Older adults living in high-deprivation areas walk less than those living in low-deprivation areas. Previous research has shown that older adults’ outdoor walking levels are related to the neighbourhood built environment. This study examines inequalities in perceived built environment attributes (i.e., safety, pedestrian infrastructure and aesthetics) and their possible influences on disparities in older adults’ outdoor walking levels in low- and high-deprivation areas of Birmingham, United Kingdom. It applied a mixed-method approach, included 173 participants (65 years and over), used GPS technology to measure outdoor walking levels, used questionnaires (for all participants) and conducted walking interviews (with a sub-sample) to collect data on perceived neighbourhood built environment attributes. The results show inequalities in perceived neighbourhood safety, pedestrian infrastructure and aesthetics in high- versus low-deprivation areas and demonstrate that they may influence disparities in participants’ outdoor walking levels. Improvements of perceived neighbourhood safety, pedestrian infrastructure and aesthetic in high-deprivation areas are encouraged.

Differential exposure to multiple environmental burdens and benefits and their distribution across a population with varying vulnerability can contribute heavily to health inequalities. Particularly relevant are areas with high cumulative burdens and high social vulnerability termed as “hotspots”. This paper develops an index-based approach to assess these multiple burdens and benefits in combination with vulnerability factors at detailed intra-urban level. The method is applied to the city of Dortmund, Germany. Using non-spatial and spatial methods we assessed inequalities and identified “hotspot” areas in the city. We found modest inequalities burdening higher vulnerable groups in Dortmund (CI = −0.020 at p < 0.05). At the detailed intra-urban level, however, inequalities showed strong geographical patterns. Large numbers of “hotspots” exist in the northern part of the city compared to the southern part. A holistic assessment, particularly at a detailed local level, considering both environmental burdens and benefits and their distribution across the population with the different vulnerability, is essential to inform environmental justice debates and to mobilize local stakeholders. Locating “hotspot” areas at this detailed spatial level can serve as a basis to develop interventions that target vulnerable groups to ensure a health conducive equal environment.

Older residents of high-deprivation areas walk less than those of low-deprivation areas. Previous research has shown that neighborhood built environment may support and encourage outdoor walking. The extent to which the built environment supports and encourages walking is called “walkability”. This study examines inequalities in neighborhood walkability in high- versus low-deprivation areas and their possible influences on disparities in older adults’ outdoor walking levels. For this purpose, it focuses on specific neighborhood built environment attributes (residential density, land-use mix and intensity, street connectivity, and retail density) relevant to neighborhood walkability. It applied a mixed-method approach, included 173 participants (≥65 years), and used a Geographic Information System (GIS) and walking interviews (with a sub-sample) to objectively and subjectively measure neighborhood built environment attributes. Outdoor walking levels were measured by using the Geographic Positioning System (GPS) technology. Data on personal characteristics was collected by completing a questionnaire. The results show that inequalities in certain land-use intensity (i.e., green spaces, recreation centers, schools and industries) in high- versus low-deprivation areas may influence disparities in older adults’ outdoor walking levels. Modifying neighborhood land use intensity may help to encourage outdoor walking in high-deprivation areas.

Large-scale spatial planning and urban development projects have gained popularity in cities of the Global South. Such projects are being used to improve connectivity, scale up cities’ competitiveness, and in return, attract investments. However, while road development changes peri-urban environments in the Global South cities, little attention is given to the consequences of road infrastructure in those areas. The objective of this paper is to investigate how the implementation of road infrastructure projects is transforming the socio-spatial landscapes and economic development, and how they affect social groups within the peri-urban areas of Kisumu (Kenya) and Accra (Ghana) cities, focusing on effects at the community level. The research employed a case study approach, using qualitative, quantitative and spatial methods to examine these socio-spatial and economic development dynamics. The findings show that, on the one hand, road infrastructure projects scaled up residential development, both in Kisumu and Accra, as the roads contributed to housing rents and land prices to increase and rendered peri-urban communities along them as attractive zones for real estate developers. Furthermore, accessibility to facilities and services improved. Also, in both cities, the road improvements fuelled employment opportunities. Conversely, in both cities, the road infrastructure projects led to gentrification and therefore to the displacement of poor residents into the hinterlands, which changed the social fibre and integration to a certain degree. The road infrastructure projects benefitted the rich, who own land at the expense of the poor. The findings that the impacts of road infrastructure appear to differ in locational context and class of individuals within peri-urban areas make us suggest that place-based and people-based policies need to be combined to address the consequences of road infrastructure projects.