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medRxiv PreprintsInternational3 November 2026

Validation of the PACER-PT: a measure of health-relevant perceptions of gentrification-related neighbourhood change

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Objective: Urban neighbourhoods across Europe are rapidly transforming through gentrification, with Portuguese cities particularly affected. Although the health impacts of these changes are increasingly recognised, validated instruments to assess perceptions of neighbourhood change remain scarce. This study adapted and validated a Portuguese version of the Perceptions About Change in Environment and Residents (PACER-PT) scale. Methods: A cross-sectional online survey was conducted among 255 adults living for >=5yrs in the Lisbon and Porto Metropolitan Areas. PACER was translated and culturally
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