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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.

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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.

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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

Lingzi Wu

Lingzi Wu is an Assistant Professor with the Department of Construction Management (CM) at the University of Washington (UW). Prior to joining UW in September 2022, Dr. Wu served as a postdoctoral fellow in the Department of Civil and Environmental Engineering at University of Alberta, where she received her MSc and PhD in Construction Engineering and Management in 2013 and 2020 respectively. Prior to her PhD, Dr. Wu worked in the industrial construction sector as a project coordinator with PCL Industrial Management from 2013 to 2017.

An interdisciplinary scholar focused on advancing digital transformation in construction, Dr. Wu’s current research interests include (1) integration of advanced data analytics and complex system modeling to enhance construction practices and (2) development of human-in-the-loop decision support systems to improve construction performance (e.g., sustainability and safety). Dr. Wu has published 10 papers in top journals and conference proceedings, including the Journal of Construction Engineering and Management, Journal of Computing in Civil Engineering, and Automation in Construction. Her research and academic excellence has received notable recognition, including a “Best Paper Award” at the 17th International Conference on Modeling and Applied Simulation, and the outstanding reviewer award from the Journal of Construction Engineering and Management.

As an educator and mentor, Dr. Wu aims to create an inclusive, innovative, and interactive learning environment where students develop personal, technical, and transferable skills to grow today, tomorrow, and into the future.

Exposure of Bicyclists to Air Pollution in Seattle, Washington Hybrid Analysis Using Personal Monitoring and Land Use Regression

Hong, E-Sok Andy; Bae, Christine. (2012). Exposure of Bicyclists to Air Pollution in Seattle, Washington Hybrid Analysis Using Personal Monitoring and Land Use Regression. Transportation Research Record, 2270, 59 – 66.

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Abstract

The increase in urban bicycling facilities, raises public health concerns for potential exposure of bicyclists to traffic emissions. For an assessment of bicyclists' exposure to local traffic emissions, a hybrid approach is presented; it combines personal monitoring and a land use regression (LUR) model. Black carbon, a proxy variable for traffic-related air pollution, was measured with an Aethalometer along the predesignated bicycle route in Seattle, Washington, for 10 days, during a.m. and p.m. peak hours (20 sampling campaigns). Descriptive statistics and three-dimensional pollution maps were used to explore temporal variations and to identify pollution hot spots. The LUR model was developed to quantify the influence of spatial covariates on black carbon concentrations along the designated route. The results indicated that the black carbon concentrations fluctuated throughout the sampling periods and showed statistically significant diurnal and monthly patterns. The hot spot analysis suggests that proximity to traffic and other physical environments have important impacts on bicyclists' exposure and demand further investigation on the localized effects of traffic emissions on exposure levels. The LUR model explains 46% of the variations in black carbon concentrations, and significant relationships are found with types of bicycle route facility, wind speed, length of truck routes, and transportation and utility land uses. This research is the first application of the LUR approach in quantifying bicyclists' exposure to air pollution in transport microenvironments. This study provides a rationale for encouraging municipalities to develop effective strategies to mitigate the health risks of exposure to local traffic emissions in complex urban bicycling environments.

Keywords

Particulate Matter; Diesel Exhaust; Health; Model; Particles; Asthma; City

Stepping Towards Causation in Studies of Neighborhood and Environmental Effects: How Twin Research Can Overcome Problems of Selection and Reverse Causation

Duncan, Glen E.; Mills, Brianna; Strachan, Eric; Hurvitz, Philip; Huang, Ruizhu; Moudon, Anne Vernez; Turkheimer, Eric. (2014). Stepping Towards Causation in Studies of Neighborhood and Environmental Effects: How Twin Research Can Overcome Problems of Selection and Reverse Causation. Health & Place, 27, 106 – 111.

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Abstract

No causal evidence is available to translate associations between neighborhood characteristics and health outcomes into beneficial changes to built environments. Observed associations may be causal or result from uncontrolled confounds related to family upbringing. Twin designs can help neighborhood effects studies overcome selection and reverse causation problems in specifying causal mechanisms. Beyond quantifying genetic effects (i.e., heritability coefficients), we provide examples of innovative measures and analytic methods that use twins as quasi-experimental controls for confounding by environmental effects. We conclude that collaboration among investigators from multiple fields can move the field forward by designing studies that step toward causation. (C) 2014 Elsevier Ltd. All rights reserved,

Keywords

Residential Location; Methylation; Gene; Interplay; Obesity; Causality; Environment Design; Lifestyle Risk Reduction; Social And Built Environments; Twin Studies

Health Impact Assessment: Considering Health in Transportation Decision Making in the United States

Wier, Megan L.; Schwartz, Michael; Dannenberg, Andrew L. (2015). Health Impact Assessment: Considering Health in Transportation Decision Making in the United States. TR News (0738-6826), 299, 11 – 16.

Abstract

The article talks about Health Impact Assessment (HIA) when it comes to transportation decision making in the U.S. and discusses the Collaboration between public health professionals and transportation in order to execute HIA.

Keywords

Health Impact Assessment; Public Health -- United States

Secondary GIS Built Environment Data for Health Research: Guidance for Data Development

Stewart, Orion T.; Carlos, Heather A.; Lee, Chanam; Berke, Ethan M.; Hurvitz, Philip M.; Li, Li; Moudon, Anne Vernez; Doescher, Mark P. (2016). Secondary GIS Built Environment Data for Health Research: Guidance for Data Development. Journal Of Transport & Health, 3(4), 529 – 539.

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Abstract

Built environment (BE) data in geographic information system (GIS) format are increasingly available from public agencies and private providers. These data can provide objective, low-cost BE data over large regions and are often used in public health research and surveillance. Yet challenges exist in repurposing GIS data for health research. The GIS data do not always capture desired constructs; the data can be of varying quality and completeness; and the data definitions, structures, and spatial representations are often inconsistent across sources. Using the Small Town Walkability study as an illustration, we describe (a) the range of BE characteristics measurable in a GIS that may be associated with active living, (b) the availability of these data across nine U.S. small towns, (c) inconsistencies in the GIS BE data that were available, and (d) strategies for developing accurate, complete, and consistent GIS BE data appropriate for research. Based on a conceptual framework and existing literature, objectively measurable characteristics of the BE potentially related to active living were classified under nine domains: generalized land uses, morphology, density, destinations, transportation system, traffic conditions, neighborhood behavioral conditions, economic environment, and regional location. At least some secondary GIS data were available across all nine towns for seven of the 9 BE domains. Data representing high-resolution or behavioral aspects of the BE were often not available. Available GIS BE data - especially tax parcel data often contained varying attributes and levels of detail across sources. When GIS BE data were available from multiple sources, the accuracy, completeness, and consistency of the data could be reasonable ensured for use in research. But this required careful attention to the definition and spatial representation of the BE characteristic of interest. Manipulation of the secondary source data was often required, which was facilitated through protocols. (C) 2015 Elsevier Ltd. All rights reserved.

Keywords

Geographic Information-systems; Physical-activity; Land-use; Walking; Neighborhood; Associations; Density; Design; Adults; Travel; Active Travel; Pedestrian; Urban Design; Community Health; Rural

Wearable Sensors For Monitoring On-duty And Off-duty Worker Physiological Status And Activities In Construction.

Lee, Wonil; Lin, Ken-yu; Seto, Edmund; Migliaccio, Giovanni C. (2017). Wearable Sensors For Monitoring On-duty And Off-duty Worker Physiological Status And Activities In Construction. Automation In Construction, 83, 341 – 353.

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Abstract

Total Worker Health (R) (TWH) integrates occupational health and safety with the promotion of workers' off-duty wellbeing. Wearable sensors (e.g., activity trackers and physiological monitors) have facilitated personalized objective measurement of workers' health and wellbeing. Furthermore, the TWH concept is relevant to construction workers, especially roofing workers, as they encounter high on-duty health and safety risks and have poor off-duty lifestyles. This study examined the reliability and usability of wearable sensors for monitoring roofing workers' on-duty and off-duty activities. The results demonstrated the usability of these sensors and recommended a data collection period of three consecutive days for obtaining an intraclass correlation coefficient of 0.75 for heart rate, energy expenditure, metabolic equivalents, and sleep efficiency. The participants exhibited significant variations in their physical responses, health statuses, and safety behaviors. Moreover, several issues were identified in the application of wearable sensors to TWH evaluations for construction workers including roofers.

Keywords

Construction Workers; Wearable Technology; Employee Health Promotion; Roofing Industry; Body Sensor Networks; Health; Construction Safety And Health; Usability Study; Wearable Sensors; Worker Monitoring; Worker Physiology; Construction Industry; Ergonomics; Occupational Health; Occupational Safety; Patient Monitoring; Personnel; Roofs; Sleep; Off-duty Worker Physiological Status; Total Worker Health®; Off-duty Wellbeing; Activity Trackers; Physiological Monitors; Twh Concept; On-duty Health; Safety Risks; Off-duty Lifestyles; Monitoring Roofing Workers; Off-duty Activities; Health Statuses; Heart-rate-variability; Energy-expenditure; Health Protection; Physical-activity; Validity; Reliability; Validation; Promotion; Productivity; Actigraph

Temporal Effect of Construction Workforce Physical Strain on Diminishing Marginal Productivity at the Task Level

Lee, Wonil; Migliaccio, Giovanni C. (2018). Temporal Effect of Construction Workforce Physical Strain on Diminishing Marginal Productivity at the Task Level. Journal Of Construction Engineering And Management, 144(9).

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Abstract

Physiological status and environmental stressors are known to influence workforce performance at the individual worker level. A previous study, which conducted a cross-sectional comparison in repetitive material-handling construction activities, suggested that a U-shaped relationship existed between physical strain and productivity at the group level. This research revisits those findings to further investigate the U-curve relationship between physical strain and productivity at the group level and validate the concept of diminishing marginal productivity. Heart rates were measured as an indicator of subjects' physical strain, whereas task productivity was estimated by work sampling. Eighty person-hour data were converted into panel data sets by dividing each subject's 4-h experimental data into 5-min intervals. These data sets were subsequently used to evaluate the effects of time on physical strain and productivity with 5-min lags. The study found a U-curve relationship between physical strain and task-level productivity at the group level while controlling for individual characteristics. The U-shape relationship was constant in the low-performance and high-performance groups, although the degrees of the polynomials differed. Productive workers will remain more productive than low-productive workers with increased physical strain.

Keywords

Construction Industry; Industrial Psychology; Labour Resources; Occupational Health; Polynomials; Productivity; Physiological Status; Environmental Stressors; U-shaped Relationship; Productive Workers; Polynomials Degree; Diminishing Marginal Productivity; Construction Workforce Physical Strain; Labor Productivity; Scientific Management; Shift Work; Performance; Model; Taylorism; Burnout; Design; Impact; Safety; Construction Productivity; Labor And Personal Issue; Work Physiology; Physical Strain

A Mixed VR and Physical Framework to Evaluate Impacts of Virtual Legs and Elevated Narrow Working Space on Construction Workers Gait Pattern

Habibnezhad, M.; Puckett, J.; Fardhosseini, M.S.; Pratama, L.A. (2019). A Mixed VR and Physical Framework to Evaluate Impacts of Virtual Legs and Elevated Narrow Working Space on Construction Workers Gait Pattern. Arxiv, 7 pp.

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Abstract

It is difficult to conduct training and evaluate workers' postural performance by using the actual job site environment due to safety concerns. Virtual reality (VR) provides an alternative to create immersive working environments without significant safety concerns. Working on elevated surfaces is a dangerous scenario, which may lead to gait and postural instability and, consequently, a serious fall. Previous studies showed that VR is a promising tool for measuring the impact of height on the postural sway. However, most of these studies used the treadmill as the walking locomotion apparatus in a virtual environment (VE). This paper was focused on natural walking locomotion to reduce the inherent postural perturbations of VR devices. To investigate the impact of virtual height on gait characteristics and keep the level of realism and feeling of presence at their highest, we enhanced the first-person-character model with "virtual legs". Afterward, we investigated its effect on the gait parameters of the participants with and without the presence of height. To that end, twelve healthy adults were asked to walk on a virtual loop path once at the ground level and once at the 17th floor of an unfinished structure. By quantitatively comparing the participants' gait pattern results, we observed a decrease in the stride length and increase in the gait duration of the participants exposed to height. At the ground level, the use of the enhanced model reduced participants' average stride length and height. The results of this study help us understand users' behaviors when they were exposed to elevated surfaces and establish a firm ground for gait stability analysis for the future height-related VR studies. We expect this developed VR platform can generate reliable results of VR application in more construction safety studies.

Keywords

Civil Engineering Computing; Construction Industry; Gait Analysis; Medical Computing; Occupational Safety; Virtual Reality; Construction Safety Studies; Mixed Vr; Virtual Legs; Construction Workers Gait Pattern; Immersive Working Environments; Postural Instability; Serious Fall; Postural Sway; Walking Locomotion Apparatus; Natural Walking Locomotion; Inherent Postural Perturbations; Vr Devices; Virtual Height; First-person-character Model; Gait Parameters; Virtual Loop Path; Stride Length; Gait Duration; Gait Stability Analysis; Safety Concerns; Vr Platform; Height-related Vr Studies