A fine-grained evaluation of social vulnerability to COVID-19, healthcare access and built environmental disparities in Tokyo, Japan
A fine-grained evaluation of social vulnerability to COVID-19, healthcare access and built environmental disparities in Tokyo, Japan
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DOI：
10.1080/17538947.2022.2142305
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发表时间：
2022-11
影响因子：
5.1
通讯作者：
Siqin Wang;Y. Sadahiro
中科院分区：
文献类型：
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作者：
Siqin Wang;Y. Sadahiro
在细粒度水平上衡量对COVID-19的脆弱性和医疗可及性是应对未来公共卫生危机的空间明确的卫生规划和政策制定的基础。然而，在日本，脆弱性和医疗保健可及性的评估是不够的-一个国家的人口密度高，超老龄化的挑战。基于2022年人口普查数据、交通网络、医疗和数字地籍数据、土地利用地图以及兴趣点数据，我们的研究扩展了COVID-19背景下的脆弱性概念，并构建了日本东京大都会（世界上人口最多的大都市地区）脆弱性和医疗可及性的第一个细粒度度量。我们描绘了脆弱的社区与低医疗服务，并进一步评估在医疗服务和建筑环境的地区在不同程度的脆弱性的差距。我们的结果数据集和发现为政府和卫生当局提供了细致入微的及时证据，以全面和最新地了解社会对COVID-19的脆弱性和细粒度的医疗服务。我们的分析框架可用于不同的地理环境，指导后COVID时代及以后的地方健康规划和政策制定。
ABSTRACT Measuring vulnerability to COVID-19 and healthcare accessibility at the fine-grained level serves as the foundation for spatially explicit health planning and policy making in response to future public health crises. However, the evaluation of vulnerability and healthcare accessibility is insufficient in Japan – a nation with high population density and super-aging challenges. Drawing on the 2022 census data, transport network, medical and digital cadastral data, land use maps, and points of interest data, our study extends the concept of vulnerability in the context of COVID-19 and constructs the first fine-grained measure of vulnerability and healthcare accessibility in Tokyo Metropolis, Japan – the most populated metropolitan region in the world. We delineate the vulnerable neighbourhoods with low healthcare access and further evaluate the disparity in healthcare access and built environment of areas at different levels of vulnerability. Our outcome datasets and findings provide nuanced and timely evidence to government and health authorities to have a holistic and latest understanding of social vulnerability to COVID-19 and healthcare access at a fine-grained level. Our analytical framework can be employed in different geographic contexts, guiding through place-based health planning and policy making in the post-COVID era and beyond.