Are compact cities a threat to public health? (original) (raw)
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How Does the Urban Environment Affect Health and Well-Being? A Systematic Review
Urban Science
In times of rapid urbanization, health and well-being of citizens is increasingly recognized as a challenge. A remarkable amount of research on relations between urban environments and health or well-being has been conducted. To get an insight about the existing measurements on both health combined with well-being, a systematic literature search was conducted using the databases PubMed and ScienceDirect including references until July 2017. To classify the references a conceptual model describing interrelationships between factors that may be associated with health-related urban well-being was used. The keywords "urban", "well-being", and "health" were applied together with factors described in the model. Twenty-four articles met the inclusion criteria. Of these, most studies focused on associations between urban green, health and well-being showing the great importance of green space usage in urban settings to promote better health and well-being. Health was mostly assessed by the General Health Questionnaire (GHQ-12); to measure well-being, the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) was mostly used. There are still only a few studies investigating the great complexity of urban health and well-being. More specifically, there is a lack in interdisciplinary approaches that highlight the complexity of urban structures and dynamics and their possible influence on urban health and well-being.
Place effects on health: how can we conceptualise, operationalise and measure them
Social Science & Medicine, 2002
In this paper we highlight what we consider to be a lack of adequate conceptualisation, operationalisation and measurement of ''place effects''. We briefly review recent historical trends in the study of the effects of place on health in industrial countries, and argue that ''place effects'' often appear to have the status of a residual category, an unspecified black box of somewhat mystical influences on health which remain after investigators have controlled for a range of individual and place characteristics. We note that the distinction between ''composition'' and ''context'' may be more apparent than real, and that features of both material infrastructure and collective social functioning may influence health. We suggest using a framework of universal human needs as a basis for thinking about how places may influence health, and recommend the testing of hypotheses about specific chains of causation that might link place of residence with health outcomes. r
Urban environment and mental health: the NAMED project, protocol for a mixed-method study
BMJ Open, 2020
IntroductionMental health issues appear as a growing problem in modern societies and tend to be more frequent in big cities. Where increased evidence exists for positive links between nature and mental health, associations between urban environment characteristics and mental health are still not well understood. These associations are highly complex and require an interdisciplinary and integrated research approach to cover the broad range of mitigating factors. This article presents the study protocol of a project called Nature Impact on Mental Health Distribution that aims to generate a comprehensive understanding of associations between mental health and the urban residential environment.Methods and analysisFollowing a mixed-method approach, this project combines quantitative and qualitative research. In the quantitative part, we analyse among the Brussels urban population associations between the urban residential environment and mental health, taking respondents’ socioeconomic s...
2014
Characteristics of an individual alone cannot exhaustively explain all the causes of poor health, and neighborhood of residence have been suggested to be one of the factors that contribute to health. However, knowledge about aspects of the neighborhood that are most important to health is limited. The main objective of this study was to explore associations between certain features of neighborhood environment and self-rated health and depressive symptoms in Maastricht (The Netherlands). A large amount of routinely collected neighborhood data were aggregated by means of factor analysis to 18 characteristics of neighborhood social and physical environment. Associations between these characteristics and self-rated health and presence of depressive symptoms were further explored in multilevel logistic regression models adjusted for individual demographic and socio-economic factors. The study sample consisted of 9,879 residents (mean age 55 years, 48 % male). Residents of unsafe communities were less likely to report good health (OR 0.88 95 % CI 0.80-0.97) and depressive symptoms (OR 0.81 95 % CI 0.69-0.97), and less cohesive environment was related to worse self-rated health (OR 0.81 95 % CI 0.72-0.92). Residents of neighborhoods with more car traffic nuisance and more disturbance from railway noise reported worse mental health (OR 0.79 95 % CI 0.68-0.92 and 0.85 95 % CI 0.73-0.99, respectively). We did not observe any association between health and quality of parking and shopping facilities, facilities for public or private transport, neighborhood aesthetics, green space, industrial nuisance, sewerage, neighbor nuisance or Electronic supplementary material The online version of this article (satisfaction with police performance. Our findings can be used to support development of integrated health policies targeting broader determinants of health. Improving safety, social cohesion and decreasing traffic nuisance in disadvantaged neighborhoods might be a promising way to improve the health of residents and reduce health inequalities.
Environment-Behaviour Proceedings Journal
This paper examines the influence of the urban physical environment on mental health. A scoping review of reviews and a search of keywords from 109 international literatures from 1985 to 2019 conducted in a relevant database such as SCOPUS, Web of Science, and PubMed and snowballing method in the references list to get a recent paper that related. The relationship developed in the form of a theoretical framework using urban health indicators that identifies a relationship between the urban physical environment and mental health. The framework can be beneficial to the urban planning decision-makers to plan healthier and more sustainable Malaysian cities.Keywords: Urban Physical; Environment; Mental; HealtheISSN: 2398-4287 © 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association o...
Association between urban environment and mental health in Brussels, Belgium
BMC Public Health, 2021
Background Mental health disorders appear as a growing problem in urban areas. While common mental health disorders are generally linked to demographic and socioeconomic factors, little is known about the interaction with the urban environment. With growing urbanization, more and more people are exposed to environmental stressors potentially contributing to increased stress and impairing mental health. It is therefore important to identify features of the urban environment that affect the mental health of city dwellers. The aim of this study was to define associations of combined long-term exposure to air pollution, noise, surrounding green at different scales, and building morphology with several dimensions of mental health in Brussels. Methods Research focuses on the inhabitants of the Brussels Capital Region older than 15 years. The epidemiological study was carried out based on the linkage of data from the national health interview surveys (2008 and 2013) and specifically develo...
The Non-linear Health Consequences of Living in Larger Cities
Journal of Urban Health, 2015
Urbanization promotes economy, mobility, access and availability of resources, but on the other hand, generates higher levels of pollution, violence, crime, and mental distress. The health consequences of the agglomeration of people living close together are not fully understood. Particularly, it remains unclear how variations in the population size across cities impact the health of the population. We analyze the deviations from linearity of the scaling of several health-related quantities, such as the incidence and mortality of diseases, external causes of death, wellbeing, and health-care availability, in respect to the population size of cities in Brazil, Sweden and the USA. We find that deaths by non-communicable diseases tend to be relatively less common in larger cities, whereas the per-capita incidence of infectious diseases is relatively larger for increasing population size. Healthier life style and availability of medical support are disproportionally higher in larger cities. The results are connected with the optimization of human and physical resources, and with the non-linear effects of social networks in larger populations. An urban advantage in terms of health is not evident and using rates as indicators to compare cities with different population sizes may be insufficient.
Urban High-Density Living Effects on Mental Health
Environment-Behaviour Proceedings Journal
Urban living has rapidly become a highly important due to the increasing rate of mental health problems worldwide. Most people in the urban area live in high-density residential due to limited spaces, land, and higher cost of living. The objectives are to study how urban high-density living environments can affect mental health and the contributing factors to mental health problems. This study was carried out at low-cost flats in Pudu, located in the Federal Territory of Kuala Lumpur. The findings show that urban high-density living environments can become a contributing factor to mental health problems in various ways. Keywords: Urban environment; density; mental; health eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour ...