SEARCH THE DATABASE

“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.

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.

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.

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.

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

(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.

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.

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.

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.

Walking is important for the health of elderly people. Previous studies have found a relationship between neighbourhood characteristics, physical activity and related health aspects. The multivariate linear regression model presented here describes the relationships between the perceived attractiveness of streets for walking along and (physical) street characteristics. Two hundred and eighty-eight independently living elderly people (between 55 and 80 years old) participated in the study. Street characteristics were assessed along homogeneous street subsections defined as ‘links’. Positively related to perceived attractiveness of links were the following street characteristics: slopes and/or stairs, zebra crossings, trees along the route, front gardens, bus and tram stops, shops, business buildings, catering establishments, passing through parks or the city centre, and traffic volume. Litter on the street, high-rise buildings, and neighbourhood density of dwellings were negatively related to perceived link attractiveness. Overall, the results suggest that three main aspects affect perceived attractiveness of streets for walking, namely tidiness of the street, its scenic value and the presence of activity or other people along the street. The results are discussed within the context of these three aspects.

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.

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.

The existing literature on the social, personal, and health consequences of high density housing is unclear regarding the significance that can be attached to the physical features of housing. The present study, which is based on interview information collected in Hong Kong, is able to control for deprivations and stresses related to "poor housing," and it is also able to distinguish superficial from more severe measures of personal strain. High densities are seen to have very little effect on individuals and families, although there is a suggestion that congestion is a potentially significant stress.

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.

This paper assesses and synthesizes the cumulative results of a new “neighborhood-effects” literature that examines social processes related to problem behaviors and health-related outcomes. Our review identified over 40 relevant studies published in peer-reviewed journals from the mid-1990s to 2001, the take-off point for an increasing level of interest in neighborhood effects. Moving beyond traditional characteristics such as concentrated poverty, we evaluate the salience of social-interactional and institutional mechanisms hypothesized to account for neighborhood-level variations in a variety of phenomena (e.g., delinquency, violence, depression, high-risk behavior), especially among adolescents. We highlight neighborhood ties, social control, mutual trust, institutional resources, disorder, and routine activity patterns. We also discuss a set of thorny methodological problems that plague the study of neighborhood effects, with special attention to selection bias. We conclude with promising strategies and directions for future research, including experimental designs, taking spatial and temporal dynamics seriously, systematic observational approaches, and benchmark data on neighborhood social processes.

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.

As the obesity epidemic in children increases, it is important to consider the role of neighborhoods in supporting children's physical activity and healthy development, especially in low- income communities where obesity levels among children are higher than for their middle-income counterparts. I present a participatory and qualitative GIS approach to mapping children's own perceptions and use of their neighborhood for physical activity with ten and eleven year-olds growing up in a diverse low-income community in Denver, CO. Girls walk shorter distances to and use different types of community spaces for play and recreation from boys, some of which is explained by the differing environmental-socialization approaches employed by parents and carers. Children's perceptions of risk align spatially with features of the built environment, but do not correlate with reported crime. Results illustrate the utility of qualitative spatial analysis to understand relationships between children's perception, the built environment, and social factors that shape children's active transport, leisure, and recreation in their neighborhood. Children's local knowledge should be valued and solicited in community-level health and planning interventions to promote physical activity.

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.