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Schools that heal: design with mental health in mind 治愈的学校:将心理健康考虑在内的设计
Pub Date : 2022-10-25 DOI: 10.1080/23748834.2022.2136611
Majid Amani Beni, Mohammad Reza Khalilnezhad
those who use it. Indeed, a unique facet of the book is how conversational and personal it reads. Each chapter is a ‘practice story’—a product of an interview with the author whereby their strategies and observations about a particular project, its processes, challenges and outcomes are described and reflected on. This way of setting up the book affords a sense of honesty and education that will undoubtedly be valuable for anyone seeking to embark in a participatory planning endeavour for the first time, or hone these skills for those who are seasoned at engaging with communities. The book is structured around three distinct parts that frame the place makers’ stories. Part I is titled ‘Design, Collaboration, and Ownership’ and includes four chapters that tackle broad but timely topics such as affordable housing and ethnicity, public space use, and group dynamics among stakeholders. The authors in this section recall actions taken, and lessons learned, related to the projects that they are describing for the book – many of which are both relatable and repeatable for those who live and work in cities with analogous demographics and economics. Many authors note the benefits of finding more accessible ways to inform (but also to learn with) members of the public so that everyone has a confident voice in municipal decisionmaking. Part II is titled ‘Engagement and Difference in Placemaking’ and includes four chapters concerning dispute resolution and racial violence, the development of a justice centre, community belonging, and the art of listening and being accountable in a community. These authors discuss some of the strategies used to form partnerships with community members and organizations, including working in alignment with the idiosyncratic aspects of a place in order to make participatory methods work smoothly. The authors also make sure that readers understand how important the local context is, whether the issue at hand is food security, social justice, public health – and beyond. Authors’ insights formed from the ground up seem transposable to research and activism related to mental health: When planners and administrators concern themselves with the culture and the nuanced ways of living in a place, it often results in stronger trust-building and a level of openness among stakeholders and community members, affording greater democracy and cogent policy-making. Last, Part III is called ‘Art, Imagination, and Value Creation.’ Its five chapters discuss links between public art and economic development, place identity, sustainable design, and cultivating the arts in communities in general. This collection of chapters expresses a common worry among the authors that decision-makers may not thoroughly or consistently listen to, or act on, what artists, activists, entrepreneurs, gardeners, and other community players suggest for a setting. This section of the book may be particularly helpful for those looking to make a difference at the individua
那些使用它的人。事实上,这本书的独特之处在于它的对话和个人化。每一章都是一个“实践故事”——这是对作者的一次采访的产物,作者在采访中描述和反思了他们对一个特定项目的策略和观察、过程、挑战和结果。这种设置本书的方式提供了一种诚实和教育的感觉,这无疑对任何第一次寻求参与规划工作的人来说都是有价值的,或者对那些在与社区接触方面经验丰富的人来说,磨练这些技能是有价值的。这本书由三个不同的部分构成,这些部分构成了地方创造者的故事。第一部分的标题是“设计、合作和所有权”,包括四个章节,涉及广泛而及时的主题,如经济适用房和种族、公共空间使用和利益相关者之间的群体动态。这一部分的作者回顾了他们在书中描述的项目所采取的行动和吸取的教训,其中许多对那些在人口和经济状况类似的城市生活和工作的人来说都是相关的和可重复的。许多作者指出,找到更容易获得的方式来告知(同时也与之学习)公众成员的好处,这样每个人都能在市政决策中有自信的发言权。第二部分的标题是“参与和不同的地方”,包括四个章节,涉及解决争端和种族暴力,司法中心的发展,社区归属感,以及在社区中倾听和负责的艺术。这些作者讨论了一些用于与社区成员和组织建立伙伴关系的策略,包括与一个地方的特殊方面保持一致,以使参与式方法顺利工作。作者还确保读者理解当地背景的重要性,以及手头的问题是食品安全、社会正义、公共卫生还是其他。作者从底层形成的见解似乎可以适用于与心理健康相关的研究和行动主义:当规划者和管理者关注一个地方的文化和细微的生活方式时,往往会在利益相关者和社区成员之间建立更强的信任和一定程度的开放,从而提供更大的民主和更有说服力的决策。最后,第三部分是“艺术、想象和价值创造”。它的五个章节讨论了公共艺术与经济发展、地方认同、可持续设计以及在社区中培养艺术之间的联系。这些章节的集合表达了作者们普遍的担忧,即决策者可能不会彻底或始终如一地听取艺术家、活动家、企业家、园丁和其他社区参与者对环境的建议,或者采取行动。对于那些希望在个人层面有所作为的人,以及那些希望在不同兴趣的团队中工作的人,形成有影响力的声音并实现有意义的目标,这本书的这一部分可能特别有帮助。这本书包括一个引人入胜的介绍和结论,由编辑框架他的动机写作的工作,并证明时间轴的发展。这些部分很重要,因为这本书是在一系列全球危机之后出版的,比如COVID-19大流行,气候变化的持续影响,以及许多针对社会和种族不公正的公众起义。编辑提供了一个“后记”部分来解释这本书的故事情节在流行病时代的相关性,以及在最近的黑人生命也是运动的背景下。本书还包括三个附录,以补充特定章节中给出的一些信息(以及与每章作者进行的访谈的详细信息,如日期和批准文件),以进一步标志本书是一个道德和正式的承诺。总的来说,《空间如何成为场所:场所制造者讲述他们的故事》是一本鼓舞人心的书,适合那些在社会科学、公共卫生、规划和设计学科以及其他领域学习或工作的人,这些领域依赖于人性化、有机的沟通方法,将各种各样的人聚集在一起,以支持公共目的。无论是艺术家、社区成员、政府管理人员、城市管理者还是学者,任何希望从别人的工作经历和成功故事中学习的人,都能在这本精心策划的书中找到很多满足感和指导。Lindsay J. McCunn温哥华岛大学心理学系,加拿大BC省纳奈莫lindsay.mccunn@viu.ca
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引用次数: 1
Creating active urban environments: insights from expert interviews 创造活跃的城市环境:来自专家访谈的见解
Pub Date : 2022-10-24 DOI: 10.1080/23748834.2022.2132585
Loes van Renswouw, Carine Lallemand, P. van Wesemael, S. Vos
ABSTRACT Urban planning and design offer opportunities to nudge people towards more active behavior. This is a popular topic among urbanists and health professionals, with several guidelines and best practices already developed. However, a gap exists between theory and practice and the complex realization process of such active environments is rarely documented. In this study, we investigated the process of designing, implementing, and evaluating active urban environments through semi-structured interviews with 11 European practitioner experts in the field of active environment design and development. We additionally analyzed 51 examples of active environments they provided. We discuss definitions of active environments and their added value to encourage active behavior and provide an overview of the spectrum of design strategies, elements and boundaries used to create them. We also describe typical steps in the design and realization process, including types of stakeholders, main gaps, and points of friction in this practice.
城市规划和设计为推动人们更积极的行为提供了机会。这是城市规划专家和卫生专业人员的热门话题,已经制定了一些指导方针和最佳做法。然而,理论与实践之间存在差距,这种主动环境的复杂实现过程很少有文献记载。在这项研究中,我们通过对11位活跃环境设计和开发领域的欧洲执业专家的半结构化访谈,调查了活跃城市环境的设计、实施和评估过程。我们还分析了他们提供的51个活动环境示例。我们讨论了主动环境的定义及其鼓励主动行为的附加价值,并概述了用于创建主动环境的设计策略、元素和边界。我们还描述了设计和实现过程中的典型步骤,包括涉众的类型、主要差距和实践中的摩擦点。
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引用次数: 3
Life conditions of residents in social housing in Medellin, Colombia: a Fuzzy Analytical Hierarchy Process 哥伦比亚麦德林市社会住房居民生活状况:模糊层次分析法
Pub Date : 2022-10-07 DOI: 10.1080/23748834.2022.2122264
Harold Cardona-Trujillo, Estefany Peña-Rojas, E. Martínez-Herrera, María Claudia Mejía-Gil
RESUMEN Para comprender las condiciones de vida relacionadas con la salud de los habitantes de la vivienda social ubicadas en las comunas de Medellín, se propone una metodología basada en la resolución de problemas complejos haciendo uso de método del Proceso de Jerarquía Analítica Difusa (Fuzzy-AHP) para evaluar las percepciones de expertos de los criterios extraídos del Índice Multidimensional de Condiciones de Vida (IMCV) del año 2017, como elemento de la gestión urbana y las políticas públicas. Para comparar entre sí las cinco comunas con mayor presencia de proyectos de vivienda social en Medellín, se partió de comparar 14 criterios con 40 variables, cada criterio con entre dos y seis variables, usando información de 12 jueces expertos, para derivar pesos, prioridades y jerarquías a partir de comparar la importancia de cada uno de los criterios de calidad, se determinó que la comuna 16 (Belén) y la comuna 60 (San Cristóbal) cuentan con las mejores y peores condiciones de vida para los habitantes de la vivienda social respectivamente.
简报了解生活条件与健康有关的社会住房居民驻扎在公社的美德因(medellin),拟基于问题解决方法复杂运用(Fuzzy-AHP)资深的过程分析方法的标准来评估专家的看法,从多维度生活条件指数(IMCV) 2017年,作为城市管理和公共政策的一部分。相互比较的五个公社与更大的社会住房项目存在在他临死的麦德林比较14个标准40个变量,每项标准2至6个变量,利用12法官专家信息,导致比索、优先事项和削平从比较每个质量标准的重要性,对16区(belen)和60区(San cristobal)的社会住房居民的生活条件分别是最好的和最差的。
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引用次数: 2
Participatory approaches to enact meaningful interconnectedness with the natural environment: a case study in Singapore 制定有意义的与自然环境相互联系的参与式方法:新加坡的案例研究
Pub Date : 2022-10-05 DOI: 10.1080/23748834.2022.2124012
Diana M. Benjumea, Yohei Kato, Keng Hua Chong
ABSTRACT Over the last decades, Singapore has reintroduced biodiverse green spaces in the city with the aim of enhancing the wellbeing of residents through nature connection. Despite the impressive urban green infrastructure built, surges in mental health related problems have questioned the efficacy of the methods applied to reconnect citizens with the natural environment. Of interest are the non-governmental organizations (NGOs) nature placemaking programmes introducing new social-ecological values that influence the sense of psychological wellbeing in the long-term. Nevertheless, since nature placemaking is a relatively new practice, more knowledge on the methods implemented to connect residents to the natural environment is needed, considering also the values enacted, how facilitators impact or accelerate the process, and the necessary frequency of interaction and time of engagement. To explore this, we conducted an in-depth analysis at the NGO ‘The Ground-Up Initiative’ (GUI) in Singapore. A sequential mixed-methods study, including seven focus groups and a survey was conducted with core members and volunteers. It was found that the duration of engagement and number of programmes attended are correlated to feelings of social cohesion, sense of community, self-esteem, and self-efficacy. Additionally, the role of facilitators was found to be a determinant to enable values that promote interconnectedness with the natural environment.
在过去的几十年里,新加坡在城市中重新引入了生物多样性的绿色空间,目的是通过与自然的联系来提高居民的幸福感。尽管城市绿色基础设施建设令人印象深刻,但与心理健康相关的问题激增,使人们质疑将市民与自然环境重新联系起来的方法的有效性。令人感兴趣的是,非政府组织(ngo)的自然场所营造方案引入了新的社会生态价值观,长期影响心理健康感。然而,由于自然场所营造是一种相对较新的实践,因此需要更多关于将居民与自然环境联系起来的方法的知识,还需要考虑制定的价值观,促进者如何影响或加速这一过程,以及必要的互动频率和参与时间。为了探讨这个问题,我们在新加坡的非政府组织“草根行动”(GUI)进行了深入的分析。一项连续的混合方法研究,包括七个焦点小组和对核心成员和志愿者的调查。研究发现,参与项目的持续时间和参加项目的数量与社会凝聚力、社区意识、自尊和自我效能感相关。此外,研究发现,促进者的作用是实现促进与自然环境相互联系的价值观的决定因素。
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引用次数: 1
Our Voice in the Ciclovía: exercising recreation and health rights through Citizen Science 我们在Ciclovía的声音:通过公民科学行使娱乐和健康权利
Pub Date : 2022-10-03 DOI: 10.1080/23748834.2022.2119815
D. Higuera-Mendieta, S. González, B. Chrisinger, Natalia Rodriguez Castañeda, L. Rosas, A. Banchoff, Johnattan García, Cristina Mejía-Cancelado, Camilo A Triana, A. King, O. Sarmiento
RESUMEN La Ciclovía es un programa multisectorial en el que se cierran las calles a los automóviles para que las personas tengan un espacio seguro e inclusivo para la recreación y la actividad física en Bogotá, Colombia. Este estudio tuvo como objetivos a) determinar en qué medida el método de ciencia ciudadana con participación comunitaria, Nuestra Voz, facilitó la interacción entre la investigación y la práctica para realizar cambios en el programa Ciclovía; b) evaluar la receptividad de los tomadores de decisiones y participantes al método Nuestra Voz; y c) analizar los aportes del método al ejercicio de los derechos hacia la recreación y la salud en Bogotá. Se utilizó un diseño de métodos mixtos exploratorio secuencial para recopilar e interpretar datos cualitativos y cuantitativos. Nuestra Voz mejoró las comunicaciones entre los participantes del programa y los tomadores de decisiones, proporcionando un método para comprender las experiencias de los usuarios e implementar cambios basados en datos. Los cambios al programa incluyeron la provisión de baños portátiles en el circuito, una extensión del circuito de Ciclovía y la mejora de la capacitación del personal de Ciclovía. El proyecto también perfeccionó las habilidades de los científicos ciudadanos en la observación ambiental y la defensa de sus derechos a la salud y la recreación.
在这一领域,我们提出了一种方法,在这种方法中,一个人的行为和他/她的行为之间的关系可以被理解为一种关系,在这种关系中,他/她的行为和他/她的行为之间的关系可以被理解为一种关系,在这种关系中,他/她的行为和他/她的行为之间的关系可以被理解为一种关系。本研究的目的是:a)确定社区参与的公民科学方法,我们的声音,在多大程度上促进了研究和实践之间的互动,以改变自行车道计划;b)评估决策者和参与者对“我们的声音”方法的接受程度;c)分析该方法对波哥大娱乐和健康权行使的贡献。本研究的目的是评估一项研究的有效性,该研究的目的是评估一项研究的有效性,该研究的目的是评估一项研究的有效性。我们的声音改善了项目参与者和决策者之间的沟通,提供了一种理解用户体验和实施数据驱动变革的方法。该计划的变化包括在赛道上提供便携式厕所,延长自行车赛道,并改进对自行车工作人员的培训。该项目还提高了公民科学家在环境观察和捍卫其健康和娱乐权利方面的技能。
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引用次数: 2
The impact of urban walking on psychophysiological wellbeing 城市步行对心理生理健康的影响
Pub Date : 2022-09-28 DOI: 10.1080/23748834.2022.2123763
C. Neale, J. Hoffman, D. Jefferson, J. Gohlke, M. Boukhechba, A. Mondschein, S. Wang, J. Roe
ABSTRACT Research indicates benefits to psychophysiological wellbeing from walking in urban green space compared to other built settings. This study builds on research in older adults extending the protocol to healthy adults (n = 40, mean age = 42 years) exploring the impacts of walking in varying environmental conditions on psychophysiological outcomes (mood, working-memory and heart rate variability (HRV)). Participants undertook a short (20–30 minute) walk in both an urban green and gray setting, one week apart, with varying levels of air pollution and heat. Walking in the urban green setting increased positive mood and HRV (suggesting positive impact on physiological stress) and decreased self-reported stress and arousal. Thermal sensation in the urban green setting was lower compared to the urban gray setting. Our results build on evidence that there are potential beneficial effects of urban green settings with respect to heat and particulate matter (PM2.5). These results show psychophysiological benefits of short walks within urban green settings, during the pandemic, which has implications for public health and how we engage with our local environments for physical activity.
研究表明,与其他建筑环境相比,在城市绿地散步对心理生理健康有益。本研究建立在老年人研究的基础上,将该方案扩展到健康成年人(n = 40,平均年龄= 42岁),探索在不同环境条件下行走对心理生理结果(情绪、工作记忆和心率变异性(HRV))的影响。参与者在城市绿色和灰色的环境中进行短时间(20-30分钟)的步行,间隔一周,空气污染和热量水平不同。在城市绿色环境中散步增加了积极情绪和HRV(表明对生理应激有积极影响),减少了自我报告的压力和觉醒。城市绿色环境中的热感觉低于城市灰色环境。我们的研究结果建立在城市绿色环境对热量和颗粒物(PM2.5)有潜在有益影响的证据之上。这些结果表明,在大流行期间,在城市绿色环境中短距离散步对心理生理有益,这对公共卫生以及我们如何与当地环境进行体育活动具有影响。
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引用次数: 3
Is it appropriate to import existing food retail environment definitions for the Latin American context? A systematic search and expert knowledge 引进现有的食品零售环境定义适合拉丁美洲吗?系统的搜索和专业知识
Pub Date : 2022-09-26 DOI: 10.1080/23748834.2022.2112502
M. C. de Menezes, Paulo Cesar Pereira de Castro Junior, M. F. Kroker-Lobos, C. Ferrer, N. Tumas, I. R. R. de Castro, L. Cardoso
RESUMEN La investigación sobre el ambiente alimentario en América Latina ya no puede considerarse incipiente. Sin embargo, Todavía tenemos importantes desafíos metodológicos que enfrentar, incluyendo la comprensión de los tipos de comercios de alimentos. Hemos desarrollado un inventario de los tipos de comercio de alimentos más relevantes en América Latina, utilizando el conocimiento de expertos y la búsqueda de literatura para identificar la terminología comúnmente utilizada en los artículos científicos en América Latina. Finalmente, se desarrolló una lista de tipos de comercio de alimentos, seguida de sus respectivas definiciones, y similitudes y diferencias entre Estados Unidos y América Latina. La taxonomía puede ser útil para facilitar las comparaciones, desarrollar repositorios de datos que evalúen la disponibilidad de los tipos de comercios de alimentos, generar datos empíricos para clasificar el comercio de alimentos en saludables/no saludables y desarrollar marcos teóricos para la región.
本文的目的是分析在墨西哥和拉丁美洲进行的研究的结果。然而,我们仍然面临着重要的方法论挑战,包括理解食品商店的类型。我们开发了一份拉丁美洲最相关的食品贸易类型的清单,利用专家知识和文献搜索来确定拉丁美洲科学文章中常用的术语。最后,我们列出了食品贸易的类型,然后是它们各自的定义,以及美国和拉丁美洲之间的异同。分类法可能有助于促进比较,开发评估食品贸易类型可用性的数据存储库,生成经验数据将食品贸易分类为健康/不健康,并为该区域开发理论框架。
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引用次数: 2
Community wellbeing in the built environment: towards a relational building assessment 建筑环境中的社区福祉:迈向关系建筑评估
Pub Date : 2022-09-14 DOI: 10.1080/23748834.2022.2097827
Norene Lach, S. McDonald, Sylvia Coleman, M. Touchie, John Robinson, Garrett T. Morgan, Blake Poland, Alstan Jakubiec
ABSTRACT Community Wellbeing (CW) in the built environment is acknowledged as being ‘greater than the sum of its parts’, a process that emerges when residents negotiate understandings of community within shared spaces. However, methods of evaluation have not caught up. In practice, evaluation methods and frameworks measure CW as an aggregate of individual wellbeing, and operate as a ‘pick and mix’ of dimensions and indicators. Such an approach fails to capture the resident experience as it emerges from (and is shaped by) the local community context. To bridge the gap between theory and practice, we advance participatory mixed methods to integrate CW theory with current building performance assessment methods in support of the development of a novel, evidence-based tool. The first section covers the shift from an aggregate to relational conceptual framework, employing a social practice theory lens to acknowledge how CW emerges from individual and collective interactions. We then situate CW within current building performance assessment methods by reviewing seven CW frameworks. Finally, we recommend improvements to CW assessment based on our own research, including participatory methods, local community engagement, and Photovoice.
建筑环境中的社区福祉(CW)被认为是“大于其部分的总和”,这是一个居民在共享空间中协商社区理解的过程。然而,评价方法并没有跟上。在实践中,评估方法和框架将CW衡量为个人福祉的总和,并作为维度和指标的“挑选和混合”运作。这种方法未能捕捉到居民的体验,因为它是从当地社区环境中产生的(并受其影响)。为了弥合理论与实践之间的差距,我们提出了参与式混合方法,将连续建筑理论与当前的建筑性能评估方法相结合,以支持开发一种新颖的、基于证据的工具。第一部分涵盖了从总体到关系概念框架的转变,采用社会实践理论的视角来认识文化创新是如何从个人和集体的互动中产生的。然后,我们通过回顾七个连续化学框架,将连续化学置于当前建筑性能评估方法中。最后,基于我们自己的研究,我们建议改进CW评估,包括参与式方法、当地社区参与和Photovoice。
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引用次数: 4
Providing support to underprivileged people during the COVID-19 pandemic in Brazil: the role of the Trust Group and women leaders in São Paulo’s favelas 在巴西COVID-19大流行期间为贫困人口提供支持:信托小组和妇女领导人在<s:1>圣保罗贫民窟中的作用
Pub Date : 2022-09-05 DOI: 10.1080/23748834.2022.2111192
A. Domingos, Juliana Miranda Mitkiewicz, P. Saldiva
RESUMEN São Paulo fue uno de los epicentros de la pandemia de COVID-19 en Brasil y su impacto fue severo entre las poblaciones más desfavorecidas, especialmente en los residentes de favelas. Este documental relata la creación del Grupo Confianza, compuesto en su mayoría por mujeres líderes comunitarias en favelas de São Paulo y cómo sus acciones inspiraron políticas públicas en Brasil; sus lecciones son ejemplos de gobernabilidad y solidaridad en tiempos de crisis y pueden servir de modelo para otras ciudades de Latinoamérica. El documental describe la historia contada por aquellas líderes comunitarios. Para ver el documental, por favor visite el siguiente link: https://youtu.be/61elJw0oqCY
在这方面,本文分析了在巴西和拉丁美洲进行的一项研究的结果,该研究的目的是评估在巴西和拉丁美洲进行的一项研究的结果,该研究的目的是评估在巴西和拉丁美洲进行的一项研究的结果。这部纪录片讲述了Confianza小组的创建,该小组主要由sao Paulo贫民窟的女性社区领袖组成,以及她们的行动如何激发了巴西的公共政策;他们的经验是危机时期治理和团结的典范,可以作为拉丁美洲其他城市的榜样。这部纪录片描述了这些社区领袖讲述的故事。观看纪录片请访问以下链接:https://youtu.be/61elJw0oqCY
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引用次数: 1
Mainstreaming health in urban design and planning: advances in theory and practice 将健康纳入城市设计与规划的主流:理论与实践的进展
Pub Date : 2022-09-03 DOI: 10.1080/23748834.2022.2148844
J. Siri, I. Geddes
That urban environments influence health is not a recent discovery, nor is concern for health among urban planners a novel development. Public health practitioners, too, have long advocated for interventions in the urban fabric to address pressing health issues. The origins and evolution of these fields are, indeed, closely interwoven. The ‘sanitary revolution’ of the 19th century recognised the environmental origins of many major urban health threats, and well over a century has elapsed since the birth of the corresponding public health movement focused on improving urban living conditions. Early exploration of the possibilities of urban space for elevating wellbeing included ‘model’ experimental housing projects, as in the industrial company towns of New Lanark and Saltaire (Minnery 2012), and planning theory sowed the seeds not just for research and practice on healthy cities, but also for a deeper examination of the relationship between human and natural systems, for example, through the Garden Cities movement. Today, we have moved far beyond isolated experimental prototypes of healthy urbanism. The WHO Healthy Cities project was founded in 1986, drawing on the principles of Health for All laid out in the 1978 Alma Ata conference, and has achieved many practical successes while expanding to thousands of communities around the world. In parallel, since the 1990s there has been a burgeoning effort to shed light on the interrelated nature of people, health, and the environment at various geographical scales (Lawrence 2021). Indeed, in the modern age, humanity’s impacts on the environment have become so significant that we now know our era as The Anthropocene (Steffen et al. 2007), and we recognize the preservation and flourishing of natural resources as inextricably linked to human health – for example, in the emerging rubric of planetary health. Peer-to-peer city networks, to be sure, increasingly concern themselves with issues of health and environment. Thus, it is now well established that effective urban planning and design can support human and planetary health and that, conversely, poorly designed and managed cities – as often seen in contexts of rapid, unplanned urban growth and limited resources – generate threats to health and environmental burdens. As Lawrence (2004) articulated, health should be seen as ‘a dynamic, holistic and positive concept that should be understood and included in programs, projects and plans about built environments’. Yet, while research, policy, and practice on healthy cities have surged in recent decades, the status of urban health globally remains suboptimal: for example, though city dwellers generally enjoy better health than their rural counterparts, almost 40% have no access to safely managed sanitation services and an estimated 91% of people in urban areas breathe polluted air (WHO 2021). With 68% of the population predicted to live in urban areas by 2050, a failure to incorporate health more decisively i
城市环境影响健康并不是最近才发现的,城市规划者对健康的关注也不是一个新的发展。公共卫生从业人员也一直主张在城市结构中采取干预措施,以解决紧迫的卫生问题。这些领域的起源和演变确实是紧密交织在一起的。19世纪的“卫生革命”认识到许多主要城市健康威胁的环境根源,自相应的以改善城市生活条件为重点的公共卫生运动诞生以来,已经过去了一个多世纪。早期对城市空间提升幸福感可能性的探索包括“模型”实验性住房项目,如在新拉纳克和索尔泰尔的工业公司城镇(Minnery 2012),规划理论不仅为健康城市的研究和实践播下了种子,而且还为人类与自然系统之间的关系进行了更深入的研究,例如,通过花园城市运动。今天,我们已经远远超越了健康城市主义的孤立实验原型。世卫组织健康城市项目于1986年根据1978年阿拉木图会议制定的人人享有卫生保健原则成立,在向全世界数以千计的社区扩展的同时取得了许多实际成功。与此同时,自20世纪90年代以来,在不同地理尺度上,人们开始努力阐明人、健康和环境的相互关联性质(Lawrence 2021)。事实上,在现代,人类对环境的影响已经变得如此重大,以至于我们现在将我们的时代称为“人类世”(Steffen等人,2007年),我们认识到,保护和繁荣自然资源与人类健康有着千丝万缕的联系——例如,在新兴的“地球健康”这一主题中。可以肯定的是,点对点城市网络越来越关注健康和环境问题。因此,有效的城市规划和设计可以支持人类和地球的健康,相反,设计和管理不善的城市——在城市迅速、无计划增长和资源有限的情况下经常出现这种情况——对健康和环境造成威胁和负担。正如Lawrence(2004)所阐述的那样,健康应该被视为“一个动态的、整体的和积极的概念,应该被理解并包含在有关建筑环境的计划、项目和计划中”。然而,尽管近几十年来关于健康城市的研究、政策和实践激增,但全球城市卫生状况仍不理想:例如,尽管城市居民普遍享有比农村居民更好的健康状况,但近40%的人无法获得安全管理的卫生设施服务,估计91%的城市地区人口呼吸受污染的空气(世卫组织2021年)。预计到2050年,68%的人口将生活在城市地区,如果不能更果断地将卫生纳入城市规划和管理,将不可避免地导致日益严重的健康和环境负担,在某些情况下,这种负担会被锁定并自我延续。限制城市卫生进展的一个因素是对城市复杂性的认识不足。城市承载着多方面的,有时甚至是矛盾的结果。例如,它们的密度可以更有效地利用资源——这是一种环境效益——但它们仍然造成了60%以上的温室气体排放(世卫组织2021年)。同样,城市通常提供良好的就业、教育和卫生保健和住房等服务(统称为健康的主要社会决定因素),但也集中了健康风险和危害,如空气和噪音污染,以及传染病和非传染性疾病、伤害、营养不良和精神健康问题的众多决定因素。当然,这些风险和结果在城市之间和城市内部分布不均。城市的复杂性需要系统思维来理解和有利地共同创造我们的城市环境。利用城市规划、设计、管理和治理之间的协同作用,需要处理城市、城市基础设施、代理人、正式管理机构和非正式发展过程之间的相互作用,这些相互作用会产生复杂或意想不到的结果。系统思考可以帮助描述这种复杂性,并促进部门间政策的实施,使从业者能够建模并理解相互关联
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Cities & health
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