Promoting Health In The Urban Context

The book explores approaches, methods and best practices related to health promotion in urban areas. Thanks to the increasingly tight connection among urbanism, architecture, bioethics, anthropology, sociology and medicine, we are now reaching an “ecological” health perspective. This new viewpoint has pushed the study of social health determinants and their unequal distribution in the population, resulting in the study of the generation of structurally-determined differences in health and healthcare. There is the need to make use of a unitary framework in order to understand the intertwining of multidimensional dynamics that define the urban context and the need to disseminate, enhance, and improve existing interventions in the field. This volume consequently results in the discussion and comparison of contents and methods to be implemented in multidisciplinary interventions related to the promotion of community-based healthcare and health in the urban setting. The book represents a useful opportunity for scientific growth and international sharing of methodologies that can help develop a common language and approach to be shared across different academic spheres. This is not only an exchange of knowledge among different fields of study, but also the creation of foundations for creating an increasingly complex network of scientific culture and operational collaborations to transfer knowledge and attract academic and public attention, influencing decision-makers and gaining advocacy accordingly.

This book addresses up-to-date urban health issues from a systems perspective and provides an appealing integrated urban development strategy based on a 10-year global interdisciplinary research programme created by the International Council for Science (ICSU), and sponsored by the InterAcademy Partnership (IAP) and the United Nations University (UNU). The unique feature of this book is its “systems approach” to urban health and wellbeing: solution-oriented for science and society and not purely theoretical, it can be applied in the context of decision-making, and has the potential to unlock cities’ unused potential by promoting health and wellbeing. Furthermore, the inter- and transdisciplinary urban issues addressed in this book are examined from a cross-sectoral perspective – e.g. the transport sector is addressed in connection with air pollution, respiratory and cardiovascular diseases and the loss of productivity. The interconnected thinking to urban health and wellbeing makes the book a particularly valuable resource. Decision makers in city administrations and civil society organizations from different geographical regions will find the book an informative and inspiring guide for delivering towards the goals of the New Urban Agenda, for which health can be the vital indicator of progress. Graduate students and researchers will be attracted by the case studies, systems methods and models provided in the book.

This book qualitatively and quantitatively examines the relationships between the constructed environment, health and social vulnerability. It demonstrates that spatial disintegration is often intertwined with health and social inequalities, and therefore a multidisciplinary approach to urban health is essential in order to analyze the impact that psycho-social-environmental factors can have on objective, and perceived health and to investigate the inequalities in healthcare and medical assistance processes. Empirical relationships have been observed between urban environment, social vulnerability and health in different contexts, however there is still a lack of standardized tools that allow us to gain a clear understanding of how health inequalities and daily life are generated. In order to address this issue, a national network of active research groups has been created to draft and develop a prototypical analysis infrastructure to facilitate empirical studies aimed at shedding light on the complex relationships between health disparities, socio-environmental and economic distress, as well as personal and collective health. Given the interest in achieving meaningful, fair and lasting solutions to health inequalities, and the current lack of an analytical system, there is the need for new multidisciplinary approaches oriented toward the quality of life within a eco-social model of health. Providing an overview of the methodological approaches discussed, this book will appeal to researchers. At the same time it allows those working in local and government social care, healthcare and administrative institutions to gain insights into best practices in urban contexts.

To draw attention to health determinants and health inequities among populations that live in urban environments and to explore challenges faced in establishing urban population health, the Forum on Public-Private Partnerships for Global Health and Safety hosted a 1.5-day workshop on the role of health-focused public-private partnerships (PPPs) in the urban context. The workshop, held June 13-14, 2019, in Washington, DC, aimed to illuminate some of the intervention strategies that have been designed to attenuate these urban health issues and highlighted the importance of PPPs and urban-level governance in remediation efforts. By facilitating discussion among participants in both the public and private sectors, as well as among policy makers, the workshop served as a platform to share best practices on how to address health challenges through interventions that target healthier urban populations. This publication highlights the presentations and discussion of the workshop.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

This forward-looking resource recasts the concept of healthy cities as not only a safe, pleasant, and green built environment, but also one that creates and sustains health by addressing social, economic, and political conditions. It describes collaborations between city planning and public health creating a contemporary concept of urban governance—a democratically-informed process that embraces values like equity. Models, critiques, and global examples illustrate institutional change, community input, targeted assessment, and other means of addressing longstanding sources of urban health challenges. In these ambitious pages, healthy cities are rooted firmly in the worldwide movement toward balanced and sustainable urbanization, developed not to disguise or displace entrenched health and social problems, but to encourage and foster solutions. Included in the coverage: Towards healthy urban governance in the century of the city“/li> Healthy cities emerge: Toronto, Ottawa, Copenhagen The role of policy coalitions in understanding community participation in healthy cities projects Health impact assessment at the local level The logic of method for evaluating healthy cities Plus: extended reports on healthy cities and communities in North and Latin America, Africa, Europe, Asia, Oceania, and the Middle East Healthy Cities will interest and inspire community leaders, activists, politicians, and entrepreneurs working to improve health and well-being at the local level, as well as public health and urban development scholars and professionals.