Dannenberg, A. L., Frumkin, H., & Jackson, R. (Eds.). (2022). Making Healthy Places: Designing and Building for Health, Well-being, and Sustainability (2nd ed.). Island Press.
Research Theme: Safety & Health & Wellbeing
Scholarship on supporting human safety, health and well-being, from the individual, to built environment industries, to the region
City Planning Policies to Support Health and Sustainability: An International Comparison of Policy Indicators for 25 Cities
Lowe, Melanie; Adlakha, Deepti; Sallis, James F.; Salvo, Deborah; Cerin, Ester; Moudon, Anne Vernez; Higgs, Carl; Hinckson, Erica; Arundel, Jonathan; Boeing, Geoff; Liu, Shiqin; Mansour, Perla; Gebel, Klaus; Puig-ribera, Anna; Mishra, Pinki Bhasin; Bozovic, Tamara; Carson, Jacob; Dygryn, Jan; Florindo, Alex A.; Ho, Thanh Phuong; Hook, Hannah; Hunter, Ruth F.; Lai, Poh-chin; Molina-garcia, Javier; Nitvimol, Kornsupha; Oyeyemi, Adewale L.; Ramos, Carolina D. G.; Resendiz, Eugen; Troelsen, Jens; Witlox, Frank; Giles-corti, Billie. (2022). City Planning Policies to Support Health and Sustainability: An International Comparison of Policy Indicators for 25 Cities. Lancet Global Health, 10(6), E882-E894.
Abstract
City planning policies influence urban lifestyles, health, and sustainability. We assessed policy frameworks for city planning for 25 cities across 19 lower-middle-income countries, upper-middle-income countries, and high-income countries to identify whether these policies supported the creation of healthy and sustainable cities. We systematically collected policy data for evidence-informed indicators related to integrated city planning, air pollution, destination accessibility, distribution of employment, demand management, design, density, distance to public transport, and transport infrastructure investment. Content analysis identified strengths, limitations, and gaps in policies, allowing us to draw comparisons between cities. We found that despite common policy rhetoric endorsing healthy and sustainable cities, there was a paucity of measurable policy targets in place to achieve these aspirations. Some policies were inconsistent with public health evidence, which sets up barriers to achieving healthy and sustainable urban environments. There is an urgent need to build capacity for health-enhancing city planning policy and governance, particularly in low-income and middle-income countries.
Keywords
Physical-activity; Population Health; Walkability
Deciphering the Impact of Urban Built Environment Density on Respiratory Health Using a Quasi-cohort Analysis of 5495 Non-smoking Lung Cancer Cases
Wang, Lan; Sun, Wenyao; Moudon, Anne Vernez; Zhu, Yong-guan; Wang, Jinfeng; Bao, Pingping; Zhao, Xiaojing; Yang, Xiaoming; Jia, Yinghui; Zhang, Surong; Wu, Shuang; Cai, Yuxi. (2022). Deciphering the Impact of Urban Built Environment Density on Respiratory Health Using a Quasi-cohort Analysis of 5495 Non-smoking Lung Cancer Cases. Science Of The Total Environment, 850.
Abstract
Introduction: Lung cancer is a major health concern and is influenced by air pollution, which can be affected by the den-sity of urban built environment. The spatiotemporal impact of urban density on lung cancer incidence remains unclear, especially at the sub-city level. We aimed to determine cumulative effect of community-level density attributes of the built environment on lung cancer incidence in high-density urban areas. Methods: We selected 78 communities in the central city of Shanghai, China as the study site; communities included in the analysis had an averaged population density of 313 residents per hectare. Using data from the city cancer surveil-lance system, an age-period-cohort analysis of lung cancer incidence was performed over a five-year period (2009-2013), with a total of 5495 non-smoking/non-secondhand smoking exposure lung cancer cases. Community -level density measures included the density of road network, facilities, buildings, green spaces, and land use mixture. Results: In multivariate models, built environment density and the exposure time duration had an interactive effect on lung cancer incidence. Lung cancer incidence of birth cohorts was associated with road density and building coverage across communities, with a relative risk of 1middot142 (95 % CI: 1middot056-1middot234, P = 0middot001) and 1middot090 (95 % CI: 1middot053-1middot128, P < 0middot001) at the baseline year (2009), respectively. The relative risk increased exponentially with the exposure timeduration. As for the change in lung cancer incidence over the five-year period, lung cancer incidence of birth cohorts tended to increase faster in communities with a higher road density and building coverage. Conclusion: Urban planning policies that improve road network design and building layout could be important strate-gies to reduce lung cancer incidence in high-density urban areas.
Keywords
Air-quality; Pollutant Dispersion; Risk-factors; Land-use; Mortality; Exposure; Cities; Transport; Compact City; Longitudinal Analysis; Lung Cancer; Urban Planning
Differences in Weight Gain Following Residential Relocation in the Moving to Health (M2H) Study
Cruz, Maricela; Drewnowski, Adam; Bobb, Jennifer F.; Hurvitz, Philip M.; Moudon, Anne Vernez; Cook, Andrea; Mooney, Stephen J.; Buszkiewicz, James H.; Lozano, Paula; Rosenberg, Dori E.; Kapos, Flavia; Theis, Mary Kay; Anau, Jane; Arterburn, David. (2022). Differences in Weight Gain Following Residential Relocation in the Moving to Health (M2H) Study. Epidemiology, 33(5), 747-755.
Abstract
Background: Neighborhoods may play an important role in shaping long-term weight trajectory and obesity risk. Studying the impact of moving to another neighborhood may be the most efficient way to determine the impact of the built environment on health. We explored whether residential moves were associated with changes in body weight. Methods: Kaiser Permanente Washington electronic health records were used to identify 21,502 members aged 18-64 who moved within King County, WA between 2005 and 2017. We linked body weight measures to environment measures, including population, residential, and street intersection densities (800 m and 1,600 m Euclidian buffers) and access to supermarkets and fast foods (1,600 m and 5,000 m network distances). We used linear mixed models to estimate associations between postmove changes in environment and changes in body weight. Results: In general, moving from high-density to moderate- or low-density neighborhoods was associated with greater weight gain postmove. For example, those moving from high to low residential density neighborhoods (within 1,600 m) gained an average of 4.5 (95% confidence interval [CI] = 3.0, 5.9) lbs 3 years after moving, whereas those moving from low to high-density neighborhoods gained an average of 1.3 (95% CI = -0.2, 2.9) lbs. Also, those moving from neighborhoods without fast-food access (within 1600m) to other neighborhoods without fast-food access gained less weight (average 1.6 lbs [95% CI = 0.9, 2.4]) than those moving from and to neighborhoods with fast-food access (average 2.8 lbs [95% CI = 2.5, 3.2]). Conclusions: Moving to higher-density neighborhoods may be associated with reductions in adult weight gain.
Keywords
Body-mass Index; Neighborhood Socioeconomic-status; New-york-city; Built Environment; Physical-activity; Food Environment; Urban Sprawl; Risk-factors; Obesity; Walking; Electronic Medical Records; Fast Foods; Population Density; Residential Density; Residential Moves; Supermarkets
Examining the Association between Urban Green Space and Viral Transmission of Covid-19 during the Early Outbreak
Zhai, Wei; Yue, Haoyu; Deng, Yihan. (2022). Examining the Association between Urban Green Space and Viral Transmission of Covid-19 during the Early Outbreak. Applied Geography, 147.
Abstract
Even though exposure to urban green spaces (UGS) has physical and mental health benefits during COVID-19, whether visiting UGS will exacerbate viral transmission and what types of counties would be more impacted remain to be answered. In this research, we adopted mobile phone data to measure the county-level UGS visi-tation across the United States. We developed a Bayesian model to estimate the effective production number of the pandemic. To consider the spatial dependency, we applied the geographically weighted panel regression to estimate the association between UGS visitation and viral transmission. We found that visitations to UGS may be positively correlated with the viral spread in Florida, Idaho, New Mexico, Texas, New York, Ohio, and Penn-sylvania. Especially noteworthy is that the spread of COVID-19 in the majority of counties is not associated with green space visitation. Further, we found that when people visit UGS, there may be a positive association be-tween median age and viral transmission in New Mexico, Colorado, and Missouri; a positive association between concentration of blacks and viral transmission in North Dakota, Minnesota, Wisconsin, Michigan, and Florida; and a positive association between poverty rate and viral transmission in Iowa, Missouri, Colorado, New Mexico, and the Northeast United States.
Keywords
Public Spaces; Viral Transmission; Covid-19; Extraterrestrial Beings; Covid-19 Pandemic; Smartphones; Cell Phones; Memes; Big Data; Urban Green Space; Geographical Information-system; Parks; Accessibility; Regression; Community; Stress; Health; Level
Formal Prevention through Design Process and Implementation for Mechanical, Electrical, and Plumbing Worker Safety
Osburn, Laura; Lee, Hyun Woo; Gambatese, John A. (2022). Formal Prevention through Design Process and Implementation for Mechanical, Electrical, and Plumbing Worker Safety. Journal Of Management In Engineering, 38(5).
Abstract
There are many studies that focus on Prevention through Design (PtD) for construction workers and developing formalized PtD processes for construction projects. However, few studies have aimed at developing a formalized PtD process for mechanical/electrical/plumbing (MEP) worker safety. A formal process for implementing PtD for MEP worker safety is badly needed because MEP work onsite and during operation and maintenance (O&M) can lead to injury and death. To address this knowledge gap, our research team aimed to create a formalized PtD process for MEP safety and developed case studies that detail how the process can be implemented in the field. The formalized process and case studies would then be used in an implementation guide created specifically for the industry. This project was completed through expert interviews, six case studies, and ongoing discussion and review by an Industry Advisory Council. Using these methods, the team identified factors for implementation success and developed a formalized PtD process specific to the MEP worker context. The process consists of five phases: (1) hazard identification, (2) risk assessment, (3) design review, (4) implementation, and (5) learning. We anticipate that this study will contribute to the field of PtD research through creating one of the first formalized PtD processes for MEP construction and O&M worker safety, and through a cross-case analysis of the six PtD cases that indicated not only the importance of stakeholder engagement and cross-disciplinary dialogue, but that effective PtD implementation can occur even outside of a collaborative project delivery context at any point during design and construction.
Keywords
Construction Safety; Health; Attitude; Prevention Through Design (ptd); Construction Worker Safety; Mechanical; Electrical; Plumbing (mep)
Housing Cost Burden and Life Satisfaction
Acolin, Arthur; Reina, Vincent. (2022). Housing Cost Burden and Life Satisfaction. Journal Of Housing & The Built Environment, 37(4), 1789-1815.
Abstract
The share of income that households spent on their housing has been increasing over time in a wide range of countries, particularly among lower income households. In theory, the share of income spent on housing can reflect variations in household preferences for housing consumption but for low-income household, high burdens are likely more reflective of constraints and force these households to face tradeoffs between housing and non-housing consumption that negatively affect their overall life satisfaction. This paper uses data from the 2018 European Union Statistics on Income and Living Conditions (EU-SILC) for 14 countries. We find that, controlling for household sociodemographic characteristics, households spending more than 30 percent of their income and those spending more than 50 percent of their income on housing report significantly lower levels of life satisfaction. The estimated relationship is largest for this latter heavily cost burdened group. The negative relationship between housing cost burden and reported life satisfaction is found across countries but varies in magnitude, suggesting that stronger welfare systems may mediate the negative impacts of housing cost burdens, although further research is needed to confirm both this relationship and the precise mechanisms driving it.
Keywords
Life Satisfaction; Income; Housing; Poor Communities; Subjective Well-being (psychology); Living Conditions; European Countries; Housing Cost; Subjective Wellbeing; Economic Hardship; Homeownership; Affordability; Determinants; Cost Analysis; Housing Costs; Households; Consumption; Low Income Groups; Expenditures; Welfare; Sociodemographics
Improving Cascadia Subduction Zone Residents’ Tsunami Preparedness: Quasi-experimental Evaluation of an Evacuation Brochure
Lindell, Michael K.; Jung, Meen Chel; Prater, Carla S.; House, Donald H. (2022). Improving Cascadia Subduction Zone Residents’ Tsunami Preparedness: Quasi-experimental Evaluation of an Evacuation Brochure. Natural Hazards, 114(1), 849-881.
Abstract
This study surveyed 227 residents in three US Pacific Coast communities that are vulnerable to a Cascadia subduction zone tsunami. In the Brochure condition, information was presented online, followed by questions about tsunamis. Respondents in the Comparison condition received the same questionnaire by mail but did not view the brochure. Respondents in the Brochure condition had higher levels of perceived information sufficiency than those in the Comparison condition about three of the five tsunami topics. Both conditions had generally realistic expectations about most tsunami warning sources. However, they had unrealistically high expectations of being warned of a local tsunami by social sources, such as route alerting, that could not be implemented before first wave arrival. They also had unrealistically high expectations being warned of a distant tsunami by ground shaking from the source earthquake, whose epicenter would be too far away for them to feel. Moreover, respondents in both conditions expected higher levels of personal property damage and family casualties than is the case for most hazards, but their levels of negative affective response were not especially high. Overall, only 10% of the sample accessed the tsunami brochure even when sent repeated contacts and the brochure demonstrated modest effects for those who did access it. These results suggest that state and local officials should engage in repeated personalized efforts to increase coastal communities' tsunami emergency preparedness because distribution of tsunami brochures has only a modest effect on preparedness.
Keywords
Subduction Zones; Tsunamis; Emergency Management; Tsunami Warning Systems; Brochures; Preparedness; Communities; Cascadia Subduction Zone Tsunami; Hazard Warnings; Quasi-experiment; Risk Communication; Risk Information-seeking; Natural Warning Signs; Earthquake; Awareness; Responses; Behavior; Model; Wellington; Hazard; Threat; Earthquakes; Casualties; Subduction; Vulnerability; Emergency Preparedness; Emergency Warning Programs; Levels; Seismic Activity; Property Damage; Shaking; Earthquake Damage; Subduction (geology); Disaster Management; Cascadia
Place-based Improvements for Public Safety: Private Investment, Public Code Enforcement, and Changes in Crime at Microplaces across Six U.S. Cities
Tillyer, Marie Skubak; Acolin, Arthur; Walter, Rebecca J. (2022). Place-based Improvements for Public Safety: Private Investment, Public Code Enforcement, and Changes in Crime at Microplaces across Six U.S. Cities. Justice Quarterly, 44592.
Abstract
Abstract Research demonstrates that crime concentrates at relatively few microplaces, and changes at a small proportion of locations can have a considerable influence on a city’s overall crime level. Yet there is little research examining what accounts for change in crime at microplaces. This study examines the relationship between two mechanisms for place-based improvements – private investment in the form of building permits and public regulation in the form of municipal code enforcement – and yearly changes in crime at street segments. We use longitudinal data from six cities to estimate Spatial Durbin Models with block group and census tract by year fixed effects. Building permits and code enforcement are significantly associated with reductions in crime on street segments across all cities, with spatial diffusion of benefits to nearby segments. These findings suggest public safety planning should include efforts that incentivize and compel physical improvements to high crime microplaces. [ABSTRACT FROM AUTHOR]; Copyright of JQ: Justice Quarterly is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Keywords
Code Enforcement; Crime And Place; Hot Spots; Investment; Place-based Improvements
Selection of Wearable Sensor Measurements for Monitoring and Managing Entry-level Construction Worker Fatigue: A Logistic Regression Approach
Lee, Wonil; Lin, Ken-yu; Johnson, Peter W.; Seto, Edmund Y.w. (2022). Selection of Wearable Sensor Measurements for Monitoring and Managing Entry-level Construction Worker Fatigue: A Logistic Regression Approach. Engineering Construction & Architectural Management (09699988), 29(8), 2905-2923.
Abstract
Purpose: The identification of fatigue status and early intervention to mitigate fatigue can reduce the risk of workplace injuries. Off-the-shelf wearable sensors capable of assessing multiple parameters are available. However, using numerous variables in the fatigue prediction model can elicit data issues. This study aimed at identifying the most relevant variables for measuring occupational fatigue among entry-level construction workers by using common wearable sensor technologies, such as electrocardiogram and actigraphy sensors. Design/methodology/approach: Twenty-two individuals were assigned different task workloads in repeated sessions. Stepwise logistic regression was used to identify the most parsimonious fatigue prediction model. Heart rate variability measurements, standard deviation of NN intervals and power in the low-frequency range (LF) were considered for fatigue prediction. Fast Fourier transform and autoregressive (AR) analysis were employed as frequency domain analysis methods. Findings: The log-transformed LF obtained using AR analysis is preferred for daily fatigue management, whereas the standard deviation of normal-to-normal NN is useful in weekly fatigue management. Research limitations/implications: This study was conducted with entry-level construction workers who are involved in manual material handling activities. The findings of this study are applicable to this group. Originality/value: This is the first study to investigate all major measures obtainable through electrocardiogram and actigraphy among current mainstream wearables for monitoring occupational fatigue in the construction industry. It contributes knowledge on the use of wearable technology for managing occupational fatigue among entry-level construction workers engaged in material handling activities. [ABSTRACT FROM AUTHOR]; Copyright of Engineering Construction & Architectural Management (09699988) is the property of Emerald Publishing Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Keywords
Construction Workers; Wearable Technology; Logistic Regression Analysis; Fatigue (physiology); Frequency-domain Analysis; Heart Beat; Lifting & Carrying (human Mechanics); Construction Safety; Information And Communication Technology (ict) Applications; Management; Technology