognized that city networking--at national, regional, and international levels--now must be better exploited by individual cities and municipalities to solve local health problems.

Environmental Health↗
PubMed2005

Understanding the role of land use in urban stormwater quality management.

Urbanisation significantly impacts water environments with increased runoff and the degradation of water quality. The management of quantity impacts are straight forward, but quality impacts are far more complex. Current approaches to safeguard water quality are largely ineffective and guided by entrenched misconceptions with a primary focus on 'end-of-pipe' solutions. The outcomes of a research study presented in the paper, which investigated relationships between water quality and six different land uses offer practical guidance in the planning of future urban developments. In terms of safeguarding water quality, high-density residential development which results in a relatively smaller footprint would be the preferred option. The research study outcomes bring into question a number of fundamental concepts and misconceptions routinely accepted in stormwater quality management. The research findings confirmed the need to move beyond customary structural measures and identified the key role that urban planning can play in safeguarding urban water environments.

Cities↗