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Urban transformations, community participation, and health: inter-sectoral and cross-country learning experience between Brazil, Chile, and Colombia 城市转型、社区参与和健康:巴西、智利和哥伦比亚的跨部门和跨国学习经验
Pub Date : 2022-07-28 DOI: 10.1080/23748834.2022.2086373
Lídia Maria de Oliveira Morais, Paula Guevara-Aladino, Roxana Valdebenito, Natalia Díaz, Katherine Indvik, O. Sarmiento, Alejandra Vives Vergara, A. Friche, Waleska Teixeira Caiaffa
Translating research results into policy and practice is essential for building healthier urban environments. This is a complex and challenging process requiring trust, understanding, and shared motivations across sectors and actor groups to establish safe spaces for experiences and ideas exchange. Recently, members of the Urban Health in Latin America Network convened a group of researchers, decision-makers, and local community members from Brazil, Chile, and Colombia to discuss three urban transformation interventions. The event ‘Urban transformations, community participation, and health: Lessons from Brazil, Chile, and Colombia’ was held virtually on September 2, 2021. We argue that this experience provided an innovative opportunity for capacity-building, establishing new connections between diverse stakeholders in Latin America, and supporting urban health research translation in the region. The discussion highlighted the importance of including both decision-makers and community members in urban health research, to advance decision-makers and community members’ understanding of the complexity of urban contexts, and to inform the research process. We hope this experience will inspire similar cross-sectoral dialogues that can broaden research practice and agendas and support knowledge translation to inform urban interventions and their evaluations to promote health and sustainability.
将研究成果转化为政策和实践对于建设更健康的城市环境至关重要。这是一个复杂而具有挑战性的过程,需要各部门和行动者群体之间的信任、理解和共同动机,以建立经验和思想交流的安全空间。最近,拉丁美洲城市卫生网络的成员召集了一组来自巴西、智利和哥伦比亚的研究人员、决策者和当地社区成员,讨论了三种城市转型干预措施。“城市转型、社区参与和健康:来自巴西、智利和哥伦比亚的经验教训”活动于2021年9月2日以虚拟方式举行。我们认为,这一经验为能力建设提供了创新机会,在拉丁美洲不同利益相关者之间建立了新的联系,并支持该地区的城市卫生研究转化。讨论强调了将决策者和社区成员纳入城市卫生研究的重要性,以促进决策者和社区成员对城市环境复杂性的理解,并为研究进程提供信息。我们希望这一经验将激发类似的跨部门对话,扩大研究实践和议程,支持知识转化,为城市干预措施及其评价提供信息,以促进健康和可持续性。
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引用次数: 2
Improving health in London: reflections from three mini case studies (HIV, mental health, healthcare estate) 改善伦敦的健康状况:来自三个小型案例研究(艾滋病毒、心理健康、医疗保健地产)的思考
Pub Date : 2022-07-28 DOI: 10.1080/23748834.2022.2102372
S. Danielli, Emile Radyte, P. Donnelly, T. Coffey, H. Ashrafian, A. Darzi
ABSTRACT Global health will increasingly be determined by cities and therefore city-wide transformation of health and care is crucially important. Reflections from our experiences in London suggest some critical ingredients for city-wide transformation, including: having a shared aim; robust engagement with the citizens, service users and providers of services; setting aside organisational priorities and effective incentives to do so; a focus on enablers; strong city-wide leadership. Rather than working ‘together but separately’, health and care partners must work ‘together, together’ if cities are to meet the health and care challenges of the next decade.
全球卫生将越来越多地由城市决定,因此城市范围内的卫生和保健转型至关重要。从我们在伦敦的经验中得出的反思,为整个城市的转型提供了一些关键因素,包括:有一个共同的目标;与公民、服务使用者和服务提供者进行强有力的接触;制定组织的优先事项和有效的激励措施;关注促成因素;强有力的全市领导。如果城市要应对下一个十年的卫生和保健挑战,卫生和保健合作伙伴必须“共同努力,共同努力”,而不是“共同努力,各行其是”。
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引用次数: 0
COVID-19, city centre streetscapes, and public health signage 2019冠状病毒病、市中心街景和公共卫生标识
Pub Date : 2022-07-22 DOI: 10.1080/23748834.2022.2091339
J. Speake, Maria Pentaraki
ABSTRACT In this paper, we reflect on the changes to cityscapes during the first year of the COVID-19 pandemic. We focus specifically on the relationships between COVID-19 communication, which took place via advertisements and messages located in urban spaces, and contemporary neoliberal politics. Particular attention is given to on-street official government public health communications and their visual impacts and wider socio-economic implications, exemplified through the lens of Belfast, Northern Ireland. We reflect on, first the transitions from pre-pandemic to pandemic streetscape signage and messages, secondly ephemerality in streetscapes under COVID-19 conditions, thirdly the rapidity of change in COVID-19 related public health signage and messages and finally structural constraints of COVID-19 related public health signage. This messaging has also made visible government responses to the pandemic and revealed official (re)emergent concerns (or lack of) for people’s health and well-being.
在本文中,我们反思了2019冠状病毒病大流行第一年城市景观的变化。我们特别关注通过位于城市空间的广告和信息进行的COVID-19传播与当代新自由主义政治之间的关系。特别注意街头官方政府公共卫生宣传及其视觉影响和更广泛的社会经济影响,以北爱尔兰贝尔法斯特为例。首先,我们思考了从疫情前到疫情大流行的街景标识和信息的转变;其次,在COVID-19条件下街景的短暂性;第三,与COVID-19相关的公共卫生标识和信息变化的快速性;最后,与COVID-19相关的公共卫生标识的结构约束。这一信息也表明了政府对大流行的反应,并揭示了官方对人民健康和福祉的(重新)紧急关注(或缺乏)。
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引用次数: 4
Toward integrative resilience: a healing justice and trauma-informed approach to urban climate planning 迈向综合复原力:城市气候规划的治愈正义和创伤知情方法
Pub Date : 2022-07-22 DOI: 10.1080/23748834.2022.2099673
C. Camponeschi
ABSTRACT Cities are on the frontline of the climate crisis and, as such, are poised to experience more frequent and severe climate-related disruptions including heat waves, floods, and epidemics. The personal and societal costs of these threats will only escalate as the effects of climate change continue to be felt more acutely, yet municipal action plans currently lack comprehensive indicators for tracking their impact on human health and wellbeing. In response to this gap, this paper proposes an integrative approach to urban resilience that is premised on: 1) a bioecological reading of vulnerability; 2) a trauma-informed approach to climate planning; and 3) a ‘healing justice’ orientation to policymaking. Informed by the cases of New York City and Copenhagen, it offers theoretical and policy contributions not only to the process of building resilience to climate change in cities, but to many other contexts where disaster and health emergencies, systemic risk mitigation, and community empowerment are concerned.
城市处于气候危机的前沿,因此,它们将经历更频繁、更严重的气候相关破坏,包括热浪、洪水和流行病。随着气候变化的影响越来越明显,这些威胁的个人和社会成本只会不断升级,但市政行动计划目前缺乏跟踪其对人类健康和福祉影响的综合指标。针对这一差距,本文提出了一种城市韧性的综合方法,其前提是:1)脆弱性的生物生态学解读;2)对气候规划采取创伤知情的方法;3)政策制定的“治愈正义”取向。根据纽约市和哥本哈根的案例,它不仅为在城市建立抵御气候变化能力的进程,而且为涉及灾害和卫生紧急情况、系统性风险缓解和社区赋权的许多其他情况提供理论和政策贡献。
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引用次数: 2
Impact of COVID-19 on neighbourhood physical activity in older adults COVID-19对老年人邻里身体活动的影响
Pub Date : 2022-07-21 DOI: 10.1080/23748834.2022.2095881
Charlotte Hennah, G. Ellis, M. Doumas
ABSTRACT Physical activity is critical for older adults’ health and was particularly important during the coronavirus (COVID-19) pandemic. To slow the spread of COVID-19, built environment modifications were introduced in public spaces including one-way walking systems, social distancing, and the restricted use of public toilets and seating. These modifications intended to encourage safe exercise but may have reduced walkability and inadvertently hindered older adults’ physical activity. We aimed to investigate whether Covid-related built environment modifications reduced older adults’ physical activity. We surveyed 282 older adults in the UK using a mixed methods Concurrent Triangulation Design. Physical activity decreased during COVID-19. Older adults believed many Covid-related built environment modifications negatively affected physical activity because of safety or accessibility issues. These negative modifications were more prominent in areas of higher walkability and associated with reduced physical activity. However Covid-related Traffic Reduction and some elements of One-Way Walking Systems were largely considered positive modifications that helped facilitate physical activity. We concluded common Covid-related built environment modifications hindered exercise, reduced walkability, and possibly contributed to reduced physical activity in older adults. If similar modifications are required in the future, older adults’ needs must be accommodated to avoid discouraging physical activity and compromising long-term health.
体育活动对老年人的健康至关重要,在冠状病毒(COVID-19)大流行期间尤为重要。为了减缓COVID-19的传播,在公共场所引入了建筑环境改造,包括单向步行系统,社交距离以及限制使用公共厕所和座位。这些修改旨在鼓励安全锻炼,但可能降低了步行能力,无意中阻碍了老年人的身体活动。我们的目的是调查与冠状病毒相关的建筑环境改造是否会减少老年人的身体活动。我们调查了282名老年人在英国使用混合方法并发三角设计。COVID-19期间身体活动减少。老年人认为,由于安全或无障碍问题,许多与冠状病毒相关的建筑环境改造对身体活动产生了负面影响。这些负面变化在可步行性较高的地区更为突出,并与体力活动减少有关。然而,与新冠肺炎相关的交通减少和单向步行系统的一些元素在很大程度上被认为是有助于促进身体活动的积极修改。我们得出结论,常见的与新冠病毒相关的建筑环境改造阻碍了锻炼,降低了步行能力,并可能导致老年人的身体活动减少。如果将来需要进行类似的修改,必须适应老年人的需要,以避免阻碍身体活动和损害长期健康。
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引用次数: 0
‘Cul-de-sacs make you fat’: homebuyer and land developer perceptions of neighbourhood walkability, bikeability, livability, vibrancy, and health “死胡同让你变胖”:购房者和土地开发商对社区步行、骑自行车、宜居、活力和健康的看法
Pub Date : 2022-07-04 DOI: 10.1080/23748834.2021.1979759
G. McCormack, Autumn Nesdoly, Dalia Ghoneim, Tara-Leigh F. McHugh
ABSTRACT Academics use ‘walkability’, ‘healthy’, ‘bikeability’, ‘vibrancy’, and ‘livability’ to describe neighbourhood design that support health and wellbeing. These labels are communicated in the media and real estate and land development marketing materials, yet residents may not use these labels when describing their neighbourhoods. Our qualitative study explored recent homebuyers’ and residential land developers’ perceptions of these neighbourhood design labels. Twelve land developers (7 men; 5 women) and twelve homebuyers (7 men; 5 women) from three major cities (Calgary, Edmonton, and Lethbridge) in Alberta, Canada, completed semi-structured telephone-interviews. Interview transcripts underwent content analysis. Land developers and homebuyers shared common perspectives of these labels, which had similarities with academic definitions. Participants described walkability as: (a) ease of movement, (b) contextual differences, and (c) connections; healthy as: (a) opportunities for activity, and (b) diversity; bikeability as: (a) supportive infrastructure, and (b) differing preferences; vibrancy as: (a) matches peoples’ values, and (b) supportive built features; and livability as: (a) all encompassing, and (b) safe and friendly. The features described were not mutually exclusive to any one-neighbourhood label. Our findings suggest that walkable and bikeable neighbourhoods are not necessarily vibrant or livable, nevertheless walkability, bikeability, vibrancy, and livability are qualities of a healthy neighbourhood.
学者们使用“步行性”、“健康”、“骑自行车性”、“活力”和“宜居性”来描述支持健康和幸福的社区设计。这些标签在媒体和房地产和土地开发营销材料中传播,但居民在描述他们的社区时可能不会使用这些标签。我们的定性研究探讨了最近购房者和住宅用地开发商对这些社区设计标签的看法。土地开发商12人(男性7人;5名女性)和12名购房者(7名男性;来自加拿大阿尔伯塔省三个主要城市(卡尔加里、埃德蒙顿和莱斯布里奇)的5名女性完成了半结构化的电话采访。访谈记录进行了内容分析。土地开发商和购房者对这些标签有着共同的看法,这些标签与学术定义有相似之处。参与者将可步行性描述为:(a)行动方便,(b)环境差异,(c)连接;健康的是:(a)活动机会;(b)多样性;可骑行性:(a)支持性基础设施,(b)不同的偏好;活力:(a)符合人们的价值观,以及(b)支持性的建筑特征;宜居性是:(a)包罗万象,(b)安全友好。所描述的特征与任何单一邻域标签并不相互排斥。我们的研究结果表明,适合步行和骑自行车的社区不一定是充满活力或宜居的,然而,适合步行、适合骑自行车、充满活力和宜居是健康社区的品质。
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引用次数: 3
Research for city practice 城市实践研究
Pub Date : 2022-07-04 DOI: 10.1080/23748834.2022.2150460
M. Grant, M. Franco
SUPPORTING CITY KNOW-HOW Human health and planetary health are influenced by city lifestyles, city leadership, and city development. For both, worrying trends have lead to increasing concern, and it is imperative that these become core foci for urban policy. This will require concerted action; the journal Cities & Health is dedicated to supporting the flow of knowledge, in all directions, to help make this happen. We wish to foster communication between researchers, practitioners, policy-makers, communities, and decision-makers in cities. This is the purpose of the City Know-how section of the journal. We, and our knowledge partners, the International Society for Urban Health and Salus.Global invite you to join these conversations with the authors and communities directly, and also, we hope, by publishing in Cities & Health.
人类健康和地球健康受到城市生活方式、城市领导和城市发展的影响。对于这两个城市来说,令人担忧的趋势已经引起了越来越多的关注,这些趋势必须成为城市政策的核心焦点。这需要采取协调一致的行动;《城市与健康》杂志致力于支持各个方向的知识流动,以帮助实现这一目标。我们希望促进研究人员、从业人员、政策制定者、社区和城市决策者之间的交流。这就是杂志“城市诀窍”部分的目的。我们和我们的知识伙伴,国际城市健康与健康协会。全球邀请您直接加入与作者和社区的对话,我们也希望通过在《城市与健康》上发表文章。
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引用次数: 0
Challenges and opportunities for urban health research in our complex and unequal cities 在我们复杂和不平等的城市中,城市卫生研究的挑战和机遇
Pub Date : 2022-07-04 DOI: 10.1080/23748834.2022.2143740
M. Franco, A. D. Diez Roux, U. Bilal
Today, cities continue to capture the world´s many challenges: escalating income inequality, racial and country of origin divisions, environmental pollution, emergent infectious disease contagion, and unsus-tainable growth that ignores the climate crisis . . . Today, we know cities as places that can both threaten and promote health.
今天,城市继续面临着世界上的许多挑战:不断加剧的收入不平等、种族和原籍国的划分、环境污染、新出现的传染病蔓延,以及忽视气候危机的不可持续的增长……今天,我们知道城市既是威胁健康的地方,也是促进健康的地方。
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引用次数: 1
Cycling infrastructures and equity: an examination of bike lanes and bike sharing system in Lisbon, Portugal 自行车基础设施和公平:对葡萄牙里斯本自行车道和自行车共享系统的考察
Pub Date : 2022-06-22 DOI: 10.1080/23748834.2022.2084589
Miguel Padeiro
ABSTRACT Inequity of access to the cycling network may reinforce social disparities in health and access to resources and opportunities. This study aims to examine whether the area-level material deprivation index is associated with different levels of accessibility to Lisbon’s (i) cycling network and (ii) bike-sharing docking stations network. Independent t-tests were implemented, and regression models were performed to estimate the associations of the multiple deprivation index with each dependent bike lane and bike-sharing docking station variable, adjusting for covariates. The results confirm the hypothesis of a significant difference between the most and least deprived areas in terms of the presence of bike lanes and bike-sharing stations as well as in terms of coverage, distance, and connectivity of the both infrastructures. When covariates are controlled, a higher index of material deprivation is associated with (i) a lower presence of, greater distance to, and lower coverage of bike-sharing docking stations; and (ii) is not associated with the presence of, distance to, connectivity of, and coverage of cycle lane networks. Based on these findings, efforts should be directed to increase access to bike lanes and bike-sharing systems to more deprived areas.
进入自行车网络的不公平可能会加剧健康和获得资源和机会的社会差距。本研究旨在研究区域级物质剥夺指数是否与里斯本(i)自行车网络和(ii)共享自行车停靠站网络的不同可达性水平相关。采用独立t检验,建立回归模型,估计多重剥夺指数与每个依赖的自行车道和共享单车停靠站变量之间的关联,并对协变量进行调整。研究结果证实了最贫困地区和最贫困地区在自行车道和共享单车站的存在以及这两种基础设施的覆盖范围、距离和连通性方面存在显著差异的假设。当控制协变量时,较高的物质剥夺指数与以下因素相关:(1)共享单车停靠站的存在率较低、距离较远、覆盖范围较低;(ii)与自行车道网络的存在、距离、连通性和覆盖范围无关。基于这些发现,应该努力在更贫困的地区增加自行车道和自行车共享系统。
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引用次数: 5
Green justice through policy and practice: a call for further research into tools that foster healthy green cities for all 通过政策和实践实现绿色正义:呼吁进一步研究促进人人享有健康绿色城市的工具
Pub Date : 2022-05-30 DOI: 10.1080/23748834.2022.2072057
E. Oscilowicz, Isabelle Anguelovski, M. Triguero-Mas, Melissa García-Lamarca​, F. Baró, Helen V. S. Cole
ABSTRACT Green or environmental gentrification has been shown to be directly related to residential physical and socio-cultural displacement and insecure housing conditions among socially or racially underprivileged residents, with clear related health impacts. In this context, those vulnerable groups become unable to benefit from the social, well-being, and overall health benefits of green amenities. To date, despite increasing gentrification and related civic concerns, cities in North America and Europe are still slow to respond. Siloed and reactive planning approaches to (re)development and greening generally do not include housing security and affordability provisions in ways that would be strategic and equity-driven. In this Commentary, we call for further research on the mix of policies and tools that posit multi-sectoral and de-siloed greening agendas in coordination with affordable and stable housing. We open the discussion on four justice-driven policies and tools presented in the Policy Tools for Urban Green Justice (BCNUEJ 2021) report that derives from research conducted in 40 cities, analyzing 480 interviews with key neighborhood stakeholders across Europe and North America. We also call for research that identifies how urban policy developments and anti-gentrification and anti-displacement strategies can be combined with inclusive greening tools to build healthy, green cities for all.
绿色或环境高档化已被证明与社会或种族弱势居民的居住物质和社会文化流离失所以及不安全的住房条件直接相关,并具有明显的相关健康影响。在这种情况下,这些弱势群体无法从绿色设施的社会、福祉和整体健康效益中受益。迄今为止,尽管中产阶级化和相关的公民关注日益增加,但北美和欧洲的城市仍然反应迟缓。孤立和被动的(再)开发和绿化规划方法通常不包括住房保障和可负担性规定,这将是战略和公平驱动的方式。在本评论中,我们呼吁进一步研究政策和工具的组合,以制定多部门和非孤立的绿色议程,并与经济适用和稳定的住房相协调。我们首先讨论城市绿色正义政策工具(BCNUEJ 2021)报告中提出的四项正义驱动的政策和工具,该报告源自对欧洲和北美40个城市的研究,分析了对主要社区利益相关者的480次访谈。我们还呼吁开展研究,确定如何将城市政策发展、反中产阶级化和反流离失所战略与包容性绿化工具相结合,为所有人建设健康、绿色的城市。
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引用次数: 11
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Cities & health
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