Sample records for healthy urban governance

  1. European Healthy Cities come to terms with health network governance.

    PubMed

    de Leeuw, Evelyne; Kickbusch, Ilona; Palmer, Nicola; Spanswick, Lucy

    2015-06-01

    A focus on good governance in the WHO European network of Healthy Cities mirrors the WHO Region's strategic emphasis-its member states in the Health 2020 strategy espouse governance for health as key. Healthy Cities adopted governance as a key value and approach to delivering specific health programmes and policies. This article reviews the extent to which they actually introduce and align governance concepts and approaches with their local government commitments. Healthy Cities show that better participation, policy-making and intersectoral action result from an emphasis on governance. This happens across the designated cities and is not limited to a certain class (in terms of population or geographical location) or the time they have been designated. The support of WHO in driving the governance agenda seems important, but no data are available to show that European Healthy Cities are different from other urban environments. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  2. Equity, sustainability and governance in urban settings.

    PubMed

    Rice, Marilyn; Hancock, Trevor

    2016-03-01

    In this commentary the urban setting is explored from the perspective of ecological sustainability and social equity. Urban-related issues are highlighted related to social inequality, deficits in urban infrastructures, behavior-related illnesses and risks, global ecological changes, and urban sprawl. Approaches to addressing these issues are described from the perspective of urban governance, urban planning and design, social determinants of health, health promotion, and personal and community empowerment. Examples of successful strategies are provided from Latin America, including using participatory instruments (assessments, evaluation, participatory budgeting, etc.), establishing intersectoral committees, increasing participation of civil society organizations, and developing virtual forums and networks to channel participatory and collaborative processes. A way forward is proposed, using the urban setting to show the imperative of creating intersectoral policies and programs that produce environments that are both healthy and sustainable. It will be important to include new forms of social participation and use social media to facilitate citizen decision-making and active participation of all sectors of society, especially excluded groups. © The Author(s) 2015.

  3. European Healthy City Network Phase V: patterns emerging for healthy urban planning.

    PubMed

    Grant, Marcus

    2015-06-01

    There is a tradition of planning cities and their infrastructure to successfully tackle communicable disease arising from urban development. Non-communicable disease follows a different course. Development brings in its wake a basket of adverse health and health equity outcomes that are proving difficult to tackle. In response, within Phase V of the European Healthy Cities Network, municipalities have implemented a range of policy and physical interventions using a settings approach. Owing to the time lag between physical interventions and health outcomes, this research interrogates city activity itself to develop better understanding. Self-reported city case studies and questionnaire data were analysed to reveal patterns using an inductive approach. Findings indicate that some categories of intervention, such as whole city planning and transport, have a systemic impact across the wider determinants of health. Addressing transferability and stakeholder understanding helped cities create conditions for successful outcomes. Cities had varying urban development approaches for tackling climate change. Improvements to current practice are discussed, including; a distinction between supply side and demand side in healthy urban planning; valuing co-benefits and developing integrative approaches to the evidence-base. This evaluative article is important for cities wanting to learn how to maximize benefits to public health through urban development and for researchers exploring, with a systemic approach, the experiences of European cities acting at the interface of urban development and public health. This article also provides recommendations for future phases of the WHO European Healthy Cities programme, posing questions to better address governance and equity in spatial planning. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  4. Governance of urban transitions: towards sustainable resource efficient urban infrastructures

    NASA Astrophysics Data System (ADS)

    Swilling, Mark; Hajer, Maarten

    2017-12-01

    The transition to sustainable resource efficient cities calls for new governance arrangements. The awareness that the doubling of the global urban population will result in unsustainable levels of demand for natural resources requires changes in the existing socio-technical systems. Domestic material consumption could go up from 40 billion tons in 2010, to 89 billion tons by 2050. While there are a number of socio-technical alternatives that could result in significant improvements in the resource efficiency of urban systems in developed and developing countries (specifically bus-rapid transit, district energy systems and green buildings), we need to rethink the urban governance arrangements to get to this alternative pathway. We note modes of urban governance have changed over the past century as economic and urban development paradigms have shifted at the national and global levels. This time round we identify cities as leading actors in the transition to more sustainable modes of production and consumption as articulated in the Sustainable Development Goals. This has resulted in a surge of urban experimentation across all world regions, both North and South. Building on this empirically observable trend we suggest this can also be seen as a building block of a new urban governance paradigm. An ‘entrepreneurial urban governance’ is proposed that envisages an active and goal-setting role for the state, but in ways that allows broader coalitions of urban ‘agents of change’ to emerge. This entrepreneurial urban governance fosters and promotes experimentation rather than suppressing the myriad of such initiatives across the globe, and connects to global city networks for systemic learning between cities. Experimentation needs to result in a contextually appropriate balance between economic, social, technological and sustainable development. A full and detailed elaboration of the arguments and sources for this article can be found in chapter 6 of Swilling M et

  5. Bringing urban governance back in: Neighborhood conflicts and depression.

    PubMed

    Fu, Qiang

    2018-01-01

    Urban governance and its impact on contentious politics have received remarkably little attention in existing studies on mental health. Drawing on a measure of neighborhood conflicts developed in a survey of thirty-nine urban neighborhoods in Guangzhou, China, this article investigates the potential link between urban governance and mental health. Net of sociodemographic, relational, and environmental measures, it finds that among residents' conflicts with different entities of urban governance, only those with local/grassroots governments are significantly associated with more depressive symptoms. Moreover, these subgroups of government-oriented conflicts associated with more depressive symptoms are related to neighborhood planning and communal properties, reflecting a dilemma in the Chinese model of urban governance. By offering a relational interpretation of neighborhood conflicts, this study not only challenges the previous view that community building in China improves mental health, but calls attention to the significance of urban governance in research on mental health. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Urban governance and the systems approaches to health-environment co-benefits in cities.

    PubMed

    Oliveira, Jose A Puppim de; Doll, Christopher N H; Siri, José; Dreyfus, Magali; Farzaneh, Hooman; Capon, Anthony

    2015-11-01

    The term "co-benefits" refers to positive outcomes accruing from a policy beyond the intended outcome, often or usually in other sectors. In the urban context, policies implemented in particular sectors (such as transport, energy or waste) often generate multiple co-benefits in other areas. Such benefits may be related to the reduction of local or global environmental impacts and also extend into the area of public health. A key to identifying and realising co-benefits is the adoption of systems approaches to understand inter-sectoral linkages and, in particular, the translation of this understanding to improved sector-specific and city governance. This paper reviews a range of policies which can yield health and climate co-benefits across different urban sectors and illustrates, through a series of cases, how taking a systems approach can lead to innovations in urban governance which aid the development of healthy and sustainable cities.

  7. The role of urban municipal governments in reducing health inequities: A meta-narrative mapping analysis

    PubMed Central

    2010-01-01

    Background The 1986 Ottawa Charter for Health Promotion coincided with a preponderance of research, worldwide, on the social determinants of health and health inequities. Despite the establishment of a 'health inequities knowledge base', the precise roles for municipal governments in reducing health inequities at the local level remain poorly defined. The objective of this study was to monitor thematic trends in this knowledge base over time, and to track scholarly prescriptions for municipal government intervention on local health inequities. Methods Using meta-narrative mapping, four bodies of scholarly literature - 'health promotion', 'Healthy Cities', 'population health' and 'urban health' - that have made substantial contributions to the health inequities knowledge base were analyzed over the 1986-2006 timeframe. Article abstracts were retrieved from the four literature bodies using three electronic databases (PubMed, Sociological Abstracts, Web of Science), and coded for bibliographic characteristics, article themes and determinants of health profiles, and prescriptions for municipal government interventions on health inequities. Results 1004 journal abstracts pertaining to health inequities were analyzed. The overall quantity of abstracts increased considerably over the 20 year timeframe, and emerged primarily from the 'health promotion' and 'population health' literatures. 'Healthy lifestyles' and 'healthcare' were the most commonly emphasized themes in the abstracts. Only 17% of the abstracts articulated prescriptions for municipal government interventions on local health inequities. Such interventions included public health campaigns, partnering with other governments and non-governmental organizations for health interventions, and delivering effectively on existing responsibilities to improve health outcomes and reduce inequities. Abstracts originating from Europe, and from the 'Healthy Cities' and 'urban health' literatures, were most vocal regarding

  8. Urban/rural interface: Governing the chaos

    NASA Astrophysics Data System (ADS)

    Ferreira, António

    2016-04-01

    Cities have become recently the home for more than half of the world's population. Cities are often seen as ecological systems just a short step away from collapse [Newman 2006]. Being a human construction, cities disrupt the natural cycles and the patterns of temporal and spatial distribution of environmental and ecological processes. Urbanization produces ruptures in biota, water, energy and nutrients connectivity that can lead to an enhanced exposure to disruptive events that hamper the wellbeing and the resilience of urban communities in a global change context. An important issue in what concerns urban sprawl is the interface between the urban and the rural territories. Being an extremely dynamic landscape, and assuring some quality of life and buffering some of the pervasive negative impacts of urban areas in terms of disrupting the function of the natural ecosystems, in limit situations this interface can act as a conveyor belt of catastrophic events originated in the rural world, into the urban space. The Coimbra 2005 wildfire is a fine example of how a poorly managed urban/rural interface can put populations in danger, by allowing the fire to spread towards the urban green infrastructure, burning houses in the process. Major river flows that flood urban areas are also good examples of the lack of management and planning can result in the loss of assets and even put in danger human lives. This presentation reviews the impact of extreme events and the transmission from the urban to the rural worlds, but also from the rural to the urban territories, and establishes the need to govern risk at various levels and using the full range of governance tools.

  9. Challenging urban health: towards an improved local government response to migration, informal settlements, and HIV in Johannesburg, South Africa

    PubMed Central

    Vearey, Joanna

    2011-01-01

    This article is a review of the PhD thesis undertaken by Joanna Vearey that explores local government responses to the urban health challenges of migration, informal settlements, and HIV in Johannesburg, South Africa. Urbanisation in South Africa is a result of natural urban growth and (to a lesser extent) in-migration from within the country and across borders. This has led to the development of informal settlements within and on the periphery of urban areas. The highest HIV prevalence nationally is found within urban informal settlements. South African local government has a ‘developmental mandate’ that calls for government to work with citizens to develop sustainable interventions to address their social, economic, and material needs. Through a mixed-methods approach, four studies were undertaken within inner-city Johannesburg and a peripheral urban informal settlement. Two cross-sectional surveys – one at a household level and one with migrant antiretroviral clients – were supplemented with semi-structured interviews with multiple stakeholders involved with urban health and HIV in Johannesburg, and participatory photography and film projects undertaken with urban migrant communities. The findings show that local government requires support in developing and implementing appropriate intersectoral responses to address urban health. Existing urban health frameworks do not deal adequately with the complex health and development challenges identified; it is essential that urban public health practitioners and other development professionals in South Africa engage with the complexities of the urban environment. A revised, participatory approach to urban health – ‘concept mapping’ – is suggested which requires a recommitment to intersectoral action, ‘healthy urban governance’ and public health advocacy. PMID:21686331

  10. Impact of the China Healthy Cities Initiative on Urban Environment.

    PubMed

    Yue, Dahai; Ruan, Shiman; Xu, Jin; Zhu, Weiming; Zhang, Luyu; Cheng, Gang; Meng, Qingyue

    2017-04-01

    The China Healthy Cities initiative, a nationwide public health campaign, has been implemented for 25 years. As "Healthy China 2030" becomes the key national strategy for improving population health, this initiative is an important component. However, the effects of the initiative have not been well studied. This paper aims to explore its impact on urban environment using a multiple time series design. We adopted a stratified and systematic sampling method to choose 15 China healthy cities across the country. For the selected healthy cities, 1:1 matched non-healthy cities were selected as the comparison group. We collected longitudinal data from 5 years before cities achieved the healthy city title up to 2012. We used hierarchical models to calculate difference-in-differences estimates for examining the impact of the initiative. We found that the China Healthy Cities initiative was associated with increases in the proportion of urban domestic sewage treated (32 percentage points), the proportion of urban domestic garbage treated (30 percentage points), and the proportion of qualified farmers' markets (40 percentage points), all of which are statistically significant (P < 0.05). No significant change was found for increases in green coverage of urban built-up area (5 percentage points), green space per capita (2 square meter), and days with Air Quality Index/Air Pollution Index ≤ 100 (25 days). In conclusion, the China Healthy Cities initiative was associated with significant improved urban environment in terms of infrastructure construction, yet had little impact on green space and air quality.

  11. Adaptive governance to promote ecosystem services in urban ...

    EPA Pesticide Factsheets

    Managing urban green space as part of an ongoing social-ecological transformationposes novel governance issues, particularly in post-industrial settings. Urban green spaces operate as small-scale nodes in larger networks of ecological reserves that provide and maintain key ecosystem services such as pollination, water retention and infiltration, and sustainable food production. In an urban mosaic, a myriad of social and ecological components factor into aggregating and managing land to maintain or increase the flow of ecosystem services associated with green spaces. Vacant lots (a form of urban green space) are being repurposed for multiple functions, such as habitat for biodiversity, including arthropods that provide pollination services to other green areas; to capture urban runoff that eases the burden on ageing wastewater systems and other civic infrastructure; and to reduce urban heat island effects. Urban green spaces provide vital ecosystem services at varying degrees, depending on the size, function, and management of these spaces. Governance of linked social-ecological systems to maximize those services poses unique challenges given the uncertainty of ecological responses and the social political complexity of managing ecological resources in an urban context where fiscal and human resources are strained. In North America, many cities are facing fiscal austerity because of shrinkage in manufacturing and industrial sectors and the foreclosure crisis. As

  12. Urban Stormwater Governance: The Need for a Paradigm Shift.

    PubMed

    Dhakal, Krishna P; Chevalier, Lizette R

    2016-05-01

    Traditional urban stormwater management involves rapid removal of stormwater through centralized conveyance systems of curb-gutter-pipe networks. This results in many adverse impacts on the environment including hydrological disruption, groundwater depletion, downstream flooding, receiving water quality degradation, channel erosion, and stream ecosystem damage. In order to mitigate these adverse impacts, urban stormwater managers are increasingly using green infrastructure that promote on-site infiltration, restore hydrological functions of the landscape, and reduce surface runoff. Existing stormwater governance, however, is centralized and structured to support the conventional systems. This governance approach is not suited to the emerging distributed management approach, which involves multiple stakeholders including parcel owners, government agencies, and non-governmental organizations. This incongruence between technology and governance calls for a paradigm shift in the governance from centralized and technocratic to distributed and participatory governance. This paper evaluates how five US cities have been adjusting their governance to address the discord. Finally, the paper proposes an alternative governance model, which provides a mechanism to involve stakeholders and implement distributed green infrastructure under an integrative framework.

  13. Demystifying governance and its role for transitions in urban social–ecological systems

    Treesearch

    T.A. Muñoz-Erickson; L.K. Campbell; D.L. Childers; J.M. Grove; D.M. Iwaniec; S.T.A. Pickett; Michelle Romolini; Erika S. Svendsen

    2016-01-01

    Governance is key to sustainable urban transitions. Governance is a system of social, power, and decision-making processes that acts as a key driver of resource allocation and use, yet ecologists even urban ecologists–seldom consider governance concepts in their work. Transitions to more sustainable futures are becoming increasingly important to the management of many...

  14. Governing Urban School Districts: Efforts in Los Angeles to Effect Change

    ERIC Educational Resources Information Center

    Augustine, Catherine H.; Epstein, Diana; Vuollo, Mirka

    2006-01-01

    Many urban school district students are dropping out and few of the remaining ones reach state or district achievement goals. These problems make governing urban schools both difficult and important. In 2005-06, the governance structure of the Los Angeles Unified School District (LAUSD) was examined, debated, criticized, and praised by several…

  15. Rural-Urban Differences in Consumer Governance at Community Health Centers

    PubMed Central

    Wright, David Bradley

    2017-01-01

    Context Community health centers (CHCs) are primary care clinics that serve mostly low-income patients in rural and urban areas. They are required to be governed by a consumer majority. What little is known about the structure and function of these boards in practice, suggests that CHC boards in rural areas may look and act differently than CHC boards in urban areas. Purpose To identify differences in the structure and function of consumer governance at CHCs in rural and urban areas. Methods Semi-structured telephone interviews were conducted with 30 CHC board members from 14 different states. Questions focused on board members’ perceptions of board composition and the role of consumers on the board. Findings CHCs in rural areas are more likely to have representative boards, are better able to convey confidence in the organization, and are better able to assess community needs than CHCs in urban areas. However, CHCs in rural areas often have problems achieving objective decision-making, and may have fewer means for objectively evaluating quality of care due to the lack of patient board member anonymity. Conclusions Consumer governance is implemented differently in rural and urban communities, and the advantages and disadvantages in each setting are unique. PMID:23551642

  16. Approach of ICT Application to Governance in Urban Planning

    NASA Astrophysics Data System (ADS)

    Virtudes, Ana; Sá, João

    2017-10-01

    This article discusses the use of information and communication technologies (ICT) at the local level of governance in the field of urban planning. It is based on a literature review, in order to define a set of considerations about their use in the urban context and the challenges ahead on this domain. As a starting point, there is the need of rethinking the local governance through the use of ICT related to cities, focused on the modernization of the processes associated with urban planning. Nowadays, in several societies the paradigm about cities if shifting, from an expansionist way of acting towards a regeneration and rehabilitation approach. In the case of Portugal, the local authorities; the municipalities; are the main responsible for the coordination, and integration of policies with territorial impacts. However, these policies are generally onerous and inefficient, triggering communication and information failures in between local administration and citizens. In this sense, governance should support the decision-making process related to cities’ policies, engaging citizens and socio-economic agents. As the main result in this scenario, the use of ICT demonstrates the ability to play an important role in urban planning, by contributing as a simplifying tool, regarding the information and knowledge sharing, gathering local authorities, citizens and socio-economic agents. On the one hand, they promote the reduction of inefficiencies associated to the urban planning process. On the other hand, they boost the development of networks, and consequently the social and territorial cohesion. In summary, the use of ICT infrastructures works as a glue allowing the integration of several intelligence elements of the city, and operating as their base platform. Finally, the literature has revealed that the use of ICT in urban planning should be seen as a means to a wider social goal, and not as an end by itself. With the use of ICT, urban planning authorities are more

  17. Adaptive governance to promote ecosystem services in urban green spaces

    EPA Science Inventory

    Managing urban green space as part of an ongoing social-ecological transformationposes novel governance issues, particularly in post-industrial settings. Urban green spaces operate as small-scale nodes in larger networks of ecological reserves that provide and maintain key ecosys...

  18. Leveraging community-academic partnerships to improve healthy food access in an urban, Kansas City, Kansas, community.

    PubMed

    Mabachi, Natabhona M; Kimminau, Kim S

    2012-01-01

    Americans can combat overweight (OW) and obesity by eating unprocessed, fresh foods. However, all Americans do not have equal access to these recommended foods. Low-income, minority, urban neighborhoods in particular often have limited access to healthy resources, although they are vulnerable to higher levels of OW and obesity. This project used community-based participatory research (CBPR) principles to investigate the food needs of residents and develop a business plan to improve access to healthy food options in an urban, Kansas City, Kansas, neighborhood. Partner community organizations were mobilized to conduct a Community Food Assessment survey. The surveys were accompanied by flyers that were part of the communication engagement strategy. Statistical analysis of the surveys was conducted. We engaged low-income, minority population (40% Latino, 30% African American) urban communities at the household level. Survey results provided in-depth information about residents' food needs and thoughts on how to improve food access. Results were reported to community members at a town hall style meeting. Developing a strategic plan to engage a community and develop trust is crucial to sustaining a partnership particularly when working with underserved communities. This project demonstrates that, if well managed, the benefits of academic and community partnerships outweigh the challenges thus such relationships should be encouraged and supported by communities, academic institutions, local and national government, and funders. A CBPR approach to understanding an urban community's food needs and opinions is important for comprehensive food access planning.

  19. Baseline Results of the First Healthy Schools Evaluation among a Community of Young, Irish, Urban Disadvantaged Children and a Comparison of Outcomes with International Norms

    ERIC Educational Resources Information Center

    Comiskey, Catherine M.; O'Sullivan, Karin; Quirke, Mary B.; Wynne, Ciara; Hollywood, Eleanor; MGillloway, Sinead

    2012-01-01

    Background: In 2008, the Irish Government initiated a pilot Healthy Schools Programme based on the World Health Organization Health Promoting Schools Model among children attending schools officially designated as urban and disadvantaged. We present here the first results on physical and emotional health and the relationship between childhood…

  20. Availability of healthy snack foods and beverages in stores near high-income urban, low-income urban, and rural elementary and middle schools in Oregon.

    PubMed

    Findholt, Nancy E; Izumi, Betty T; Nguyen, Thuan; Pickus, Hayley; Chen, Zunqiu

    2014-08-01

    Food stores near schools are an important source of snacks for children. However, few studies have assessed availability of healthy snacks in these settings. The aim of this study was to assess availability of healthy snack foods and beverages in stores near schools and examine how availability of healthy items varied by poverty level of the school and rural-urban location. Food stores were selected based on their proximity to elementary/middle schools in three categories: high-income urban, low-income urban, and rural. Audits were conducted within the stores to assess the presence or absence of 48 items in single-serving sizes, including healthy beverages, healthy snacks, fresh fruits, and fresh vegetables. Overall, availability of healthy snack foods and beverages was low in all stores. However, there was significant cross-site variability in availability of several snack and fruit items, with stores near high-income urban schools having higher availability, compared to stores near low-income urban and/or rural schools. Stores near rural schools generally had the lowest availability, although several fruits were found more often in rural stores than in urban stores. There were no significant differences in availability of healthy beverages and fresh vegetables across sites. Availability of healthy snack foods and beverages was limited in stores near schools, but these limitations were more severe in stores proximal to rural and low-income schools. Given that children frequent these stores to purchase snacks, efforts to increase the availability of healthy products, especially in stores near rural and low-income schools, should be a priority.

  1. Developing a national approach to building healthy and sustainable cities.

    PubMed

    Howe, Renate T

    2007-01-01

    Effective strategies to build a national approach to the integration of health and urban planning at all levels of government is essential if the health problems of urban Australians, such as obesity and respiratory illnesses, are to improve. This paper examines some policies and initiatives that could facilitate intergovernment cooperation on health and sustainability within the constraints of Australia's federal government system. These include recommendations for an Australian Sustainability Commission and Charter of Sustainability, evaluations of the Better Cities Program of the 1990s, and current proposals for improving urban governance to enable the implementation of a healthy and sustainable cities agenda.

  2. Innovative urban forestry governance in Melbourne?: Investigating "green placemaking" as a nature-based solution.

    PubMed

    Gulsrud, Natalie Marie; Hertzog, Kelly; Shears, Ian

    2018-02-01

    A nature-based approach to climate resilience aims to challenge and re-frame conventional environmental management methods by refocusing solutions from technological strategies to socio-ecological principles such as human well-being and community-based governance models, thereby improving and legitimizing the delivery of ecosystem services (ES). There are, however, many challenges to applying a socio-ecological agenda to urban climate resilience and thereby re-framing ES delivery as community and people focused, a knowledge gap extensively outlined in the environmental governance literature. In this paper, we aim to contribute to this re-assesment of urban environmental governance by examining the City of Melbourne's approach to urban re-naturing governance from a place-based perspective. Here we focus on the city's internationally-acclaimed urban forest strategy (UFS), investigating how and to which extent the governance arrangements embedded within the UFS draw strength from diverse perspectives and allow for institutional arrangements that support "situated" reflexive decision making and co-creation. We find that Melbourne's UFS governance process fosters green placemaking by re-focusing climate adaptation solutions from technological strategies to situated socio-ecological principles such as human well-being and community-based decision making. In this sense, this case provides valuable insight for the broader UGI governance field regarding the opportunities and challenges associated with a socio-cultural approach to urban re-naturing and ES delivery. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Environmental non-governmental organizations and urban environmental governance: Evidence from China.

    PubMed

    Li, Guangqin; He, Qiao; Shao, Shuai; Cao, Jianhua

    2018-01-15

    Environmental non-governmental organizations (ENGOs) play an increasingly important role in the process of urban environmental governance, especially in some developing countries such as China. However, existing studies pay little attention to such an issue in China. In this paper, we consider 113 cities in China from the pollution information transparency index (PITI) list released by ENGOs as the treatment group and some other cities as the control group, and use the difference-in-differences (DID) model and propensity score matching DID (PSM-DID) model to explore the role of ENGOs in China's urban environmental governance. The results show that ENGOs play a significantly positive and robust role in China's urban environmental governance. Furthermore, using regression analysis for eastern, central, and western China, we find that the influence of ENGOs exists in eastern and central China rather than in western China. In addition, the results of the Placebo test indicate that the effect of ENGOs shows an upward trend since 2008. We suggest that ENGOs' role should be strengthened in China, and governments at various levels should take into account environmental information released by ENGOs and consider appropriate measures to improve local environment quality using the obtained information. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. The impact of urban gardens on adequate and healthy food: a systematic review.

    PubMed

    Garcia, Mariana T; Ribeiro, Silvana M; Germani, Ana Claudia Camargo Gonçalves; Bógus, Cláudia M

    2018-02-01

    To examine the impacts on food and nutrition-related outcomes resulting from participation in urban gardens, especially on healthy food practices, healthy food access, and healthy food beliefs, knowledge and attitudes. The systematic review identified studies by searching the PubMed, ERIC, LILACS, Web of Science and Embase databases. An assessment of quality and bias risk of the studies was carried out and a narrative summary was produced. Studies published as original articles in peer-reviewed scientific journals in English, Spanish or Portuguese between 2005 and 2015 were included. The studies included were based on data from adult participants in urban gardens. Twenty-four studies were initially selected based on the eligibility criteria, twelve of which were included. There was important heterogeneity of settings, population and assessment methods. Assessment of quality and bias risk of the studies revealed the need for greater methodological rigour. Most studies investigated community gardens and employed a qualitative approach. The following were reported: greater fruit and vegetable consumption, better access to healthy foods, greater valuing of cooking, harvest sharing with family and friends, enhanced importance of organic production, and valuing of adequate and healthy food. Thematic patterns related to adequate and healthy food associated with participation in urban gardens were identified, revealing a positive impact on practices of adequate and healthy food and mainly on food perceptions.

  5. Healthy food availability in small urban food stores: a comparison of four US cities.

    PubMed

    Laska, Melissa Nelson; Borradaile, Kelley E; Tester, June; Foster, Gary D; Gittelsohn, Joel

    2010-07-01

    Given that small food stores may be important retail food sources in low-income urban communities, our objective was to examine cross-city comparative data documenting healthy food availability within such facilities, particularly those located in low-income areas and nearby schools. Food stores in Baltimore, Maryland; Minneapolis/St. Paul, Minnesota; Oakland, California; and Philadelphia, Pennsylvania were selected for assessment based on proximity to low-income schools. Stores were defined as: (i) single-aisle (n 45); (ii) small (2-5 aisles; n 52); and (iii) large (> or = 6 aisles; n 8). Staff conducted in-store audits to assess the presence/absence of twenty-eight healthy items, organized within five categories: (i) fresh fruits/vegetables, (ii) processed fruits/vegetables, (iii) healthy beverages/low-fat dairy, (iv) healthy snacks and (v) other healthy staple foods. The availability of healthy food items was low, particularly in single-aisle and small stores, and there was significant cross-site variability in the availability of healthy snacks (P < 0.0001) and other healthy staple foods (P < 0.0001). No cross-site differences existed for fruits/vegetables or healthy beverages/low-fat dairy availability. Healthy food availability scores increased significantly with store size for nearly all food/beverage categories (P < 0.01). Overall, healthy food availability in these venues was limited. Region-specific factors may be important to consider in understanding factors influencing healthy food availability in small urban markets. Data suggest that efforts to promote healthy diets in low-income communities may be compromised by a lack of available healthy foods. Interventions targeting small stores need to be developed and tailored for use in urban areas across the USA.

  6. The shelf space and strategic placement of healthy and discretionary foods in urban, urban-fringe and rural/non-metropolitan Australian supermarkets.

    PubMed

    Cameron, Adrian J

    2018-02-01

    Supermarkets are a key influence on eating behaviours, but it is unknown if the promotion of food within stores varies on a geographic gradient from urban, to urban-fringe and non-metropolitan areas. The present study aimed to assess the shelf space and strategic placement of healthy and discretionary foods in each of urban, urban-fringe and non-metropolitan Australian supermarkets. Design/Setting In-store audits were conducted in stores from one of the two major Australian supermarket chains in urban (n 19), urban-fringe (n 20) and non-metropolitan (n 26) areas of Victoria. These audits examined selected food items (crisps/chips, chocolate, confectionery, soft drinks/sodas, fruits and vegetables) and measured the shelf space and the proportion of end-of-aisle and cash register displays containing these products. Store size was measured as the sum of aisle length. Differences in the supermarket food environment with respect to location were assessed, before and after adjustment for neighbourhood socio-economic position. The strategic placement of discretionary foods was commonly observed in all supermarkets. Adjusting for store size (larger in urban-fringe and rural areas), urban stores had greater shelf space devoted to fruits and vegetables, and less checkouts with soft drinks, than urban-fringe and rural/non-metropolitan areas. Differences remained following adjustment for neighbourhood socio-economic position. No clear pattern was observed for end-of-aisle displays, or the placement of chocolate and confectionery at checkouts. The shelf space of healthy and discretionary foods in urban-fringe and rural stores parallels the prevalence of overweight and obesity in these areas. Interventions in urban-fringe and rural stores targeting the shelf space of healthy foods and the placement of soft drinks at key displays may be useful obesity prevention initiatives.

  7. Urbanism, climate change and health: systems approaches to governance.

    PubMed

    Capon, Anthony G; Synnott, Emma S; Holliday, Sue

    2009-01-01

    Effective action on climate change health impacts and vulnerability will require systems approaches and integrated policy and planning responses from a range of government agencies. Similar responses are needed to address other complex problems, such as the obesity epidemic. Local government, with its focus on the governance of place, will have a key role in responding to these convergent agendas. Industry can also be part of the solution - indeed it must be, because it has a lead role in relevant sectors. Understanding the co-benefits for health of climate mitigation actions will strengthen the case for early action. There is a need for improved decision support tools to inform urban governance. These tools should be based on a systems approach and should incorporate a spatial perspective.

  8. Pilot test of the Healthy Food Environment Policy Index (Food-EPI) to increase government actions for creating healthy food environments

    PubMed Central

    Vandevijvere, Stefanie; Swinburn, Boyd

    2015-01-01

    Objectives Effective government policies are essential to increase the healthiness of food environments. The International Network for Food and Obesity/non-communicable diseases (NCDs) Research, Monitoring and Action Support (INFORMAS) has developed a monitoring tool (the Healthy Food Environment Policy Index (Food-EPI)) and process to rate government policies to create healthy food environments against international best practice. The aims of this study were to pilot test the Food-EPI, and revise the tool and process for international implementation. Setting New Zealand. Participants Thirty-nine informed, independent public health experts and non-governmental organisation (NGO) representatives. Primary and secondary outcome measures Evidence on the extent of government implementation of different policies on food environments and infrastructure support was collected in New Zealand and validated with government officials. Two whole-day workshops were convened of public health experts and NGO representatives who rated performance of their government for seven policy and seven infrastructure support domains against international best practice. In addition, the raters evaluated the level of difficulty of rating, and appropriateness and completeness of the evidence presented for each indicator. Results Inter-rater reliability was 0.85 (95% CI 0.81 to 0.88; Gwet’s AC2) using quadratic weights, and increased to 0.89 (95% CI 0.85 to 0.92) after deletion of the problematic indicators. Based on raters’ assessments and comments, major changes to the Food-EPI tool include strengthening the leadership domain, removing the workforce development domain, a stronger focus on equity, and adding community-based programmes and government funding for research on obesity and diet-related NCD prevention, as good practice indicators. Conclusions The resulting tool and process will be promoted and offered to countries of varying size and income globally. International benchmarking of

  9. Mapping the availability and accessibility of healthy food in rural and urban New Zealand--Te Wai o Rona: Diabetes Prevention Strategy.

    PubMed

    Wang, Jing; Williams, Margaret; Rush, Elaine; Crook, Nic; Forouhi, Nita G; Simmons, David

    2010-07-01

    Uptake of advice for lifestyle change for obesity and diabetes prevention requires access to affordable 'healthy' foods (high in fibre/low in sugar and fat). The present study aimed to examine the availability and accessibility of 'healthy' foods in rural and urban New Zealand. We identified and visited ('mapped') 1230 food outlets (473 urban, 757 rural) across the Waikato/Lakes areas (162 census areas within twelve regions) in New Zealand, where the Te Wai O Rona: Diabetes Prevention Strategy was underway. At each site, we assessed the availability of 'healthy' foods (e.g. wholemeal bread) and compared their cost with those of comparable 'regular' foods (e.g. white bread). Healthy foods were generally more available in urban than rural areas. In both urban and rural areas, 'healthy' foods were more expensive than 'regular' foods after adjusting for the population and income level of each area. For instance, there was an increasing price difference across bread, meat, poultry, with the highest difference for sugar substitutes. The weekly family cost of a 'healthy' food basket (without sugar) was 29.1% more expensive than the 'regular' basket ($NZ 176.72 v. $NZ 136.84). The difference between the 'healthy' and 'regular' basket was greater in urban ($NZ 49.18) than rural areas ($NZ 36.27) in adjusted analysis. 'Healthy' foods were more expensive than 'regular' choices in both urban and rural areas. Although urban areas had higher availability of 'healthy' foods, the cost of changing to a healthy diet in urban areas was also greater. Improvement in the food environment is needed to support people in adopting healthy food choices.

  10. Setting Goals for Urban Scale Climate Governance

    NASA Astrophysics Data System (ADS)

    Rosenthal, J. K.; Brunner, E.

    2007-12-01

    The impacts of climate change on temperate urban areas may include the increase in frequency and intensity of damaging extreme weather events, such as heat waves, hurricanes, heavy rainfall or drought, and coastal flooding and erosion, and potential adverse impacts on infrastructure, energy systems, and public health. Warmer average summertime temperatures are also associated with environmental and public health liabilities, such as decreased air quality and increased peak electrical demand. Simultaneously, a strong global trend towards urbanization of poverty exists, with increased challenges for local governments to protect and sustain the well-being of growing cities and populations currently stressed by poverty, health and economic inequities. In the context of these trends, research at the city scale has sought to understand the social and economic impacts of climate change and variability and to evaluate strategies in the built environment that might serve as adaptive and mitigative responses to climate change. We review the goals and outcomes of several municipal climate protection programs, generally categorized as approaches based on technological innovation (e.g., new materials); changes in behavior and public education (e.g., neighborhood watch programs and cooling centers); improvements in urban design (e.g., zoning for mixed land-use; the use of water, vegetation and plazas to reduce the urban heat island effect); and efforts to incentivize the use of non-fossil-fuel based energy sources. Urban initiatives in European and American cities are assessed within the context of the global collective efforts enacted by the Kyoto Protocol and United Nations Framework Convention on Climate Change. Our concern is to understand the active networked role of urban managers in climate policies and programs in relation to supranational objectives and non-state actors.

  11. Total Breast-Feeding Duration and Dental Caries in Healthy Urban Children.

    PubMed

    Wong, Peter D; Birken, Catherine S; Parkin, Patricia C; Venu, Isvarya; Chen, Yang; Schroth, Robert J; Maguire, Jonathon L

    2017-04-01

    To determine if there is an association between longer breast-feeding duration and dental caries in healthy urban children. We conducted a cross-sectional study of urban children aged 1 to 6 years recruited through The Applied Research Group for Kids (TARGet Kids!) practice-based research network between September 2011 and August 2013. The main outcome measure was parental report of dental caries. The adjusted predicted probability of dental caries was 7%, 8%, 11%, and 16% with total duration of breast-feeding duration of 12, 18, 24, and 36 months, respectively. In the adjusted logistic regression analyses, relative to breast-feeding 0 to 5 months, the odds of dental caries with total breast-feeding duration >24 months was 2.75 (95% confidence interval 1.61-4.72). Among healthy urban children, longer breast-feeding duration was associated with higher odds of dental caries. These findings support heightened awareness and enhanced anticipatory guidance for preventive dental care, particularly among children who breast-feed beyond 2 years of age. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  12. The place of health and the health of place: dengue fever and urban governance in Putrajaya, Malaysia.

    PubMed

    Mulligan, K; Elliott, S J; Schuster-Wallace, C

    2012-05-01

    This case study investigates the connections among urban planning, governance and dengue fever in an emerging market context in the Global South. Key informant interviews were conducted with leading figures in public health, urban planning and governance in the planned city of Putrajaya, Malaysia. Drawing on theories of urban political ecology and ecosocial epidemiology, the qualitative study found the health of place - expressed as dengue-bearing mosquitoes and dengue fever in human bodies in the urban environment - was influenced by the place of health in a hierarchy of urban priorities. Copyright © 2012 Elsevier Ltd. All rights reserved.

  13. A Mixed Methods Approach to Code Stakeholder Beliefs in Urban Water Governance

    NASA Astrophysics Data System (ADS)

    Bell, E. V.; Henry, A.; Pivo, G.

    2017-12-01

    What is a reliable way to code policies to represent belief systems? The Advocacy Coalition Framework posits that public policy may be viewed as manifestations of belief systems. Belief systems include both ontological beliefs about cause-and-effect relationships and policy effectiveness, as well as normative beliefs about appropriate policy instruments and the relative value of different outcomes. The idea that belief systems are embodied in public policy is important for urban water governance because it trains our focus on belief conflict; this can help us understand why many water-scarce cities do not adopt innovative technology despite available scientific information. To date, there has been very little research on systematic, rigorous methods to measure the belief system content of public policies. We address this by testing the relationship between beliefs and policy participation to develop an innovative coding framework. With a focus on urban water governance in Tucson, Arizona, we analyze grey literature on local water management. Mentioned policies are coded into a typology of common approaches identified in urban water governance literature, which include regulation, education, price and non-price incentives, green infrastructure and other types of technology. We then survey local water stakeholders about their perceptions of these policies. Urban water governance requires coordination of organizations from multiple sectors, and we cannot assume that belief development and policy participation occur in a vacuum. Thus, we use a generalized exponential random graph model to test the relationship between perceptions and policy participation in the Tucson water governance network. We measure policy perceptions for organizations by averaging across their respective, affiliated respondents and generating a belief distance matrix of coordinating network participants. Similarly, we generate a distance matrix of these actors based on the frequency of their

  14. Using Social Media to Identify Sources of Healthy Food in Urban Neighborhoods.

    PubMed

    Gomez-Lopez, Iris N; Clarke, Philippa; Hill, Alex B; Romero, Daniel M; Goodspeed, Robert; Berrocal, Veronica J; Vinod Vydiswaran, V G; Veinot, Tiffany C

    2017-06-01

    An established body of research has used secondary data sources (such as proprietary business databases) to demonstrate the importance of the neighborhood food environment for multiple health outcomes. However, documenting food availability using secondary sources in low-income urban neighborhoods can be particularly challenging since small businesses play a crucial role in food availability. These small businesses are typically underrepresented in national databases, which rely on secondary sources to develop data for marketing purposes. Using social media and other crowdsourced data to account for these smaller businesses holds promise, but the quality of these data remains unknown. This paper compares the quality of full-line grocery store information from Yelp, a crowdsourced content service, to a "ground truth" data set (Detroit Food Map) and a commercially-available dataset (Reference USA) for the greater Detroit area. Results suggest that Yelp is more accurate than Reference USA in identifying healthy food stores in urban areas. Researchers investigating the relationship between the nutrition environment and health may consider Yelp as a reliable and valid source for identifying sources of healthy food in urban environments.

  15. The Urban Leaders Adaptation Initiative: Climate Resilient Local Governments

    NASA Astrophysics Data System (ADS)

    Foster, J. G.

    2008-12-01

    Local governments, the first responders to public health, safety and environmental hazards, must act now to lessen vulnerabilities to climate change. They must plan for and invest in "adapting" to inevitable impacts such as flood, fire, and draught that will occur notwithstanding best efforts to mitigate climate change. CCAP's Urban Leaders Adaptation Initiative is developing a framework for informed decision making on climate adaptation. Looking ahead to projected climate impacts and 'back casting' can identify what is needed now to both reduce greenhouse gas emissions and build local resiliency to climate change. CCAP's partnership with King County (WA), Chicago, Los Angeles, Miami-Dade County (FL), Milwaukee, Nassau County (NY), Phoenix, San Francisco, and Toronto is advancing policy discussions to ensure that state and local governments consider climate change when making decisions about infrastructure, transportation, land use, and resource management. Through the Initiative, local leaders will incorporate climate change into daily urban management and planning activities, proactively engage city and county managers and the public in developing solutions, and build community resilience. One goal is to change both institutional and public attitudes and behaviors. Determining appropriate adaptation strategies for each jurisdiction requires Asking the Climate Question: "How does what we are doing increase our resilience to climate change?" Over the next three years, the Initiative will design and implement specific adaptation plans, policies and 'catalytic' projects, collect and disseminate "best practices," and participate in framing national climate policy discussions. In the coming years, policy-makers will have to consider climate change in major infrastructure development decisions. If they are to be successful and have the resources they need, national climate change policy and emerging legislation will have to support these communities. The Urban Leaders

  16. Traffic pollution and countermeasures of urban traffic environment

    NASA Astrophysics Data System (ADS)

    He, Yuhong; Zheng, Chaocheng

    2018-01-01

    Background: Traffic environment has become a serious social problem in China currently, therefore, urban traffic environment governance is the requirement to solve this issue because as an important place in people's social life, urban traffic environment shows a strong city's energy. Objective: Based on analysis on social function of city traffic environment and its influence of traffic on urban environment in this paper, the goal to establish a healthy urban traffic environment must be included under the aim of sustainable development eternally and feasible measures were put forward afterwards. Method, result, conclusion and possible applications.

  17. Government regulation to promote healthy food environments--a view from inside state governments.

    PubMed

    Shill, J; Mavoa, H; Allender, S; Lawrence, M; Sacks, G; Peeters, A; Crammond, B; Swinburn, B

    2012-02-01

    Food policy interventions are an important component of obesity-prevention strategies and can potentially drive positive changes in obesogenic environments. This study sought to identify regulatory interventions targeting the food environment, and barriers/facilitators to their implementation at the Australian state government level. In-depth interviews were conducted with senior representatives from state/territory governments, statutory authorities and non-government organizations (n =45) to examine participants' (i) suggestions for regulatory interventions for healthier food environments and (ii) support for pre-selected regulatory interventions derived from a literature review. Data were analysed using thematic and constant comparative analyses. Interventions commonly suggested by participants were regulating unhealthy food marketing; limiting the density of fast food outlets; pricing reforms to decrease fruit/vegetable prices and increase unhealthy food prices; and improved food labelling. The most commonly supported pre-selected interventions were related to food marketing and service. Primary production and retail sector interventions were least supported. The dominant themes were the need for whole-of-government and collaborative approaches; the influence of the food industry; conflicting policies/agenda; regulatory challenges; the need for evidence of effectiveness; and economic disincentives. While interventions such as public sector healthy food service policies were supported by participants, marketing restrictions and fiscal interventions face substantial barriers including a push for deregulation and private sector opposition. © 2011 The Authors. obesity reviews © 2011 International Association for the Study of Obesity.

  18. Urban forests' potential to supply marketable carbon emission offsets: a survey of municipal governments in the United States

    Treesearch

    Neelam C. Poudyal; Jacek P. Siry; J. M. Bowker

    2010-01-01

    This study assesses the motivation, willingness, and technical as well as managerial capacities of U.S. cities to store carbon and sell carbon offsets. Based on a national survey of urban foresters, arborists, and other officials responsible for urban forest management within U.S. municipal governments, results indicate that local governments are interested in selling...

  19. Policymaking in European healthy cities.

    PubMed

    de Leeuw, Evelyne; Green, Geoff; Spanswick, Lucy; Palmer, Nicola

    2015-06-01

    This paper assesses policy development in, with and for Healthy Cities in the European Region of the World Health Organization. Materials for the assessment were sourced through case studies, a questionnaire and statistical databases. They were compiled in a realist synthesis methodology, applying theory-based evaluation principles. Non-response analyses were applied to ascertain the degree of representatives of the high response rates for the entire network of Healthy Cities in Europe. Further measures of reliability and validity were applied, and it was found that our material was indicative of the entire network. European Healthy Cities are successful in developing local health policy across many sectors within and outside government. They were also successful in addressing 'wicked' problems around equity, governance and participation in themes such as Healthy Urban Planning. It appears that strong local leadership for policy change is driven by international collaboration and the stewardship of the World Health Organization. The processes enacted by WHO, structuring membership of the Healthy City Network (designation) and the guidance on particular themes, are identified as being important for the success of local policy development. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. Building partnerships for healthy environments: research, leadership and education.

    PubMed

    Thompson, Susan; Kent, Jennifer; Lyons, Claudine

    2014-12-01

    As populations across the globe face an increasing health burden from rising rates of obesity, diabetes and other lifestyle-related diseases, health professionals are collaborating with urban planners to influence city design that supports healthy ways of living. This paper details the establishment and operation of an innovative, interdisciplinary collaboration that brings together urban planning and health. Situated in a built environment faculty at one of Australia's most prestigious universities, the Healthy Built Environments Program (HBEP) partners planning academics, a health non-government organisation, local councils and private planning consultants in a state government health department funded consortium. The HBEP focuses on three strategic areas: research, workforce development and education, and leadership and advocacy. Interdisciplinary research includes a comprehensive literature review that establishes Australian-based evidence to support the development, prioritisation and implementation of healthy built environment policies and practices. Another ongoing study examines the design features, social interventions and locational qualities that positively benefit human health. Formal courses, workshops, public lectures and e-learning develop professional capacity, as well as skills in interdisciplinary practice to support productive collaborations between health professionals and planners. The third area involves working with government and non-government agencies, and the private sector and the community, to advocate closer links between health and the built environment. Our paper presents an overview of the HBEP's major achievements. We conclude with a critical review of the challenges, revealing lessons in bringing health and planning closer together to create health-supportive cities for the 21st century.

  1. People, planet and participation: the Kuching statement on healthy, just and sustainable urban development.

    PubMed

    2018-02-01

    This statement was commissioned by the UNU International Institute for Global Health in the run up to Habitat III-the third United Nations conference on housing and sustainable urban development. The statement draws on insights from the World Urban Campaign thinkers campus held during 24-27 January 2016 in Kuching, a WHO-designated healthy city. © The Author 2016. Published by Oxford University Press.

  2. Balancing urban growth and ecological conservation: A challenge for planning and governance in China.

    PubMed

    Güneralp, Burak; Perlstein, Andrew S; Seto, Karen C

    2015-10-01

    China has high biodiversity and is rapidly urbanizing. However, there is limited understanding of how urban expansion in the country is likely to affect its habitats and biodiversity. In this study, we examine urban expansion patterns and their likely impacts on biodiversity in China by 2030. Our analysis shows that most provinces are expected to experience urban expansion either near their protected areas or in biodiversity hotspots. In a few provinces such as Guangdong in the south, urban expansion is likely to impinge on both protected areas and biodiversity hotspots. We show that policies that could facilitate the integration of natural resource protection into urban planning exist on paper, but the prevailing incentives and institutional arrangements between the central and local governments prevent this kind of integration. Removing these obstacles will be necessary in order to safeguard the country's rich biodiversity in light of the scale of urbanization underway.

  3. Getting farming on the agenda: Planning, policymaking, and governance practices of urban agriculture in New York City

    Treesearch

    Lindsay K. Campbell

    2016-01-01

    How and why is urban agriculture taken up into local food policies and sustainability plans? This paper uses a case study of urban agriculture policymaking in New York City from 2007 to 2011 to examine the power-laden operation of urban environmental governance. It explores several 'faces of power,' including overt authority, institutionalized 'rules of...

  4. School Choice and Government Reform: Pillars of an Urban Renaissance. Civic Bulletin.

    ERIC Educational Resources Information Center

    Booker, Cory A.

    This paper describes one vision of how to improve urban education, highlighting the Newark, New Jersey, public schools. It discusses the importance of encouraging all students to "reach for the stars" in education and describes the government's role in perpetuating inequitable circumstances. It highlights the importance of emphasizing…

  5. The effect of urban green on small-area (healthy) life expectancy.

    PubMed

    Jonker, M F; van Lenthe, F J; Donkers, B; Mackenbach, J P; Burdorf, A

    2014-10-01

    Several epidemiological studies have investigated the effect of the quantity of green space on health outcomes such as self-rated health, morbidity and mortality ratios. These studies have consistently found positive associations between the quantity of green and health. However, the impact of other aspects, such as the perceived quality and average distance to public green, and the effect of urban green on population health are still largely unknown. Linear regression models were used to investigate the impact of three different measures of urban green on small-area life expectancy (LE) and healthy life expectancy (HLE) in The Netherlands. All regressions corrected for average neighbourhood household income, accommodated spatial autocorrelation, and took measurement uncertainty of LE, HLE as well as the quality of urban green into account. Both the quantity and the perceived quality of urban green are modestly related to small-area LE and HLE: an increase of 1 SD in the percentage of urban green space is associated with a 0.1-year higher LE, and, in the case of quality of green, with an approximately 0.3-year higher LE and HLE. The average distance to the nearest public green is unrelated to population health. The quantity and particularly quality of urban green are positively associated with small-area LE and HLE. This concurs with a growing body of evidence that urban green reduces stress, stimulates physical activity, improves the microclimate and reduces ambient air pollution. Accordingly, urban green development deserves a more prominent place in urban regeneration and neighbourhood renewal programmes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Indicators to support healthy urban gardening in urban management.

    PubMed

    Schram-Bijkerk, Dieneke; Otte, Piet; Dirven, Liesbet; Breure, Anton M

    2018-04-15

    Urban gardening is part of a trend towards more parks and green areas in cities, consumption of organic, locally grown products, and a closer relationship with one's own living environment. Our literature review shows that urban gardens provide opportunities for physical activity and allow people to consume homegrown fruit and vegetables. Urban gardens may also reduce stress levels of gardeners and improve social cohesion. In this way, they can help to prevent health problems. Good quality of urban soil and the functioning of soil ecosystems are indispensable prerequisites for these. We developed a framework that shows how ecosystem health and human health are interconnected in urban gardening, by placing it in the context of urban green space management and valuation. This study yields a set of indicators, which can be used to assess soil ecosystem services and health impacts. They may provide a basis for the evolving dialogue in decision-making processes and partnership activities in urban management. Recognizing the potential effects and discussing what is important to whom, might be enough to find synergies. Importantly, the initiators of urban gardens are often citizens, who seek support from other stakeholders. The social network established by gardens may contribute to health-enabling, cohesive communities involved with their living environment. To maximize health benefits, it is useful to make the urban gardens accessible to many people. This study suggests that urban gardens deserve a position in urban green space management as they may help to address societal challenges like urbanization, health and well-being in aging populations and climate adaptation. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Does a low-income urban population practise healthy dietary habits?

    PubMed

    Azizan, Nurul Ain; Thangiah, Nithiah; Su, Tin Tin; Majid, Hazreen Abdul

    2018-03-01

    The purpose of this study was to identify the unhealthy dietary habits and practices in a low-income community in an urban area and determine the associated factors. A cross-sectional survey was conducted in a low-income housing area in Kuala Lumpur, Malaysia. Data were collected using a questionnaire via face-to-face interviews by trained enumerators in order to obtain details on sociodemographic characteristics and dietary practices. Descriptive statistics showed that 86.7% of the respondents in the low-income community consumed fruit and vegetables less than five times per day, 11.7% consumed carbonated and sweetened drinks more than twice per day and about 25% consumed fast food more than four times per month. In total, 65.2% (n=945) did not have healthy dietary practices. Binary logistic regression showed that age, education and ethnicity were significant predictors of unhealthy dietary practices among the low-income community. Those in the 30-59 years age group had higher odds (odds ratio 1.65, p=0.04) of practising an unhealthy diet as compared with those older than 60 years of age. Unhealthy dietary practices were found to be common among the low-income group living in an urban area. Healthy lifestyle intervention should be highlighted so that it can be adopted in the low-income group.

  8. Public participation in post-Fordist urban green space governance: the case of community gardens in Berlin.

    PubMed

    Rosol, Marit

    2010-01-01

    This article examines citizen participation in the governance of contemporary urban green space. Rather than exploring normative questions of ideal forms of participatory democracy, it focuses on changing roles and relationships between local state and non-state actors in order to identify and explain the changing nature of participation. I argue that neoliberal urban restructuring has changed the conditions for participation and thus participation itself in fundamental ways and that we need an account of changes in statehood and governance in order to capture this conceptually. Based on the case of community gardens in Berlin, the article discusses the extent to which this changed relationship is expressed by current citizen participation as well as the potential and problems that result from it. My empirical results show the emergence of a new political acceptance of autonomously organized projects and active citizen participation in urban green space governance. The central argument of this article is that this new acceptance can be conceptualized as an expression of the neoliberalization of cities. Nevertheless, this neoliberal strategy at the same time leads to complex and contradictory outcomes and the resulting benefits are also acknowledged.

  9. Government employees' perception of urban air pollution and willingness to pay for improved quality: a cross-sectional survey study in Nanchang, China.

    PubMed

    Liu, Xiaojun; Wu, Yanyan; Hu, Yongxin; Liu, Denglai; Zhang, Jin; Chen, Cheng; Yuan, Zhaokang; Lu, Yuanan

    2016-11-01

    To improve the public's awareness of urban air pollution and promote establishment of more efficient policy toward urban air pollution, we investigated the government employees' perceptions of current urban air pollution and their willingness to pay (WTP) taxes for improved quality in Nanchang, China. Stratified cluster sampling strategy was used to distribute 629 questionnaires, and 608 were completed anonymously, yielding a 96.7 % response rate. Descriptive statistics frequencies and proportions were used to summarize the sample characteristics, and logistic regression models were performed to assess the associations of perception of urban air quality and WTP versus demographic variables. We found low awareness of urban air pollution (34.5 %) as well as low WTP (44.9 %), especially among the middle aged people (age 30-39 and age 40-49). Our study shows that female employees have better awareness of urban air pollution but much less willingness to pay for air quality improvement. Majority of the government employees showed their support to the government for more effective policies toward environmental protection, indicating more enhanced public education and environmental protection campaigns to improve the public's awareness of air pollution and work with every citizen to improve air quality. This study also obtained baseline information useful to the local regional and even national government in developing nations in their attempt to control urban air pollution in future.

  10. Race, urban governance, and crime control: creating model cities.

    PubMed

    Brown, Elizabeth

    2010-01-01

    In the late 1960s and early 1970s, the city of Seattle received federal Department of Housing and Urban Development “Model cities” funds to address issues of racial disenfranchisement in the city. Premised under the “Great Society” ethos, Model cities sought to remedy the strained relationship between local governments and disenfranchised urban communities. Though police-community relations were not initially slated as an area of concern in the city's grant application, residents of the designated “model neighborhood” pressed for the formation of a law and justice task force to address the issue. This article examines the process and outcome of the two law-and-justice projects proposed by residents of the designated “model neighborhood”: the Consumer Protection program and the Community Service Officer project. Drawing on the work of legal geographies scholars, I argue that the failure of each of these efforts to achieve residents' intentions stems from the geographical imagination of urban problems. Like law-and-order projects today, the geographical imagination of the model neighborhood produced a discourse of exceptionality that subjected residents to extraordinary state interventions. The Model cities project thus provides an example of a “history of the present” of mass incarceration in which the geographical imagination of crime helps facilitate the re-creation of a racialized power structure.

  11. Baseline results of the first healthy schools evaluation among a community of young, Irish, urban disadvantaged children and a comparison of outcomes with international norms.

    PubMed

    Comiskey, Catherine M; O'Sullivan, Karin; Quirke, Mary B; Wynne, Ciara; Hollywood, Eleanor; MGillloway, Sinead

    2012-11-01

    In 2008, the Irish Government initiated a pilot Healthy Schools Programme based on the World Health Organization Health Promoting Schools Model among children attending schools officially designated as urban and disadvantaged. We present here the first results on physical and emotional health and the relationship between childhood depression and demographic and socioeconomic factors. The Healthy Schools Programme evaluation was a 3-year longitudinal outcome study among urban disadvantaged children aged 4 to 12 years. Physical and psychological health outcomes were measured using validated, international instruments at baseline. Outcomes at baseline were compared with international norms and where differences were found, results were statistically modeled to determine factors predicting poor outcomes. A total of 552 children responded at baseline, representing over 50% of all eligible children available to participate from 7 schools. Findings at baseline revealed that in general, children did not differ significantly from international norms. However, detailed analysis of the childhood depression scores revealed that in order of importance, psychological well-being, the school environment, social support, and peer relations and age were statistically significant predictors of increased childhood depression in children under 12 years of age. Future health and well-being studies in schools among urban disadvantaged children need to broaden their scope to include measures of depression in children under 12 years of age and be cognisant of the impact of the school environment on the mental and emotional health of the very young. © 2012, American School Health Association.

  12. Comparison of healthy lifestyle behaviors among individuals with and without cardiovascular diseases from urban and rural areas in China: A cross-sectional study.

    PubMed

    Wang, Chuangshi; Li, Wei; Yin, Lu; Bo, Jian; Peng, Yaguang; Wang, Yang

    2017-01-01

    The study aimed to explore the gap of prevalence of healthy lifestyle behaviors including smoking cessation, quitting drinking, physical activity and healthy eating between Chinese adults with and without cardiovascular diseases (CVDs). This study is a cross-sectional component of Prospective Urban Rural Epidemiology (PURE)-China study, which recruited ~46,000 participants from 70 rural and 45 urban communities between 2005 and 2009. Participants were divided into disease (with CVDs) and control (without any diseases) groups. The adjusted rates were estimated for different strata by the generalized, linear mixed-effects model, including community as a random effect with additional adjustment for age, sex, education and income. Among 40,490 participants, <10% had all four healthy lifestyle behaviors (disease group versus control group: urban areas: 7.8% versus 8.1%; rural areas: 3.4% versus 3.2%). The rates of smoking cessation and quitting drinking were significantly higher in disease group for both urban and rural residents (P<0.001). In urban areas, higher rates were observed in all other three healthy lifestyle behaviors except physical activity in low-income regions (P<0.05). Similarly, the higher trends were observed for stopping smoking and drinking while opposite trends for healthy eating among rural residents from low-income regions (P<0.05). Our study showed that the prevalence of adopting all four behaviors was low among Chinese adults. Individuals with CVDs were more likely to follow healthy lifestyle behaviors, but it still indicated a large gap between the actual and ideal adoption of healthy lifestyle behaviors, which called for the promotion of population-wide strategies to modify lifestyle behaviors in addition to individual health-care intervention strategies.

  13. Evidence for Healthy Cities: reflections on practice, method and theory.

    PubMed

    de Leeuw, Evelyne

    2009-11-01

    The European Healthy Cities project can be characterized as a social movement that employs an extremely wide range of political, social and behavioural interventions for the development and sustenance of urban population health. At all of these levels, the movement is inspired by ideological, theoretical and evidence-based perspectives. The result of this stance is a dynamic, complex and diverse landscape of initiatives, plans, programmes and actions. In quantitative terms (the number of WHO designated cities and associated cities and communities through national networks), 'Healthy Cities' can be regarded as an extraordinary accomplishment and a credit for both WHO and cities in the movement. In qualitative terms, however, critics of the movement have maintained that little evidence on its success and effectiveness has been generated. This critique finds its foundations in the mere perceptions of evidence, the politics of science and urban governance, and perspectives on the preferred or professed utilities of evidence-based health notions. The article reviews the nature of evidence and its interface with politics and governance. Applying a conceptual framework combining insights from knowledge utilization theory, theoretical perspectives on (health) policy development, theory-based evaluations and planned intervention approaches, it demonstrates that, although the evidence is overwhelming, there are barriers to the implementation of such evidence that should be further addressed by 'Healthy Cities'.

  14. Development of a Healthy Urban Route Planner for cyclists and pedestrians in Amsterdam

    NASA Astrophysics Data System (ADS)

    van der Molen, Michiel; Ligtenberg, Arend; Vreugdenhil, Corne; Steeneveld, Gert-Jan

    2017-04-01

    Cities are hotspots of air pollution and heat stress, the exposure to which results in nuisance, health risks, cost of medication, reduced labour productivity and sick leave for citizens. Yet the air pollution and heat stress are spatially and temporally unevenly distributed over the city, depending on pollutant emissions, street design and atmospheric turbulent mixing and radiation. This spatiotemporal variation allows pedestrians and bikers to choose alternative routes to minimize their exposure, if the distribution is known. In this project, we develop a route planner for bicyclists and pedestrians for Amsterdam (NL), that proposes routes and departure times based on model simulations of weather and air quality. We use the WRF-Chem atmosphere and air quality model at unprecedented grid spacing of 100-m (Ronda et al, 2015, Super et al, 2016), with an underlying urban canopy model and NOx and PM10 emissions. The emissions by traffic are calculated based on observed traffic intensities and emission factors. An urban land use map will characterize urban density and street configuration to estimate urban heat storage (Attema et al, 2015). WRF-Chem runs will be issued daily for a lead time of 48 hours, resulting in forecast maps of temperature and pollutant concentrations that will be uniquely expressed in a metric that combines both threats. The hourly fields of this metric are provided to the route planner based on the open source routing library pgRouting to identify the more healthy routes on the route network of Amsterdam. The objectives of the healthy urban route planner are to raise awareness of heat and air quality issues in Amsterdam, to provide an innovative adaptation tool for citizens and tourists, to locate the most important bottlenecks in (the exposure to) air pollution and heat stress, and ultimately to test the readiness of the travellers to use the information and adapt the route. We expect to particularly target a group of lung- and cardiovascular

  15. Comparison of healthy lifestyle behaviors among individuals with and without cardiovascular diseases from urban and rural areas in China: A cross-sectional study

    PubMed Central

    Wang, Chuangshi; Yin, Lu; Bo, Jian; Peng, Yaguang; Wang, Yang

    2017-01-01

    Introduction The study aimed to explore the gap of prevalence of healthy lifestyle behaviors including smoking cessation, quitting drinking, physical activity and healthy eating between Chinese adults with and without cardiovascular diseases (CVDs). Methods This study is a cross-sectional component of Prospective Urban Rural Epidemiology (PURE)-China study, which recruited ~46,000 participants from 70 rural and 45 urban communities between 2005 and 2009. Participants were divided into disease (with CVDs) and control (without any diseases) groups. The adjusted rates were estimated for different strata by the generalized, linear mixed-effects model, including community as a random effect with additional adjustment for age, sex, education and income. Results Among 40,490 participants, <10% had all four healthy lifestyle behaviors (disease group versus control group: urban areas: 7.8% versus 8.1%; rural areas: 3.4% versus 3.2%). The rates of smoking cessation and quitting drinking were significantly higher in disease group for both urban and rural residents (P<0.001). In urban areas, higher rates were observed in all other three healthy lifestyle behaviors except physical activity in low-income regions (P<0.05). Similarly, the higher trends were observed for stopping smoking and drinking while opposite trends for healthy eating among rural residents from low-income regions (P<0.05). Conclusions Our study showed that the prevalence of adopting all four behaviors was low among Chinese adults. Individuals with CVDs were more likely to follow healthy lifestyle behaviors, but it still indicated a large gap between the actual and ideal adoption of healthy lifestyle behaviors, which called for the promotion of population-wide strategies to modify lifestyle behaviors in addition to individual health-care intervention strategies. PMID:28771516

  16. Implementation of an urban irrigation and a biofiltration system in the urban canopy model CLM-U

    NASA Astrophysics Data System (ADS)

    Demuzere, Matthias; Coutts, Andrew; Göhler, Maren; Diels, Jan; Gebert, Luke; Wouters, Hendrik; Van Lipzig, Nicole

    2013-04-01

    A recent review by Coutts et al. (2012) points out that to date the role of water in influencing urban climates through both irrigation and the support of urban vegetation receives less attention. Impervious urban surfaces prevent infiltration, and runoff is rapidly exported away from urban environments via the stormwater network. This produces a deficit of water in urban areas, and reduces soil moisture levels - a deficit that is often balanced by imported potable water to maintain a healthy vegetation via irrigation. Because of long-term dry spells over large areas of Australia in the last decades, State Governments introduced compulsory and voluntary strategies to encourage water saving across the community - including outdoor water restrictions. In this respect, residents have adapted gardening approaches by planting more drought-tolerant species. Each of these factors of drought, water restrictions and xeric gardens, along with the reduced health of urban vegetation, may further exacerbate urban warming and energy demands. In this respect, this study explores possible pathways towards a more Water Sensitive Urban Design (WSUD), implementing a decentralisation of water supply via residential rainwater tanks that collect run-off water from the roofs, an urban irrigation system connected to these rainwater tanks and bio-infiltration systems in which the impervious road fraction drains. All changes are implemented in the Community Land Model - Urban (CLM-U) and several sensitivity tests are performed for the residential area of Preston (Melbourne, Australia) in order to answer the question on how much water is actually needed to maintain healthy vegetation and where this water should come from. Can rainwater tanks provide a sufficient capacity to irrigate bio-infiltration systems or will it be necessary to apply high-quality potable water? In addition, this research can also be used to quantify the role of WSUD with respect to thermal comfort.

  17. 24 CFR 598.505 - Governments.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Governments. 598.505 Section 598....505 Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part applies to all such governments. ...

  18. 24 CFR 598.505 - Governments.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Governments. 598.505 Section 598....505 Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part applies to all such governments. ...

  19. 24 CFR 598.505 - Governments.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Governments. 598.505 Section 598....505 Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part applies to all such governments. ...

  20. 24 CFR 598.505 - Governments.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Governments. 598.505 Section 598.505... Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part applies to all such governments. ...

  1. 24 CFR 598.505 - Governments.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Governments. 598.505 Section 598.505... Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part applies to all such governments. ...

  2. Improvement in nutrition-related knowledge and behaviour of urban Asian Indian school children: findings from the 'Medical education for children/Adolescents for Realistic prevention of obesity and diabetes and for healthy aGeing' ( MARG) intervention study.

    PubMed

    Shah, Priyali; Misra, Anoop; Gupta, Nidhi; Hazra, Daya Kishore; Gupta, Rajeev; Seth, Payal; Agarwal, Anand; Gupta, Arun Kumar; Jain, Arvind; Kulshreshta, Atul; Hazra, Nandita; Khanna, Padmamalika; Gangwar, Prasann Kumar; Bansal, Sunil; Tallikoti, Pooja; Mohan, Indu; Bhargava, Rooma; Sharma, Rekha; Gulati, Seema; Bharadwaj, Swati; Pandey, Ravindra Mohan; Goel, Kashish

    2010-08-01

    Increasing prevalence of childhood obesity calls for comprehensive and cost-effective educative measures in developing countries such as India. School-based educative programmes greatly influence children's behaviour towards healthy living. We aimed to evaluate the impact of a school-based health and nutritional education programme on knowledge and behaviour of urban Asian Indian school children. Benchmark assessment of parents and teachers was also done. We educated 40 196 children (aged 8-18 years), 25 000 parents and 1500 teachers about health, nutrition, physical activity, non-communicable diseases and healthy cooking practices in three cities of North India. A pre-tested questionnaire was used to assess randomly selected 3128 children, 2241 parents and 841 teachers before intervention and 2329 children after intervention. Low baseline knowledge and behaviour scores were reported in 75-94 % government and 48-78 % private school children, across all age groups. A small proportion of government school children gave correct answers about protein (14-17 %), carbohydrates (25-27 %) and saturated fats (18-32 %). Private school children, parents and teachers performed significantly better than government school subjects (P < 0.05). Following the intervention, scores improved in all children irrespective of the type of school (P < 0.001). A significantly higher improvement was observed in younger children (aged 8-11 years) as compared with those aged 12-18 years, in females compared with males and in government schools compared with private schools (P < 0.05 for all). Major gaps exist in health and nutrition-related knowledge and behaviour of urban Asian Indian children, parents and teachers. This successful and comprehensive educative intervention could be incorporated in future school-based health and nutritional education programmes.

  3. 24 CFR 597.501 - Governments.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Governments. 597.501 Section 597... Special Rules § 597.501 Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part shall apply to all such governments. ...

  4. 24 CFR 597.501 - Governments.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Governments. 597.501 Section 597... Special Rules § 597.501 Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part shall apply to all such governments. ...

  5. 24 CFR 597.501 - Governments.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Governments. 597.501 Section 597... Special Rules § 597.501 Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part shall apply to all such governments. ...

  6. 24 CFR 597.501 - Governments.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Governments. 597.501 Section 597.501... Rules § 597.501 Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part shall apply to all such governments. ...

  7. 24 CFR 597.501 - Governments.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Governments. 597.501 Section 597.501... Rules § 597.501 Governments. If more than one State or local government seeks to nominate an urban area under this part, any reference to or requirement of this part shall apply to all such governments. ...

  8. Convenience stores surrounding urban schools: an assessment of healthy food availability, advertising, and product placement.

    PubMed

    Gebauer, Hilary; Laska, Melissa Nelson

    2011-08-01

    Adolescent obesity is a national public health problem, particularly among urban populations. Recent evidence has linked neighborhood food environments to health and nutrition status, with easier access to convenience stores being associated with increased risk for obesity. Little is known about the availability of healthy purchasing options within small, urban food stores, or the extent to which these factors are relevant to youth. The objective of this research was to characterize various features of the food environment within small convenience stores located nearby urban junior high and high schools. In-store audits were conducted in 63 stores located within 800 m of 36 urban Minnesota public secondary schools. Results indicated that a limited number of healthier beverages (i.e., water and 100% fruit juice) and snack options (i.e., nuts and pretzels) were available at most stores (≥85%). However, a wide range of healthy snack options were typically not available, with many specific items stocked in less than half of stores (e.g., low-fat yogurt in 27% of stores and low-fat granola bars in 43%). Overall, 51% of stores had fresh fruit and 49% had fresh vegetables. Few stores carried a range of healthier snack alternatives in single-serving packages. All stores had less healthful impulse purchase items available (e.g., candy) while only 46% carried healthier impulse items (e.g., fruit). Most stores (97%) had food/beverage advertising. Overall, convenience stores located in close proximity to secondary schools represent an important and understudied component of the youth food environment.

  9. Evaluating climate variables, indexes and thresholds governing Arctic urban sustainability: case study of Russian permafrost regions

    NASA Astrophysics Data System (ADS)

    Anisimov, O. A.; Kokorev, V.

    2013-12-01

    Addressing Arctic urban sustainability today forces planners to deal with the complex interplay of multiple factors, including governance and economic development, demography and migration, environmental changes and land use, changes in the ecosystems and their services, and climate change. While the latter can be seen as a factor that exacerbates the existing vulnerabilities to other stressors, changes in temperature, precipitation, snow, river and lake ice, and the hydrological regime also have direct implications for the cities in the North. Climate change leads to reduced demand for heating energy, on one hand, and heightened concerns about the fate of the infrastructure built upon thawing permafrost, on the other. Changes in snowfall are particularly important and have direct implications for the urban economy, as together with heating costs, expenses for snow removal from streets, airport runways, roofs and ventilation corridors underneath buildings erected on pile foundations on permafrost constitute the bulk of the city's maintenance budget. Many cities are located in river valleys and are prone to flooding that leads to enormous economic losses and casualties, including human deaths. The severity of the northern climate has direct implications for demographic changes governed by regional migration and labor flows. Climate could thus be viewed as an inexhaustible public resource that creates opportunities for sustainable urban development. Long-term trends show that climate as a resource is becoming more readily available in the Russian North, notwithstanding the general perception that globally climate change is one of the challenges facing humanity in the 21st century. In this study we explore the sustainability of the Arctic urban environment under changing climatic conditions. We identify key governing variables and indexes and study the thresholds beyond which changes in the governing climatic parameters have significant impact on the economy

  10. Determinants of urban resource use and resilience: a comprehensive framework

    NASA Astrophysics Data System (ADS)

    Romero-Lankao, P.; Bourgeron, P.; Gochis, D. J.; Rothman, D. S.; Wilhelmi, O.

    2015-12-01

    During the past decades urbanization has proceeded at unprecedented - yet varied - rates across urban areas globally. The social and environmental transformations implied by urban development have put many regions at risk of transforming the very characteristics that make them attractive and healthy. Meanwhile, climate change is adding new sources of risk and an array of uncertainties to the mix. These changes create risks that vary according to the characteristics of the demographic, economic, ecological, built-environment (technological) and governance dimensions of urbanization and urban areas as socioecological systems. However, few studies have explored the variation in these dimensions across urban areas. I will present a comprehensive analytical framework that explores, in urban areas, patterns of interplay, synergy and tradeoff between socio-demographic, economic, technological, ecological, and governance (SETEG) factors as they shape two issues, traditionally analyzed by separate disciplinary domains: resource use and resilience to climate hazards. Three questions guide this effort: 1) What indicators can be used to socio-demographic, economic, technological, ecological, and governance (SETEG) determinants of urban populations' resource use and resilience to climate hazards? 2) What indicators are important? 3) What combinations (i.e., tradeoffs, synergies) of causal factors better explain urban populations' resource use and resilience to hazards? The interplay between these factors as they shape a population's resource use and resilience is not exempted from synergies and tradeoffs that require careful analysis. Consider population density, a key indicator of urban form. Scholars have found that while more compact cities are more energy efficient and emit less GHG, heat stress is much worse in more compact cities. This begs the question of which combination of urban form factors need to be considered by urban planners when designing effective urban

  11. Urban planning for healthy cities. A review of the progress of the European Healthy Cities Programme.

    PubMed

    Barton, Hugh; Grant, Marcus

    2013-10-01

    The purpose of this paper is to evaluate the progress made by European cities in relation to Healthy Urban Planning (HUP) during Phase IV of the World Health Organization's Healthy Cities programme (2003-2008). The introduction sets out the general principle of HUP, identifying three levels or phases of health and planning integration. This leads on to a more specific analysis of the processes and substance of HUP, which provide criteria for assessment of progress. The assessment itself relies on two sources of data provided by the municipalities: the Annual Review Templates (ARTs) 2008 and the response to the Phase IV General Evaluation Questionnaire. The findings indicate that the evidence from different sources and questions in different sections are encouragingly consistent. The number of cities achieving a good level of understanding and activity in HUP has risen very substantially over the period. In particular, those achieving effective strategic integration of health and planning have increased. A key challenge for the future will be to develop planning frameworks which advance public health concerns in a spatial policy context driven often by market forces. A health in all policies approach could be valuable.

  12. Emerging Forms of Climate Protection Governance: Urban Initiatives in the European Union

    NASA Astrophysics Data System (ADS)

    Rosenthal, J. K.; Brunner, E.

    2006-12-01

    Changes in climate patterns are expected to pose increasing challenges for cities in the following decades, with adverse impacts on urban populations currently stressed by poverty, health and economic inequities. Simultaneously, a strong global trend towards urbanization of poverty exists, with increased challenges for local governments to protect and sustain the well-being of growing cities. In the context of these two overarching trends, interdisciplinary research at the city scale is prioritized for understanding the social impacts of climate change and variability and for the evaluation of strategies in the built environment that might serve as adaptive and mitigative responses to climate change. Urban managers, and transnational networks of municipalities and non-state actors, have taken an increasingly active role in climate protection, through research, policies, programs and agreements on adaptation and mitigation strategies. Concerns for urban impacts of climate change include the potential increase in frequency and intensity of damaging extreme weather events, such as heat waves, hurricanes, heavy rainfall or drought, and coastal flooding and erosion, and potentially adverse impacts on infrastructure, energy systems, and public health. Higher average summertime temperatures in temperate zone cities are also associated with environmental and public health liabilities such as decreased air quality and increased peak electrical demand. We review municipal climate protection programs, generally categorized as approaches based on technological innovation (e.g., new materials); changes in behavior and public education (e.g., use of cooling centers); and improvements in urban design (e.g., zoning for mixed land-use; the use of water, vegetation and plazas to reduce the urban heat island effect). Climate protection initiatives in three European cities are assessed within the context of the global collective efforts enacted by the Kyoto Protocol and United Nations

  13. Citizens' distrust of government and their protest responses in a contingent valuation study of urban heritage trees in Guangzhou, China.

    PubMed

    Chen, Wendy Y; Hua, Junyi

    2015-05-15

    Protest response is a common aspect of contingent valuation (CV) studies, which has attracted growing attention from scholars worldwide. Distrust of government, understood as one of the major reasons for protest response, has been prevalent across transitional China experiencing dramatic changes in its economy, society and natural environment. Citizen distrust of government would significantly hinder the efficiency and validity of the contingent valuation method (CVM) application focusing on the provision of public environmental and ecological goods in China, as a large proportion of protest responses might be induced. Hitherto little has been done to link residents' trust in government to their environmental behaviors in developing and transitional economies like China where CVM has been increasingly applied to generate meaningful and reliable information for integrating both ecological and socioeconomic perspectives into policy decisions. This study aims to investigate the discrepancies between protest responses induced by distrust of government and non-protest responses, using the contingent valuation of heritage trees in Guangzhou as a case. The combination of a set of debriefing questions and several attitudinal questions is employed in the questionnaire. Based on logit analysis and discriminant analysis, it has been found that protestors who distrust government and non-protestors share similar salient values associated with urban heritage trees in Guangzhou, especially their distinctive historical and cultural values, in comparison with ordinary urban trees. Residents with low familiarity with heritage trees (who rarely visit sites with heritage trees, know little about management and conservation techniques, and consider present management to be ineffective) are likely to act as protesters with the "distrust of government" belief. Only if more opportunities are provided for residents to obtain access to urban heritage tree sites, more information (about

  14. [Healthy Cities projects].

    PubMed

    Takano, Takehito

    2002-05-01

    This is a review article on "Healthy Cities". The Healthy Cities programme has been developed by the World Health Organization (WHO) to tackle urban health and environmental issues in a broad way. It is a kind of comprehensive policy package to carry out individual projects and activities effectively and efficiently. Its key aspects include healthy public policy, vision sharing, high political commitment, establishment of structural organization, strategic health planning, intersectoral collaboration, community participation, setting approach, development of supportive environment for health, formation of city health profile, national and international networking, participatory research, periodic monitoring and evaluation, and mechanisms for sustainability of projects. The present paper covered the Healthy Cities concept and approaches, rapid urbanization in the world, developments of WHO Healthy Cities, Healthy Cities developments in the Western Pacific Region, the health promotion viewpoint, and roles of research.

  15. Cultivating nature-based solutions: The governance of communal urban gardens in the European Union.

    PubMed

    van der Jagt, Alexander P N; Szaraz, Luca R; Delshammar, Tim; Cvejić, Rozalija; Santos, Artur; Goodness, Julie; Buijs, Arjen

    2017-11-01

    In many countries in the European Union (EU), the popularity of communal urban gardening (CUG) on allotments and community gardens is on the rise. Given the role of this practice in increasing urban resilience, most notably social resilience, municipalities in the Global North are promoting CUG as a nature-based solution (NbS). However, the mechanisms by which institutional actors can best support and facilitate CUG are understudied, which could create a gap between aspiration and reality. The aim of this study is therefore to identify what governance arrangements contribute to CUG delivering social resilience. Through the EU GREEN SURGE project, we studied six CUG initiatives from five EU-countries, representing different planning regimes and traditions. We selected cases taking a locally unique or innovative approach to dealing with urban challenges. A variety of actors associated with each of the cases were interviewed to achieve as complete a picture as possible regarding important governance arrangements. A cross-case comparison revealed a range of success factors, varying from clearly formulated objectives and regulations, municipal support, financial resources and social capital through to the availability of local food champions and facilitators engaging in community building. Municipalities can support CUG initiatives by moving beyond a rigid focus on top-down control, while involved citizens can increase the impact of CUG by pursuing political, in addition to hands-on, activities. We conclude that CUG has clear potential to act as a nature-based solution if managed with sensitivity to local dynamics and context. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Healthy Cities in a global and regional context.

    PubMed

    Lawrence, Roderick J; Fudge, Colin

    2009-11-01

    Since the beginning of the WHO European Healthy Cities Network in 1987, the global and regional contexts for the promotion of health and well-being have changed in many ways. First, in 2000, the United Nations Millennium Goals explicitly and implicitly addressed health promotion and prevention at the global and regional levels. Second, the concern for sustainable development at the Rio Conference in 1992 was confirmed at the World Summit in Johannesburg in 2002. During the same period, in many regions including Europe, the redefinition of the roles and responsibilities of national, regional and local governments, reductions in budgets of public administrations, the privatization of community and health services, the instability of world trade, the financial system and employment, migration flows, relatively high levels of unemployment (especially among youth and young adults) have occurred in many countries in tandem with negative impacts on specific policies and programmes that are meant to promote health. Since 1990, the European Commission has been explicitly concerned about the promotion of health, environment and social policies by defining strategic agendas for the urban environment, sustainable development and governance. However, empirical studies during the 1990s show that urban areas have relatively high levels of tuberculosis, respiratory and cardiovascular diseases, cancer, adult obesity, malnutrition, tobacco smoking, poor mental health, alcohol consumption and drug abuse, sexually transmitted diseases (including AIDS), crime, homicide, violence and accidental injury and death. In addition, there is evidence that urban populations in many industrialized countries are confronted with acute new health problems stemming from exposure to persistent organic pollutants, toxic substances in building structures, radioactive waste and increasing rates of food poisoning. These threats to public health indicate an urgent need for new strategic policies and

  17. Concepts of healthy diet among urban, low-income, African Americans.

    PubMed

    Lucan, Sean C; Barg, Frances K; Karasz, Alison; Palmer, Christina S; Long, Judith A

    2012-08-01

    We sought to explore concepts of healthy diet and to elicit recommendations to support healthier eating among urban, low-income, African Americans. We conducted semi-structured interviews with 33 self-identified African American adults (18-81 years of age, 15 male participants) from a low-income neighborhood in west Philadelphia, PA, during summer and fall 2008. Our qualitative approach was continuous, iterative and thematic considering gender, age category, and participants' "mentions" of fast-food and fruit-and-vegetable intake from the preceding day. We found that participants shared concepts about broad nutritional principles consistent with national dietary recommendations, but disagreed about the healthfulness of specific foods-e.g. meat. On average-with little variation-participants reported eating >2 "mentions" more of fast foods the preceding day than fruits and vegetables (P < 0.001). Suggested strategies to help promote eating more produce included increasing exposure, advertising, affordability, and local availability (vice versa to limit fast-food consumption), and more education on the health effects of diet and how to find and prepare healthy foods. Women's ideas reflected their roles in food shopping and food preparation; otherwise, participants' ideas did not differ appreciably by gender or age. Overall, participants generally expressed sufficient understanding of nutritional principles to eat healthfully, but disagreed about the healthfulness of specific foods and described largely unhealthy dietary consumption from the preceding day. If poor dietary intake results from barriers to recognizing, purchasing, and preparing healthy foods, then participants' suggestions to increase education and modify the environment may lead to improved diets and better health in the community.

  18. Disparities in pulmonary function in healthy children across the Indian urban-rural continuum.

    PubMed

    Sonnappa, Samatha; Lum, Sooky; Kirkby, Jane; Bonner, Rachel; Wade, Angela; Subramanya, Vinita; Lakshman, Padmanabha T; Rajan, Babitha; Nooyi, Shalini C; Stocks, Janet

    2015-01-01

    Marked socioeconomic health-care disparities are recognized in India, but lung health inequalities between urban and rural children have not been studied. We investigated whether differences exist in spirometric pulmonary function in healthy children across the Indian urban-rural continuum and compared results with those from Indian children living in the UK. Indian children aged 5 to 12 years were recruited from Indian urban, semiurban, and rural schools, and as part of the Size and Lung Function in Children study, London. Anthropometric and spirometric assessments were undertaken. Acceptable spirometric data were obtained from 728 (58% boys) children in India and 311 (50% boys) UK-Indian children. As an entire group, the India-resident children had significantly lower z FEV1 and z FVC than UK-Indian children (P < 0.0005), when expressed using Global Lung Function Initiative-2012 equations. However, when India-resident children were categorized according to residence, there were no differences in z FEV1 and z FVC between Indian-urban and UK-Indian children. There were, however, significant reductions of ∼ 0.5 z scores and 0.9 z scores in both FEV1 and FVC (with no difference in FEV1/FVC) in Indian-semiurban and Indian-rural children, respectively, when compared with Indian-urban children (P < 0.0005). z Body mass index, socioeconomic circumstances, tobacco, and biomass exposure were individually significantly associated with z FEV1 and z FVC (P < 0.0005). The presence of an urban-rural continuum of lung function within a specific ethnic group emphasizes the impact of environmental factors on lung growth in emerging nations such as India, which must be taken into account when developing ethnic-specific reference values or designing studies to optimize lung health.

  19. Healthy Municipios in Latin America.

    PubMed

    Restrepo, H E; Llanos, G; Contreras, A; Rocabado, F; Gross, S; Suárez, J; González, J

    1995-09-01

    This article describes the Healthy Municipios movement in Latin America and gives examples of some PAHO projects that could become demonstration projects. The Healthy Municipios movement was established in the early 1990s. The movement aims to promote healthy municipalities according to objectives set forth in the 1987 Ottawa Charter on Health Promotion, the 1992 Declaration of Bogota, and the 1993 Caribbean Health Promotion Charter. The movement is a joint effort of government, the health sector, and the community in promoting health locally. Key features of the movement are its creativity, variety, political strength, and adaptation to local conditions. Technical cooperation serves the purpose of facilitating information exchange and promotes the use of modern techniques of analysis and scientific and technical information. All projects shared the following common features: initiation by the local community with strong political commitment, intersectoral organizational structure, widespread community mobilization and participation, problem solving activities, and a recognizable leader. Pioneering projects include the Comprehensive Project for Cienfuegos, Cuba; the Health Manizales, Colombia; the Network in Mexico; Baruta and El Hatillo, Venezuela; Valdivia, Chile; and San Carlos Canton, Costa Rica. It is concluded that these projects and most others aim to assure equity. These efforts are important for placing health on the political agenda and implementing healthy policies. The Valdivia project, for example, serves a population of about 120,000 in the urban city of Valdivia, the semi-urban area, and rural areas. The project was officially sanctioned by the President of Chile on World Health Day in 1993. Progress was reported in mass communication and school-based programs. Attention was directed also to prevention of risk factors for noncommunicable diseases and to the problem of traffic accidents.

  20. Urban governance and spatial inequality in service delivery: a case study of solid waste management in Abuja, Nigeria.

    PubMed

    Adama, Onyanta

    2012-09-01

    Spatial inequality in service delivery is a common feature in African cities. Several factors account for the phenomenon but there is growing attention towards urban governance and the role of the state. Urban governance policies such as privatization serve as key strategies through which the state regulates and (re)produces spatial inequality in service delivery. This study examined how governance practices related to privatization and the regulatory role of the state reinforce spatial inequalities in the delivery of solid waste services in Abuja, Nigeria. It focused primarily on the issue of cost recovery. Privatization became a major focus in Abuja in 2003 when the government launched a pilot scheme. Although it has brought improvements in service delivery, privatization has also increased the gap in the quality of services delivered in different parts of the city. Drawing on empirical data, the study revealed that little sensitivity to income and affordability, and to income differentials between neighbourhoods in the fixing of user charges and in the choice of the billing method is contributing to spatial inequalities in service delivery. Furthermore, the study suggests that these practices are linked to a broader issue, a failure of the government to see the people as partners. It therefore calls for more inclusive governance especially in decision-making processes. The study also emphasizes the need for a policy document on solid waste management, as this would encourage a critical assessment of vital issues including how privatization is to be funded, especially in low-income areas.

  1. Response of State Government to an Urban Problem: The School Lunch Program in New Jersey.

    ERIC Educational Resources Information Center

    Young, Dennis; Nokkeo, Suthirat Supaporn

    The failure of State governments to use their unique place in the Federal structure for the relief of urban areas is illustrated by the school lunch program in New Jersey. The cities have a higher share of needy students and yet do not receive a greater share of program funds than the suburbs. The lunch gap--i.e., the number of low income students…

  2. Urbanization, cities, and health: The challenges to Nigeria - A review.

    PubMed

    Aliyu, Alhaji A; Amadu, Lawal

    2017-01-01

    The Nigerian society is rapidly becoming urban as a result of a multitude of push and pull factors. This has generated urban health crises among city dwellers notably the urban poor. A systematic search of published literature in English was conducted between 1960 and 2015. Published peer review journals, abstracts, Gray literature (technical reports, government documents, reports, etc.), inaugural lectures, and internet articles were reviewed. Manual search of reference lists of selected articles were checked for further relevant studies. The review showed that the pace of urbanization is unprecedented with cities such as Lagos having annual urban growth rate of 5.8%. Urbanization in Nigeria is mainly demographically driven without commensurate socioeconomic dividends and benefits to the urban environment. This has created urban health crises of inadequate water safe supply, squalor and shanty settlements, sanitation, solid waste management, double burden of diseases and inefficient, congested, and risky transport system. In conclusion, when managed carefully, urbanization could reduce hardship and human suffering; on the other hand, it could also increase poverty and squalor. Some laws need to be amended to change the status of poor urban settlements. Urban health development requires intersectoral approach with political will and urban renewal program to make our urban societies sustainable that promote healthy living.

  3. Toward an Understanding of Citywide Urban Environmental Governance: An Examination of Stewardship Networks in Baltimore and Seattle.

    PubMed

    Romolini, Michele; Morgan Grove, J; Ventriss, Curtis L; Koliba, Christopher J; Krymkowski, Daniel H

    2016-08-01

    Efforts to create more sustainable cities are evident in the proliferation of sustainability policies in cities worldwide. It has become widely proposed that the success of these urban sustainability initiatives will require city agencies to partner with, and even cede authority to, organizations from other sectors and levels of government. Yet the resulting collaborative networks are often poorly understood, and the study of large whole networks has been a challenge for researchers. We believe that a better understanding of citywide environmental governance networks can inform evaluations of their effectiveness, thus contributing to improved environmental management. Through two citywide surveys in Baltimore and Seattle, we collected data on the attributes of environmental stewardship organizations and their network relationships. We applied missing data treatment approaches and conducted social network and comparative analyses to examine (a) the organizational composition of the network, and (b) how information and knowledge are shared throughout the network. Findings revealed similarities in the number of actors and their distribution across sectors, but considerable variation in the types and locations of environmental stewardship activities, and in the number and distribution of network ties in the networks of each city. We discuss the results and potential implications of network research for urban sustainability governance.

  4. National networks of Healthy Cities in Europe.

    PubMed

    Janss Lafond, Leah; Heritage, Zoë

    2009-11-01

    National networks of Healthy Cities emerged in the late 1980s as a spontaneous reaction to a great demand by cities to participate in the Healthy Cities movement. Today, they engage at least 1300 cities in the European region and form the backbone of the Healthy Cities movement. This article provides an analysis of the results of the regular surveys of national networks that have been carried out principally since 1997. The main functions and achievements of national networks are presented alongside some of their most pressing challenges. Although networks have differing priorities and organizational characteristics, they do share common goals and strategic directions based on the Healthy Cities model (see other articles in this special edition of HPI). Therefore, it has been possible to identify a set of organizational and strategic factors that contribute to the success of networks. These factors form the basis of a set of accreditation criteria for national networks and provide guidance for the establishment of new national networks. Although national networks have made substantial achievements, they continue to face a number of dilemmas that are discussed in the article. Problems a national network must deal with include how to obtain sustainable funding, how to raise the standard of work in cities without creating exclusive participation criteria and how to balance the need to provide direct support to cities with its role as a national player. These dilemmas are similar to other public sector networks. During the last 15 years, the pooling of practical expertise in urban health has made Healthy Cities networks an important resource for national as well as local governments. Not only do they provide valuable support to their members but they often advise ministries and other national institutions on effective models to promote sustainable urban health development.

  5. Toward an understanding of citywide urban environmental governance: An examination of stewardship networks in Baltimore and Seattle

    Treesearch

    Michele Romolini; Morgan Grove; Curtis L. Ventriss; Christopher J. Koliba; Daniel H. Krymkowski

    2016-01-01

    Efforts to create more sustainable cities are evident in the proliferation of sustainability policies in cities worldwide. It has become widely proposed that the success of these urban sustainability initiatives will require city agencies to partner with, and even cede authority to, organizations from other sectors and levels of government. Yet the resulting...

  6. Urban Heat Island towards Urban Climate

    NASA Astrophysics Data System (ADS)

    Ningrum, Widya

    2018-02-01

    The urban heat island (UHI) is defined as the temperature difference between the urban and suburban areas and rural areas in the same region. Researchers have discussed several different techniques for evaluating the phenomenon. This paper reviews some of the causes and effects of urban heat islands, mainly on urban climate. Both directly and indirectly, the UHI influences multiple sectors. According to this, it is needed to develop a strategic mitigation between government and scientists to reduce the temperature.

  7. Urbanization, Cities, and Health: The Challenges to Nigeria – A Review

    PubMed Central

    Aliyu, Alhaji A.; Amadu, Lawal

    2017-01-01

    The Nigerian society is rapidly becoming urban as a result of a multitude of push and pull factors. This has generated urban health crises among city dwellers notably the urban poor. A systematic search of published literature in English was conducted between 1960 and 2015. Published peer review journals, abstracts, Gray literature (technical reports, government documents, reports, etc.), inaugural lectures, and internet articles were reviewed. Manual search of reference lists of selected articles were checked for further relevant studies. The review showed that the pace of urbanization is unprecedented with cities such as Lagos having annual urban growth rate of 5.8%. Urbanization in Nigeria is mainly demographically driven without commensurate socioeconomic dividends and benefits to the urban environment. This has created urban health crises of inadequate water safe supply, squalor and shanty settlements, sanitation, solid waste management, double burden of diseases and inefficient, congested, and risky transport system. In conclusion, when managed carefully, urbanization could reduce hardship and human suffering; on the other hand, it could also increase poverty and squalor. Some laws need to be amended to change the status of poor urban settlements. Urban health development requires intersectoral approach with political will and urban renewal program to make our urban societies sustainable that promote healthy living. PMID:29063897

  8. Healthy lifestyle behaviors among individuals with chronic obstructive pulmonary disease in urban and rural communities in China: a large community-based epidemiological study

    PubMed Central

    Yan, Ruohua; Wang, Yang; Bo, Jian; Li, Wei

    2017-01-01

    Background Lifestyle modification is one of the most cost-effective strategies in self-management and secondary prevention of chronic obstructive pulmonary disease (COPD). However, the prevalence of healthy lifestyle behaviors in COPD patients in China remains unclear. The objective of this study was to examine the rates of healthy lifestyle behaviors including smoking cessation, regular exercise, and healthy diet in community population with COPD in China. Methods We recruited 46,285 individuals aged 35–70 years from 115 urban and rural communities in 12 provinces of China from 2005 to 2009. We recorded the smoking status, physical activity intensity, and quality of diet for all spirometry-diagnosed COPD patients by standardized questionnaires. Results Among 3,690 individuals with COPD, 18.2% (95% confidence interval [CI], 13.0–24.9) quitted smoking, 27.1% (95% CI, 24.7–29.7) exercised often, and 34.8% (95% CI, 31.8–38.0) ate high-quality diet. More than half of the individuals followed one or less key healthy lifestyle, and only 8.4% (95% CI, 7.0–10.0) followed all of the three healthy behaviors. Urban residents had significant higher rates of smoking cessation (23.5% [95% CI, 17.3–31.1] vs 14.4% [95% CI, 9.9–20.5], p=0.0008), regular exercise (45.6% [95% CI, 42.4–48.8] vs 14.0% [95% CI, 12.1–16.2], p<0.0001), and healthy diet (38.5% [95% CI, 35.5–41.6] vs 32.2% [95% CI, 29.2–35.4], p=0.0013) than rural residents. Age, sex, education level, body mass index, respiratory symptoms, and family income were associated with healthy living, and the strength of associations varied between urban and rural areas. Conclusion There is a large gap between the anticipated rate and the real participation in healthy lifestyle behaviors in Chinese adults with COPD, especially in rural communities. Simple and effective strategies are warranted to improve patients’ lifestyle in China. PMID:29180861

  9. Transformative governance of urban social-ecological systems

    EPA Science Inventory

    A central aspect of adaptive governance is a learning process that can help communities achieve environmental objectives. Adaptive governance is a framework for managing social-ecological systems, and is the precursor to transformative governance. Adaptive governance accounts for...

  10. Education for Healthy Urban Transport.

    ERIC Educational Resources Information Center

    Ross, Andrew

    1996-01-01

    Describes the attempts of a bicycle-user group in Brisbane to generate a framework for action to bring about transport change. The framework integrates the theory of ecological public health with the practice of urban environmental education. (DDR)

  11. Governance matters: an ecological association between governance and child mortality

    PubMed Central

    Lin, Ro-Ting; Chien, Lung-Chang; Chen, Ya-Mei; Chan, Chang-Chuan

    2014-01-01

    Background Governance of a country may have widespread effects on the health of its population, yet little is known about the effect of governance on child mortality in a country that is undergoing urbanization, economic development, and disease control. Methods We obtained indicators of six dimensions of governance (perceptions of voice and accountability, political stability and absence of violence, government effectiveness, regulatory quality, rule of law, and control of corruption) and national under-5 mortality rates for 149 countries between 1996 and 2010. We applied a semi-parametric generalized additive mixed model to examine associations after controlling for the effects of development factors (urbanization level and economy), disease control factors (hygienic conditions and vaccination rates), health expenditures, air quality, and time. Results Governance, development, and disease control showed clear inverse relations with the under-5 mortality rate (p<0.001). Per unit increases in governance, development, and disease control factors, the child mortality rate had a 0.901-, 0.823-, and 0.922-fold decrease, respectively, at fixed levels of the other two factors. Conclusions In the effort to reduce the global under-5 mortality rate, addressing a country's need for better governance is as important as improvements in development and disease control. PMID:24711600

  12. Understanding the role of contrasting urban contexts in healthy aging: an international cohort study using wearable sensor devices (the CURHA study protocol).

    PubMed

    Kestens, Yan; Chaix, Basile; Gerber, Philippe; Desprès, Michel; Gauvin, Lise; Klein, Olivier; Klein, Sylvain; Köppen, Bernhard; Lord, Sébastien; Naud, Alexandre; Payette, Hélène; Richard, Lucie; Rondier, Pierre; Shareck, Martine; Sueur, Cédric; Thierry, Benoit; Vallée, Julie; Wasfi, Rania

    2016-05-05

    Given the challenges of aging populations, calls have been issued for more sustainable urban re-development and implementation of local solutions to address global environmental and healthy aging issues. However, few studies have considered older adults' daily mobility to better understand how local built and social environments may contribute to healthy aging. Meanwhile, wearable sensors and interactive map-based applications offer novel means for gathering information on people's mobility, levels of physical activity, or social network structure. Combining such data with classical questionnaires on well-being, physical activity, perceived environments and qualitative assessment of experience of places opens new opportunities to assess the complex interplay between individuals and environments. In line with current gaps and novel analytical capabilities, this research proposes an international research agenda to collect and analyse detailed data on daily mobility, social networks and health outcomes among older adults using interactive web-based questionnaires and wearable sensors. Our study resorts to a battery of innovative data collection methods including use of a novel multisensor device for collection of location and physical activity, interactive map-based questionnaires on regular destinations and social networks, and qualitative assessment of experience of places. This rich data will allow advanced quantitative and qualitative analyses in the aim to disentangle the complex people-environment interactions linking urban local contexts to healthy aging, with a focus on active living, social networks and participation, and well-being. This project will generate evidence about what characteristics of urban environments relate to active mobility, social participation, and well-being, three important dimensions of healthy aging. It also sets the basis for an international research agenda on built environment and healthy aging based on a shared and comprehensive

  13. Urban transitions: on urban resilience and human-dominated ecosystems.

    PubMed

    Ernstson, Henrik; van der Leeuw, Sander E; Redman, Charles L; Meffert, Douglas J; Davis, George; Alfsen, Christine; Elmqvist, Thomas

    2010-12-01

    Urbanization is a global multidimensional process paired with increasing uncertainty due to climate change, migration of people, and changes in the capacity to sustain ecosystem services. This article lays a foundation for discussing transitions in urban governance, which enable cities to navigate change, build capacity to withstand shocks, and use experimentation and innovation in face of uncertainty. Using the three concrete case cities--New Orleans, Cape Town, and Phoenix--the article analyzes thresholds and cross-scale interactions, and expands the scale at which urban resilience has been discussed by integrating the idea from geography that cities form part of "system of cities" (i.e., they cannot be seen as single entities). Based on this, the article argues that urban governance need to harness social networks of urban innovation to sustain ecosystem services, while nurturing discourses that situate the city as part of regional ecosystems. The article broadens the discussion on urban resilience while challenging resilience theory when addressing human-dominated ecosystems. Practical examples of harnessing urban innovation are presented, paired with an agenda for research and policy.

  14. Newborn healthcare in urban India

    PubMed Central

    Sharma, J; Osrin, D; Patil, B; Neogi, S B; Chauhan, M; Khanna, R; Kumar, R; Paul, V K; Zodpey, S

    2016-01-01

    The rapid population growth in urban India has outpaced the municipal capacity to build essential infrastructures that make life in cities safe and healthy. Local and national governments alike are grappling with the challenges of urbanization with thousands migrating from villages to cities. Thus, urbanization in India has been accompanied by a concentration of poverty and urban public healthcare has emerged as one of the most pressing priorities facing our country. Newborn mortality rates in urban settings are lower than rural areas, early neonatal deaths account for greater proportion than late neonatal deaths. The available evidence suggests that socio-economic inequalities and poor environment pose major challenges for newborn health. Moreover, fragmented and weak public health system, multiplicity of actors and limited capacity of public health planning further constrain the delivery of quality and affordable health care service. Though healthcare is concentrated in urban areas, delay in deciding to seek health care, reaching a source of it and receiving appropriate care affects the health outcomes disproportionately. However, a few city initiatives and innovations piloted in different states and cities have brought forth the evidences of effectiveness of different strategies. Recently launched National Urban Health Mission (NUHM) provides an opportunity for strategic thinking and actions to improve newborn health outcomes in India. There is also an opportunity for coalescence of activities around National Health Mission (NHM) and Reproductive, Maternal, Newborn and Child Health+Adolescent (RMNCH+A) strategy to develop feasible and workable models in different urban settings. Concomitant operational research needs to be carried out so that the obstacles, approaches and response to the program can be understood. PMID:27924107

  15. Newborn healthcare in urban India.

    PubMed

    Sharma, J; Osrin, D; Patil, B; Neogi, S B; Chauhan, M; Khanna, R; Kumar, R; Paul, V K; Zodpey, S

    2016-12-01

    The rapid population growth in urban India has outpaced the municipal capacity to build essential infrastructures that make life in cities safe and healthy. Local and national governments alike are grappling with the challenges of urbanization with thousands migrating from villages to cities. Thus, urbanization in India has been accompanied by a concentration of poverty and urban public healthcare has emerged as one of the most pressing priorities facing our country. Newborn mortality rates in urban settings are lower than rural areas, early neonatal deaths account for greater proportion than late neonatal deaths. The available evidence suggests that socio-economic inequalities and poor environment pose major challenges for newborn health. Moreover, fragmented and weak public health system, multiplicity of actors and limited capacity of public health planning further constrain the delivery of quality and affordable health care service. Though healthcare is concentrated in urban areas, delay in deciding to seek health care, reaching a source of it and receiving appropriate care affects the health outcomes disproportionately. However, a few city initiatives and innovations piloted in different states and cities have brought forth the evidences of effectiveness of different strategies. Recently launched National Urban Health Mission (NUHM) provides an opportunity for strategic thinking and actions to improve newborn health outcomes in India. There is also an opportunity for coalescence of activities around National Health Mission (NHM) and Reproductive, Maternal, Newborn and Child Health+Adolescent (RMNCH+A) strategy to develop feasible and workable models in different urban settings. Concomitant operational research needs to be carried out so that the obstacles, approaches and response to the program can be understood.

  16. 24 CFR 598.210 - What certifications must governments make?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... governments make? 598.210 Section 598.210 Housing and Urban Development Regulations Relating to Housing and... DESIGNATIONS Nomination Procedure § 598.210 What certifications must governments make? Certifications must be... urban area satisfies the boundary tests of § 598.100(d); (b) The nominated urban area is one of...

  17. Urbanization and Slum Formation

    PubMed Central

    Phua, Kai Hong

    2007-01-01

    The formation of slums need not be inevitable with rapid urbanization. Such an argument appears to be contradicted by evidence of large slum populations in a large number of developing countries and particularly in rapidly urbanizing regions like Asia. The evidence discussed suggests that city authorities faced with rapid urban development lack the capacity to cope with the diverse demands for infrastructural provision to meet economic and social needs. Not only are strategic planning and intervention major issues in agenda to manage rapid urbanization, but city governments are not effectively linking the economic development trajectory to implications for urban growth and, hence, housing needs. In the following discussion, a case study is presented in support of the argument that city governments have to first recognize and then act to establish the link that is crucial between economic development, urban growth, and housing. This is the agendum that has been largely neglected by city and national governments that have been narrowly focused on economic growth with the consequent proliferation of slum formation as a housing solution. PMID:17387618

  18. Roundtable on Urban Living Environment Research (RULER).

    PubMed

    Vlahov, David; Agarwal, Siddharth Raj; Buckley, Robert M; Caiaffa, Waleska Teixeira; Corvalan, Carlos F; Ezeh, Alex Chika; Finkelstein, Ruth; Friel, Sharon; Harpham, Trudy; Hossain, Maharufa; de Faria Leao, Beatriz; Mboup, Gora; Montgomery, Mark R; Netherland, Julie C; Ompad, Danielle C; Prasad, Amit; Quinn, Andrew T; Rothman, Alexander; Satterthwaite, David E; Stansfield, Sally; Watson, Vanessa J

    2011-10-01

    For 18 months in 2009-2010, the Rockefeller Foundation provided support to establish the Roundtable on Urban Living Environment Research (RULER). Composed of leading experts in population health measurement from a variety of disciplines, sectors, and continents, RULER met for the purpose of reviewing existing methods of measurement for urban health in the context of recent reports from UN agencies on health inequities in urban settings. The audience for this report was identified as international, national, and local governing bodies; civil society; and donor agencies. The goal of the report was to identify gaps in measurement that must be filled in order to assess and evaluate population health in urban settings, especially in informal settlements (or slums) in low- and middle-income countries. Care must be taken to integrate recommendations with existing platforms (e.g., Health Metrics Network, the Institute for Health Metrics and Evaluation) that could incorporate, mature, and sustain efforts to address these gaps and promote effective data for healthy urban management. RULER noted that these existing platforms focus primarily on health outcomes and systems, mainly at the national level. Although substantial reviews of health outcomes and health service measures had been conducted elsewhere, such reviews covered these in an aggregate and perhaps misleading way. For example, some spatial aspects of health inequities, such as those pointed to in the 2008 report from the WHO's Commission on the Social Determinants of Health, received limited attention. If RULER were to focus on health inequities in the urban environment, access to disaggregated data was a priority. RULER observed that some urban health metrics were already available, if not always appreciated and utilized in ongoing efforts (e.g., census data with granular data on households, water, and sanitation but with little attention paid to the spatial dimensions of these data). Other less obvious elements

  19. Urban forests

    Treesearch

    David J. Nowak; Eric J. Greenfield

    2016-01-01

    Trees and forests are resources that significantly affect the health and well-being of people who live in urban areas where more than 80 percent of the U.S. population resides. These trees within our cities and communities provide many ecosystem services and values to both urban and rural populations. Healthy urban and rural forests are critical for sustaining quality...

  20. Networked governance and the management of ecosystem services: The case of urban environmental stewardship in New York City

    Treesearch

    James J.T. Connolly; Erika S. Svendsen; Dana R. Fisher; Lindsay K. Campbell

    2014-01-01

    Urban environmental stewardship groups have become an essential component of the governance structure that regulates ecosystem services in cities. New York City is one example where these groups have grown rapidly in number, size, and visibility since the 1970s. In this article, we combine quantitative survey data with qualitative interview data to examine the...

  1. Healthy Cities, Healthy Suburbs: Progress in Meeting Healthy People Goals for the Nation's 100 Largest Cities & Their Suburbs.

    ERIC Educational Resources Information Center

    Andrulis, Dennis P.; Duchon, Lisa M.; Reid, Hailey Maier

    This review of seven Healthy People objectives for the nation's 100 largest cities and their surrounding areas documents considerable but inconsistent progress toward improving health in urban and suburban areas. It describes achievements in reaching Healthy People 2000/2010 goals, which were created by the Office of the Surgeon General of the…

  2. Designing the Healthy Bodies, Healthy Souls Church-Based Diabetes Prevention Program through a Participatory Process

    ERIC Educational Resources Information Center

    Summers, Amber; Confair, Amy R.; Flamm, Laura; Goheer, Attia; Graham, Karlene; Muindi, Mwende; Gittelsohn, Joel

    2013-01-01

    Background: The Healthy Bodies, Healthy Souls (HBHS) program aims to reduce diabetes risk among urban African Americans by creating healthy food and physical activity environments within churches. Participant engagement supports the development of applicable intervention strategies by identifying priority concerns, resources, and opportunities.…

  3. Urban land use and geohazards in the Itanagar Capital city, Arunachal Pradesh, India: Need for geoethics in urban disaster resilience governance in a changing climate

    NASA Astrophysics Data System (ADS)

    Acharjee, Swapna

    2013-04-01

    The capital city, Itanagar, Arunachal Pradesh, India is exposed to the multiple geohazards as the city is located in the region which experiences extreme physical phenomenon due to changing climate in the tectonically active North-Eastern Himalayas. The geohazards in Itanagar includes landslides, floods, soil erosion and earthquakes. The high decadal growth rate of 111.36% in 1991-2001 census has brought in many challenges with respect to the capital city developmental planning. Due to rapid and haphazard growth in urban land use the people residing in the city are gradually becoming more vulnerable to the geohazards in the past decades. The city condition at present has raised issues of grave concern related to effective hazard management. It is observed that geoscientific approach is violated at many places in the urban developmental activities along the central spine, the National Highway-52A of the capital city. There is an urgent need of geoscientists to apprise the urban populace about land suitability and stability in terms of rock types, soil, slope, geomorphology, groundwater condition etc. and the vulnerability of the existing urban land use to landslides, flood, soil erosion and earthquakes. In this paper major issue, critical issues and elements at risk are discussed in the context of ethics in geohazard management and developmental planning for urban disaster resilience governance in a changing climate.

  4. An ecofeminist conceptual framework to explore gendered environmental health inequities in urban settings and to inform healthy public policy.

    PubMed

    Chircop, Andrea

    2008-06-01

    This theoretical exploration is an attempt to conceptualize the link between gender and urban environmental health. The proposed ecofeminist framework enables an understanding of the link between the urban physical and social environments and health inequities mediated by gender and socioeconomic status. This framework is proposed as a theoretical magnifying glass to reveal the underlying logic that connects environmental exploitation on the one hand, and gendered health inequities on the other. Ecofeminism has the potential to reveal an inherent, normative conceptual analysis and argumentative justification of western society that permits the oppression of women and the exploitation of the environment. This insight will contribute to a better understanding of the mechanisms underlying gendered environmental health inequities and inform healthy public policy that is supportive of urban environmental health, particularly for low-income mothers.

  5. Strategies for Disease Prevention and Health Promotion in Urban Areas: The Erice 50 Charter.

    PubMed

    D'Alessandro, D; Arletti, S; Azara, A; Buffoli, M; Capasso, L; Cappuccitti, A; Casuccio, A; Cecchini, A; Costa, G; De Martino, A M; Dettori, M; Di Rosa, E; Fara, G M; Ferrante, M; Giammanco, G; Lauria, A; Melis, G; Moscato, U; Oberti, I; Patrizio, C; Petronio, M G; Rebecchi, A; Romano Spica, V; Settimo, G; Signorelli, C; Capolongo, S

    2017-01-01

    The Erice 50 Charter titled "Strategies for Diseases Prevention and Health Promotion in Urban Areas" was unanimously approved at the conclusion of the 50th Residential Course "Urban Health. Instruments for promoting health and for assessing hygienic and sanitary conditions in urban areas", held from 29th March to 2nd April 2017 in Erice, at the "Ettore Majorana" Foundation and Centre for Scientific Culture and promoted by the International School of Epidemiology and Preventive Medicine "G. D'Alessandro" and the Study Group "Building Hygiene" of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI). At the conclusion of the intense learning experience during the Course, with more than 20 lectures, workshops and long-lasting discussions between Professors and Students, the participants identified the major points connecting urban features and Public Health, claiming the pivotal role of urban planning strategies for the management of Diseases Prevention and Health Promotion activities. The Erice 50 Charter is configured as a Decalogue for Healthy Cities and as a Think Tank for designing effective strategic actions and best practices to develop urban regeneration interventions and improve the urban quality of contemporary cities. The Decalogue is structured into the following key strategic objectives: 1. Promoting urban planning interventions that address citizens towards healthy behaviours; 2. Improving living conditions in the urban context; 3. Building an accessible and inclusive city, with a special focus on the frail population; 4. Encouraging the foundation of resilient urban areas; 5. Supporting the development of new economies and employment through urban renewal interventions; 6. Tackling social inequalities; 7. Improving stakeholders' awareness of the factors affecting Public Health in the cities; 8. Ensuring a participated urban governance; 9. Introducing qualitative and quantitative performance tools, capable of measuring the city

  6. Measuring food access in Melbourne: access to healthy and fast foods by car, bus and foot in an urban municipality in Melbourne.

    PubMed

    Burns, C M; Inglis, A D

    2007-12-01

    Access to healthy food can be an important determinant of a healthy diet. This paper describes the assessment of access to healthy and unhealthy foods using a GIS accessibility programme in a large outer municipality of Melbourne. Access to a major supermarket was used as a proxy for access to a healthy diet and fast food outlet as proxy for access to unhealthy food. Our results indicated that most (>80%) residents lived within an 8-10 min car journey of a major supermarket i.e. have good access to a healthy diet. However, more advantaged areas had closer access to supermarkets, conversely less advantaged areas had closer access to fast food outlets. These findings have application for urban planners, public health practitioners and policy makers.

  7. Bringing sexual and reproductive health in the urban contexts to the forefront of the development agenda: the case for prioritizing the urban poor.

    PubMed

    Mberu, Blessing; Mumah, Joyce; Kabiru, Caroline; Brinton, Jessica

    2014-09-01

    Estimates suggest that over 90 % of population increase in the least developed countries over the next four decades will occur in urban areas. These increases will be driven both by natural population growth and rural-urban migration. Moreover, despite its status as the world's least urbanized region, the urban population in the sub-Saharan Africa region is projected to increase from under 40 % currently to over 60 % by 2050. Currently, approximately 70 % of all urban residents in the region live in slums or slum-like conditions. Sexual and reproductive health (SRH) risks for the urban poor are severe and include high rates of unwanted pregnancies, sexually transmitted infections, and poor maternal and child health outcomes. However, the links between poverty, urbanization, and reproductive health priorities are still not a major focus in the broader development agenda. Building on theoretical and empirical data, we show that SRH in urban contexts is critical to the development of healthy productive urban populations and, ultimately, the improvement of quality of life. We posit that a strategic focus on the sexual and reproductive health of urban residents will enable developing country governments achieve international goals and national targets by reducing health risks among a large and rapidly growing segment of the population. To that end, we identify key research, policy and program recommendations and strategies required for bringing sexual and reproductive health in urban contexts to the forefront of the development agenda.

  8. Governance matters: an ecological association between governance and child mortality.

    PubMed

    Lin, Ro-Ting; Chien, Lung-Chang; Chen, Ya-Mei; Chan, Chang-Chuan

    2014-09-01

    Governance of a country may have widespread effects on the health of its population, yet little is known about the effect of governance on child mortality in a country that is undergoing urbanization, economic development, and disease control. We obtained indicators of six dimensions of governance (perceptions of voice and accountability, political stability and absence of violence, government effectiveness, regulatory quality, rule of law, and control of corruption) and national under-5 mortality rates for 149 countries between 1996 and 2010. We applied a semi-parametric generalized additive mixed model to examine associations after controlling for the effects of development factors (urbanization level and economy), disease control factors (hygienic conditions and vaccination rates), health expenditures, air quality, and time. Governance, development, and disease control showed clear inverse relations with the under-5 mortality rate (p<0.001). Per unit increases in governance, development, and disease control factors, the child mortality rate had a 0.901-, 0.823-, and 0.922-fold decrease, respectively, at fixed levels of the other two factors. In the effort to reduce the global under-5 mortality rate, addressing a country's need for better governance is as important as improvements in development and disease control. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

  9. Population cardiovascular health and urban environments: the Heart Healthy Hoods exploratory study in Madrid, Spain.

    PubMed

    Bilal, Usama; Díez, Julia; Alfayate, Silvia; Gullón, Pedro; Del Cura, Isabel; Escobar, Francisco; Sandín, María; Franco, Manuel

    2016-08-22

    Our aim is to conduct an exploratory study to provide an in-depth characterization of a neighborhood's social and physical environment in relation to cardiovascular health. A mixed-methods approach was used to better understand the food, alcohol, tobacco and physical activity domains of the urban environment. We conducted this study in an area of 16,000 residents in Madrid (Spain). We obtained cardiovascular health and risk factors data from all residents aged 45 and above using Electronic Health Records from the Madrid Primary Health Care System. We used several quantitative audit tools to assess: the type and location of food outlets and healthy food availability; tobacco and alcohol points of sale; walkability of all streets and use of parks and public spaces. We also conducted 11 qualitative interviews with key informants to help understanding the relationships between urban environment and cardiovascular behaviors. We integrated quantitative and qualitative data following a mixed-methods merging approach. Electronic Health Records of the entire population of the area showed similar prevalence of risk factors compared to the rest of Madrid/Spain (prevalence of diabetes: 12 %, hypertension: 34 %, dyslipidemia: 32 %, smoking: 10 %, obesity: 20 %). The food environment was very dense, with many small stores (n = 44) and a large food market with 112 stalls. Residents highlighted the importance of these small stores for buying healthy foods. Alcohol and tobacco environments were also very dense (n = 91 and 64, respectively), dominated by bars and restaurants (n = 53) that also acted as food services. Neighbors emphasized the importance of drinking as a socialization mechanism. Public open spaces were mostly used by seniors that remarked the importance of accessibility to these spaces and the availability of destinations to walk to. This experience allowed testing and refining measurement tools, drawn from epidemiology, geography, sociology and

  10. Urbanization and health in China, thinking at the national, local and individual levels.

    PubMed

    Li, Xinhu; Song, Jinchao; Lin, Tao; Dixon, Jane; Zhang, Guoqin; Ye, Hong

    2016-03-08

    China has the biggest population in the world, and has been experiencing the largest migration in history, and its rapid urbanization has profound and lasting impacts on local and national public health. Under these conditions, a systems understanding on the correlation among urbanization, environmental change and public health and to devise solutions at national, local and individual levels are in urgent need. In this paper, we provide a comprehensive review of recent studies which have examined the relationship between urbanization, urban environmental changes and human health in China. Based on the review, coupled with a systems understanding, we summarize the challenges and opportunities for promoting the health and wellbeing of the whole nation at national, local, and individual levels. Urbanization and urban expansion result in urban environmental changes, as well as residents' lifestyle change, which can lead independently and synergistically to human health problems. China has undergone an epidemiological transition, shifting from infectious to chronic diseases in a much shorter time frame than many other countries. Environmental risk factors, particularly air and water pollution, are a major contributing source of morbidity and mortality in China. Furthermore, aging population, food support system, and disparity of public service between the migrant worker and local residents are important contributions to China's urban health. At the national level, the central government could improve current environmental policies, food safety laws, and make adjustments to the health care system and to demographic policy. At the local level, local government could incorporate healthy life considerations in urban planning procedures, make improvements to the local food supply, and enforce environmental monitoring and management. At the individual level, urban residents can be exposed to education regarding health behaviour choices while being encouraged to take

  11. The development and achievement of a healthy cities network in Taiwan: sharing leadership and partnership building.

    PubMed

    Hu, Susan C; Kuo, Hsien-Wen

    2016-03-01

    The World Health Organization (WHO) Healthy Cities (HC) projects are the best known of the settings-based approaches to health promotion. They engage local governments in health development through a process of political commitment, institutional change, capacity-building, partnership-based planning and innovative projects. Many cities have promoted HC projects in Taiwan since 2002. In 2008, the Taiwan Alliance for Healthy Cities (TAHC) was launched to assist local governments in effectively establishing, operating and promoting HC projects. In this article, we share our experiences of establishing a platform and network to promote the HC program in Taiwan. Based on individual city profiles and governance in Taiwan, the TAHC developed a well-organized framework and model to encourage strong leadership in local governments and to promote participation and engagement in their communities. In the last 6 years, leaders from Taiwan's local governments in HC networks have integrated the HC concepts into their governance models, actively engaging and combining various resources with practical expertise and private sectors. The network of health in Taiwan allows each city to develop its unique perspective on the HC projects. Using this method, not only local government meets its needs, but also increases governance efficiency and effectiveness, resulting in the promotion of its citizens' overall sustainable urban health development. This HC network in Taiwan has partnerships with government and non-governmental organizations (NGOs), with academic support and citizen involvement, a dynamic data collection system and demonstrated leadership in the sharing of information in the Asian region. © The Author(s) 2016.

  12. Insights into the government's role in food system policy making: improving access to healthy, local food alongside other priorities.

    PubMed

    Wegener, Jessica; Raine, Kim D; Hanning, Rhona M

    2012-11-12

    Government actors have an important role to play in creating healthy public policies and supportive environments to facilitate access to safe, affordable, nutritious food. The purpose of this research was to examine Waterloo Region (Ontario, Canada) as a case study for "what works" with respect to facilitating access to healthy, local food through regional food system policy making. Policy and planning approaches were explored through multi-sectoral perspectives of: (a) the development and adoption of food policies as part of the comprehensive planning process; (b) barriers to food system planning; and (c) the role and motivation of the Region's public health and planning departments in food system policy making. Forty-seven in-depth interviews with decision makers, experts in public health and planning, and local food system stakeholders provided rich insight into strategic government actions, as well as the local and historical context within which food system policies were developed. Grounded theory methods were used to identify key overarching themes including: "strategic positioning", "partnerships" and "knowledge transfer" and related sub-themes ("aligned agendas", "issue framing", "visioning" and "legitimacy"). A conceptual framework to illustrate the process and features of food system policy making is presented and can be used as a starting point to  engage multi-sectoral stakeholders in plans and actions to facilitate access to healthy food.

  13. Healthy Checkout Lines: A Study in Urban Supermarkets.

    PubMed

    Adjoian, Tamar; Dannefer, Rachel; Willingham, Craig; Brathwaite, Chantelle; Franklin, Sharraine

    2017-09-01

    To understand the impact of healthy checkouts in Bronx, New York City supermarkets. Consumer purchasing behavior was observed for 2 weeks in 2015. Three supermarkets in the South Bronx. A total of 2,131 adult shoppers (aged ≥18 years) who paid for their groceries at 1 of the selected study checkout lines. Two checkout lines were selected per store; 1 was converted to a healthy checkout and the other remained as it was (standard checkout). Data collectors observed consumer behavior at each line and recorded items purchased from checkout areas. Percentage of customers who purchase items from the checkout area; quantity and price of healthy and unhealthy items purchased from the healthy and standard checkout lines. Measures were analyzed by study condition using chi-square and t tests; significance was determined at α = .05. Only 4.0% of customers bought anything from the checkout area. A higher proportion of customers using the healthy vs standard checkout line bought healthy items (56.5% vs 20.5%; P < .001). When healthier products were available, the proportion of healthy purchases increased. Findings contribute to limited research on effectiveness of healthy checkouts in supermarkets. Similar interventions should expect an increase in healthy purchases from the checkout area, but limited overall impact. Copyright © 2017 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  14. Prevalence of sarcopenia in healthy community-dwelling elderly in an urban area of Barcelona (Spain).

    PubMed

    Masanes, F; Culla, A; Navarro-Gonzalez, M; Navarro-Lopez, M; Sacanella, E; Torres, B; Lopez-Soto, A

    2012-02-01

    The purpose of this study was to evaluate the prevalence of sarcopenia in a cohort of healthy community-dwelling elderly in an urban area in Barcelona (Spain) for native benchmarks and compare them with those published in other geographical areas. We prospectively evaluated a series of 200 healthy elderly in the community with preserved functional capacity and absence of cognitive impairment. We performed a comprehensive geriatric assessment and determined anthropometric data, muscle mass (MM) and the muscle mass index (MMI). Assessment of muscle mass was performed by bioelectrical impedance analysis (BIA). The cut-off point for defining sarcopenia MMI was established as less than 2 SD of the mean of a reference group comprising 220 healthy volunteers (20-42 years) in the same area. Results were compared with studies undertaken in the USA, France and Taiwan. The cut-off points obtained were 8.31 Kg/m(2) for men and 6.68 Kg/m2 for women, being similar to those observed in France and Taiwan but different from the USA. The prevalence of sarcopenia observed was 33% for elderly women and 10% for males. On comparison of the prevalence of sarcopenia in the four populations, we observed some differences, particularly in males. We have defined reference values for sarcopenia, determined by BIA, in our setting. We also observed a remarkable prevalence of sarcopenia in the healthy elderly community, especially in females, showing some differences from those in other geographical regions.

  15. Norms governing urban African American adolescents’ sexual and substance-using behavior

    PubMed Central

    Dolcini, M. Margaret; Catania, Joseph A.; Harper, Gary W.; Watson, Susan E.; Ellen, Jonathan M.; Towner, Senna L.

    2013-01-01

    Using a probability-based neighborhood sample of urban African American youth and a sample of their close friends (N = 202), we conducted a one-year longitudinal study to examine key questions regarding sexual and drug using norms. The results provide validation of social norms governing sexual behavior, condom use, and substance use among friendship groups. These norms had strong to moderate homogeneity; and both normative strength and homogeneity were relatively stable over a one-year period independent of changes in group membership. The data further suggest that sex and substance using norms may operate as a normative set. Similar to studies of adults, we identified three distinct “norm-based” social strata in our sample. Together, our findings suggest that the norms investigated are valid targets for health promotion efforts, and such efforts may benefit from tailoring programs to the normative sets that make up the different social strata in a given adolescent community. PMID:23072891

  16. The City Blueprint Approach: Urban Water Management and Governance in Cities in the U.S.

    PubMed

    Feingold, Daniel; Koop, Stef; van Leeuwen, Kees

    2018-01-01

    In this paper, we assess the challenges of water, waste and climate change in six cities across the U.S.: New York City, Boston, Milwaukee, Phoenix, Portland and Los Angeles. We apply the City Blueprint ® Approach which consists of three indicator assessments: (1) the Trends and Pressures Framework (TPF), (2) the City Blueprint Framework (CBF) and (3) the water Governance Capacity Framework (GCF). The TPF summarizes the main social, environmental and financial pressures that may impede water management. The CBF provides an integrated overview of the management performances within the urban watercycle. Finally, the GCF provides a framework to identify key barriers and opportunities to develop governance capacity. The GCF has only been applied in NYC. Results show that all cities face pressures from heat risk. The management performances regarding resource efficiency and resource recovery from wastewater and solid waste show considerable room for improvement. Moreover, stormwater separation, infrastructure maintenance and green space require improvement in order to achieve a resilient urban watercycle. Finally, in New York City, the GCF results show that learning through smart monitoring, evaluation and cross-stakeholder learning is a limiting condition that needs to be addressed. We conclude that the City Blueprint Approach has large potential to assist cities in their strategic planning and exchange of knowledge, experiences and lessons. Because the methodology is well-structured, easy to understand, and concise, it may bridge the gap between science, policy and practice. It could therefore enable other cities to address their challenges of water, waste and climate change.

  17. The City Blueprint Approach: Urban Water Management and Governance in Cities in the U.S.

    NASA Astrophysics Data System (ADS)

    Feingold, Daniel; Koop, Stef; van Leeuwen, Kees

    2018-01-01

    In this paper, we assess the challenges of water, waste and climate change in six cities across the U.S.: New York City, Boston, Milwaukee, Phoenix, Portland and Los Angeles. We apply the City Blueprint® Approach which consists of three indicator assessments: (1) the Trends and Pressures Framework (TPF), (2) the City Blueprint Framework (CBF) and (3) the water Governance Capacity Framework (GCF). The TPF summarizes the main social, environmental and financial pressures that may impede water management. The CBF provides an integrated overview of the management performances within the urban watercycle. Finally, the GCF provides a framework to identify key barriers and opportunities to develop governance capacity. The GCF has only been applied in NYC. Results show that all cities face pressures from heat risk. The management performances regarding resource efficiency and resource recovery from wastewater and solid waste show considerable room for improvement. Moreover, stormwater separation, infrastructure maintenance and green space require improvement in order to achieve a resilient urban watercycle. Finally, in New York City, the GCF results show that learning through smart monitoring, evaluation and cross-stakeholder learning is a limiting condition that needs to be addressed. We conclude that the City Blueprint Approach has large potential to assist cities in their strategic planning and exchange of knowledge, experiences and lessons. Because the methodology is well-structured, easy to understand, and concise, it may bridge the gap between science, policy and practice. It could therefore enable other cities to address their challenges of water, waste and climate change.

  18. Integration of health into urban spatial planning through impact assessment: Identifying governance and policy barriers and facilitators

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Carmichael, Laurence, E-mail: Laurence.carmichael@uwe.ac.uk; Barton, Hugh; Gray, Selena

    This article presents the results of a review of literature examining the barriers and facilitators in integrating health in spatial planning at the local, mainly urban level, through appraisals. Our literature review covered the UK and non UK experiences of appraisals used to consider health issues in the planning process. We were able to identify four main categories of obstacles and facilitators including first the different knowledge and conceptual understanding of health by different actors/stakeholders, second the types of governance arrangements, in particular partnerships, in place and the political context, third the way institutions work, the responsibilities they have andmore » their capacity and resources and fourth the timeliness, comprehensiveness and inclusiveness of the appraisal process. The findings allowed us to draw some lessons on the governance and policy framework regarding the integration of health impact into spatial planning, in particular considering the pros and cons of integrating health impact assessment (HIA) into other forms of impact assessment of spatial planning decisions such as environmental impact assessment (EIA) and strategic environment assessment (SEA). In addition, the research uncovered a gap in the literature that tends to focus on the mainly voluntary HIA to assess health outcomes of planning decisions and neglect the analysis of regulatory mechanisms such as EIA and SEA. - Highlights: Black-Right-Pointing-Pointer Governance and policy barriers and facilitators to the integration of health into urban planning. Black-Right-Pointing-Pointer Review of literature on impact assessment methods used across the world. Black-Right-Pointing-Pointer Knowledge, partnerships, management/resources and processes can impede integration. Black-Right-Pointing-Pointer HIA evaluations prevail uncovering research opportunities for evaluating other techniques.« less

  19. Concept of ‘Good Urban Governance’ and Its Application in Sustainable Urban Planning

    NASA Astrophysics Data System (ADS)

    Badach, Joanna; Dymnicka, Małgorzata

    2017-10-01

    Contemporary urban theory and practice in the post-industrial era is increasingly often turning towards an approach based on sustainable development. That concept bearing the traits of a paradigm has grown on the ground of broad quest for an alternative to the existing development model of the industrial civilisation. It has gained wide social acceptance and is the basis for many development and environmental programmes at the level of national and local government. It puts in a new light the socio-cultural, ecological and energy-related aspects of space as well as its value and aesthetics. A model of governing the city called ‘good urban governance’ is in a very close relation with the concept of sustainable development. It is based on the principles of inclusiveness, citizenship, accountability, processuality and effectiveness. Although this approach is not entirely novel, it stays valid and open to new challenges connected with satisfying human needs in the urban built environment on the basis of new contemporary conceptualisations such as ‘smart governance’, ‘governing the smart city’, ‘network governance’ and ‘governance networks’. The advantages of this approach based on the assumption of multidimensionality and subjectivity, matching the various and seemingly contradicting interests with a sense of responsibility for the quality of life in the urban environment are often underlined both in literature and in academic debate. The aim of this article is an attempt to present selected practices in spatial planning which employ the principles of the idea of co-governance. It will include various methodological assumptions and criteria applied in ‘good urban governance’. The intention will be to show its new research and application possibilities in countries like Poland where the idea of governance and sustainable development remains a matter of theory.

  20. Participatory environmental governance in China: public hearings on urban water tariff setting.

    PubMed

    Zhong, Li-Jin; Mol, Arthur P J

    2008-09-01

    In the late 1990s China started to expand its market economic reform to the public sector, such as water services. This reform led to major changes in urban water management, including water tariff management. The reforms in water tariff management relate not only to tariffs, but also to the decision-making on tariffs. Water tariff decision-making seems to move away from China's conventional mode of highly centralized and bureaucratic policy- and decision-making. The legalization, institutionalization and performance of public hearings in water tariff management forms a crucial innovation in this respect. This article analyzes the emergence, development and current functioning of public hearings in water tariff setting, and assesses to what extent public hearings are part of a turning point in China's tradition of centralized bureaucratic decision-making, towards more transparent, decentralized and participative governance.

  1. 76 FR 56784 - Safe and Healthy Homes Investment Partnerships: Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-14

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5555-N-01] Safe and Healthy Homes... Regulations Division, Office of General Counsel, Department of Housing and Urban Development, 451 7th Street... Healthy Homes and Lead Hazard Control, Department of Housing and Urban Development, 451 7th Street, SW...

  2. 24 CFR 570.486 - Local government requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Local government requirements. 570... Development Block Grant Program § 570.486 Local government requirements. (a) Citizen participation requirements of a unit of general local government. Each unit of general local government shall meet the...

  3. 24 CFR 570.486 - Local government requirements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Local government requirements. 570... Development Block Grant Program § 570.486 Local government requirements. (a) Citizen participation requirements of a unit of general local government. Each unit of general local government shall meet the...

  4. Healthy Aging in China

    PubMed Central

    Smith, James P.; Strauss, John; Zhao, Yaohui

    2014-01-01

    China has aged rapidly and the rate is accelerating in decades to come. We review positive and negative forces for healthy aging in China now and in the future. The most positive force is the spectacular growth in education over time especially for Chinese women, which should improve all dimensions of cognitive and physical health and eliminate vast gender disparities in healthy aging that currently exist. Other positive forces include increasing detection and treatment of disease and the availability of health insurance and health services so that diseases like hypertension and diabetes do not remain silent killers in China. Transparency is eased on the research level by publicly available data such as CHARLS, a sharp departure from prior scientific norm in China. Negative forces center on disturbing trends in personal health behaviors such as growing rates of smoking (among men) and obesity (for both genders), and pollution—,especially in urban centers. Public health campaigns and incentives are needed on all these fronts so that predictable long-term consequences of these behaviors on older age disease are not realized. There will not be a simple demographic fix to healthy aging in China as fertility rates are unlikely to rise much, while migration will likely continue to rise leaving growing numbers of elderly parents geographically separated from their adult children. Government policy will have to allow migration of elderly parents to live with their adult children while reducing the rigid connection of policy (health insurance and health services) with place of residence. PMID:25621202

  5. Benchmarking government action for obesity prevention--an innovative advocacy strategy.

    PubMed

    Martin, J; Peeters, A; Honisett, S; Mavoa, H; Swinburn, B; de Silva-Sanigorski, A

    2014-01-01

    Successful obesity prevention will require a leading role for governments, but internationally they have been slow to act. League tables of benchmark indicators of action can be a valuable advocacy and evaluation tool. To develop a benchmarking tool for government action on obesity prevention, implement it across Australian jurisdictions and to publicly award the best and worst performers. A framework was developed which encompassed nine domains, reflecting best practice government action on obesity prevention: whole-of-government approaches; marketing restrictions; access to affordable, healthy food; school food and physical activity; food in public facilities; urban design and transport; leisure and local environments; health services, and; social marketing. A scoring system was used by non-government key informants to rate the performance of their government. National rankings were generated and the results were communicated to all Premiers/Chief Ministers, the media and the national obesity research and practice community. Evaluation of the initial tool in 2010 showed it to be feasible to implement and able to discriminate the better and worse performing governments. Evaluation of the rubric in 2011 confirmed this to be a robust and useful method. In relation to government action, the best performing governments were those with whole-of-government approaches, had extended common initiatives and demonstrated innovation and strong political will. This new benchmarking tool, the Obesity Action Award, has enabled identification of leading government action on obesity prevention and the key characteristics associated with their success. We recommend this tool for other multi-state/country comparisons. Copyright © 2013 Asian Oceanian Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  6. A corner store intervention in a low-income urban community is associated with increased availability and sales of some healthy foods.

    PubMed

    Song, Hee-Jung; Gittelsohn, Joel; Kim, Miyong; Suratkar, Sonali; Sharma, Sangita; Anliker, Jean

    2009-11-01

    While corner store-based nutrition interventions have emerged as a potential strategy to increase healthy food availability in low-income communities, few evaluation studies exist. We present the results of a trial in Baltimore City to increase the availability and sales of healthier food options in local stores. Quasi-experimental study. Corner stores owned by Korean-Americans and supermarkets located in East and West Baltimore. Seven corner stores and two supermarkets in East Baltimore received a 10-month intervention and six corner stores and two supermarkets in West Baltimore served as comparison. During and post-intervention, stocking of healthy foods and weekly reported sales of some promoted foods increased significantly in intervention stores compared with comparison stores. Also, intervention storeowners showed significantly higher self-efficacy for stocking some healthy foods in comparison to West Baltimore storeowners. Findings of the study demonstrated that increases in the stocking and promotion of healthy foods can result in increased sales. Working in small corner stores may be a feasible means of improving the availability of healthy foods and their sales in a low-income urban community.

  7. The integration of the risk in the governance of urban projects: a key issue for a resilient city

    NASA Astrophysics Data System (ADS)

    Moulin, E.; Deroubaix, J.-F.

    2012-04-01

    Despite a severe regulation concerning the building in flooding areas, 80% of these areas are already built in the Greater Paris (Paris, Val-de-Marne, Hauts-de-Seine and Seine-Saint-Denis). The land use in flooding area is presented as one of the main solutions to solve the ongoing real estate pressure. For instance some of the industrial wastelands located along the river are currently in redevelopment and residential buildings are planned. So landuse in the flooding areas is currently a key issue in the development of the Greater Paris area. Tools and measures, structural or non-structural such as warning systems, barriers, etc do exist and could be a smart way to improve the resilience of the new urbanised areas. The technical solutions are available and efficient, but we notice that these tools are not much implemented. There is a lack of flood risk concern among the stakeholders and the inhabitants1. How landuse stakeholders could integrate the flood risk in the decision making process throughout the implementation of the urban project? Which type of governance favours an efficient development of good flood risk policy including prevention, protection and the management of the crisis? What is the "good" governance of the urban project e.g. enabling to take into account or not to forget the flood risk and to empower the (future) inhabitants? This inhabitants' empowerment includes the improvement of awareness (i.e. inhabitants being aware that they live in a flooded area) and the improvement of concern (i.e. inhabitants adopting the "right" behaviour when the risk occurs). In order to investigate how flood risk is or could be integrated in the project governance, we interviewed stakeholders (elected representatives, architects, property developers, etc.) and observed the integration or the vanishing of the risk throughout the project. In order to develop this topic we rely on a case study. The "Ardoines" is a project aiming at redeveloping an industrial site

  8. A Meta-Analysis of Urban Climate Change Adaptation ...

    EPA Pesticide Factsheets

    The concentration of people, infrastructure, and ecosystem services in urban areas make them prime sites for climate change adaptation. While advances have been made in developing frameworks for adaptation planning and identifying both real and potential barriers to action, empirical work evaluating urban adaptation planning processes has been relatively piecemeal. Existing assessments of current experience with urban adaptation provide necessarily broad generalizations based on the available peer-reviewed literature. This paper uses a meta-analysis of U.S. cities’ current experience with urban adaptation planning drawing from 54 sources that include peer-reviewed literature, government reports, white papers, and reports published by non-governmental organizations. The analysis specifically evaluates the institutional support structures being developed for urban climate change adaptation. The results demonstrate that adaptation planning is driven by a desire to reduce vulnerability and often catalyzes new collaborations and coordination mechanisms in urban governance. As a result, building capacity for urban climate change adaptation planning requires a focus not only on city governments themselves but also on the complex horizontal and vertical networks that have arisen around such efforts. Existing adaptation planning often lacks attention to equity issues, social vulnerability, and the influence of non-climatic factors on vulnerability. Engaging city govern

  9. 24 CFR 598.210 - What certifications must governments make?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... make? 598.210 Section 598.210 Housing and Urban Development Regulations Relating to Housing and Urban... DESIGNATIONS Nomination Procedure § 598.210 What certifications must governments make? Certifications must be... urban area satisfies the boundary tests of § 598.100(d); (b) The nominated urban area is one of...

  10. Gainesville's urban forest canopy cover

    Treesearch

    Francisco Escobedo; Jennifer A. Seitz; Wayne Zipperer

    2009-01-01

    Ecosystem benefits from trees are linked directly to the amount of healthy urban forest canopy cover. Urban forest cover is dynamic and changes over time due to factors such as urban development, windstorms, tree removals, and growth. The amount of a city's canopy cover depends on its land use, climate, and people's preferences. This fact sheet examines how...

  11. Healthy Communities Grant Program | Urban Environmental ...

    EPA Pesticide Factsheets

    2018-03-06

    The Healthy Communities Grant Program is EPA New England's main competitive grant program to work directly with communities to reduce environmental risks to protect and improve human health and the quality of life.

  12. Urban Expansion Study

    NASA Technical Reports Server (NTRS)

    1985-01-01

    Under an Egyptian government contract, PADCO studies urban growth in the Nile Area. They were assisted by LANDSAT survey maps and measurements provided by TAC. TAC had classified the raw LANDSAT data and processed it into various categories to detail urban expansion. PADCO crews spot checked the results, and correlations were established.

  13. A roadmap to effective urban climate change adaptation

    NASA Astrophysics Data System (ADS)

    Setiadi, R.

    2018-03-01

    This paper outlines a roadmap to effective urban climate change adaptation built from our practical understanding of the evidence and effects of climate change and the preparation of climate change adaptation strategies and plans. This roadmap aims to drive research in achieving fruitful knowledge and solution-based achievable recommendations in adapting to climate change in urban areas with effective and systematic manner. This paper underscores the importance of the interplay between local government initiatives and a national government for effective adaptation to climate change and takes into account the policy process and politics. This paper argues that effective urban climate change adaptation has a contribution to build urban resilience and helps the achievement of national government goals and targets in climate change adaptation.

  14. Addressing Inequities in Urban Health: Do Decision-Makers Have the Data They Need? Report from the Urban Health Data Special Session at International Conference on Urban Health Dhaka 2015.

    PubMed

    Elsey, H; Thomson, D R; Lin, R Y; Maharjan, U; Agarwal, S; Newell, J

    2016-06-01

    Rapid and uncontrolled urbanisation across low and middle-income countries is leading to ever expanding numbers of urban poor, defined here as slum dwellers and the homeless. It is estimated that 828 million people are currently living in slum conditions. If governments, donors and NGOs are to respond to these growing inequities they need data that adequately represents the needs of the urban poorest as well as others across the socio-economic spectrum.We report on the findings of a special session held at the International Conference on Urban Health, Dhaka 2015. We present an overview of the need for data on urban health for planning and allocating resources to address urban inequities. Such data needs to provide information on differences between urban and rural areas nationally, between and within urban communities. We discuss the limitations of data most commonly available to national and municipality level government, donor and NGO staff. In particular we assess, with reference to the WHO's Urban HEART tool, the challenges in the design of household surveys in understanding urban health inequities.We then present two novel approaches aimed at improving the information on the health of the urban poorest. The first uses gridded population sampling techniques within the design and implementation of household surveys and the second adapts Urban HEART into a participatory approach which enables slum residents to assess indicators whilst simultaneously planning the response. We argue that if progress is to be made towards inclusive, safe, resilient and sustainable cities, as articulated in Sustainable Development Goal 11, then understanding urban health inequities is a vital pre-requisite to an effective response by governments, donors, NGOs and communities.

  15. Co-governing decentralised water systems: an analytical framework.

    PubMed

    Yu, C; Brown, R; Morison, P

    2012-01-01

    Current discourses in urban water management emphasise a diversity of water sources and scales of infrastructure for resilience and adaptability. During the last 2 decades, in particular, various small-scale systems emerged and developed so that the debate has largely moved from centralised versus decentralised water systems toward governing integrated and networked systems of provision and consumption where small-scale technologies are embedded in large-scale centralised infrastructures. However, while centralised systems have established boundaries of ownership and management, decentralised water systems (such as stormwater harvesting technologies for the street, allotment/house scales) do not, therefore the viability for adoption and/or continued use of decentralised water systems is challenged. This paper brings together insights from the literature on public sector governance, co-production and social practices model to develop an analytical framework for co-governing such systems. The framework provides urban water practitioners with guidance when designing co-governance arrangements for decentralised water systems so that these systems continue to exist, and become widely adopted, within the established urban water regime.

  16. Government and the Climate for Science

    ERIC Educational Resources Information Center

    Cloud, Preston

    1969-01-01

    Discusses what the government might do to affect the environment for science favorably, including its influence on the inclination of youth to enter a scientific career. The need to have new planned urban facilities, trained technicians and greater government efforts for science education is emphasized. (LC)

  17. Urban poor program launched.

    PubMed

    1991-01-01

    The government of the Philippines has launched a program to deal with the rapidly growing urban poor population. 60 cities (including Metro Manila) are expected to increase their bloated population by 3.8% over 1990 which would be 27.7 million for 1991. Currently there is an exodus of people from the rural areas and by 2000 half the urban population will be squatters and slum dwellers. Basic services like health and nutrition are not expected to be able to handle this type of volume without a loss in the quality of service. The basic strategy of the new program is to recruit private medical practitioners to fortify the health care delivery and nutrition services. Currently the doctor/urban dweller ration is 1:9000. The program will develop a system to pool the efforts of government and private physicians in servicing the target population. Barangay Escopa has been chosen as the pilot city because it typifies the conditions of a highly populated urban area. The projects has 2 objectives: 1) demonstrate the systematic delivery of health and nutrition services by the private sector through the coordination of the government, 2) reduce mortality and morbidity in the community, especially in the 0-6 age group as well as pregnant women and lactating mothers.

  18. The public health response to 'do-it-yourself' urbanism.

    PubMed

    Sibbald, Shannon L; Graham, Ross; Gilliland, Jason

    2017-09-01

    Greater understanding of the important and complex relationship between the built environment and human health has made 'healthy places' a focus of public health and health promotion. While current literature concentrates on creating healthy places through traditional decision-making pathways (namely, municipal land use planning and urban design processes), this paper explores do-it-yourself (DIY) urbanism: a movement circumventing traditional pathways to, arguably, create healthy places and advance social justice. Despite being aligned with several health promotion goals, DIY urbanism interventions are typically illegal and have been categorized as a type of civil disobedience. This is challenging for public health officials who may value DIY urbanism outcomes, but do not necessarily support the means by which it is achieved. Based on the literature, we present a preliminary approach to health promotion decision-making in this area. Public health officials can voice support for DIY urbanism interventions in some instances, but should proceed cautiously.

  19. Partnering Healthy@Work: an Australian university-government partnership facilitating policy-relevant research.

    PubMed

    Jose, Kim; Venn, Alison; Jarman, Lisa; Seal, Judy; Teale, Brook; Scott, Jennifer; Sanderson, Kristy

    2017-12-01

    Research funding is increasingly supporting collaborations between knowledge users and researchers. Partnering Healthy@Work (pH@W), an inaugural recipient of funding through Australia's Partnership for Better Health Grants scheme, was a 5-year partnership between the Menzies Institute for Medical Research, University of Tasmania and the Tasmanian State Service (TSS). The partnerships purpose was to evaluate a comprehensive workplace health promotion programme (Healthy@Work) targeting 30 000 public sector employees; generating new knowledge and influencing workplace health promotion policy and decision-making. This mixed methods study evaluates the partnership between policy-makers and academics and identifies strategies that enabled pH@W to deliver key project outcomes. A pH@W document review was conducted, two partnership assessment tools completed and semi-structured interviews conducted with key policy-makers and academics. Analysis of the partnership assessment tools and interviews found that pH@W had reached a strong level of collaboration. Policy-relevant knowledge was generated about the health of TSS employees and their engagement with workplace health promotion. Knowledge exchange of a conceptual and instrumental nature occurred and was facilitated by the shared grant application, clear governance structures, joint planning, regular information exchange between researchers and policy-makers and research student placements in the TSS. Flexibility and acknowledgement of different priorities and perspectives of partner organizations were identified as critical factors for enabling effective partnership working and research relevance. Academic-policy-maker partnerships can be a powerful mechanism for improving policy relevance of research, but need to incorporate strategies that facilitate regular input from researchers and policy-makers in order to achieve this. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions

  20. Mayoral School Leadership and Integrated Governance

    ERIC Educational Resources Information Center

    Center for the Study of Education Policy, 2009

    2009-01-01

    The past two decades have seen an emerging trend in urban school governance: mayors taking the reins of school district leadership. The impetus for putting the mayor in charge of a city's schools usually stems from at least one of the following being documented or generally perceived about an urban school district: (1) Lack of accountability; (2)…

  1. 48 CFR 2427.305-2 - Administration by the Government.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Government. 2427.305-2 Section 2427.305-2 Federal Acquisition Regulations System DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SOCIOECONOMIC PROGRAMS PATENTS, DATA, AND COPYRIGHTS Patent Rights Under Government Contracts 2427.305-2 Administration by the Government. (b) Contractor reports. Contractors shall complete...

  2. The less healthy urban population: income-related health inequality in China.

    PubMed

    Yang, Wei; Kanavos, Panos

    2012-09-18

    Health inequality has been recognized as a problem all over the world. In China, the poor usually have less access to healthcare than the better-off, despite having higher levels of need. Since the proportion of the Chinese population living in urban areas increased tremendously with the urbanization movements, attention has been paid to the association between urban/rural residence and population health. It is important to understand the variation in health across income groups, and in particular to take into account the effects of urban/rural residence on the degree of income-related health inequalities. This paper empirically assesses the magnitude of rural/urban disparities in income-related adult health status, i.e., self-assessed health (SAH) and physical activity limitation, using Concentration Indices. It then uses decomposition methods to unravel the causes of inequalities and their variations across urban and rural populations. Data from the China Health and Nutrition Survey (CHNS) 2006 are used. The study finds that the poor are less likely to report their health status as "excellent or good" and are more likely to have physical activity limitation. Such inequality is more pronounced for the urban population than for the rural population. Results from the decomposition analysis suggest that, for the urban population, 76.47 per cent to 79.07 per cent of inequalities are driven by non-demographic/socioeconomic-related factors, among which income, job status and educational level are the most important factors. For the rural population, 48.19 per cent to 77.78 per cent of inequalities are driven by non-demographic factors. Income and educational attainment appear to have a prominent influence on inequality. The findings suggest that policy targeting the poor, especially the urban poor, is needed in order to reduce health inequality.

  3. The less healthy urban population: income-related health inequality in China

    PubMed Central

    2012-01-01

    Background Health inequality has been recognized as a problem all over the world. In China, the poor usually have less access to healthcare than the better-off, despite having higher levels of need. Since the proportion of the Chinese population living in urban areas increased tremendously with the urbanization movements, attention has been paid to the association between urban/rural residence and population health. It is important to understand the variation in health across income groups, and in particular to take into account the effects of urban/rural residence on the degree of income-related health inequalities. Methods This paper empirically assesses the magnitude of rural/urban disparities in income-related adult health status, i.e., self-assessed health (SAH) and physical activity limitation, using Concentration Indices. It then uses decomposition methods to unravel the causes of inequalities and their variations across urban and rural populations. Data from the China Health and Nutrition Survey (CHNS) 2006 are used. Results The study finds that the poor are less likely to report their health status as “excellent or good” and are more likely to have physical activity limitation. Such inequality is more pronounced for the urban population than for the rural population. Results from the decomposition analysis suggest that, for the urban population, 76.47 per cent to 79.07 per cent of inequalities are driven by non-demographic/socioeconomic-related factors, among which income, job status and educational level are the most important factors. For the rural population, 48.19 per cent to 77.78 per cent of inequalities are driven by non-demographic factors. Income and educational attainment appear to have a prominent influence on inequality. Conclusion The findings suggest that policy targeting the poor, especially the urban poor, is needed in order to reduce health inequality. PMID:22989200

  4. Urbanization in Venezuela. An International Urbanization Survey Report to the Ford Foundation.

    ERIC Educational Resources Information Center

    Robin, John P.; Terzo, Frederick C.

    This study investigates the effects that the abundance of resources in this country has had on the urban development of the country, upon its pattern of population distribution, and upon the conscious effort of the Venezuelan government to reshape its population pattern by the planning of new urban centers and by the opening of previously…

  5. Urban Space as the Commons - New Modes for Urban Space Management

    NASA Astrophysics Data System (ADS)

    Ondrejicka, Vladimir; Finka, Maros; Husar, Milan; Jamecny, Lubomir

    2017-12-01

    The significant growing of urban population, globalization of social-ecological systems, fuzzification of spatial structures, the diversity of actors in spatial development, their power and interest in using the resources including space, especially in high-density urban areas. Spatial development is connected with a high concentration of economic activities and population in urban systems. In many cases very rapid processes of urbanization and suburbanization approach natural spatial/territorial limits, such as carrying capacity of land, transport and infrastructural systems, absorption capacities of recipients and others [1]. Growing shortage of space and problems in their accessibility (physical, functional, etc.) leads to growing tension and conflicts among the actors/users of urban spaces and represent the initial phase of space deprivations processes. There is a parallel with “tragedy of commons” as defined by Hardin [2] and was reinterpreted by many other academics and researchers. Urban space can be clearly interpreted as the commons or commons good for their community of users and relevant actors, so innovative governance modes overlapping defined “tragedy of commons” representing a possible approach for a new concept of urban public spaces management. This paper presents a possible new approach to the management of urban spaces reflecting the current challenges in spatial development based on the theory of commons and innovative governance modes. The new approach is built on innovations in institutional regimes, the algorithm of decision-making and economic expression and interpretation of quality of the space. The theory of the commons as the base source for this approach has been broadly proved in practice and Elinor Ostrom as the author of this theory [3-5] was awarded by Nobel Prize in 2009.

  6. Reference Values of Pulse Wave Velocity in Healthy People from an Urban and Rural Argentinean Population

    PubMed Central

    Díaz, Alejandro; Galli, Cintia; Tringler, Matías; Ramírez, Agustín; Cabrera Fischer, Edmundo Ignacio

    2014-01-01

    In medical practice the reference values of arterial stiffness came from multicenter registries obtained in Asia, USA, Australia and Europe. Pulse wave velocity (PWV) is the gold standard method for arterial stiffness quantification; however, in South America, there are few population-based studies. In this research PWV was measured in healthy asymptomatic and normotensive subjects without history of hypertension in first-degree relatives. Normal PWV and the 95% confidence intervals values were obtained in 780 subjects (39.8 ± 18.5 years) divided into 7 age groups (10–98 years). The mean PWV found was 6.84 m/s ± 1.65. PWV increases linearly with aging with a high degree of correlation (r 2 = 0.61; P < 0.05) with low dispersion in younger subjects. PWV progressively increases 6–8% with each decade of life; this tendency is more pronounced after 50 years. A significant increase of PWV over 50 years was demonstrated. This is the first population-based study from urban and rural people of Argentina that provides normal values of the PWV in healthy, normotensive subjects without family history of hypertension. Moreover, the age dependence of PWV values was confirmed. PMID:25215227

  7. Bellagio Report on Healthy Agriculture, Healthy Nutrition, Healthy People.

    PubMed

    Simopoulos, Artemis P; Bourne, Peter G; Faergeman, Ole

    2013-03-01

    The Bellagio Report on Healthy Agriculture, Healthy Nutrition, Healthy People is the result of the meeting held at the Rockefeller Foundation Bellagio Center in Lake Como, Italy 30 October-1 November, 2012. The meeting was science-based but policy-oriented. The role and amount of healthy and unhealthy fats, with attention to the relative content of omega-3 and omega-6 fatty acids, sugar, and particularly fructose in foods that may underlie the epidemics of non-communicable diseases (NCDs) worldwide were extensively discussed. The report concludes that sugar consumption, especially in the form of high energy fructose in soft drinks, poses a major and insidious health threat, especially in children, and most diets, although with regional differences, are deficient in omega-3 fatty acids and too high in omega-6 fatty acids. Gene-nutrient interactions in growth and development and in disease prevention are fundamental to health, therefore regional Centers on Genetics, Nutrition and Fitness for Health should be established worldwide. Heads of state and government must elevate, as a matter of urgency, nutrition as a national priority, that access to a healthy diet should be considered a human right and that the lead responsibility for nutrition should be placed in Ministries of Health rather than agriculture so that the health requirements drive agricultural priorities, not vice versa. Nutritional security should be given the same priority as food security.

  8. Bellagio report on healthy agriculture, healthy nutrition, healthy people.

    PubMed

    Simopoulos, Artemis P; Bourne, Peter G; Faergeman, Ole

    2013-02-05

    The Bellagio Report on Healthy Agriculture, Healthy Nutrition, Healthy People is the result of the meeting held at the Rockefeller Foundation Bellagio Center in Lake Como, Italy, 29 October-2 November 2012. The meeting was science-based but policy-oriented. The role and amount of healthy and unhealthy fats, with attention to the relative content of omega-3 and omega-6 fatty acids, sugar, and particularly fructose in foods that may underlie the epidemics of non-communicable diseases (NCD's) worldwide were extensively discussed. The report concludes that sugar consumption, especially in the form of high energy fructose in soft drinks, poses a major and insidious health threat, especially in children, and most diets, although with regional differences, are deficient in omega-3 fatty acids and too high in omega-6 fatty acids. Gene-nutrient interactions in growth and development and in disease prevention are fundamental to health, therefore regional Centers on Genetics, Nutrition and Fitness for Health should be established worldwide. Heads of state and government must elevate, as a matter of urgency, Nutrition as a national priority, that access to a healthy diet should be considered a human right and that the lead responsibility for Nutrition should be placed in Ministries of Health rather than agriculture so that the health requirements drive agricultural priorities, not vice versa. Nutritional security should be given the same priority as food security.

  9. Bringing Healthy Retail to Urban "Food Swamps": a Case Study of CBPR-Informed Policy and Neighborhood Change in San Francisco.

    PubMed

    Minkler, Meredith; Estrada, Jessica; Thayer, Ryan; Juachon, Lisa; Wakimoto, Patricia; Falbe, Jennifer

    2018-04-09

    In urban "food swamps" like San Francisco's Tenderloin, the absence of full-service grocery stores and plethora of corner stores saturated with tobacco, alcohol, and processed food contribute to high rates of chronic disease. We explore the genesis of the Tenderloin Healthy Corner Store Coalition, its relationship with health department and academic partners, and its contributions to the passage and implementation of a healthy retail ordinance through community-based participatory research (CBPR), capacity building, and advocacy. The healthy retail ordinance incentivizes small stores to increase space for healthy foods and decrease tobacco and alcohol availability. Through Yin's multi-method case study analysis, we examined the partnership's processes and contributions to the ordinance within the framework of Kingdon's three-stage policymaking model. We also assessed preliminary outcomes of the ordinance, including a 35% increase in produce sales and moderate declines in tobacco sales in the first four stores participating in the Tenderloin, as well as a "ripple effect," through which non-participating stores also improved their retail environments. Despite challenges, CBPR partnerships led by a strong community coalition concerned with bedrock issues like food justice and neighborhood inequities in tobacco exposure may represent an important avenue for health equity-focused research and its translation into practice.

  10. An exploration of beliefs and attitudes regarding healthy lifestyle behaviour in an urban population in The Netherlands: Results from a focus group study in a community-based prevention project.

    PubMed

    Kloosterboer, Sanne M; van den Brekel, Karolien; Rengers, Antonia H; Peek, Niels; de Wit, Niek J

    2015-06-01

    The positive effects of lifestyle intervention programmes might be enhanced when targeted to the health-related behaviour of the users. This study explores the beliefs and attitudes regarding a healthy lifestyle, the influences on lifestyle behavioural change and the needs to support a healthy lifestyle in the local community, during an integrated community-based prevention project in newly developed urban area in the Netherlands. Three focus groups were conducted with urban residents aged 45-70 (n = 28). Thematic qualitative analysis was applied to verbatim transcripts to identify emerging themes. The following themes were identified: beliefs to healthy behaviour, responsibility for health, perceived behavioural control, external influences on behavioural change and needs in the local community. Within these themes, personal responsibility for health and the influence of the social and physical environment emerged to be important for health and lifestyle. The participants expressed the need for clearly organized health and lifestyle facilities, a personalized approach and an easily accessible health risk assessment to support lifestyle behavioural change in the community. In our study, urban residents experienced a strong influence of the social and physical environment to their lifestyle behaviour. This finding supports an integrated approach for preventive health services in this population. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  11. Mental health network governance: comparative analysis across Canadian regions

    PubMed Central

    Wiktorowicz, Mary E; Fleury, Marie-Josée; Adair, Carol E; Lesage, Alain; Goldner, Elliot; Peters, Suzanne

    2010-01-01

    Objective Modes of governance were compared in ten local mental health networks in diverse contexts (rural/urban and regionalized/non-regionalized) to clarify the governance processes that foster inter-organizational collaboration and the conditions that support them. Methods Case studies of ten local mental health networks were developed using qualitative methods of document review, semi-structured interviews and focus groups that incorporated provincial policy, network and organizational levels of analysis. Results Mental health networks adopted either a corporate structure, mutual adjustment or an alliance governance model. A corporate structure supported by regionalization offered the most direct means for local governance to attain inter-organizational collaboration. The likelihood that networks with an alliance model developed coordination processes depended on the presence of the following conditions: a moderate number of organizations, goal consensus and trust among the organizations, and network-level competencies. In the small and mid-sized urban networks where these conditions were met their alliance realized the inter-organizational collaboration sought. In the large urban and rural networks where these conditions were not met, externally brokered forms of network governance were required to support alliance based models. Discussion In metropolitan and rural networks with such shared forms of network governance as an alliance or voluntary mutual adjustment, external mediation by a regional or provincial authority was an important lever to foster inter-organizational collaboration. PMID:21289999

  12. Mental health network governance: comparative analysis across Canadian regions.

    PubMed

    Wiktorowicz, Mary E; Fleury, Marie-Josée; Adair, Carol E; Lesage, Alain; Goldner, Elliot; Peters, Suzanne

    2010-10-26

    Modes of governance were compared in ten local mental health networks in diverse contexts (rural/urban and regionalized/non-regionalized) to clarify the governance processes that foster inter-organizational collaboration and the conditions that support them. Case studies of ten local mental health networks were developed using qualitative methods of document review, semi-structured interviews and focus groups that incorporated provincial policy, network and organizational levels of analysis. Mental health networks adopted either a corporate structure, mutual adjustment or an alliance governance model. A corporate structure supported by regionalization offered the most direct means for local governance to attain inter-organizational collaboration. The likelihood that networks with an alliance model developed coordination processes depended on the presence of the following conditions: a moderate number of organizations, goal consensus and trust among the organizations, and network-level competencies. In the small and mid-sized urban networks where these conditions were met their alliance realized the inter-organizational collaboration sought. In the large urban and rural networks where these conditions were not met, externally brokered forms of network governance were required to support alliance based models. In metropolitan and rural networks with such shared forms of network governance as an alliance or voluntary mutual adjustment, external mediation by a regional or provincial authority was an important lever to foster inter-organizational collaboration.

  13. Smart governance for smart city

    NASA Astrophysics Data System (ADS)

    Mutiara, Dewi; Yuniarti, Siti; Pratama, Bambang

    2018-03-01

    Some of the local government in Indonesia claimed they already created a smart city. Mostly the claim based of IT utilization for their governance. In general, a smart city definition is to describe a developed urban area that creates sustainable economic development and high quality of life by excelling in multiple key; economy, mobility, environment, people, living, and government. For public services, the law guarantees good governance by setting the standard for e-government implicitly including for local government or a city. Based on the arguments, this research tries to test the condition of e-government of the Indonesian city in 34 provinces. The purpose is to map e-government condition by measuring indicators of smart government, which are: transparent governance and open data for the public. This research is departing from public information disclosure law and to correspond with the existence law. By examining government transparency, the output of the research can be used to measure the effectiveness of public information disclosure law and to determine the condition of e-government in local government in which as part of a smart city.

  14. Transcranial Electrical Stimulation to Enhance Cognitive Performance of Healthy Minors: A Complex Governance Challenge

    PubMed Central

    Schuijer, Jantien W.; de Jong, Irja M.; Kupper, Frank; van Atteveldt, Nienke M.

    2017-01-01

    An increasing number of healthy adolescents are consuming products that can enhance their cognitive performance in educational settings. Currently, the use of pharmaceuticals is the most widely discussed enhancement method in the literature, but new evidence suggests that other methods based on Transcranial Electrical Stimulation (tES) also have potential as cognitive enhancer. Just like pharmaceutical enhancers, the availability and education-related use of tES-devices raise a broad range of ethical, legal, and societal issues that need to be addressed by policy-makers. Few studies, however, have specifically explored these issues in relation to child wellbeing. In this narrative review with systematic search, we describe the issues for child wellbeing that could arise from the availability and education-related use of tES-based enhancers by healthy minors. We demonstrate that the issues form a complex web of uncertainties and concerns, which are mainly incited by two factors. First is the high level of factual uncertainty due to gaps in empirical evidence about the exact working mechanisms and efficacy of tES. Moreover, a lack of insight into the technique’s (long-term) effects on healthy developing brains, and uncertainties about potential cognitive trade-offs have fueled concerns about the technique’s safety and impact. The second factor that contributes to the complexity of issues is the presence of moral diversity in our society. Different opinions exist on whether a certain enhancement effect would be desirable and whether potential risks would be acceptable. These opinions depend on one’s moral perspective, and the way one interprets and weights values such as the child’s autonomy and authenticity. The challenge for proper governance resides in the design of an appropriate framework that is capable of balancing the different moral perspectives in society, while recognizing the uncertainties that still exist. We therefore argue for a responsible

  15. Governing metropolitan green infrastructure in the United States

    Treesearch

    Robert F. Young; E. Gregory McPherson

    2013-01-01

    In this paper we explore whether the enhancement of urban ecosystem services through largescale metropolitan treeplanting initiatives is being planned and executed as a component of traditional municipal government or represents new transdisciplinary strategies in environmental governance Drawing on qualitative interviews with...

  16. [Bellagio Report on Healthy Agriculture, Healthy Nutrition, Healthy People].

    PubMed

    Simopoulos, Artemis P; Bourne, Peter G; Faergeman, Ole

    2013-11-01

    The Bellagio Report on Healthy Agriculture, Healthy Nutrition, Healthy People is the result of the meeting held at the Rockefeller Foundation Bellagio Center in Lake Como, Italy, 29 October-2 November 2012. The meeting was science-based but policy-oriented. The role and amount of healthy and unhealthy fats, with attention to the relative content of omega-3 and omega-6 fatty acids, sugar, and particularly fructose in foods that may underlie the epidemics of non-communicable diseases (NCD's) worldwide were extensively discussed. The report concludes that sugar consumption, especially in the form of high energy fructose in soft drinks, poses a major and insidious health threat, especially in children, and most diets, although with regional differences, are deficient in omega-3 fatty acids and too high in omega-6 fatty acids. Gene-nutrient interactions in growth and development and in disease prevention are fundamental to health, therefore regional Centers on Genetics, Nutrition and Fitness for Health should be established worldwide. Heads of state and government must elevate, as a matter of urgency, Nutrition as a national priority, that access to a healthy diet should be considered a human right and that the lead responsibility for Nutrition should be placed in Ministries of Health rather than agriculture so that the health requirements drive agricultural priorities, not vice versa. Nutritional security should be given the same priority as food security. Copyright AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

  17. Participatory health councils and good governance: healthy democracy in Brazil?

    PubMed

    Kohler, Jillian Clare; Martinez, Martha Gabriela

    2015-02-19

    The Brazilian Government created Participatory Health Councils (PHCs) to allow citizen participation in the public health policy process. PHCs are advisory bodies that operate at all levels of government and that bring together different societal groups to monitor Brazil's health system. Today they are present in 98% of Brazilian cities, demonstrating their popularity and thus their potential to help ensure that health policies are in line with citizen preferences. Despite their expansive reach, their real impact on health policies and health outcomes for citizens is uncertain. We thus ask the following question: Do PHCs offer meaningful opportunities for open participation and influence in the public health policy process? Thirty-eight semi-structured interviews with health council members were conducted. Data from these interviews were analyzed using a qualitative interpretive content analysis approach. A quantitative analysis of PHC data from the Sistema de Acompanhamento dos Conselhos de Saude (SIACS) database was also conducted to corroborate findings from the interviews. We learned that PHCs fall short in many of the categories of good governance. Government manipulation of the agenda and leadership of the PHCs, delays in the implementation of PHC decision making, a lack of training of council members on relevant technical issues, the largely narrow interests of council members, the lack of transparency and monitoring guidelines, a lack of government support, and a lack of inclusiveness are a few examples that highlight why PHCs are not as effective as they could be. Although PHCs are intended to be inclusive and participatory, in practice they seem to have little impact on the health policymaking process in Brazil. PHCs will only be able to fulfil their mandate when we see good governance largely present. This will require a rethinking of their governance structures, processes, membership, and oversight. If change is resisted, the PHCs will remain largely

  18. Moving beyond 'rates, roads and rubbish': How do local governments make choices about healthy public policy to prevent obesity?

    PubMed Central

    Allender, Steven; Gleeson, Erin; Crammond, Brad; Sacks, Gary; Lawrence, Mark; Peeters, Anna; Loff, Bebe; Swinburn, Boyd

    2009-01-01

    While the causes of obesity are well known traditional education and treatment strategies do not appear to be making an impact. One solution as part of a broader complimentary set of strategies may be regulatory intervention at local government level to create environments for healthy nutrition and increased physical activity. Semi structured interviews were conducted with representatives of local government in Australia. Factors most likely to facilitate policy change were those supported by external funding, developed from an evidence base and sensitive to community and market forces. Barriers to change included a perceived or real lack of power to make change and the complexity of the legislative framework. The development of a systematic evidence base to provide clear feedback on the size and scope of the obesity epidemic at a local level, coupled with cost benefit analysis for any potential regulatory intervention, are crucial to developing a regulatory environment which creates the physical and social environment required to prevent obesity. PMID:19698170

  19. Government food service policies and guidelines do not create healthy school canteens.

    PubMed

    de Silva-Sanigorski, Andrea; Breheny, Tara; Jones, Laura; Lacy, Kathleen; Kremer, Peter; Carpenter, Lauren; Bolton, Kristy; Prosser, Lauren; Gibbs, Lisa; Waters, Elizabeth; Swinburn, Boyd

    2011-04-01

    In 2006, the Victorian Government adopted the School Canteens and other school Food Services (SCFS) Policy that bans the sale of sweet drinks and confectionary and recommends the proportions of menu items based on a traffic light system of food classification. This study aims to determine whether compliance with the policy improves the nutritional profile of the menus. Items from food service menus were assessed for compliance with the SCFS policy and categorised as 'everyday' ('green'), 'select carefully' ('amber') or 'occasionally' ('red') (n=106). Profile analysis assessed differences in the nutritional profile of the menus between sub-groups. Overall, 37% of menus contained items banned under the policy. The largest proportion of items on the assessed menus were from the 'amber' category (mean: 51.0%), followed by 'red' (29.3%) and 'green' (20.3%). No menus met the traffic light-based recommendations and there was no relationship between policy compliance and the proportion of items in each of the three categories. To increase the healthiness of the school food service we recommend a greater investment in resources and infrastructure to implement existing policies, and establishing stronger monitoring and support systems. © 2011 The Authors. ANZJPH © 2011 Public Health Association of Australia.

  20. Promoting active living in healthy cities of Europe.

    PubMed

    Faskunger, Johan

    2013-10-01

    Local governments in Europe have a vital role in promoting physical activity in the daily life of citizens. However, explicit investment in active living has been limited. One of the four core themes for Phase IV (2003-2008) of the World Health Organization (WHO) European Healthy Cities Network (WHO-EHCN) was to encourage local governments and their partners to implement programs in favor of active living. This study analyzes the performance of network cities during this period. Responses to a general evaluation questionnaire are analyzed by content according to a checklist, and categorized into themes and dimensions. Most cities viewed "active living" as an important issue for urban planning; to improve visual appeal, enhance social cohesion, create a more sustainable transport system to promote walkability and cyclability and to reduce inequalities in public health. Almost all member cities reported on existing policies that support the promotion of active living. However, only eight (of the 59) responding cities mentioned an integrated framework specific for active living. Many efforts to promote active living are nested in programs to prevent obesity among adults or children. Future challenges include establishing integrated policies specifically for active living, introducing a larger range of actions, as well as increasing funding and capacity to make a difference at the population level.

  1. Disaster Governance for Community Resilience in Coastal Towns: Chilean Case Studies.

    PubMed

    Villagra, Paula; Quintana, Carolina

    2017-09-14

    This study aimed to further our understanding of a characteristic of Community Resilience known as Disaster Governance. Three attributes of Disaster Governance-redundancy, diversity, and overlap-were studied in four coastal towns in southern Chile that are at risk of tsunamis. Overall, we explored how different spatial structures of human settlements influence Disaster Governance. Using the Projective Mapping Technique, the distribution of emergency institutions (N = 32) and uses given to specific sites (e.g., for refuge, sanitary purposes and medical attention) were mapped. Content and GIS analyses (Directional Distribution and Kernel Density Index) were used to explore the dispersion and concentration of institutions and uses in each town. Disaster Governance was found to be highly influenced by decisions taken during regional, urban, and emergency planning. Governance is better in towns of higher order in the communal hierarchical structure. Most of the emergency institutions were found to be located in central and urban areas, which, in turn, assures more redundancy, overlap, and diversity in governance in the event of a tsunami. Lack of flexibility of emergency plans also limits governance in rural and indigenous areas. While the spatial relationships found in this study indicate that urban sectors have better Disaster Governance than rural and indigenous sectors, the influence of resource availability after tsunamis, the role and responsibility of different levels of governments, and the politics of disaster also play an important role in Disaster Governance for determining Community Resilience. These findings shed light on emergency planning and aspects of the Disaster Management cycle.

  2. Understanding Urban Development In Canada. "Understanding Economics" Series No. 3.

    ERIC Educational Resources Information Center

    Plunkett, T. J.

    This booklet for Canadian secondary school students examines urbanization and its relationship to other factors of the economy. Five sections analyze urbanization, the pattern of urban development, community needs, the management of urban growth, and urban governance. Part I traces the growth of the Canadian population, noting that 10% of the…

  3. Perceptions of healthy eating amongst Indian adolescents in India and Canada.

    PubMed

    Correa, Natasha; Rajaraman, Divya; Swaminathan, Sumathi; Vaz, Mario; Jayachitra, K G; Lear, Scott A; Punthakee, Zubin

    2017-09-01

    Dietary patterns have contributed to the rising prevalence of overweight and obesity among Indian adolescents. Yet there are limited studies on their perspectives on healthy eating. The purpose of this study was to understand perceptions and attitudes of Indian-origin adolescents in India and Canada that may contribute to healthy eating behaviour. Qualitative data collection and analysis of 13 focus group discussions (FGD) was conducted among 34 boys and 39 girls (total number of participants: 73) of different weight and socioeconomic status (SES) in rural and urban India, and urban Canada aged 11-18 years. All adolescents perceived homemade foods, and foods high in vitamins, minerals and fiber as healthy. Rural Indian adolescents also identified contaminant-free food as important. Opinions differed regarding the health value of consuming meat, and amongst Canadian adolescents, the health impact of Western versus Indian diets. Identified benefits of healthy eating included improved energy for Indians, and disease prevention for Canadians and urban Indians. Identified barriers across all settings included peers; and availability, access and affordability of unhealthy foods. Urban Indians and Canadian girls also reported academic stress and lack of time as barriers. Canadian girls reported limited parental supervision during mealtimes as an additional barrier. Facilitators to healthy eating included parents, friends and personal preferences for healthy foods. This study suggests potential targets for family-based and school-based education programs and policies to improve dietary habits of Indian and Indo-Canadian adolescents which include, culturally focused nutrition education and guidelines, academic stress management strategies, parental education, food hygiene regulations and restriction on the sale and advertising of unhealthy foods. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Improving the Management of Urban Research: City/University Co-Operation. OECD Urban Management Studies 5. Revised.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France).

    The papers in this collection were presented at an international symposium on improving the management of urban research, particularly through city-university collaboration. An introductory framework paper summarizes the range of research services available to local government, the types of urban research activity, and the problems of urban…

  5. The Redesign of Urban School Systems: Case Studies in District Governance

    ERIC Educational Resources Information Center

    McAdams, Donald R., Ed.; Katzir, Dan, Ed.

    2013-01-01

    "The Redesign of Urban School Systems" provides a uniquely valuable resource for anyone involved in preparing education leaders for the political and practical realities of district-based school reform. Edited by two leading experts in education reform, this absorbing volume brings together twelve teaching cases on urban school…

  6. Health/Service Providers' Perspectives on Barriers to Healthy Weight Gain and Physical Activity in Pregnant, Urban First Nations Women.

    PubMed

    Darroch, Francine E; Giles, Audrey R

    2016-01-01

    The purpose of this article is to examine health/service providers' perspectives of barriers to healthy weight gain and physical activity for urban, pregnant First Nations women in Ottawa, Canada. Through the use of semi-structured interviews, we explored 15 health/service providers' perspectives on the complex barriers their clients face. By using a postcolonial feminist lens and a social determinants of health framework, we identified three social determinants of health that the health/service providers believed to have the greatest influence on their clients' weight gain and physical activity during pregnancy: poverty, education, and colonialism. Our findings are then contextualized within existing Statistics Canada and the Ottawa Neighbourhood Study data. We found that health/service providers are in a position to challenge colonial relations of power. We conclude by urging health/service providers, researchers, and policymakers alike to take into consideration the ways in which these social determinants of health and their often synergistic effects affect urban First Nations women during pregnancy. © The Author(s) 2015.

  7. CONTRIBUTION OF HOUSEHOLD ACTIVITIES TO THE HEALTH OF URBAN ECOSYSTEMS

    EPA Science Inventory

    With a majority of humans now living in urban and suburban areas, innovative methods are needed for land use planning to maintain healthy urban communities and ecosystems. As urban areas expand, an increasing number of human-environmental interactions take place, particularly al...

  8. Disaster Governance for Community Resilience in Coastal Towns: Chilean Case Studies

    PubMed Central

    Quintana, Carolina

    2017-01-01

    This study aimed to further our understanding of a characteristic of Community Resilience known as Disaster Governance. Three attributes of Disaster Governance—redundancy, diversity, and overlap—were studied in four coastal towns in southern Chile that are at risk of tsunamis. Overall, we explored how different spatial structures of human settlements influence Disaster Governance. Using the Projective Mapping Technique, the distribution of emergency institutions (N = 32) and uses given to specific sites (e.g., for refuge, sanitary purposes and medical attention) were mapped. Content and GIS analyses (Directional Distribution and Kernel Density Index) were used to explore the dispersion and concentration of institutions and uses in each town. Disaster Governance was found to be highly influenced by decisions taken during regional, urban, and emergency planning. Governance is better in towns of higher order in the communal hierarchical structure. Most of the emergency institutions were found to be located in central and urban areas, which, in turn, assures more redundancy, overlap, and diversity in governance in the event of a tsunami. Lack of flexibility of emergency plans also limits governance in rural and indigenous areas. While the spatial relationships found in this study indicate that urban sectors have better Disaster Governance than rural and indigenous sectors, the influence of resource availability after tsunamis, the role and responsibility of different levels of governments, and the politics of disaster also play an important role in Disaster Governance for determining Community Resilience. These findings shed light on emergency planning and aspects of the Disaster Management cycle. PMID:28906480

  9. Urban forestry research needs: a participatory assessment process

    Treesearch

    Kathleen L. Wolf; Linda E. Kruger

    2010-01-01

    New research initiatives focusing on urban ecology and natural resources are underway. Such programs coincide with increased local government action in urban forest planning and management, activities that are enhanced by scientific knowledge. This project used a participatory stakeholder process to explore and understand urban forestry research and technology transfer...

  10. Health and urban living.

    PubMed

    Dye, Christopher

    2008-02-08

    The majority of people now live in urban areas and will do so for the foreseeable future. As a force in the demographic and health transition, urbanization is associated with falling birth and death rates and with the shift in burden of illness from acute childhood infections to chronic, noncommunicable diseases of adults. Urban inhabitants enjoy better health on average than their rural counterparts, but the benefits are usually greater for the rich than for the poor, thus magnifying the differences between them. Subject to better evidence, I suggest that the main obstacles to improving urban health are not technical or even financial, but rather are related to governance and the organization of civil society.

  11. The ethics of smart cities and urban science

    PubMed Central

    2016-01-01

    Software-enabled technologies and urban big data have become essential to the functioning of cities. Consequently, urban operational governance and city services are becoming highly responsive to a form of data-driven urbanism that is the key mode of production for smart cities. At the heart of data-driven urbanism is a computational understanding of city systems that reduces urban life to logic and calculative rules and procedures, which is underpinned by an instrumental rationality and realist epistemology. This rationality and epistemology are informed by and sustains urban science and urban informatics, which seek to make cities more knowable and controllable. This paper examines the forms, practices and ethics of smart cities and urban science, paying particular attention to: instrumental rationality and realist epistemology; privacy, datafication, dataveillance and geosurveillance; and data uses, such as social sorting and anticipatory governance. It argues that smart city initiatives and urban science need to be re-cast in three ways: a re-orientation in how cities are conceived; a reconfiguring of the underlying epistemology to openly recognize the contingent and relational nature of urban systems, processes and science; and the adoption of ethical principles designed to realize benefits of smart cities and urban science while reducing pernicious effects. This article is part of the themed issue ‘The ethical impact of data science’. PMID:28336794

  12. The ethics of smart cities and urban science.

    PubMed

    Kitchin, Rob

    2016-12-28

    Software-enabled technologies and urban big data have become essential to the functioning of cities. Consequently, urban operational governance and city services are becoming highly responsive to a form of data-driven urbanism that is the key mode of production for smart cities. At the heart of data-driven urbanism is a computational understanding of city systems that reduces urban life to logic and calculative rules and procedures, which is underpinned by an instrumental rationality and realist epistemology. This rationality and epistemology are informed by and sustains urban science and urban informatics, which seek to make cities more knowable and controllable. This paper examines the forms, practices and ethics of smart cities and urban science, paying particular attention to: instrumental rationality and realist epistemology; privacy, datafication, dataveillance and geosurveillance; and data uses, such as social sorting and anticipatory governance. It argues that smart city initiatives and urban science need to be re-cast in three ways: a re-orientation in how cities are conceived; a reconfiguring of the underlying epistemology to openly recognize the contingent and relational nature of urban systems, processes and science; and the adoption of ethical principles designed to realize benefits of smart cities and urban science while reducing pernicious effects.This article is part of the themed issue 'The ethical impact of data science'. © 2016 The Author(s).

  13. The implementation of biofiltration systems, rainwater tanks and urban irrigation in a single-layer urban canopy model

    NASA Astrophysics Data System (ADS)

    Demuzere, Matthias; Coutts, Andrew; Goehler, Maren; Broadbent, Ashley; Wouters, Hendrik; van Lipzig, Nicole; Gebert, Luke

    2015-04-01

    Urban vegetation is generally considered as a key tool to modify the urban energy balance through enhanced evapotranspiration (ET). Given that vegetation is most effective when it is healthy, stormwater harvesting and retention strategies (such as water sensitive urban design) could be used to support vegetation and promote ET. This study presents the implementation of a vegetated lined bio-filtration system (BFS) combined with a rainwater tank (RWT) and urban irrigation system in the single-layer urban canopy model Community Land Model-Urban. Runoff from roof and impervious road surface fractions is harvested and used to support an adequate soil moisture level for vegetation in the BFS. In a first stage, modelled soil moisture dynamics are evaluated and found reliable compared to observed soil moisture levels from biofiltration pits in Smith Street, Melbourne (Australia). Secondly, the impact of BFS, RWT and urban irrigation on ET is illustrated for a two-month period in 2012 using varying characteristics for all components. Results indicate that (i) a large amount of stormwater is potentially available for indoor and outdoor water demands, including irrigation of urban vegetation, (ii) ET from the BFS is an order of magnitude larger compared to the contributions from the impervious surfaces, even though the former only covers 10% of the surface fraction and (iii) attention should be paid to the cover fraction and soil texture of the BFS, size of the RWT and the surface fractions contributing to the collection of water in the RWT. Overall, this study reveals that this model development can effectuate future research with state-of-the-art urban climate models to further explore the benefits of vegetated biofiltration systems as a water sensitive urban design tool optimised with an urban irrigation system to maintain healthy vegetation.

  14. Power in urban social-ecological systems: Processes and practices of governance and marginalization

    Treesearch

    Lindsay K. Campbell; Nate Gabriel

    2016-01-01

    Historically, the urban forestry literature, including the workfeatured in Urban Forestry and Urban Greening, has focused primarily on either quantitative, positivistic analyses of human-environment dynamics, or applied research to inform the management of natural resources, without sufficiently problematizing the effects of power within these processes (Bentsen et al...

  15. 24 CFR 971.9 - Tenant and local government consultation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 4 2011-04-01 2011-04-01 false Tenant and local government... REQUIRED BY LAW § 971.9 Tenant and local government consultation. (a) PHAs are required to proceed in... approved by the local officials as not inconsistent with the Consolidated Plan. ...

  16. Third-world development: urbanizing for the future.

    PubMed

    Mcilwaine, C

    1997-01-01

    This article reviews some issues reflected in the 1996 UN Habitat II agenda and recent research on urbanization. The themes of the 1996 Habitat conference were urban development, urban poverty, and governance, civil society, and social capital. It is expected that over 50% of total world population will live in cities in the year 2000. Cities are viewed both as engines of economic growth and centers of severe economic, environmental, and social problems. There is some disagreement about whether cities are rational economic structures or what the World Bank's urban agenda is and its relationship with macroeconomic policy. Discussions of global urban issues are criticized for their neglect of issues of equity and poverty, cultural diversity, and identity and representation. Habitat II also stressed urban sustainability. There is growing recognition that urban management involves more than the "Brown Agenda" of environmental and physical aspects of urban growth. Recent studies identify how politics and power affect people's access to basic urban services. Urban economic activity can also contribute to environmental problems. Urban growth affects the provision of health services. Although there is not a consensus on the role of cities in expanding economic and social development and the best management practices, there is sufficient evidence to indicate that urban processes are varied throughout the developing world. The links between urban and rural areas differentiate cities and expose the need to understand the role of intermediate urban areas surrounding and between larger cities. Poverty has become increasingly urbanized, but the extent of poverty is unknown. Habitat II was an unprecedented effort to engage nongovernment groups, local government staff, trade unions, and the private sector and to emphasize community participation. Networks of trust and reciprocity are key to solving poverty, inequality, and disempowerment problems.

  17. Addressing the social and environmental determinants of urban health equity: evidence for action and a research agenda.

    PubMed

    Friel, Sharon; Akerman, Marco; Hancock, Trevor; Kumaresan, Jacob; Marmot, Michael; Melin, Thomas; Vlahov, David

    2011-10-01

    Urban living is the new reality for the majority of the world's population. Urban change is taking place in a context of other global challenges--economic globalization, climate change, financial crises, energy and food insecurity, old and emerging armed conflicts, as well as the changing patterns of communicable and noncommunicable diseases. These health and social problems, in countries with different levels of infrastructure and health system preparedness, pose significant development challenges in the 21st century. In all countries, rich and poor, the move to urban living has been both good and bad for population health, and has contributed to the unequal distribution of health both within countries (the urban-rural divide) and within cities (the rich-poor divide). In this series of papers, we demonstrate that urban planning and design and urban social conditions can be good or bad for human health and health equity depending on how they are set up. We argue that climate change mitigation and adaptation need to go hand-in-hand with efforts to achieve health equity through action in the social determinants. And we highlight how different forms of governance can shape agendas, policies, and programs in ways that are inclusive and health-promoting or perpetuate social exclusion, inequitable distribution of resources, and the inequities in health associated with that. While today we can describe many of the features of a healthy and sustainable city, and the governance and planning processes needed to achieve these ends, there is still much to learn, especially with respect to tailoring these concepts and applying them in the cities of lower- and middle-income countries. By outlining an integrated research agenda, we aim to assist researchers, policy makers, service providers, and funding bodies/donors to better support, coordinate, and undertake research that is organized around a conceptual framework that positions health, equity, and sustainability as central

  18. 24 CFR 81.92 - Law governing rights and obligations of United States, Federal Reserve Banks, and GSEs; rights of...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... CORPORATION (FREDDIE MAC) Book-Entry Procedures § 81.92 Law governing rights and obligations of United States... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Law governing rights and..., Federal Reserve Banks, and GSEs; Law governing other interests. 81.92 Section 81.92 Housing and Urban...

  19. A survey of urban climate change experiments in 100 cities

    PubMed Central

    Castán Broto, Vanesa; Bulkeley, Harriet

    2013-01-01

    Cities are key sites where climate change is being addressed. Previous research has largely overlooked the multiplicity of climate change responses emerging outside formal contexts of decision-making and led by actors other than municipal governments. Moreover, existing research has largely focused on case studies of climate change mitigation in developed economies. The objective of this paper is to uncover the heterogeneous mix of actors, settings, governance arrangements and technologies involved in the governance of climate change in cities in different parts of the world. The paper focuses on urban climate change governance as a process of experimentation. Climate change experiments are presented here as interventions to try out new ideas and methods in the context of future uncertainties. They serve to understand how interventions work in practice, in new contexts where they are thought of as innovative. To study experimentation, the paper presents evidence from the analysis of a database of 627 urban climate change experiments in a sample of 100 global cities. The analysis suggests that, since 2005, experimentation is a feature of urban responses to climate change across different world regions and multiple sectors. Although experimentation does not appear to be related to particular kinds of urban economic and social conditions, some of its core features are visible. For example, experimentation tends to focus on energy. Also, both social and technical forms of experimentation are visible, but technical experimentation is more common in urban infrastructure systems. While municipal governments have a critical role in climate change experimentation, they often act alongside other actors and in a variety of forms of partnership. These findings point at experimentation as a key tool to open up new political spaces for governing climate change in the city. PMID:23805029

  20. Local governments LANDSAT applications program

    NASA Technical Reports Server (NTRS)

    1983-01-01

    The approach used to develop the internal capabilities of local governments to handle and evaluate LANDSAT data included remote sensing training, development of a low-cost digital image processing system, and technical assistance. Cost sharing, program management and coordination, and networking were also employed to address problems related to land use, water resources, environmental assessment, and air quality as experienced by urban planners. Local experiences gained in Atlanta, Georgia; Henrico County, Virginia; Oklahoma City; Oklahoma; and San Jose, California are described. Policy recommendations formulated for transferring remote sensing technologies to local governments are included.

  1. Corporate and philanthropic models of hospital governance: a taxonomic evaluation.

    PubMed

    Weiner, B J; Alexander, J A

    1993-08-01

    We assess the theoretical integrity and practical utility of the corporate-philanthropic governance typology frequently invoked in debates about the appropriate form of governance for nonprofit hospitals operating in increasingly competitive health care environments. Data were obtained from a 1985 national mailed survey of nonprofit hospitals conducted by the American Hospital Association (AHA) and the Hospital Research and Educational Trust (HRET). A sample 1,577 nonprofit community hospitals were selected for study. Representativeness was assessed by comparing the sample with the population of non-profit community hospitals on the dimensions of bed size, ownership type, urban-rural location, multihospital system membership, and census region. Measurement of governance types was based on hospital governance attributes conforming to those cited in the literature as distinguishing corporate from philanthropic models and classified into six central dimensions of governance: (1) size, (2) committee structure and activity, (3) board member selection, (4) board composition, (5) CEO power and influence, and (6) bylaws and activities. Cluster analysis and ANCOVA indicated that hospital board forms adhered only partially to corporate and philanthropic governance models. Further, board forms varied systematically by specific organizational and environmental conditions. Boards exhibiting more corporate governance forms were more likely to be large, privately owned, urban, and operating in competitive markets than were hospitals showing more philanthropic governance forms. Findings suggest that the corporate-philanthropic governance distinction must be seen as an ideal rather than an actual depiction of hospital governance forms. Implications for health care governance are discussed.

  2. Value of urban green spaces in promoting healthy living and wellbeing: prospects for planning.

    PubMed

    Lee, Andrew Chee Keng; Jordan, Hannah C; Horsley, Jason

    2015-01-01

    There has been considerable work done in recent years exploring the value of urban green space for health and wellbeing. Urban green spaces provide environmental benefits through their effects on negating urban heat, offsetting greenhouse gas emissions, and attenuating storm water. They also have direct health benefits by providing urban residents spaces for physical activity and social interaction, and allowing psychological restoration to take place. Consequently, there is a real need to understand the mechanisms by which these benefits accrue. Previously, much of the focus has been on the characteristics of the urban green space that are likely to influence its use, such as its accessibility, quality, facilities, attractiveness, and security. This assumes a causal relationship, when in reality the relationship is more complex and multifactorial. It is more likely that it is the functionality of the green space, be it for exercise or sociocultural activities, rather than its character, which translates to the reported benefits. Challenges exist, such as competing urban planning priorities, economic considerations, and market forces. There is thus a need for urban planning to match the health benefits sought with the needs of the community and the functionality that the urban green space will serve.

  3. Promoting active transportation as a partnership between urban planning and public health: the columbus healthy places program.

    PubMed

    Green, Christine Godward; Klein, Elizabeth G

    2011-01-01

    Active transportation has been considered as one method to address the American obesity epidemic. To address obesity prevention through built-environment change, the local public health department in Columbus, Ohio, established the Columbus Healthy Places (CHP) program to formally promote active transportation in numerous aspects of community design for the city. In this article, we present a case study of the CHP program and discuss the review of city development rezoning applications as a successful strategy to link public health to urban planning. Prior to the CHP review, 7% of development applications in Columbus included active transportation components; in 2009, 64% of development applications adopted active transportation components specifically recommended by the CHP review. Active transportation recommendations generally included adding bike racks, widening or adding sidewalks, and providing sidewalk connectivity. Recommendations and lessons learned from CHP are provided.

  4. Promoting Active Transportation as a Partnership Between Urban Planning and Public Health: The Columbus Healthy Places Program

    PubMed Central

    Green, Christine Godward; Klein, Elizabeth G.

    2011-01-01

    Active transportation has been considered as one method to address the American obesity epidemic. To address obesity prevention through built-environment change, the local public health department in Columbus, Ohio, established the Columbus Healthy Places (CHP) program to formally promote active transportation in numerous aspects of community design for the city. In this article, we present a case study of the CHP program and discuss the review of city development rezoning applications as a successful strategy to link public health to urban planning. Prior to the CHP review, 7% of development applications in Columbus included active transportation components; in 2009, 64% of development applications adopted active transportation components specifically recommended by the CHP review. Active transportation recommendations generally included adding bike racks, widening or adding sidewalks, and providing sidewalk connectivity. Recommendations and lessons learned from CHP are provided. PMID:21563711

  5. Checklist for healthy and sustainable communities.

    PubMed

    Capon, Anthony G; Blakely, Edward J

    2007-01-01

    This paper describes a 10-point checklist for the planning and development of healthy and sustainable communities. The 10 domains in the checklist are essentially physical characteristics of places. Each domain has relevance to the health of people living in the place, and to the sustainability of the environment. The checklist is intended as a tool for those who plan, develop and manage urban environments. Such tools can be valuable for assessing the health and environmental impacts of decisions made by urban and transport planners, and businesses engaged in land development and infrastructure projects.

  6. The impact of urban operations on helicopter noise requirements

    NASA Technical Reports Server (NTRS)

    Spector, S. R.

    1978-01-01

    The interrelationship of urban helicopter operations, helicopter noise, and the establishment of urban public-use heliports is discussed. Public resistance to urban helicopter operations due to concern for safety and noise is shown to negatively impact the establishment of public-use heliports in urban centers. It is indicated that increased government and industry effort to reduce helicopter noise is needed to ensure continued growth in the helicopter industry.

  7. Mapping urban porosity and roughness characteristics as a mean of defining urban ventilation corridors

    NASA Astrophysics Data System (ADS)

    Wicht, Marzena; Wicht, Andreas; Osińska-Skotak, Katarzyna

    2017-10-01

    Cities can be characterized with the roughest aerodynamic boundaries, which results in the enhanced turbulent motion and increased drag effect. This leads to reduced wind speeds and directly increases negative effects of living within urban areas. Urban Heat Island, decreased air quality or densely built-up residential/industrial areas occur in many cities, both in temperate and tropical regions, and are included in these negative effects. This case study investigates Warsaw, the capital of Poland, representing a dense, urban environment, located in the temperate zone. It suffers from immense air pollution levels, as well as Urban Heat Island, and the local government is seeking ways to resolve these issues. Among many mitigation techniques, air restoration and exchange system were suggested as appropriate measures, as they address many of the aforementioned issues. The essential elements of such system are ventilation corridors. This paper describes mapping these corridors utilizing the morphometric methods of urban roughness aided by remote sensing data. We focus especially on the terrain topology and texture of single elements, including high vegetation canopy layer. This study considers DSM and different porosity of obstacles, deriving a new outlook at the morphometric methods as a way to improve them. The mapped areas of low roughness characteristics might be appointed as ventilation corridors and play a crucial role in air restoration and exchange system. They may also be included in further planning processes by the local government as preservation areas.

  8. Promoting Productive Urban Green Open Space Towards Food Security: Case Study Taman Sari, Bandung

    NASA Astrophysics Data System (ADS)

    Ridwan, M.; Sinatra, Fran; Natalivan, Petrus

    2017-10-01

    The common trend of urban population has been growing significantly in Indonesia for decades, are affected by urban green space conversion. Generally, this area is utilized for urban infrastructures and residences. Furthermore, urban area has grown uncontrollably that could enhance the phenomenon of urban sprawl. The conversion of green urban area and agricultural area will significantly decrease urban food security and quality of urban environment. This problem becomes a serious issue for urban sustainability. Bandung is a city with dense population where there are many poor inhabitants. Families living in poverty are subjected to food insecurity caused by the rise of food prices. Based on the urgency of urban food security and urban environment quality the local government has to achieve comprehensive solutions. This research aims to formulate the policy of productive green open space towards food security for poor people in Bandung. This research not only examines the role played by productive green open space to supply food for the urban poor but also how to govern urban areas sustainably and ensure food security. This research uses descriptive explanatory methodology that describes and explains how to generate policy and strategic planning for edible landscape to promote urban food security. Taman Sari is the location of this research, this area is a populous area that has amount of poor people and has a quite worse quality of urban environment. This study shows that urban green open space has the potential to be utilized as an urban farming land, which poor inhabitants could be main actors to manage urban agriculture to provide their food. Meanwhile, local government could contribute to subsidize the financial of urban farming activities.

  9. Science in the city: Urban trees, forests, and people

    Treesearch

    Kathleen L. Wolf

    2016-01-01

    The article, intended for professional and manager audiences, is an overview of current research in urban forestry. Topics include tree science, forest risks, forest management and assessment, ecosystem services, and urban socio-ecological systems (including governance and stewardship).

  10. Race and Politics Rip into the Urban Superintendency.

    ERIC Educational Resources Information Center

    Rist, Marilee C.

    1990-01-01

    Heightened racial and ethnic-group politics and increasingly rocky board-superintendent relations are making the urban superintendency increasingly untenable. The politics of urban school governance can stymie even the best candidates. To survive, big-city superintendents need a thick hide, sensitivity to diversity, charisma, self-confidence,…

  11. Egypt: urban growth encroaches on farmland.

    PubMed

    1981-12-01

    In 1980 Egypt's population was 42 million, with 9 million, or 21%, residing in metropolitan Cairo. Throughout the country the urban population makes up about 44% of the total population; in the 2 largest cities, Cairo and Alexandria, public utilities and basic services are becoming more and more ineffective. The problem is complicated by the fact that the urban population is concentrated along the Nile valley, which is the most fertile, cultivated, and well watered area of the country. An estimated 20,000 acres of farmland are lost each year to urban spread, while the government spends an average $2 million yearly to subsidize food imports. The Egyptian government is not only aiming at reducing natural growth through the provision of free family planning services, but it is encouraging rural development and trying to raise the standard of living for farmers. A strategy to redistribute the population into smaller cities or on land suitable for reclamation is also being planned.

  12. Seattle Schools' Governance under Fire

    ERIC Educational Resources Information Center

    Archer, Jeff

    2007-01-01

    This article reports on how Seattle has joined the growing list of urban districts where policymakers are eyeing changes in school governance. A bill pending in the Washington state legislature, introduced late January 2007 by three lawmakers from the city, would permit citizens to petition to hold a local referendum on switching from the elected…

  13. The 'Healthy Dads, Healthy Kids' community effectiveness trial: study protocol of a community-based healthy lifestyle program for fathers and their children

    PubMed Central

    2011-01-01

    Background The 'Healthy Dads, Healthy Kids' program was designed to help overweight fathers lose weight and positively influence the health behaviors of their children. The aim of the current study was to evaluate the previously established program in a community setting, in a large effectiveness trial. Methods/Design The Healthy Dads, Healthy Kids community trial consists of three stages: (i) Stage 1 - program refinement and resource development (ii) Stage 2 - community randomized controlled trial (iii) Stage 3 - community effectiveness trial. The program will be evaluated in five Local Government Areas in the Hunter Valley Region of NSW, Australia. For the community randomized controlled trial, 50 overweight/obese men (aged 18-65 years) from one Local Government Area with a child aged between 5-12 years of age will be recruited. Families will be randomized to either the program or a 6-month wait-list control group. Fathers and their children will be assessed at baseline, post-intervention (3-months) and 6-months. Inclusion criteria are: body mass index 25-40 kg/m2; no participation in other weight loss programs during the study; pass a health-screening questionnaire; and access to a computer with Internet facilities. In the community trial, the program will be evaluated using a non-randomized, prospective design in five Local Government Areas. The exclusion criteria is body mass index < 25 kg/m2 or lack of doctor's approval. Measures will be collected at baseline, 3-, 6- and 12-months. The program involves fathers attending seven face-to-face group sessions (three with children) over 3-months. Measures: The primary outcome is fathers' weight. Secondary outcomes for both fathers and children include: waist circumference, blood pressure, resting heart rate, physical activity, sedentary behaviors and dietary intake. Father-only measures include portion size, alcohol consumption, parenting for physical activity and nutrition and parental engagement. Process

  14. Corporate and philanthropic models of hospital governance: a taxonomic evaluation.

    PubMed Central

    Weiner, B J; Alexander, J A

    1993-01-01

    OBJECTIVE. We assess the theoretical integrity and practical utility of the corporate-philanthropic governance typology frequently invoked in debates about the appropriate form of governance for nonprofit hospitals operating in increasingly competitive health care environments. DATA SOURCES. Data were obtained from a 1985 national mailed survey of nonprofit hospitals conducted by the American Hospital Association (AHA) and the Hospital Research and Educational Trust (HRET). STUDY DESIGN. A sample 1,577 nonprofit community hospitals were selected for study. Representativeness was assessed by comparing the sample with the population of non-profit community hospitals on the dimensions of bed size, ownership type, urban-rural location, multihospital system membership, and census region. DATA COLLECTION. Measurement of governance types was based on hospital governance attributes conforming to those cited in the literature as distinguishing corporate from philanthropic models and classified into six central dimensions of governance: (1) size, (2) committee structure and activity, (3) board member selection, (4) board composition, (5) CEO power and influence, and (6) bylaws and activities. PRINCIPAL FINDINGS. Cluster analysis and ANCOVA indicated that hospital board forms adhered only partially to corporate and philanthropic governance models. Further, board forms varied systematically by specific organizational and environmental conditions. Boards exhibiting more corporate governance forms were more likely to be large, privately owned, urban, and operating in competitive markets than were hospitals showing more philanthropic governance forms. CONCLUSIONS. Findings suggest that the corporate-philanthropic governance distinction must be seen as an ideal rather than an actual depiction of hospital governance forms. Implications for health care governance are discussed. PMID:8344823

  15. Urban Form, Health, and the Law’s Limits

    PubMed Central

    Buzbee, William W.

    2003-01-01

    Urban form, the law, and health are undoubtedly linked. However, nonlegal factors such as 20th-century reliance on the automobile as well as associated governmental actions and private investment choices have greatly influenced urban form, especially urban sprawl. The American system of federalism, with its traditional allocation of land-use legal authority to local governments, and resulting fragmented legal authority over causes and effects of urban sprawl, renders difficult legal efforts to reshape urban form. Legal frameworks and the dynamics and effects of urban sprawl are largely mismatched. Still, existing legal frameworks and modest legal reforms provide means to encourage or at least allow urban forms that are more conducive to health. However, the law will not easily transform urban form and deter urban sprawl. PMID:12948950

  16. Receiving shadows: governance and liminality in the night-time economy.

    PubMed

    Hobbs, D; Lister, S; Hadfield, P; Winlow, S; Hall, S

    2000-12-01

    This paper focuses upon the emergence of the night-time economy both materially and culturally as a powerful manifestation of post-industrial society. This emergence features two key processes: firstly a shift in economic development from the industrial to the post-industrial; secondly a significant orientation of urban governance involving a move away from the traditional managerial functions of local service provision, towards an entrepreneurial stance primarily focused on the facilitation of economic growth. Central to this new economic era is the identification and promotion of liminality. The State's apparent inability to control these new leisure zones constitutes the creation of an urban frontier that is governed by commercial imperatives.

  17. Early urban impact on Mediterranean coastal environments

    NASA Astrophysics Data System (ADS)

    Kaniewski, David; van Campo, Elise; Morhange, Christophe; Guiot, Joël; Zviely, Dov; Shaked, Idan; Otto, Thierry; Artzy, Michal

    2013-12-01

    A common belief is that, unlike today, ancient urban areas developed in a sustainable way within the environmental limits of local natural resources and the ecosystem's capacity to respond. This long-held paradigm is based on a weak knowledge of the processes underpinning the emergence of urban life and the rise of an urban-adapted environment in and beyond city boundaries. Here, we report a 6000-year record of environmental changes around the port city of Akko (Acre), Israel, to analyse ecological processes and patterns stemming from the emergence and growth of urban life. We show that early urban development deeply transformed pre-existing ecosystems, swiftly leading to an urban environment already governed by its own ecological rules and this, since the emergence of the cities.

  18. Early urban impact on Mediterranean coastal environments.

    PubMed

    Kaniewski, David; Van Campo, Elise; Morhange, Christophe; Guiot, Joël; Zviely, Dov; Shaked, Idan; Otto, Thierry; Artzy, Michal

    2013-12-18

    A common belief is that, unlike today, ancient urban areas developed in a sustainable way within the environmental limits of local natural resources and the ecosystem's capacity to respond. This long-held paradigm is based on a weak knowledge of the processes underpinning the emergence of urban life and the rise of an urban-adapted environment in and beyond city boundaries. Here, we report a 6000-year record of environmental changes around the port city of Akko (Acre), Israel, to analyse ecological processes and patterns stemming from the emergence and growth of urban life. We show that early urban development deeply transformed pre-existing ecosystems, swiftly leading to an urban environment already governed by its own ecological rules and this, since the emergence of the cities.

  19. 24 CFR 350.4 - Law governing rights and obligations of United States, and Federal Reserve Banks as Depositories...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Law governing rights and... States, and Federal Reserve Banks as Depositories; Law Governing Other Interests. 350.4 Section 350.4... NATIONAL MORTGAGE ASSOCIATION, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT BOOK-ENTRY PROCEDURES § 350.4...

  20. Integrated Urban Flood Analysis considering Optimal Operation of Flood Control Facilities in Urban Drainage Networks

    NASA Astrophysics Data System (ADS)

    Moon, Y. I.; Kim, M. S.; Choi, J. H.; Yuk, G. M.

    2017-12-01

    eavy rainfall has become a recent major cause of urban area flooding due to the climate change and urbanization. To prevent property damage along with casualties, a system which can alert and forecast urban flooding must be developed. Optimal performance of reducing flood damage can be expected of urban drainage facilities when operated in smaller rainfall events over extreme ones. Thus, the purpose of this study is to execute: A) flood forecasting system using runoff analysis based on short term rainfall; and B) flood warning system which operates based on the data from pump stations and rainwater storage in urban basins. In result of the analysis, it is shown that urban drainage facilities using short term rainfall forecasting data by radar will be more effective to reduce urban flood damage than using only the inflow data of the facility. Keywords: Heavy Rainfall, Urban Flood, Short-term Rainfall Forecasting, Optimal operating of urban drainage facilities. AcknowledgmentsThis research was supported by a grant (17AWMP-B066744-05) from Advanced Water Management Research Program (AWMP) funded by Ministry of Land, Infrastructure and Transport of Korean government.

  1. Capitalizing on Crisis: Venture Philanthropy's Colonial Project to Remake Urban Education

    ERIC Educational Resources Information Center

    Lipman, Pauline

    2015-01-01

    This article focuses on the increased power of venture philanthropy to shape education in urban communities of color in the USA. The author situates venture philanthropy's expanded influence in urban school districts in the nexus of urban disinvestment, neoliberal governance, wealth concentration, and economic crisis. The author argues that…

  2. Urban climate, weather and sustainability

    NASA Astrophysics Data System (ADS)

    Mills, Gerald

    As concentrated areas of human activities, urban areas and urbanization are key drivers of global environmental change and pose a challenge to the achievement of sustainability. One of the key goals of sustainable development is to separate increases in non-renewable resource use (particularly fossil fuels) from economic growth. This is to be accomplished by modifying individual practices, encouraging technological innovation and redesigning systems of production and consumption. Settlements represent a scale at which significant advances on each of these can be made and where there is an existing management structure. However, urban areas currently consume a disproportionate share of the Earth's resources and urbanization has modified local climate and weather significantly, usually to the detriment of urban dwellers. There is now a lengthy history of urban climate study that links existing settlement form to climatic consequences yet, there is little evidence that climate information is incorporated into urban designs or that the climatic impact of different plans is considered. Consequently, opportunities for planning sustainable urban forms that are suitable to local climates and promote energy conservation and healthy atmospheres are not taken and much effort is later expended in `fixing' problems that emerge. This paper will outline the links between urban climate and sustainability, identify gaps in our urban climate knowledge and discuss the opportunities and barriers to the application of this knowledge to urban design and planning.

  3. Sustainable Cities Programme: a joint UN-HABITAT-UNEP facility on the urban environment with participation of the Dutch government.

    PubMed

    Gebre-Egziabher, Axumite

    2004-06-01

    The fundamental objective of the Sustainable Cities Programme is to promote environmentally sustainable local development to more fully realize the vital contributions that urban areas make to over-all social and economic development by: (1) enhancing efficiency in the use of local environmental resources, reducing environmental risks, and strengthening application of environmental conventions and agreements with growing regard to the Climate Change Protocol; (2) reducing poverty by promoting more equitable access to resources and environmental services; (3) mobilizing and strengthening local capacities to plan, co-ordinate, and manage sustainable local development in partnership; and (4) combining the complementary strengths of UN-HABITAT, UNEP, and other partners in support of Agenda 21, and the Habitat Agenda sustainable development commitments including improved local environmental governance.

  4. Governing for the Common Good.

    PubMed

    Ruger, Jennifer Prah

    2015-12-01

    The proper object of global health governance (GHG) should be the common good, ensuring that all people have the opportunity to flourish. A well-organized global society that promotes the common good is to everyone's advantage. Enabling people to flourish includes enabling their ability to be healthy. Thus, we must assess health governance by its effectiveness in enhancing health capabilities. Current GHG fails to support human flourishing, diminishes health capabilities and thus does not serve the common good. The provincial globalism theory of health governance proposes a Global Health Constitution and an accompanying Global Institute of Health and Medicine that together propose to transform health governance. Multiple lines of empirical research suggest that these institutions would be effective, offering the most promising path to a healthier, more just world.

  5. Green Urbanism for the Greener Future of Metropolitan Areas

    NASA Astrophysics Data System (ADS)

    Zaręba, Anna; Krzemińska, Alicja; Widawski, Krzysztof

    2016-10-01

    Intensive urbanization is swallowing municipal green areas which causes intensification of erosion, decrease in biodiversity and permanent fragmentation of habitats. In the face of these changes, a risk of irreversible damages to urban ecosystems is growing. That is why planning of solutions within the framework of Green Urbanism in metropolitan areas inhabited by over 55% of the global population is of extraordinary importance. The task of the paper is to present patterns of the Green Urbanism using selected examples of metropolitan areas as case studies. The main goal of the research is to make comparison between GU practices in different countries, in various spatial settings. The principles of triple zero framework: zero fossil-fuel energy use, zero waste, zero emissions (from low-to-no-carbon emissions) introduce not only the contemporary trends in theoretical urban planning but are dictated by practical considerations to create a healthy environment for a healthy society with a minimized environmental footprint. The research results help to identify Green Urbanism techniques used for multiple functions, including ecological, recreational, cultural, aesthetic and other uses and present opportunities for implementation of Green Urbanism solutions in metropolitan areas. To achieve healthier society and environment, highly congested and polluted cities have to be recreated through working with the existing landscape, topography and natural resources particular to the site.

  6. Moderators of noise-induced cognitive change in healthy adults.

    PubMed

    Wright, Bernice Al; Peters, Emmanuelle R; Ettinger, Ulrich; Kuipers, Elizabeth; Kumari, Veena

    2016-01-01

    Environmental noise causes cognitive impairment, particularly in executive function and episodic memory domains, in healthy populations. However, the possible moderating influences on this relationship are less clear. This study assessed 54 healthy participants (24 men) on a cognitive battery (measuring psychomotor speed, attention, executive function, working memory, and verbal learning and memory) under three (quiet, urban, and social) noise conditions. IQ, subjective noise sensitivity, sleep, personality, paranoia, depression, anxiety, stress, and schizotypy were assessed on a single occasion. We found significantly slower psychomotor speed (urban), reduced working memory and episodic memory (urban and social), and more cautious decision-making (executive function, urban) under noise conditions. There was no effect of sex. Variance in urban noise-induced changes in psychomotor speed, attention, Trail Making B-A (executive function), and immediate recall and social noise-induced changes in verbal fluency (executive function) and immediate recall were explained by a combination of baseline cognition and paranoia, noise sensitivity, sleep, or cognitive disorganization. Higher baseline cognition (but not IQ) predicted greater impairment under urban and social noise for most cognitive variables. Paranoia predicted psychomotor speed, attention, and executive function impairment. Subjective noise sensitivity predicted executive function and memory impairment. Poor sleep quality predicted less memory impairment. Finally, lower levels of cognitive disorganization predicted slower psychomotor speed and greater memory impairment. The identified moderators should be considered in studies aiming to reduce the detrimental effects of occupational and residential noise. These results highlight the importance of studying noise effects in clinical populations characterized by high levels of the paranoia, sleep disturbances, noise sensitivity, and cognitive disorganization.

  7. Moderators of noise-induced cognitive change in healthy adults

    PubMed Central

    Wright, Bernice AL; Peters, Emmanuelle R; Ettinger, Ulrich; Kuipers, Elizabeth; Kumari, Veena

    2016-01-01

    Environmental noise causes cognitive impairment, particularly in executive function and episodic memory domains, in healthy populations. However, the possible moderating influences on this relationship are less clear. This study assessed 54 healthy participants (24 men) on a cognitive battery (measuring psychomotor speed, attention, executive function, working memory, and verbal learning and memory) under three (quiet, urban, and social) noise conditions. IQ, subjective noise sensitivity, sleep, personality, paranoia, depression, anxiety, stress, and schizotypy were assessed on a single occasion. We found significantly slower psychomotor speed (urban), reduced working memory and episodic memory (urban and social), and more cautious decision-making (executive function, urban) under noise conditions. There was no effect of sex. Variance in urban noise-induced changes in psychomotor speed, attention, Trail Making B-A (executive function), and immediate recall and social noise-induced changes in verbal fluency (executive function) and immediate recall were explained by a combination of baseline cognition and paranoia, noise sensitivity, sleep, or cognitive disorganization. Higher baseline cognition (but not IQ) predicted greater impairment under urban and social noise for most cognitive variables. Paranoia predicted psychomotor speed, attention, and executive function impairment. Subjective noise sensitivity predicted executive function and memory impairment. Poor sleep quality predicted less memory impairment. Finally, lower levels of cognitive disorganization predicted slower psychomotor speed and greater memory impairment. The identified moderators should be considered in studies aiming to reduce the detrimental effects of occupational and residential noise. These results highlight the importance of studying noise effects in clinical populations characterized by high levels of the paranoia, sleep disturbances, noise sensitivity, and cognitive disorganization. PMID

  8. 76 FR 45600 - Order of Succession for the Office of Healthy Homes and Lead Hazard Control

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-29

    ... Office of Healthy Homes and Lead Hazard Control AGENCY: Office of Healthy Homes and Lead Hazard Control... Healthy Homes and Lead Hazard Control for the Department of Housing and Urban Development designates the Order of Succession for the Office of Healthy Homes and Lead Hazard Control. This Order of Succession...

  9. 77 FR 75441 - Healthy Home and Lead Hazard Control Grant Programs Data Collection; Progress Reporting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-20

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5603-N-93] Healthy Home and Lead Hazard... collection is designed to provide HUD timely information on progress of Healthy Homes Demonstration Program, Healthy Homes Technical Studies Program, Lead Base paint Hazard Control program, Lead Hazard Reduction...

  10. Women's work. Maintaining a healthy body weight.

    PubMed

    Welch, Nicky; Hunter, Wendy; Butera, Karina; Willis, Karen; Cleland, Verity; Crawford, David; Ball, Kylie

    2009-08-01

    This study describes women's perceptions of the supports and barriers to maintaining a healthy weight among currently healthy weight women from urban and rural socio-economically disadvantaged areas. Using focus groups and interviews, we asked women about their experiences of maintaining a healthy weight. Overwhelmingly, women described their healthy weight practices in terms of concepts related to work and management. The theme of 'managing health' comprised issues of managing multiple responsibilities, time, and emotions associated with healthy practices. Rural women faced particular difficulties in accessing supports at a practical level (for example, lack of childcare) and due to the gendered roles they enacted in caring for others. Family background (in particular, mothers' attitudes to food and weight) also appeared to influence perceptions about healthy weight maintenance. In the context of global increases in the prevalence of obesity, the value of initiatives aimed at supporting healthy weight women to maintain their weight should not be under-estimated. Such initiatives need to work within the social and personal constraints that women face in maintaining good health.

  11. Urban development and employment in Abidjan.

    PubMed

    Joshi, H; Lubell, H; Mouly, J

    1975-04-01

    The city of Abidjan in the Ivory Coast has grown physically, economically, and demographically at rates exceeding all reasonable expectation. Yet, as in many other development nations, the employment generated by Abidjan's rapid economic expansion has failed to keep pace with the increase in working population it has attracted. Consequently, economic success has been accompanied by a variety of social strains. Some of these have been discussed in earlier issues of the "International Labour Review" by Louis Roussel. This discussion expands on Roussel's earlier treatment by focusing more specifically on several facets of the urban employment problem created by the rapid growth of Abidjan. Attention is directed to labor supply and employment, factors affecting migration, foreign Africans in the Ivory Coast labor force; the urban informal sector; urban infrastructure and development; social problems of population pressure; employment policy options (current government policies and other policy options); and general issues and policy alternatives (motivations for rural urban migration, smaller urban centers as alternative growth poles, and distributing the gains from development). Several essential features of the employment problem stem from the rural urban distribution of the workforce. The rural labor force, including temporary seasonal workers from the savannah countries to the north, remains more or less in balance with increasing rural employment opportunities, since the migration of Ivory Coast nationals to the cities is balanced by the inflow of foreign workers. In contrast, the influx of migrants into urban areas has led to a more rapid increase in the urban labor force than in urban employment, with a consequent rise in unemployment. In 1970 the Abidjan rate of open unemployment was probably around 20%. At this time, most people's idea of a desirable job is one in the formal sector of the urban economy. If there is to be any hope of an eventual balance between

  12. Early urban impact on Mediterranean coastal environments

    PubMed Central

    Kaniewski, David; Van Campo, Elise; Morhange, Christophe; Guiot, Joël; Zviely, Dov; Shaked, Idan; Otto, Thierry; Artzy, Michal

    2013-01-01

    A common belief is that, unlike today, ancient urban areas developed in a sustainable way within the environmental limits of local natural resources and the ecosystem's capacity to respond. This long-held paradigm is based on a weak knowledge of the processes underpinning the emergence of urban life and the rise of an urban-adapted environment in and beyond city boundaries. Here, we report a 6000-year record of environmental changes around the port city of Akko (Acre), Israel, to analyse ecological processes and patterns stemming from the emergence and growth of urban life. We show that early urban development deeply transformed pre-existing ecosystems, swiftly leading to an urban environment already governed by its own ecological rules and this, since the emergence of the cities. PMID:24345820

  13. Urbanization and Land Use Changes in Peri-Urban Area using Spatial Analysis Methods (Case Study: Ciawi Urban Areas, Bogor Regency)

    NASA Astrophysics Data System (ADS)

    Cahya, D. L.; Martini, E.; Kasikoen, K. M.

    2018-02-01

    Urbanization is shown by the increasing percentage of the population in urban areas. In Indonesia, the percentage of urban population increased dramatically form 17.42% (1971) to 42.15% (2010). This resulted in increased demand for housing. Limited land in the city area push residents looking for an alternative location of his residence to the peri-urban areas. It is accompanied by a process of land conversion from green area into built-up area. Continuous land conversion in peri-urban area is becoming increasingly widespread. Bogor Regency as part of the Jakarta Metropolitan Area is experiencing rapid development. This regency has been experienced land-use change very rapidly from agricultural areas into urban built up areas. Aim of this research is to analyze the effect of urbanization on land use changes in peri-urban areas using spatial analysis methods. This research used case study of Ciawi Urban Area that experiencing rapid development. Method of this research is using descriptive quantitative approach. Data used in this research is primary data (field survey) and secondary data (maps). To analyze land use change is using Geographic Information System (GIS) as spatial analysis methods. The effect of urbanization on land use changes in Ciawi Urban Area from year 2013 to 2015 is significant. The reduction of farm land is around -4.00% and wetland is around - 2.51%. The increasing area for hotel/villa/resort is around 3.10%. Based on this research, local government (Bogor Regency) should be alert to the land use changes that does not comply with the land use plan and also consistently apply the spatial planning.

  14. 77 FR 65574 - Notice of Proposed Information Collection: Healthy Homes and Lead Hazard Control Programs Data...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-29

    ... Information Collection: Healthy Homes and Lead Hazard Control Programs Data Collection--Progress Reporting AGENCY: Office of Healthy Homes and Lead Hazard Control, HUD. ACTION: Notice. SUMMARY: The revised... of Healthy Homes and Lead Hazard Control, Department of Housing and Urban Development, 451 7th Street...

  15. Planning and Partnerships for the Renewal of Urban Neighborhoods

    ERIC Educational Resources Information Center

    Sterrett, Stephen A.

    2009-01-01

    Urban universities are a key resource for municipal government, businesses, community organizations, and citizens to foster partnerships for successful renewal of distressed urban neighborhoods. From its experience over the past decade, the Ohio State University has created a successful model for engagement with its neighborhoods and the City of…

  16. Impacts of Urbanization on Flood and Soil Erosion Hazards in Istanbul, Turkey

    ERIC Educational Resources Information Center

    Ozacar, Biricik Gozde

    2013-01-01

    Due to the inappropriate planning and explosive population growth in urban areas, especially in developing countries, sustainable and disaster-safe urbanization has become the most important challenge for governments. Urbanization presents benefits in different ways but has led simultaneously to changes in land use/land cover (LULC), impacting…

  17. Intersectoral collaboration for physical activity in Korean Healthy Cities.

    PubMed

    Kang, Eunjeong

    2016-09-01

    Intersectoral collaboration (ISC) is important in the health field because the complexity of determinants of health makes it difficult for one institution to resolve all health issues. Promotion of physical activity can especially benefit from a multi-sectoral approach. Despite so much emphasis on its importance in both primary health and health promotion, ISC has been underachieved in the field. This study aimed to examine the characteristics and level of ISC among physical activity programs in Healthy Cities as compared to non-Healthy Cities. I conducted a postal survey where 24 people from Healthy Cities and 72 people from non-Healthy Cities participated. The survey included questions to measure the level of ISC as well as to determine ISC partners and activities. Among the entire 393 physical activity programs, 336 (85.5%) had some kind of collaboration with one or more partners. The percentage having one or more partners was greater in Healthy Cities than in non-Healthy Cities. However, there were no statistical differences between the two groups in terms of the level of ISC within a municipal organization. Collaboration activities of the other departments were mostly supportive, such as providing a venue, recruiting participants and publicizing, and other kinds of administrative support. To strengthen ISC in Korean Healthy Cities, various actions including providing a legal basis, specific and substantive supports, financial incentives, and organizational recognitions will be helpful as well as the development of partnerships with other departments in urban planning, transport, urban design, and communication. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. Healthy Cities: a guide to the literature.

    PubMed Central

    Kenzer, M

    2000-01-01

    The author reviews the literature on attempts by city governments, international agencies, and nongovernmental and community organizations to improve city life around the world through Healthy Cities projects. PMID:10968770

  19. Makassar city government’s urban refugee policy: filling in the gap?

    NASA Astrophysics Data System (ADS)

    Gabiella, D.; Putri, R. A. A. K.

    2018-03-01

    Indonesia is home to 13,829 refugees and asylum seekers by the end of January 2017. In general, the number could be dichotomized into two categories: camp-based refugees and urban refugees. There are approximately 70.83% of urban refugees living in several cities across the country. The existence of refugees in urban environments has been considered as either bringing promise or peril to urban development. Makassar is one among the most populated cities by refugees in Indonesia. In the middle of the inadequacy of legal framework at the national level, the Makassar City Government initiated a policy to address the issues of refugees staying in the city specifically. In 2005, the Mayor of Makassar signed a Memorandum of Understanding with International Organization for Migration (IOM) to accommodate the needs for funding allocated from Regional Budget that could not be dispensed due to the absence of legal basis. The city also constituted a Joint Committee Monitoring (JCM), which comprises of various government agencies, to support the Immigration Office in monitoring the refugees. These initiatives allow refugees to access basic services that are not made available to them in other cities. Against this backdrop, this paper mainly discusses the initiatives and refugee policy of Makassar City Government, which had emulated the national government’s policy to refugee management before the recently signed Presidential Decree No. 25 / 2016. It argues that the proactive and relatively integrative approach of the City Government alongside the social inclusion by the local community have contributed positively to the livelihoods of urban refugees in Makassar.

  20. The Urban Ecology Institute's field studies program: utilizing urban areas for experiential learning and ecological research

    NASA Astrophysics Data System (ADS)

    Starry, O.

    2005-05-01

    The Urban Ecology Institute (UEI) promotes the stewardship of healthy urban ecosystems by improving science and civic education for middle and high school youth and by working with urban communities to protect and transform natural resources. Established in 1999, UEI's field studies program engages over 1000 youth in the greater Boston area. A substantial component of this program involves water quality monitoring. We have recently adapted protocols from published leaf breakdown studies for incorporation into the UEI water quality curriculum. A 2004 pilot study of these leaf breakdown activities, conducted at four sites, compared rates of red maple breakdown to those of Norway maple, a potentially invasive urban street tree. Preliminary data from this successful pilot study suggest that leaf litter inputs from the two different tree species have varying effects on stream ecosystem function. We present this study as an example of how urban areas can be utilized for both ecological research and inclusive experiential learning through which science and mathematic knowledge can be effectively communicated.

  1. Evolution of life in urban environments.

    PubMed

    Johnson, Marc T J; Munshi-South, Jason

    2017-11-03

    Our planet is an increasingly urbanized landscape, with over half of the human population residing in cities. Despite advances in urban ecology, we do not adequately understand how urbanization affects the evolution of organisms, nor how this evolution may affect ecosystems and human health. Here, we review evidence for the effects of urbanization on the evolution of microbes, plants, and animals that inhabit cities. Urbanization affects adaptive and nonadaptive evolutionary processes that shape the genetic diversity within and between populations. Rapid adaptation has facilitated the success of some native species in urban areas, but it has also allowed human pests and disease to spread more rapidly. The nascent field of urban evolution brings together efforts to understand evolution in response to environmental change while developing new hypotheses concerning adaptation to urban infrastructure and human socioeconomic activity. The next generation of research on urban evolution will provide critical insight into the importance of evolution for sustainable interactions between humans and our city environments. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  2. An Exploratory Analysis of Student-Community Interactions in Urban Agriculture

    ERIC Educational Resources Information Center

    Grossman, Julie; Sherard, Maximilian; Prohn, Seb M.; Bradley, Lucy; Goodell, L. Suzanne; Andrew, Katherine

    2012-01-01

    Urban agriculture initiatives are on the rise, providing healthy food while teaching a land ethic to youth. In parallel, increasing numbers of university graduates are obtaining Extension work requiring the effective communication of science in a diverse, urban, low-income setting. This study evaluates a pilot service-learning program, the…

  3. Community perspectives on barriers and strategies for promoting locally grown produce from an urban agriculture farm.

    PubMed

    Hu, Alice; Acosta, Angela; McDaniel, Abigail; Gittelsohn, Joel

    2013-01-01

    Although much is understood about barriers to healthy food consumption in low-income, urban communities, knowledge regarding the crucial next step of building feasible, community-supported approaches to address those barriers remains limited. This qualitative study used in-depth interviews (n = 20), focus groups (n = 2), and participant observations (n = 3) to identify strategies to promote locally grown produce from an urban food security project, Produce From the Park (PFP), an urban farm. Informants included community organization representatives and residents from low-income neighborhoods in a mid-Atlantic city. Informants identified structural and cultural barriers to purchasing healthy food, including price, location, food culture, and lack of interest. Participants proposed a number of strategies, such as distribution through mobile food carts and farm stands, marketing new foods through taste tests and cooking demonstrations, and youth mentorship. Informants also described their perceptions of the local urban farm and suggested ways to increase community buy-in. Strategies mentioned were inexpensive and incorporated cultural norms and local assets. These community perspectives can provide insights for those promoting healthy eating in urban African American communities through urban food security projects.

  4. Governing & Foundation Boards: Fostering Successful Relationships.

    ERIC Educational Resources Information Center

    Legon, Richard D.

    1996-01-01

    Public colleges and universities increasingly raise private funds through institutional foundations. A healthy relationship between governing and foundation boards requires open communication, regular interaction, and shared information. The fulcrum of this relationship is the college's president, who has specific responsibilities toward each…

  5. Theorising Participation in Urban Regeneration Partnerships: An Adult Education Perspective

    ERIC Educational Resources Information Center

    Galvin, Martin; Mooney Simmie, Geraldine

    2017-01-01

    While the policy approach in Urban Regeneration Partnership tends to be viewed as participatory governance using an urban studies lens, this article posits an alternative theorisation that takes an adult education perspective. We draw from Lefebvre's notion of "space", Engeström's "Cultural Historical Activity Theory" and…

  6. Whose urban forest? The political ecology of foraging urban nontimber forest products

    Treesearch

    Patrick T. Hurley; Marla R. Emery; Rebecca McLain; Melissa Poe; Brian Grabbatin; Cari L. Goetcheus

    2015-01-01

    Drawing on case studies of foraging in Philadelphia, Pennsylvania and Mt. Pleasant, South Carolina, we point to foraging landscapes and practices within diverse urban forest spaces. We examine these spaces in relation to U.S. conservation and development processes and the effects of management and governance on species valued by foragers. These case studies reveal the...

  7. The Analytic Hierarchy Process (AHP) Approach for Assessment of Urban Renewal Proposals

    ERIC Educational Resources Information Center

    Lee, Grace K. L.; Chan, Edwin H. W.

    2008-01-01

    The problem of urban decay in Hong Kong is getting worse recently; therefore, the importance of urban renewal in improving the physical environment conditions and the living standards of the citizens is widely recognized in the territory. However, it is not an easy task for the Hong Kong Government to prepare welcome urban renewal proposals…

  8. Soil in the City: Sustainably Improving Urban Soils.

    PubMed

    Kumar, Kuldip; Hundal, Lakhwinder S

    2016-01-01

    Large tracts of abandoned urban land, resulting from the deindustrialization of metropolitan areas, are generating a renewed interest among city planners and community organizations envisioning the productive use of this land not only to produce fresh food but to effectively manage stormwater and mitigate the impact of urban heat islands. Healthy and productive soils are paramount to meet these objectives. However, these urban lands are often severely degraded due to anthropogenic activities and are generally contaminated with priority pollutants, especially heavy metals and polycyclic aromatic hydrocarbons. Characterizing these degraded and contaminated soils and making them productive again to restore the required ecosystem services was the theme of the "Soil in the City- 2014" conference organized by W-2170 Committee (USDA's Sponsored Multi-State Research Project: Soil-Based Use of Residuals, Wastewater, & Reclaimed Water). This special section of comprises 12 targeted papers authored by conference participants to make available much needed information about the characteristics of urban soils. Innovative ways to mitigate the risks from pollutants and to improve the soil quality using local resources are discussed. Such practices include the use of composts and biosolids to grow healthy foods, reclaim brownfields, manage stormwater, and improve the overall ecosystem functioning of urban soils. These papers provide a needed resource for educating policymakers, practitioners, and the general public about using locally available resources to restore fertility, productivity, and ecosystem functioning of degraded urban land to revitalize metropolitan areas for improving the overall quality of life for a large segment of a rapidly growing urban population. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

  9. Flood risk governance arrangements in Europe

    NASA Astrophysics Data System (ADS)

    Matczak, P.; Lewandowski, J.; Choryński, A.; Szwed, M.; Kundzewicz, Z. W.

    2015-06-01

    The STAR-FLOOD (Strengthening and Redesigning European Flood Risk Practices Towards Appropriate and Resilient Flood Risk Governance Arrangements) project, funded by the European Commission, investigates strategies for dealing with flood risk in six European countries: Belgium, the UK, France, the Netherlands, Poland and Sweden and in 18 vulnerable urban regions in these countries. The project aims to describe, analyse, explain, and evaluate the main similarities and differences between the selected EU Member States in terms of development and performance of flood risk governance arrangements. It also discusses the scientific and societal importance of these similarities and differences. Attention is paid to identification and characterization of shifts in flood risk governance arrangements and in flood risk management strategies and to determination of triggering factors and restraining factors. An assessment of a change of resilience and appropriateness (legitimacy, effectiveness, efficiency) of flood risk governance arrangements in Poland is presented and comparison with other European countries is offered.

  10. Mayoral Governance and Student Achievement: How Mayor-Led Districts Are Improving School and Student Performance

    ERIC Educational Resources Information Center

    Wong, Kenneth K.; Shen, Francis X.

    2013-01-01

    Mayoral control and accountability is one of very few major education reforms that aim at governance coherence in this nation's highly fragmented urban school systems. A primary feature of mayoral governance is that it holds the office of the mayor accountable for school performance. As an institutional redesign, mayoral governance integrates…

  11. Mapping Access to Community-Developed Healthy Food Baskets Including Cost and Availability

    ERIC Educational Resources Information Center

    Ginn, Alison; Majumdar, Anne; Carr, Marimba; Eastwood, Ginny; Menger, Beth

    2016-01-01

    Background: Food security is a topical issue but one that can be difficult to measure. Objective: To develop a community-approved food basket tool and use this to investigate the availability and affordability of a healthy diet in a multicultural urban setting. Design: A 7-day healthy food basket (HFB) containing 96 foods for six household types…

  12. Toward a research and action agenda on urban planning/design and health equity in cities in low and middle-income countries.

    PubMed

    Smit, Warren; Hancock, Trevor; Kumaresen, Jacob; Santos-Burgoa, Carlos; Sánchez-Kobashi Meneses, Raúl; Friel, Sharon

    2011-10-01

    The importance of reestablishing the link between urban planning and public health has been recognized in recent decades; this paper focuses on the relationship between urban planning/design and health equity, especially in cities in low and middle-income countries (LMICs). The physical urban environment can be shaped through various planning and design processes including urban planning, urban design, landscape architecture, infrastructure design, architecture, and transport planning. The resultant urban environment has important impacts on the health of the people who live and work there. Urban planning and design processes can also affect health equity through shaping the extent to which the physical urban environments of different parts of cities facilitate the availability of adequate housing and basic infrastructure, equitable access to the other benefits of urban life, a safe living environment, a healthy natural environment, food security and healthy nutrition, and an urban environment conducive to outdoor physical activity. A new research and action agenda for the urban environment and health equity in LMICs should consist of four main components. We need to better understand intra-urban health inequities in LMICs; we need to better understand how changes in the built environment in LMICs affect health equity; we need to explore ways of successfully planning, designing, and implementing improved health/health equity; and we need to develop evidence-based recommendations for healthy urban planning/design in LMICs.

  13. Healthy food access for urban food desert residents: examination of the food environment, food purchasing practices, diet and BMI.

    PubMed

    Dubowitz, Tamara; Zenk, Shannon N; Ghosh-Dastidar, Bonnie; Cohen, Deborah A; Beckman, Robin; Hunter, Gerald; Steiner, Elizabeth D; Collins, Rebecca L

    2015-08-01

    To provide a richer understanding of food access and purchasing practices among US urban food desert residents and their association with diet and BMI. Data on food purchasing practices, dietary intake, height and weight from the primary food shopper in randomly selected households (n 1372) were collected. Audits of all neighbourhood food stores (n 24) and the most-frequented stores outside the neighbourhood (n 16) were conducted. Aspects of food access and purchasing practices and relationships among them were examined and tests of their associations with dietary quality and BMI were conducted. Two low-income, predominantly African-American neighbourhoods with limited access to healthy food in Pittsburgh, PA, USA. Household food shoppers. Only one neighbourhood outlet sold fresh produce; nearly all respondents did major food shopping outside the neighbourhood. Although the nearest full-service supermarket was an average of 2·6 km from their home, respondents shopped an average of 6·0 km from home. The average trip was by car, took approximately 2 h for the round trip, and occurred two to four times per month. Respondents spent approximately $US 37 per person per week on food. Those who made longer trips had access to cars, shopped less often and spent less money per person. Those who travelled further when they shopped had higher BMI, but most residents already shopped where healthy foods were available, and physical distance from full-service supermarkets was unrelated to weight or dietary quality. Improved access to healthy foods is the target of current policies meant to improve health. However, distance to the closest supermarket might not be as important as previously thought, and thus policy and interventions that focus merely on improving access may not be effective.

  14. Urban Boundary Extraction and Urban Sprawl Measurement Using High-Resolution Remote Sensing Images: a Case Study of China's Provincial

    NASA Astrophysics Data System (ADS)

    Wang, H.; Ning, X.; Zhang, H.; Liu, Y.; Yu, F.

    2018-04-01

    Urban boundary is an important indicator for urban sprawl analysis. However, methods of urban boundary extraction were inconsistent, and construction land or urban impervious surfaces was usually used to represent urban areas with coarse-resolution images, resulting in lower precision and incomparable urban boundary products. To solve above problems, a semi-automatic method of urban boundary extraction was proposed by using high-resolution image and geographic information data. Urban landscape and form characteristics, geographical knowledge were combined to generate a series of standardized rules for urban boundary extraction. Urban boundaries of China's 31 provincial capitals in year 2000, 2005, 2010 and 2015 were extracted with above-mentioned method. Compared with other two open urban boundary products, accuracy of urban boundary in this study was the highest. Urban boundary, together with other thematic data, were integrated to measure and analyse urban sprawl. Results showed that China's provincial capitals had undergone a rapid urbanization from year 2000 to 2015, with the area change from 6520 square kilometres to 12398 square kilometres. Urban area of provincial capital had a remarkable region difference and a high degree of concentration. Urban land became more intensive in general. Urban sprawl rate showed inharmonious with population growth rate. About sixty percent of the new urban areas came from cultivated land. The paper provided a consistent method of urban boundary extraction and urban sprawl measurement using high-resolution remote sensing images. The result of urban sprawl of China's provincial capital provided valuable urbanization information for government and public.

  15. The role of government and regulation in cancer prevention.

    PubMed

    Brawley, Otis W

    2017-08-01

    The world population is ageing and increasing in size. As a result, the numbers of people diagnosed with and dying of cancer are increasing. Cancer is also a growing problem in developing countries. Government, be it local, state, provincial, national, or even a union of nations, has clear roles in the control of cancer. It is widely appreciated that much of the research that has defined the causes and treatment of cancer was, and is, government funded. Less appreciated, the body of work about how to control cancer shows the importance of an environment that encourages individuals to adopt healthy behaviours, and government has a vitally important role. Through regulation, education, and support programmes, governments can create an environment in which tobacco use is reduced and citizens maintain good levels of physical activity, healthy bodyweight, and good nutrition. Cancer prevention and the creation of a culture of health is an essential mission of government, beyond that of the traditional health-focused departments such as health ministries; it is in the domain of governmental agencies involved in environmental protection, occupational safety, and transportation. Cancer prevention and health promotion are also in the realm of the zoning board, the board of education, and the board of health. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Developing a conceptual framework of urban health observatories toward integrating research and evidence into urban policy for health and health equity.

    PubMed

    Caiaffa, W T; Friche, A A L; Dias, M A S; Meireles, A L; Ignacio, C F; Prasad, A; Kano, M

    2014-02-01

    Detailed information on health linked to geographic, sociodemographic, and environmental data are required by city governments to monitor health and the determinants of health. These data are critical for guiding local interventions, resource allocation, and planning decisions, yet they are too often non-existent or scattered. This study aimed to develop a conceptual framework of Urban Health Observatories (UHOs) as an institutional mechanism which can help synthesize evidence and incorporate it into urban policy-making for health and health equity. A survey of a select group of existent UHOs was conducted using an instrument based on an a priori conceptual framework of key structural and functional characteristics of UHOs. A purposive sample of seven UHOs was surveyed, including four governmental, two non-governmental, and one university-based observatory, each from a different country. Descriptive and framework analysis methods were used to analyze the data and to refine the conceptual framework in light of the empirical data. The UHOs were often a product of unique historical circumstances. They were relatively autonomous and capable of developing their own locally sensitive agenda. They often had strong networks for accessing data and were able to synthesize them at the urban level as well as disaggregate them into smaller units. Some UHOs were identified as not only assessing but also responding to local needs. The findings from this study were integrated into a conceptual framework which illustrates how UHOs can play a vital role in monitoring trends in health determinants, outcomes, and equity; optimizing an intersectoral urban information system; incorporating research on health into urban policies and systems; and providing technical guidance on research and evidence-based policy making. In order to be most effective, UHOs should be an integral part of the urban governance system, where multiple sectors of government, the civil society, and businesses can

  17. State Education Finance and Governance Profile: Louisiana

    ERIC Educational Resources Information Center

    Shaikh, Naveed A.

    2010-01-01

    This article presents Louisiana's education finance and governance profile. Louisiana witnessed a 3.9% decline in population during the period from 2000 to 2007. Poverty persists both in urban and rural areas of the state, as demonstrated by visible poverty both in the agricultural parishes and in major cities such as New Orleans and Shreveport…

  18. Exploring Shared Governance for an Academic Nursing Setting.

    PubMed

    Boswell, Carol; Opton, Laura; Owen, Donna C

    2017-04-01

    A beneficial work environment influences staff and employee satisfaction and contributes to enhanced organizational execution. This article communicates a literature review of the existing knowledge to describe the potential influence of job satisfaction, empowerment, and work engagement on a faculty and staff academic shared governance model and impact on the improvement of a healthy work environment. References from PubMed (from 1975 to 2014) and ERIC (from 2006 to 2016), along with manuscripts included in the reference lists of the selected articles, served as the basis of the review. Definitions and descriptions of shared governance in academic settings suggested the potential influence on the development of a faculty and staff shared governance model within a school of nursing on job satisfaction, empowerment, and work engagement, resulting in the maintenance of a healthy work environment. This shift is essential for the resilience of nursing academia and the building of novel, more inclusive approaches to innovation that tap into the talent and skill of all organizational members. [J Nurs Educ. 2017;56(4):197-203.]. Copyright 2017, SLACK Incorporated.

  19. Toward Sustainable Anticipatory Governance: Analyzing and Assessing Nanotechnology Innovation Processes

    NASA Astrophysics Data System (ADS)

    Foley, Rider Williams

    Cities around the globe struggle with socio-economic disparities, resource inefficiency, environmental contamination, and quality-of-life challenges. Technological innovation, as one prominent approach to problem solving, promises to address these challenges; yet, introducing new technologies, such as nanotechnology, into society and cities has often resulted in negative consequences. Recent research has conceptually linked anticipatory governance and sustainability science: to understand the role of technology in complex problems our societies face; to anticipate negative consequences of technological innovation; and to promote long-term oriented and responsible governance of technologies. This dissertation advances this link conceptually and empirically, focusing on nanotechnology and urban sustainability challenges. The guiding question for this dissertation research is: How can nanotechnology be innovated and governed in responsible ways and with sustainable outcomes? The dissertation: analyzes the nanotechnology innovation process from an actor- and activities-oriented perspective (Chapter 2); assesses this innovation process from a comprehensive perspective on sustainable governance (Chapter 3); constructs a small set of future scenarios to consider future implications of different nanotechnology governance models (Chapter 4); and appraises the amenability of sustainability problems to nanotechnological interventions (Chapter 5). The four studies are based on data collected through literature review, document analysis, participant observation, interviews, workshops, and walking audits, as part of process analysis, scenario construction, and technology assessment. Research was conducted in collaboration with representatives from industry, government agencies, and civic organizations. The empirical parts of the four studies focus on Metropolitan Phoenix. Findings suggest that: predefined mandates and economic goals dominate the nanotechnology innovation process

  20. The healthy food environment policy index: findings of an expert panel in New Zealand.

    PubMed

    Vandevijvere, Stefanie; Dominick, Clare; Devi, Anandita; Swinburn, Boyd

    2015-05-01

    To assess government actions to improve the healthiness of food environments in New Zealand, based on the healthy food environment policy index. A panel of 52 public health experts rated the extent of government implementation against international best practice for 42 indicators of food environment policy and infrastructure support. Their ratings were informed by documented evidence, validated by government officials and international benchmarks. There was a high level of implementation for some indicators: providing ingredient lists and nutrient declarations and regulating health claims on packaged foods; transparency in policy development; monitoring prevalence of noncommunicable diseases and monitoring risk factors for noncommunicable diseases. There was very little, if any implementation of the following indicators: restrictions on unhealthy food marketing to children; fiscal and food retail policies and protection of national food environments within trade agreements. Interrater reliability was 0.78 (95% confidence interval, CI: 0.76-0.79). Based on the implementation gaps, the experts recommended 34 actions, and prioritized seven of these. The healthy food environment policy index provides a useful set of indicators that can focus attention on where government action is needed. It is anticipated that this policy index will increase accountability of governments, stimulate government action and support civil society advocacy efforts.

  1. Afghanistan: Politics, Elections, and Government Performance

    DTIC Science & Technology

    2010-03-08

    winner and the second round not held. The United States, U.N. Secretary General Ban Ki Moon (visiting Kabul), and several governments congratulated...investigation of the fraud. This led to the September 29, 2009, dismissal by Secretary General Ban Ki Moon of Galbraith, who had openly accused UNAMA...Aviation; and (10) Sultan Hussein Hesari, Minister of Urban Development. 2010 Parliamentary Elections/Election Law Controversy has enveloped the

  2. Healthy cities as catalysts for caring and supportive environments.

    PubMed

    Green, Geoff; Jackisch, Josephine; Zamaro, Gianna

    2015-06-01

    'Caring and Supportive Environments' are fundamental to a social model of health and were a core theme of Phase V (2009-13) of the WHO European Healthy Cities Network. Deploying the methodology of realist evaluation, this article synthesizes qualitative evidence from 112 highly structured case studies from 68 Network cities and 71 responses to a General Evaluation Questionnaire, which asked cities to analyze city attributes and trends. A schematic model was developed to describe the interaction between action targeted toward children, migrants, older people and action on social and health services, health literacy and active citizenship-the six subtopics clustered within the theme Caring and Supportive Environments. Four hypotheses were tested: (i) there are prerequisites and processes of local governance that increase city capacity for creating supportive environments; (ii) investing in health and social services, active citizenship and health literacy enhance the social inclusion of vulnerable population groups; (iii) there are synergies between social investment and healthy urban planning; and (iv) these investments promote greater equity in health. The evaluation revealed many innovative practices. Providers of health and social services have developed partnerships with agencies influencing wider determinants of health. Health literacy campaigns address the wider context of people's lives. In a period of economic austerity, cities have utilized the social assets of their citizens. Realist evaluation can help illuminate the pathways from case study interventions to health outcomes, and the prerequisites and processes required to initiate and sustain such investments. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  3. Urban ecological stewardship: understanding the structure, function and network of community-based urban land management

    Treesearch

    Erika s. Svendsen; Lindsay K. Campbell

    2008-01-01

    Urban environmental stewardship activities are on the rise in cities throughout the Northeast. Groups participating in stewardship activities range in age, size, and geography and represent an increasingly complex and dynamic arrangement of civil society, government and business sectors. To better understand the structure, function and network of these community-based...

  4. Reclaiming respectability? The class-cultural dynamics of crime, community and governance in inner-city Dublin.

    PubMed

    Ilan, Jonathan

    2011-01-01

    This paper critically examines developments in Irish urban governance through an ethnographic account of one community's historical memory and contemporary structure. During an era of rapid economic growth, the Irish state has courted previously excluded communities, offering them greater "inclusion" as "partners" in responding to urban decay and crime. The micro-governance structures this creates, however, become sites of contest between competing community factions and class-cultural imperatives. Tensions emerge between aspirational community leaders championing the aesthetics (if not the values) of "respectability" and residual residents who are presented as "rough". The paper demonstrates that nuances of class-cultural identity dictate the character of partnership governance at the community level with particular implications for local regeneration and crime control agendas.

  5. Business, Households, and Government: Health Care Spending, 1995

    PubMed Central

    Cowan, Cathy A.; Braden, Bradley R.

    1997-01-01

    For the period 1990-95, we will present data on health care spending by business, households, and government. In addition, we will measure the relative impact of these expenditures on each sector's ability to pay. In 1994 and 1995, health care costs experienced the slowest growth in 3 decades. Combined with healthy revenue growth, slow cost growth helped ease or stabilize the financing burden faced by business, households and government. PMID:10170349

  6. Maternal responses to childhood fevers: a comparison of rural and urban residents in coastal Kenya.

    PubMed

    Molyneux, C S; Mung'Ala-Odera, V; Harpham, T; Snow, R W

    1999-12-01

    Urbanization is an important demographic phenomenon in sub-Saharan Africa, and rural-urban migration remains a major contributor to urban growth. In a context of sustained economic recession, these demographic processes have been associated with a rise in urban poverty and ill health. Developments in health service provision need to reflect new needs arising from demographic and disease ecology change. In malaria-endemic coastal Kenya, we compared lifelong rural (n = 248) and urban resident (n = 284) Mijikenda mothers' responses to childhood fevers. Despite marked differences between the rural and urban study areas in demographic structure and physical access to biomedical services, rural and urban mothers' treatment-seeking patterns were similar: most mothers sought only biomedical treatment (88%). Shop-bought medicines were used first or only in 69% of the rural and urban fevers that were treated, and government or private clinics were contacted in 49%. A higher proportion of urban informal vendors stocked prescription-only drugs, and urban mothers more likely to contact a private than a government facility. We conclude that improving self-treatment has enormous potential to reduce morbidity and mortality in low-income urban areas, as has frequently been argued for rural areas. However, because of the underlying socio-economic, cultural and structural differences between rural and urban areas, rural approaches to tackle this may have to be modified in urban environments.

  7. Inspection Judgements on Urban Schools: A Case for the Defence

    ERIC Educational Resources Information Center

    Gorton, Julian; Williams, Melanie; Wrigley, Terry

    2014-01-01

    This article is co-authored by two urban school Heads in the north of England with the support of an academic partner. The article begins with the phenomenon of official judgements of urban schools, made by the Office for Standards in Education, Children's Services and Skills, a semi-privatised and supposedly independent arm of government. The…

  8. The Research on the Framework of Healthy Water System Governance in Shandong Province

    NASA Astrophysics Data System (ADS)

    Liu, Fang; Li, Xiaomei; Min, Xianwei

    2018-02-01

    At present, the traditional water conservancy system in Shandong has created and exerted great social and economic benefits, but there are some kinds of obvious problems at the same time, for example, the water pollution is serious, the water conservancy project is not complete, the high and new technology is not widely used, the management system is not perfect, and the allocation of water resources is not reasonable, and so on. On the premise of absorbing the experience and lessons of traditional water conservancy, this paper discussed the main components of the framework of health water system in Shandong Province, and formed the four supporting systems of Shandong healthy water system. This study is not only of great practical significance to accelerate the transformation of traditional water resources to healthy water system in the whole province, provide strong support for the construction of strong economic and cultural province. At the same time, it also provides an important reference for the national healthy water system.

  9. Rural-urban migration and socioeconomic development in Ghana: some discussions.

    PubMed

    Twumasi-ankrah, K

    1995-01-01

    This article presents a discussion of rural-urban migration as a source of social and behavioral change in Ghana. It explores the extent to which the urban social environment in Ghana generates conflicts for migrants with a different value orientation and the degree of influence of the urban social environment on migrants' behavior. The first part of the discussion focuses on the nature of Ghana's urbanization process, the motivation and characteristics of rural-urban migrants, and the nature of the social interaction between migrants and the social urban environment. Migrants contribute directly and indirectly to rural development in many ways. Some urban migrants achieve economic and material wealth and, through their attachment to voluntary tribal associations, assist local community development. Government can augment this process of migrant investment in rural life by identifying these actions as patriotic efforts and awarding citizenship medals or challenge grants. Governments need to review their citizenship laws carefully in light of the "brain drain" issues in the new world order and maximize the flow of resources, technical skills, and ideas from international migrants. A high-quality rural labor force can be enticed to live in rural areas by offering higher salaries and benefits, low income tax rates, better housing, and rural electrification and sanitation. Private firms should be offered incentives to locate in rural areas and increase employment opportunities for rural labor. Career advancement of development planners should be tied to program success or some form of public accountability for careful allocation of resources in rural areas. Fertility policies should be sensitive to urban subgroups. Urban and rural social differences are minor and do not impede urban assimilation, but unemployment and underemployment are problems for many.

  10. Cumulative Causation of Rural Migration and Initial Peri-Urbanization in China.

    PubMed

    Hao, Lingxin

    2012-01-01

    This paper posits that rural migration feeds the high demand for cheap labor in peri-urbanization, which is driven by globalization, flows of foreign capital, and entrepreneurial local governments. While the gravity model and push/pull perspective ignore the dynamics of migratory course, we use the cumulative causation of migration theory to conceptualize social expectations for outmigration and social resources from migrant networks in destinations. Four major findings are drawn from this demographic analysis based on micro data from China's 2000 Census. First, the expectation of outmigration significantly increases outmigration, and this effect is independent of push factors. Second, foreign direct investment (FDI) contributes to attracting rural labor migrants from other provinces to peri-urban areas as it does to cities. Third, social resources from migrant networks play an important role in attracting rural labor migrants to both city and noncity destinations. Fourth, the importance of wage differentials declines in gravitating rural labor migrants to peri-urban areas. These findings provide tentative evidence that rural labor migration is indispensable during initial peri-urbanization. Infused with flows of FDI and entrepreneurial local governments, rural migration has created a favorable initial condition for peri-urbanization.

  11. Cumulative Causation of Rural Migration and Initial Peri-Urbanization in China*

    PubMed Central

    Hao, Lingxin

    2014-01-01

    This paper posits that rural migration feeds the high demand for cheap labor in peri-urbanization, which is driven by globalization, flows of foreign capital, and entrepreneurial local governments. While the gravity model and push/pull perspective ignore the dynamics of migratory course, we use the cumulative causation of migration theory to conceptualize social expectations for outmigration and social resources from migrant networks in destinations. Four major findings are drawn from this demographic analysis based on micro data from China’s 2000 Census. First, the expectation of outmigration significantly increases outmigration, and this effect is independent of push factors. Second, foreign direct investment (FDI) contributes to attracting rural labor migrants from other provinces to peri-urban areas as it does to cities. Third, social resources from migrant networks play an important role in attracting rural labor migrants to both city and noncity destinations. Fourth, the importance of wage differentials declines in gravitating rural labor migrants to peri-urban areas. These findings provide tentative evidence that rural labor migration is indispensable during initial peri-urbanization. Infused with flows of FDI and entrepreneurial local governments, rural migration has created a favorable initial condition for peri-urbanization. PMID:25525564

  12. Governance and networks for health co-benefits of climate change mitigation: Lessons from two Indian cities.

    PubMed

    Puppim de Oliveira, Jose A; Doll, Christopher N H

    2016-12-01

    Health has been the main driver for many urban environmental interventions, particularly in cases of significant health problems linked to poor urban environmental conditions. This paper examines empirically the links between climate change mitigation and health in urban areas, when health is the main driver for improvements. The paper aims to understand how systems of urban governance can enable or prevent the creation of health outcomes via continuous improvements in the environmental conditions in a city. The research draws on cases from two Indian cities where initiatives were undertaken in different sectors: Surat (waste) and Delhi (transportation). Using the literature on network effectiveness as an analytical framework, the paper compares the cases to identify the possible ways to strengthen the governance and policy making process in the urban system so that each intervention can intentionally realize multiple impacts for both local health and climate change mitigation in the long term as well as factors that may pose a threat to long-term progress and revert back to the previous situation after initial achievements. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. 24 CFR 570.510 - Transferring projects from urban counties to metropolitan cities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... counties to metropolitan cities. 570.510 Section 570.510 Housing and Urban Development Regulations Relating... GRANTS Grant Administration § 570.510 Transferring projects from urban counties to metropolitan cities... county to a new metropolitan city, provided: the city was an included unit of general local government in...

  14. 24 CFR 570.510 - Transferring projects from urban counties to metropolitan cities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... counties to metropolitan cities. 570.510 Section 570.510 Housing and Urban Development Regulations Relating... GRANTS Grant Administration § 570.510 Transferring projects from urban counties to metropolitan cities... county to a new metropolitan city, provided: the city was an included unit of general local government in...

  15. Afghanistan: Politics, Elections, and Government Performance

    DTIC Science & Technology

    2010-04-06

    investigated. On that basis, the United States, as well as U.N. Secretary General Ban Ki Moon (visiting Kabul), and several governments, congratulated...investigation of the fraud. This led to the September 29, 2009, dismissal by Secretary General Ban Ki Moon of Galbraith, who had openly accused UNAMA head Kai...Minister of Transport and Aviation; and (10) Sultan Hussein Hesari, Minister of Urban Development. 2010 Parliamentary Elections and Election Law

  16. Afghanistan: Politics, Elections, and Government Performance

    DTIC Science & Technology

    2010-02-19

    States, U.N. Secretary General Ban Ki Moon (visiting Kabul), and several governments congratulated Karzai on the victory. U.S. officials, including...Ban Ki Moon of Galbraith, who had openly accused UNAMA head Kai Eide of soft-pedaling on the fraud charges and siding with Karzai. Galbraith has...of Transport and Aviation; and (10) Sultan Hussein Hesari, Minister of Urban Development. 2010 Parliamentary Elections/Election Law On January 2

  17. Model of urban poverty alleviation through the development of entrepreneurial spirit and business competence

    NASA Astrophysics Data System (ADS)

    Aryaningsih, NN; Irianto, Kt; Marsa Arsana, Md; Juli Suarbawa, Kt

    2018-01-01

    The rapid increased of urban population can not be controlled by the city government. This will have an impact on the emergence of new poverty in urban areas, due to inadequate of the job opportunities and skills. Government programs for poverty alleviation can reduce some rural poverty, but have not been able to overcome poverty in urban areas. The diversity of urban issues and needs is greater than in rural areas. Therefore, it is necessary to conduct the research with the aim to build urban poverty reduction model through the development of entrepreneurship spirit and business competence. This research was conducted by investigation method, and questionnaire. Questionnaires are arranged with rating scale measurements. The validity and reliability of the questionnaire were tested by factor analysis. Model construction is constructed from various informant analyzes and descriptive statistical analysis. The results show that poverty alleviation model is very effective done by developing spirit of entrepreneurship and business competence.

  18. Urbanization, socioeconomic status and health disparity in China.

    PubMed

    Miao, Jia; Wu, Xiaogang

    2016-11-01

    While urbanization is associated with a wide range of human welfare outcomes, its impacts on population health are much less obvious. This article aims to investigate how rapid urbanization in contemporary China affects health, and how it shapes health disparities between groups of different socioeconomic status (SES). Using data from eight waves of the China Health and Nutrition Survey (CHNS) spanning a period of 20 years from 1991 to 2011, we examine the confounding effects of urbanization on health and the income-health relationship and explore the underlying mechanism. Results from multilevel analysis show that living in more urbanized areas increases the risk of acquiring chronic diseases, and the health penalty of urbanization is more severe among those with a higher income. Lifestyle is the pathway through which urbanization affects health, and a high-fat diet and decreased physical activity diminish the health benefit brought by high income and accelerate health decline in more urbanized areas. These results suggest an urgent need to design and implement health promotion programs to encourage healthy lifestyles in China under rapid urbanization. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Location or Hukou: What Most Limits Fertility of Urban Women in China?

    PubMed Central

    Liang, Yun

    2017-01-01

    Abstract China's fertility rate is below replacement level. The government is attempting to increase this rate by relaxing the one‐child policy. China faces a possible tradeoff because further urbanization is needed to raise incomes but may reduce future fertility. We decompose China's rural–urban fertility gaps using both de facto and de jure criteria for defining the urban population. The fertility‐depressing effects of holding urban hukou are more than three times larger than effects of urban residence. Less of the rural–urban fertility gap by hukou status is due to differences in characteristics than is the case for the fertility gap by place of residence. PMID:29081975

  20. PREVALENCE AND DETERMINANTS OF STUNTING AMONG PRIMARY SCHOOL CHILDREN IN RURAL AND URBAN COMMUNITIES IN OBAFEMI OWODE LOCAL GOVERNMENT AREA, SOUTHWESTERN NIGERIA

    PubMed Central

    Adenuga, W.U.; Obembe, T.A.; Odebunmi, K.O.; Asuzu, M.C.

    2017-01-01

    Background: Studies on stunting in children have largely focused on the underfive, establishing it as a strong predictor of mortality in these children. Few studies have documented the prevalence or determinants of stunting among school children in southwestern Nigeria. The aim of the study was to determine the prevalence and predictors of stunting among selected primary school children in rural and urban communities of Obafemi Owode Local Government Area, Ogun State. Method: A cross-sectional study of rural and urban primary school children was conducted. An interviewer-administered questionnaire was used to collect information on respondents' and parents' socio-demographic characteristics. Stunting was defined as height-for-age less than two standard deviations from the median height-for-age of the standard World Health Organization reference population. Using EPI-INFO version 6.03, children were classified as stunted if z-scores of height-for-age were less than 2 standard deviations below the National Centre for Health statistics (NCHS)/WHO median. Height and weight were taken using a stadiometer and weighing scale respectively. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) Version 16.0 while predictors were determined using logistic regression at 95% level of significance. Results: A total of 1,160 primary school children were studied with 52.2% from rural schools. Males constituted 57.1% and 51.8% in the rural and urban school respectively. Prevalence of stunting among rural school children was 46.2%, and was significantly higher (p≤0.001) than among urban children at 33.8%. Younger children <10 years (OR: 0.088; 95CI: 0.052 - 0.150) and children between 11-12 years (OR: 0.534; 95CI: 0.322 - 0.886) were at a significantly lower risk of stunting both in rural schools compared to children >13 years. Conclusion: The prevalence of stunting was high especially among pupils from schools in the rural communities. This underscores

  1. Health anthropology and urban health research.

    PubMed

    Obrist, Brigit; VAN Eeuwijk, Peter; Weiss, Mitchell G

    2003-12-01

    We live in a rapidly urbanising world. According to the 2001 statistics of the United Nations,a the proportion of urban dwellers rose from 30% in 1950 to 47% in 2000 and will probably attain 60% in 2030. Almost 70% of these urban dwellers live in cities of developing regions. At the current rates of urbanisation, the number of city dwellers in the world will equal that of their rural counterparts by 2007. In the late 1980s, researchers became increasingly concerned about the combined impact of rapid urban growth and economic recession on the health of a majority of people in African and Asian cities. Several books established urban health research with a focus on developing countries as a multidisciplinary field of inquiry (Harpham et al., 1988; Salem &Jeannée, 1989). It is now widely recognised that urbanisation per se is not necessarily bad for health, but it becomes so if urban governments fail to establish and support necessary infrastructure and services to protect citizens from environmental hazards and from social, economic and political insecurity.

  2. [Spatiotemporal characteristics of urban land expansion in central area of Shanghai, China].

    PubMed

    Hu, Han-Wen; Wei, Ben-Sheng; Shen, Xing-Hua; Li, Jun-Xiang

    2013-12-01

    Using the high spatial resolution (2.5 m) color-infrared aerial photos acquired in 1989, 1994, 2000 and 2005, this paper analyzed the spatiotemporal characteristics of rapid urban expansion in central Shanghai with urban expansion intensity index and gradient analysis. Results showed that urban land use in Shanghai increased rapidly in a "pancake" style during the study period, and the anisotropic urban expansion moved the urban center 2.62 km toward southwest. The urban land use expansion intensity doubled and showed a rural-urban gradient. The most intensive urban expansion zone fell in the rural-urban transition zone, indicating the dominance of peripheral expansion as the primary urban expansion mode in Shanghai. However, the urban land use intensity decreased with time at the urban center. The primary driving forces of urban expansion included support from government policies and decision-making, enhanced economic activities, societal fixed assets investment, urban infrastructure investment, extension of transportation routes, as well as increase in urban population.

  3. The Role of Federal Government for Climate Adaptation in the Urban Context: Results of a workshop (Invited)

    NASA Astrophysics Data System (ADS)

    Buizer, J.; Chhetri, N.; Roy, M.

    2010-12-01

    Extreme weather events in urban areas such as torrential rainfall in Chicago and London, floods in Boston and Elbe and heat waves in Europe have shed stark light on cities’ vulnerability to the effects of climate change. At the same time, cities themselves are significant net contributors to GHG’s attributable to climatic changes through the built environment (e.g. housing, roads, and parking lots), transport, consumption and recreation. In the arid region of southwestern United States, issues associated with the adequacy of water resources, urban heat island, and air quality best exemplify these contributions. This duality - cities as impacted by, and contributors to extreme climatic patterns induced by climate change, and the specific climate information needed for decision-making by city planners - provided the impetus for a two-day workshop in January 2009. Organized by Arizona State University, the workshop included city managers, planners, private sector stakeholders, water managers, researchers, and Federal program managers. The aim was to identify information needs, and data and research gaps, as well as to design strategies to address climate uncertainty. Two key approaches discussed were: a) building multiple, flexible scenarios and modeling efforts that enable decision-makers to plan for a number of possible futures, and b) matching Federal climate assets to local, regional and sectoral needs through continuous collaboration that supports decision-making within the social, economic, and political context of the place. Federal leadership in facilitating, coordinating and informing efforts that nurture the creative intellectual capacity of cities to produce integrated solutions to mitigate the effects of and adapt to climate change will go a long way in addressing urban climate adaptation in the United States. Participants outlined a number of concerns and suggestions for Federal government leaders and services associated with a national climate

  4. Artemisinin combination therapies price disparity between government and private health sectors and its implication on antimalarial drug consumption pattern in Morogoro Urban District, Tanzania

    PubMed Central

    2012-01-01

    Background Universal access to effective treatments is a goal of the Roll Back Malaria Partnership. However, despite official commitments and substantial increases in financing, this objective remains elusive, as development assistance continue to be routed largely through government channels, leaving the much needed highly effective treatments inaccessible or unaffordable to those seeking services in the private sector. Methods To quantify the effect of price disparity between the government and private health systems, this study have audited 92 government and private Drug Selling Units (DSUs) in Morogoro urban district in Tanzania to determine the levels, trend and consumption pattern of antimalarial drugs in the two health systems. A combination of observation, interviews and questionnaire administered to the service providers of the randomly selected DSUs were used to collect data. Results ALU was the most selling antimalarial drug in the government health system at a subsidized price of 300 TShs (0.18 US$). By contrast, ALU that was available in the private sector (coartem) was being sold at a price of about 10,000 TShs (5.9 US$), the price that was by far unaffordable, prompting people to resort to cheap but failed drugs. As a result, metakelfin (the phased out drug) was the most selling drug in the private health system at a price ranging from 500 to 2,000 TShs (0.29–1.18 US$). Conclusions In order for the prompt diagnosis and treatment with effective drugs intervention to have big impact on malaria in mostly low socioeconomic malaria-endemic areas of Africa, inequities in affordability and access to effective treatment must be eliminated. For this to be ensued, subsidized drugs should be made available in both government and private health sectors to promote a universal access to effective safe and affordable life saving antimalarial drugs. PMID:22455367

  5. Artemisinin combination therapies price disparity between government and private health sectors and its implication on antimalarial drug consumption pattern in Morogoro Urban District, Tanzania.

    PubMed

    Malisa, Allen Lewis; Kiriba, Deodatus

    2012-03-28

    Universal access to effective treatments is a goal of the Roll Back Malaria Partnership. However, despite official commitments and substantial increases in financing, this objective remains elusive, as development assistance continue to be routed largely through government channels, leaving the much needed highly effective treatments inaccessible or unaffordable to those seeking services in the private sector. To quantify the effect of price disparity between the government and private health systems, this study have audited 92 government and private Drug Selling Units (DSUs) in Morogoro urban district in Tanzania to determine the levels, trend and consumption pattern of antimalarial drugs in the two health systems. A combination of observation, interviews and questionnaire administered to the service providers of the randomly selected DSUs were used to collect data. ALU was the most selling antimalarial drug in the government health system at a subsidized price of 300 TShs (0.18 US$). By contrast, ALU that was available in the private sector (coartem) was being sold at a price of about 10,000 TShs (5.9 US$), the price that was by far unaffordable, prompting people to resort to cheap but failed drugs. As a result, metakelfin (the phased out drug) was the most selling drug in the private health system at a price ranging from 500 to 2,000 TShs (0.29-1.18 US$). In order for the prompt diagnosis and treatment with effective drugs intervention to have big impact on malaria in mostly low socioeconomic malaria-endemic areas of Africa, inequities in affordability and access to effective treatment must be eliminated. For this to be ensued, subsidized drugs should be made available in both government and private health sectors to promote a universal access to effective safe and affordable life saving antimalarial drugs.

  6. Urban planning and public health at CDC.

    PubMed

    Kochtitzky, Chris S; Frumkin, H; Rodriguez, R; Dannenberg, A L; Rayman, J; Rose, K; Gillig, R; Kanter, T

    2006-12-22

    that community design contributes to physical and mental health; serving as President Lincoln's U.S. Sanitary Commission Secretary; and designing hundreds of places, including New York's Central Park. By 1872, the disciplines were so aligned that two of the seven founders of the American Public Health Association were urban designers (an architect and a housing specialist). In 1926, the U.S. Supreme Court, in validating zoning and land-use law as a legal government authority in Village of Euclid v. Ambler Realty, cited the protection of public health as part of its justification. Other connections have included 1) pioneering urbanist Jane Jacobs, who during the 1960s, called for community design that offered safe and convenient options for walking, biking, and impromptu social interaction; and 2) the Healthy Cities movement, which began in Europe and the United States during the 1980s and now includes projects in approximately 1,000 cities that in various ways highlight the role of health as much more than the presence of medical care.

  7. No Evidence of Association between Childhood Urban Environment and Cortical Thinning in Psychotic Disorder.

    PubMed

    Frissen, Aleida; van Os, Jim; Habets, Petra; Gronenschild, Ed; Marcelis, Machteld

    2017-01-01

    The alterations in cortical morphology, such as cortical thinning, observed in psychotic disorder, may be the outcome of interacting genetic and environmental effects. It has been suggested that urban upbringing may represent a proxy environmental effect impacting cortical thickness (CT). Therefore, the current study examined whether the association between group as a proxy genetic variable (patients with psychotic disorder [high genetic risk], healthy siblings of patients [intermediate risk] and healthy control subjects [average risk]) and CT was conditional on different levels of the childhood urban environment and whether this was sex-dependent. T1-weighted MRI scans were acquired from 89 patients with a psychotic disorder, 95 non-psychotic siblings of patients with psychotic disorder and 87 healthy control subjects. Freesurfer software was used to measure CT. Developmental urban exposure was classified as low, medium, and high, reflecting the population density and the number of moves between birth and the 15th birthday, using data from the Dutch Central Bureau of Statistics and the equivalent database in Belgium. Multilevel regression analyses were used to examine the association between group, sex, and urban upbringing (as well as their interactions) and cortical CT as the dependent variable. CT was significantly smaller in the patient group compared to the controls (B = -0.043, p <0.001), but not in the siblings compared to the controls (B = -0.013, p = 0.31). There was no main effect of developmental urbanicity on CT (B = 0.001, p = 0.91). Neither the three-way group × urbanicity × sex interaction (χ2 = 3.73, p = 0.16), nor the two-way group × urbanicity interaction was significant (χ2 = 0.51, p = 0.77). The negative association between (familial risk for) psychotic disorder and CT was not moderated by developmental urbanicity, suggesting that reduced CT is not the outcome of familial sensitivity to the proxy environmental factor 'urban upbringing'.

  8. AMERICAN HEALTHY HOMES SURVEY: A NATIONAL STUDY OF RESIDENTIAL RELATED HAZARDS

    EPA Science Inventory

    The US Environmental Protection Agency's (EPA) National Exposure Research Laboratory (NERL) and the US Department of Housing and Urban Development's (HUD) Office of Healthy Homes and Lead Hazard Control conducted a national survey of housing related hazards in US residences. The...

  9. Cultural investment and urban socio-economic development: a geosocial network approach.

    PubMed

    Zhou, Xiao; Hristova, Desislava; Noulas, Anastasios; Mascolo, Cecilia; Sklar, Max

    2017-09-01

    Being able to assess the impact of government-led investment onto socio-economic indicators in cities has long been an important target of urban planning. However, owing to the lack of large-scale data with a fine spatio-temporal resolution, there have been limitations in terms of how planners can track the impact and measure the effectiveness of cultural investment in small urban areas. Taking advantage of nearly 4 million transition records for 3 years in London from a popular location-based social network service, Foursquare, we study how the socio-economic impact of government cultural expenditure can be detected and predicted. Our analysis shows that network indicators such as average clustering coefficient or centrality can be exploited to estimate the likelihood of local growth in response to cultural investment. We subsequently integrate these features in supervised learning models to infer socio-economic deprivation changes for London's neighbourhoods. This research presents how geosocial and mobile services can be used as a proxy to track and predict socio-economic deprivation changes as government financial effort is put in developing urban areas and thus gives evidence and suggestions for further policymaking and investment optimization.

  10. Cultural investment and urban socio-economic development: a geosocial network approach

    PubMed Central

    Hristova, Desislava; Noulas, Anastasios; Mascolo, Cecilia; Sklar, Max

    2017-01-01

    Being able to assess the impact of government-led investment onto socio-economic indicators in cities has long been an important target of urban planning. However, owing to the lack of large-scale data with a fine spatio-temporal resolution, there have been limitations in terms of how planners can track the impact and measure the effectiveness of cultural investment in small urban areas. Taking advantage of nearly 4 million transition records for 3 years in London from a popular location-based social network service, Foursquare, we study how the socio-economic impact of government cultural expenditure can be detected and predicted. Our analysis shows that network indicators such as average clustering coefficient or centrality can be exploited to estimate the likelihood of local growth in response to cultural investment. We subsequently integrate these features in supervised learning models to infer socio-economic deprivation changes for London’s neighbourhoods. This research presents how geosocial and mobile services can be used as a proxy to track and predict socio-economic deprivation changes as government financial effort is put in developing urban areas and thus gives evidence and suggestions for further policymaking and investment optimization. PMID:28989752

  11. Urban Growth Scenarios of a Future MEGA City: Case Study Ahmedabad

    NASA Astrophysics Data System (ADS)

    Lehner, A.; Kraus, V.; Steinnocher, K.

    2016-06-01

    The study of urban areas and their development focuses on cities, their physical and demographic expansion and the tensions and impacts that go along with urban growth. Especially in developing countries and emerging national economies like India, consistent and up to date information or other planning relevant data all too often is not available. With its Smart Cities Mission, the Indian government places great importance on the future developments of Indian urban areas and pays tribute to the large-scale rural to urban migration. The potentials of urban remote sensing and its contribution to urban planning are discussed and related to the Indian Smart Cities Mission. A case study is presented showing urban remote sensing based information products for the city of Ahmedabad. Resulting urban growth scenarios are presented, hotspots identified and future action alternatives proposed.

  12. Rainfall-induced landslide vulnerability Assessment in urban area reflecting Urban structure and building characteristics

    NASA Astrophysics Data System (ADS)

    Park, C.; Cho, M.; Lee, D.

    2017-12-01

    Landslide vulnerability assessment methodology of urban area is proposed with urban structure and building charateristics which can consider total damage cost of climate impacts. We used probabilistic analysis method for modeling rainfall-induced shallow landslide susceptibility by slope stability analysis and Monte Carlo simulations. And We combined debris flows with considering spatial movements under topographical condition and built environmental condition. Urban vulnerability of landslide is assessed by two categories: physical demages and urban structure aspect. Physical vulnerability is related to buildings, road, other ubran infra. Urban structure vulnerability is considered a function of the socio-economic factors, trigger factor of secondary damage, and preparedness level of the local government. An index-based model is developed to evaluate the life and indirect damage under landslide as well as the resilience ability against disasters. The analysis was performed in a geographic information system (GIS) environment because GIS can deal efficiently with a large volume of spatial data. The results of the landslide susceptibility assessment were compared with the landslide inventory, and the proposed approach demonstrated good predictive performance. The general trend found in this study indicates that the higher population density areas under a weaker fiscal condition that are located at the downstream of mountainous areas are more vulnerable than the areas in opposite conditions.

  13. Physical activity of youth in non-urban parks: an observation-based assessment

    Treesearch

    Lincoln R. Larson; Jason W. Whiting; Gary T. Green; J.M. Bowker

    2014-01-01

    Public parks play an important role in healthy, active living, but the extent to which parks influence the physical activity (PA) of diverse youth outside of urban areas has not been adequately explored. This study used systematic behavioural observations to examine demographic factors and environmental attributes associated with youth PA in non-urban state parks of...

  14. Agent-based large-scale emergency evacuation using real-time open government data.

    DOT National Transportation Integrated Search

    2014-01-01

    The open government initiatives have provided tremendous data resources for the : transportation system and emergency services in urban areas. This paper proposes : a traffic simulation framework using high temporal resolution demographic data : and ...

  15. Linking evidence to action on social determinants of health using Urban HEART in the Americas.

    PubMed

    Prasad, Amit; Groot, Ana Maria Mahecha; Monteiro, Teofilo; Murphy, Kelly; O'Campo, Patricia; Broide, Emilia Estivalet; Kano, Megumi

    2013-12-01

    To evaluate the experience of select cities in the Americas using the Urban Health Equity Assessment and Response Tool (Urban HEART) launched by the World Health Organization in 2010 and to determine its utility in supporting government efforts to improve health equity using the social determinants of health (SDH) approach. The Urban HEART experience was evaluated in four cities from 2010-2013: Guarulhos (Brazil), Toronto (Canada), and Bogotá and Medellín (Colombia). Reports were submitted by Urban HEART teams in each city and supplemented by first-hand accounts of key informants. The analysis considered each city's networks and the resources it used to implement Urban HEART; the process by which each city identified equity gaps and prioritized interventions; and finally, the facilitators and barriers encountered, along with next steps. In three cities, local governments spearheaded the process, while in the fourth (Toronto), academia initiated and led the process. All cities used Urban HEART as a platform to engage multiple stakeholders. Urban HEART's Matrix and Monitor were used to identify equity gaps within cities. While Bogotá and Medellín prioritized among existing interventions, Guarulhos adopted new interventions focused on deprived districts. Actions were taken on intermediate determinants, e.g., health systems access, and structural SDH, e.g., unemployment and human rights. Urban HEART provides local governments with a simple and systematic method for assessing and responding to health inequity. Through the SDH approach, the tool has provided a platform for intersectoral action and community involvement. While some areas of guidance could be strengthened, Urban HEART is a useful tool for directing local action on health inequities, and should be scaled up within the Region of the Americas, building upon current experience.

  16. Environmental consequences of rapid urbanization in zhejiang province, East china.

    PubMed

    Yang, Xuchao; Yue, Wenze; Xu, Honghui; Wu, Jingsheng; He, Yue

    2014-07-11

    Since reforms carried out in the late 1970s, China has experienced unprecedented rates of urban growth. Remote sensing data and surface observational data are used to investigate the urbanization process and related environmental consequences, focusing on extreme heat events and air pollution, in Zhejiang Province (ZJP, East China). Examination of satellite-measured nighttime light data indicates rapid urbanization in ZJP during the past decade, initially forming three urban clusters. With rapid urban sprawl, a significant Urban Heat Island (UHI) effect has emerged. During extreme heat events in summer, the UHI effect significantly exacerbates nocturnal heat stress in highly urbanized areas. Taking a long-term view, urbanization also causes additional hot days and hot degree days in urban areas. Urbanization also imposes a heavy burden on local and regional air quality in ZJP. Degraded visibility and an increase in haze days are observed at most meteorological stations, especially in the three urban clusters. The results show that urbanization has led to serious environmental problems in ZJP, not only on the city scale, but also on the regional scale. Maintaining a balance between the continuing process of urbanization and environmental sustainability is a major issue facing the local government.

  17. The Urban Heat Island Phenomenon and Potential Mitigation Strategies

    NASA Technical Reports Server (NTRS)

    Estes, Maurice G., Jr.; Gorsevski, Virginia; Russell, Camille; Quattrochi, Dale; Luvall, Jeffrey

    1999-01-01

    A survey of urban heat island research is provided to describe how heat islands develop, urban landscape and meteorological characteristics that facilitate development, use of aircraft remote sensing data, and why heat islands are of interest to planners, elected officials, and the public. The roles of the National Aeronautics and Space Administration (NASA), the Environmental Protection Agency (EPA), other federal agencies, national laboratories and universities, state and local governments, and non-governmental organizations (NGOS) in studying the urban heat island effect and developing mitigation strategies are explored. Barriers that hamper mitigation efforts and case studies in Atlanta and Salt Lake City are discussed.

  18. Computing Pathways for Urban Decarbonization.

    NASA Astrophysics Data System (ADS)

    Cremades, R.; Sommer, P.

    2016-12-01

    Urban areas emit roughly three quarters of global carbon emissions. Cities are crucial elements for a decarbonized society. Urban expansion and related transportation needs lead to increased energy use, and to carbon-intensive lock-ins that create barriers for climate change mitigation globally. The authors present the Integrated Urban Complexity (IUC) model, based on self-organizing Cellular Automata (CA), and use it to produce a new kind of spatially explicit Transformation Pathways for Urban Decarbonization (TPUD). IUC is based on statistical evidence relating the energy needed for transportation with the spatial distribution of population, specifically IUC incorporates variables from complexity science related to urban form, like the slope of the rank-size rule or spatial entropy, which brings IUC a step beyond existing models. The CA starts its evolution with real-world urban land use and population distribution data from the Global Human Settlement Layer. Thus, the IUC model runs over existing urban settlements, transforming the spatial distribution of population so the energy consumption for transportation is minimized. The statistical evidence that governs the evolution of the CA departs from the database of the International Association of Public Transport. A selected case is presented using Stuttgart (Germany) as an example. The results show how IUC varies urban density in those places where it improves the performance of crucial parameters related to urban form, producing a TPUD that shows where the spatial distribution of population should be modified with a degree of detail of 250 meters of cell size. The TPUD shows how the urban complex system evolves over time to minimize energy consumption for transportation. The resulting dynamics or urban decarbonization show decreased energy per capita, although total energy increases for increasing population. The results provide innovative insights: by checking current urban planning against a TPUD, urban

  19. Reference ranges of handgrip strength from 125,462 healthy adults in 21 countries: a prospective urban rural epidemiologic (PURE) study.

    PubMed

    Leong, Darryl P; Teo, Koon K; Rangarajan, Sumathy; Kutty, V Raman; Lanas, Fernando; Hui, Chen; Quanyong, Xiang; Zhenzhen, Qian; Jinhua, Tang; Noorhassim, Ismail; AlHabib, Khalid F; Moss, Sarah J; Rosengren, Annika; Akalin, Ayse Arzu; Rahman, Omar; Chifamba, Jephat; Orlandini, Andrés; Kumar, Rajesh; Yeates, Karen; Gupta, Rajeev; Yusufali, Afzalhussein; Dans, Antonio; Avezum, Álvaro; Lopez-Jaramillo, Patricio; Poirier, Paul; Heidari, Hosein; Zatonska, Katarzyna; Iqbal, Romaina; Khatib, Rasha; Yusuf, Salim

    2016-12-01

    The measurement of handgrip strength (HGS) has prognostic value with respect to all-cause mortality, cardiovascular mortality and cardiovascular disease, and is an important part of the evaluation of frailty. Published reference ranges for HGS are mostly derived from Caucasian populations in high-income countries. There is a paucity of information on normative HGS values in non-Caucasian populations from low- or middle-income countries. The objective of this study was to develop reference HGS ranges for healthy adults from a broad range of ethnicities and socioeconomically diverse geographic regions. HGS was measured using a Jamar dynamometer in 125,462 healthy adults aged 35-70 years from 21 countries in the Prospective Urban Rural Epidemiology (PURE) study. HGS values differed among individuals from different geographic regions. HGS values were highest among those from Europe/North America, lowest among those from South Asia, South East Asia and Africa, and intermediate among those from China, South America, and the Middle East. Reference ranges stratified by geographic region, age, and sex are presented. These ranges varied from a median (25 th -75 th percentile) 50 kg (43-56 kg) in men <40 years from Europe/North America to 18 kg (14-20 kg) in women >60 years from South East Asia. Reference ranges by ethnicity and body-mass index are also reported. Individual HGS measurements should be interpreted using region/ethnic-specific reference ranges.

  20. Women's use of private and government health facilities for childbirth in Nairobi's informal settlements.

    PubMed

    Bazant, Eva S; Koenig, Michael A; Fotso, Jean-Christophe; Mills, Samuel

    2009-03-01

    The private sector's role in increasing the use of maternal health care for the poor in developing countries has received increasing attention, yet few data exist for urban slums. Using household-survey data from 1,926 mothers in two informal settlements in Nairobi, Kenya, collected in 2006, we describe and examine the factors associated with women's use of private and government health facilities for childbirth. More women gave birth at private facilities located in the settlements than at government facilities, and one-third of the women gave birth at home or with the assistance of a traditional birth attendant. In multivariate models, women's education, ethnic group, and household wealth were associated with institutional deliveries, especially in government hospitals. Residents in the more disadvantaged settlement were more likely than those in the better-off settlement to give birth in private facilities. In urban areas, maternal health services in both the government and private sectors should be strengthened, and efforts made to reach out to women who give birth at home.

  1. The new urban politics as a politics of carbon control.

    PubMed

    Jonas, Andrew E G; Gibbs, David; While, Aidan

    2011-01-01

    The new urban politics (NUP) literature has helped to draw attention to a new generation of entrepreneurial urban regimes involved in the competition to attract investment to cities. Interurban competition often had negative environmental consequences for the urban living place. Yet knowledge of the environment was not very central to understanding the NUP. Entrepreneurial urban regimes today are struggling to deal with climate change and reductions in greenhouse gas emissions. Carbon reduction strategies could have profound implications for interurban competition and the politics of urban development. This paper explores the rise of a distinctive low-carbon urban polity—carbon control—and examines its potential ramifications for a new environmental politics of urban development (NEPUD). The NEPUD signals the growing centrality of carbon control in discourses, strategies and struggles around urban development. Using examples from cities in the US and Europe, the paper examines how these new environmental policy considerations are being mainstreamed in urban development politics. Alongside competitiveness, the management of carbon emissions represents a new yet at the same time contestable mode of calculation in urban governance.

  2. Current Government Actions and Potential Policy Options for Reducing Obesity in Queensland Schools.

    PubMed

    Alsharairi, Naser A

    2018-01-29

    School nutrition policies provide promising avenues towards the improvement of children's eating habits and the prevention of obesity. Childhood obesity rates and related chronic diseases are increasing in Queensland, in part as a result of unhealthy eating habits and lack of physical activity. There is a very high investment by the Queensland government in maintaining healthy weight and promoting nutrition and physical activity among schoolchildren through delivering a range of initiatives across the state. However, there is a lack of evidence concerning the effectiveness of nutrition/physical education and parental involvement programs addressing obesity delivered in Queensland schools. This paper can be used to guide government and policy-makers regarding the most effective policy options that will promote healthy eating and physical activity among Queensland schoolchildren. The aim of this paper is to: (i) summarize current evidence on Queensland government responses to obesity; and (ii) discuss potential policy options that could support healthy eating and regular physical activity, and examine the evidence base for each option and suggest new areas for future research.

  3. Prediction of future urban growth using CA-Markov for urban sustainability planning of Banda Aceh, Indonesia

    NASA Astrophysics Data System (ADS)

    Achmad, A.; Irwansyah, M.; Ramli, I.

    2018-03-01

    Banda Aceh experienced rapid growth, both physically, socially, and economically, after the Tsunami that devastated it the end of December in 2004. Hence policy controls are needed to direct the pattern of urban growth to achieve sustainable development for the future. The purpose of this paper is to generate a growth model for Banda Aceh using the CA-Markov process. By knowing the changes in land use between 2005 and 2009 from the results of previous research, simulations for 2013, 2019 and 2029 using the application of Idrisi@Selva. CA-Markov models were prepared to determine the quantity of changes. The simulation results showed that, after the Tsunami, the City of Banda Aceh tended to grow towards the coast. For the control of the LUC, the Banda Aceh City government needs to prepare comprehensive and detailed maps and inventory of LUC for the city to provide basic data and information needed for monitoring and evaluation that can be done effectively and efficiently. An institution for monitoring and evaluation of the urban landscape and the LUC should be formed immediately. This institution could consist of representatives from government, academia, community leaders, the private sector and other experts. The findings from this study can be used to start the monitoring and evaluation of future urban growth. Especially for the coastal areas, the local government should immediately prepare special spatial coastal area plans to control growth in those areas and to ensure that the economic benefits from disaster mitigation and coastal protection are preserved. For the development of the city in the future, it is necessary to achieve a balance between economic development, and social welfare with environmental protection and disaster mitigation. iIt will become a big challenge to achieve sustainable development for the future.

  4. Disaster preparedness in a complex urban system: the case of Kathmandu Valley, Nepal.

    PubMed

    Carpenter, Samuel; Grünewald, François

    2016-07-01

    The city is a growing centre of humanitarian concern. Yet, aid agencies, governments and donors are only beginning to comprehend the scale and, importantly, the complexity of the humanitarian challenge in urban areas. Using the case study of the Kathmandu Valley, Nepal, this paper examines the analytical utility of recent research on complex urban systems in strengthening scholarly understanding of urban disaster risk management, and outlines its operational relevance to disaster preparedness. Drawing on a literature review and 26 interviews with actors from across the Government of Nepal, the International Red Cross and Red Crescent Movement, non-governmental organisations, United Nations agencies, and at-risk communities, the study argues that complexity can be seen as a defining feature of urban systems and the risks that confront them. To manage risk in these systems effectively, preparedness efforts must be based on adaptive and agile approaches, incorporating the use of network analysis, partnerships, and new technologies. © 2016 The Author(s). Disasters © Overseas Development Institute, 2016.

  5. The Land-Grant Analogy and the American Urban University: An Historical Analysis

    ERIC Educational Resources Information Center

    Diner, Steven J.

    2013-01-01

    This article examines how the history of land-grant universities in America shaped the views of higher educators, public officials, and foundations on the role of urban universities in addressing the problems of American cities. Higher education leaders urged the federal government to provide funds that would enable urban universities to do for…

  6. [With the things on the back: estate remodelling and inter-urban mobility].

    PubMed

    Cela, J

    1992-01-01

    This work argues that intraurban mobility resulting from urban renewal in Santo Domingo is one of the city's major problems. Santo Domingo's growth from 30,000 in 1920 to 1,800,000 in the late 1980s was unplanned, and the expansion of urban infrastructure generally followed demographic expansion. The Dominican government has regularly provoked massive dislocations in the course of urban renewal, especially at the end of the Trujillo era and under the governments of Balaguer. More than 50,000 families have been forced to move in the past 30 years, representing 20% of the population. Among the consequences of this policy are a form of rootlessness of the population resulting from lack of title to the land and the constant threat of having to move again. The feeling of impermanence has psychological and cultural effects and also discourages residents from making significant improvements to their housing. The disorder of the city is increased because most of the families forced to move from areas undergoing renewal establish themselves in other marginal zones, which then undergo chaotic growth. From the fall of Trujillo to the disturbances of 1965-66, rural migration to the periphery of the city was massive, and it resumed again with the return of political stability. The massive construction projects beginning in 1967 were intended to beautify areas of high visibility, improve traffic flow, develop aesthetic elements, and remove low income populations from the center for the city. Around one-third of the national budget was devoted to construction in these years. Thousands of families were relocated in new areas belonging to the government at great distances from the city center and with few or no public services. The urban policy encouraged speculation and deterioration of urban management due to confusion between government institutions and private interests. Between 1978-86, government construction policy changed, with the amount of investment reduced and low cost

  7. Integrated urban water planning: big picture planning is good for the wallet and the environment.

    PubMed

    Anderson, J; Iyaduri, R

    2003-01-01

    The demands on governments and local authorities are changing in response to community expectations for environmentally sustainable outcomes. To reverse declining water quality in rivers and ensure sustainable use in the 21st century, the State Government in New South Wales has introduced a package of Water Reforms. The introduction of integrated water, sewerage and drainage planning is one of the Water Reform initiatives. Traditionally, government and local authorities have managed their water supply, sewerage and stormwater drainage systems as separate entities. Integrated urban water planning is a structured planning process to evaluate concurrently the opportunities to improve the management of water, sewerage and drainage services within an urban area in ways which are consistent with broader catchment and river management objectives. The New South Wales Department of Land & Water Conservation (DLWC) has developed an integrated urban water planning process through a number of recent pilot studies. The process links urban water management objectives to overall catchment and river management objectives. DLWC is currently developing a set of guidelines for integrated urban water plans. DLWC has developed the Integrated Urban Water Planning methodology through three pilot studies in the New South Wales towns of Finley, Goulburn and Bombala. The pilot studies have shown that an integrated approach to water, sewerage and stormwater planning can identify opportunities that are not apparent when separate strategies are developed for each service. The result is better-integrated, more sustainable solutions, and substantial cost savings for local communities.

  8. Healthy food access for urban food desert residents: examination of the food environment, food purchasing practices, diet, and body mass index

    PubMed Central

    Dubowitz, Tamara; Zenk, Shannon N.; Ghosh-Dastidar, Bonnie; Cohen, Deborah; Beckman, Robin; Hunter, Gerald; Steiner, Elizabeth D.; Collins, Rebecca L.

    2015-01-01

    Objective Provide a richer understanding of food access and purchasing practices among U.S. urban food desert residents and their association with diet and body mass. Design Data on food purchasing practices, dietary intake, height, and weight from the primary food shopper in randomly selected households (n=1372) was collected. Audits of all neighborhood food stores (n=24) and the most-frequented stores outside the neighborhood (n=16) were conducted. Aspects of food access and purchasing practices and relationships among them were examined and tests of their associations with dietary quality and body mass index (BMI) were conducted. Setting Two low-income predominantly African-American neighborhoods with limited access to healthy food in Pittsburgh, Pennsylvania. Subjects Household food shoppers. Results Only one neighborhood outlet sold fresh produce; nearly all respondents did major food shopping outside the neighborhood. Although the nearest full-service supermarket was an average of 2.6 km from their home, respondents shopped an average of 6.0 km from home. The average trip was by car, took approximately two hours roundtrip, and occurred two to four times per month. Respondents spent approximately $37 per person per week on food. Those who made longer trips had access to cars, shopped less often, and spent less money per person. Those who traveled further when they shopped had higher BMIs, but most residents already shopped where healthy foods were available, and physical distance from full service groceries was unrelated to weight or dietary quality. Conclusions Improved access to healthy foods is the target of current policies meant to improve health. However, distance to the closest supermarket might not be as important as previously thought and thus policy and interventions that focus merely on improving access may not be effective. PMID:25475559

  9. New Forms of Government School Provision--An International Comparison

    ERIC Educational Resources Information Center

    Elwick, Alex

    2018-01-01

    Driven by a desire to improve academic outcomes and transform "failing" schools, governments around the world have often turned to the development of new forms of state-funded school. This paper looks at three such instances of the introduction of new forms of schooling, within three urban localities (academy schools in London; charter…

  10. Governing the healthy male citizen: men, masculinity and popular health in Men's Health magazine.

    PubMed

    Crawshaw, Paul

    2007-10-01

    Recent commentators have noted the potential of newer neo-liberal discourses of health care to position responsibility for the management of well-being with the individual. Often promoted through the inculcation of risk avoidance and management, such discourses are played out in myriad settings, including the popular media. Magazines are one such media site in which diverse exhortations for the achievement of health, well-being and the perfectible body are made, and Bunton [1997. Popular health, advanced liberalism and good housekeeping magazine. In A. Petersen & Bunton R. (Eds.) Foucault, health and medicine (pp. 223-247). London: Routledge] has identified 'magazine medicine' as a significant manifestation of more dedifferentiated models of health care. Recent discussions have placed men's health high on research and policy agendas, with a concomitant interest in more popular realms. The UK magazine Men's Health (MH) is indicative of these trends, and represents a site at which discourses of men, health and masculinity are constructed. Typically reflecting neo-liberal models of health, here men are constructed as active and entrepreneurial citizens able to maintain their own health and well-being through the judicious management of risk in contexts appropriate to dominant discourses of hegemonic masculinity. Data which resulted from a critical discourse analysis of a 2-year sample (21 issues) of MH are considered and findings related to medicalisation, individualisation and risk discussed. It is suggested that magazine texts such as MH reflect newer individualised models of health care and neo-liberal strategies of health governance premised upon constructing a healthy male citizen, willing and able to take responsibility for their own well-being.

  11. Urban food self-reliance: significance and prospects.

    PubMed

    Mougeot, L J

    1993-10-01

    This news account provides coverage of the satisfaction of urban food needs when retail costs are prohibitively high in developing countries. This account reports that 50-80% of average income is spent on food in nearly 50% of developing country's largest cities. Surveys conducted during the late 1980s confirm a range of 60-80% of income for expenditures on food. Surveys reveal that urban food costs are 10-30% higher than costs for rural dwellers. Urban household food production is a practice that has been around since the times of the Aztecs, the Incas, and Mayan cities. Reports survive of the Javanese and city dwellers along the Tigris and Euphrates producing their own food. Asian policy makers promote urban food production as critical to urban survival. Other factors influence urban food production. These factors include rapid urbanization, ineffective agricultural policies, inadequate food distribution systems, withdrawal of subsidies, reduction of wages, inflation, unemployment, lax urban regulations, civil strife, and drought. Government agencies are sometimes obstacles in outlawing the practice. Recent support for urban agriculture includes ten Asian, six African, and six Latin American countries. The number of urban farm workers is reported as 200 million worldwide. 700 million receive the benefits of urban agriculture. 25% of urban households in the US were engaged in urban food production during the 1980s. Better information, such as in comparative and longitudinal studies, is needed on urban poverty and the links between nutrition, income, employment, waste, and environmental issues. If cost-benefit analysis research finds a positive impact, then urban planners may need to incorporate city farming into conventional land use. The value of city farming needs to be assessed. Street food vending is an important source of income, particularly for women. Urban farming requires efficiency of space and knowledge of advances in technology and planning.

  12. The Determinants of Private and Government Sector Earnings in Russia

    DTIC Science & Technology

    2000-11-01

    private sector earnings in Russia compare to those in the still strong government sector. This paper estimates sectoral earnings equations for rural and urban men and women which control for: (1) Self-selection into the workforce; and (2) Self-selection into either the private or government sector, while allowing for simultaneity in the selection decisions. The selection controls are found to have a considerable effect on the estimated sectoral earnings differentials for all four sample groups. Earnings differentials are examined by age, education, and unobserved skill.

  13. Restoring ecosystem resilience to urban forests using Dutch elm disease-tolerant American elm trees

    Treesearch

    Charles E. Flower; Cornelia C. Pinchot; James M. Slavicek

    2017-01-01

    Urban forests contribute significantly to human health and environmental quality (Sanesi et al. 2011). As such, maintaining healthy urban forests resilient to pollution (atmospheric and soil), high temperatures, compacted soils, and poor drainage is critical. However, these forests have been hard hit by development, pests, and pathogens, consequently reshaping their...

  14. Meta-principles for developing smart, sustainable, and healthy cities.

    PubMed

    Ramaswami, Anu; Russell, Armistead G; Culligan, Patricia J; Sharma, Karnamadakala Rahul; Kumar, Emani

    2016-05-20

    Policy directives in several nations are focusing on the development of smart cities, linking innovations in the data sciences with the goal of advancing human well-being and sustainability on a highly urbanized planet. To achieve this goal, smart initiatives must move beyond city-level data to a higher-order understanding of cities as transboundary, multisectoral, multiscalar, social-ecological-infrastructural systems with diverse actors, priorities, and solutions. We identify five key dimensions of cities and present eight principles to focus attention on the systems-level decisions that society faces to transition toward a smart, sustainable, and healthy urban future. Copyright © 2016, American Association for the Advancement of Science.

  15. Communicating Urban Climate Change

    NASA Astrophysics Data System (ADS)

    Snyder, S.; Crowley, K.; Horton, R.; Bader, D.; Hoffstadt, R.; Labriole, M.; Shugart, E.; Steiner, M.; Climate; Urban Systems Partnership

    2011-12-01

    While cities cover only 2% of the Earth's surface, over 50% of the world's people live in urban environments. Precisely because of their population density, cities can play a large role in reducing or exacerbating the global impact of climate change. The actions of cities could hold the key to slowing down climate change. Urban dwellers are becoming more aware of the need to reduce their carbon usage and to implement adaptation strategies. However, messaging around these strategies has not been comprehensive and adaptation to climate change requires local knowledge, capacity and a high level of coordination. Unless urban populations understand climate change and its impacts it is unlikely that cities will be able to successfully implement policies that reduce anthropogenic climate change. Informal and formal educational institutions in urban environments can serve as catalysts when partnering with climate scientists, educational research groups, and public policy makers to disseminate information about climate change and its impacts on urban audiences. The Climate and Urban Systems Partnership (CUSP) is an interdisciplinary network designed to assess and meet the needs and challenges of educating urban audiences about climate change. CUSP brings together organizations in Philadelphia, Pittsburgh, Queens, NY and Washington, DC to forge links with informal and formal education partners, city government, and policy makers. Together this network will create and disseminate learner-focused climate education programs and resources for urban audiences that, while distinct, are thematically and temporally coordinated, resulting in the communication of clear and consistent information and learning experiences about climate science to a wide public audience. Working at a community level CUSP will bring coordinated programming directly into neighborhoods presenting the issues of global climate change in a highly local context. The project is currently exploring a number of

  16. Healthy urban environments for children and young people: A systematic review of intervention studies.

    PubMed

    Audrey, Suzanne; Batista-Ferrer, Harriet

    2015-11-01

    This systematic review collates, and presents as a narrative synthesis, evidence from interventions which included changes to the urban environment and reported at least one health behaviour or outcome for children and young people. Following a comprehensive search of six databases, 33 primary studies relating to 27 urban environment interventions were included. The majority of interventions related to active travel. Others included park and playground renovations, road traffic safety, and multi-component community-based initiatives. Public health evidence for effectiveness of such interventions is often weak because study designs tend to be opportunistic, non-randomised, use subjective outcome measures, and do not incorporate follow-up of study participants. However, there is some evidence of potential health benefits to children and young people from urban environment interventions relating to road safety and active travel, with evidence of promise for a multi-component obesity prevention initiative. Future research requires more robust study designs incorporating objective outcome measures. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. Healthy Food Procurement Policies and Their Impact

    PubMed Central

    Niebylski, Mark L.; Lu, Tammy; Campbell, Norm R. C.; Arcand, Joanne; Schermel, Alyssa; Hua, Diane; Yeates, Karen E.; Tobe, Sheldon W.; Twohig, Patrick A.; L’Abbé, Mary R.; Liu, Peter P.

    2014-01-01

    Unhealthy eating is the leading risk for death and disability globally. As a result, the World Health Organization (WHO) has called for population health interventions. One of the proposed interventions is to ensure healthy foods are available by implementing healthy food procurement policies. The objective of this systematic review was to evaluate the evidence base assessing the impact of such policies. A comprehensive review was conducted by searching PubMed and Medline for policies that had been implemented and evaluated the impact of food purchases, food consumption, and behaviors towards healthy foods. Thirty-four studies were identified and found to be effective at increasing the availability and purchases of healthy food and decreasing purchases of unhealthy food. Most policies also had other components such as education, price reductions, and health interventions. The multiple gaps in research identified by this review suggest that additional research and ongoing evaluation of food procurement programs is required. Implementation of healthy food procurement policies in schools, worksites, hospitals, care homes, correctional facilities, government institutions, and remote communities increase markers of healthy eating. Prior or simultaneous implementation of ancillary education about healthy eating, and rationale for the policy may be critical success factors and additional research is needed. PMID:24595213

  18. Healthy food procurement policies and their impact.

    PubMed

    Niebylski, Mark L; Lu, Tammy; Campbell, Norm R C; Arcand, Joanne; Schermel, Alyssa; Hua, Diane; Yeates, Karen E; Tobe, Sheldon W; Twohig, Patrick A; L'Abbé, Mary R; Liu, Peter P

    2014-03-03

    Unhealthy eating is the leading risk for death and disability globally. As a result, the World Health Organization (WHO) has called for population health interventions. One of the proposed interventions is to ensure healthy foods are available by implementing healthy food procurement policies. The objective of this systematic review was to evaluate the evidence base assessing the impact of such policies. A comprehensive review was conducted by searching PubMed and Medline for policies that had been implemented and evaluated the impact of food purchases, food consumption, and behaviors towards healthy foods. Thirty-four studies were identified and found to be effective at increasing the availability and purchases of healthy food and decreasing purchases of unhealthy food. Most policies also had other components such as education, price reductions, and health interventions. The multiple gaps in research identified by this review suggest that additional research and ongoing evaluation of food procurement programs is required. Implementation of healthy food procurement policies in schools, worksites, hospitals, care homes, correctional facilities, government institutions, and remote communities increase markers of healthy eating. Prior or simultaneous implementation of ancillary education about healthy eating, and rationale for the policy may be critical success factors and additional research is needed.

  19. Creating and validating GIS measures of urban design for health research.

    PubMed

    Purciel, Marnie; Neckerman, Kathryn M; Lovasi, Gina S; Quinn, James W; Weiss, Christopher; Bader, Michael D M; Ewing, Reid; Rundle, Andrew

    2009-12-01

    Studies relating urban design to health have been impeded by the unfeasibility of conducting field observations across large areas and the lack of validated objective measures of urban design. This study describes measures for five dimensions of urban design - imageability, enclosure, human scale, transparency, and complexity - created using public geographic information systems (GIS) data from the US Census and city and state government. GIS measures were validated for a sample of 588 New York City block faces using a well-documented field observation protocol. Correlations between GIS and observed measures ranged from 0.28 to 0.89. Results show valid urban design measures can be constructed from digital sources.

  20. A Regional Categorization for "New-Type Urbanization" in China.

    PubMed

    Fang, Chuanglin; Ma, Haitao; Wang, Jing

    2015-01-01

    Regional differences in the character of urbanization in China are substantial. The promotion of what has been termed "new-type urbanization" cannot, as a result of these regional differences, be expected to follow a universal approach--rather, such a development must objectively adhere to locational and category-specific principles and adopt differentiated urbanization development models. Regional categorization is often used in geography, but is rarely deployed in research addressing human and social problems relating to urbanization. In March 2014, China published the National New-type Urbanization Plan (2014-2020), which calls for the scientific and reasonable planning of "new-type urbanization," and appropriate regional categorizations are urgently needed in order to guide this reform. Responding to this challenge, this research engaged in the design of a "dominantly quantitative analysis, qualitatively supplemented" method in order to divide China into 5 main regions and 47 sub-regions in terms of new-type urbanization. The paper discusses the features and key problems of each region. This study introduces a new method for regional categorization, thereby remedying the lack of regional categorization in relation to "new-type urbanization" in China, and ultimately promoting the development of regional categorization in the humanities as a valuable reference for healthy and sustainable Chinese urbanization.

  1. Democracy on the edge: limits and possibilities in the implementation of an urban reform agenda in Brazil.

    PubMed

    Rolnik, Raquel

    2011-01-01

    The 1990s in Brazil were a time of institutional advances in the areas of housing and urban rights following the signing of the new constitution in 1988 that incorporated the principles of the social function of cities and property, recognition of the right to ownership of informal urban squatters and the direct participation of citizens in urban policy decision processes. These propositions are the pillars of the urban reform agenda which, since the creation of the Ministry of Cities by the Lula government, has come under the federal executive branch. This article evaluates the limitations and opportunities involved in implementing this agenda on the basis of two policies proposed by the ministry — the National Cities Council and the campaign for Participatory Master Plans — focusing the analysis on government organization in the area of urban development in its relationship with the political system and the characteristics of Brazilian democracy.

  2. Early childhood development in deprived urban settlements.

    PubMed

    Nair, M K C; Radhakrishnan, S Rekha

    2004-03-01

    Poverty, the root cause of the existence of slums or settlement colonies in urban areas has a great impact on almost all aspects of life of the urban poor, especially the all-round development of children. Examples from countries, across the globe provide evidence of improved early child development, made possible through integrated slum improvement programs, are few in numbers. The observed 2.5% prevalence of developmental delay in the less than 2 year olds of deprived urban settlements, the presence of risk factors for developmental delay like low birth weight, birth asphyxia, coupled with poor environment of home and alternate child care services, highlights the need for simple cost effective community model for promoting early child development. This review on early child development focuses on the developmental status of children in the deprived urban settlements, who are yet to be on the priority list of Governments and international agencies working for the welfare of children, the contributory nature-nurture factors and replicable working models like infant stimulation, early detection of developmental delay in infancy itself, developmental screening of toddlers, skill assessment for preschool children, school readiness programs, identification of mental sub-normality and primary education enhancement program for primary school children. Further, the review probes feasible intervention strategies through community owned early child care and development facilities, utilizing existing programs like ICDS, Urban Basic Services and by initiating services like Development Friendly Well Baby Clinics, Community Extension services, Child Development Referral Units at district hospitals and involving trained manpower like anganwadi/creche workers, public health nurses and developmental therapists. With the decentralization process the local self-government at municipalities and city corporations are financially equipped to be the prime movers to initiate, monitor and

  3. Environmental Consequences of Rapid Urbanization in Zhejiang Province, East China

    PubMed Central

    Yang, Xuchao; Yue, Wenze; Xu, Honghui; Wu, Jingsheng; He, Yue

    2014-01-01

    Since reforms carried out in the late 1970s, China has experienced unprecedented rates of urban growth. Remote sensing data and surface observational data are used to investigate the urbanization process and related environmental consequences, focusing on extreme heat events and air pollution, in Zhejiang Province (ZJP, East China). Examination of satellite-measured nighttime light data indicates rapid urbanization in ZJP during the past decade, initially forming three urban clusters. With rapid urban sprawl, a significant Urban Heat Island (UHI) effect has emerged. During extreme heat events in summer, the UHI effect significantly exacerbates nocturnal heat stress in highly urbanized areas. Taking a long-term view, urbanization also causes additional hot days and hot degree days in urban areas. Urbanization also imposes a heavy burden on local and regional air quality in ZJP. Degraded visibility and an increase in haze days are observed at most meteorological stations, especially in the three urban clusters. The results show that urbanization has led to serious environmental problems in ZJP, not only on the city scale, but also on the regional scale. Maintaining a balance between the continuing process of urbanization and environmental sustainability is a major issue facing the local government. PMID:25019266

  4. 24 CFR 1000.28 - May a self-governance Indian tribe be exempted from the applicability of § 1000.26?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false May a self-governance Indian tribe... ACTIVITIES General § 1000.28 May a self-governance Indian tribe be exempted from the applicability of § 1000.26? Yes. A self-governance Indian tribe shall certify that its administrative requirements, standards...

  5. Constitutional Rights: A View from Mt. Healthy.

    ERIC Educational Resources Information Center

    Gee, E. Gordon

    In their 1977 decision, "Mt. Healthy City School District Board of Education v. Doyle," the Supreme Court held that if a government employee who had a reasonable expectation of continued employment is dismissed and can show that his dismissal was motivated by his taking actions that are constitutionally protected, the employing agency…

  6. Generating global political priority for urban health: the role of the urban health epistemic community

    PubMed Central

    Shawar, Yusra Ribhi; Crane, Lani G

    2017-01-01

    Abstract Over the past decade there has been much discussion of the challenges posed by rapid urbanization in the developing world; yet the health of the urban poor, and especially those residing in low- and middle-income countries, continues to receive little political priority in most developing countries and at the global level. This research applies social science scholarship and a public policy analytical framework to assess the factors that have challenged efforts to make health in urban poor settings a priority. We conducted 19 semi-structured phone interviews with key urban health proponents and experts representing agencies that shape opinions and manage resources in global health. We also conducted a literature review, which included published scholarly literature and reports from organizations involved in urban health provision and advocacy. Utilizing a process-tracing method, we triangulated among these sources of data to create a historical narrative and analyse the factors that shape the global level of attention to and resources for urban health. The urban health agenda continues to be challenged by six factors, three of which concern the political context or characteristics of the issue: long-standing competition with the dominant development agenda that is rural health oriented; limited data and measurement tools that can effectively gauge the extent of the problem; and lack of evidence on how to best to address the issue. The other three factors are directly under the control of the urban health community: the community’s ineffective governance; little common understanding among its members of the problem and how to address it; and an unconvincing framing of the issue to the public. The study offers suggestions as to what advocates can do to secure greater attention and resources in order to help address the health needs of the urban poor. PMID:28582532

  7. Urban-rural differences in adolescent eating behaviour: a multilevel cross-sectional study of 15-year-olds in Scotland.

    PubMed

    Levin, Kate A

    2014-08-01

    Improving the diet of the Scottish population has been a government focus in recent years. Population health is known to vary between geographies; therefore alongside trends and socio-economic inequalities in eating behaviour, geographic differences should also be monitored. Eating behaviour data from the 2010 Scotland Health Behaviour in School-aged Children survey were modelled using multilevel linear and logistic modelling. Data were collected in schools across urban and rural Scotland. Schoolchildren aged 15 years. Adolescents living in remote rural Scotland had the highest consumption frequency of vegetables (on average consumed on 6·68 d/week) and the lowest consumption frequency of sweets and crisps (on 4·27 and 3·02 d/week, respectively). However, it was not in the major four cities of Scotland (Glasgow, Edinburgh, Dundee and Aberdeen) but in the geography described by the classification 'other urban' areas (large towns of between 10 000 and 125 000 residents) that adolescents had the poorest diet. Deprivation and rurality were independently associated with food consumption for all but fruit consumption. Sharing a family meal, dieting behaviour, food poverty and breakfast consumption did not differ by rurality. Variance at the school level was significant for fruit and vegetable consumption frequencies and for irregular breakfast consumption, regardless of rurality. Young people from rural areas have a healthier diet than those living in urban areas. The eating behaviours examined did not explain these differences. Future research should investigate why urban-rural differences exist for consumption frequencies of 'healthy' and 'unhealthy' foods.

  8. Perspectives of Urban Corner Store Owners and Managers on Community Health Problems and Solutions

    PubMed Central

    Young, Candace R.; Cannuscio, Carolyn C.; Karpyn, Allison; Kounaves, Sarah; Strupp, Emily; McDonough, Kevin; Shea, Judy A.

    2016-01-01

    Introduction Urban corner store interventions have been implemented to improve access to and promote purchase of healthy foods. However, the perspectives of store owners and managers, who deliver and shape these interventions in collaboration with nonprofit, government, and academic partners, have been largely overlooked. We sought to explore the views of store owners and managers on the role of their stores in the community and their beliefs about health problems and solutions in the community. Methods During 2013 and 2014, we conducted semistructured, in-depth interviews in Philadelphia, Pennsylvania, and Camden, New Jersey, with 23 corner store owners/managers who participated in the Healthy Corner Store Initiative spearheaded by The Food Trust, a nonprofit organization focused on food access in low-income communities. We oversampled high-performing store owners. Results Store owners/managers reported that their stores served multiple roles, including providing a convenient source of goods, acting as a community hub, supporting community members, working with neighborhood schools, and improving health. Owners/managers described many challenging aspects of running a small store, including obtaining high-quality produce at a good price and in small quantities. Store owners/managers believed that obesity, diabetes, high cholesterol, and poor diet are major problems in their communities. Some owners/managers engaged with customers to discuss healthy behaviors. Conclusion Our findings suggest that store owners and managers are crucial partners for healthy eating interventions. Corner store owners/managers interact with community members daily, are aware of community health issues, and are community providers of access to food. Corner store initiatives can be used to implement innovative programs to further develop the untapped potential of store owners/managers. PMID:27736054

  9. Perspectives of Urban Corner Store Owners and Managers on Community Health Problems and Solutions.

    PubMed

    Mayer, Victoria L; Young, Candace R; Cannuscio, Carolyn C; Karpyn, Allison; Kounaves, Sarah; Strupp, Emily; McDonough, Kevin; Shea, Judy A

    2016-10-13

    Urban corner store interventions have been implemented to improve access to and promote purchase of healthy foods. However, the perspectives of store owners and managers, who deliver and shape these interventions in collaboration with nonprofit, government, and academic partners, have been largely overlooked. We sought to explore the views of store owners and managers on the role of their stores in the community and their beliefs about health problems and solutions in the community. During 2013 and 2014, we conducted semistructured, in-depth interviews in Philadelphia, Pennsylvania, and Camden, New Jersey, with 23 corner store owners/managers who participated in the Healthy Corner Store Initiative spearheaded by The Food Trust, a nonprofit organization focused on food access in low-income communities. We oversampled high-performing store owners. Store owners/managers reported that their stores served multiple roles, including providing a convenient source of goods, acting as a community hub, supporting community members, working with neighborhood schools, and improving health. Owners/managers described many challenging aspects of running a small store, including obtaining high-quality produce at a good price and in small quantities. Store owners/managers believed that obesity, diabetes, high cholesterol, and poor diet are major problems in their communities. Some owners/managers engaged with customers to discuss healthy behaviors. Our findings suggest that store owners and managers are crucial partners for healthy eating interventions. Corner store owners/managers interact with community members daily, are aware of community health issues, and are community providers of access to food. Corner store initiatives can be used to implement innovative programs to further develop the untapped potential of store owners/managers.

  10. Norms for developmental milestones using VABS-II and association with anthropometric measures among apparently healthy urban Indian preschool children.

    PubMed

    Selvam, Sumithra; Thomas, Tinku; Shetty, Priya; Zhu, Jianjun; Raman, Vijaya; Khanna, Deepti; Mehra, Ruchika; Kurpad, Anura V; Srinivasan, Krishnamachari

    2016-12-01

    Assessment of developmental milestones based on locally developed norms is critical for accurate estimate of overall development of a child's cognitive, behavioral, social, and emotional development. A cross-sectional study was done to develop age specific norms for developmental milestones using Vineland Adaptive Behavior Scales (VABS-II) (Sparrow, Cicchetti, & Balla, 2005) for apparently healthy children from 2 to 5 years from urban Bangalore, India, and to examine its association with anthropometric measures. Mothers (or caregivers) of 412 children participated in the study. Age-specific norms using inferential norming method and adaptive levels for all domains and subdomains were derived. Low adaptive level, also called delayed developmental milestone, was observed in 2.3% of the children, specifically 2.7% in motor and daily living skills and 2.4% in communication skills. When these children were assessed on the existing U.S. norms, there was a significant overestimation of delayed development in socialization and motor skills, whereas delay in communication and daily living skills were underestimated (all p < .01). Multiple linear regression revealed that stunted and underweight children had significantly lower developmental scores for communication and motor skills compared with normal children (β coefficient ranges from 2.6-5.3; all p < .01). In the absence of Indian normative data for VABS-II in preschool children, the prevalence of developmental delay could either be under- or overestimated using Western norms. Thus, locally referenced norms are critical for reliable assessments of development in children. Stunted and underweight children are more likely to have poorer developmental scores compared with healthy children. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  11. Local Institutional Development and Organizational Change for Advancing Sustainable Urban Water Futures

    NASA Astrophysics Data System (ADS)

    Brown, Rebekah R.

    2008-02-01

    This paper presents the local institutional and organizational development insights from a five-year ongoing interdisciplinary research project focused on advancing the implementation of sustainable urban water management. While it is broadly acknowledged that the inertia associated with administrative systems is possibly the most significant obstacle to advancing sustainable urban water management, contemporary research still largely prioritizes investigations at the technological level. This research is explicitly concerned with critically informing the design of methodologies for mobilizing and overcoming the administrative inertia of traditional urban water management practice. The results of fourteen in-depth case studies of local government organizations across Metropolitan Sydney primarily reveal that (i) the political institutionalization of environmental concern and (ii) the commitment to local leadership and organizational learning are key corporate attributes for enabling sustainable management. A typology of five organizational development phases has been proposed as both a heuristic and capacity benchmarking tool for urban water strategists, policy makers, and decision makers that are focused on improving the level of local implementation of sustainable urban water management activity. While this investigation has focused on local government, these findings do provide guideposts for assessing the development needs of future capacity building programs across a range of different institutional contexts.

  12. Local institutional development and organizational change for advancing sustainable urban water futures.

    PubMed

    Brown, Rebekah R

    2008-02-01

    This paper presents the local institutional and organizational development insights from a five-year ongoing interdisciplinary research project focused on advancing the implementation of sustainable urban water management. While it is broadly acknowledged that the inertia associated with administrative systems is possibly the most significant obstacle to advancing sustainable urban water management, contemporary research still largely prioritizes investigations at the technological level. This research is explicitly concerned with critically informing the design of methodologies for mobilizing and overcoming the administrative inertia of traditional urban water management practice. The results of fourteen in-depth case studies of local government organizations across Metropolitan Sydney primarily reveal that (i) the political institutionalization of environmental concern and (ii) the commitment to local leadership and organizational learning are key corporate attributes for enabling sustainable management. A typology of five organizational development phases has been proposed as both a heuristic and capacity benchmarking tool for urban water strategists, policy makers, and decision makers that are focused on improving the level of local implementation of sustainable urban water management activity. While this investigation has focused on local government, these findings do provide guideposts for assessing the development needs of future capacity building programs across a range of different institutional contexts.

  13. Urbanization and human health in urban India: institutional analysis of water-borne diseases in Ahmedabad.

    PubMed

    Saravanan, V S; Ayessa Idenal, Marissa; Saiyed, Shahin; Saxena, Deepak; Gerke, Solvay

    2016-10-01

    Diseases are rapidly urbanizing. Ageing infrastructures, high levels of inequality, poor urban governance, rapidly growing economies and highly dense and mobile populations all create environments rife for water-borne diseases. This article analyzes the role of institutions as crosscutting entities among a myriad of factors that breed water-borne diseases in the city of Ahmedabad, India. It applies 'path dependency' and a 'rational choice' perspective to understand the factors facilitating the breeding of diseases. This study is based on household surveys of approximately 327 households in two case study wards and intermittent interviews with key informants over a period of 2 years. Principle component analysis is applied to reduce the data and convert a set of observations, which potentially correlate with each other, into components. Institutional analyses behind these components reveal the role of social actors in exploiting the deeply rooted inefficiencies affecting urban health. This has led to a vicious cycle; breaking this cycle requires understanding the political dynamics that underlie the exposure and prevalence of diseases to improve urban health. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  14. Malarial Anaemia and Anaemia Severity in Apparently Healthy Primary School Children in Urban and Rural Settings in the Mount Cameroon Area: Cross Sectional Survey

    PubMed Central

    Ndamukong-Nyanga, Judith Lum; Nweboh, Malaika; Anchang-Kimbi, Judith Kuoh; Lum, Emmaculate; Nana, Yannick; Ndamukong, Kenneth K. J.; Lehman, Leopold G.

    2015-01-01

    Background This study examines the relative importance of living in an urban versus rural setting and malaria in contributing to the public health problem of malarial anaemia (MA) and anaemia respectively in apparently healthy primary school children. Methods A cross-sectional study was conducted among 727 school children aged between four and 15 years living in an urban (302) and rural (425) settings in the Mount Cameroon area. Blood sample collected from each child was used for the preparation of blood films for detection of malaria parasites and assessment of malaria parasite density as well as full blood count determination using an automated haematology analyzer. Based on haemoglobin (Hb) measurements, children with malaria parasitaemia were stratified into MA (Hb<11g/dL); mild MA (Hb of 8–10.9g/dL); moderate MA (Hb of 6.1–7.9g/dL) and severe MA (Hb≤6g/dL). Evaluation of potential determinants of MA and anaemia was performed by multinomial logistic-regression analysis and odds ratios used to evaluate risk factors. Results Out of the 727 children examined, 72 (9.9%) had MA. The prevalence of MA and anaemia were significantly higher (χ2 = 36.5, P <0.001; χ2 = 16.19, P <0.001 respectively) in children in the urban (17.9%; 26.8% respectively) than in the rural area (4.2%; 14.8% respectively). Majority of the MA cases were mild (88.9%), with moderate (5.6%) and severe MA (5.6%) occurring in the urban area only. The age group ≤6years was significantly (P <0.05) associated with both MA and anaemia. In addition, low parasite density was associated with MA while malaria parasite negative and microcytosis were associated with anaemia. Conclusions Malarial anaemia and anaemia display heterogeneity and complexity that differ with the type of settlement. The presence of severe MA and the contributions of the age group ≤6 years, low parasite density and microcytosis to the public health problem of MA and anaemia are noteworthy. PMID:25893500

  15. Malarial anaemia and anaemia severity in apparently healthy primary school children in urban and rural settings in the Mount Cameroon area: cross sectional survey.

    PubMed

    Sumbele, Irene Ule Ngole; Kimbi, Helen Kuokuo; Ndamukong-Nyanga, Judith Lum; Nweboh, Malaika; Anchang-Kimbi, Judith Kuoh; Lum, Emmaculate; Nana, Yannick; Ndamukong, Kenneth K J; Lehman, Leopold G

    2015-01-01

    This study examines the relative importance of living in an urban versus rural setting and malaria in contributing to the public health problem of malarial anaemia (MA) and anaemia respectively in apparently healthy primary school children. A cross-sectional study was conducted among 727 school children aged between four and 15 years living in an urban (302) and rural (425) settings in the Mount Cameroon area. Blood sample collected from each child was used for the preparation of blood films for detection of malaria parasites and assessment of malaria parasite density as well as full blood count determination using an automated haematology analyzer. Based on haemoglobin (Hb) measurements, children with malaria parasitaemia were stratified into MA (Hb<11 g/dL); mild MA (Hb of 8-10.9 g/dL); moderate MA (Hb of 6.1-7.9 g/dL) and severe MA (Hb≤6 g/dL). Evaluation of potential determinants of MA and anaemia was performed by multinomial logistic-regression analysis and odds ratios used to evaluate risk factors. Out of the 727 children examined, 72 (9.9%) had MA. The prevalence of MA and anaemia were significantly higher (χ2 = 36.5, P <0.001; χ2 = 16.19, P <0.001 respectively) in children in the urban (17.9%; 26.8% respectively) than in the rural area (4.2%; 14.8% respectively). Majority of the MA cases were mild (88.9%), with moderate (5.6%) and severe MA (5.6%) occurring in the urban area only. The age group ≤6 years was significantly (P <0.05) associated with both MA and anaemia. In addition, low parasite density was associated with MA while malaria parasite negative and microcytosis were associated with anaemia. Malarial anaemia and anaemia display heterogeneity and complexity that differ with the type of settlement. The presence of severe MA and the contributions of the age group ≤6 years, low parasite density and microcytosis to the public health problem of MA and anaemia are noteworthy.

  16. An Evaluation of Healthy Relationship Education to Reduce Intimate Partner Violence

    ERIC Educational Resources Information Center

    Antle, Becky F.; Karam, Eli; Christensen, Dana N.; Barbee, Anita P.; Sar, Bibhuti K.

    2011-01-01

    This research evaluated the impact of the Within My Reach healthy relationship education program on intimate partner violence for 419 high-risk adults in an urban area. Key outcomes such as relationship knowledge, communication/conflict resolution skills, relationship quality, and physical and emotional abuse were evaluated through survey research…

  17. Challenging issues of urban biodiversity related to ecohydrology.

    PubMed

    Mendiondo, E M

    2008-11-01

    This paper aims to outline challenging issues of urban biodiversity in order to address yardsticks related to ecohydrology, and with a complementary approach to eutrophication impacts. The vision of environmental services, urbanization's consequences and management aspects of water governance are also depicted. Factors of river restoration, environmental tradeoffs and socio-cultural constrains are envisaged through concept questions towards emerging aspects that figure out methodological guides, strategic challenges for stakeholders and inter-disciplinary opportunities. Examples from case studies on restoration and management, from experiences and lessons learned, are enclosed, with brief discussions and literature citation.

  18. EnviroAtlas Connects Urban Ecosystem Services and Human Well-Being

    EPA Science Inventory

    Ecosystem services in urban areas can improve public health and well-being by mitigating natural and anthropogenic pollution, and by promoting healthy lifestyles that include engagement with nature and enhanced opportunities for physical activity and social interaction. EPA&rsqu...

  19. Organizing urban ecosystem services through environmental stewardship governance in New York City

    Treesearch

    James J. Connolly; Erika S. Svendsen; Dana R. Fisher; Lindsay K. Campbell

    2013-01-01

    How do stewardship groups contribute to the management of urban ecosystem services? In this paper, we integrate the research on environmental stewardship with the social-ecological systems literature to explain how stewardship groups serve as bridge organizations between public agencies and civic organizations, working across scales and sectors to build the flexible...

  20. Leisure, economy and colonial urbanism: Darjeeling, 1835-1930.

    PubMed

    Bhattacharya, Nandini

    2013-08-01

    This article posits that the hill station of Darjeeling was a unique form of colonial urbanism. It shifts historiographical interest from major urban centres in colonial India (such as Bombay or Calcutta) and instead attempts a greater understanding of smaller urban centres. In the process, it also interrogates the category of hill stations, which have been understood as exotic and scenic sites rather than as towns that were integral to the colonial economy. In arguing that hill stations, particularly Darjeeling, were not merely the scenic and healthy 'other' of the clamorous, dirty and diseased plains of India, it refutes suggestions that the 'despoiling' or overcrowding of Darjeeling was incremental to the purposes of its establishment. Instead, it suggests that Darjeeling was part of the colonial mainstream; its urbanization and inclusion into the greater colonial economy was effected from the time of its establishment. Therefore, a constant tension between its exotic and its functional elements persisted throughout.

  1. The periodontal health of Nepalese schoolchildren.

    PubMed

    Yeel, R; David, J; Lama, D

    2009-12-01

    To report on the periodontal status of schoolchildren in urban and rural Nepal and to identify possible risk indicators of poor periodontal health. Cross-sectional 'pathfinder' survey using the stratified cluster sampling technique included seven urban and nine rural sites representing the three geographic divisions and five political regions of Nepal. Second stage sampling involved the random selection of 25 schools (18 government and seven private). Final study population consisted of three age groups: 5-6-years (n=1025), 12-13-years (n=1037) and 15-16-years (n=1053). Periodontal data was collected using CPI based on WHO methodology and criteria by trained examiners. A structured questionnaire was administered to collect information on oral health behavior and socio-economic status. A gradual decline in the mean number of healthy sextants was noted with an increase in age among the schoolchildren. Males and females within a specific school and area showed no statistical significant difference when assessed for differences in score 0 (healthy periodontium) among all age groups except for 15-16-year-olds studying in government-urban schools. Multivariate logistic regression analyses showed that children 5 to 6 years of age studying in government urban (Adjusted Odds Ratio = 1.5, 95% Confidence Interval = 1.1-2.1) and government rural schools (Adj OR = 2.8, 95% CI 1.9-4.1) were at higher risk of having periodontal conditions (CPI scores >0) when compared to those in private urban schools. The probability of poorer periodontal status increased for 12 to 13 (Adjusted OR = 1.9, 95% CI 1.3-2.9) and 15 to 16-year-old children (Adjusted OR = 1.7, 95% CI 1.1-2.5) who studied in government rural schools. A steady increase in periodontal conditions was observed with increasing age. The main risk indicator for unhealthy periodontal status at 5-6 years was studying and residing in government rural and urban schools; while the indicator of unhealthy periodontal status for

  2. [Convenience foods -- a simple way of healthy cooking].

    PubMed

    Rentsch, N; Mühlemann, P; Baumgartner-Perren, S; Exl-Preysch, B M

    2001-09-01

    Convenience foods stand for a culinary revolution that commenced just over 100 years ago. The food industry came into being parallel to industrialization and urbanization. Nicolas Appert invented the can at that time and Julius Maggi invented dehydrated soup. Today convenience foods--from powdered spices to ready-to-eat dishes--are prepared using state-of-the-art technology and offer a ubiquitous range of healthy, easy-to-serve foods.

  3. The Press and Government Restriction: A Cross-National Study Over Time.

    ERIC Educational Resources Information Center

    Weaver, David H.

    Studies on mass communication and national development and studies of press freedom were reviewed to construct a macro-level theoretical model of press freedom development including seven key concepts: availability of resources, urbanism, educational level, mass media development, accountability of governors, stress on government, and government…

  4. Framework for integration of urban planning, strategic environmental assessment and ecological planning for urban sustainability within the context of China

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    He Jia; Bao Cunkuan, E-mail: baock@tongji.edu.cn; Shu Tingfei

    2011-11-15

    Sustainable development or sustainability has been highlighted as an essential principle in urban master planning, with increasing recognition that uncontrollable urbanization may well give rise to various issues such as overexploitation of natural resources, ecosystem destruction, environmental pollution and large-scale climate change. Thus, it is deemed necessary to modify the existing urban and regional administrative system so as to cope with the challenges urban planning is being confronted with and realize the purpose of urban sustainability. This paper contributed to proposing a mechanism which helps to make urban planning with full consideration of issues with respect to sustainable development. Wemore » suggested that the integration of urban planning, SEA and ecological planning be a multi-win strategy to offset deficiency of each mentioned political tool being individually applied. We also proposed a framework where SEA and ecological planning are fully incorporated into urban planning, which forms a two-way constraint mechanism to ascertain environmental quality of urban planning, although in practice, planning and SEA processes may conditionally be unified. Moreover, as shown in the case study, the integration of the three political tools may be constrained due to slow changes in the contextual factors, in particular the political and cultural dimensions. Currently within the context of China, there may be three major elements which facilitate integration of the three political tools, which are (1) regulatory requirement of PEIA on urban planning, (2) the promotion or strong administrative support from government on eco-district building, and (3) the willingness of urban planners to collaborate with SEA experts or ecologists.« less

  5. Formative Evaluation to Increase Availability of Healthy Snacks and Beverages in Stores Near Schools in Two Rural Oregon Counties, 2013.

    PubMed

    Izumi, Betty T; Findholt, Nancy E; Pickus, Hayley A

    2015-12-03

    Children living in rural areas are at greater risk for obesity than their urban counterparts. Differences in healthy food access may contribute to this disparity. Most healthy food access initiatives target stores in urban areas. We conducted a formative evaluation to increase availability of healthy snacks and beverages in food stores near schools in rural Oregon. We assessed availability of healthy snacks and beverages in food stores (n = 15) using the SNACZ (Students Now Advocating to Create Healthy Snacking Zones) checklist and conducted in-depth interviews with food store owners (n = 6). Frequency distributions were computed for SNACZ checklist items, and interview data were analyzed by using applied thematic analysis. Overall, availability of healthy snacks and beverages in study communities was low. Four interrelated themes regarding store owner perspectives on stocking healthy snacks and beverages emerged from the interviews: customer demand, space constraints, vendor influence, and perishability. In addition to working with food store owners, efforts to increase availability of healthy snacks and beverages in rural areas should engage young people, food buyers (eg, schools), and vendors as stakeholders for identifying strategies to increase demand for and availability of these items. Further research will be needed to determine which strategies or combinations of strategies are feasible to implement in the study communities.

  6. Management of Urban Construction Programs. Volume II : Supplemental Information

    DOT National Transportation Integrated Search

    1981-06-01

    This report is part of a program sponsored by the Office of Rail and Construction Technology of the Urban Mass Transportation Administration. The overall objective of the study is to develop guidelines that can be used by local government authorities...

  7. Creating and validating GIS measures of urban design for health research

    PubMed Central

    Purciel, Marnie; Neckerman, Kathryn M.; Lovasi, Gina S.; Quinn, James W.; Weiss, Christopher; Bader, Michael D.M.; Ewing, Reid; Rundle, Andrew

    2012-01-01

    Studies relating urban design to health have been impeded by the unfeasibility of conducting field observations across large areas and the lack of validated objective measures of urban design. This study describes measures for five dimensions of urban design – imageability, enclosure, human scale, transparency, and complexity – created using public geographic information systems (GIS) data from the US Census and city and state government. GIS measures were validated for a sample of 588 New York City block faces using a well-documented field observation protocol. Correlations between GIS and observed measures ranged from 0.28 to 0.89. Results show valid urban design measures can be constructed from digital sources. PMID:22956856

  8. Introduction: population migration and urbanization in developing countries.

    PubMed

    Kojima, R

    1996-12-01

    This introductory article discusses the correlation between migration and rapid urbanization and growth in the largest cities of the developing world. The topics include the characteristics of urbanization, government policies toward population migration, the change in absolute size of the rural population, and the problems of maintaining megacities. Other articles in this special issue are devoted to urbanization patterns in China, South Africa, Iran, Korea and Taiwan as newly industrialized economies (NIEs), informal sectors in the Philippines and Thailand, and low-income settlements in Bogota, Colombia, and India. It is argued that increased urbanization is produced by natural population growth, the expansion of the urban administrative area, and the in-migration from rural areas. A comparison of urbanization rates of countries by per capita gross national product (GNP) reveals that countries with per capita GNP of under US$2000 have urbanization rates of 10-60%. Rates are under 30% in Africa, the Middle East, South Asia, China, and Indonesia. Rapid urbanization appears to follow the economic growth curve. The rate of urbanization in Latin America is high enough to be comparable to urbanization in Europe and the US. Taiwan and Korea have high rates of urbanization that surpass the rate of industrialization. Thailand and Malaysia have low rates of urbanization compared to the size of their per capita GNP. Urbanization rates under 20% occur in countries without economic development. Rates between 20% and 50% occur in countries with or without industrialization. East Asian urbanization is progressing along with industrialization. Africa and the Middle East have urbanization without industrialization. In 1990 there were 20 developing countries and 5 developed countries with populations over 5 million. In 10 of 87 developing countries rural population declined in absolute size. The author identifies and discusses four patterns of urban growth.

  9. Process Evaluation of Baltimore Healthy Stores: A Pilot Health Intervention Program With Supermarkets and Corner Stores in Baltimore City

    PubMed Central

    Gittelsohn, Joel; Suratkar, Sonali; Song, Hee-Jung; Sacher, Suzanne; Rajan, Radha; Rasooly, Irit R.; Bednarek, Erin; Sharma, Sangita; Anliker, Jean A.

    2011-01-01

    Reduced access to affordable healthy foods is linked to higher rates of chronic diseases in low-income urban settings. The authors conduct a feasibility study of an environmental intervention (Baltimore Healthy Stores) in seven corner stores owned by Korean Americans and two supermarkets in low-income East Baltimore. The goal is to increase the availability of healthy food options and to promote them at the point of purchase. The process evaluation is conducted largely by external evaluators. Participating stores stock promoted foods, and print materials are displayed with moderate to high fidelity. Interactive consumer taste tests are implemented with high reach and dose. Materials developed specifically for Korean American corner store owners are implemented with moderate to high fidelity and dose. Results indicate that small food store–based intervention programs are feasible to implement and are a viable means of increasing healthy food availability and a good location for point-of-purchase promotions in low-income urban settings. PMID:19144859

  10. Applications of urban tree canopy assessment and prioritization tools: supporting collaborative decision making to achieve urban sustainability goals

    Treesearch

    Dexter H. Locke; J. Morgan Grove; Michael Galvin; Jarlath P.M. ONeil-Dunne; Charles Murphy

    2013-01-01

    Urban Tree Canopy (UTC) Prioritizations can be both a set of geographic analysis tools and a planning process for collaborative decision-making. In this paper, we describe how UTC Prioritizations can be used as a planning process to provide decision support to multiple government agencies, civic groups and private businesses to aid in reaching a canopy target. Linkages...

  11. Global health governance as shared health governance.

    PubMed

    Ruger, Jennifer Prah

    2012-07-01

    With the exception of key 'proven successes' in global health, the current regime of global health governance can be understood as transnational and national actors pursuing their own interests under a rational actor model of international cooperation, which fails to provide sufficient justification for an obligation to assist in meeting the health needs of others. An ethical commitment to providing all with the ability to be healthy is required. This article develops select components of an alternative model of shared health governance (SHG), which aims to provide a 'road map,' 'focal points' and 'the glue' among various global health actors to better effectuate cooperation on universal ethical principles for an alternative global health equilibrium. Key features of SHG include public moral norms as shared authoritative standards; ethical commitments, shared goals and role allocation; shared sovereignty and constitutional commitments; legitimacy and accountability; country-level attention to international health relations. A framework of social agreement based on 'overlapping consensus' is contrasted against one based on self-interested political bargaining. A global health constitution delineating duties and obligations of global health actors and a global institute of health and medicine for holding actors responsible are proposed. Indicators for empirical assessment of select SHG principles are described. Global health actors, including states, must work together to correct and avert global health injustices through a framework of SHG based on shared ethical commitments.

  12. Implementation of Urban Health Equity Assessment and Response Tool: a Case of Matsapha, Swaziland.

    PubMed

    Makadzange, Kevin; Radebe, Zamahlubi; Maseko, Nokuthula; Lukhele, Voyivoyi; Masuku, Sabelo; Fakudze, Gciniwe; Mengestu, Tigest Ketsela; Prasad, Amit

    2018-04-03

    Equity in health implies that ideally everyone could attain their full health potential and that no one should be disadvantaged from achieving this potential because of their social position or other socially determined circumstances. Making cities and human settlements inclusive, safe, resilient and sustainable contributes towards ensuring healthy lives and promoting well-being for all at all ages in dignity, equality and in a healthy environment. This paper illustrates a case of applying the Urban Health Equity Assessment and Response Tool (Urban HEART) in a small town in Africa. It describes the process followed, facilitating factors and challenges faced. A descriptive single-case study design using qualitative research methods was adopted to collect data from purposively selected respondents. The study revealed that residents of the Matsapha peri-urban informal settlements faced challenges with conditions of daily living which impacted negatively on their health. There were health equity gaps. The application of the tools was facilitated by the formation of an all-inclusive team, intersectoral collaboration and incorporating strategies for improving urban health equity into existing programmes and projects. Urban HEART is a simple and easy to use valuable tool for pursuing the goal of health equity towards attaining sustainable development through evidence-based approaches for intersectoral action and community involvement.

  13. Full Service Extended Schools and Educational Inequality in Urban Contexts--New Opportunities for Progress?

    ERIC Educational Resources Information Center

    Raffo, Carlo; Dyson, Alan

    2007-01-01

    This paper examines the extent to which the UK government's full service extended schools programme has the capacity to ameliorate educational inequality in urban contexts. It starts by examining a variety of explanatory narratives for educational inequality in urban contexts in the UK and suggests that the dynamics of social exclusion created by…

  14. Urbanization and the Resulting Peripheralization in Solo Raya, Indonesia

    NASA Astrophysics Data System (ADS)

    Pradoto, W.; Mardiansjah, F. H.; Manullang, O. R.; Putra, A. A.

    2018-02-01

    Dynamic urbanization in Solo Raya, a local term for Surakarta Metropolitan, amongst rapid regional based-urbanization in Indonesia, shows the unbalance pattern of growth. A number of Surakarta City’s peripherals become the newly growing area which is characterized by a well-facilitated region, while the former urbanized areas next to the city center present the declining process. Different socioeconomic development triggers a unique mosaic of socio-spatial pattern, on which the phenomena of peripheralization could be investigated. Urban investment that boosted by the political will of both the national and local government has led to a shift in demographic condition. A relatively massive in-migration has been attracted to the peripheral and creates the new landscape of urban-rural society. Complex dynamic of metropolitan growth and the resulting peripheralization reminds that socio-spatial pattern calls the challenges for managing the rapid change of land use and space use. The pattern of urbanization that differs upon the surrounding areas of Surakarta City would be interesting to be explored. This paper will discuss the conceptual framework of peripheral urbanization and the methodological approach. It is actually the part of ongoing research on peripheralisation in Solo Raya.

  15. Preliminary Identification of Urban Park Infrastructure Resilience in Semarang Central Java

    NASA Astrophysics Data System (ADS)

    Muzdalifah, Aji Uhfatun; Maryono

    2018-02-01

    Park is one of the spot green infrastructure. There are two major characteristic of park, first Active parks and second passive park. Those of two open spaces have been significant on the fulfillment of urban environment. To maintenance the urban park, it is very importance to identify the characteristic of active and passive park. The identification also needs to fostering stakeholder effort to increase quality of urban park infrastructure. This study aims to explore and assess the characteristic of urban park infrastructure in Semarang City, Central Java. Data collection methods conduct by review formal document, field observation and interview with key government officer. The study founded that urban active parks infrastructure resilience could be defined by; Park Location, Garden Shape, Vegetation, Support Element, Park Function, and Expected Benefit from Park Existence. Moreover, the vegetation aspect and the supporting elements are the most importance urban park infrastructure in Semarang.

  16. Saudi Arabic, Urban Hijazi Dialect: Basic Course.

    ERIC Educational Resources Information Center

    Omar, Margaret K.

    The three major dialect groups of Saudi Arabia are Hijazi, Najdi and Shargi. Hijazi is used for government and commercial purposes and is the most widely understood. This basic course uses the Hijazi dialect of Jidda, which is designated "urban" to distinguish it from Bedouin varieties. The book will provide students with the basic…

  17. Physical health correlates of pathological and healthy dependency in urban women.

    PubMed

    Porcerelli, John H; Bornstein, Robert F; Markova, Tsveti; Huprich, Steven K

    2009-10-01

    This study assessed the relationship between dependency and indicators of health/illness, healthcare costs, and utilization. Dependency ratings were obtained using the Relationship Profile Test (Bornstein and Languirand, 2003), a questionnaire that assesses healthy and pathological dependency: destructive overdependence (DO), dysfunctional detachment (DD), and healthy dependency (HD). The sample consisted of primarily low-income, African-American, and female primary care patients (N = 110). DO and DD were significantly associated with indices of increased illness, with DO evidencing slightly larger effect sizes than DD. HD was significantly (negatively) associated with 1 health/illness variable. DD and DO were associated with higher total outpatient costs with DD also being associated with average costs per visit. DO and HD were associated with utilization (increased hospital days and fewer emergency room visits, respectively). Further research is recommended to inform researchers and clinicians about the dependency-illness relationship and to develop interventions that maximize HD and minimize pathological dependency.

  18. Urbanization in Africa: challenges and opportunities for conservation

    NASA Astrophysics Data System (ADS)

    Güneralp, Burak; Lwasa, Shuaib; Masundire, Hillary; Parnell, Susan; Seto, Karen C.

    2017-12-01

    Africa, a continent exceptionally rich in biodiversity, is rapidly urbanizing. Africa’s urbanization is manifest in the growth of its megacities as well as that of its smaller towns and cities. The conservation planning and practice will increasingly need to account for direct and indirect impacts of the continent’s urbanization. The objective of our study is to pinpoint the outstanding challenges and opportunities afforded by the growing cities on the continent to the conservation goals and practices. While there have been many studies on the impacts of urbanization and development on conservation in Africa these studies tended to focus on specific issues. Here, we provide a synthesis of this body of work supported by new analysis. Urban areas, growing both in population and in land cover, pose threats to the integrity of the continent’s ecosystems and biodiversity but their growth also create opportunities for conservation. The burgeoning urban populations, especially in Sub-Saharan Africa, increase the strain on already insufficient infrastructure and bring new governance challenges. Yet, Africa’s ecosystems can serve as foundations for green infrastructure to serve the needs of its urban populations while safeguarding fragile biodiversity. Overall, while worsening social problems overshadow the concerns for biodiversity there are also promising initiatives to bring these concerns into the fold to address social, institutional, and ecological challenges that emerge with the continued urbanization of the continent.

  19. The healthy migrant effect: new findings from the Mexican Family Life Survey.

    PubMed

    Rubalcava, Luis N; Teruel, Graciela M; Thomas, Duncan; Goldman, Noreen

    2008-01-01

    We used nationally representative longitudinal data from the Mexican Family Life Survey to determine whether recent migrants from Mexico to the United States are healthier than other Mexicans. Previous research has provided little scientific evidence that tests the "healthy migrant" hypothesis. Estimates were derived from logistic regressions of whether respondents moved to the United States between surveys in 2002 and 2005, by gender and urban versus rural residence. Covariates included physical health measurements, self-reported health, and education measured in 2002. Our primary sample comprised 6446 respondents aged 15 to 29 years. Health significantly predicted subsequent migration among females and rural males. However, the associations were weak, few health indicators were statistically significant, and there was substantial variation in the estimates between males and females and between urban and rural dwellers. On the basis of recent data for Mexico, the largest source of migrants to the United States, we found generally weak support for the healthy migrant hypothesis.

  20. Community Member and Stakeholder Perspectives on a Healthy Environment Initiative in North Carolina.

    PubMed

    Carter-Edwards, Lori; Lowe-Wilson, Abby; Mouw, Mary Sherwyn; Jeon, Janet Yewon; Baber, Ceola Ross; Vu, Maihan B; Bethell, Monique

    2015-08-13

    The North Carolina Community Transformation Grant Project (NC-CTG) aimed to implement policy, system, and environmental strategies to promote healthy eating, active living, tobacco-free living, and clinical and community preventive services to advance health equity and reduce health disparities for the state's most vulnerable communities. This article presents findings from the Health Equity Collaborative Evaluation and Implementation Project, which assessed community and stakeholder perceptions of health equity for 3 NC-CTG strategies: farmers markets, shared use, and smoke-free multiunit housing. In a triangulated qualitative evaluation, 6 photo elicitation (PE) sessions among 45 community members in 1 urban and 3 rural counties and key informant interviews among 22 stakeholders were conducted. Nine participants from the PE sessions and key informant interviews in the urban county subsequently participated in a stakeholder power analysis and mapping session (SPA) to discuss and identify people and organizations in their community perceived to be influential in addressing health equity-related issues. Evaluations of the PE sessions and key informant interviews indicated that access (convenience, cost, safety, and awareness of products and services) and community fit (community-defined quality, safety, values, and norms) were important constructs across the strategies. The SPA identified specific community- and faith-based organizations, health care organizations, and local government agencies as key stakeholders for future efforts. Both community fit and access are essential constructs for promoting health equity. Findings demonstrate the feasibility of and need for formative research that engages community members and local stakeholders to shape context-specific, culturally relevant health promotion strategies.

  1. Community Member and Stakeholder Perspectives on a Healthy Environment Initiative in North Carolina

    PubMed Central

    Lowe-Wilson, Abby; Mouw, Mary Sherwyn; Jeon, Janet Yewon; Baber, Ceola Ross; Vu, Maihan B.; Bethell, Monique

    2015-01-01

    Introduction The North Carolina Community Transformation Grant Project (NC-CTG) aimed to implement policy, system, and environmental strategies to promote healthy eating, active living, tobacco-free living, and clinical and community preventive services to advance health equity and reduce health disparities for the state’s most vulnerable communities. This article presents findings from the Health Equity Collaborative Evaluation and Implementation Project, which assessed community and stakeholder perceptions of health equity for 3 NC-CTG strategies: farmers markets, shared use, and smoke-free multiunit housing. Methods In a triangulated qualitative evaluation, 6 photo elicitation (PE) sessions among 45 community members in 1 urban and 3 rural counties and key informant interviews among 22 stakeholders were conducted. Nine participants from the PE sessions and key informant interviews in the urban county subsequently participated in a stakeholder power analysis and mapping session (SPA) to discuss and identify people and organizations in their community perceived to be influential in addressing health equity–related issues. Results Evaluations of the PE sessions and key informant interviews indicated that access (convenience, cost, safety, and awareness of products and services) and community fit (community-defined quality, safety, values, and norms) were important constructs across the strategies. The SPA identified specific community- and faith-based organizations, health care organizations, and local government agencies as key stakeholders for future efforts. Conclusions Both community fit and access are essential constructs for promoting health equity. Findings demonstrate the feasibility of and need for formative research that engages community members and local stakeholders to shape context-specific, culturally relevant health promotion strategies. PMID:26270741

  2. Benefits of restoring ecosystem services in urban areas

    Treesearch

    T. Elmqvist; H. Setala; S.N. Handel; S. van der Ploeg; J. Aronson; J.N. Blignaut; E. Gomez-Baggethun; D.J. Nowak; J. Kronenberg; R. de Groot

    2015-01-01

    Cities are a key nexus of the relationship between people and nature and are huge centers of demand for ecosystem services and also generate extremely large environmental impacts. Current projections of rapid expansion of urban areas present fundamental challenges and also opportunities to design more livable, healthy and resilient cities (e.g. adaptation to climate...

  3. Driving factors of urban land growth in Guangzhou and its implications for sustainable development

    NASA Astrophysics Data System (ADS)

    Cui, Xuezhu; Li, Shaoying; Wang, Xuetong; Xue, Xiaolong

    2018-04-01

    Since 2000, China's urban land has expanded at a dramatic speed because of the country's rapid urbanization. The country has been experiencing unbalanced development between rural and urban areas, causing serious challenges such as agricultural security and land resources waste. Effectively evaluating the driving factors of urban land growth is essential for improving efficient land use management and sustainable urban development. This study established a principal component regression model based on eight indicators to identify their influences on urban land growth in Guangzhou. The results provided a grouping analysis of the driving factors, and found that economic growth, urban population, and transportation development are the driving forces of urban land growth of Guangzhou, while the tertiary industry has an opposite effect. The findings led to further suggestions and recommendations for urban sustainable development. Hence, local governments should design relevant policies for achieving the rational development of urban land use and strategic planning on urban sustainable development.

  4. An audit of local government planning tools for their potential use in addressing community food and nutrition issues.

    PubMed

    Good, Elizabeth; Hammond, Melinda; Martin, Caroline; Burns, Catherine; Groos, Anita

    2010-04-01

    This project aimed to identify how local government planning tools could be used to influence physical and policy environments to support healthy eating behaviours in communities. An audit of Queensland's legislative and non-legislative local government planning tools was conducted by a public health nutritionist to assess their potential use in addressing strategies to achieve positive nutrition outcomes. Ten strategies were identified and covered the following themes: improving access to healthy foods and drinks; increasing access to breastfeeding facilities; decreasing fast food outlet density; and unhealthy food advertising. The audit found that all of the 10 strategies to achieve positive nutrition outcomes could be considered through three or more of the planning tools. Based on the findings of this audit, local government planning tools provide opportunities to address food and nutrition issues and contribute toward creating physical and policy environments that support healthy eating behaviours.

  5. Policy change and governance at the wildland-urban interface: the case of post-wildfire impacts in Boise, Idaho

    NASA Astrophysics Data System (ADS)

    Lindquist, Eric

    2013-04-01

    In the summer of 2012 over 1.7 million acres (approximately 6900 sq kilometers) were burned from wildfires in the state of Idaho in the Western United States. While most of the these fires were in rural and wilderness areas, several significant fires occurred at the wildland-urban interface (WUI), threatening houses, communities and the built environment as never before. As the population of the Mountain West in the United States grows, the WUI (the area where homes are being built adjacent to traditionally wild or rural areas and the built environment encroaches on wildlands) is rapidly becoming an at risk area for human habitation. Efforts to make these areas more resilient and sustainable in the face of increasing fire risk, due to increasing drought and climate change, are resulting in efforts to change or adapt disaster response and planning policy. An increase in stakeholders, however, with diverse objectives and resources presents an opportunity to assess the current governance situation for policy change in response to wildland fires in the dynamic and complex context of the WUI. The research presented here will focus on the case of Treasure Valley region of southwest Idaho and Boise, the capitol city of Idaho. This region is illustrative of the growing urban western United States and the pressures from a growing population pushing into the WUI. This research frames fire policy and decision making at the wildland-urban interface within public policy process theory using the example of the summer of 2012 forest fires in Idaho (USA) and focuses on subsequents impact these fires are having on fire planning and policy in the Boise metropolitan region. The focus is on the diverse stakeholders (federal, state and regional agencies, tourism, agriculture and private sector interests, homeowner organizations, and fire response and recovery agencies) and their roles and responsibilities, their interactions, decision and policy processes, the use of science in

  6. Interdisciplinary Pathways for Urban Metabolism Research

    NASA Astrophysics Data System (ADS)

    Newell, J. P.

    2011-12-01

    urban metabolism, which adds spatial differentiation to materials flows and form, as well as a focus on equity, access, and governance dimensions of the urban metabolism.

  7. Urban and Suburban Residents' Perceptions of Farmers and Agriculture.

    ERIC Educational Resources Information Center

    Molnar, Joseph J.; Duffy, Patricia A.

    Attitudes about farming and government agricultural policies differed among residential categories ranging from urban to rural. A mail survey gathered 3,232 completed questionnaires from a national random sample of 9,250 households. Statistical weighting made respondent categories representative of national proportions. Although respondents…

  8. Water Management and Sediment Control for Urbanizing Areas.

    ERIC Educational Resources Information Center

    Soil Conservation Service (USDA), Columbus, OH.

    This handbook, developed for use by the Soil Conservation Service and property owners, land developers, local government agencies, and consulting firms, is designed to provide information on water management and minimizing erosion on land undergoing development in urban areas. The standards and specifications listed in this handbook are to provide…

  9. Generating global political priority for urban health: the role of the urban health epistemic community.

    PubMed

    Shawar, Yusra Ribhi; Crane, Lani G

    2017-10-01

    Over the past decade there has been much discussion of the challenges posed by rapid urbanization in the developing world; yet the health of the urban poor, and especially those residing in low- and middle-income countries, continues to receive little political priority in most developing countries and at the global level. This research applies social science scholarship and a public policy analytical framework to assess the factors that have challenged efforts to make health in urban poor settings a priority. We conducted 19 semi-structured phone interviews with key urban health proponents and experts representing agencies that shape opinions and manage resources in global health. We also conducted a literature review, which included published scholarly literature and reports from organizations involved in urban health provision and advocacy. Utilizing a process-tracing method, we triangulated among these sources of data to create a historical narrative and analyse the factors that shape the global level of attention to and resources for urban health. The urban health agenda continues to be challenged by six factors, three of which concern the political context or characteristics of the issue: long-standing competition with the dominant development agenda that is rural health oriented; limited data and measurement tools that can effectively gauge the extent of the problem; and lack of evidence on how to best to address the issue. The other three factors are directly under the control of the urban health community: the community's ineffective governance; little common understanding among its members of the problem and how to address it; and an unconvincing framing of the issue to the public. The study offers suggestions as to what advocates can do to secure greater attention and resources in order to help address the health needs of the urban poor. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical

  10. Traversing Urban Social Spaces: How Online Research Helps Unveil Offline Practice

    NASA Astrophysics Data System (ADS)

    Carroll, Julie-Anne; Foth, Marcus; Adkins, Barbara

    This article presents a discussion of methodological considerations in urban informatics research. As an exemplar, we examine a health communication research blog set up to produce insights into the choices made by residents of a master-planned development affecting their health and well-being. It served both as a repository for collection and a tool for the strategic selection and analysis of internet research data. We reflect on the nature of the online data contributed by an urban demographic about their physical activity practices within this particular neighbourhood. The blog provided a forum for detailed responses which allowed participants to reflect on their answers over a period of time, and write with the privacy and protection effects provided by the anonymity of contributions, coupled with the advantage of being able to view the contributions made by other residents. Opinions, stories and discussions were instigated by questions and photographs posted on the blog about residents' levels of engagement with the neighbourhood for staying active and healthy. Residents reported on the social and physical aspects of the new urban environment that either encouraged or inhibited them from leading active and healthy lifestyles. In this context the blog provided insights into the role of both the planning rhetoric associated with a new urban village and the meanings attached to the lifeworld of the residents in their health practices. A total of 214 contributions to the blog were made by the residents, with the analysis and findings highlighting implications for urban design and health promotion research and practice.

  11. Improving urban environment through public commitment toward the implementation of clean and healthy living behaviors.

    PubMed

    Hartini, Nurul; Ariana, Atika Dian; Dewi, Triana Kesuma; Kurniawan, Afif

    2017-01-01

    Some parts of northern Surabaya are slum areas with dense populations, and the majority of the inhabitants are from low-income families. The condition of these areas is seemingly different from the fact that Surabaya city has won awards for its cleanliness, healthy environment preservation, and maintenance. This study aimed at turning the researched site into a clean and healthy environment. The research was conducted using a quasi-experiment technique with a non-randomized design and pretest-posttest procedures. The research subjects were 121 inhabitants who actively participated in the public commitment and psychoeducation program initiated by the researchers to learn and practice clean and healthy living behaviors. The statistical data showed that there was a substantial increase in the aspects of public commitment ( t -value = 4.008, p = 0.001) and psychoeducation ( t -value = 4.038, p = 0.001) to begin and maintain a clean and healthy living behaviors. A public commitment in the form of a collective declaration to keep learning and practicing a clean and healthy living behaviors were achieved. This commitment followed by psychoeducation aimed at introducing and exercising such behaviors was found to have effectively increased the research subjects' awareness to actively participate in preserving environmental hygiene. Developing communal behaviors toward clean and healthy living in inhabitants residing in an unhealthy slum area was a difficult task. Therefore, public commitment and psychoeducation must be aligned with the formulation of continuous habits demonstrating a clean and healthy living behaviors. These habits include the cessation of littering while putting trash in its place, optimizing the usage of public toilets, planting and maintaining vegetation around the area, joining and contributing to the "garbage bank" program, and participating in the Green and Clean Surabaya competition.

  12. Perceived and actual cost of healthier foods versus their less healthy alternatives: a case study in a predominantly black urban township in South Africa.

    PubMed

    Muzigaba, M; Puoane, T

    2011-12-01

    There is an increasing awareness of the role played by the food retail characteristics in determining individuals' healthy food purchasing and consumption behaviors. The perceived costs of healthier food alternatives have been shown to contribute negatively to individual's food choices in developed societies. However, there is still a dearth of knowledge regarding this phenomenon in low to middle income countries particularly in Africa. This study explored health club member's experiences in buying healthier food options and compared their perceived cost of selected healthier and less healthy foods with actual market costs in a South African township. A cross-sectional study design using quantitative and qualitative research methods. The study was conducted in Khayelitsha, a township in the Western Cape Province in South Africa. Participants were 50 members of a health club, mostly female and above 50 years of age. The study was conducted in three phases. The first phase involved interviews with all 50 health club members. During the second phase ten purposively selected members participated in in-depth interviews based on their unhealthy food-purchasing and consumption patterns identified in the first phase. The third phase involved food price audits from supermarkets as well as convenient stores located in the study setting. Quantitative data were subjected to descriptive statistical analysis, while content analysis was used to analyze qualitative data. Most of the members were illiterate and unemployed, largely dependent on government grants. Qualitative findings showed that low household incomes, their inability to read and interpret nutritional information and personal food preferences contributed to Health club members' unhealthy food-purchasing behaviour. When objectively measured in local stores, the healthier food options proved to be more expensive than their less healthy equivalents. This was consistent with subjects' perceptions about the relative cost

  13. An evaluation of bur oak (Quercus macrocarpa) decline in the urban forest of Winnipeg, Manitoba, Canada

    USGS Publications Warehouse

    Catton, H.A.; St., George; Remphrey, W.R.

    2007-01-01

    Winnipeg, Manitoba, Canada, has a large, indigenous population of bur oak (Quercus macrocarpa Michx.). In the 1980s, many of these trees were showing signs of decline, a disease caused by a complex of abiotic and secondary biotic stressing agents. Potential causal factors were investigated by comparing various aspects of 120 bur oaks visually rated as healthy or declined based on crown dieback levels. The results indicated that many selected bur oak trees predated surrounding urban development and that declined trees were significantly older with more severe stem wounds and competition from surrounding trees than healthy specimens. Average annual growth ring widths of healthy and declined trees were similar in the early part of the 20th century. However, decline actually began decades before symptoms were noticed, coinciding with a period of in tense city-wide urban development, as growth of declined trees was slower than that of healthy trees beginning sporadically in the 1940s and consistently from 1974 to 2001. During the early years of decline, the year-by-year separation in ring width between the two categories was significantly positively related to precipitation levels. This suggested that in wet years, declined trees may have been surrounded by unfavorable water-logged soils, possibly as a result of natural drainage patterns being impeded by urban development. ?? 2007 International Society of Arboriculture.

  14. 76 FR 53937 - Order of Succession for Government National Mortgage Association (GNMA)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5538-D-02] Order of Succession for... Mortgage Association, HUD. ACTION: Notice of Order of Succession. SUMMARY: In this notice, the President of the Government National Mortgage Association (GNMA) designates the Order of Succession for GNMA. This...

  15. Formative Evaluation to Increase Availability of Healthy Snacks and Beverages in Stores Near Schools in Two Rural Oregon Counties, 2013

    PubMed Central

    Findholt, Nancy E.; Pickus, Hayley A.

    2015-01-01

    Introduction Children living in rural areas are at greater risk for obesity than their urban counterparts. Differences in healthy food access may contribute to this disparity. Most healthy food access initiatives target stores in urban areas. We conducted a formative evaluation to increase availability of healthy snacks and beverages in food stores near schools in rural Oregon. Methods We assessed availability of healthy snacks and beverages in food stores (n = 15) using the SNACZ (Students Now Advocating to Create Healthy Snacking Zones) checklist and conducted in-depth interviews with food store owners (n = 6). Frequency distributions were computed for SNACZ checklist items, and interview data were analyzed by using applied thematic analysis. Results Overall, availability of healthy snacks and beverages in study communities was low. Four interrelated themes regarding store owner perspectives on stocking healthy snacks and beverages emerged from the interviews: customer demand, space constraints, vendor influence, and perishability. Conclusion In addition to working with food store owners, efforts to increase availability of healthy snacks and beverages in rural areas should engage young people, food buyers (eg, schools), and vendors as stakeholders for identifying strategies to increase demand for and availability of these items. Further research will be needed to determine which strategies or combinations of strategies are feasible to implement in the study communities. PMID:26632956

  16. AMERICAN HEALTHY HOMES SURVEY: A NATIONAL STUDY OF RESIDENTIAL PESTICIDES MEASURED FROM FLOOR WIPES

    EPA Science Inventory

    The US Environmental Protection Agency and the US Department of Housing and Urban Development conducted the American Healthy Homes Survey (AHHS) in 2006 to assess environmental concentrations of lead, allergens, mold, pesticides, and arsenic in and around U.S. residences.

  17. Leisure, economy and colonial urbanism: Darjeeling, 1835–1930

    PubMed Central

    BHATTACHARYA, NANDINI

    2013-01-01

    This article posits that the hill station of Darjeeling was a unique form of colonial urbanism. It shifts historiographical interest from major urban centres in colonial India (such as Bombay or Calcutta) and instead attempts a greater understanding of smaller urban centres. In the process, it also interrogates the category of hill stations, which have been understood as exotic and scenic sites rather than as towns that were integral to the colonial economy. In arguing that hill stations, particularly Darjeeling, were not merely the scenic and healthy ‘other’ of the clamorous, dirty and diseased plains of India, it refutes suggestions that the ‘despoiling’ or overcrowding of Darjeeling was incremental to the purposes of its establishment. Instead, it suggests that Darjeeling was part of the colonial mainstream; its urbanization and inclusion into the greater colonial economy was effected from the time of its establishment. Therefore, a constant tension between its exotic and its functional elements persisted throughout. PMID:24273391

  18. Governance Challenges in Telecoupled Food Systems

    NASA Astrophysics Data System (ADS)

    Eakin, H.; Mahanti, A.; Rueda, X.

    2015-12-01

    Distal connections increasingly influence food systems' governance: social actors in one geographic context produce intended and unintended consequences in distant locations, coupling the dynamics of socio-ecological systems. While these linkages are not new, economic globalization, urbanization and the dynamics of consumer preferences have accentuated these 'telecoupled' relationships in food systems. Telecoupling refers to the unexpected causal interactions among human-environment systems that were otherwise not linked. This paper presents a framework for evaluating telecoupling processes and outcomes in food systems, focusing on how the disparate scales of drivers and outcomes, diverse values of actors involved, and spatial and social distance combine to challenge socio-ecological system governance. We draw from two examples of food systems (coffee and maize) to argue that telecoupling, as a challenge for food systems, emerges when the institutions and mechanisms of governance acting over one system do not account for the consequences and interactions involving a different system. Telecoupling can stimulate new forms of governance, such as the development of codes of conduct and certification schemes, with positive impacts on food and livelihood security. Our cases suggest that the emergence of new governance arrangements is at least partially contingent on the prior existence of alternative social networks, which cultivate shared values, meanings and goals in food systems, as well as the capacity of affected actors to mobilize political influence and demonstrate plausible causal links. In the absence of such networks and associated capacities, the prior governance arrangements, although poorly adjusted to the new circumstances, are likely to persist, reinforcing existing power relations and the probability of undesirable social and ecological outcomes.

  19. Exploring Relationships between North American Urban Form and Rates of Urban CO2 Emissions: A System Dynamics Approach

    NASA Astrophysics Data System (ADS)

    Emmi, P. C.; Forster, C. B.; Mills, J. I.; Call, B. D.; Sabula, J.; Klewicki, J. C.; Pataki, D. E.; Peterson, T. R.

    2004-12-01

    Cities are the locus of North America's most intense consumption of fossil fuels. Thus the rate and character of urbanization influence the rate of urban CO2 released into the global atmosphere. The rate of rural-to-urban land conversion, and changes in the population density of urban land, are influenced by coupled changes in urban demographics and the local economy. Urban sprawl (a rapid expansion of urban land with low population densities) is governed by a self-reinforcing feedback effect between urban transportation infrastructure investments (road building) and urban land development where road building begets new urban neighborhoods that, in turn, induce more road building that begets additional new neighborhoods. If unrestrained, this feedback effect leads to the unrestrained expansion of urban sprawl, urban vehicular travel and traffic congestion. This self-reinforcing feedback loop forms a key dynamic that controls the rate at which CO2-emitting fossil fuels are burned for transportation, electricity production, heating, and commercial/industrial processes. In a rapidly sprawling city residents must travel increasingly greater distances between work, shopping, and home while commercial service vehicles must travel to increasingly remote residential locations. The increasing number of vehicle trips and vehicle miles traveled, combined with the growing prevalence of ever-lower density urban land development, leads to a rapid increase in mobile and stationary CO2 emissions. A more compact and punctuated form of urban development with higher-density and mixed-use urban activity centers leads to reduced CO2 emissions. Those who shape urban development policy are often unconcerned by increasing CO2 emissions unless they can be linked to: (1) local concerns about criteria air pollutant emissions and air quality, (2) the dependency of federal infrastructure funding on meeting ambient air quality standards, and (3) the consequences of human exposure to health

  20. Health in the urban environment: a qualitative review of the Brighton and Hove WHO Healthy City Program.

    PubMed

    Hall, Caroline; Davies, John Kenneth; Sherriff, Nigel

    2010-01-01

    Phase IV of the WHO European Region's Healthy Cities Program ended in December 2008. This article presents the findings from a recently completed review of Brighton and Hove's Healthy City Program which aimed to scope whether added value had accrued from the city's role as a WHO Healthy City during phase IV. In contrast to most other evaluations of healthy cities, this review adopted a qualitative approach representing an appraisal of the Brighton and Hove Healthy City Program from the internal viewpoint of its local stakeholders. In addition to documentary analysis and a facilitated workshop, a series of in-depth interviews (N = 27) were conducted with stakeholders from the Brighton and Hove Healthy City Partnership representing each of the sectors reflected in the Local Strategic Partnership (public, statutory, elected, community and voluntary, neighborhood and communities, business). The key findings of the review are presented in a way which reflects the three key areas of the review including (1) the healthy cities approach, (2) participation in phase IV of the WHO Healthy Cities Program, and (3) the Brighton and Hove Healthy City Partnership. These findings are discussed, and recommendations for action at local, national, and European levels are proposed. In particular, we argue that there is an urgent need to develop a suitable monitoring and evaluation system for the WHO Healthy Cities Program with appropriate indicators that are meaningful and relevant to local stakeholders. Moreover, it would be important for any such system to capitalize on the benefits that qualitative methodologies can offer alongside more traditional quantitative indicators.

  1. Integrating Social Studies and Science: A Decision Making Lesson for Teaching American Government.

    ERIC Educational Resources Information Center

    Chiodo, John J.

    2000-01-01

    Presents a lesson for an United States Government class where the students work in groups in order to explore the tradeoffs among energy usage, transportation, environmental issues, and policy choices that must be made when solving urban transportation problems. Includes six handouts. (CMK)

  2. Groundwater sustainability and urban development - a major challenge for the 21st century

    NASA Astrophysics Data System (ADS)

    Foster, Stephen

    2016-04-01

    Groundwater is a critical, but often under appreciated, resource for urban water supply, a serious and costly hazard to urban infrastructure, and the 'invisible link' between various facets of the urbanisation process. An overview is presented of the benefits of urban groundwater use, together with some insidious and persistent problems that groundwater can present (especially those related to groundwater pollution from inadequate sanitation) for urban development. Spontaneous piecemeal approaches invariably mean that 'one person's solution becomes another person's problem' - and there is a strong argument for groundwater considerations to be part of a more holistic approach to urban infrastructure planning and management. However this is not a simple task because of the widespread vacuum of institutional responsibility and accountability for groundwater in urban areas. The current state of urban groundwater management will be reviewed, and pragmatic solutions to strengthening various facets of urban groundwater governance and management presented, using examples from Latin America and South Asia.

  3. Local Labor Negotiations and the Urban Mass Transit Industry.

    ERIC Educational Resources Information Center

    Reed, Alan

    1979-01-01

    Examines the content of section 13-C of the Urban Mass Transportation Act of 1964, its role in labor negotiations at the local level, its impact on relations between local and national government, and the outcome of 13-C negotiations during the period 1975-77. (Author/IRT)

  4. Carbon sequestration and storage by Gainesville's urban forest

    Treesearch

    Francisco Escobedo; Jennifer A. Seitz; Wayne Zipperer

    2009-01-01

    Climate change is a world-wide issue, and it may seem as if only actions by national governments can work effectively against it. In fact individuals and small communities, too, can make wise choices and impacts. Communities can mitigate climate change through reducing fossil fuel consumption and good management of its urban forest....

  5. Vitamin D status and health correlates among apparently healthy participants in an urban, sunny region.

    PubMed

    Vallianou, Natalia; Bountziouka, Vassiliki; Akalestos, Thanasis; Evangelopoulos, Angelos; Vogiatzakis, Evangelos; Bonou, Maria; Barbetseas, John; Avgerinos, Peter C; Panagiotakos, Demosthenes B

    2012-12-01

    To assess vitamin D status and health correlates in a sample of apparently healthy Caucasian participants residing in an urban area, Athens, with latitude 370 58' 0" N and longitude 230 43' 0" E, after taking into consideration a broad range of purported biological, behavioural and environmental factors. Men and women 35+ years from a selected population (n = 490) were studied. Participants completed a detailed questionnaire regarding socio-demographic, lifestyle, clinical and dietary characteristics. Biomarkers were measured after 12 h fasting. Linear and multinomial regression models were used to evaluate the association between 25(OH)D and determinants of vitamin D status. Results revealed that one hour increase of sunlight exposure decreased the odds of having D deficiency (i.e., < 20 ng/mL) by 70% (OR = 0.30, 95% Cl: 0.20-0.45), adjusted for age, sex, family status, physical activity, smoking habits, BMI, triglycerides, parathyroid hormone, uric acid, haptoglobin, folate acid and haemoglobin, as compared to sufficient levels (i.e., >30 ng/mL). Regarding biomarkers, parathyroid hormone and haptoglobin were found to be related with the odds of having vitamin D deficiency (OR = 1.11, 95% CI: 1.05-1.16; OR = 1.02, 95% CI: 1.00-1.03, respectively) as compared to the sufficient levels. Sufficient serum vitamin D levels were observed among participants with characteristics associated with reduced cardiovascular risk, such as normal BMI, increased physical activity, decreased parathyroid hormone and decreased inflammatory markers. Even a slight increase in sunlight exposure could have beneficial effects on serum vitamin D concentrations and eventually on haemoglobin and inflammatory markers levels, thus providing a simple and inexpensive lifestyle intervention that promotes public health.

  6. Long-Term Outcomes of an Urban Farming Internship Program

    ERIC Educational Resources Information Center

    Sonti, Nancy Falxa; Campbell, Lindsay K.; Johnson, Michelle L.; Daftary-Steel, Sarita

    2016-01-01

    Long-term impacts of an urban farming youth internship were evaluated in Brooklyn, New York. Alumni surveyed 1 to 9 years after program completion were enrolled in college or graduate school at higher rates than their peers and reported connections to the environment and healthy eating. Participants reported learning job skills through the…

  7. Factors influencing buyers' willingness to offer price premiums for carbon credits sourced from urban forests

    Treesearch

    N.C. Poudyal; J.M. Bowker; J.P. Siry

    2015-01-01

    Marketing carbon offset credits generated by urban forest projects could help cities and local governments achieve their financial self-sufficiency and environmental sustainability goals. Understanding the value of carbon credits sourced from urban forests, and the factors that determine buyers’ willingness to pay a premium for such credits could benefit cities in...

  8. Future urban land expansion and implications for global croplands.

    PubMed

    Bren d'Amour, Christopher; Reitsma, Femke; Baiocchi, Giovanni; Barthel, Stephan; Güneralp, Burak; Erb, Karl-Heinz; Haberl, Helmut; Creutzig, Felix; Seto, Karen C

    2017-08-22

    Urban expansion often occurs on croplands. However, there is little scientific understanding of how global patterns of future urban expansion will affect the world's cultivated areas. Here, we combine spatially explicit projections of urban expansion with datasets on global croplands and crop yields. Our results show that urban expansion will result in a 1.8-2.4% loss of global croplands by 2030, with substantial regional disparities. About 80% of global cropland loss from urban expansion will take place in Asia and Africa. In both Asia and Africa, much of the cropland that will be lost is more than twice as productive as national averages. Asia will experience the highest absolute loss in cropland, whereas African countries will experience the highest percentage loss of cropland. Globally, the croplands that are likely to be lost were responsible for 3-4% of worldwide crop production in 2000. Urban expansion is expected to take place on cropland that is 1.77 times more productive than the global average. The loss of cropland is likely to be accompanied by other sustainability risks and threatens livelihoods, with diverging characteristics for different megaurban regions. Governance of urban area expansion thus emerges as a key area for securing livelihoods in the agrarian economies of the Global South.

  9. Future urban land expansion and implications for global croplands

    PubMed Central

    Bren d’Amour, Christopher; Reitsma, Femke; Baiocchi, Giovanni; Barthel, Stephan; Güneralp, Burak; Erb, Karl-Heinz; Haberl, Helmut; Seto, Karen C.

    2017-01-01

    Urban expansion often occurs on croplands. However, there is little scientific understanding of how global patterns of future urban expansion will affect the world’s cultivated areas. Here, we combine spatially explicit projections of urban expansion with datasets on global croplands and crop yields. Our results show that urban expansion will result in a 1.8–2.4% loss of global croplands by 2030, with substantial regional disparities. About 80% of global cropland loss from urban expansion will take place in Asia and Africa. In both Asia and Africa, much of the cropland that will be lost is more than twice as productive as national averages. Asia will experience the highest absolute loss in cropland, whereas African countries will experience the highest percentage loss of cropland. Globally, the croplands that are likely to be lost were responsible for 3–4% of worldwide crop production in 2000. Urban expansion is expected to take place on cropland that is 1.77 times more productive than the global average. The loss of cropland is likely to be accompanied by other sustainability risks and threatens livelihoods, with diverging characteristics for different megaurban regions. Governance of urban area expansion thus emerges as a key area for securing livelihoods in the agrarian economies of the Global South. PMID:28028219

  10. Receptivity to transformative change in the Dutch urban water management sector.

    PubMed

    de Graaf, R E; Dahm, R J; Icke, J; Goetgeluk, R W; Jansen, S J T; van de Ven, F H M

    2009-01-01

    Worldwide, the need for transformative change in urban water management is acknowledged by scientists and policy makers. The effects of climate change and developments such as urbanization, the European Water Framework Directive, and societal concerns about the sustainability of urban water system force the sector to adapt. In The Netherlands, a shift towards integration of spatial planning and water management can be observed. Despite major changes in water management policy and approach, changes in the physical urban water management infrastructure remain limited to incremental solutions and demonstration projects. Policy studies show that institutional factors and professional perceptions are important factors for application of innovations in urban water management. An online survey among Dutch urban water management professionals demonstrates that according to most respondents, optimization of the current system is sufficient to achieve both European and national objectives for sustainable urban water management. The respondents are most concerned with the effects of climate change on urban water systems. In contrast to current policy of the national government, priority factors that should be addressed to achieve a more sustainable urban water system are improving knowledge of local urban water systems, capacity building, developing trust between stakeholders, and improving involvement of elected officials and citizens.

  11. Agent-based Large-Scale Emergency Evacuation Using Real-Time Open Government Data

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lu, Wei; Liu, Cheng; Bhaduri, Budhendra L

    The open government initiatives have provided tremendous data resources for the transportation system and emergency services in urban areas. This paper proposes a traffic simulation framework using high temporal resolution demographic data and real time open government data for evacuation planning and operation. A comparison study using real-world data in Seattle, Washington is conducted to evaluate the framework accuracy and evacuation efficiency. The successful simulations of selected area prove the concept to take advantage open government data, open source data, and high resolution demographic data in emergency management domain. There are two aspects of parameters considered in this study: usermore » equilibrium (UE) conditions of traffic assignment model (simple Non-UE vs. iterative UE) and data temporal resolution (Daytime vs. Nighttime). Evacuation arrival rate, average travel time, and computation time are adopted as Measure of Effectiveness (MOE) for evacuation performance analysis. The temporal resolution of demographic data has significant impacts on urban transportation dynamics during evacuation scenarios. Better evacuation performance estimation can be approached by integrating both Non-UE and UE scenarios. The new framework shows flexibility in implementing different evacuation strategies and accuracy in evacuation performance. The use of this framework can be explored to day-to-day traffic assignment to support daily traffic operations.« less

  12. A study of the health effects of bicycling in an urban atmosphere

    DOT National Transportation Integrated Search

    1977-10-14

    This report analyzes data on the health effects of bicycling in an urban environment through intensive study of ten healthy male subjects bicycling or driving in systematically varied conditions in the streets of Washington, D.C. Evaluation criteria ...

  13. Unhealthy and healthy weight control behaviours among bus operators.

    PubMed

    Escoto, K H; French, S A

    2012-03-01

    Urban bus operators are an occupational group with high rates of overweight and obesity. Understanding methods bus operators use for weight control may be important; there may be increased risk for these workers to engage in less healthy weight management behaviours due to stressful working conditions. To examine the prevalence of unhealthy and healthy weight control behaviours used by bus operators and examine associations between use of unhealthy weight control behaviours and work-related and sociodemographic variables. Bus operators from four different transit garages were invited to complete a self-administered survey; height and weight were measured by research staff. Unhealthy and healthy weight control behaviours, work hours, work schedule and social support were measured with self-report items on the employee survey. Logistic regression analysis was conducted to estimate associations. Nearly 60% of bus operators endorsed at least one unhealthy method; over 50% reported skipping meals, 30% fasted and 10% reported taking diet pills in the past year. Bus operator gender, race, body mass index status and hours worked per week showed significant associations with using at least one unhealthy weight control behaviour. Worksite interventions should emphasize the benefit of healthy eating and physical activity but should also address the use of less healthy methods for weight control for individuals employed in transportation occupations.

  14. A Tale of Two ObesCities: The Role of Municipal Governance in Reducing Childhood Obesity in New York City and London

    PubMed Central

    Libman, Kimberly; O’Keefe, Eileen

    2010-01-01

    As rates of childhood obesity and overweight rise around the world, researchers and policy makers seek new ways to reverse these trends. Given the concentration of the world’s population, income inequalities, unhealthy diets, and patterns of physical activity in cities, urban areas bear a disproportionate burden of obesity. To address these issues, in 2008, researchers from the City University of New York and London Metropolitan University created the Municipal Responses to Childhood Obesity Collaborative. The Collaborative examined three questions: What role has city government played in responding to childhood obesity in each jurisdiction? How have municipal governance structures in each city influenced its capacity to respond effectively? How can policy and programmatic interventions to reduce childhood obesity also reduce the growing socioeconomic and racial/ethnic inequities in its prevalence? Based on a review of existing initiatives in London and New York City, the Collaborative recommended 11 broad strategies by which each city could reduce childhood obesity. These recommendations were selected because they can be enacted at the municipal level; will reduce socioeconomic and racial/ethnic inequalities in obesity; are either well supported by research or are already being implemented in one city, demonstrating their feasibility; build on existing city assets; and are both green and healthy. PMID:20811951

  15. "A minimum of urbanism and a maximum of ruralism": the Cuban experience.

    PubMed

    Gugler, J

    1980-01-01

    The case of Cuba provides social scientists with reasonably good information on urbanization policies and their implementation in 1 developing country committed to socialism. The demographic context is considered, and Cuban efforts to eliminate the rural-urban contradiction and to redefine the role of Havana are described. The impact of these policies is analyzed in terms of available data on urbanization patterns since January 1959 when the revolutionaries marched into Havana. Prerevolutionary urbanization trends are considered. Fertility in Cuba has declined simultaneously with mortality and even more rapidly. Projections assume a 1.85% annual growth rate, resulting in a population of nearly 15 million by the year 2000. Any estimate regarding the future trend in population growth must depend on prognosis of general living conditions and of specific government policies regarding contraception, abortion, female labor force participation, and child care facilities. If population growth in Cuba has been substantial, but less dramatic than that of many other developing countries, urban growth presents a similar picture. Cuba's highest rate of growth of the population living in urban centers with a population over 20,000, in any intercensal period during the 20th century, was 4.1%/year for 1943-1953. It dropped to 3.0% in the 1953-1970 period. Government policies achieved a measure of success in stemming the tide of rural-urban migration, but the aims of the revolutionary leadership went further. The objective was for urban dwellers to be involved in agriculture, and the living standards of the rural population were to be raised to approximate those of city dwellers. The goal of "urbanizing" the countryside found expression in a program designed to construct new small towns which could more easily be provided with services. A slowdown in the growth of Havana, and the concomitant weakening of its dominant position, was intended by the revolutionary leadership. Offical

  16. The University of Utah Urban Undertaking (U4)

    NASA Astrophysics Data System (ADS)

    Lin, J. C.; Mitchell, L.; Bares, R.; Mendoza, D. L.; Fasoli, B.; Bowling, D. R.; Garcia, M. A.; Buchert, M.; Pataki, D. E.; Crosman, E.; Horel, J.; Catharine, D.; Strong, C.; Ehleringer, J. R.

    2015-12-01

    The University of Utah is leading efforts to understand the spatiotemporal patterns in both emissions and concentrations of greenhouse gases (GHG) and criteria pollutants within urban systems. The urbanized corridor in northern Utah along the Wasatch Front, anchored by Salt Lake City, is undergoing rapid population growth that is projected to double in the next few decades. The Wasatch Front offers multiple advantages as an unique "urban laboratory": urban regions in multiple valleys spanning numerous orders of magnitude in population, each with unique airsheds, well-defined boundary conditions along deserts and tall mountains, strong signals during cold air pool events, seasonal contrasts in pollution, and a legacy of productive partnerships with local stakeholders and governments. We will show results from GHG measurements from the Wasatch Front, including one of the longest running continuous CO2 records in urban areas. Complementing this record are comprehensive meteorological observations and GHG/pollutant concentrations on mobile platforms: light rail, helicopter, and research vans. Variations in the GHG and pollutant observations illustrate human behavior and the resulting "urban metabolism" taking place on hourly, weekly, and seasonal cycles, resulting in a coupling between GHG and criteria pollutants. Moreover, these observations illustrate systematic spatial gradients in GHG and pollutant distributions between and within urban areas, traced to underlying gradients in population, energy use, terrain, and land use. Over decadal time scales the observations reveal growth of the "urban dome" due to expanding urban development. Using numerical models of the atmosphere, we further link concentrations of GHG and air quality-relevant pollutants to underlying emissions at the neighborhood scale as well as urban planning considerations.

  17. Political rhetoric from Canada can inform healthy public policy argumentation.

    PubMed

    Patterson, Patrick B; McIntyre, Lynn; Anderson, Laura C; Mah, Catherine L

    2017-10-01

    Household food insecurity (HFI), insufficient income to obtain adequate food, is a growing problem in Canada and other Organisation of economic cooperation and development (OECD) countries. Government political orientations impact health policies and outcomes. We critically examined Canadian political rhetoric around HFI from 1995 to 2012 as a means to support effective healthy public policy argumentation. We analysed a data set comprised of Hansard extracts on HFI from the legislative debates of the Canadian federal and three provincial governments, using thematic coding guided by interpretivist theories of policy. Extracts were examined for content, jurisdiction, the political affiliation of the legislator speaking and governing status. Members of non-governing, or 'opposition' parties, dominated the rhetoric. A central hunger-as-poverty theme was used by legislators across the political spectrum, both in government and in opposition. Legislators differed in terms of policy approach around how income should flow to citizens facing HFI: income intervention on the left, pragmatism in the centre, reliance on markets on the right. This analysis is a case-example from Canada and caution must be exercised in terms of the generalizability of findings across jurisdictions. Despite this limitation, our findings can help healthy public policy advocates in designing and communicating HFI policy interventions in OECD countries with a similar left-right spectrum. First, even with a divisive health policy issue such as actions to address HFI, core themes around poverty are widely understood. Secondly, the non-polarizing centrist, pragmatist, approach may be strategically valuable. Thirdly, it is important to treat the rhetoric of opposition members differently from that of government members. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. Developing a nutrition intervention in children's centres: exploring views of parents in rural/urban settings in the UK.

    PubMed

    Ohly, Heather R; Hayter, Arabella; Pettinger, Clare; Pikhart, Hynek; Watt, Richard G; Rees, Gail A

    2013-08-01

    The present study explored parents’ requirements for healthy eating support prior to the development of a tailored intervention. A cross-sectional study of parents attending children’s centres. Children’s centres in Cornwall (rural south-west England) and Islington (urban London borough). A total of 261 parents (94.2% female) of pre-school children (aged 2–5 years) completed a questionnaire on factors influencing food choice, and preferences for and views on healthy eating support. Parents reported that health, taste, freshness and quality were the most important factors influencing their food choices for their pre-school children. The importance of individual factors varied according to level of educational attainment. Over a third (38 %) of parents said they wanted more advice on healthy eating for children. Less educated parents showed the greatest interest in learning more about several aspects: what a ‘healthy diet’ means, how to prepare and cook healthy food, how to understand food labels, budgeting for food, examples of healthy food and snacks for children, appropriate portion sizes for children and ways to encourage children to eat well. There was demand for healthy eating support among parents of pre-school children, especially those who are less educated, in one rural and one urban area of England

  19. Environmental Intervention in Carryout Restaurants Increases Sales of Healthy Menu Items in a Low-Income Urban Setting.

    PubMed

    Lee-Kwan, Seung Hee; Bleich, Sara N; Kim, Hyunju; Colantuoni, Elizabeth; Gittelsohn, Joel

    2015-01-01

    To investigate how a pilot environmental intervention changed food sales patterns in carryout restaurants. Quasi-experimental. Low-income neighborhoods of Baltimore, Maryland. Seven carryouts (three intervention, four comparison). Phase 1, menu board revision and healthy menu labeling; phase 2, increase of healthy sides and beverages; and phase 3, promotion of cheaper and healthier combination meals. Weekly handwritten menu orders collected to assess changes in the proportion of units sold and revenue of healthy items (entrée, sides and beverages, and combined). Logistic and Poisson regression models with generalized estimating equations. In the intervention group, odds for healthy entrée units and odds for healthy side and beverage units sold significantly increased in phases 2 and 3; odds for healthy entrée revenue significantly increased in phase 1 (odds ratio [OR] 1.16, 95% confidence interval [CI] 1.08-1.26), phase 2 (OR 1.32, 95% CI 1.25-1.41), and phase 3 (OR 1.39, 95% CI 1.14-1.70); and odds for healthy side and beverage revenues increased significantly in phase 2 (OR 1.62, 95% CI 1.33-1.97) and phase 3 (OR 2.73, 95% CI 2.15-3.47) compared to baseline. Total revenue in the intervention group was significantly higher in all phases than in the comparison group (p < .05). Environmental intervention changes such as menu revision, menu labeling, improved healthy food selection, and competitive pricing can increase availability and sales of healthy items in carryouts.

  20. Agriculture and irrigation as potential drivers of urban heat island

    NASA Astrophysics Data System (ADS)

    Kumar, R.; Buzan, J. R.; Mishra, V.; Kumar, R.; Shindell, D. T.; Huber, M.

    2017-12-01

    More than half the population are urban dwellers and are most vulnerable to global environmental changes. Urban extents are more prone to intense heating as compared to the surroundings rural area. Presently about 33% of India's population lives in the urban area and is expected to rise steeply, so a better understanding of the phenomenon affecting the urban population is very much important. Urban Heat Island (UHI) is a well-known phenomenon which potentially affects energy consumption, spreading of diseases and mortality. In general, almost all (90%) of the major urban area of the country faces UHI at night time in the range (1-5 °C) while 60% of the regions face Urban Cool Island (UCI) in the range of -1 to 6 °C in day time. Our observations and simulations show that vegetation and irrigation in the surrounding non urban directly affects day time Urban Cool Island effects. This is due to the relative cooling by vegetation and irrigated lands in the vicinity of these urban regions. There is a contrasting variation in UHI/UCI intensities in different seasons and in different time of the day. Most of the urban regions face UHI effect in summers whereas this phenomenton reverses in winters. Daytime UCI is more prominent in the months of April and May due to minimum availability of moisture. We observed that apart from vegetation and irrigation, aerosol is also an important factor governing UHI phenomenon.

  1. Sustainable urban development in Brisbane City--the Holy Grail?

    PubMed

    Rahman, K; Weber, T

    2003-01-01

    Impacts from urban stormwater runoff on receiving environments have been well documented, particularly through specific regional scientific studies. Using various local government planning and management elements, urban developments in Brisbane City are now able to address stormwater management in an increasingly holistic context. One key initiative includes facilitating Water Sensitive Urban Design (WSUD) components within an Integrated Water Management Strategy that looks at policy formation, planning strategies, design option, community marketing and acceptance, maintenance programs and finally evaluation of various WSUD approaches. These can include the use of Natural Channel Designs, grassed swales, bio-filtration systems, porous pavements and roofwater tanks in several economic combinations. By linking with the Cooperative Research Centre for Catchment Hydrology, Brisbane City Council has influenced the design of WSUD planning tools and benefited the city with academic inputs into extensive evaluation programs. As well, it has also contributed to the Cooperative Research Centre's research outcomes. These evaluation programs are increasingly providing better understanding of various stormwater quality best management practices throughout Australia. As part of the overall implementation process, active involvement by a range of stakeholders has been crucial. These stakeholders have included internal planning, development assessment and design staff, external consultants, developers, and other local and state government agencies. The latter two groups are assisting in the important task of "regionalisation" of Brisbane City Council's policies and guidelines. Implementation of WSUD initiatives and stormwater re-use strategies under Council's new "Integrated Water Management" agenda are showing some excellent results, suggesting that sustainable urban development is no longer like the search for the Holy Grail.

  2. Analyzing the cost effectiveness of Santiago, Chile's policy of using urban forests to improve air quality

    Treesearch

    Francisco J. Escobedo; John E. Wagner; David J. Nowak; Carmen Luz De la Maza; Manuel Rodriguez; Daniel E. Crane

    2008-01-01

    Santiago, Chile has the distinction of having among the worst urban air pollution problems in Latin America. As part of an atmospheric pollution reduction plan, the Santiago Regional Metropolitan government defined an environmental policy goal of using urban forests to remove particulate matter less than 10 µm (PM10) in the Gran...

  3. Health financing and integration of urban and rural residents' basic medical insurance systems in China.

    PubMed

    Zhu, Kun; Zhang, Luying; Yuan, Shasha; Zhang, Xiaojuan; Zhang, Zhiruo

    2017-11-07

    China is in the process of integrating the new cooperative medical scheme (NCMS) and the urban residents' basic medical insurance system (URBMI) into the urban and rural residents' basic medical insurance system (URRBMI). However, how to integrate the financing policies of NCMS and URBMI has not been described in detail. This paper attempts to illustrate the differences between the financing mechanisms of NCMS and URBMI, to analyze financing inequity between urban and rural residents and to identify financing mechanisms for integrating urban and rural residents' medical insurance systems. Financing data for NCMS and URBMI (from 2008 to 2015) was collected from the China health statistics yearbook, the China health and family planning statistics yearbook, the National Handbook of NCMS Information, the China human resources and social security statistics yearbook, and the China social security yearbook. "Ability to pay" was introduced to measure inequity in health financing. Individual contributions to NCMS and URBMI as a function of per capita disposable income was used to analyze equity in health financing between rural and urban residents. URBMI had a financing mechanism that was similar to that used by NCMS in that public finance accounted for more than three quarters of the pooling funds. The scale of financing for NCMS was less than 5% of the per capita net income of rural residents and less than 2% of the per capita disposable income of urban residents for URBMI. Individual contributions to the NCMS and URBMI funds were less than 1% of their disposable and net incomes. Inequity in health financing between urban and rural residents in China was not improved as expected with the introduction of NCMS and URBMI. The role of the central government and local governments in financing NCMS and URBMI was oscillating in the past decade. The scale of financing for URRBMI is insufficient for the increasing demands for medical services from the insured. The pooling fund

  4. A procurement-based pathway for promoting public health: innovative purchasing approaches for state and local government agencies.

    PubMed

    Noonan, Kathleen; Miller, Dorothy; Sell, Katherine; Rubin, David

    2013-11-01

    Through their purchasing powers, government agencies can play a critical role in leveraging markets to create healthier foods. In the United States, state and local governments are implementing creative approaches to procuring healthier foods, moving beyond the traditional regulatory relationship between government and vendors. They are forging new partnerships between government, non-profits, and researchers to increase healthier purchasing. On the basis of case examples, this article proposes a pathway in which state and local government agencies can use the procurement cycle to improve healthy eating.

  5. Public-private partnerships in China's urban water sector.

    PubMed

    Zhong, Lijin; Mol, Arthur P J; Fu, Tao

    2008-06-01

    During the past decades, the traditional state monopoly in urban water management has been debated heavily, resulting in different forms and degrees of private sector involvement across the globe. Since the 1990s, China has also started experiments with new modes of urban water service management and governance in which the private sector is involved. It is premature to conclude whether the various forms of private sector involvement will successfully overcome the major problems (capital shortage, inefficient operation, and service quality) in China's water sector. But at the same time, private sector involvement in water provisioning and waste water treatments seems to have become mainstream in transitional China.

  6. Disasters as an ideological strategy for governing neoliberal urban transformation in Turkey: insights from Izmir/Kadifekale.

    PubMed

    Saraçoğlu, Cenk; Demirtaş-Milz, Neslihan

    2014-01-01

    Since the turn of the twenty-first century, Turkish cities have undergone large-scale change through a process referred to as urban transformation, involving, notably, the demolition of inner-city low-income settlements. The official authorities and business circles have resorted to various forms of discourse to justify these projects, which have led to the deportation of a significant number of people to peripheral areas. The discourse of 'natural disasters', for example, suggests that urban transformation is necessary to protect people from some pending event. Probably the most effective application of this discourse has occurred in Izmir, where the risk posed by 'landslides' has played a critical role in the settlement demolitions conducted in the huge inner-city neighbourhood of Kadifekale. By examining the case of Kadifekale, this paper provide some insights into how 'natural disasters' serve as a discourse with which to legitimise the neoliberal logic entrenched in the urban transformation process in Turkey. © 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

  7. The Healthy Class of 2010: Utilization of the School Health Index to Build Collaboration Between a University and an Urban School District

    PubMed Central

    Fryer, Craig S.; Reed, Ernestine A.; Thomas, Stephen B.

    2014-01-01

    BACKGROUND Insufficient attention has been paid to the process of conducting the Centers for Disease Control and Prevention’s School Health Index (SHI) to promote collaboration between universities and urban school districts when developing adolescent health promotion initiatives. This article provides an overview of the real world contextual challenges and opportunities this type of collaboration can pose. METHODS The SHI and selected collaboration principles were used to facilitate partnership and increase stakeholder buy-in, which led to developing and implementing an eight year health promotion campaign, The Healthy Class of 2010 (HC 2010). RESULTS The focus on planning brought together key stakeholders and allowed for HC 2010 programming to take place despite the competing demands on the schools. The SHI allowed for input from stakeholders to develop campaign activities and inform school- and district-wide policy. Universities and school districts desiring to develop and implement school-based, adolescent health promotion programs should: 1) identify the hierarchical structure of the school district; 2) establish credibility for the program and the university staff; 3) emphasize the benefits to all partners; 4) maintain a cooperative partnership with teachers and administrators; 5) appreciate the need for planning; and, 6) provide as many resources as possible to on an already overburdened school system. CONCLUSIONS Promoting healthy behaviors among students is an important part of the fundamental mission of schools. HC 2010 underscored the significance of collaboration using the SHI in the development and implementation of this health promotion campaign with input from students, teachers, administrators and university partners. PMID:22070509

  8. Project Canada West. Pressure Groups and the Urban Community.

    ERIC Educational Resources Information Center

    Western Curriculum Project on Canada Studies, Edmonton (Alberta).

    This project's study of pressure groups in Canadian urban government proposes the development of an interdisciplinary social science cirriculum for the secondary school student in grades 9 through 12 which would give meaningful perspective toward the various decision-making structures and processes. Other major objectives are: 1) to enable the…

  9. Homelessness in Urban America: A Review of the Literature.

    ERIC Educational Resources Information Center

    Sommer, Heidi

    In the 1980s, homelessness attracted considerable attention from the media, advocates, politicians, and the public. Virtually every sector of society and the government responded. Interest in the issue has waned considerably since then, but the problem continues growing, particularly in large urban areas. While public policies address the problem,…

  10. Sustainable Impact of Landfill Siting towards Urban Planning in Malaysia

    NASA Astrophysics Data System (ADS)

    Sin Tey, Jia; Goh, Kai Chen; Ern Ang, Peniel Soon

    2017-10-01

    Landfill is one of the most common, widely used waste management technique in Malaysia. The ever increasing of solid waste has made the role of landfill become prominent despite the negative impacts that caused by the landfill is unavoidable. The public and government regulations are getting more aware with the negative impacts that could be brought by the landfill towards the community. It led to the cultural shift to integrate the concept of sustainability into the planning of siting a landfill in an urban area. However, current urban planning tends to emphasize more on the environmental aspect instead of social and economic aspects. This is due to the existing planning guidelines and stakeholder’s understandings are more on the environmental aspect. This led to the needs of incorporating the concept of sustainability into the urban planning. Thus, this paper focuses on the industry stakeholders view on the negative impacts that will cause by the landfill towards the urban planning. The industry stakeholders are those who are related to the decision-making in the selection of a landfill site in the government department. The scope of the study is within the country of Malaysia. This study was conducted through the semi-structured interviews with a total of fifteen industry stakeholders to obtain their perspective on the issues of impacts of siting a landfill in the urban area. The data obtained was analysed using the software, QSR NVivo version 10. Results indicate that landfill bought significant sustainability-related impacts towards landfill siting in urban planning. The negative impacts stated by the respondents are categorized under all three sustainable aspects such as environmental, social and economic. Among the results are such as the pollution, such as the generation of leachate, the objection in siting a landfill site against by the public, and the negotiating and getting money contribution from local authorities. The results produced can be served

  11. Healthy Homes: In-Home Environmental Asthma Intervention in a Diverse Urban Community

    PubMed Central

    Turcotte, David A.; Alker, Heather; Chaves, Emily; Gore, Rebecca; Woskie, Susan

    2014-01-01

    Objectives. We evaluated health outcomes associated with in-home interventions in low-income urban households with children with asthma. Methods. A comprehensive health and environmental assessment and subsequent intervention were completed in 116 households with 170 enrolled children with asthma. Home health workers provided household safety, asthma prevention education, and targeted environmental intervention to decrease asthma triggers and improve household safety. We collected environmental data with questionnaire and dust samples and health information with a questionnaire incorporating the American Academy of Pediatrics Children’s Health Survey for Asthma and other instruments at baseline and at follow-up 11 to 12 months later to evaluate the impact of the intervention on the health of the child and family in Lowell, Massachusetts, from September 2009 to January 2012. Results. The diverse study population of low-income children showed a statistically significant health improvement from baseline to follow-up. The cost of the interventions (not including personnel) was $36 240, whereas the estimated medical savings over a 4-week assessment period was $71 162, resulting in an estimated annual savings of about $821 304. Conclusions. Low-cost, multicomponent interventions decrease all measures of asthma severity and health care utilization in a diverse population of urban children. PMID:24524511

  12. The Global Pattern of Urbanization and Economic Growth: Evidence from the Last Three Decades

    PubMed Central

    Chen, Mingxing; Zhang, Hua; Liu, Weidong; Zhang, Wenzhong

    2014-01-01

    The relationship between urbanization and economic growth has been perplexing. In this paper, we identify the pattern of global change and the correlation of urbanization and economic growth, using cross-sectional, panel estimation and geographic information systems (GIS) methods. The analysis has been carried out on a global geographical scale, while the timescale of the study spans the last 30 years. The data shows that urbanization levels have changed substantially during these three decades. Empirical findings from cross-sectional data and panel data support the general notion of close links between urbanization levels and GDP per capita. However, we also present significant evidence that there is no correlation between urbanization speed and economic growth rate at the global level. Hence, we conclude that a given country cannot obtain the expected economic benefits from accelerated urbanization, especially if it takes the form of government-led urbanization. In addition, only when all facets are taken into consideration can we fully assess the urbanization process. PMID:25099392

  13. The global pattern of urbanization and economic growth: evidence from the last three decades.

    PubMed

    Chen, Mingxing; Zhang, Hua; Liu, Weidong; Zhang, Wenzhong

    2014-01-01

    The relationship between urbanization and economic growth has been perplexing. In this paper, we identify the pattern of global change and the correlation of urbanization and economic growth, using cross-sectional, panel estimation and geographic information systems (GIS) methods. The analysis has been carried out on a global geographical scale, while the timescale of the study spans the last 30 years. The data shows that urbanization levels have changed substantially during these three decades. Empirical findings from cross-sectional data and panel data support the general notion of close links between urbanization levels and GDP per capita. However, we also present significant evidence that there is no correlation between urbanization speed and economic growth rate at the global level. Hence, we conclude that a given country cannot obtain the expected economic benefits from accelerated urbanization, especially if it takes the form of government-led urbanization. In addition, only when all facets are taken into consideration can we fully assess the urbanization process.

  14. Healthy cities: overview of a WHO international program.

    PubMed

    Goldstein, G

    2000-01-01

    Health is the outcome of all the factors and activities impinging upon the lives of individuals and communities. The last decade has seen an emerging understanding within development circles that living conditions are greatly affected by local action, by the work of local government, and by community groups and organizations. In addressing health and environmental issues and making interventions, an integrated approach, based on 'settings', exemplified in the Healthy Cities approach, has proved most effective. A Healthy City project can involve people and organizations in the programs and activities that are needed for better health, and enables a city or neighborhood to mobilize the human and financial resources required to address many health and quality of life issues. The WHO program involves implementating city projects and networks in all regions of the world and serves as a vehicle for many health programs, including major disease control initiatives. Healthy City projects allow Ministries of Health to develop stronger partnerships with local government organizations (such as the Union of Local Authorities and its members, "Local Agenda 21" initiatives, and others). One focus for the program is the development of 'multi-'multi-city action plans' for major global priority issues, including AIDS, sanitation, women's health, and violence, to ensure that major public health programs are strengthened by wider community participation. It is recognized that city networking--at national, regional, and international levels--now must be better exploited by individual cities and municipalities to solve local health problems.

  15. A state of the art regarding urban air quality prediction models

    NASA Astrophysics Data System (ADS)

    Croitoru, Cristiana; Nastase, Ilinca

    2018-02-01

    Urban pollution represents an increasing risk to residents of urban regions, particularly in large, over-industrialized cities knowing that the traffic is responsible for more than 25% of air gaseous pollutants and dust particles. Air quality modelling plays an important role in addressing air pollution control and management approaches by providing guidelines for better and more efficient air quality forecasting, along with smart monitoring sensor networks. The advances in technology regarding simulations, forecasting and monitoring are part of the new smart cities which offers a healthy environment for their occupants.

  16. Long-term outcomes of an urban farming internship program

    Treesearch

    Nancy Falxa Sonti; Lindsay Campbell; Michelle Johnson; S. Daftary-Steel

    2016-01-01

    Long-term impacts of an urban farming youth internship were evaluated in Brooklyn, New York. Alumni surveyed 1 to 9 years after program completion were enrolled in college or graduate school at higher rates than their peers and reported connections to the environment and healthy eating. Participants reported learning job skills through the internship, including farming...

  17. An urban food store intervention positively affects food-related psychosocial variables and food behaviors.

    PubMed

    Gittelsohn, Joel; Song, Hee-Jung; Suratkar, Sonali; Kumar, Mohan B; Henry, Elizabeth G; Sharma, Sangita; Mattingly, Megan; Anliker, Jean A

    2010-06-01

    Obesity and other diet-related chronic diseases are more prevalent in low-income urban areas, which commonly have limited access to healthy foods. The authors implemented an intervention trial in nine food stores, including two supermarkets and seven corner stores, in a low-income, predominantly African American area of Baltimore City, with a comparison group of eight stores in another low-income area of the city. The intervention (Baltimore Healthy Stores; BHS) included an environmental component to increase stocks of more nutritious foods and provided point-of-purchase promotions including signage for healthy choices and interactive nutrition education sessions. Using pre- and postassessments, the authors evaluated the impact of the program on 84 respondents sampled from the intervention and comparison areas. Exposure to intervention materials was modest in the intervention area, and overall healthy food purchasing scores, food knowledge, and self-efficacy did not show significant improvements associated with intervention status. However, based on adjusted multivariate regression results, the BHS program had a positive impact on healthfulness of food preparation methods and showed a trend toward improved intentions to make healthy food choices. Respondents in the intervention areas were significantly more likely to report purchasing promoted foods because of the presence of a BHS shelf label. This is the first food store intervention trial in low-income urban communities to show positive impacts at the consumer level.

  18. Overweight and Obesity among Women by Economic Stratum in Urban India

    PubMed Central

    Prusty, Ranjan Kumar

    2014-01-01

    Using data of the third round of the National Family Health Survey (NFHS) 2005-2006, this study examined the prevalence of overweight and obesity among women from different economic strata in urban India. The study used a separate wealth index for urban India constructed using principal components analysis (PCA). The result shows that prevalence of overweight and obesity is very high in urban areas, more noticeably among the non-poor households. Furthermore, overweight and obesity increase with age, education, and parity of women. The results of multinomial logistic regression show that non-poor women are about 2 and 3 times more at risk of being overweight and obese respectively. Marital status and media exposure are the other covariates associated positively with overweight and obesity. Thus, the growing demand which now appears before the Government or urban health planners is to address this rising urban epidemic with equal importance as given to other issues in the past. PMID:24847596

  19. Urban Evolutionary Ecology and the Potential Benefits of Implementing Genomics.

    PubMed

    Schell, Christopher J

    2018-02-14

    Urban habitats are quickly becoming exceptional models to address adaptation under rapid environmental change, given the expansive temporal and spatial scales with which anthropogenic landscape conversion occurs. Urban ecologists in the last 10-15 years have done an extraordinary job of highlighting phenotypic patterns that correspond with urban living, as well as delineating urban population structure using traditional genetic markers. The underpinning genetic mechanisms that govern those phenotypic patterns, however, are less well established. Moreover, the power of traditional molecular studies is constrained by the number of markers being evaluated, which limits the potential to assess fine-scale population structure potentially common in urban areas. With the recent proliferation of low-cost, high-throughput sequencing methods, we can begin to address an emerging question in urban ecology: are species adapted to local optima within cities or are they expressing latent phenotypic plasticity? Here, I provide a comprehensive review of previous urban ecological studies, with special focus on the molecular ecology and phenotypic adjustments documented in urban terrestrial and amphibious fauna. I subsequently pinpoint areas in the literature that could benefit from a genomic investigation and briefly discuss the suitability of specific techniques in addressing eco-evolutionary questions within urban ecology. Though many challenges exist with implementing genomics into urban ecology, such studies provide an exceptional opportunity to advance our understanding of eco-evolutionary processes in metropolitan areas. © The American Genetic Association 2018. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  20. When Vacant Lots Become Urban Gardens: Characterizing the Perceived and Actual Food Safety Concerns of Urban Agriculture in Ohio.

    PubMed

    Kaiser, Michelle L; Williams, Michele L; Basta, Nicholas; Hand, Michelle; Huber, Sarah

    2015-11-01

    This study was intended to characterize the perceived risks of urban agriculture by residents of four low-income neighborhoods in which the potential exists for further urban agriculture development and to provide data to support whether any chemical hazards and foodborne pathogens as potential food safety hazards were present. Sixty-seven residents participated in focus groups related to environmental health, food security, and urban gardening. In addition, soils from six locations were tested. Residents expressed interest in the development of urban gardens to improve access to healthy, fresh produce, but they had concerns about soil quality. Soils were contaminated with lead (Pb), zinc, cadmium (Cd), and copper, but not arsenic or chromium. Results from our study suggest paint was the main source of soil contamination. Detectable polyaromatic hydrocarbon (PAH) levels in urban soils were well below levels of concern. These urban soils will require further management to reduce Pb and possibly Cd bioavailability to decrease the potential for uptake into food crops. Although the number of locations in this study is limited, results suggest lower levels of soil contaminants at well-established gardens. Soil tillage associated with long-term gardening could have diluted the soil metal contaminants by mixing the contaminants with clean soil. Also, lower PAH levels in long-term gardening could be due to enhanced microbial activity and PAH degradation, dilution, or both due to mixing, similar to metals. No foodborne pathogen targets were detected by PCR from any of the soils. Residents expressed the need for clearness regarding soil quality and gardening practices in their neighborhoods to consume food grown in these urban areas. Results from this study suggest long-term gardening has the potential to reduce soil contaminants and their potential threat to food quality and human health and to improve access to fresh produce in low-income urban communities.

  1. Strengthening of accountability systems to create healthy food environments and reduce global obesity.

    PubMed

    Swinburn, Boyd; Kraak, Vivica; Rutter, Harry; Vandevijvere, Stefanie; Lobstein, Tim; Sacks, Gary; Gomes, Fabio; Marsh, Tim; Magnusson, Roger

    2015-06-20

    To achieve WHO's target to halt the rise in obesity and diabetes, dramatic actions are needed to improve the healthiness of food environments. Substantial debate surrounds who is responsible for delivering effective actions and what, specifically, these actions should entail. Arguments are often reduced to a debate between individual and collective responsibilities, and between hard regulatory or fiscal interventions and soft voluntary, education-based approaches. Genuine progress lies beyond the impasse of these entrenched dichotomies. We argue for a strengthening of accountability systems across all actors to substantially improve performance on obesity reduction. In view of the industry opposition and government reluctance to regulate for healthier food environments, quasiregulatory approaches might achieve progress. A four step accountability framework (take the account, share the account, hold to account, and respond to the account) is proposed. The framework identifies multiple levers for change, including quasiregulatory and other approaches that involve government-specified and government-monitored progress of private sector performance, government procurement mechanisms, improved transparency, monitoring of actions, and management of conflicts of interest. Strengthened accountability systems would support government leadership and stewardship, constrain the influence of private sector actors with major conflicts of interest on public policy development, and reinforce the engagement of civil society in creating demand for healthy food environments and in monitoring progress towards obesity action objectives. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Civil society organizations: capacity to address the needs of the urban poor in Nairobi.

    PubMed

    Ekirapa, Akaco; Mgomella, George S; Kyobutungi, Catherine

    2012-11-01

    We conducted a needs assessment that describes the landscape of civil society organizations (CSOs) in three informal settlements around Nairobi, Kenya. The numbers of CSOs have rapidly increased in areas underserved by governments including poor urban neighbourhoods but little is known about CSOs capacity to meet the priority health needs of the urban poor. It is also unclear why, despite a proliferation of CSOs, residents still experience unimproved health outcomes. We collected data on core activities, financial management, and governance structures. Of the 952 CSOs assessed, 47 per cent reported HIV/AIDS counselling, prevention, and treatment as their core activity. Most CSOs reported good financial management systems and governance structures but responses were not validated. Representation in district health stakeholder fora was low; most CSOs did not have the capacity to effectively deliver services that would have impact. For CSOs to realize the desired goal to improve the well-being of low-income populations, programmes to build their management capacity are essential.

  3. Changes in body composition in apparently healthy urban Indian women up to 3 years postpartum.

    PubMed

    Kajale, Neha A; Khadilkar, Anuradha V; Chiplonkar, Shashi A; Khadilkar, Vaman

    2015-01-01

    Dietary and life style practices differ in postpartum (PP) and nonpregnant Indian women. Effect of these practices on postpartum weight retention (PPWR) and development of cardio-metabolic risk (CMR) has been scarcely studied in urban women. Aims of this study were to (i) compare anthropometry, biochemical parameters and body composition up to 3 years PP (ii) effect of PPWR, dietary fat intake and physical activity on CMR factors. Cross-sectional, 300-fullterm, apparently healthy primi-parous women (28.6 ± 3.4 years) randomly selected. 128 women within 7-day of delivery (Group-A), 88 with 1-2 years (Group-B) and 84 with 3-4-year-old-children (Group-C) were studied. Anthropometry, sociodemographic status, physical activity, diet, clinical examination, biochemical tests, body composition, at total body (TB), by dual energy X-ray absorptiometry (GE-Lunar DPX) were collected. Women at 3-year PP showed higher weight retention (6.5[10] kg) than at 1-year (3.0[7] kg) (median [IQR]). Android fat % (central obesity) increased (P < 0.05) at 1-year PP (47 ± 10.0%) when compared to 1-week PP (44.3 ± 6.7%) and remained elevated at 3-year PP (45.6 ± 10.2%). Regression analysis revealed that at 1-year PP, increase in PPWR (Odd Ratio [OR] 1.8, 95% confidence interval [CI] = [1.2, 2.5], P < 0.001) and inactivity (OR 1.4, 95% CI= (0.97, 2.0), P < 0.1) were predictors for CMR. At 3-year PP, only PPWR was responsible for increase in CMR parameters (OR 1.6, 95% CI = (1.3, 2.3), P < 0.001) and not inactivity (P > 0.1). Postdelivery, low physical activity and higher PPWR may increase CMR in Indian women.

  4. Cohort profile: the Healthy Life in an Urban Setting (HELIUS) study in Amsterdam, The Netherlands

    PubMed Central

    Snijder, Marieke B; Galenkamp, Henrike; Prins, Maria; Derks, Eske M; Peters, Ron J G; Zwinderman, Aeilko H; Stronks, Karien

    2017-01-01

    Purpose Ethnic minority groups usually have a more unfavourable disease risk profile than the host population. In Europe, ethnic inequalities in health have been observed in relatively small studies, with limited possibilities to explore underlying causes. The aim of the Healthy Life in an Urban Setting (HELIUS) study is to investigate the causes of (the unequal burden of) diseases across ethnic groups, focusing on three disease categories: cardiovascular diseases, mental health and infectious diseases. Participants The HELIUS study is a prospective cohort study among six large ethnic groups living in Amsterdam, the Netherlands. Between 2011 and 2015, a total 24 789 participants (aged 18–70 years) were included at baseline. Similar-sized samples of individuals of Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Turkish and Moroccan origin were included. Participants filled in an extensive questionnaire and underwent a physical examination that included the collection of biological samples (biobank). Findings to date Data on physical, behavioural, psychosocial and biological risk factors, and also ethnicity-specific characteristics (eg, culture, migration history, ethnic identity, socioeconomic factors and discrimination) were collected, as were measures of health outcomes (cardiovascular, mental health and infections). The first results have confirmed large inequalities in health between ethnic groups, such as diabetes and depressive symptoms, and also early markers of disease such as arterial wave reflection and chronic kidney disease, which can only just partially be explained by inequalities in traditional risk factors, such as obesity and socioeconomic status. In addition, the first results provided important clues for targeting prevention and healthcare. Future plans HELIUS will be used for further research on the underlying causes of ethnic differences in health. Follow-up data will be obtained by repeated measurements and by linkages with

  5. Dominant control of agriculture and irrigation on urban heat island in India.

    PubMed

    Kumar, Rahul; Mishra, Vimal; Buzan, Jonathan; Kumar, Rohini; Shindell, Drew; Huber, Matthew

    2017-10-25

    As is true in many regions, India experiences surface Urban Heat Island (UHI) effect that is well understood, but the causes of the more recently discovered Urban Cool Island (UCI) effect remain poorly constrained. This raises questions about our fundamental understanding of the drivers of rural-urban environmental gradients and hinders development of effective strategies for mitigation and adaptation to projected heat stress increases in rapidly urbanizing India. Here we show that more than 60% of Indian urban areas are observed to experience a day-time UCI. We use satellite observations and the Community Land Model (CLM) to identify the impact of irrigation and prove for the first time that UCI is caused by lack of vegetation and moisture in non-urban areas relative to cities. In contrast, urban areas in extensively irrigated landscapes generally experience the expected positive UHI effect. At night, UHI warming intensifies, occurring across a majority (90%) of India's urban areas. The magnitude of rural-urban temperature contrasts is largely controlled by agriculture and moisture availability from irrigation, but further analysis of model results indicate an important role for atmospheric aerosols. Thus both land-use decisions and aerosols are important factors governing, modulating, and even reversing the expected urban-rural temperature gradients.

  6. Building energy governance in Shanghai

    NASA Astrophysics Data System (ADS)

    Kung, YiHsiu Michelle

    With Asia's surging economies and urbanization, the region is adding to its built environment at an unprecedented rate, especially those population centers in China and India. With numerous existing buildings, plus a new building boom, construction in these major Asian cities has caused momentous sustainability challenges. This dissertation focuses on China's leading city, Shanghai, to explore and assess its existing commercial building energy policies and practices. Research estimates that Shanghai's commercial buildings might become a key challenge with regard to energy use and CO2 emissions as compared to other major Asian cities. Relevant building energy policy instruments at national and local levels for commercial buildings are reviewed. In addition, two benchmarks are established to further assess building energy policies in Shanghai. The first benchmark is based on the synthesis of relevant criteria and policy instruments as recommended by professional organizations, while the second practical benchmark is drawn from an analysis of three global cities: New York, London and Tokyo. Moreover, two large-scale commercial building sites - Shanghai IKEA and Plaza 66 - are selected for investigation and assessment of their efforts on building energy saving measures. Detailed building energy savings, CO2 reductions, and management cost reductions based on data availability and calculations are presented with the co-benefits approach. The research additionally analyzes different interventions and factors that facilitate or constrain the implementation process of building energy saving measures in each case. Furthermore, a multi-scale analytical framework is employed to investigate relevant stakeholders that shape Shanghai's commercial building energy governance. Research findings and policy recommendations are offered at the close of this dissertation. Findings and policy recommendations are intended to facilitate commercial building energy governance in Shanghai and

  7. Occupational segregation and earnings inequality: Rural migrants and local workers in urban China.

    PubMed

    Zhang, Zhuoni; Wu, Xiaogang

    2017-01-01

    This article examines the central role of occupation as the "reward packages" in creating earnings disparities between rural migrants and local workers in urban China's labor markets. Analyses of data from the population mini-census of China in 2005 show that, rural migrants' earnings disadvantages are largely attributable to occupational segregation (between-occupation variation) by workers' household registration status (hukou) rather than unequal pay within the same occupations, but surprisingly they enjoy a slight earnings advantage in lower-status occupations (within-occupation variation). Even after controlling for education and other characteristics, occupational segregation by hukou status continues to exist. The occupational segregation is the most severe in government agencies/state institutions and the least severe in the private sector, leading to earnings disparities between rural migrants and urban local workers in different work unit sectors. Our findings shed new light on how government discriminatory policies could affect occupational segregation and thereby create inequality among social groups in urban China. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Asset management to support urban land and subsurface management.

    PubMed

    Maring, Linda; Blauw, Maaike

    2018-02-15

    Pressure on urban areas increases by demographic and climate change. To enable healthy, adaptive and liveable urban areas different strategies are needed. One of the strategies is to make better use of subsurface space and its functions. Asset management of the Subsurface (AMS) contributes to this. Asset management provides transparency of trade-offs between performance, cost and risks throughout the entire lifecycle of these assets. AMS is based on traditional asset management methods, but it does not only take man-made assets in the subsurface into account. AMS also considers the natural functions that the subsurface, including groundwater, has to offer (ecosystem services). A Dutch community of practice consisting of national and municipal authorities, a consultancy-engineering and a research institute are developing AMS in practice in order to 1) enhance the urban underground space planning (using its benefits, avoiding problems) and 2) use, manage and maintain the (urban) subsurface and its functions. The method is currently still under development. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Hale and Hearty Policies: How Psychological Science Can Create and Maintain Healthy Habits.

    PubMed

    Rothman, Alexander J; Gollwitzer, Peter M; Grant, Adam M; Neal, David T; Sheeran, Paschal; Wood, Wendy

    2015-11-01

    Strategies are needed to ensure that the U.S. Government meets its goals for improving the health of the nation (e.g., Healthy People 2020). To date, progress toward these goals has been undermined by a set of discernible challenges: People lack sufficient motivation, they frequently fail to translate healthy intentions into action, their efforts are undermined by the persistence of prior unhealthy habits, and they have considerable difficulty maintaining new healthy patterns of behavior. Guided by advances in psychological science, we provide innovative, evidence-based policies that address each of these challenges and, if implemented, will enhance people's ability to create and maintain healthy behavioral practices. © The Author(s) 2015.

  10. Preschool overweight and obesity in urban and rural Vietnam: differences in prevalence and associated factors

    PubMed Central

    Do, Loan Minh; Tran, Toan Khanh; Eriksson, Bo; Petzold, Max; Nguyen, Chuc T. K.; Ascher, Henry

    2015-01-01

    Background Childhood obesity may soon be an equally important health threat as undernutrition and infectious diseases. Accurate information about prevalence and risk factors of obesity in children is important for the design of prevention. Objective The aim of this study was to estimate prevalence of overweight and obesity for preschool children in two Vietnamese areas, one urban and one rural, and to identify risk factors. Design A cross-sectional study was conducted in urban Dong Da and rural Ba Vi districts, Hanoi, Vietnam. Totally, 2,677 children, 1,364 urban and 1,313 rural, were weighed and measured. Caregivers were interviewed. Background information about children and families was obtained from regular household surveys. Results The prevalence of overweight and obesity combined were 21.1% (95% CI 18.9–23.3) in the urban area and 7.6% (95% CI 6.2–9.2) in the rural. Multiple logistic regression revealed that at the individual level, in both sites, the risk increased with increased child age. The identified urban risk factors were being a boy, consuming large amounts of food, eating fast, and indoor activity less than 2 hours per day. The rural risk factors were frequent consumption of fatty food. At the family level, significant association was found in rural areas with frequent watching of food advertisements on television. Conclusions Overweight and obesity are emerging problems in Vietnam, particularly in the urban context. Prevention programs should focus on education about healthy eating habits at early preschool age and need to be tailored separately for urban and rural areas since the risk factors differ. Non-healthy food advertisement needs to be restricted. PMID:26452338

  11. Healthy eating in Ukraine: attitudes, barriers and information sources.

    PubMed

    Biloukha, O; Utermohlen, V

    2001-04-01

    To identify the major perceived influences on food choice, to examine the use of and trust in information sources concerning healthy eating, and to assess attitudes towards and barriers to adopting healthy eating practices in a post-USSR country (Ukraine). A survey of an urban adult population. The questions were adopted from the Pan-European Union (EU) Survey of Consumer Attitudes to Food, Nutrition and Health (1995-1996). Lviv city, Ukraine. The survey included 296 adults (84 males, 212 females) aged 18-55 years; they were primarily college students and subjects with tertiary education--the groups most likely to be both interested in healthy eating and affected by current socioeconomic downturns. The major factors in food choice were: 'quality/freshness' (cited by 80%), 'price' (58%) and 'taste' (47%); only 34% cited 'trying to eat healthily'. More older people cited 'price' than 'quality/freshness', and men were more likely than women to cite 'taste'. Sources of healthy eating information included: 'relatives/friends' (cited by 65%, trusted by 85%) and health professionals (trusted by 92%, but used by only 35%); while advertising was the least trusted source (cited by 28%). Fifty-three per cent of respondents considered their diet to be healthy enough without further changes; 50% thought of the nutritional aspects of the food they ate; fewer women than men considered their diet healthy, and more women than men thought about nutrition. Barriers to healthy eating included: 'cost' (cited by 65%), 'lack of time' (55%), 'self-control' (54%), 'selection influences' (41%), 'lack of knowledge' (32%), 'unpleasant foods' and 'resistance to change' (both 30%). Strategies to encourage healthy eating in this population should involve word-of-mouth nutrition education concerning low-cost healthy alternatives.

  12. Stream ecosystems change with urban development

    USGS Publications Warehouse

    Bell, Amanda H.; James, F. Coles; McMahon, Gerard

    2012-01-01

    The healthy condition of the physical living space in a natural stream—defined by unaltered hydrology (streamflow), high diversity of habitat features, and natural water chemistry—supports diverse biological communities with aquatic species that are sensitive to disturbances. In a highly degraded urban stream, the poor condition of the physical living space—streambank and tree root damage from altered hydrology, low diversity of habitat, and inputs of chemical contaminants—contributes to biological communities with low diversity and high tolerance to disturbance.

  13. Advancing Sustainability through Urban Green Space: Cultural Ecosystem Services, Equity, and Social Determinants of Health

    PubMed Central

    Jennings, Viniece; Larson, Lincoln; Yun, Jessica

    2016-01-01

    Urban green spaces provide an array of benefits, or ecosystem services, that support our physical, psychological, and social health. In many cases, however, these benefits are not equitably distributed across diverse urban populations. In this paper, we explore relationships between cultural ecosystem services provided by urban green space and the social determinants of health outlined in the United States Healthy People 2020 initiative. Specifically, we: (1) explore connections between cultural ecosystem services and social determinants of health; (2) examine cultural ecosystem services as nature-based health amenities to promote social equity; and (3) recommend areas for future research examining links between urban green space and public health within the context of environmental justice. PMID:26861365

  14. Advancing Sustainability through Urban Green Space: Cultural Ecosystem Services, Equity, and Social Determinants of Health.

    PubMed

    Jennings, Viniece; Larson, Lincoln; Yun, Jessica

    2016-02-05

    Urban green spaces provide an array of benefits, or ecosystem services, that support our physical, psychological, and social health. In many cases, however, these benefits are not equitably distributed across diverse urban populations. In this paper, we explore relationships between cultural ecosystem services provided by urban green space and the social determinants of health outlined in the United States Healthy People 2020 initiative. Specifically, we: (1) explore connections between cultural ecosystem services and social determinants of health; (2) examine cultural ecosystem services as nature-based health amenities to promote social equity; and (3) recommend areas for future research examining links between urban green space and public health within the context of environmental justice.

  15. Assessment of Coastal Governance for Climate Change Adaptation in Kenya

    NASA Astrophysics Data System (ADS)

    Ojwang, Lenice; Rosendo, Sergio; Celliers, Louis; Obura, David; Muiti, Anastasia; Kamula, James; Mwangi, Maina

    2017-11-01

    The coastline of Kenya already experiences effects of climate change, adding to existing pressures such as urbanization. Integrated coastal management (ICM) is increasingly recognized as a key policy response to deal with the multiple challenges facing coastal zones, including climate change. It can create an enabling governance environment for effective local action on climate change by facilitating a structured approach to dealing with coastal issues. It encompasses the actions of a wide range of actors, including local governments close to people and their activities affected by climate change. Functioning ICM also offers opportunities for reducing risks and building resilience. This article applied a modified capitals approach framework (CAF), consisting of five "capitals," to assess the status of county government capacity to respond to climate change within the context of coastal governance in three county governments in Kenya. The baseline was defined in terms of governance relating to the implementation of the interrelated policy systems of ICM and coastal climate change adaptation (CCA). The CAF framework provided a systematic approach to building a governance baseline against which to assess the progress of county governments in responding to climate change. It identified gaps in human capacity, financial resource allocation to adaptation and access to climate change information. Furthermore, it showed that having well-developed institutions, including regulatory frameworks at the national level can facilitate but does not automatically enable adaptation at the county level.

  16. Proceedings: linking healthy forests and communities—successful strategies and future directions.

    Treesearch

    David L. Nicholls

    2005-01-01

    The Linking Healthy Forests and Communities conference brought together a diverse group representing government agencies, traditional forest users, landholders, scientists, and small enterprises and other businesses related to nontimber forest products. The purpose was to exchange information, encourage cooperation, and raise awareness of environmentally and...

  17. Transformation of the Urban Health Care Safety Net: The Devolution of a Public Responsibility.

    PubMed

    Kulesher, Robert

    2015-01-01

    Reduced spending in both federal and state programs and the closure of public hospitals have serious consequences for the health of urban dwellers, especially the poor and uninsured. Through a combination of economic factors, many municipalities have formed public-private partnerships and launched community initiatives to preserve some of the elements of the health care safety net. What once was a responsibility of municipal governments, the provision of health care to poor and uninsured populations, is now posing challenges for private-sector providers. This article identifies several factors that have contributed to the incremental demise of the publicly funded urban health care safety net and how local entities and the federal government are responding to the care of the poor and uninsured.

  18. Managers and Information Technology: A Case Study of Organizational Change in County Government.

    ERIC Educational Resources Information Center

    Rosenbaum, Howard

    1992-01-01

    Discussion of the interrelationship of information technology, managers, and users, and the structure of public sector organizations focuses on a case study that examined the organizational changes in the information services department of a large, urban county government as a result of the use of sophisticated information technologies. (11…

  19. The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. Dallas Public Schools. Grade 4, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  20. The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. Dallas Public Schools. Grade 4, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  1. The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. Dallas Public Schools. Grade 8, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  2. The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. Dallas Public Schools. Grade 8, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  3. The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. Albuquerque Public Schools. Grade 4, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  4. The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. Albuquerque Public Schools. Grade 8, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  5. The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. Albuquerque Public Schools. Grade 4, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  6. The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. Albuquerque Public Schools. Grade 8, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  7. Megacities and the Proposed Urban Intervention Model

    DTIC Science & Technology

    2016-06-01

    WFP World Food Programme WHO World Health Organization xv ACKNOWLEDGMENTS We would first like to thank our advisors, Dr. Heather Gregg and Dr...resources such as fresh food and potable water has placed many of the urban poor on the brink of starvation.8 Increasing traffic has caused widespread...effective distribution of resources and services.9 Governments also struggle with waste disposal, which has contaminated already strained water

  8. Street vending and waste picking in developing countries: a long-standing hazardous occupational activity of the urban poor

    PubMed Central

    2016-01-01

    Uncontrolled urbanization in developing countries has led to widespread urban poverty and increased susceptibility to environmental exposures owing to the hazardous occupational activities of the urban poor. Street vending and waste picking are the dominant works undertaken by the urban poor, and besides the physical hazards, it also exposes them to several pathogens and high levels of air pollutants present in the outdoor environment. The situation has severe consequences for the health of the workers. Eliminating these occupational activities from the urban landscape of developing countries should therefore receive urgent attention from the global health community and governments. In this article, we provide evidence to support this policy recommendation by documenting exposure experiences of the workers, the associated adverse health effects, whilst also outlining measures for addressing the problem sustainably. We conclude that with the adoption of the sustainable development goals (SDG), governments now have a commitment to address poverty and the associated occupational health hazards experienced by the poor through their choices to help achieve the health-related SDG target (3.9) of substantially reducing the number of deaths and illnesses from hazardous chemicals and air, water, and soil pollution and contamination by 2030. PMID:27467691

  9. Street vending and waste picking in developing countries: a long-standing hazardous occupational activity of the urban poor.

    PubMed

    Amegah, Adeladza Kofi; Jaakkola, Jouni J K

    2016-07-01

    Uncontrolled urbanization in developing countries has led to widespread urban poverty and increased susceptibility to environmental exposures owing to the hazardous occupational activities of the urban poor. Street vending and waste picking are the dominant works undertaken by the urban poor, and besides the physical hazards, it also exposes them to several pathogens and high levels of air pollutants present in the outdoor environment. The situation has severe consequences for the health of the workers. Eliminating these occupational activities from the urban landscape of developing countries should therefore receive urgent attention from the global health community and governments. In this article, we provide evidence to support this policy recommendation by documenting exposure experiences of the workers, the associated adverse health effects, whilst also outlining measures for addressing the problem sustainably. We conclude that with the adoption of the sustainable development goals (SDG), governments now have a commitment to address poverty and the associated occupational health hazards experienced by the poor through their choices to help achieve the health-related SDG target (3.9) of substantially reducing the number of deaths and illnesses from hazardous chemicals and air, water, and soil pollution and contamination by 2030.

  10. Public-Private Partnerships in China’s Urban Water Sector

    PubMed Central

    Mol, Arthur P. J.; Fu, Tao

    2008-01-01

    During the past decades, the traditional state monopoly in urban water management has been debated heavily, resulting in different forms and degrees of private sector involvement across the globe. Since the 1990s, China has also started experiments with new modes of urban water service management and governance in which the private sector is involved. It is premature to conclude whether the various forms of private sector involvement will successfully overcome the major problems (capital shortage, inefficient operation, and service quality) in China’s water sector. But at the same time, private sector involvement in water provisioning and waste water treatments seems to have become mainstream in transitional China. PMID:18256780

  11. The impact of urban planning on land use and land cover in Pudong of Shanghai, China.

    PubMed

    Zhao, Bin; Nakagoshi, Nobukazu; Chen, Jia-kuan; Kong, Ling-yi

    2003-03-01

    Functional zones in cities constitute the most conspicuous components of newly developed urban area, and have been a hot spot for domestic and foreign investors in China, which not only show the expanse of urban space accompanied by the shifts both in landscape (from rural to urban) and land use (from less extensive to extensive), but also display the transformation of regional ecological functions. By using the theories and methods of landscape ecology, the structure of landscape and landscape ecological planning can be analyzed and evaluated for studying the urban functional zones' layout. In 1990, the Central Government of China declared to develop and open up Pudong New Area so as to promote economic development in Shanghai. Benefited from the advantages of Shanghai's location and economy, the government of Pudong New Area has successively built up 7 different functional zones over the past decade according to their functions and strategic goals. Based on the multi-spectral satellite imageries taken in 1990, 1997 and 2000, a landscape ecology analysis was carried out for Pudong New Area of Shanghai, supported by GIS technology. Green space (including croplands) and built-up area are the major factors considered in developing urban landscape. This paper was mainly concerned with the different spatial patterns and dynamic of green space, built-up areas and new buildings in different functional zones, influenced by different functional layouts and development strategies. The rapid urbanization in Pudong New Area resulted in a more homogeneous landscape. Agricultural landscape and suburban landscape were gradually replaced by urban landscape as the degree of urbanization increased. As consequence of urbanization in Pudong, not only built-up patches, but also newly-built patches and green patches merged into one large patch, which should be attributed to the construction policy of extensive green space as the urban development process in Pudong New Area. The shape

  12. Urban-Rural and Provincial Disparities in Child Malnutrition in China.

    PubMed

    Wu, Yichao; Qi, Di

    2016-10-01

    This article investigates how the nutritional deprivation and inequality among children in China by provinces and urban/rural areas has changed over time from 1991 to 2009 using the China Health and Nutrition Survey data. The children who were undernourished in stunting and underweight have declined over years, but provincial disparities were significant and urban children performed better than the rural peers. The nutritional deprivation of children has been alleviated in China over time, but more efforts should be made by the government to improve the nutritional condition in less developed provinces and for those children who are severely undernourished.

  13. Process and impact evaluation of the Greater Christchurch Urban Development Strategy Health Impact Assessment

    PubMed Central

    Mathias, Kaaren R; Harris-Roxas, Ben

    2009-01-01

    Background despite health impact assessment (HIA) being increasingly widely used internationally, fundamental questions about its impact on decision-making, implementation and practices remain. In 2005 a collaboration between public health and local government authorities performed an HIA on the Christchurch Urban Development Strategy Options paper in New Zealand. The findings of this were incorporated into the Greater Christchurch Urban Development Strategy; Methods using multiple qualitative methodologies including key informant interviews, focus groups and questionnaires, this study performs process and impact evaluations of the Christchurch HIA including evaluation of costs and resource use; Results the evaluation found that the HIA had demonstrable direct impacts on planning and implementation of the final Urban Development Strategy as well as indirect impacts on understandings and ways of working within and between organisations. It also points out future directions and ways of working in this successful collaboration between public health and local government authorities. It summarises the modest resource use and discusses the important role HIA can play in urban planning with intersectoral collaboration and enhanced relationships as both catalysts and outcomes of the HIA process; Conclusion as one of the few evaluations of HIA that have been published to date, this paper makes a substantial contribution to the literature on the impact, utility and effectiveness of HIA. PMID:19344529

  14. A border versus non-border comparison of food environment, poverty, and ethnic composition in Texas urban settings.

    PubMed

    Salinas, Jennifer J; Sexton, Ken

    2015-01-01

    The goal was to examine the relationship between the food environment and selected socioeconomic variables and ethnic/racial makeup in the eight largest urban settings in Texas so as to gain a better understanding of the relationships among Hispanic composition, poverty, and urban foodscapes, comparing border to non-border urban environments. Census-tract level data on (a) socioeconomic factors, like percentage below the poverty line and number of households on foodstamps, and (b) ethnic variables, like percent of Mexican origin and percent foreign born, were obtained from the U.S. Census. Data at the census-tract level on the total number of healthy (e.g., supermarkets) and less-healthy (e.g., fast food outlets) food retailers were acquired from the CDC's modified retail food environment index (mRFEI). Variation among urban settings in terms of the relationship between mRFEI scores and socioeconomic and ethnic context was tested using a mixed-effect model, and linear regression was used to identify significant factors for each urban location. A jackknife variance estimate was used to account for clustering and autocorrelation of adjacent census tracts. Average census-tract mRFEI scores exhibited comparatively small variation across Texas urban settings, while socioeconomic and ethnic factors varied significantly. The only covariates significantly associated with mRFEI score were percent foreign born and percent Mexican origin. Compared to the highest-population county (Harris, which incorporates most of Houston), the only counties that had significantly different mRFEI scores were Bexar, which is analogous to San Antonio (2.12 lower), El Paso (2.79 higher), and Neuces, which encompasses Corpus Christi (2.90 less). Significant interaction effects between mRFEI and percent foreign born (El Paso, Tarrant - Fort Worth, Travis - Austin), percent Mexican origin (Hidalgo - McAllen, El Paso, Tarrant, Travis), and percent living below the poverty line (El Paso) were

  15. The Nation's Report Card: A First Look--2013 Mathematics and Reading Trial Urban District Assessment. NCES 2014-466

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. The TUDA focuses attention on urban…

  16. Economic analysis of three interventions of different intensity in improving school implementation of a government healthy canteen policy in Australia: costs, incremental and relative cost effectiveness.

    PubMed

    Reilly, Kathryn L; Reeves, Penny; Deeming, Simon; Yoong, Sze Lin; Wolfenden, Luke; Nathan, Nicole; Wiggers, John

    2018-03-20

    No evaluations of the cost or cost effectiveness of interventions to increase school implementation of food availability policies have been reported. Government and non-government agency decisions regarding the extent of investment required to enhance school implementation of such policies are unsupported by such evidence. This study sought to i) Determine cost and cost-effectiveness of three interventions in improving school implementation of an Australian government healthy canteen policy and; ii) Determine the relative cost-effectiveness of the interventions in improving school implementation of such a policy. An analysis of the cost and cost-effectiveness of three implementation interventions of varying support intensity, relative to usual implementation support conducted during 2013-2015 was undertaken. Secondly, an indirect comparison of the trials was undertaken to determine the most cost-effective of the three strategies. The economic analysis was based on the cost of delivering the interventions by health service delivery staff to increase the proportion of schools 'adherent' with the policy. The total costs per school were $166,971, $70,926 and $75,682 for the high, medium and low intensity interventions respectively. Compared to usual support, the cost effectiveness ratios for each of the three interventions were: A$2982 (high intensity), A$2627 (medium intensity) and A$4730 (low intensity) per percent increase in proportion of schools reporting 'adherence'). Indirect comparison between the 'high' and 'medium intensity' interventions showed no statistically significant difference in cost-effectiveness. The results indicate that while the cost profiles of the interventions varied substantially, the cost-effectiveness did not. This result is valuable to policy makers seeking cost-effective solutions that can be delivered within budget.

  17. Global Connectivity and Government Capacity: Social Networks, Order, Change, and Conflict

    DTIC Science & Technology

    2013-06-01

    via social media networks (Internet and the World Wide Web [WWW]) and the institutional capacities of central governance. Blending theory with data...Huntington’s main thesis argument postulates that: Social and economic change—urbanization, increases in literacy and education, industrialization...that forge a common identity. His theory builds on the expectation that “we should expect that mass media technologies will strengthen economies of

  18. Undergraduate Student Research Opportunities and Economic Revitalization through Urban Agriculture Initiatives

    ERIC Educational Resources Information Center

    Schläppi, Michael R.

    2017-01-01

    Through interactions with the recently formed Cooperative of the Institute of Urban Agriculture and Nutrition (CIUAN), a catalyst initiative co-governed by community organizations and academia to engage in mutually beneficial research and teaching projects, Marquette University in Milwaukee, Wisconsin, is supporting community efforts to bring…

  19. Formative Evaluation for a Healthy Corner Store Initiative in Pitt County, North Carolina: Assessing the Rural Food Environment, Part 1

    PubMed Central

    Bringolf, Karamie R.; Lawton, Katherine K.; McGuirt, Jared T.; Wall-Bassett, Elizabeth; Morgan, Jo; Laska, Melissa Nelson; Sharkey, Joseph R.

    2013-01-01

    Introduction Obesity prevalence in the rural United States is higher than in urban or suburban areas, perhaps as a result of the food environment. Because rural residents live farther from supermarkets than their urban- and suburban-dwelling counterparts, they may be more reliant on smaller corner stores that offer fewer healthful food items. Methods As part of a Communities Putting Prevention to Work (CPPW) healthy corner store initiative, we reviewed audit tools in the fall of 2010 to measure the consumer food environment in eastern North Carolina and chose the NEMS-S-Rev (Nutrition Environment Measures Survey-Stores-Revised) to assess 42 food stores. During the spring and summer of 2011, 2 trained graduate assistants audited stores, achieving interrater reliability of at least 80%. NEMS-S-Rev scores of stores in rural versus urban areas were compared. Results Overall, healthful foods were less available and of lower quality in rural areas than in urban areas. NEMS-S-Rev scores indicated that healthful foods were more likely to be available and had similar pricing and quality in rural corner stores than in urban corner stores. Conclusion Food store audit data provided a baseline to implement and evaluate a CPPW healthy corner store initiative in Pitt County. This work serves as a case study, providing lessons learned for engaging community partners when conducting rural food store audits. PMID:23866165

  20. Prevalence of vitamin B12 deficiency in healthy Indian school-going adolescents from rural and urban localities and its relationship with various anthropometric indices: a cross-sectional study.

    PubMed

    Chakraborty, S; Chopra, M; Mani, K; Giri, A K; Banerjee, P; Sahni, N S; Siddhu, A; Tandon, N; Bharadwaj, D

    2018-02-22

    Micronutrient deficiency is a global health burden, especially among developing countries. The present cross-sectional study aimed to determine the prevalence of vitamin B 12 deficiency in healthy Indian school-going adolescents, based on area of residence, sex and body mass index (BMI). Furthermore, the relationship of serum B 12 concentration with dietary vitamin B 12 intake and anthropometric indices was assessed among adolescents from rural and urban India. A total of 2403 school-going adolescents (11-17 years) from National Capital Region and rural areas of Haryana, India were selected. Serum B 12 concentrations were estimated using an electrochemiluminescence immunoassay. Dietary assessments were conducted on 65% of total participants (n = 1556) by two 24-h diet recalls. The prevalence of vitamin B 12 deficiency in the total study population was 32.4% (rural: 43.9% versus urban: 30.1%, P < 0.001; male: 34.4% versus female: 31.0%, P < 0.05; normal weight: 28.1%, versus overweight: 39.8%, versus obese: 51.2%, P < 0.001). More than half (51.2%) of obese adolescents were vitamin B 12 deficient. On multiple linear regression analysis, serum B 12 in rural adolescents was associated with age (β = -0.12, P < 0.05). Among urban adolescents, serum B 12 was associated with BMI (β = -0.08, P < 0.05) and adjusted dietary vitamin B 12 intake (β = 0.14, P < 0.001). Serum vitamin B 12 levels were found to be lower in rural females (β = -0.12, P = 0.030) and urban males (β: 0.11, P < 0.001) compared to their respective contemporaries. Vitamin B 12 deficiency was higher among rural school-going adolescents. Boys had a higher B 12 deficiency than girls. Inverse associations of serum B 12 with adiposity indices were observed. Serum B 12 levels were positively associated with dietary vitamin B 12 intake. © 2018 The British Dietetic Association Ltd.

  1. Urban planning and health equity.

    PubMed

    Northridge, Mary Evelyn; Freeman, Lance

    2011-06-01

    Although the fields of urban planning and public health share a common origin in the efforts of reformers to tame the ravages of early industrialization in the 19th century, the 2 disciplines parted ways in the early 20th century as planners increasingly focused on the built environment while public health professionals narrowed in on biomedical causes of disease and disability. Among the unfortunate results of this divergence was a tendency to discount the public health implications of planning decisions. Given increasingly complex urban environments and grave health disparities in cities worldwide, urban planners and public health professionals have once again become convinced of the need for inclusive approaches to improve population health and achieve health equity. To make substantive progress, intersectoral collaboration utilizing ecological and systems science perspectives will be crucial as the solutions lie well beyond the control of any single authority. Grounded in the social determinants of health, and with a renewed sense of interconnectedness, dedicated and talented people in government agencies and communities who recognize that our future depends on cultivating local change and evaluating the results can come to grips with the enormous challenge that lies ahead to create more equitable, sustainable, and healthier cities worldwide.

  2. Intersectoral planning for city health development.

    PubMed

    Green, Geoff

    2012-04-01

    The article reviews the evolution and process of city health development planning (CHDP) in municipalities participating in the European Network of Healthy Cities organized by the European Region of the World Health Organization. The concept of CHDP combines elements from three theoretical domains: (a) health development, (b) city governance, and (c) urban planning. The setting was the 77 cities which participated in Phase IV (2003-2008) of the network. Evidence was gathered principally from a general evaluation questionnaire sent to all network cities. CHDPs are strategic documents giving direction to municipalities and partner agencies. Analysis revealed a trend away from "classic" CHDPs with a primary focus on health development towards ensuring a health dimension to other sector plans, and into the overarching strategies of city governments. Linked to the Phase IV priority themes of Healthy aging and healthy urban planning, cities further developed the concept and application of human-centered sustainability. More work is required to utilize cost-benefit analysis and health impact assessment to unmask the synergies between health and economic prosperity.

  3. The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. Austin Independent School District. Grade 8, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  4. The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. Austin Independent School District. Grade 4, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  5. The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. Austin Independent School District. Grade 4, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  6. The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. Austin Independent School District. Grade 8, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  7. Urbanisierung und Ökologische Stadtentwicklung. Zur Integration urbaner Biodiversität und Ökosystemleistungen in Deutschland und China

    NASA Astrophysics Data System (ADS)

    Kümper-Schlake, Lennart

    2016-06-01

    Urbanisation processes increase land-use conflicts and ecosystem destruction globally. Especially in China, a country with an outstanding urbanization rate, city governments are challenged by environmental and health problems. Urban green spaces - subsequently defined as urban biodiversity and ecosystem services - can minimize numerous environmental risks and at the same time contribute to the citizens' well-being and quality of life. In this highly relevant field of nature conservation, geographical perspectives are required - in science, politics, policy, planning and practice.

  8. Attitude and beliefs of traditional birth attendants to prematurely erupted teeth of infants in urban local government areas in Ibadan, Nigeria.

    PubMed

    Bankole, Olubunmi; Taiwo, Juliana; Nasiru, Olukemi

    Traditional birth attendants (TBAs) can be invaluable in assisting to dispel myths commonly associated with natal/neonatal teeth. To ensure correct delivery of the message, baseline data of their beliefs is important. To assess the attitude and beliefs of some Nigerian TBAs to prematurely erupted teeth in infants, a total enumeration of the TBAs in the five urban Local Government Areas in Ibadan was conducted and 163 consenting TBAs were recruited using an interviewer-administered questionnaire. The attitude of the TBAs was that of fear and shock (35.6%) while 30 (18.4%) will consider the child weird. Perceived causes of the variation include evil spirits (31.9%), contravening cultural taboos (9.2%), and prolonged gestation (4.9%). Beliefs on the effect of natal/neonatal teeth on the child include strange behavior (31.3%), child developing evil spiritual powers (41.1%), and mental retardation (3.1%). Practices included advising parents to get rid of/or hide the child (4.9%) and immediate extraction of the teeth with/without sacrifices (35.6%). There is an urgent need to address knowledge gaps by giving health education to TBAs.

  9. The impact of managed care and current governmental policies on an urban academic health care center.

    PubMed

    Rodriguez, J L; Peterson, D J; Muehlstedt, S G; Zera, R T; West, M A; Bubrick, M P

    2001-10-01

    Managed care and governmental policies have restructured hospital reimbursement. We examined reimbursement trends in trauma care to assess the impact of this market driven change on an urban academic health center. Patients injured between January 1997 and December 1999 were analyzed for Injury Severity Score (ISS), length of hospital stay, hospital cost, payer, and reimbursement. Between 1997 and 1999, the volume of patients with an ISS less than 9 increased and length of stay decreased. In addition, overall cost, payment, and profit margin increased. Commercially insured patients accounted for this margin increase, because the margins of managed care and government insured patients experienced double-digit decreases. Patients with ISS of 9 or greater also experienced a volume increase and a reduction in length of stay; however, costs within this group increased greater than payments, thereby reducing profit margin. Whereas commercially insured patients maintained their margin, managed care and government insured patients did not (double- and triple-digit decreases). Managed care and current governmental policies have a negative impact on urban academic health center reimbursement. Commercial insurers subsidize not only the uninsured but also the government insured and managed care patients as well. National awareness of this issue and policy action are paramount to urban academic health centers and may also benefit commercial insurers.

  10. Healthy people and healthy profits? Elaborating a conceptual framework for governing the commercial determinants of non-communicable diseases and identifying options for reducing risk exposure.

    PubMed

    Buse, Kent; Tanaka, Sonja; Hawkes, Sarah

    2017-06-15

    Non-communicable diseases (NCDs) represent a significant threat to human health and well-being, and carry significant implications for economic development and health care and other costs for governments and business, families and individuals. Risks for many of the major NCDs are associated with the production, marketing and consumption of commercially produced food and drink, particularly those containing sugar, salt and transfats (in ultra-processed products), alcohol and tobacco. The problems inherent in primary prevention of NCDs have received relatively little attention from international organizations, national governments and civil society, especially when compared to the attention paid to secondary and tertiary prevention regimes (i.e. those focused on provision of medical treatment and long-term clinical management). This may in part reflect that until recently the NCDs have not been deemed a priority on the overall global health agenda. Low political priority may also be due in part to the complexity inherent in implementing feasible and acceptable interventions, such as increased taxation or regulation of access, particularly given the need to coordinate action beyond the health sector. More fundamentally, governing determinants of risk frequently brings public health into conflict with the interests of profit-driven food, beverage, alcohol and tobacco industries. We use a conceptual framework to review three models of governance of NCD risk: self-regulation by industry; hybrid models of public-private engagement; and public sector regulation. We analyse the challenges inherent in each model, and review what is known (or not) about their impact on NCD outcomes. While piecemeal efforts have been established, we argue that mechanisms to control the commercial determinants of NCDs are inadequate and efforts at remedial action too limited. Our paper sets out an agenda to strengthen each of the three governance models. We identify reforms that will be needed

  11. Healthy Places for Healthy People

    EPA Pesticide Factsheets

    Describes the Healthy Places for Healthy People technical assistance program that helps communities create walkable, healthy, economically vibrant places by engaging with local health care facility partners

  12. Comparative Analysis of Households Solid Waste Management in Rural and Urban Ghana

    PubMed Central

    Appiah, Divine Odame; Poku, Adjoa Afriyie; Garsonu, Emmanuel Kofi

    2016-01-01

    The comparative analysis of solid waste management between rural and urban Ghana is largely lacking. This study investigated the solid waste situation and the organisation of solid waste management in both urban and rural settings from the perspective of households. The study employed cross-sectional survey covering both rural and urban districts in the Ashanti and Greater Accra Regions of Ghana. The study systematically sampled houses from which 400 households and respondents were randomly selected. Pearson's Chi square test was used to compare demographic and socioeconomic variables in rural and urban areas. Multivariate Test, Tests of Between-Subjects Effects, and Pair-Wise Comparisons were performed through one-way MANOVA to determine whether or not solid waste situations in rural and urban areas are significantly different. The results revealed that location significantly affects solid waste management in Ghana. Urban communities had lower mean scores than rural communities for poor solid waste situation in homes. However, urban communities had higher mean scores than rural communities for poor solid waste situation in principal streets and dumping sites. The study recommends that the local government authorities implement very comprehensive policies (sanitary inspection, infrastructure development, and community participation) that will take into consideration the specific solid waste management needs of both urban and rural areas. PMID:27807453

  13. Comparative Analysis of Households Solid Waste Management in Rural and Urban Ghana.

    PubMed

    Boateng, Simon; Amoako, Prince; Appiah, Divine Odame; Poku, Adjoa Afriyie; Garsonu, Emmanuel Kofi

    2016-01-01

    The comparative analysis of solid waste management between rural and urban Ghana is largely lacking. This study investigated the solid waste situation and the organisation of solid waste management in both urban and rural settings from the perspective of households. The study employed cross-sectional survey covering both rural and urban districts in the Ashanti and Greater Accra Regions of Ghana. The study systematically sampled houses from which 400 households and respondents were randomly selected. Pearson's Chi square test was used to compare demographic and socioeconomic variables in rural and urban areas. Multivariate Test, Tests of Between-Subjects Effects, and Pair-Wise Comparisons were performed through one-way MANOVA to determine whether or not solid waste situations in rural and urban areas are significantly different. The results revealed that location significantly affects solid waste management in Ghana. Urban communities had lower mean scores than rural communities for poor solid waste situation in homes. However, urban communities had higher mean scores than rural communities for poor solid waste situation in principal streets and dumping sites. The study recommends that the local government authorities implement very comprehensive policies (sanitary inspection, infrastructure development, and community participation) that will take into consideration the specific solid waste management needs of both urban and rural areas.

  14. Biodiversity in the city: key challenges for urban green space management

    Treesearch

    Myla F.J. Aronson; Christopher A. Lepczyk; Karl L. Evans; Mark A. Goddard; Susannah B. Lerman; J. Scott MacIvor; Charles H. Nilon; Timothy Vargo

    2017-01-01

    Cities play important roles in the conservation of global biodiversity, particularly through the planning and management of urban green spaces (UGS). However, UGS management is subject to a complex assortment of interacting social, cultural, and economic factors, including governance, economics, social networks, multiple stakeholders, individual preferences, and social...

  15. Private Sector Participation in Urban Water and Sanitation Provision in Ghana: Experiences from the Tamale Metropolitan Area (TMA)

    NASA Astrophysics Data System (ADS)

    Osumanu, Issaka Kanton

    2008-07-01

    African governments, like most countries in the developing world, face daunting tasks in their attempts to provide effective and equitable water and sanitation services for their ever increasing urban populations. Consequently, the past few years have witnessed increased private sector participation in urban water and sanitation provision, as many African governments strive to improve access to water and sanitation services for their citizens in line with Millennium Development Goal 7 (MDG7). Since the early 1990s, the government of Ghana and many local authorities have entered into various forms of public-private partnerships in urban water and sanitation provision. This article examines the outcome of such partnerships using the Tamale Metropolitan Area (TMA) as a case study with the aim of providing policy guidelines for the way forward. The article argues that the public-private arrangement for water supply and sanitation infrastructure management in the Tamale Metropolis has done nothing that an invigorated public sector could not have possibly achieved. It concludes that there can be no sustainable improvement in water and sanitation provision without political commitment, stakeholder ownership, and strong support for community driven initiatives.

  16. Private sector participation in urban water and sanitation provision in Ghana: experiences from the Tamale Metropolitan Area (TMA).

    PubMed

    Osumanu, Issaka Kanton

    2008-07-01

    African governments, like most countries in the developing world, face daunting tasks in their attempts to provide effective and equitable water and sanitation services for their ever increasing urban populations. Consequently, the past few years have witnessed increased private sector participation in urban water and sanitation provision, as many African governments strive to improve access to water and sanitation services for their citizens in line with Millennium Development Goal 7 (MDG7). Since the early 1990s, the government of Ghana and many local authorities have entered into various forms of public-private partnerships in urban water and sanitation provision. This article examines the outcome of such partnerships using the Tamale Metropolitan Area (TMA) as a case study with the aim of providing policy guidelines for the way forward. The article argues that the public-private arrangement for water supply and sanitation infrastructure management in the Tamale Metropolis has done nothing that an invigorated public sector could not have possibly achieved. It concludes that there can be no sustainable improvement in water and sanitation provision without political commitment, stakeholder ownership, and strong support for community driven initiatives.

  17. Urban nutrition: motor or brake for rural development? The Latin American case.

    PubMed

    Arnauld, J

    1983-01-01

    The most spectacular backlash of growth of developing countries is the migration of the rural population to the cities, where many families live in deplorable conditions with income below the poverty line. To deal with this situation, most governments have embarked on a policy of subsidizing consumer prices for basic commodities. This policy has proved unfavorable to small farmers, thereby accelerating the migration to cities. Thus we are witnessing an inexorable growth in the labor shortage in rural areas and a surplus of mouths to feed in the urban areas. The problem facing governments is to discover how to reprime the internal food pump and thus reestablish a balanced distribution of the population, and food self-sufficiency for the country. This implies a need for the rehabilitation of food crop production to meet the new and specific requirements of urban consumers, and a need for a thorough knowledge of urban consumption and the factors influencing it. Where budgets are inadequate to meet minimal needs, programs that improve public transportation or housing, could, by reducing the relevant budgetary items, correspondingly increase the food purchasing power of certain socioeconomic groups. Eating habits change with migration to a city. Although in certain countries traditional foods lend themselves to the urban way of life, like the tortilla in Mexico, this is not so with cassava and coarse grains. These basic foods, the only ones that can be produced economically in local ecological conditions, can be processed and packaged to make them acceptable to urban consumers. To reverse the decades-old trend of the rush to the cities will require a sustained political will and the coordination of activities of all kinds.

  18. Differences in Spontaneous Intracerebral Hemorrhage Cases between Urban and Rural Regions of Taiwan: Big Data Analytics of Government Open Data.

    PubMed

    Ting, Hsien-Wei; Chien, Ting-Ying; Lai, K Robert; Pan, Ren-Hao; Wu, Kuan-Hsien; Chen, Jun-Min; Chan, Chien-Lung

    2017-12-10

    This study evaluated the differences in spontaneous intracerebral hemorrhage (sICH) between rural and urban areas of Taiwan with big data analysis. We used big data analytics and visualization tools to examine government open data, which included the residents' health medical administrative data, economic status, educational status, and relevant information. The study subjects included sICH patients of Taipei region (29,741 cases) and Eastern Taiwan (4565 cases). The incidence of sICH per 100,000 population per year in Eastern Taiwan (71.3 cases) was significantly higher than that of the Taipei region (42.3 cases). The mean coverage area per hospital in Eastern Taiwan (452.4 km²) was significantly larger than the Taipei region (24 km²). The residents educational level in the Taipei region was significantly higher than that in Eastern Taiwan. The mean hospital length of stay in the Taipei region (17.9 days) was significantly greater than that in Eastern Taiwan (16.3 days) ( p < 0.001). There were no significant differences in other medical profiles between two areas. Distance and educational barriers were two possible reasons for the higher incidence of sICH in the rural area of Eastern Taiwan. Further studies are necessary in order to understand these phenomena in greater depth.

  19. Differences in Spontaneous Intracerebral Hemorrhage Cases between Urban and Rural Regions of Taiwan: Big Data Analytics of Government Open Data

    PubMed Central

    Ting, Hsien-Wei; Chien, Ting-Ying; Lai, K. Robert; Wu, Kuan-Hsien; Chen, Jun-Min

    2017-01-01

    This study evaluated the differences in spontaneous intracerebral hemorrhage (sICH) between rural and urban areas of Taiwan with big data analysis. We used big data analytics and visualization tools to examine government open data, which included the residents’ health medical administrative data, economic status, educational status, and relevant information. The study subjects included sICH patients of Taipei region (29,741 cases) and Eastern Taiwan (4565 cases). The incidence of sICH per 100,000 population per year in Eastern Taiwan (71.3 cases) was significantly higher than that of the Taipei region (42.3 cases). The mean coverage area per hospital in Eastern Taiwan (452.4 km2) was significantly larger than the Taipei region (24 km2). The residents educational level in the Taipei region was significantly higher than that in Eastern Taiwan. The mean hospital length of stay in the Taipei region (17.9 days) was significantly greater than that in Eastern Taiwan (16.3 days) (p < 0.001). There were no significant differences in other medical profiles between two areas. Distance and educational barriers were two possible reasons for the higher incidence of sICH in the rural area of Eastern Taiwan. Further studies are necessary in order to understand these phenomena in greater depth. PMID:29232864

  20. Does social insurance enrollment improve citizen assessment of local government performance? Evidence from China.

    PubMed

    Huang, Xian; Gao, Qin

    2018-02-01

    Although many studies claim that social policies are "carrots" that authoritarian leaders use to garner public support, the assumption that social benefits can boost public support of government has been rarely tested empirically, especially at the local levels. This article investigates the effects of social insurance enrollment on citizens' assessment of local government performance using data from the 2010 China Family Panel Study. We use propensity score matching to reduce selection bias and ordered probit regressions with fixed effects to examine these possible effects. We find that social insurance enrollment had a significant positive effect on rural citizens' assessment of government performance, but this effect did not exist for their urban and migrant peers. This discrepancy could be largely due to the groups' different expectations for government redistribution and their distinct experiences of China's social welfare reform. We conclude that the Chinese authoritarian government has achieved partial success in its attempt to use social policies to maintain popular support. Published by Elsevier Inc.

  1. Urban gray vs. urban green vs. soil protection — Development of a systemic solution to soil sealing management on the example of Germany

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Artmann, Martina, E-mail: m.artmann@ioer.de

    Managing urban soil sealing is a difficult venture due to its spatial heterogeneity and embedding in a socio-ecological system. A systemic solution is needed to tackle its spatial, ecological and social sub-systems. This study develops a guideline for urban actors to find a systemic solution to soil sealing management based on two case studies in Germany: Munich and Leipzig. Legal-planning, informal-planning, economic-fiscal, co-operative and informational responses were evaluated by indicators to proof which strategy considers the spatial complexity of urban soil sealing (systemic spatial efficiency) and, while considering spatial complexity, to assess what the key management areas for action aremore » to reduce the ecological impacts by urban soil sealing (ecological impact efficiency) and to support an efficient implementation by urban actors (social implementation efficiency). Results suggest framing the systemic solution to soil sealing management through a cross-scale, legal-planning development strategy embedded in higher European policies. Within the socio-ecological system, the key management area for action should focus on the protection of green infrastructure being of high value for actors from the European to local scales. Further efforts are necessary to establish a systemic monitoring concept to optimize socio-ecological benefits and avoid trade-offs such as between urban infill development and urban green protection. This place-based study can be regarded as a stepping stone on how to develop systemic strategies by considering different spatial sub-targets and socio-ecological systems. - Highlights: • Urban soil sealing management is spatially complex. • The legal-planning strategy supports a systemic sealing management. • Urban green infrastructure protection should be in the management focus. • Soil protection requires policies from higher levels of government. • A systemic urban soil sealing monitoring concept is needed.« less

  2. The growing price gap between more and less healthy foods: analysis of a novel longitudinal UK dataset.

    PubMed

    Jones, Nicholas R V; Conklin, Annalijn I; Suhrcke, Marc; Monsivais, Pablo

    2014-01-01

    The UK government has noted the public health importance of food prices and the affordability of a healthy diet. Yet, methods for tracking change over time have not been established. We aimed to investigate the prices of more and less healthy foods over time using existing government data on national food prices and nutrition content. We linked economic data for 94 foods and beverages in the UK Consumer Price Index to food and nutrient data from the UK Department of Health's National Diet and Nutrition Survey, producing a novel dataset across the period 2002-2012. Each item was assigned to a food group and also categorised as either "more healthy" or "less healthy" using a nutrient profiling model developed by the Food Standards Agency. We tested statistical significance using a t-test and repeated measures ANOVA. The mean (standard deviation) 2012 price/1000 kcal was £2.50 (0.29) for less healthy items and £7.49 (1.27) for more healthy items. The ANOVA results confirmed that all prices had risen over the period 2002-2012, but more healthy items rose faster than less healthy ones in absolute terms:£0.17 compared to £0.07/1000 kcal per year on average for more and less healthy items, respectively (p<0.001). Since 2002, more healthy foods and beverages have been consistently more expensive than less healthy ones, with a growing gap between them. This trend is likely to make healthier diets less affordable over time, which may have implications for individual food security and population health, and it may exacerbate social inequalities in health. The novel data linkage employed here could be used as the basis for routine food price monitoring to inform public health policy.

  3. The Impact of a Multi-Level Multi-Component Childhood Obesity Prevention Intervention on Healthy Food Availability, Sales, and Purchasing in a Low-Income Urban Area.

    PubMed

    Gittelsohn, Joel; Trude, Angela C; Poirier, Lisa; Ross, Alexandra; Ruggiero, Cara; Schwendler, Teresa; Anderson Steeves, Elizabeth

    2017-11-10

    The multifactorial causes of obesity require multilevel and multicomponent solutions, but such combined strategies have not been tested to improve the community food environment. We evaluated the impact of a multilevel (operating at different levels of the food environment) multicomponent (interventions occurring at the same level) community intervention. The B'more Healthy Communities for Kids (BHCK) intervention worked at the wholesaler ( n = 3), corner store ( n = 50), carryout ( n = 30), recreation center ( n = 28), household ( n = 365) levels to improve availability, purchasing, and consumption of healthier foods and beverages (low-sugar, low-fat) in low-income food desert predominantly African American zones in the city of Baltimore (MD, USA), ultimately intending to lead to decreased weight gain in children (not reported in this manuscript). For this paper, we focus on more proximal impacts on the food environment, and measure change in stocking, sales and purchase of promoted foods at the different levels of the food system in 14 intervention neighborhoods, as compared to 14 comparison neighborhoods. Sales of promoted products increased in wholesalers. Stocking of these products improved in corner stores, but not in carryouts, and we did not find any change in total sales. Children more exposed to the intervention increased their frequency of purchase of promoted products, although improvement was not seen for adult caregivers. A multilevel food environment intervention in a low-income urban setting improved aspects of the food system, leading to increased healthy food purchasing behavior in children.

  4. The Impact of a Multi-Level Multi-Component Childhood Obesity Prevention Intervention on Healthy Food Availability, Sales, and Purchasing in a Low-Income Urban Area

    PubMed Central

    Gittelsohn, Joel; Trude, Angela C.; Poirier, Lisa; Ross, Alexandra; Ruggiero, Cara; Schwendler, Teresa; Anderson Steeves, Elizabeth

    2017-01-01

    The multifactorial causes of obesity require multilevel and multicomponent solutions, but such combined strategies have not been tested to improve the community food environment. We evaluated the impact of a multilevel (operating at different levels of the food environment) multicomponent (interventions occurring at the same level) community intervention. The B’more Healthy Communities for Kids (BHCK) intervention worked at the wholesaler (n = 3), corner store (n = 50), carryout (n = 30), recreation center (n = 28), household (n = 365) levels to improve availability, purchasing, and consumption of healthier foods and beverages (low-sugar, low-fat) in low-income food desert predominantly African American zones in the city of Baltimore (MD, USA), ultimately intending to lead to decreased weight gain in children (not reported in this manuscript). For this paper, we focus on more proximal impacts on the food environment, and measure change in stocking, sales and purchase of promoted foods at the different levels of the food system in 14 intervention neighborhoods, as compared to 14 comparison neighborhoods. Sales of promoted products increased in wholesalers. Stocking of these products improved in corner stores, but not in carryouts, and we did not find any change in total sales. Children more exposed to the intervention increased their frequency of purchase of promoted products, although improvement was not seen for adult caregivers. A multilevel food environment intervention in a low-income urban setting improved aspects of the food system, leading to increased healthy food purchasing behavior in children. PMID:29125558

  5. EnviroAtlas Connects Urban Ecosystem Services and Human ...

    EPA Pesticide Factsheets

    Ecosystem services in urban areas can improve public health and well-being by mitigating natural and anthropogenic pollution, and by promoting healthy lifestyles that include engagement with nature and enhanced opportunities for physical activity and social interaction. EPA’s EnviroAtlas online mapping tool identifies urban environmental features linked in the scientific and medical literature to specific aspects of public health and well-being. EnviroAtlas researchers have synthesized newly-generated one-meter resolution landcover data, downscaled census population data, and other existing datasets such as roads and parks. Resulting geospatial metrics represent health-related indicators of urban ecosystem services supply and demand by census block-group and finer scales. EnviroAtlas maps include percent of the population with limited window views of trees, tree cover along walkable roads, overall neighborhood green space, and proximity to parks. Demographic data can be overlaid to perform analyses of disproportionate distribution of urban ecosystem services across population groups. Together with the Eco-Health Relationship Browser, EnviroAtlas data can be linked to numerous aspects of public health and well-being including school performance, physical fitness, social capital, and longevity. EnviroAtlas maps have been developed using consistent methods to allow for comparisons between neighborhoods and across multiple U.S. communities. To feature eco-heal

  6. Child survival in England: Strengthening governance for health.

    PubMed

    Wolfe, Ingrid; Mandeville, Kate; Harrison, Katherine; Lingam, Raghu

    2017-11-01

    The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England. Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years. We applied the TAPIC framework for analysing policy governance: transparency, accountability, participation, integrity, and capacity. We identified strengths and weaknesses in child health governance in all the five domains. However there remain policy failures that are not fully explained by the TAPIC framework. Other problems with successfully translating policy to improved health that we identified include policy flux; policies insufficiently supported by delivery mechanisms, measurable targets, and sufficient budgets; and policies with unintended or contradictory aspects. We make recommendations for inter-sectoral and intra-sectoral child health governance, policy, and action to improve child health in England with relevant lessons for other countries. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  7. Using systems science to understand the determinants of inequities in healthy eating

    PubMed Central

    Pescud, Melanie; Malbon, Eleanor; Lee, Amanda; Carter, Robert; Greenfield, Joanne; Cobcroft, Megan; Potter, Jane; Rychetnik, Lucie; Meertens, Beth

    2017-01-01

    Introduction Systems thinking has emerged in recent years as a promising approach to understanding and acting on the prevention and amelioration of non-communicable disease. However, the evidence on inequities in non-communicable diseases and their risks factors, particularly diet, has not been examined from a systems perspective. We report on an approach to developing a system oriented policy actor perspective on the multiple causes of inequities in healthy eating. Methods Collaborative conceptual modelling workshops were held in 2015 with an expert group of representatives from government, non-government health organisations and academia in Australia. The expert group built a systems model using a system dynamics theoretical perspective. The model developed from individual mind maps to pair blended maps, before being finalised as a causal loop diagram. Results The work of the expert stakeholders generated a comprehensive causal loop diagram of the determinants of inequity in healthy eating (the HE2 Diagram). This complex dynamic system has seven sub-systems: (1) food supply and environment; (2) transport; (3) housing and the built environment; (4) employment; (5) social protection; (6) health literacy; and (7) food preferences. Discussion The HE2 causal loop diagram illustrates the complexity of determinants of inequities in healthy eating. This approach, both the process of construction and the final visualisation, can provide the basis for planning the prevention and amelioration of inequities in healthy eating that engages with multiple levels of causes and existing policies and programs. PMID:29190662

  8. Toward improved public health outcomes from urban nature.

    PubMed

    Shanahan, Danielle F; Lin, Brenda B; Bush, Robert; Gaston, Kevin J; Dean, Julie H; Barber, Elizabeth; Fuller, Richard A

    2015-03-01

    There is mounting concern for the health of urban populations as cities expand at an unprecedented rate. Urban green spaces provide settings for a remarkable range of physical and mental health benefits, and pioneering health policy is recognizing nature as a cost-effective tool for planning healthy cities. Despite this, limited information on how specific elements of nature deliver health outcomes restricts its use for enhancing population health. We articulate a framework for identifying direct and indirect causal pathways through which nature delivers health benefits, and highlight current evidence. We see a need for a bold new research agenda founded on testing causality that transcends disciplinary boundaries between ecology and health. This will lead to cost-effective and tailored solutions that could enhance population health and reduce health inequalities.

  9. Toward Improved Public Health Outcomes From Urban Nature

    PubMed Central

    Bush, Robert; Gaston, Kevin J.; Dean, Julie H.; Barber, Elizabeth; Fuller, Richard A.

    2015-01-01

    There is mounting concern for the health of urban populations as cities expand at an unprecedented rate. Urban green spaces provide settings for a remarkable range of physical and mental health benefits, and pioneering health policy is recognizing nature as a cost-effective tool for planning healthy cities. Despite this, limited information on how specific elements of nature deliver health outcomes restricts its use for enhancing population health. We articulate a framework for identifying direct and indirect causal pathways through which nature delivers health benefits, and highlight current evidence. We see a need for a bold new research agenda founded on testing causality that transcends disciplinary boundaries between ecology and health. This will lead to cost-effective and tailored solutions that could enhance population health and reduce health inequalities. PMID:25602866

  10. Landscape designers, doctors, and the making of healthy urban spaces in 19th century America

    Treesearch

    Robert Martensen

    2009-01-01

    One of 18 articles inspired by the Meristem 2007 Forum, "Restorative Commons for Community Health." The articles include interviews, case studies, thought pieces, and interdisciplinary theoretical works that explore the relationship between human health and the urban...

  11. Reconnecting cities to the biosphere: stewardship of green infrastructure and urban ecosystem services.

    PubMed

    Andersson, Erik; Barthel, Stephan; Borgström, Sara; Colding, Johan; Elmqvist, Thomas; Folke, Carl; Gren, Åsa

    2014-05-01

    Within-city green infrastructure can offer opportunities and new contexts for people to become stewards of ecosystem services. We analyze cities as social-ecological systems, synthesize the literature, and provide examples from more than 15 years of research in the Stockholm urban region, Sweden. The social-ecological approach spans from investigating ecosystem properties to the social frameworks and personal values that drive and shape human interactions with nature. Key findings demonstrate that urban ecosystem services are generated by social-ecological systems and that local stewards are critically important. However, land-use planning and management seldom account for their role in the generation of urban ecosystem services. While the small scale patchwork of land uses in cities stimulates intense interactions across borders much focus is still on individual patches. The results highlight the importance and complexity of stewardship of urban biodiversity and ecosystem services and of the planning and governance of urban green infrastructure.

  12. The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. San Diego Unified School District. Grade 4, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  13. The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. San Diego Unified School District. Grade 8, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  14. The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. San Diego Unified School District. Grade 8, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  15. The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. San Diego Unified School District. Grade 4, Public Schools

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2013

    2013-01-01

    The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

  16. The Role of the Mexican Urban Household in Decisions about Migration to the United States.

    DTIC Science & Technology

    1980-01-01

    Table 3 shows. And if it is true, the preoccupation of U. S. American authorities with the numbers of migrants who plan to and do take effec- tive...study is to enable INDECO to rationalize the process of urban planning in the secondary cities of Mexico, where the government hopes to concentrate a...Survey-Evaluation of Urban Dwellinq Environments (Baldwin 1974), developed by the School of Architecture and Planning of the Massachu- setts

  17. UV Radiation in an Urban Canyon in Southeast Queensland

    NASA Astrophysics Data System (ADS)

    McKinley, A. R.; Moore, M. R.; Kimlin, M. G.

    2006-12-01

    Ultraviolet radiation (UV) has the possibility to both harm and to benefit human beings when unprotected exposure occurs. After receiving small amounts of UV our bodies begin to synthesise vitamin D, which is essential for maintaining healthy bones, however excessive UV exposure can result in a variety of damaging outcomes ranging from sunburn to skin cancer and cataracts. For this reason it is very important to understand the different environments in which people encounter UV so as to better prepare the public to make smart and healthy sun exposure decisions. Each day more and more people are moving into large cities around the world and spending their time inside the urban canyon, however UV measurements are generally taken at scientific stations in open areas or on top of tall buildings, meaning that at times the environmental characteristics measured may not accurately represent those found at street-level in these highly urbanized areas. Urban canyons are home to both very tall buildings and tropospheric air pollution, each of which reduces the amount of UV reaching street-level. This study measured the varying difference between UV measurements taken at street-level and at a standard UV monitoring site on top of a building outside of the urban canyon. Investigation was conducted in the central business district (CBD) of Brisbane, Australia, which models the CBDs of large cities around the world in that it boasts a great number of tall buildings, including many skyscrapers. Data was collected under clear sky conditions at five different street-level sites in the CBD (on either side of two streets running perpendicular to one another (four sites) and in a public square) and then compared to that obtained on the same day at the Queensland University of Technology's Australian Sun and Health Research Laboratory (ASHRL), which is located 2.5 kilometres outside Brisbane's CBD. Minimum erythemal dose (MED) data was collected at each location and it was found that

  18. From Access to Quality: Migrant Children's Education in Urban China

    ERIC Educational Resources Information Center

    Liu, Jing; Jacob, W. James

    2013-01-01

    An increasing number of migrant children are involved in public education due largely to the policy for migrant children education outlined by the Government of China from the late 1990s. In this article, we describe the unique and often difficult situation rural migrant children face after they enter urban public schools. Drawing from the Theory…

  19. Urban Waste Recycling Behavior: Antecedents of Participation in a Selective Collection Program

    NASA Astrophysics Data System (ADS)

    Garcés, Conchita; Lafuente, Alberto; Pedraja, Marta; Rivera, Pilar

    2002-09-01

    The aim of this study is to analyze the antecedents of urban waste recycling behavior. To achieve this goal, a concrete urban waste management program was chosen. The study focuses on the Selective Collection Program (SCP) in Zaragoza, a medium-sized city in northeastern Spain. The research starts with a conceptual model in which the variables that potentially affect recycling behavior can be classified into two groups: incentives and barriers. Moreover, the sociodemographic characteristics of the individuals are included in our study. Given that the proposed model requires specification of latent variables or constructs, the analysis is based on the Structural Equation Models (SEM) methodology. The results revealed that environmental awareness, knowledge of the environmental impact of urban waste, and the positive perception of management by local government exercise a positive effect on individual recycling behavior, while perceived personal difficulties (space and time availability) and distance to and from the container have a negative effect. As regards sociodemographic variables, this study found that annual family income sustains a negative relationship with recycling behavior, while age maintains a positive one. The results obtained clearly show the important role that the public authorities play, especially municipal governments, in achieving the waste recycling objectives established in accordance with international legislation.

  20. Social conditions and urban health inequities: realities, challenges and opportunities to transform the urban landscape through research and action.

    PubMed

    de Snyder, V Nelly Salgado; Friel, Sharon; Fotso, Jean Christophe; Khadr, Zeinab; Meresman, Sergio; Monge, Patricia; Patil-Deshmukh, Anita

    2011-12-01

    The process of urbanization entails social improvements with the consequential better quality-of-life for urban residents. However, in many low-income and some middle-income countries, urbanization conveys inequality and exclusion, creating cities and dwellings characterized by poverty, overcrowded conditions, poor housing, severe pollution, and absence of basic services such as water and sanitation. Slums in large cities often have an absence of schools, transportation, health centers, recreational facilities, and other such amenities. Additionally, the persistence of certain conditions, such as poverty, ethnic heterogeneity, and high population turnover, contributes to a lowered ability of individuals and communities to control crime, vandalism, and violence. The social vulnerability in health is not a "natural" or predefined condition but occurs because of the unequal social context that surrounds the daily life of the disadvantaged, and often, socially excluded groups. Social exclusion of individuals and groups is a major threat to development, whether to the community social cohesion and economic prosperity or to the individual self-realization through lack of recognition and acceptance, powerlessness, economic vulnerability, ill health, diminished life experiences, and limited life prospects. In contrast, social inclusion is seen to be vital to the material, psychosocial, and political aspects of empowerment that underpin social well-being and equitable health. Successful experiences of cooperation and networking between slum-based organizations, grassroots groups, local and international NGOs, and city government are important mechanisms that can be replicated in urban settings of different low- and middle-income countries. With increasing urbanization, it is imperative to design health programs for the urban poor that take full advantage of the social resources and resourcefulness of their own communities.

  1. Barriers and Facilitators to Stocking Healthy Food Options: Viewpoints of Baltimore City Small Storeowners

    PubMed Central

    Kim, Mhinjine; Budd, Nadine; Batorsky, Benjamin; Krubiner, Carleigh; Manchikanti, Swathi; Waldrop, Greer; Trude, Angela; Gittelsohn, Joel

    2017-01-01

    Receptivity to strategies to improve the food environment by increasing access to healthier foods in small food stores is underexplored. We conducted 20 in-depth interviews with small storeowners of different ethnic backgrounds, as part of a small store intervention trial. Storeowners perceived barriers and facilitators to purchase, stock and promote healthy foods. Barriers mentioned included customer preferences for higher fat and sweeter taste and for lower prices price, lower wholesaler availability of healthy food, and customers’ lack of interest in health. Most storeowners thought positively of taste tests, free samples and communication interventions. However, they varied in terms of their expectations of the impact these strategies on customers’ healthy food purchases. The findings reported add to the limited data on motivating and working with small store owners in low income urban settings. PMID:27841664

  2. Do food and physical activity environments vary between disadvantaged urban and rural areas? Findings from the READI Study.

    PubMed

    Thornton, Lukar E; Crawford, David A; Cleland, Verity J; Timperio, Anna F; Abbott, Gavin; Ball, Kylie

    2012-08-01

    The presence or absence of amenities in local neighbourhood environments can either promote or restrict access to opportunities to engage in healthy and/or less healthy behaviours. Rurality is thought to constrain access to facilities and services. This study investigated whether the presence and density of environmental amenities related to physical activity and eating behaviours differs between socioeconomically disadvantaged urban and rural areas in Victoria, Australia. We undertook cross-sectional analysis of environmental data collected in 2007-08 as part of the Resilience for Eating and Activity Despite Inequality (READI) study. These data were sourced and analysed for 40 urban and 40 rural socioeconomically disadvantaged areas. The variables examined were the presence, raw count, count/km2, and count/'000 population of a range of environmental amenities (fast-food restaurants, all supermarkets (also separated by major chain and other supermarkets), greengrocers, playgrounds, gyms/leisure centres, public swimming pools and public open spaces). A greater proportion of urban areas had a fast-food restaurant and gym/leisure centre present while more rural areas contained a supermarket and public swimming pool. All amenities examined (with the exception of swimming pools) were more numerous per km2 in urban areas, however rural areas had a greater number of all supermarkets, other supermarkets, playgrounds, swimming pools and public open space per '000 population. Although opportunities to engage in healthy eating and physical activity exist in many rural areas, a lower density per km2 suggests a greater travel distance may be required to reach these.

  3. Have Chinese water pricing reforms reduced urban residential water demand?

    NASA Astrophysics Data System (ADS)

    Zhang, B.; Fang, K. H.; Baerenklau, K. A.

    2017-06-01

    China continues to deal with severe levels of water scarcity and water pollution. To help address this situation, the Chinese central government initiated urban water pricing reforms in 2002 that emphasized the adoption of increasing block rate (IBR) price structures in place of existing uniform rate structures. By combining urban water use records with microlevel data from the Chinese Urban Household Survey, this research investigates the effectiveness of this national policy reform. Specifically, we compare household water consumption in 28 cities that adopted IBR pricing structures during 2002-2009, with that of 110 cities that had not yet done so. Based on difference-in-differences models, our results show that the policy reform reduced annual residential water demand by 3-4% in the short run and 5% in the longer run. These relatively modest reductions are consistent with the generous nature of the IBR pricing structures that Chinese cities have typically chosen to implement. Our results imply that more efforts are needed to address China's persistent urban water scarcity challenges.

  4. Social Aspects of Urban Forestry: the Role of Arboriculture in a Healthy Social Ecology

    Treesearch

    Frances E. Kuo

    2003-01-01

    In urban communities, arboriculture clearly contributes to the health of the biological ecosystem; does it contribute to the health of the social ecosystem as well? Evidence from studies in inner-city Chicago suggests so. In a series of studies involving over 1,300 person-space observations, 400 interviews, housing authority records, and 2 years of police crime reports...

  5. Gone before You Know It: Urban School Reform and the Short Life of the Education Action Zone Initiative

    ERIC Educational Resources Information Center

    Franklin, Barry M.

    2005-01-01

    This essay explores the fluctuations in and short-lived nature of urban school reform through a study of the Education Action Zone (EAZ) programme of Britain's New Labour government. Using the notion of civic capacity as a theoretical framework, the essay looks at this reform from the perspectives of its government proponents, critics outside of…

  6. The need for a national urbanization policy in Nepal.

    PubMed

    Ertur, O

    1994-09-01

    % of roads, and 63% of industry. Urban settlements increased from 10 in 1951 to 33 in 1987 and 36 in 1991. In the Terai, the increases are from five to 21 urban centers. The central and eastern region have experienced faster urban growth than the other three regions. Kathmandu is the most populated urban center followed by Biratnagar, Pokhara, and Birganj. Government ministries are ill-equipped to handle the technical and manpower needs in the process of urbanization.

  7. Migration from rural to urban areas in China.

    PubMed

    Wakabayashi, K

    1990-12-01

    During the regime of Mao Zedong the migration of rural population to urban areas was forbidden. In 1982 the people's communes were dissolved creating surplus labor. In 1984 permission was given to peasants to move to towns of 100,000 inhabitants or less. In 1986 the state allocation of jobs and lifetime employment practices were abolished leading to the migration of peasants. Urban population has increased 30-50 million annually since 1985. In 1988-89 urban population consisted of urban registry holders numbering 200 million protected by the government, 100 million new residents unqualified for food rations who had moved into towns of 100,000 population, and the so-called floating population getting no government services numbering about 60-80 million in February 1990. Rural towns grew as a result of promotion of smaller sized cities. In 1983 there were 62,310,000 people in such cities, and by 1984 there were over 134 million mainly in the 15-29 age group. The increasing inflow of population into major cities also occurred in 1984-5 owing to the dissolution of communes. 23 cities with populations over 1 million received 10 million migrants/year, and 50 million migrate to towns and cities every year. In 1988 Shanghai had a mostly male floating population of 2.08 million/year, and Beijing had 1,310,000. This phenomenon led to the emergence of surplus agricultural labor. Village and township enterprises absorbed this surplus: in 1988 there were 18,888,600 such entities employing 95,454,600 people or 23.8% of the labor force. Surplus labor totals 220 million out of 400 million agricultural labor force. The gap between the hinterland and the rich coastal areas with special economic zones is widening, reminiscent of the north-south problem. This phenomenon is the harbinger of the transformation of China into a freer society with higher population mobility.

  8. Privileging physical activity over healthy eating: ‘Time’ to Choose?

    PubMed Central

    Chircop, Andrea; Shearer, Cindy; Pitter, Robert; Sim, Meaghan; Rehman, Laurene; Flannery, Meredith; Kirk, Sara

    2015-01-01

    Physical activity and healthy eating have long been promoted as key strategies in tackling the ‘wicked problem’ of obesity. Both practices are assumed to go hand-in-hand, but whether one dominates the other has largely remained unexamined. Moreover, time, a dimension beyond the socio-ecological model, is a critical factor of families' busy lives, but related challenges are rarely articulated. We conducted 47 family interviews as part of a mixed methods study examining environmental influences on youth obesity in Nova Scotia, Eastern Canada. Participants were recruited from six schools at the junior high school level (grades 7–9; age range 12–14 years) based on location (urban, suburban and rural) and neighborhood socioeconomic status (high and low socioeconomic status). Time pressure to meet the demands associated with scheduled physical activity for youth was the dominant theme across interviews from all neighborhoods. Physical activity and healthy eating were valued differently, with greater value placed on physical activity than healthy eating. The pressure to engage youth in organized physical activity appeared to outweigh the importance of healthy eating, which led to neglecting family meals at home and consuming fast food and take out options. Our findings further reinforce the need to move beyond the socio-ecological model and integrate critical dimensions such as ‘time’, its challenges and opportunities, to allow for a more nuanced understanding of contemporary healthy living. It appears ‘timely’ to focus on healthy public policy in support of families, instead of unwittingly supporting a fast food industry that profits from time-pressured families. PMID:23945086

  9. COPING WITH CONTAMINATED SEDIMENTS AND SOILS IN THE URBAN ENVIRONMENT.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    JONES,K.W.; VAN DER LELIE,D.; MCGUIGAN,M.

    2004-05-25

    Soils and sediments contaminated with toxic organic and inorganic compounds harmful to the environment and to human health are common in the urban environment. We report here on aspects of a program being carried out in the New York/New Jersey Port region to develop methods for processing dredged material from the Port to make products that are safe for introduction to commercial markets. We discuss some of the results of the program in Computational Environmental Science, Laboratory Environmental Science, and Applied Environmental Science and indicate some possible directions for future work. Overall, the program elements integrate the scientific and engineeringmore » aspects with regulatory, commercial, urban planning, local governments, and community group interests. Well-developed connections between these components are critical to the ultimate success of efforts to cope with the problems caused by contaminated urban soils and sediments.« less

  10. A qualitative study of shopper experiences at an urban farmers' market using the Stanford Healthy Neighborhood Discovery Tool.

    PubMed

    Buman, Matthew P; Bertmann, Farryl; Hekler, Eric B; Winter, Sandra J; Sheats, Jylana L; King, Abby C; Wharton, Christopher M

    2015-04-01

    To understand factors which enhance or detract from farmers' market shopper experiences to inform targeted interventions to increase farmers' market utilization, community-building and social marketing strategies. A consumer-intercept study using the Stanford Healthy Neighborhood Discovery Tool to capture real-time perceptions via photographs and audio narratives. An urban farmers' market in a large metropolitan US city. Thirty-eight farmers' market shoppers, who recorded 748 unique coded elements through community-based participatory research methods. Shoppers were primarily women (65 %), 18-35 years of age (54 %), non-Hispanic (81 %) and white (73 %). Shoppers captured 291 photographs (7·9 (sd 6·3) per shopper), 171 audio narratives (5·3 (sd 4·7) per shopper), and ninety-one linked photograph + audio narrative pairs (3·8 (sd 2·8) per shopper). A systematic content analysis of the photographs and audio narratives was conducted by eight independent coders. In total, nine common elements emerged from the data that enhanced the farmers' market experience (61·8 %), detracted from the experience (5·7 %) or were neutral (32·4 %). The most frequently noted elements were freshness/abundance of produce (23·3 %), product presentation (12·8 %), social interactions (12·4 %) and farmers' market attractions (e.g. live entertainment, dining offerings; 10·3 %). While produce quality (i.e. freshness/abundance) was of primary importance, other contextual factors also appeared important to the shoppers' experiences. These results may inform social marketing strategies to increase farmers' market utilization and community-building efforts that target market venues.

  11. Projected Impact of Urban Growth on Climate Change

    NASA Astrophysics Data System (ADS)

    Amato, Federico; Murgante, Beniamino; Martellozzo, Federico

    2017-04-01

    Human activities on land use such as intensive agricultural techniques and urbanization are generating a number of social and economic benefit for contemporary society. Besides, these phenomena are one of the most significant causes of Land Degradation. Firstly, intensive agriculture is on the one hand creating an advantage in the short-period in terms of food production, while on the other is producing serious long-period problems in terms of loss of ecosystem services, including some important for agriculture itself. Secondly, the rapid growth of urban areas in recent decades is generating deep environmental issues. The World Urbanization Prospect by the United Nations (UN) shows that more than half of the world's population today (54%) lives in urban areas. This figure was only 30% in 1950, and estimates are that it will rise to 66% by 2050. Urban growth is responsible for the increase of air pollution, waste production, energy consumption, and land take. Moreover, the expansion of urban areas is making the problem of urban heat islands more relevant, and studies are proving how land cover changes are among the main factors that affect local microclimates. Consequently, territorial planning will play an important role in the fight to mitigate the effects of climate change, as land cover has a significant impact on the energy exchanges between the earth and the atmosphere. This study couples urban growth simulation models based on cellular automata to multiple linear regression techniques that are used to formulate equations for predicting the effects of simulated urban development on soil surface temperature. The proposed methodology is applied to the case study of the Italian national territory, considering various alternative scenarios of land use changes and of their impact on local surface temperatures. The results show that the areas with the greatest urban pressure might be subject to significant climatic changes due to the increased impact of urban heat

  12. Global drivers and tradeoffs of three urban vegetation ecosystem services.

    PubMed

    Dobbs, Cynnamon; Nitschke, Craig R; Kendal, Dave

    2014-01-01

    Our world is increasingly urbanizing which is highlighting that sustainable cities are essential for maintaining human well-being. This research is one of the first attempts to globally synthesize the effects of urbanization on ecosystem services and how these relate to governance, social development and climate. Three urban vegetation ecosystem services (carbon storage, recreation potential and habitat potential) were quantified for a selection of a hundred cities. Estimates of ecosystem services were obtained from the analysis of satellite imagery and the use of well-known carbon and structural habitat models. We found relationships between ecosystem services, social development, climate and governance, however these varied according to the service studied. Recreation potential was positively related to democracy and negatively related to population. Carbon storage was weakly related to temperature and democracy, while habitat potential was negatively related to democracy. We found that cities under 1 million inhabitants tended to have higher levels of recreation potential than larger cities and that democratic countries have higher recreation potential, especially if located in a continental climate. Carbon storage was higher in full democracies, especially in a continental climate, while habitat potential tended to be higher in authoritarian and hybrid regimes. Similar to other regional or city studies we found that the combination of environment conditions, socioeconomics, demographics and politics determines the provision of ecosystem services. Results from this study showed the existence of environmental injustice in the developing world.

  13. Global Drivers and Tradeoffs of Three Urban Vegetation Ecosystem Services

    PubMed Central

    Dobbs, Cynnamon; Nitschke, Craig R.; Kendal, Dave

    2014-01-01

    Our world is increasingly urbanizing which is highlighting that sustainable cities are essential for maintaining human well-being. This research is one of the first attempts to globally synthesize the effects of urbanization on ecosystem services and how these relate to governance, social development and climate. Three urban vegetation ecosystem services (carbon storage, recreation potential and habitat potential) were quantified for a selection of a hundred cities. Estimates of ecosystem services were obtained from the analysis of satellite imagery and the use of well-known carbon and structural habitat models. We found relationships between ecosystem services, social development, climate and governance, however these varied according to the service studied. Recreation potential was positively related to democracy and negatively related to population. Carbon storage was weakly related to temperature and democracy, while habitat potential was negatively related to democracy. We found that cities under 1 million inhabitants tended to have higher levels of recreation potential than larger cities and that democratic countries have higher recreation potential, especially if located in a continental climate. Carbon storage was higher in full democracies, especially in a continental climate, while habitat potential tended to be higher in authoritarian and hybrid regimes. Similar to other regional or city studies we found that the combination of environment conditions, socioeconomics, demographics and politics determines the provision of ecosystem services. Results from this study showed the existence of environmental injustice in the developing world. PMID:25402184

  14. Between Public and Private: Politics, Governance, and the New Portfolio Models for Urban School Reform

    ERIC Educational Resources Information Center

    Bulkley, Katrina E., Ed.; Henig, Jeffrey R., Ed.; Levin, Henry M., Ed.

    2010-01-01

    "Between Public and Private" examines an innovative approach to school district management that has been adopted by a number of urban districts in recent years: a portfolio management model, in which "a central office oversees a portfolio of schools offering diverse organizational and curricular themes, including traditional public…

  15. Department of Housing and Urban Development, Office of Lead Hazard Control and Healthy Homes

    MedlinePlus

    ... and Healthy Homes Office of Administration Office of Economic Development Office of Hearings and Appeals Office of ... Utilization Topic Areas Avoiding Foreclosure Buying a Home Economic Development Energy Environment Fair Lending Freedom of Information ...

  16. Spatial Analysis of Urban Form and Pedestrian Exposure to Traffic Noise

    PubMed Central

    Sheng, Ni; Tang, U. Wa

    2011-01-01

    In the Macao Peninsula, the high population density (49,763 inhabitants/km2) and the lack of control over the number of vehicles (460 vehicles/km) have led to an increase in urban pollution. To provide useful information to local government and urban planners, this paper investigates the spatial distribution of traffic noise in the Macao Peninsula. The interactions among urban form, traffic flow and traffic noise are addressed. Considering the spatial nature of urban geometry and traffic, a high-resolution GIS-based traffic noise model system is applied. Results indicate that the Macao Peninsula has fallen into a situation of serious traffic noise pollution. About 60% of traffic noise levels along the major pedestrian sidewalks in the evening peak hour exceed the National Standard of 70 dB(A) in China. In particular, about 21% of traffic noise levels along the pedestrian sidewalks are above the National Standard by 5 dB(A). Noticeably, the high pedestrian exposure to traffic noise in the historical urban area reduces the comfort of tourists walking in the historic centre and is ruining the reputation of the area as a World Cultural Heritage site. PMID:21776213

  17. Spatial analysis of urban form and pedestrian exposure to traffic noise.

    PubMed

    Sheng, Ni; Tang, U Wa

    2011-06-01

    In the Macao Peninsula, the high population density (49,763 inhabitants/km2) and the lack of control over the number of vehicles (460 vehicles/km) have led to an increase in urban pollution. To provide useful information to local government and urban planners, this paper investigates the spatial distribution of traffic noise in the Macao Peninsula. The interactions among urban form, traffic flow and traffic noise are addressed. Considering the spatial nature of urban geometry and traffic, a high-resolution GIS-based traffic noise model system is applied. Results indicate that the Macao Peninsula has fallen into a situation of serious traffic noise pollution. About 60% of traffic noise levels along the major pedestrian sidewalks in the evening peak hour exceed the National Standard of 70 dB(A) in China. In particular, about 21% of traffic noise levels along the pedestrian sidewalks are above the National Standard by 5 dB(A). Noticeably, the high pedestrian exposure to traffic noise in the historical urban area reduces the comfort of tourists walking in the historic centre and is ruining the reputation of the area as a World Cultural Heritage site.

  18. Public Health Risks in Urban Slums: Findings of the Qualitative ‘Healthy Kitchens Healthy Cities’ Study in Kathmandu, Nepal

    PubMed Central

    Manandah, Shraddha; Sah, Dilip; Khanal, Sudeepa; MacGuire, Frances; King, Rebecca; Wallace, Hilary; Baral, Sushil Chandra

    2016-01-01

    Background Communities in urban slums face multiple risks to their health. These are shaped by intermediary and structural determinants. Gaining a clear understanding of these determinants is a prerequisite for developing interventions to reduce the health consequences of urban poverty. With 828 million people living in slum conditions, the need to find ways to reduce risks to health has never been greater. In many low income settings, the kitchen is the epicentre of activities and behaviours which either undermine or enhance health. Methods We used qualitative methods of semi-structured interviews, observation and participatory workshops in two slum areas in Kathmandu, Nepal to gain women’s perspectives on the health risks they faced in and around their kitchens. Twenty one women were interviewed and four participatory workshops with a total of 69 women were held. The women took photographs of their kitchens to trigger discussions. Findings The main health conditions identified by the women were respiratory disease, gastrointestinal disease and burn injuries. Women clearly understood intermediary (psychosocial, material and behavioural) determinants to these health conditions such as poor ventilation, cooking on open fires, over-crowding, lack of adequate child supervision. Women articulated the stress they experienced and clearly linked this to health conditions such as heart disease and uptake of smoking. They were also able to identify protective factors, particularly social capital. Subsequent analysis highlighted how female headed-households and those with disabilities had to contend with greater risks to health. Conclusions Women living in slums are very aware of the intermediary determinants–material, behavioural and psycho-social, that increase their vulnerability to ill health. They are also able to identify protective factors, particularly social capital. It is only by understanding the determinants at all levels, not just the behavioural, that we

  19. Estimated lead (Pb) exposures for a population of urban community gardeners.

    PubMed

    Spliethoff, Henry M; Mitchell, Rebecca G; Shayler, Hannah; Marquez-Bravo, Lydia G; Russell-Anelli, Jonathan; Ferenz, Gretchen; McBride, Murray

    2016-08-01

    Urban community gardens provide affordable, locally grown, healthy foods and many other benefits. However, urban garden soils can contain lead (Pb) that may pose risks to human health. To help evaluate these risks, we measured Pb concentrations in soil, vegetables, and chicken eggs from New York City community gardens, and we asked gardeners about vegetable consumption and time spent in the garden. We then estimated Pb intakes deterministically and probabilistically for adult gardeners, children who spend time in the garden, and adult (non-gardener) household members. Most central tendency Pb intakes were below provisional total tolerable intake (PTTI) levels. High contact intakes generally exceeded PTTIs. Probabilistic estimates showed approximately 40 % of children and 10 % of gardeners exceeding PTTIs. Children's exposure came primarily from dust ingestion and exposure to higher Pb soil between beds. Gardeners' Pb intakes were comparable to children's (in µg/day) but were dominated by vegetable consumption. Adult household members ate less garden-grown produce than gardeners and had the lowest Pb intakes. Our results suggest that healthy gardening practices to reduce Pb exposure in urban community gardens should focus on encouraging cultivation of lower Pb vegetables (i.e., fruits) for adult gardeners and on covering higher Pb non-bed soils accessible to young children. However, the common practice of replacement of root-zone bed soil with clean soil (e.g., in raised beds) has many benefits and should also continue to be encouraged.

  20. Estimated lead (Pb) exposures for a population of urban community gardeners

    PubMed Central

    Spliethoff, Henry M.; Mitchell, Rebecca G.; Shayler, Hannah; Marquez-Bravo, Lydia G.; Russell-Anelli, Jonathan; Ferenz, Gretchen; McBride, Murray

    2016-01-01

    Urban community gardens provide affordable, locally grown, healthy foods and many other benefits. However, urban garden soils can contain lead (Pb) that may pose risks to human health. To help evaluate these risks, we measured Pb concentrations in soil, vegetables, and chicken eggs from New York City community gardens, and we asked gardeners about vegetable consumption and time spent in the garden. We then estimated Pb intakes deterministically and probabilistically for adult gardeners, children who spend time in the garden, and adult (non-gardener) household members. Most central-tendency Pb intakes were below provisional total tolerable intake (PTTI) levels. High-contact intakes generally exceeded PTTIs. Probabilistic estimates showed approximately 40% of children and 10% of gardeners exceeding PTTIs. Children’s exposure came primarily from dust ingestion and exposure to higher-Pb soil between beds. Gardeners’ Pb intakes were comparable to children’s (in µg/d) but were dominated by vegetable consumption. Adult household members ate less garden-grown produce than gardeners and had the lowest Pb intakes. Our results suggest that healthy gardening practices to reduce Pb exposure in urban community gardens should focus on encouraging cultivation of lower-Pb vegetables (i.e., fruits) for adult gardeners and on covering higher-Pb non-bed soils accessible to young children. However, the common practice of replacement of root-zone bed soil with clean soil (e.g., in raised beds) has many benefits and should also continue to be encouraged. PMID:26753554