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“Sense of place” is a widely discussed concept in fields as diverse as geography, environmental psychology, and art, but it has little traction in the field of public health. The health impact of place includes physical, psychological, social, spiritual, and aesthetic outcomes. In this article, the author introduces a sense of place as a public health construct. While many recommendations for “good places” are available, few are based on empirical evidence, and thus they are incompatible with current public health practice. Evidence-based recommendations for healthy placemaking could have important public health implications. Four aspects of the built environment, at different spatial scales—nature contact, buildings, public spaces, and urban form—are identified as offering promising opportunities for public health research, and potential research agendas for each are discussed.

A healthy built environment is one which connects citizens together to create a sense of community. These are influential determinants of good mental and physical health. This paper presents an overview of key research on how the built environment supports the development of community as part of creating and sustaining places for health and well-being. Formal public places such as town squares, plazas, parks and gardens cultivate community in numerous ways. Informal public places such as those in between buildings, on the street, at the train station and bus stop are also important for social encounters and interaction. Careful design of open space, neighbourhood streets and buildings can encourage human interaction as part of community creation. Evidence is presented here as a ‘Places Framework’ to illuminate the ways in which place strengthens community. The paper concludes by discussing and critically evaluating policy implications for urban planners and designers. Major gaps in the research are identified and suggestions made for future investigative work to strengthen the evidence for building healthy communities through built environment interventions.

Public space plays an important role in sustaining the public realm. There is a renewed interest in public space with a growing belief that while modern societies no longer depend on the town square or the piazza for basic needs, good public space is required for the social and psychological health of modern communities. New public spaces are emerging around the world and old public space typologies are being retrofitted to contemporary needs. Good public space is responsive, democratic and meaningful. However, few comprehensive instruments exist to measure the quality of public space. Based on an extensive review of literature and empirical work, this paper creates a public space index to assess the quality of public space by empirically evaluating its inclusiveness, meaningfulness, safety, comfort and pleasurability. Four public spaces in downtown Tampa, Florida, are examined using the index and several applications for public space planners, designers and managers are suggested.

(no abstract available) Introduction: There are significant differences in physical inactivity in various geographical areas and among demographic groups. Previous research suggests that walking is the most common form of physical activity; however, not all built environments support walking for recreational or transportation purposes. Objective: The purpose of this study was to assess the extent to which area-level factors, poverty rate and racial distribution, are associated with aspects of the street-scale environment (i.e. sidewalk walkability and physical disorder) using community audits.

Neighbourhoods may influence the health of individual residents in different ways: via the social and physical environment, as well as through facilities and services. Not all factors may be equally important for all population subgroups. A cross-sectional analysis of the Scottish Household Survey 2001 examined a range of neighbourhood factors for links with three health outcomes and two health-related behaviours. The results support the hypothesis that the neighbourhood has a multi-dimensional impact on health. There was also some evidence that the relationship between neighbourhood factors and health varied according to the population subgroup, although not in a consistent manner.

The amount of noise in urban settings is steadily on the rise, creating a potential health hazard and causing a general nuisance. In major European cities, noise levels are so high that the majority of urban parks can no longer truly serve as recreational environments, a problem the World Health Organization and the European Union are attempting to address. This study explores various strategies that promote the sustainable development of urban soundscapes at locations meant for rest, recreation, and social interaction. Further, we look at how people are affected by the combined effects of traffic and nature sounds in parks and other outdoor settings. To this end, we adopted a new track — the use of interdisciplinary methodology — that brings together architectural analysis, artistic experiments, and psychoacoustic methodology to evaluate the aesthetic, emotional, perceptual, and spatial effects of noise on subjects spending time in public open-air spaces. We conducted a large-scale case study at a city park to explore whether subjects were affected by purposely distributed sounds and, if so, how. The working hypothesis was that it is possible to cancel out or mute traffic noise by affecting individuals' aural perceptions using a process known as informational masking. Our long-term objective is to create a scientific foundation for action plans, both preemptive and troubleshooting, targeting noise reduction in parks and similar public spaces that are meant to provide a relaxing environment.

Visiting urban parks regularly can provide significant physical and mental health benefits for children and teenagers, but these benefits are tempered by park quality, amenities, maintenance, and safety. Therefore, planning and public health scholars have developed instruments to measure park quality, but most of these tools require costly and time consuming field surveys and only a handful focus specifically on youth. We rectify these issues by developing the QUality INdex of Parks for Youth (QUINPY) based on a robust literature review of studies on young people’s park visitation habits and an extensive validation process by academic and professional experts. Importantly, the QUINPY relies on publicly available geospatial data to measure park quality. We then successfully pilot test the QUINPY in Denver and New York City. We believe that park agencies, planning consultants, researchers, and nonprofits aiming to assess park quality will find this tool useful. The QUINPY is particularly promising given the increasing amount of publicly available geospatial data and other recent advancements in geospatial science.

Although a number of environmental and policy interventions to pro- mote physical activity are being widely used, there is sparse systematic information on the most effective approaches to guide population-wide interventions. Methods: We reviewed studies that addressed the following environmental and policy strat- egies to promote physical activity: community-scale urban design and land use policies and practices to increase physical activity; street-scale urban design and land use policies to increase physical activity; and transportation and travel policies and practices. These systematic reviews were based on the methods of the inde- pendent Task Force on Community Preventive Services. Exposure variables were classified according to the types of infrastructures/policies present in each study. Measures of physical activity behavior were used to assess effectiveness. Results: Two interventions were effective in promoting physical activity (community-scale and street-scale urban design and land use policies and practices). Additional information about applicability, other effects, and barriers to implementation are provided for these interventions. Evidence is insufficient to assess transportation policy and practices to promote physical activity. Conclusions: Because com- munity- and street-scale urban design and land-use policies and practices met the Community Guide criteria for being effective physical activity interventions, implementing these policies and practices at the community-level should be a priority of public health practitioners and community decision makers.

Epidemiology, sociology, and geography have been successful in re-establishing interest in the role of place in shaping health and health inequalities. However, some of the relevant empirical research has relied on rather conventional conceptions of space and place and focused on isolating the ‘‘independent’’ contribution of place-level and individual-level factors. This approach may have resulted in an underestimate of the contribution of ‘place’ to disease risk. In this paper we argue the case for extensive (quantitative) as well as intensive (qualitative) empirical, as well as theoretical, research on health variation that incorporates ‘relational’, views of space and place. Specifically, we argue that research in place and health should avoid the false dualism of context and composition by recognising that there is a mutually reinforcing and reciprocal relationship between people and place. We explore in the discussion how these theoretical perspectives are beginning to influence empirical research. We argue that these approaches to understanding how place relates to health are important in order to deliver effective, ‘contextually sensitive’ policy interventions. r 2007 Elsevier Ltd. All rights reserved.

What constructs are used to characterize public space? This paper analyzes residents’ percep- tions of public space, using data from Visakhapatnam (usually referred to as “Vizag”), India— a city of 1.3 million people on the Bay of Bengal. Extensive interviews, 37 in number, were conducted, using composite group sampling. The sample was drawn from all socioeconomic levels of employees, managers, and associates, at a large industrial plant. The interview sched- ules contained open-ended questions eliciting residents’ perceptions of public space, and their demographics. Qualitative analyses and quantitative tabulations were carried out. Concep- tualizing sense of place in terms of the distinguishing features of the urban environment, a comparison was made between the perception of public space in Vizag and in Western developed countries. The research indicates that lower socioeconomic status people have as complex a conception of public space as do those of high socioeconomic status, provided that the interview schedule is designed to elicit these data. Residents differentiated areas by socio- economic status, and by land use, i.e., industrial, commercial, and residential. Preeminent con- cerns—with pollution, crowding, health, and religion—represent much of what is psychologi- cally salient about public space in Vizag. These findings are in contrast with the salient characteristics of public space in Western cities, as found by prior research. We believe that these findings have policy implications for urban planners and leaders.

Although many low-income urban areas are highly walkable by conventional measures such as population density or land use mix, chronic diseases related to lack of physical activity are more common among residents of these areas. Disparities in neighborhood conditions may make poor areas less attractive environments for walking, offsetting the advantages of density and land use mix. This study compared poor and nonpoor neighborhoods in New York City, using geographic information systems measures constructed from public data for US census tracts within New York City (N = 2,172) as well as field observation of a matched-pair sample of 76 block faces on commercial streets in poor and nonpoor neighborhoods. Poor census tracts had significantly fewer street trees, landmarked buildings, clean streets, and sidewalk cafes, and higher rates of felony complaints, narcotics arrests, and vehicular crashes. The field observation showed similar results. Improving aesthetic and safety conditions in poor neighborhoods may help reduce disparities in physical activity among urban residents.

This article investigates the impact of the running environment on perceived satisfaction, restoration, and running participation based on a questionnaire distributed to 1,581 novice runners. The most frequently experienced impediments on running routes are poor lighting, unleashed dogs, and encounters with cyclists and cars. Regression analyses reveal that attractiveness and restorativeness are positively associated with the quality of the running surface and running in parks or outside towns and negatively by running on public roads in town, by running in larger cities (>250,000 inhabitants), and by other road users. However, attractiveness and restorativeness of running routes play only a minor role in the decision of how frequently to run. Practical considerations (proximity, threats) appear to have a larger impact on running frequency. Importantly, the most frequently mentioned impediments (poor lighting, cars, unleashed dogs) do not affect running frequency, whereas infrequent impediments (threats by other people) significantly affect running frequency.

A growing literature examines the extent to which the criminal justice system perpetuates poverty and inequality. This research examines how anti-homeless laws produce various forms of police interactions that fall short of arrest, yet have wide-ranging impacts on the urban poor. Our analysis draws on a citywide survey of currently and recently homeless people, along with 43 in-depth interviews, to examine and reveal the mechanisms through which consistent punitive interactions, including move-along orders, citations, and destruction of property, systematically limit homeless people’s access to services, housing, and jobs, while damaging their health, safety, and well-being. Our findings also suggest that anti-homeless laws and enforcement fail to reduce urban disorder, but create instead a spatial churn in which homeless people circulate between neighborhoods and police jurisdictions rather than leaving public space. We argue that these laws and their enforcement, which affected the majority of study participants, constitute a larger process of pervasive penality—consistent punitive interactions with state officials that rarely result in arrest, but that do material and psychological harm. This process not only reproduces homelessness, but also deepens racial, gender, and health inequalities among the urban poor.

Drawing from ethnographic research in the Research Triangle of North Carolina and Williamsburg, Virginia, the authors build on Anzaldúa’s conceptualization of “borderlands” to analyze how borders of social membership are constructed and enforced in “el Nuevo South.” Our gender analysis reveals that intersecting structural conditions—the labor market, the organization of public space, and the institutional organization of health care and other public services—combine with gendered processes in the home and family to regulate women’s participation in community life. Enforcers of borders include institutional actors, mostly women, in social services and clinics who occupy institutional locations that enable them to define who is entitled to public goods and to categorize migrants as undeserving “others.” We reveal how a particularly configured matrix of domination transcends the spheres of home, work, and community to constrain women migrants’ physical and economic mobility and personal autonomy and to inhibit their participation in their societies of reception.

The rejuvenation of public spaces is a key policy concern in the UK. Drawing on a wide literature and on qualitative research located in a multi-ethnic area of East London, this paper explores their relationship to well-being and social relations. It demonstrates that ordinary spaces are a significant resource for both individuals and communities. The beneficial properties of public spaces are not reducible to natural or aesthetic criteria, however. Social interaction in spaces can provide relief from daily routines, sustenance for people’s sense of community, opportunities for sustaining bonding ties or making bridges, and can influence tolerance and raise people’s spirits. They also possess subjective meanings that accumulate over time and can contribute to meeting diverse needs. Different users of public spaces attain a sense of well- being for different reasons: the paper calls for policy approaches in which the social and therapeutic properties of a range of everyday spaces are more widely recognised and nurtured.

This paper reports on a pilot project to examine the concept of wellbeing as expressed locally by public reaction to the Peace Gardens refurbishment in the city centre of Sheffield completed in 1999. It was immediately popular with the public, but the aim was to find out what benefit people felt they derived from using the space. The study was conducted via a questionnaire delivered on site to pedestrian traffic over three weeks one summer. Over a thousand users of the space were asked one very simple question: How do the Peace Gardens make you feel? The authors’ interpretation of the responses indicates a very high level of approval. Users of the space reported high satisfaction across four themes: wellbeing, safety, community and respite. While these findings largely accord with the literature, further planned city-centre development threatens the success of the Peace Gardens. The paper considers whether the planning of such spaces is designed to empower users to meet others on their own terms, or whether planners recognize that social needs require to be more controlled in busy urban environments.

The socio-legal technology of licensing is one of the primary tools governments use to manage spaces and practices deemed risky or threatening to public order. Licensing requirements thus play a crucial role in shaping routine experiences in public space as well as the trajectories of emerging forms of public life. Yet licensing laws have largely been ignored in critical urban scholarship: too often concerned with the interpretation and critique of popular practices and public spaces, the mundane operations of urban governance are often left to practitioners and policy researchers. This article demonstrates how paying closer attention to licensure can provide valuable and unexpected insights into matters of social equality, urban amenity and economic opportunity. It does so through a comparative inquiry into practices of street food vending in New York City, Seattle, and Portland, Oregon. Drawing on ethnographic study and interviews, the article demonstrates how licensing can be involved in the production of quite peculiar and unjust geographies of practice, but also how shifts in popular culture can force a reconsideration of taken-for- granted laws. In conclusion, it is argued that a focus on licensing offers a productive pathway for new forms of critical urban research and provides a potential point of leverage in efforts to configure better and more democratic forms of urban public life.

The city is part of nature, a fact that has profound implications for how cities are designed, built, and managed For centuries, city designers have exploited nature to promote human purposes The roots of this tradition are as diverse as the many ways in which nature contributes to human health, safety, and welfare An overview of that tradition is outlined here, along with an assessment of existing knowledge and prospects for city design

Strategies that reduce fear of crime may contribute to improved health outcomes; however interventions require a better understanding of the neighbourhood correlates of both emotional responses to crime (i.e., fear of crime) and cognitive assessments of crime (i.e., perceived crime risk). This study explored the association between objective measures of suburban design and two safety outcomes: perceived crime risk and fear of crime, for participants who lived in new suburban housing developments in Perth, Western Australia. The characteristics of a walkable neighbourhood, particularly retail land, were associated with less fear of crime, but greater perceived crime risk. One interpretation is that ‘strangers’, attracted to the neighbourhood by diverse land-uses, might influence the emotional and cognitive as- pects of ‘fear of crime’ differently. Researchers interested in the impact of the built environment on ‘fear of crime’, and any subsequent influence of these perceptions on health, should be mindful that the environment appears to impact these constructs differently.

The objective was to investigate associations between features of the physical environment and neighborliness. Measures of the physical environment, including sidewalks, front porches, traffic-calming devices, bars on windows, and the presence of litter or graffiti, were collected using a systematic audit instrument in 10 neighborhoods in Portland, Oregon. Generalized linear regression models were created to model the odds of increasing neighborliness given access to the physical-environment factors of interest. The authors observed a greater probability of higher levels of neighborliness as the total number of positive physical-environment characteristics increased (cumulative odds ratio [95% confidence interval] = 1.69 [1.16, 2.45]) and the results were unchanged after controlling for race, self-reported health, perception of safety, years of neighborhood residence, age of house, market value of house, and proportion of homeowners in neighborhood. Modifiable features of the physical environment may be one mechanism through which people can enhance neighborliness.