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This study investigated the relationship between urban park size and community mental health, focusing on neighborhood crime risk as a mediator. Data were collected for 989 urban parks in Alabama, USA, from the Trust for Public Land's ParkServe database and relevant Alabama cities' Parks and Recreation Department websites. Park size was measured using Geographic Information Systems. The relative risks of various crime types, including violent and property crimes, were provided by the Environmental Systems Research Institute. Community mental health data from the PLACES database were used to evaluate the prevalence of poor mental health in different communities. Guided by the Stress Reduction Theory, we used mediation analysis to explore whether crime risk mediated the relationship between park size and mental health outcomes. Results indicated that the effect of larger park sizes on reducing poor mental health was fully mediated by the indirect pathway through reduced crime risk, though park sizes alone were not significantly directly associated with a lower prevalence of poor mental health. By allocating resources to create and maintain high-quality urban neighborhood parks, policymakers can foster safer environments that contribute to improved mental health across communities, and, ultimately, build essential infrastructure to support the public's mental well-being.
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http://dx.doi.org/10.1080/09603123.2025.2473007 | DOI Listing |
JAMA Pediatr
September 2025
Department of Pediatrics and Emergency Medicine, Children's National Hospital, George Washington University, Washington, DC.
Importance: Adolescents account for almost half of the 2.5 million diagnosed sexually transmitted infections in the US annually, and the emergency department functions as the primary source of health care for many adolescents. No recommendations exist for emergency department gonorrhea and chlamydia screening.
View Article and Find Full Text PDFJAMA Netw Open
September 2025
Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.
Importance: Previous studies have suggested that social participation helps prevent depression among older adults. However, evidence is lacking about whether the preventive benefits vary among individuals and who would benefit most.
Objective: To examine the sociodemographic, behavioral, and health-related heterogeneity in the association between social participation and depressive symptoms among older adults and to identify the individual characteristics among older adults expected to benefit the most from social participation.
J Telemed Telecare
September 2025
School of Medicine, The University of Queensland, St Lucia, QLD, Australia.
In this case, we describe the remote telehealth leadership of emergent tube thoracostomy in a patient with a critical respiratory status. The patient had presented to a small rural health care facility with breathlessness and hypoxia despite supplemental oxygen. A subsequent chest x-ray revealed a large pneumothorax requiring emergent treatment to prevent respiratory demise.
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