Science.gov

Sample records for healthy urban governance

  1. Emerging Strategies for Healthy Urban Governance

    PubMed Central

    Hancock, Trevor; Lin, Vivian; Herzog, Andre

    2007-01-01

    Urban health promotion is not simply a matter of the right interventions, or even the necessary resources. Urban (and indeed global) health depends to an important extent on governance, the institutions and processes through which societies manage the course of events. This paper describes the concept of governance, distinguishing between reforms aimed at improving how government works and innovations that more fundamentally reinvent governance by developing new institutions and processes of local stakeholder control. The paper highlights strategies urban governors can use to maximize their influence on the national and international decisions that structure urban life. It concludes with some observations on the limitations of local governance strategies and the importance of establishing a “virtuous circuit” of governance through which urban dwellers play a greater role in the formation and implementation of policy at the national and global levels. PMID:17464568

  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.

  3. 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.

  4. 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)

  5. 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.

  6. 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.

  7. Government's Role in Promoting Healthy Living.

    PubMed

    Whitsel, Laurie P

    Worldwide, poor lifestyle behaviors, including obesity, physical inactivity, and low diet quality, are creating an unstainable burden of chronic disease with disparities across geography, race, income, education, and sex. Government plays an important role in addressing lifestyle behaviors and population health, reducing health disparities and chronic disease. Areas for government involvement include surveillance, research, programming, access to health care, quality assurance and guidelines for diet and physical activity (PA). Some view government as paternalistic and favor individual choice; however, there is opportunity to unite diverse approaches with government working across sectors and engaging the private sector. The paper will conclude with specific evidence-based policy approaches to address obesity, nutrition, PA and tobacco use. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. 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.

  9. Emerging Urban School District Governance Models. Policy Brief.

    ERIC Educational Resources Information Center

    Education Commission of the States, Denver, CO.

    This document provides a brief history of urban school governance and summarizes some of the unique governance structures that have emerged in six American cities and one Canadian province over recent years. By 1920, ward-based systems in most urban areas had given way to systems with a high degree of centralization. These systems were more…

  10. Government Agencies, Research Libraries, and Archival Sources in Urban Studies.

    ERIC Educational Resources Information Center

    Sable, Martin H.

    All levels of government influence urban studies because of legal jurisdictions and control of funding sources. Selected U.S. and Canadian federal level agencies and organizations are described in terms of their activities and involvement in urban affairs and their assistance, through grants and programs, to urban studies. Use of "The…

  11. Ecosystem services in urban landscapes: practical applications and governance implications.

    PubMed

    Haase, Dagmar; Frantzeskaki, Niki; Elmqvist, Thomas

    2014-05-01

    Urban landscapes are the everyday environment for the majority of the global population, and almost 80 % of the Europeans live in urban areas. The continuous growth in the number and size of urban areas along with an increasing demand on resources and energy poses great challenges for ensuring human welfare in cities while preventing an increasing loss of biodiversity. The understanding of how urban ecosystems function, provide goods and services for urban dwellers; and how they change and what allows and limits their performance can add to the understanding of ecosystem change and governance in general in an ever more human-dominated world. This Special Issue aims at bridging the knowledge gap among urbanization, demand creation, and provisioning of ecosystem services in urban regions on the one hand and schemes of urban governance and planning on the other.

  12. 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...

  13. 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...

  14. The dynamics of urban ecosystem governance in Rotterdam, the Netherlands.

    PubMed

    Frantzeskaki, Niki; Tilie, Nico

    2014-05-01

    We explore whether Rotterdam city has the governance capacity in terms of processes at place, and the attention in terms of vision and strategy to take up an integrated approach toward urban resilience. We adopt an interpretative policy analysis approach to assess the dynamics of urban ecosystem governance considering interviews, gray literature, and facilitated dialogues with policy practitioners. We show the inner workings of local government across strategic, operational, tactical, and reflective governance processes about the way urban ecosystems are regulated. Despite the existing capacity to steer such processes, a number of underlying challenges exist: need for coordination between planning departments; need to ease the integration of new policy objectives into established adaptive policy cycles; and need to assess the lessons learnt from pilots and emerging green initiatives. Regulating and provisioning ecosystem services receive heightened policy attention. Focus on regulating services is maintained by a policy renewal cycle that limits and delays consideration of other ecosystem services in policy and planning.

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

    EPA Pesticide Factsheets

    2017-04-10

    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.

  16. 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

  17. 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

  18. 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.

  19. 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.

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

    NASA Astrophysics Data System (ADS)

    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.

  1. 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.

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

    PubMed

    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.

  3. Dynamic urban food environments a temporal analysis of access to healthy foods.

    PubMed

    Widener, Michael J; Metcalf, Sara S; Bar-Yam, Yaneer

    2011-10-01

    Low-income, urban populations' limited access to healthy foods is often pointed to as a key barrier to improving nutrition. Although much has been written on identifying urban "food deserts," little has been done to examine how the food environment changes over the course of 1 year. This study was designed to dynamically describe the urban food environment as a means to identify when at-risk neighborhoods are without access to healthy food. Demographic and road data of Buffalo NY from the 2000 U.S. Census, a 2010 listing of city supermarkets, and 2011 government records of the time and location of urban farmers' markets are mapped. Road network distances from block groups to supermarkets and farmers' markets are calculated. A computer simulation, written in 2011, examines the market closest to each block group for 52 weeks. The average distance to markets with produce from block groups with poverty levels in the top 10th percentile is greater than that across all block groups during winter and spring months. However, during the farmers' market season, the same impoverished block groups are on average closer to markets when compared to all block groups. Including the temporal dimension in an analysis of healthy food access generates a more complex picture of urban food-desert locations. The implications are that spatiotemporal factors should be used to inform appropriate interventions for creating an equitable food environment. Copyright © 2011 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  4. 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.

  5. 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

  6. 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.

  7. Challenges and Opportunities for Urban Environmental Health and Sustainability: the HEALTHY-POLIS initiative.

    PubMed

    Vardoulakis, Sotiris; Dear, Keith; Wilkinson, Paul

    2016-03-08

    Cities around the world face many environmental health challenges including contamination of air, water and soil, traffic congestion and noise, and poor housing conditions exacerbated by unsustainable urban development and climate change. Integrated assessment of these risks offers opportunities for holistic, low carbon solutions in the urban environment that can bring multiple benefits for public health. The Healthy-Polis consortium aims to protect and promote urban health through multi-disciplinary, policy-relevant research on urban environmental health and sustainability. We are doing this by promoting improved methods of health risk assessment, facilitating international collaboration, contributing to the training of research scientists and students, and engaging with key stakeholders in government, local authorities, international organisations, industry and academia. A major focus of the consortium is to promote and support international research projects coordinated between two or more countries. The disciplinary areas represented in the consortium are many and varied, including environmental epidemiology, modelling and exposure assessment, system dynamics, health impact assessment, multi-criteria decision analysis, and other quantitative and qualitative approaches. This Healthy-Polis special issue presents a range of case studies and reviews that illustrate the need for a systems-based understanding of the urban environment.

  8. Enabling sustainable urban water management through governance experimentation.

    PubMed

    Bos, J J; Brown, R R; Farrelly, M A; de Haan, F J

    2013-01-01

    A shift towards sustainable urban water management is widely advocated but poorly understood. There is a growing body of literature claiming that social learning is of high importance in restructuring conventional systems. In particular, governance experimentation, which explicitly aims for social learning, has been suggested as an approach for enabling the translation of sustainability ideas into practice. This type of experimentation requires a very different dynamic within societal relations and necessitates a changed role for professionals engaged in such a process. This empirically focused paper investigates a contemporary governance experiment, the Cooks River Sustainability Initiative, and determines its outcome in terms of enabling social learning for attaining sustainable water practice in an urban catchment. Drawing on the qualitative insights of the actors directly involved in this novel process, this paper provides evidence of changes in individual and collective understanding generated through diverse forms of social interaction. Furthermore, the research reveals perceived key-factors that foster and/or hamper the execution of this new form of experimentation, including project complexity, resource intensity and leadership. Overall, this paper highlights that, while implementation of governance experimentation in a conventional setting can be highly challenging, it can also be highly rewarding in terms of learning.

  9. 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

  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. 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

  12. 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...

  13. Monitoring and benchmarking government policies and actions to improve the healthiness of food environments: a proposed Government Healthy Food Environment Policy Index.

    PubMed

    Swinburn, B; Vandevijvere, S; Kraak, V; Sacks, G; Snowdon, W; Hawkes, C; Barquera, S; Friel, S; Kelly, B; Kumanyika, S; L'Abbé, M; Lee, A; Lobstein, T; Ma, J; Macmullan, J; Mohan, S; Monteiro, C; Neal, B; Rayner, M; Sanders, D; Walker, C

    2013-10-01

    Government action is essential to increase the healthiness of food environments and reduce obesity, diet-related non-communicable diseases (NCDs), and their related inequalities. This paper proposes a monitoring framework to assess government policies and actions for creating healthy food environments. Recommendations from relevant authoritative organizations and expert advisory groups for reducing obesity and NCDs were examined, and pertinent components were incorporated into a comprehensive framework for monitoring government policies and actions. A Government Healthy Food Environment Policy Index (Food-EPI) was developed, which comprises a 'policy' component with seven domains on specific aspects of food environments, and an 'infrastructure support' component with seven domains to strengthen systems to prevent obesity and NCDs. These were revised through a week-long consultation process with international experts. Examples of good practice statements are proposed within each domain, and these will evolve into benchmarks established by governments at the forefront of creating and implementing food policies for good health. A rating process is proposed to assess a government's level of policy implementation towards good practice. The Food-EPI will be pre-tested and piloted in countries of varying size and income levels. The benchmarking of government policy implementation has the potential to catalyse greater action to reduce obesity and NCDs. © 2013 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of the International Association for the Study of Obesity.

  14. 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

  15. 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...

  16. 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…

  17. 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.

  18. 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…

  19. Rights, knowledge, and governance for improved health equity in urban settings.

    PubMed

    Barten, Françoise; Akerman, Marco; Becker, Daniel; Friel, Sharon; Hancock, Trevor; Mwatsama, Modi; Rice, Marilyn; Sheuya, Shaaban; Stern, Ruth

    2011-10-01

    All three of the interacting aspects of daily urban life (physical environment, social conditions, and the added pressure of climate change) that affect health inequities are nested within the concept of urban governance, which has the task of understanding and managing the interactions among these different factors so that all three can be improved together and coherently. Governance is defined as: "the process of collective decision making and processes by which decisions are implemented or not implemented": it is concerned with the distribution, exercise, and consequences of power. Although there appears to be general agreement that the quality of governance is important for development, much less agreement appears to exist on what the concept really implies and how it should be used. Our review of the literature confirmed significant variation in meaning as well as in the practice of urban governance arrangements. The review found that the linkage between governance practices and health equity is under-researched and/or has been neglected. Reconnecting the fields of urban planning, social sciences, and public health are essential "not only for improving local governance, but also for understanding and addressing global political change" for enhanced urban health equity. Social mobilization, empowering governance, and improved knowledge for sustainable and equitable development in urban settings is urgently needed. A set of strategic research questions are suggested.

  20. Creating healthy food environments through global benchmarking of government nutrition policies and food industry practices.

    PubMed

    Vandevijvere, Stefanie; Swinburn, Boyd

    2014-03-05

    Unhealthy processed food products are increasingly dominating over healthy foods, making food and nutrition environments unhealthier. Development and implementation of strong government healthy food policies is currently being circumvented in many countries by powerful food industry lobbying. In order to increase accountability of both governments and the private sector for their actions, and improve the healthiness of food environments, INFORMAS (the International Network for Food and Obesity/non-communicable diseases (NCDs) Research, Monitoring and Action Support) has recently been founded to systematically and comprehensively monitor food environments and policies in countries of varying size and income. This will enable INFORMAS to rank both governments and private sector companies globally according to their actions on food environments. Identification of those countries which have the healthiest food and nutrition policies and using them as international benchmarks against which national progress towards best practice can be assessed, should support reductions in global obesity and diet-related NCDs.

  1. Changing Urban Education. Studies in Government and Public Policy.

    ERIC Educational Resources Information Center

    Stone, Clarence N., Ed.

    This collection explores the political context of efforts to change urban education. The contributors examine various issues in a variety of settings, and they show how hard it is to rearrange political relationships so that they will be conducive to school reform. The following essays are included: (1) "Introduction: Urban Education in…

  2. Changing Urban Education. Studies in Government and Public Policy.

    ERIC Educational Resources Information Center

    Stone, Clarence N., Ed.

    This collection explores the political context of efforts to change urban education. The contributors examine various issues in a variety of settings, and they show how hard it is to rearrange political relationships so that they will be conducive to school reform. The following essays are included: (1) "Introduction: Urban Education in…

  3. Local government conservation and management of native vegetation in urban Australia.

    PubMed

    Stenhouse, Renae N

    2004-08-01

    Reflecting a worldwide trend of devolution of power and responsibilities to local authorities, metropolitan local governments in Australia now have a role in protecting and managing native vegetation (bushland). Reporting on questionnaire and interview results for Sydney, Melbourne, Perth, and Adelaide, this research examines the main disturbances in local government bushlands, local governments' efforts in bushland conservation, and universality of issues and responses among the cities and between urban and urban-rural local authorities. A number of disturbances in bushlands are common among the cities, with weeds, development impacts, and urban run off perceived to be the most threatening. Management efforts focus on weed control, whereas other main disturbances are receiving less attention. Community involvement in management is prevalent, although regional coordination among local governments is limited. Local governments are willing to be involved in biodiversity conservation and their capacity would be enhanced with increased funding, staffing, and regional coordination.

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

    PubMed

    2016-07-01

    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.

  5. 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.

  6. 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.

  7. Rural and Urban Government Fiscal Trends, 1977-82.

    ERIC Educational Resources Information Center

    Reeder, Richard J.

    This report examines trends in local government revenues, expenditures and debt from 1977-82. During the period, local governments were subject to cuts in federal aid, severe economic recession and restrictions on revenues and spending, necessitating a fiscal response. Spending reductions were common, especially in big cities. Rural governments…

  8. 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.

  9. [Health promotion policy and urban planning: joint efforts for the development of healthy cities].

    PubMed

    Sperandio, Ana Maria Girotti; Francisco, Lauro Luiz; Mattos, Thiago Pedrosa

    2016-06-01

    The National Health Promotion Policy (PNPS) defines strategies for devising inter-sectoral public policies that ensure the development of healthy cities. Urban planning constitutes a tool to improve the quality of life and enhance health promotion. Using the studies and cooperation actions conducted by the Urban Research Laboratory (LABINUR/FEC-Unicamp) as a reference, this article describes relevant aspects of the PNPS that have an interface with urban planning policies in Brazil. An increase in interdisciplinary and inter-sectoral measures related to the new PNPS after the passing of Ordinance 2.446/14 was identified, which include: mobility and accessibility; safe development (sanitation, housing and transport); healthy eating with social inclusion and reduction of poverty (community vegetable gardens); corporal activities and physical exercise and the enhancement of urban spaces. The conclusion drawn is that social participation, inter-sectoral activities and the role of the university are important aspects for the promotion of healthy cities.

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

    PubMed Central

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

    2011-01-01

    Objective 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. Design 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 (≥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. Results 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). Conclusions 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. PMID:19968901

  11. 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.

  12. Governing Learning in Ohio's Urban School Districts: An Exploration of Five Sets of Governance Issues That Appear Related to Student Achievement.

    ERIC Educational Resources Information Center

    Trenta, Louis; Cunningham, Luvern; Printy, Susan; Kruse, Sharon; Griswold, Philip; Hunn, Diana; Aquila, Frank

    This study explored how the governance leadership of Ohios urban school districts views and deals with major governance issues related to student achievement. Five sets of issues were chosen as the focus of the research: (1) the recruitment, selection, retention, and evaluation of Ohio urban superintendents of schools and school district…

  13. Rhetorics of health citizenship: exploring vernacular critiques of government's role in supporting healthy living.

    PubMed

    Spoel, Philippa; Harris, Roma; Henwood, Flis

    2014-06-01

    This article explores how older adults negotiate and partially counter normative expectations of "health citizenship" that stress individual responsibility for maintaining health and preventing health problems. Based on interviews with 55 participants in Canada and the U.K. about what healthy living means to them in their everyday lives, we examine how the dominant discourse of personal responsibility in participants' responses is counterpointed by a more muted, yet significant, alternative critical perspective on the relative roles and responsibilities of government and citizens in making healthy living possible. Drawing on Hauser's (1999) concept of vernacular rhetoric along with recent theories of environmental citizenship, we analyze how participants exercise their civic-political judgment by using a logic of dissociation to argue that what government says about the importance of healthy living is incompatible with what government does to support citizens' abilities to eat healthily and live actively. By deploying this technique of argumentation to address structural-political-economic dimensions of healthy living, participants enact, in modest ways, an alternative, critical-collective mode of health citizenship that complicates and, at least partially, disrupts neoliberal constructions of the individually responsible, "good" health citizen.

  14. Adapting Professional Manpower from Aerospace to Urban Government. Final Report.

    ERIC Educational Resources Information Center

    Wheaton, William L. C.; And Others

    The combined effort to first orient, and then place, 185 unemployed aerospace professionals into state and local government jobs is analyzed. Twelve months after placement activities commenced, 80% of the program participants are reported as now employed, with 70% employed in State/local jurisdictions. Previous decision making experience by the…

  15. Fifty Shades of Green: Pathway to Healthy Urban Living.

    PubMed

    Nieuwenhuijsen, Mark J; Khreis, Haneen; Triguero-Mas, Margarita; Gascon, Mireia; Dadvand, Payam

    2017-01-01

    Currently half the world population lives in cities, and this proportion is expected to increase rapidly to 70% over the next years. Over the years, we have created large, mostly grey cities with many high-rise buildings and little green space. Disease rates tend to be higher in urban areas than in rural areas. More green space in cities could reduce these rates. Here, we describe the importance of green space for health, and make recommendations for further research. Green space has been associated with many beneficial health effects, including reduced all-cause and cardiovascular mortality and improved mental health, possibly through mediators, such as reduced air pollution, temperature and stress, and increased physical activity, social contacts, and restoration. Additional studies are needed to strengthen the evidence base and provide further guidelines to transport planners, urban planners, and landscape architects. We need more longitudinal studies and intervention studies, further understanding of the contribution of various mechanisms toward health, and more information on susceptible populations and on where, when, how much, and what type of green space is needed. Also needed are standardized methods for green space quality assessments and evaluations of effectiveness of green prescriptions in clinical practice. Many questions are ideally suited for environmental epidemiologists, who should work with other stakeholders to address the right questions and translate knowledge into action. In conclusion, a growing evidence base supports the hypothesis that greener cities are healthier cities.

  16. Urban Poverty and Access to Information Technology: A Role for Local Government.

    ERIC Educational Resources Information Center

    Servon, Lisa J.; Horrigan, John B.

    1997-01-01

    Examines the intersection between access to information technology and urban poverty and the role of the local government through a case study of Austin (Texas). The examples of the Austin Free-Net, which provides access sites and user training, and other Austin programs show the large degree of citizen interest and the recognition by policymakers…

  17. Norms Governing Urban African American Adolescents' Sexual and Substance-Using Behavior

    ERIC Educational Resources Information Center

    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…

  18. Urban Poverty and Access to Information Technology: A Role for Local Government.

    ERIC Educational Resources Information Center

    Servon, Lisa J.; Horrigan, John B.

    1997-01-01

    Examines the intersection between access to information technology and urban poverty and the role of the local government through a case study of Austin (Texas). The examples of the Austin Free-Net, which provides access sites and user training, and other Austin programs show the large degree of citizen interest and the recognition by policymakers…

  19. 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…

  20. 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...

  1. 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...

  2. 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.

  3. Social Capital and Healthy Urbanization in a Globalized World

    PubMed Central

    Thomas, Liz; Havemann, Kirsten; Sapag, Jaime; Wood, Lisa

    2007-01-01

    This paper critically reviews the extent in which social capital can be a resource to promote health equity in urban contexts. It analyzes the concept of social capital and reviews evidence to link social capital to health outcomes and health equity, drawing on evidence from epidemiological studies and descriptive case studies from both developed and developing countries. The findings show that in certain environments social capital can be a key factor influencing health outcomes of technical interventions. Social capital can generate both the conditions necessary for mutual support and care and the mechanisms required for communities and groups to exert effective pressure to influence policy. The link between social capital and health is shown to operate through different pathways at different societal levels, but initiatives to strengthen social capital for health need to be part of a broader, holistic, social development process that also addresses upstream structural determinants of health. A clearer understanding is also needed of the complexity and dynamics of the social processes involved and their contribution to health equity and better health. The paper concludes with recommendations for policy and programming and identifies ten key elements needed to build social capital. PMID:17401692

  4. 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.

  5. 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.

  6. Environmental barriers to and availability of healthy foods for people with mobility disabilities living in urban and suburban neighborhoods.

    PubMed

    Mojtahedi, Mina C; Boblick, Patty; Rimmer, James H; Rowland, Jennifer L; Jones, Robin A; Braunschweig, Carol L

    2008-11-01

    To assess the impact of the built environment on access to healthy foods for people with mobility disabilities by measuring wheelchair accessibility of grocery stores and availability of healthy affordable foods. A survey consisting of 87 questions. A low-income, multiracial urban Chicago neighborhood with a 3-mile radius was compared with a suburban neighborhood of the same size in which the population is similar in income level and racial distribution. Not applicable. Not applicable. Accessibility issues outside and within grocery stores and the availability of healthy affordable food items in these grocery stores. The urban area had more stores (n=48) than the suburban area (n=34); however, only 46% of urban stores had an entrance that would allow an individual requiring a ramp or level entrance to gain access compared with 88% of suburban stores (P<.001). Wheelchair accessibility characteristics of grocery and convenience stores did not differ between the urban and suburban areas. The availability of healthy affordable foods in urban and suburban stores was relatively low, with only 33% to 40% of the 18 items available, and did not differ between urban and suburban stores. People with mobility impairments are at a disadvantage in maintaining healthy food choices because of limited access to stores and healthy foods.

  7. 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.

  8. 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.

  9. 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

    2016-05-06

    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.

  10. 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

  11. 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

  12. 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

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

    PubMed

    Vandevijvere, Stefanie; Swinburn, Boyd

    2015-01-09

    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. New Zealand. Thirty-nine informed, independent public health experts and non-governmental organisation (NGO) representatives. 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. 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. The resulting tool and process will be promoted and offered to countries of varying size and income globally. International benchmarking of the extent of government policy implementation on food environments has the potential to

  14. 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.

  15. Healthy Living in Two Worlds: Testing a Wellness Curriculum for Urban Native Youth

    PubMed Central

    Jackson, Kelly F.

    2010-01-01

    The Healthy Living in Two Worlds project developed a wellness curriculum for urban, Northeastern Native American youth. The curriculum sought to increase physical activity, decrease or prevent recreational tobacco use, and increase healthy eating practices. The program was delivered in a summer day camp format to 16 Native American youth ages 9–13. These youth have considerable exposure to recreational tobacco use in their households and among their peers but they express an intention to resist pressure to use recreational tobacco products. Some of these youth do not eat regular meals, particularly breakfast and lunch. Program participants appear to be physically active and their activity seems to have increased after the program. PMID:20582152

  16. 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

  17. 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

    2017-08-17

    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.

  18. 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

  19. 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.

  20. 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

  1. Use of participatory research and photo-voice to support urban Aboriginal healthy eating.

    PubMed

    Adams, Karen; Burns, Cate; Liebzeit, Anna; Ryschka, Jodie; Thorpe, Sharon; Browne, Jennifer

    2012-09-01

    The aim of this research was to work collaboratively with an urban Aboriginal community to understand meanings of food and food insecurity and strengthen responses to this issue. The project took place at the Wathaurong Aboriginal Cooperative in Geelong, South Eastern Australia in 2009-2010. Photo-voice research methods were used to explore meanings of food and food insecurity. This identified that food selections were influenced by family harmony, collectivism and satiation of hunger with cheap high carbohydrate and fat foods. People were also proud of their hunter-gatherer heritage and saw the Wathaurong Aboriginal Cooperative as leaders in healthy food provision. Action research cycles were used to develop responses including plates depicting healthy food portions, social cooking opportunities, development of a cooking television series and a specialised cook-book. The partnership required researchers to listen carefully to respond to needs of the Wathaurong Aboriginal Cooperative, and this meant adapting research plans to suit the local environment and community partner needs. There is potential for Aboriginal organisations to provide further leadership for healthy eating and food security through workplace food policies and partnerships with food security agencies. Use of Aboriginal nutrition knowledge to provide nutrition education may be useful in health promotion approaches. © 2012 Blackwell Publishing Ltd.

  2. 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

  3. Norms governing urban African American adolescents' sexual and substance-using behavior.

    PubMed

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

    2013-02-01

    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.

  4. 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.

  5. Exploring sustainable urban water governance: a case study of institutional capacity.

    PubMed

    van de Meene, S J; Brown, R R; Farrelly, M A

    2009-01-01

    The sustainable urban water management system is likely to be characterised by complex and flexible governance arrangements, increased inter-organisational interaction and wide stakeholder participation, which contrasts significantly with the traditional approach. Recently there has been significant financial investment in urban water reform, however the reforms have not been as successful as anticipated and numerous institutional barriers remain. Understanding and assessing institutional capacity is central to addressing institutional impediments. Institutional capacity comprises individual, intra- and inter-organisational and external rules and incentives capacities. This paper reports on the first case study of a social research project that aims to develop an institutional capacity assessment framework. Empirical data from semi-structured interviews with 59 water industry experts in Sydney, Australia, and a broad literature survey were used. The key capacity attributes identified could form the basis of an institutional capacity assessment tool and reveal common and differing attributes across stakeholder groups which provide insight into stakeholder relations. Synthesis of the results revealed that intra- and inter-organisational capacities were facing particular challenges and should be explicitly addressed in reform, policy and capacity development initiatives.

  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 (r2 = 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. 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...

  8. 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...

  9. A dose of realism for healthy urban policy: lessons from area-based initiatives in the UK.

    PubMed

    Thomson, H

    2008-10-01

    Many urban policies aim to improve areas and address socioeconomic deprivation. The resulting investment is often delivered through area-based programmes which incorporate initiatives to improve the physical, social and economic environment. Hypotheses that these investments can contribute to wider public health strategies are based on epidemiological data and used to support the concept of healthy urban policy. However, there is little evidence on their ability to generate positive impacts on socioeconomic or health outcomes. The lack of validating evidence on actual impacts raises two important questions: (1) Is area-based investment an effective strategy to tackle socioeconomic deprivation? (2) What is the prospect for new and improved evaluations to provide stronger evidence? Both the programmes of area investment and their accompanying evaluations have been criticised for being overly ambitious in what can be achieved by the investment and what can be measured by an evaluation. Area-based approaches to tackling deprivation have their advantages but a mix of area and individual-level targeting is likely to be needed. While there is scope to improve the utility of evaluation data there are also inevitable constraints on assessing and attributing impacts from urban investment. The inherent limitations to an area-based approach and the ongoing constraints on impact evaluation will inevitably temper expectations of what healthy urban policy can achieve. However, lack of evidence is not grounds to abandon the concept of healthy urban policy; adoption of more realistic expectations together with improved evaluation data may help to increase its credibility.

  10. Vibrio cholerae/mimicus in fecal microbiota of healthy children in a cholera endemic urban slum setting in Kolkata, India.

    PubMed

    Nair, Gopinath Balakrish; Ramamurthy, Thandavarayan; Sur, Dipika; Kurakawa, Takashi; Takahashi, Takuya; Nomoto, Koji; Takeda, Yoshifumi

    2012-11-01

    During a double-blind, randomized, placebo-controlled probiotic trial among 3758 children residing in an urban slum in Kolkata, India, Vibrio cholerae/mimicus was detected in fecal microbiota of healthy children. The importance of this finding in the local, regional and global transmission of cholera is discussed. © 2012 The Societies and Wiley Publishing Asia Pty Ltd.

  11. Governance.

    ERIC Educational Resources Information Center

    Moran, K. D.

    The author notes that two trends appear to be developing in litigation over the governance of the public schools. One trend is increasing participation of organized groups in suits against the schools. The other is a greater volume of litigation dealing with open meeting laws and freedom of information acts. Reflecting the second trend, the…

  12. Governance.

    ERIC Educational Resources Information Center

    Moran, K. D.

    This chapter summarized and analyzes all state supreme court and federal court decisions as well as other significant court decisions affecting the realm of school governance. The cases discussed are generally limited to those decided during 1974 and reported in the General Digest on or before March 1, 1975. Because of its unusual significance,…

  13. 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.

  14. 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.

  15. Exploring the processes governing roadside pollutant concentrations in urban street canyon.

    PubMed

    Galatioto, Fabio; Bell, Margaret C

    2013-07-01

    This paper describes an in-depth analysis to investigate the huge variation in the measured roadside air-pollutant concentrations of carbon monoxide and nitrogen dioxide in terms of the traffic flow levels, the orientation of the street to the prevailing wind, the wind speed, temperature and barometric pressure. The work has attempted to develop generic parameters that can be applied to other urban areas. However, in the absence of a measure of congestion at the site in Palermo (Italy), the methodological approach proposed used the simultaneous noise measurements, in units of decibels (B), to help parameterise a generic congestion indicator in terms of the traffic flow. The potential transferability of the approach was demonstrated for a site in Marylebone Road, London (UK), given the similarity of the two study sites, canyon shape, traffic characteristics and road orientation. The results showed that, within the range of data available, noise levels could be used as a proxy for flow change on the shoulders of the peak hour and hence congestion and a generic relationship with factors statistically significant at 99% confidence allows roadside concentrations due to traffic to be estimated with a regression coefficient of R(2) = 0.73 (R = 0.85). The research demonstrates that whilst there are indeed underlying relationships that can explain the roadside concentrations based on traffic and meteorological conditions, evidence is presented that confirms the complexity of the physical and chemical processes that govern roadside concentrations.

  16. Growing Up Healthy: What Local Governments Can Do to Support Young Children and Their Families

    ERIC Educational Resources Information Center

    Parlakian, Rebecca

    2003-01-01

    The first five years of life are a period of profound growth and change as children begin to speak, think, reason, and feel. Brain research has found that both children's experiences and their relationships with others influence this early development in important and lasting ways. For local governments, the first five years represent a critical…

  17. 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

  18. Chicago Clean Air, Clean Water Project: Environmental Monitoring for a Healthy, Sustainable Urban Future

    SciTech Connect

    none, none; Tuchman, Nancy

    2015-11-11

    The U.S. Department of Energy awarded Loyola University Chicago and the Institute of Environmental Sustainability (IES) $486,000.00 for the proposal entitled “Chicago clean air, clean water project: Environmental monitoring for a healthy, sustainable urban future.” The project supported the purchase of analytical instruments for the development of an environmental analytical laboratory. The analytical laboratory is designed to support the testing of field water and soil samples for nutrients, industrial pollutants, heavy metals, and agricultural toxins, with special emphasis on testing Chicago regional soils and water affected by coal-based industry. Since the award was made in 2010, the IES has been launched (fall 2013), and the IES acquired a new state-of-the-art research and education facility on Loyola University Chicago’s Lakeshore campus. Two labs were included in the research and education facility. The second floor lab is the Ecology Laboratory where lab experiments and analyses are conducted on soil, plant, and water samples. The third floor lab is the Environmental Toxicology Lab where lab experiments on environmental toxins are conducted, as well as analytical tests conducted on water, soil, and plants. On the south end of the Environmental Toxicology Lab is the analytical instrumentation collection purchased from the present DOE grant, which is overseen by a full time Analytical Chemist (hired January 2016), who maintains the instruments, conducts analyses on samples, and helps to train faculty and undergraduate and graduate student researchers.

  19. 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...

  20. 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.

  1. 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.

  2. Assessment of a healthy corner store program (FIT Store) in low-income, urban, and ethnically diverse neighborhoods in Michigan.

    PubMed

    Paek, Hye-Jin; Oh, Hyun Jung; Jung, Yumi; Thompson, Tracy; Alaimo, Katherine; Risley, John; Mayfield, Kellie

    2014-01-01

    This study evaluated a community-based and social marketing healthy corner store program (FIT store) to improve the affordability and availability of healthy foods in low-income, urban, and ethnically diverse neighborhoods in Michigan. The Nutrition Environment Measures Survey in Stores data were analyzed for the FIT (N = 4) stores. Two cross-sectional surveys were conducted among the FIT store customers before (N = 401) and after (N = 318) the intervention. Three FIT stores improved their total Nutrition Environment Measures Survey in Stores availability score from before to after the intervention. A significantly higher level of FIT awareness and monthly bean and nut consumption was reported in the postintervention.

  3. 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.

  4. 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

  5. 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.

  6. Cardiovascular health among healthy population of Northeast region of India: a cross-sectional study comparing urban-tribal difference.

    PubMed

    Saha, Soma; Gupta, Kinnari; Kumar, Soumitra

    2013-12-01

    Cardiovascular disease is the leading cause of adult mortality in India but data on the prevalence of cardiovascular risk factors are scarce, especially from North-east region of India. This study aims to assess the prevalence and the urban/tribal gradient of cardiovascular disease risk factors among healthy population of Tripura. A cross-sectional study was carried out among 238 healthy individuals (140 urban and 98 tribal) in one urban and five tribal areas of Tripura. Data was collected on sociodemographic profile, medical history, anthropometry, dietary patterns and addiction. Fasting blood samples were collected for biochemical analysis. Prevalence of cardiovascular disease risk factors and short-term cardiovascular disease risk score was calculated. The association of independent variables with 10-year cardiovascular disease risk score were examined by using multiple regression model. Prevalence of obesity, hypertension, diabetes, dyslipidaemia, metabolic syndrome and short-term cardiovascular disease risk score were higher in urban group. Urban people had higher salt, calories and fat intake. No difference was found in the addiction patterns of tobacco and alcohol but frequency and quantity being higher in tribal area. Dyslipidaemia and alcohol consumption showed significant positive association with 10-year cardiovascular disease risk score in both groups. While the non-sedentary lifestyle and dietary habits (low salt, low fat, carbohydrate predominant) of tribal population need to be promoted as a whole across the nation, they need to be protected from the adverse effects of rampant prevalence of tobacco and alcohol addiction among them. Urban population need to be extricated from adverse effects of sedentary lifestyle, modern food habits (high salt, high fat) and tobacco-alcohol addiction.

  7. Policy change to create supportive environments for physical activity and healthy eating: which options are the most realistic for local government?

    PubMed

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

    2012-06-01

    The objective is to identify and test regulatory options for creating supportive environments for physical activity and healthy eating among local governments in Victoria, Australia. A literature review identified nine potential areas for policy intervention at local government level, including the walking environment and food policy. Discussion documents were drafted which summarized the public health evidence and legal framework for change in each area. Levels of support for particular interventions were identified through semi-structured interviews conducted with key informants from local government. We conducted 11 key informant interviews and found support for policy intervention to create environments supportive of physical activity but little support for policy changes to promote healthy eating. Participants reported lack of relevance and competing priorities as reasons for not supporting particular interventions. Promoting healthy eating environments was not considered a priority for local government above food safety. There is a real opportunity for action to prevent obesity at local government level (e.g. mandate the promotion of healthy eating environments). For local government to have a role in the promotion of healthy food environments, regulatory change and suitable funding are required.

  8. 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.

  9. 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…

  10. 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

  11. 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.

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

    PubMed Central

    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. PMID:26347082

  13. Relation of Misperception of Healthy Weight to Obesity in Urban Black Men

    PubMed Central

    Godino, Job G.; Lepore, Stephen J.; Rassnick, Stefanie

    2014-01-01

    This study examined the relation between misperception of healthy weight and obesity, as well as moderators of this relation, in a sample of middle-aged black men. Survey data from 404 mostly immigrant, black males living in greater New York City were collected as part of a larger randomized controlled trial. Data included measures of health status, BMI, perceived healthy weight, and misperception of healthy weight. Misperception of healthy weight was more frequent among obese men (90.2%) than nonobese men (48.7%) (P < 0.001). Mean level of misperception was also significantly higher in obese men than nonobese men (P < 0.001). Health status moderated the relation between misperception of healthy weight and obesity: obese men who felt healthy or who had fewer comorbid conditions had greater misperception of healthy weight than obese men who felt unhealthy or had relatively more comorbid conditions (P < 0.01). Our findings demonstrate that misperception of healthy weight discriminates between obese and nonobese black men, and the magnitude of this relation is exacerbated in obese men who are relatively healthy. Future studies should determine the prevalence of misperception of healthy weight in more diverse populations and identify potential mediators of the relation between misperception of healthy weight and obesity. PMID:19876006

  14. Relation of misperception of healthy weight to obesity in urban black men.

    PubMed

    Godino, Job G; Lepore, Stephen J; Rassnick, Stefanie

    2010-07-01

    This study examined the relation between misperception of healthy weight and obesity, as well as moderators of this relation, in a sample of middle-aged black men. Survey data from 404 mostly immigrant, black males living in greater New York City were collected as part of a larger randomized controlled trial. Data included measures of health status, BMI, perceived healthy weight, and misperception of healthy weight. Misperception of healthy weight was more frequent among obese men (90.2%) than nonobese men (48.7%) (P < 0.001). Mean level of misperception was also significantly higher in obese men than nonobese men (P < 0.001). Health status moderated the relation between misperception of healthy weight and obesity: obese men who felt healthy or who had fewer comorbid conditions had greater misperception of healthy weight than obese men who felt unhealthy or had relatively more comorbid conditions (P < 0.01). Our findings demonstrate that misperception of healthy weight discriminates between obese and nonobese black men, and the magnitude of this relation is exacerbated in obese men who are relatively healthy. Future studies should determine the prevalence of misperception of healthy weight in more diverse populations and identify potential mediators of the relation between misperception of healthy weight and obesity.

  15. 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.

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

    NASA Astrophysics Data System (ADS)

    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.

  17. 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.

  18. 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

  19. 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.

  20. Healing America's Cities: How Urban Parks Can Make Cities Safe and Healthy.

    ERIC Educational Resources Information Center

    Children's Environments, 1995

    1995-01-01

    An excerpt from the 1994 report, "Healing America's Cities," produced by the Trust for Public Land. Presents evidence of a powerful link between the availability of recreational facilities and the level of urban crime. (LZ)

  1. "Women with self-esteem are healthy women": community development in an urban settlement of Guayaquil.

    PubMed

    Yanni, V F

    1996-02-01

    Guayaquil, home to two million people, is Ecuador's main port city. El Guasmo is an urban settlement in the south of the city. In 1984, CEPAM, an Ecuadorian women's nongovernmental organization, began working in El Guasmo Norte, the oldest and most established area of El Guasmo. CEPAM employs an integrated approach to its work with poor urban women on health issues, legal advice, and group formation, based upon a gender analysis of life in the area. This article describes the group's work in El Guasmo Norte, explaining how women came to understand that their health and well-being were determined by their status as poor urban women, and that as a result, they decided to establish their own health center. Sections cover the determinants of urban women's health, reflection and action, the health center, the concept of integration, participating in health services, and lessons learned.

  2. 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...

  3. Dietary supplement consumption among urban adults influenced by psychosocial stress: its pronounced influence upon persons with a less healthy lifestyle.

    PubMed

    Shi, Hui-Jing; Nakamura, Keiko; Shimbo, Mari; Takano, Takehito

    2005-09-01

    In order to examine the consumption of dietary supplements among urban adults and the impact of psychological stress on supplement use in relation to lifestyle, 375 interviews of a population-based sample of urban Japanese in 2002 were analysed. The usage of various supplements, stress process (daily stressors, psychological moderators, stress outcomes), personal health practices (smoking, alcohol drinking, physical exercise, fruit and vegetable juice consumption, health-conscious eating habits) and other background factors were measured. We examined the impacts of stress on the use of vitamin tablets and capsules, vitamin-enriched health drinks and health drinks for intestinal adjustment. The percentages of these three categories of supplement user were 26.9, 18.7 and 35.7%, respectively. After adjusting for potential confounders, subjects with 'two or more' daily stressors out of the eight stressors investigated consistently showed 2-fold higher levels of consumption of either vitamin tablets and capsules or vitamin-enriched drinks compared with their counterparts with 'one or less' daily stressors. Stress-outcome indicators also related, to a greater or less extent, to the elevated consumption of various supplements. Further lifestyle-stratified analyses revealed that the stress-supplementation relationships were weaker in subjects fulfilling more than three of the five investigated health practices (i.e. the healthy lifestyle group), but stronger in subjects with fewer than two healthy practices (i.e. the less healthy lifestyle group). In conclusion, dietary supplement consumption is independently associated with stress in urban adults. The uncontrolled use of supplements for the self-medication of stress or to compensate for unhealthy behaviour represents a health concern for the general population.

  4. (Un)Healthy in the City: Respiratory, Cardiometabolic and Mental Health Associated with Urbanity.

    PubMed

    Zijlema, Wilma L; Klijs, Bart; Stolk, Ronald P; Rosmalen, Judith G M

    2015-01-01

    Research has shown that health differences exist between urban and rural areas. Most studies conducted, however, have focused on single health outcomes and have not assessed to what extent the association of urbanity with health is explained by population composition or socioeconomic status of the area. Our aim is to investigate associations of urbanity with four different health outcomes (i.e. lung function, metabolic syndrome, depression and anxiety) and to assess whether these associations are independent of residents' characteristics and area socioeconomic status. Our study population consisted of 74,733 individuals (42% males, mean age 43.8) who were part of the baseline sample of the LifeLines Cohort Study. Health outcomes were objectively measured with spirometry, a physical examination, laboratory blood analyses, and a psychiatric interview. Using multilevel linear and logistic regression models, associations of urbanity with lung function, and prevalence of metabolic syndrome, major depressive disorder and generalized anxiety disorder were assessed. All models were sequentially adjusted for age, sex, highest education, household equivalent income, smoking, physical activity, and mean neighborhood income. As compared with individuals living in rural areas, those in semi-urban or urban areas had a poorer lung function (β -1.62, 95% CI -2.07;-1.16), and higher prevalence of major depressive disorder (OR 1.65, 95% CI 1.35;2.00), and generalized anxiety disorder (OR 1.58, 95% CI 1.35;1.84). Prevalence of metabolic syndrome, however, was lower in urban areas (OR 0.51, 95% CI 0.44;0.59). These associations were only partly explained by differences in residents' demographic, socioeconomic and lifestyle characteristics and socioeconomic status of the areas. Our results suggest a differential health impact of urbanity according to type of disease. Living in an urban environment appears to be beneficial for cardiometabolic health but to have a detrimental impact on

  5. 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…

  6. 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…

  7. 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...

  8. Street-Level Governments: Assessing Decentralization and Urban Services (An Evaluation of Policy Related Research).

    ERIC Educational Resources Information Center

    Yin, Robert K.; Yates, Douglas

    Urban decentralization is an attempt to reorganize local services through some combination of: (1) giving service recipients or clients greater responsibility over service policies (the client dimension) and (2) increasing service resources at the level of specific, geographically defined neighborhoods (the territorial dimension). The…

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

    PubMed Central

    Audrey, Suzanne; Batista-Ferrer, Harriet

    2015-01-01

    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. PMID:26457624

  10. 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...

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

    PubMed Central

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

    2017-01-01

    Background 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. Aim This study aimed at turning the researched site into a clean and healthy environment. Methods 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. Results 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. Conclusion 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. PMID:28352207

  13. University-Urban Interface Program. University Forum. Background Paper. Goals and Government of the Metropolis.

    ERIC Educational Resources Information Center

    Gow, J. Steele

    This background paper for the Community Goals Forum at the University of Pittsburgh focuses on some of the local experiences that seem to be related to the Pittsburgh citizenry's low level of confidence in and expectation of local government as a means for improving the quality of life in the metropolis. The recent development of the great urban…

  14. Government, Business and the Public: The Role of Environmental Education in Creating Sustainable Urban Places

    ERIC Educational Resources Information Center

    Ngotho, Muthoni; Fincham, Robert; Quinn, Nevil

    2004-01-01

    This paper focuses on the need to further environmental education research within a context in which local government, local business and tertiary institutions are viewed as interlinked components of the development process. Research and interaction with local stakeholders offers an opportunity to chart a path that intersects and then fuses…

  15. Government, Business and the Public: The Role of Environmental Education in Creating Sustainable Urban Places

    ERIC Educational Resources Information Center

    Ngotho, Muthoni; Fincham, Robert; Quinn, Nevil

    2004-01-01

    This paper focuses on the need to further environmental education research within a context in which local government, local business and tertiary institutions are viewed as interlinked components of the development process. Research and interaction with local stakeholders offers an opportunity to chart a path that intersects and then fuses…

  16. Is Tobacco Use Associated with Academic Failure among Government School Students in Urban India?

    ERIC Educational Resources Information Center

    Dhavan, Poonam; Stigler, Melissa H.; Perry, Cheryl L.; Arora, Monika; Reddy, K. Srinath

    2010-01-01

    Background: Not much is known about the academic correlates of tobacco use among students in developing countries. This study investigated associations between multiple forms of tobacco use, psychosocial risk factors, and academic failure among 10- to 16-year-old government school students in Delhi and Chennai, India. Methods: This study was a…

  17. Is Tobacco Use Associated with Academic Failure among Government School Students in Urban India?

    ERIC Educational Resources Information Center

    Dhavan, Poonam; Stigler, Melissa H.; Perry, Cheryl L.; Arora, Monika; Reddy, K. Srinath

    2010-01-01

    Background: Not much is known about the academic correlates of tobacco use among students in developing countries. This study investigated associations between multiple forms of tobacco use, psychosocial risk factors, and academic failure among 10- to 16-year-old government school students in Delhi and Chennai, India. Methods: This study was a…

  18. 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.

  19. 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

  20. 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.

  1. 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.

  2. 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.

  3. Promoting “Healthy Futures” to Reduce Risk Behaviors in Urban Youth: A Randomized Controlled Trial

    PubMed Central

    Jones, Vanya; Cheng, Tina L.

    2015-01-01

    There is increasing evidence of the interconnection between educational and health outcomes. Unfortunately wide disparities exist by both socioeconomic status and race/ethnicity in educational and vocational success. This study sought to promote urban youths’ career readiness as a way to reduce involvement in risk behaviors. Two hundred primarily African-American youth (ages 14-21) were recruited from a pediatric primary care clinic. Youth randomized to the intervention received three motivational interviewing sessions focused around expectations and planning for the future. Baseline and 6-month follow-up assessments included measures of career readiness and risk behavior involvement (i.e., physical fighting, alcohol and marijuana use). At 6-months, youth randomized to the intervention condition showed increased confidence in their ability to perform the behaviors needed to reach their college/career goals. Additionally, youth randomized to the intervention arm showed decreased fighting behavior (adjusted rate ratio: .27) and marijuana use (adjusted rate ratio: .61). Assisting urban youth in thinking and planning about their future holds promise as a way to reduce their involvement in risk behaviors. This study also demonstrated that motivational interviewing may hold promise for promoting positive behaviors (i.e., career readiness). PMID:26122751

  4. 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.

  5. Building health impact assessment capacity as a lever for healthy public policy in urban planning.

    PubMed

    Hughes, Jenny L; Kemp, Lynn A

    2007-01-01

    Building capacity to improve health through applying health impact assessment (HIA) increases the range of people, organisations and communities who are able to address health problems and, in particular, the problems that arise out of social inequity and social exclusion. To achieve this, a range of strategies is required across the areas of organisational development, workforce development, resource allocation, leadership and partnerships. A conceptual framework to guide understanding of capacity building evolved during a three-year capacity building project that supported the implementation of HIA. This is also applicable to the broader agenda of healthy public policy.

  6. The social dynamics of healthy food shopping and store choice in an urban environment.

    PubMed

    Cannuscio, Carolyn C; Hillier, Amy; Karpyn, Allison; Glanz, Karen

    2014-12-01

    To respond to the high prevalence of obesity and its associated health consequences, recent food research and policy have focused on neighborhood food environments, especially the links between health and retail mix, proximity of food outlets, and types of foods available. In addition, the social environment exerts important influences on food-related behaviors, through mechanisms like role-modeling, social support, and social norms. This study examined the social dynamics of residents' health-related food-shopping behaviors in 2010-11 in urban Philadelphia, where we conducted 25 semi-structured resident interviews-the foundation for this paper-in addition to 514 structured interviews and a food environment audit. In interviews, participants demonstrated adaptability and resourcefulness in their food shopping; they chose to shop at stores that met a range of social needs. Those needs ranged from practical financial considerations, to fundamental issues of safety, to mundane concerns about convenience, and juggling multiple work and family responsibilities. The majority of participants were highly motivated to adapt their shopping patterns to accommodate personal financial constraints. In addition, they selectively shopped at stores frequented by people who shared their race/ethnicity, income and education, and they sought stores where they had positive interactions with personnel and proprietors. In deciding where to shop in this urban context, participants adapted their routines to avoid unsafe places and the threat of violence. Participants also discussed the importance of convenient stores that allowed for easy parking, accommodation of physical disabilities or special needs, and integration of food shopping into other daily activities like meeting children at school. Food research and policies should explicitly attend to the social dynamics that influence food-shopping behavior. In our social relationships, interactions, and responsibilities, there are

  7. Exposure to urban air pollution and bone health in clinically healthy six-year-old children.

    PubMed

    Calderón-Garcidueñas, Lilian; Mora-Tiscareño, Antonieta; Francolira, Maricela; Torres-Jardón, Ricardo; Peña-Cruz, Bernardo; Palacios-López, Carolina; Zhu, Hongtu; Kong, Linglong; Mendoza-Mendoza, Nicolás; Montesinoscorrea, Hortencia; Romero, Lina; Valencia-Salazar, Gildardo; Kavanaugh, Michael; Frenk, Silvestre

    2013-01-01

    Air pollution induces systemic inflammation, as well as respiratory, myocardial and brain inflammation in children. Peak bone mass is influenced by environmental factors. We tested the hypothesis that six-year-olds with lifetime exposures to urban air pollution will have alterations in inflammatory markers and bone mineral density (BMD) as opposed to low-polluted city residents when matched for BMI, breast feeding history, skin phototype, age, sex and socioeconomic status. This pilot study included 20 children from Mexico City (MC) (6.17 years ± 0.63 years) and 15 controls (6.27 years ± 0.76 years). We performed full paediatric examinations, a history of outdoor exposures, seven-day dietary recalls, serum inflammatory markers and dual-energy X-ray absorptiometry (DXA). Children in MC had significantly higher concentrations of IL-6 (p=0.001), marked reductions in total blood neutrophils (p= 0.0002) and an increase in monocytes (p=0.005). MC children also had an insufficient Vitamin D intake and spent less time outdoors than controls (p<0.001) in an environment characterized by decreased UV light, with ozone and fine particulates concentrations above standard values. There were no significant differences between the cohorts in DXA Z scores. The impact of systemic inflammation, vitamin D insufficiency, air pollution, urban violence and poverty may have long-term bone detrimental outcomes in exposed paediatric populations as they grow older, increasing the risk of low bone mass and osteoporosis. The selection of reference populations for DXA must take into account air pollution exposures.

  8. Outcomes from an urban pediatric obesity program targeting minority youth: the Healthy Hawks program.

    PubMed

    Davis, Ann M; Daldalian, Marina C; Mayfield, Carlene A; Dean, Kelsey; Black, William R; Sampilo, Marilyn L; Gonzalez-Mijares, Martha; Suminski, Richard

    2013-12-01

    The aim of this study was to describe the outcomes of a family-based behavioral group treatment program with a group of urban, minority, low-income families. Two hundred and ten families enrolled in a 12-week family-based behavioral group treatment program for pediatric obesity. The program was offered in English and in Spanish and targeted the enrollment of low-income highly diverse youth and families. Primary outcome measures included child BMI z-score (zBMI), maternal BMI, 3-day diet record, and accelerometer. Seventy-one percent of enrolled families completed the 12-week program. Significant 12-week outcomes were achieved for child zBMI (p<0.001) and for maternal BMI (p<0.001), as well as for child kcals (p<0.001), sugar-sweetened beverages (p=0.017), and red foods (p<0.001). Only change in child zBMI remained significant at 1 year (p<0.05). Physical activity outcomes were not significant and not in the expected direction. There were no differences in outcome by race/ethnicity, but by age, younger children had higher zBMI at baseline and were also more likely to decrease zBMI during the intervention. It is possible to enroll and maintain urban, minority, low-income families in a family-based behavioral group treatment program for pediatric obesity. Outcome data indicate that these families achieve significant outcomes on zBMI, and that children who remain available for assessment maintain this at 1 year, which is an improvement over previous research using other intervention methodologies with this population.

  9. Perceptions of healthy and desirable body size in urban Senegalese women.

    PubMed

    Holdsworth, M; Gartner, A; Landais, E; Maire, B; Delpeuch, F

    2004-12-01

    To examine the cultural ideals for body size held by urban Senegalese women; to determine the body size that women associate with health; and to estimate the change in prevalence of female obesity in an urban neighbourhood of Dakar. Cross-sectional, population-based study in the subject's home, using a structured interviewer-administered questionnaire, conducted in the same Dakar neighbourhood as that of a previous survey conducted in 1996. A total of 301 randomly selected women, aged 20-50 y, living in a specific Dakar neighbourhood, Senegal. A total of 32 items concerning body satisfaction, social status, health and individual attributes to associate with one of six photographic silhouettes; body mass index (BMI), waist circumference, waist-to-hip ratio by anthropometry; and measures of economic status. In all, 26.6% of women were overweight (BMI 25-29.9 kg/m2) and 18.6% were obese (BMI > or =30 kg/m2) compared with 22.4 and 8.0% respectively in 1996. Overweight was the most socially desirable body size, although obesity itself was seen as undesirable, associated with greediness and the development of diabetes and heart disease. Lay definitions of overweight and normal weight differed substantially from health definitions, as one-third of the sample saw the 'overweight' category as normal. Over a third of women with BMI > or =25 kg/m2 wanted to gain more weight. There has been a sharp rise in the prevalence of obesity in Senegalese women living in a Dakar neighbourhood over the last 7 y. In general, overweight body sizes (but not obese) were seen in a positive light. The finding that the term 'overweight' made little sense to these Senegalese women could have important implications for developing public health policies.

  10. 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.

  11. Exploring the Challenges of Healthy Eating in an Urban Community of Hispanic Women.

    PubMed

    Suplee, Patricia D; Jerome-D'Emilia, Bonnie; Burrell, Sherry

    2015-01-01

    The purpose of this cross-sectional exploratory study was to describe Hispanic women's level of obesity, eating patterns, and access to food. Forty-eight Hispanic women ages 23-73 years participated in the study during a community health fair in the Northeastern United States. Data were analyzed using descriptive statistics, nonparametric Mann-Whitney tests, and Fisher's exact tests. Findings revealed that women had an average body mass index of 30, with 76% being classified as overweight or obese. Sixty-one percent of the women reported not having enough money to buy food at least once a week, and 50% received Supplemental Nutrition Assistance Program benefits. More than half of the women regularly ate fast food, and those women with the lowest income ate fast food more often. More than 90% of the women reported not knowing how to choose healthy foods. Half had been informed to change their diet for health reasons. Gaining a better understanding of access barriers to healthy foods in marginalized populations may assist in developing future weight loss interventions.

  12. Physical activity and cardiovascular prevention: Is healthy urban living a possible reality or utopia?

    PubMed

    Buscemi, Silvio; Giordano, Carla

    2017-02-16

    Favoring correct lifestyles is the most important measure to contrast cardiovascular diseases and the epidemic of high cardiovascular risk conditions, such as obesity, diabetes, and hypertension. Lifestyle is a broad expression that includes diet, physical exercise, and psychological and socio-economic factors, each of which must be taken into due consideration because of their intertwining influences, which may be a barrier to healthy changes at both the individual and population levels. While physical activity has probably received less attention in the last decades, it is likely the most important among the modifiable risk factors for cardiovascular diseases. Improving the habitual physical activity level is an achievable goal, and even small improvements may have important favorable effects on health. Strategies at the population level have to be urgently taken, and involve not only public health, but also administrators and politicians, starting from a rethinking of our cities.

  13. 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.

  14. 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

  15. 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

  16. Healthy urban living: Residential environment and health of older adults in Shanghai.

    PubMed

    Liu, Yafei; Dijst, Martin; Faber, Jan; Geertman, Stan; Cui, Can

    2017-09-01

    A healthy residential environment, especially for older adults, has emerged as an important issue on political and planning agenda in China. This paper aims to investigate the direct and indirect impact of residential environment on the health of older adults in Shanghai, taking into account health-related behaviours, subjective well-being and socio-demographic factors in one comprehensive conceptual model. Our results show that the residential environment is associated with older adults' health directly, and also indirectly through a series of significant behavioural (physical and social activities) and perceptual (subjective well-being) factors. After combining the direct and indirect association, the results show that good housing and neighbourhood quality and a safe social environment contribute to better subjective, physical and mental health conditions of older adults. In addition, access to cultural facilities is positively related to older adults' mental and physical health and subjective well-being, while a higher proportion of older adults in a neighbourhood appears to promote physical and social activities but not health. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Copper concentration in a healthy urban adult population of southern Iran.

    PubMed

    Dabbaghmanesh, Mohammad Hossein; Salehi, Narges Mohammad; Siadatan, Javad; Omrani, Gholamhossein Ranjbar

    2011-12-01

    Nutritional deficiencies are important and widespread problems in most developing countries. Preventing and correcting micronutrient deficiencies are important because of the multiple negative consequences of these deficiencies. This study was designed to determine the prevalence of copper deficiency in an adult population in Shiraz, southern Iran. We also determined the association between copper status and other factors such as age, sex, and body mass index (BMI). In this cross-sectional study, 416 adults residing in Shiraz were selected by two-stage sampling. Serum copper was measured by flame-atomic absorption spectrometry. The data were analyzed with SPSS software. Mean age in our sample was 39.33 ± 15.06 years, and mean BMI was 26.17 ± 4.81 kg/m(2). Mean serum copper concentration was 118.15 ± 54.33 μg/dL in the whole sample, 109.74 ± 56.22 μg/dL in men, and 122.15 ± 53.04 μg/dL in women. The overall prevalence of copper deficiency was 24%. The prevalence of copper deficiency differed significantly between men and women but not between different age groups. Serum copper concentration correlated significantly with BMI (p < 0.05). This study is the first to evaluate serum copper status in a healthy population in southern Iran. We show that the mean copper concentrations were higher than those reported for Iranian populations in northern cities and were also higher compared with studies in most other countries. We suggested more detailed studies to identify the etiological determinants of this nutritional deficiency in Iran and elsewhere.

  18. 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).

  19. 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

  20. 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.

  1. A qualitative study of shopper experiences at an urban farmers’ market using the Stanford Healthy Neighborhood Discovery Tool

    PubMed Central

    Buman, Matthew P; Bertmann, Farryl; Hekler, Eric B; Winter, Sandra J; Sheats, Jylana L; King, Abby C; Wharton, Christopher M

    2015-01-01

    Objective 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. Design A consumer-intercept study using the Stanford Healthy Neighborhood Discovery Tool to capture real-time perceptions via photographs and audio narratives. Setting An urban farmers’ market in a large metropolitan US city. Participants Thirty-eight farmers’ market shoppers, who recorded 748 unique coded elements through community-based participatory research methods. Results 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 %). Conclusions 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. PMID:24956064

  2. Perceived Ethnic Discrimination and the Metabolic Syndrome in Ethnic Minority Groups: The Healthy Life in an Urban Setting Study.

    PubMed

    Ikram, Umar Z; Snijder, Marieke B; Agyemang, Charles; Schene, Aart H; Peters, Ron J G; Stronks, Karien; Kunst, Anton E

    2017-01-01

    Ethnic differences in the metabolic syndrome could be explained by perceived ethnic discrimination (PED). It is unclear whether PED is associated with the metabolic syndrome. We assessed this association and quantified the contribution of PED to the metabolic syndrome. Baseline data were used from the Healthy Life in an Urban Setting study collected in the Netherlands from 2011 to 2014. The population-based sample included South-Asian Surinamese, African Surinamese, Ghanaian, Turkish, and Moroccan participants (aged 18 to 70 years). PED was measured using the Everyday Discrimination Scale. The metabolic syndrome was determined according to the harmonized definition of the International Diabetes Federation, American Heart Association, and others. Logistic regression was used for analysis. population-attributable fraction was used to calculate the contribution of PED. PED was positively associated with the metabolic syndrome in South-Asian Surinamese, African Surinamese, and Moroccan participants (odds ratio [95% confidence interval] = 1.13 [0.99-1.30], 1.15 [1.00-1.32], and 1.19 [1.03-1.38], respectively) after adjusting for potential confounders and mediators. No significant association was observed among Ghanaian and Turkish participants. For the individual components, the associations were statistically significant for blood pressure, fasting glucose, and waist circumference among Surinamese participants. PED was associated with dyslipidemia in Moroccan participants. The population-attributable fractions were 5% for South-Asian Surinamese and Moroccan participants, and 7% for African Surinamese participants. We found a positive association of PED with the metabolic syndrome in some ethnic groups, with PED contributing around 5% to 7% to the metabolic syndrome among Surinamese and Moroccans. This suggests that PED might contribute to ethnic differences in the metabolic syndrome.

  3. Ethnic disparities in educational and occupational gradients of estimated cardiovascular disease risk: The Healthy Life in an Urban Setting study.

    PubMed

    Perini, Wilco; Agyemang, Charles; Snijder, Marieke B; Peters, Ron J G; Kunst, Anton E

    2017-07-01

    European societies are becoming increasingly ethnically diverse. This may have important implications for socio-economic inequalities in health due to the often disadvantaged position of ethnic minority groups in both socio-economic status (SES) and disease, especially cardiovascular disease (CVD). The aim of this study was to determine whether the socio-economic gradient of estimated CVD risk differs between ethnic groups. Using the Healthy Life in an Urban Setting study, we obtained data on SES and CVD risk factors among participants from six ethnic backgrounds residing in Amsterdam. SES was measured using educational level and occupational level. CVD risk was estimated based on the occurrence of CVD risk factors using the Dutch version of the systematic coronary risk evaluation algorithm. Ethnic disparities in socio-economic gradients for estimated CVD risk were determined using the relative index of inequality (RII). Among Dutch-origin men, the RII for estimated CVD risk according to educational level was 6.15% (95% confidence interval [CI] 4.35-7.96%), indicating that those at the bottom of the educational hierarchy had a 6.15% higher estimated CVD risk relative than those at the top. Among Dutch-origin women, the RII was 4.49% (CI 2.45-6.52%). The RII was lower among ethnic minority groups, ranging from 0.83% to 3.13% among men and -0.29% to 5.12% among women, indicating weaker associations among these groups. Results were similar based on occupational level. Ethnic background needs to be considered in associations between SES and disease. The predictive value of SES varies between ethnic groups and may be quite poor for some groups.

  4. Faecal calprotectin concentrations in apparently healthy children aged 0-12 years in urban Kampala, Uganda: a community-based survey

    PubMed Central

    2011-01-01

    Background Calprotectin is a calcium and zinc binding protein, abundant in neutrophils and is extremely stable in faeces. Faecal calprotectin is used as a non-specific marker for gastrointestinal inflammation. It has a good diagnostic precision to distinguish between irritable bowel syndrome and inflammatory bowel disease. Studies have established normal concentrations in healthy children; all these studies have been performed in high-income countries. The objective of this study was to determine the concentration of faecal calprotectin in apparently healthy children aged 0-12 years in urban Kampala, Uganda. Method We tested 302 apparently healthy children aged, age 0-12 years (162 female, 140 male) in urban Kampala, Uganda. The children were recruited consecutively by door-to-door visits. Faecal calprotectin was analyzed using a quantitative enzyme-linked immunosorbent assay. Faeces were also tested for Helicobacter pylori (H. pylori) antigen, for growth of enteropathogens and microscopy was performed to assess protozoa and helminths. A short standardized interview with socio-demographic information and medical history was obtained to assess health status of the children. Results In the different age groups the median faecal calprotectin concentrations were 249 mg/kg in 0 < 1 year (n = 54), 75 mg/kg in 1 < 4 years (n = 89) and 28 mg/kg in 4 < 12 years (n = 159). There was no significant difference in faecal calprotectin concentrations and education of female caretaker, wealth index, gender, habits of using mosquito nets, being colonized with H. pylori or having other pathogens in the stool. Conclusion Concentrations of faecal calprotectin among healthy children, living in urban Ugandan, a low-income country, are comparable to those in healthy children living in high-income countries. In children older than 4 years, the faecal calprotectin concentration is low. In healthy infants faecal calprotectin is high. The suggested cut-off concentrations in the literature

  5. Reason and protest in the new urban public health movement: an observation on the sociological analysis of political discourse in the 'healthy city'.

    PubMed

    Milewa, T; de Leeuw, E

    1996-12-01

    The urban environment represents an important social and geographical focus for the international new urban public health movement in general and the World Health Organization's 'Healthy Cities' project in particular. Existing and new policies of relevance to urban health are however infused with notions of cause, effect and ideas of appropriate intervention that reflect highly malleable and more or less conscious expressions of rationality, self-interest and organizational purpose--factors central to sociological analysis of the political discourse and objectives associated with the new urban public health movement. This article begins to develop a research agenda in this respect through consideration of the 'language' of policy and reference to Habermas' idea of 'communicative reason'. It is argued that case-study based research into the discourse of the new urban public health movement has to balance empirical accounts with analysis of the 'policy ontologies' that confront and underpin the mobilizations and has, secondly, to consider the 'communicative capacity and orientation' of such initiatives.

  6. 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...

  7. Do government brochures affect physical activity cognition? A pilot study of Canada's physical activity guide to healthy active living.

    PubMed

    Kliman, Aviva M; Rhodes, Ryan

    2008-08-01

    Health Canada has published national physical activity (PA) guidelines, which are included in their 26-page Physical Activity Guide to Healthy Active Living (CPAG). To date, the use of CPAG as a motivational instrument for PA promotion has not been evaluated. The purpose of this study was to determine whether reading CPAG 1) increased motivational antecedents to engage in regular PA, and 2) increased regular PA intention and behaviour over 1 month. Participants included 130 randomly sampled Canadian adults (18 years or older) who were randomly mailed pack ages consisting of either 1) a questionnaire and a copy of CPAG, or 2) a questionnaire. Questionnaire items pertained to participants' sociodemographics, previous PA behaviours (Godin Leisure-Time Questionnaire) and PA motivation (theory of planned behaviour). Participants were then sent a follow-up questionnaire pertaining to their PA behaviours throughout the previous month. Results revealed significant interactions between the guide condition and previous activity status on instrumental behavioural beliefs about strength activities and subjective norms about endurance activities (p < 0.05), but all other factors were not significantly different. It was concluded that among previously inactive people, receiving this guide may change some informational/motivational constructs, but key motivational antecedents (affective attitude, perceived behavioural control) and outcomes (intention, behaviour) seem unaffected.

  8. Urban Education

    ERIC Educational Resources Information Center

    Gordon, Edmund W.

    2003-01-01

    The research literature on urban education has tended to focus on the problems of low-status minority groups, the complexity of urban school systems, and the financing and governance of such systems. Given this focus, the deeper problems and the significant opportunities associated with the condition of urbanicity have not yet been properly…

  9. 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.

  10. Blood pressure in rural and urban adult healthy females of Jat Sikh community in Punjab, North India: an epidemiologic profile.

    PubMed

    Sidhu, S; Badaruddoza; Kaur, A

    2004-06-01

    Blood pressure readings were collected from 1042 adult females of rural and urban Jat Sikh community of Punjab, a north Indian State. Anthropometric measurements like height, weight and skinfold thickness were also collected. The difference between rural and urban females in systolic, diastolic and mean arterial blood pressure was found to be statistically significant. All anthropometric variables and age have a significant positive association with blood pressure. The effects of anthropometric variables on blood pressure were assessed simultaneously through stepwise multiple regression analysis. All 'F' ratios have been found highly significant (p < 0.001) among both rural and urban female population.

  11. 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.

  12. Healthy Foods, Healthy Families: combining incentives and exposure interventions at urban farmers’ markets to improve nutrition among recipients of US federal food assistance

    PubMed Central

    Bowling, April B.; Moretti, Mikayla; Ringelheim, Kayla; Tran, Alvin; Davison, Kirsten

    2016-01-01

    Background: Healthy Foods, Healthy Families (HFHF) is a fruit and vegetable (F&V) exposure/incentive program implemented at farmers’ markets in low-income neighborhoods, targeting families receiving US federal food assistance. We examined program effects on participants’ diet and associations between attendance, demographics and dietary change. Methods: Exposure activities included F&V tastings and cooking demonstrations. Incentives included 40% F&V bonus for electronic benefit transfer (EBT) card users and $20 for use purchasing F&V at every third market visit. Self-report surveys measuring nutritional behaviors/literacy were administered to participants upon enrollment (n = 425, 46.2% Hispanic, 94.8%female). Participants were sampled for follow-up at markets during mid-season (n = 186) and at season end (n = 146). Attendance was tracked over 16 weeks. Results: Participants post-intervention reported significantly higher vegetable consumption(P = 0.005) and lower soda consumption (P = 0.005). Participants reporting largest F&V increases attended the market 6-8 times and received $40 in incentives. No change in food assistance spent on F&V (P = 0.94); 70% reported significant increases in family consumption of F&V,indicating subsidies increased overall F&V purchasing. Participants reported exposure activities and incentives similarly affected program attendance. Conclusion: Interventions combining exposure activities and modest financial incentives at farmers’ markets in low-income neighborhoods show strong potential to improve diet quality of families receiving federal food assistance. PMID:27123431

  13. Healthy Foods, Healthy Families: combining incentives and exposure interventions at urban farmers' markets to improve nutrition among recipients of US federal food assistance.

    PubMed

    Bowling, April B; Moretti, Mikayla; Ringelheim, Kayla; Tran, Alvin; Davison, Kirsten

    2016-01-01

    Healthy Foods, Healthy Families (HFHF) is a fruit and vegetable (F&V) exposure/incentive program implemented at farmers' markets in low-income neighborhoods, targeting families receiving US federal food assistance. We examined program effects on participants' diet and associations between attendance, demographics and dietary change. Exposure activities included F&V tastings and cooking demonstrations. Incentives included 40% F&V bonus for electronic benefit transfer (EBT) card users and $20 for use purchasing F&V at every third market visit. Self-report surveys measuring nutritional behaviors/literacy were administered to participants upon enrollment (n = 425, 46.2% Hispanic, 94.8%female). Participants were sampled for follow-up at markets during mid-season (n = 186) and at season end (n = 146). Attendance was tracked over 16 weeks. Participants post-intervention reported significantly higher vegetable consumption(P = 0.005) and lower soda consumption (P = 0.005). Participants reporting largest F&V increases attended the market 6-8 times and received $40 in incentives. No change in food assistance spent on F&V (P = 0.94); 70% reported significant increases in family consumption of F&V,indicating subsidies increased overall F&V purchasing. Participants reported exposure activities and incentives similarly affected program attendance. Interventions combining exposure activities and modest financial incentives at farmers' markets in low-income neighborhoods show strong potential to improve diet quality of families receiving federal food assistance.

  14. 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.

  15. "Assisting Our Own": Urban Migration, Self-Governance, and Native Women's Organizing in Thunder Bay, Ontario, 1972-1989

    ERIC Educational Resources Information Center

    Janovicek, Nancy

    2003-01-01

    This article discusses how Native women in Thunder Bay, Ontario, organized services and programs to help women adapt to urban life in the 1970s and 1980s. It investigates the founding of Beendigen, an emergency hostel for Native women and their children. In 1978, Thunder Bay Anishinabequek, a chapter of the Ontario Native Women's Association…

  16. "Assisting Our Own": Urban Migration, Self-Governance, and Native Women's Organizing in Thunder Bay, Ontario, 1972-1989

    ERIC Educational Resources Information Center

    Janovicek, Nancy

    2003-01-01

    This article discusses how Native women in Thunder Bay, Ontario, organized services and programs to help women adapt to urban life in the 1970s and 1980s. It investigates the founding of Beendigen, an emergency hostel for Native women and their children. In 1978, Thunder Bay Anishinabequek, a chapter of the Ontario Native Women's Association…

  17. Estimating urban trees and carbon stock potentials for mitigating climate change in Lagos: Case of Ikeja Government Reserved Area (GRA)

    NASA Astrophysics Data System (ADS)

    Elias, P. O.; Faderin, A.

    2014-12-01

    Urban trees are a component of the urban infrastructure which offers diverse services including environmental, aesthetic and economic. The accumulation of carbon in the atmosphere resulting from the indiscriminate distribution of human populations and urban activities with the unsustainable consumption of natural resources contributes to global environmental change especially in coastal cities like Lagos. Carbon stocks and sequestration by urban trees are increasingly recognized to play significant roles for mitigating climate change. This paper focuses on the estimation of carbon stock and sequestration through biomass estimation and quantification in Ikeja GRA, Lagos. Ikeja possesses a characteristic feature as a microcosm of Lagos due to the wide range of land uses. A canopy assessment of tree population was carried out using itree canopy software. A GPS survey was used to collect an inventory of all trees showing their location, spatial distribution and other attributes. The analysis of the carbon storage and sequestration potential of both actual and potential tree planting sites involved biomass estimations from tree allometry equations. Trees were identified at species level and measurements of their dendrometric values were recorded and integrated into the GIS database to estimate biomass of trees and carbon storage. The trees in the study area were estimated to have a biomass of 441.9 mg and carbon storage of 221.395 kg/tree. By considering the potential tree planting sites the estimated carbon stored increased to 11,352.73 kg. Carbon sequestration value in the study area was found to be 1.6790 tonnes for the existing trees and 40.707 tonnes for the potential tree planting sites (PTPS). The estimation of carbon storage and sequestration values of trees are important incentives for carbon accounting/footprints and monitoring of climate change mitigation which has implications for evaluation and monitoring of urban ecosystem.

  18. 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.

  19. 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.

  20. 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

  1. Physical Activity and Self-Efficacy in Physical Activity and Healthy Eating in an Urban Elementary Setting

    ERIC Educational Resources Information Center

    Matthews, Tracey D.; O'Neill, Elizabeth; Kostelis, Kimberly T.; Jaffe, Daniel; Vitti, Steven; Quinlan, Melissa; Boland, Michelle

    2015-01-01

    Background: Identifying lifestyle factors such as physical activity (PA) patterns and eating behaviors of children may be beneficial in implementing interventions in urban elementary schools. Purpose: To examine PA levels and self-efficacy (SE) in PA and health eating (HE) of third, fourth, and fifth graders in 3 low economic elementary schools in…

  2. Physical Activity and Self-Efficacy in Physical Activity and Healthy Eating in an Urban Elementary Setting

    ERIC Educational Resources Information Center

    Matthews, Tracey D.; O'Neill, Elizabeth; Kostelis, Kimberly T.; Jaffe, Daniel; Vitti, Steven; Quinlan, Melissa; Boland, Michelle

    2015-01-01

    Background: Identifying lifestyle factors such as physical activity (PA) patterns and eating behaviors of children may be beneficial in implementing interventions in urban elementary schools. Purpose: To examine PA levels and self-efficacy (SE) in PA and health eating (HE) of third, fourth, and fifth graders in 3 low economic elementary schools in…

  3. 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.

  4. Less-healthy eating behaviors have a greater association with a high level of sugar-sweetened beverage consumption among rural adults than among urban adults.

    PubMed

    Sharkey, Joseph R; Johnson, Cassandra M; Dean, Wesley R

    2011-01-01

    Sugar-sweetened beverage (SSB) consumption is associated with the increasing prevalence of overweight and obesity in the United States; however, little is known about how less-healthy eating behaviors influence high levels of SSB consumption among rural adults. We assessed the frequency of SSB consumption among rural and urban adults, examined the correlates of frequent SSB consumption, and determined difference in correlates between rural and urban adults in a large region of Texas. A cross-sectional study using data on 1,878 adult participants (urban=734 and rural=1,144), who were recruited by random digit dialing to participate in the seven-county 2006 Brazos Valley Community Health Assessment. Data included demographic characteristics, eating behaviors (SSB consumption, frequency of fast-food meals, frequency of breakfast meals, and daily fruit and vegetable intake), and household food insecurity. The prevalence of any consumption of SSB and the prevalence of high consumption of SSB were significantly higher among rural adults compared with urban counterparts. The multivariable logistic regression models indicated that a high level of SSB consumption (≥3 cans or glasses SSB/day) was associated with demographic characteristics (poverty-level income and children in the home), frequent consumption of fast-food meals, infrequent breakfast meals, low fruit and vegetable intake, and household food insecurity especially among rural adults. This study provides impetus for understanding associations among multiple eating behaviors, especially among economically and geographically disadvantaged adults. New strategies are needed for educating consumers, not only about how to moderate their SSB intake, but also how to simultaneously disrupt the co-occurrence of undesirable eating and promote healthful eating.

  5. Government Policy, Stratification and Urban Schools: A Commentary on the "Five-Year Strategy for Children and Learners"

    ERIC Educational Resources Information Center

    Riddell, Richard

    2005-01-01

    The DfESs "Five-year strategy for children and learners" sets out the intentions of the Labour Government for its third term. Where necessary, its provisions will be subject to legislation in 2005. This article argues that the "Five-year strategy", like much education policy since 1997, ignores important reasons for inequality of educational…

  6. Factors influencing current interests and motivations of local governments to supply carbon offset credits from urban forestry

    Treesearch

    N. Poudyal; J. Siry; M. Bowker

    2009-01-01

    This study conducted a nationwide survey of municipal governments in the United States to assess their motivations, willingness, and technical as well as managerial capacities of cities to store carbon and sell carbon offsets. The analysis reveals that cities are fairly interested in selling carbon offsets and their interest in carbon trading is driven by the degree of...

  7. Development and implementation of Baltimore Healthy Eating Zones: a youth-targeted intervention to improve the urban food environment.

    PubMed

    Gittelsohn, Joel; Dennisuk, Lauren A; Christiansen, Karina; Bhimani, Roshni; Johnson, Antoinette; Alexander, Eleanore; Lee, Matthew; Lee, Seung Hee; Rowan, Megan; Coutinho, Anastasia J

    2013-08-01

    Poor accessibility to affordable healthy foods is associated with higher rates of obesity and diet-related chronic diseases. We present our process evaluation of a youth-targeted environmental intervention (Baltimore Healthy Eating Zones) that aimed to increase the availability of healthy foods and promote these foods through signage, taste tests and other interactive activities in low-income Baltimore City. Trained peer educators reinforced program messages. Dose, fidelity and reach-as measured by food stocking, posting of print materials, distribution of giveaways and number of interactions with community members-were collected in six recreation centers and 21 nearby corner stores and carryouts. Participating stores stocked promoted foods and promotional print materials with moderate fidelity. Interactive sessions were implemented with high reach and dose among both adults and youth aged 10-14 years, with more than 4000 interactions. Recreation centers appear to be a promising location to interact with low-income youth and reinforce exposure to messages.

  8. A spatial framework for targeting urban planning for pollinators and people with local stakeholders: A route to healthy, blossoming communities?

    PubMed

    Bellamy, Chloe C; van der Jagt, Alexander P N; Barbour, Shelley; Smith, Mike; Moseley, Darren

    2017-10-01

    Pollinators such as bees and hoverflies are essential components of an urban ecosystem, supporting and contributing to the biodiversity, functioning, resilience and visual amenity of green infrastructure. Their urban habitats also deliver health and well-being benefits to society, by providing important opportunities for accessing nature nearby to the homes of a growing majority of people living in towns and cities. However, many pollinator species are in decline, and the loss, degradation and fragmentation of natural habitats are some of the key drivers of this change. Urban planners and other practitioners need evidence to carefully prioritise where they focus their resources to provide and maintain a high quality, multifunctional green infrastructure network that supports pollinators and people. We provide a modelling framework to inform green infrastructure planning as a nature based solution with social and ecological benefits. We show how habitat suitability models (HSM) incorporating remote sensed vegetation data can provide important information on the influence of urban landcover composition and spatial configuration on species distributions across cities. Using Edinburgh, Scotland, as a case study city, we demonstrate this approach for bumble bees and hoverflies, providing high resolution predictive maps that identify pollinator habitat hotspots and pinch points across the city. By combining this spatial HSM output with health deprivation data, we highlight 'win-win' opportunity areas in most need of improved green infrastructure to support pollinator habitat quality and connectivity, as well as societal health and well-being. In addition, in collaboration with municipal planners, local stakeholders, and partners from a local greenspace learning alliance, we identified opportunities for citizen engagement activities to encourage interest in wildlife gardening as part of a 'pollinator pledge'. We conclude that this quantitative, spatially explicit and

  9. A randomized controlled study of a healthy corner store initiative on the purchases of urban, low-income youth.

    PubMed

    Lent, Michelle R; Vander Veur, Stephanie S; McCoy, Tara A; Wojtanowski, Alexis C; Sandoval, Brianna; Sherman, Sandy; Komaroff, Eugene; Foster, Gary D

    2014-12-01

    Although many initiatives exist to improve the availability of healthy foods in corner stores, few randomized trials have assessed their effects. This study evaluated, in a randomized controlled trial, the effects of a first-generation healthy corner store intervention on students' food and beverage purchases over a 2-year period. Participants (n = 767) were fourth-, fifth-, and sixth-grade students. Ten schools and their nearby corner stores (n = 24) were randomly assigned to the healthy corner store intervention or an assessment-only control. Intercept surveys directly assessed the nutritional characteristics of students' corner store purchases at baseline, 1 and 2 years. Students' weight and heights were measured at baseline, 1 and 2 years. There were no differences in energy content per intercept purchased from control or intervention schools at year 1 (P = 0.12) or 2 (P = 0.58). There were no differences between control and intervention students in BMI z score (year 1, P = 0.83; year 2, P = 0. 98) or obesity prevalence (year 1, P = 0.96; year 2, P = 0.58). A healthy corner store initiative did not result in significant changes in the energy content of corner store purchases or in continuous or categorical measures of obesity. These data will help to inform future interventions. © 2014 The Obesity Society.

  10. A randomized, controlled study of a healthy corner store initiative on the purchases of urban, low-income youth

    PubMed Central

    Lent, Michelle R.; Veur, Stephanie S. Vander; McCoy, Tara A.; Wojtanowski, Alexis C.; Sandoval, Brianna; Sherman, Sandy; Komaroff, Eugene; Foster, Gary D.

    2014-01-01

    Objective Although many initiatives exist to improve the availability of healthy foods in corner stores, few randomized trials have assessed their effects. This study evaluated, in a randomized, controlled trial, the effects of a first-generation healthy corner store intervention on students’ food and beverage purchases over a two-year period. Design and Methods Participants (n=767) were 4th-6th grade students. Ten schools and their nearby corner stores (n=24) were randomly assigned to the healthy corner store intervention or an assessment-only control. Intercept surveys directly assessed the nutritional characteristics of students’ corner store purchases at baseline, 1 and 2 years. Students’ weight and heights were measured at baseline, 1 and 2 years. Results There were no differences in energy content per intercept purchased from control or intervention schools at year 1 (p=0.12) or 2 (p=0.58). There were no differences between control and intervention students in BMI-z score (year 1, p=0.83; year 2, p=0. 98) or obesity prevalence (year 1, p=0.96; year 2, p=0.58). Conclusions A healthy corner store initiative did not result in significant changes in the energy content of corner store purchases or in continuous or categorical measures of obesity. These data will help to inform future interventions. PMID:25311881

  11. Healthy Aging in China.

    PubMed

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

    2014-12-01

    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.

  12. 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

  13. Development and evaluation of the OHCITIES instrument: assessing alcohol urban environments in the Heart Healthy Hoods project.

    PubMed

    Sureda, Xisca; Espelt, Albert; Villalbí, Joan R; Cebrecos, Alba; Baranda, Lucía; Pearce, Jamie; Franco, Manuel

    2017-10-05

    To describe the development and test-retest reliability of OHCITIES, an instrument characterising alcohol urban environment in terms of availability, promotion and signs of consumption. This study involved: (1) developing the conceptual framework for alcohol urban environment by means of literature reviewing and previous alcohol environment research experience; (2) pilot testing and redesigning the instrument; (3) instrument digitalisation; (4) instrument evaluation using test-retest reliability. Data for testing the reliability of the instrument were collected in seven census sections in Madrid in 2016 by two observers. We computed per cent agreement and Cohen's kappa coefficients to estimate inter-rater and test-retest reliability for alcohol outlet environment measures. We calculated interclass coefficients and their 95% CIs to provide a measure of inter-rater reliability for signs of alcohol consumption measures. We collected information on 92 on-premise and 24 off-premise alcohol outlets identified in the studied areas about availability, accessibility and promotion of alcohol. Most per cent-agreement values for alcohol measures in on-premise and off-premise alcohol outlets were greater than 80%, and inter-rater and test-retest reliability values were generally above 0.80. Observers identified 26 streets and 3 public squares with signs of alcohol consumption. Intraclass correlation coefficient between observers for any type of signs of alcohol consumption was 0.50 (95% CI -0.09 to 0.77). Few items promoting alcohol unrelated to alcohol outlets were found on public spaces. The OHCITIES instrument is a reliable instrument to characterise alcohol urban environment. This instrument might be used to understand how alcohol environment associates with alcohol behaviours and its related health outcomes, and can help in the design and evaluation of policies to reduce the harm caused by alcohol. © Article author(s) (or their employer(s) unless otherwise stated in the

  14. Development and implementation of Baltimore Healthy Eating Zones: a youth-targeted intervention to improve the urban food environment

    PubMed Central

    Gittelsohn, Joel; Dennisuk, Lauren A.; Christiansen, Karina; Bhimani, Roshni; Johnson, Antoinette; Alexander, Eleanore; Lee, Matthew; Lee, Seung Hee; Rowan, Megan; Coutinho, Anastasia J.

    2013-01-01

    Poor accessibility to affordable healthy foods is associated with higher rates of obesity and diet-related chronic diseases. We present our process evaluation of a youth-targeted environmental intervention (Baltimore Healthy Eating Zones) that aimed to increase the availability of healthy foods and promote these foods through signage, taste tests and other interactive activities in low-income Baltimore City. Trained peer educators reinforced program messages. Dose, fidelity and reach—as measured by food stocking, posting of print materials, distribution of giveaways and number of interactions with community members—were collected in six recreation centers and 21 nearby corner stores and carryouts. Participating stores stocked promoted foods and promotional print materials with moderate fidelity. Interactive sessions were implemented with high reach and dose among both adults and youth aged 10–14 years, with more than 4000 interactions. Recreation centers appear to be a promising location to interact with low-income youth and reinforce exposure to messages. PMID:23766452

  15. The Washington Heights-Inwood Healthy Heart Program: a third generation community-based cardiovascular disease prevention program in a disadvantaged urban setting.

    PubMed

    Shea, S; Basch, C E; Lantigua, R; Wechsler, H

    1992-03-01

    The Washington Heights-Inwood Healthy Heart Program (WHIHHP) is part of the New York State Healthy Heart Program, which comprises eight community-based programs in different areas of the state. WHIHHP is directed at a population of approximately 200,000 people, predominantly Hispanic and of low socioeconomic status, living in northern Manhattan in New York City. The initial 3 years of experience are presented. Six potential barriers to diffusion of the community-based disease prevention model in disadvantaged inner city communities are discussed: (a) issues of scale and complexity; (b) adaptation of this model to a "community" without geopolitical boundaries or infrastructure; (c) linguistic and cultural diversity; (d) competing problems; (e) the role of evaluation; and (f) sustainability of the program in a poor community. Strategies for addressing obstacles to model adoption are also described, including program legitimization, building program infrastructure, setting realistic expectations, focusing on one risk factor at a time, defining target population segments, and emphasizing a small number of communication channels. Finally, research issues related to the diffusion of the community-based model are discussed, specifically: (a) Does the model work in disadvantaged urban settings? (b) What are the program effects on social class gradients for risk factors? (c) What are the barriers to program adoption in such settings? (d) What changes in the model will facilitate adoption in such settings? (e) What are the best methods for conducting formative evaluation in such programs? (f) What is the best way to select communities that may be ready to adopt the model? Our initial experience implementing this model in a disadvantaged urban setting supports the feasibility of model adoption. Unanswered questions about efficacy in such settings and regarding research issues related to model diffusion will require additional research investment.

  16. Prevalence of a healthy lifestyle among individuals with cardiovascular disease in high-, middle- and low-income countries: The Prospective Urban Rural Epidemiology (PURE) study.

    PubMed

    Teo, Koon; Lear, Scott; Islam, Shofiqul; Mony, Prem; Dehghan, Mahshid; Li, Wei; Rosengren, Annika; Lopez-Jaramillo, Patricio; Diaz, Rafael; Oliveira, Gustavo; Miskan, Maizatullifah; Rangarajan, Sumathy; Iqbal, Romaina; Ilow, Rafal; Puone, Thandi; Bahonar, Ahmad; Gulec, Sadi; Darwish, Ebtihal A; Lanas, Fernando; Vijaykumar, Krishnapillai; Rahman, Omar; Chifamba, Jephat; Hou, Yan; Li, Ning; Yusuf, Salim

    2013-04-17

    Little is known about adoption of healthy lifestyle behaviors among individuals with a coronary heart disease (CHD) or stroke event in communities across a range of countries worldwide. To examine the prevalence of avoidance or cessation of smoking, eating a healthy diet, and undertaking regular physical activities by individuals with a CHD or stroke event. Prospective Urban Rural Epidemiology (PURE) was a large, prospective cohort study that used an epidemiological survey of 153,996 adults, aged 35 to 70 years, from 628 urban and rural communities in 3 high-income countries (HIC), 7 upper-middle-income countries (UMIC), 3 lower-middle-income countries (LMIC), and 4 low-income countries (LIC), who were enrolled between January 2003 and December 2009. Smoking status (current, former, never), level of exercise (low, <600 metabolic equivalent task [MET]-min/wk; moderate, 600-3000 MET-min/wk; high, >3000 MET-min/wk), and diet (classified by the Food Frequency Questionnaire and defined using the Alternative Healthy Eating Index). Among 7519 individuals with self-reported CHD (past event: median, 5.0 [interquartile range {IQR}, 2.0-10.0] years ago) or stroke (past event: median, 4.0 [IQR, 2.0-8.0] years ago), 18.5% (95% CI, 17.6%-19.4%) continued to smoke; only 35.1% (95% CI, 29.6%-41.0%) undertook high levels of work- or leisure-related physical activity, and 39.0% (95% CI, 30.0%-48.7%) had healthy diets; 14.3% (95% CI, 11.7%-17.3%) did not undertake any of the 3 healthy lifestyle behaviors and 4.3% (95% CI, 3.1%-5.8%) had all 3. Overall, 52.5% (95% CI, 50.7%-54.3%) quit smoking (by income country classification: 74.9% [95% CI, 71.1%-78.6%] in HIC; 56.5% [95% CI, 53.4%-58.6%] in UMIC; 42.6% [95% CI, 39.6%-45.6%] in LMIC; and 38.1% [95% CI, 33.1%-43.2%] in LIC). Levels of physical activity increased with increasing country income but this trend was not statistically significant. The lowest prevalence of eating healthy diets was in LIC (25.8%; 95% CI, 13

  17. The Washington Heights-Inwood Healthy Heart Program: a 6-year report from a disadvantaged urban setting.

    PubMed Central

    Shea, S; Basch, C E; Wechsler, H; Lantigua, R

    1996-01-01

    OBJECTIVES. This report summarizes 6 years of experience in a large community-based cardiovascular disease prevention program in a predominately minority, urban setting. METHODS. The program seeks to reduce cardiovascular disease risk factors in an area of approximately 240,000 people in New York, NY; this population includes many Latino immigrants of low educational attainment and socioeconomic status. All program materials were in Spanish and English and at a low literacy level. RESULTS. Major elements that achieved high levels of reach and support were a marketing campaign promoting low-fat milk, exercise clubs, and a Spanish-language smoking cessation video. Program elements that did not meet expectations or were abandoned were school-based smoking prevention initiatives, cholesterol screening, and efforts to involve local physicians. At the end of 6 years, the program was transferred to a local community organization. CONCLUSIONS. Conclusions are that it is feasible to implement a complex cardiovascular disease prevention program in a socially disadvantaged urban community; that additional evaluation research is needed; that such programs can be transferred from an academic center to a community organization; and that such programs are unlikely to be sustained effectively without external resources. PMID:8633731

  18. Construct validity of the relationship profile test: correlates of overdependence, detachment, and healthy dependency in low income urban women seeking medical services.

    PubMed

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

    2009-11-01

    Studies have documented the construct validity of Bornstein and Languirand's (2003) Relationship Profile Test (RPT) in college students, psychotherapy patients, and nursing home residents, but no studies have examined the utility of RPT Destructive Overdependence (DO), Dysfunctional Detachment (DD), and Healthy Dependency (HD) scores in community samples. To fill this gap, we assessed links between RPT scores and theoretically related variables in low income urban women seeking medical services (N = 110), obtaining predicted links between RPT scores and scores on measures of childhood abuse and neglect, adult attachment style, conflict-resolution tactics involving a domestic partner, Axis I symptomatology, and overall quality of life. Comparison of RPT means in this sample with those in Bornstein et al.'s (2003) college student sample yielded differences that were generally in line with expectations. These results support the construct validity of RPT scores in urban women and suggest that the RPT may be a useful index of DO, DD, and HD in this heretofore unexamined population.

  19. A review of methods and tools to assess the implementation of government policies to create healthy food environments for preventing obesity and diet-related non-communicable diseases.

    PubMed

    Phulkerd, Sirinya; Lawrence, Mark; Vandevijvere, Stefanie; Sacks, Gary; Worsley, Anthony; Tangcharoensathien, Viroj

    2016-02-04

    Policies to create healthy food environments are recognized as critical components of efforts to prevent obesity and diet-related non-communicable diseases. There has not been a systematic review of existing methods and tools used to assess the implementation of these government policies. The purpose of this study was to review methods and tools used for assessing the implementation of government policies to create healthy food environments. The study conducted a systematic literature search. Multiple databases as well as the grey literature were searched. All study designs and review papers on assessing the implementation of government policies to create healthy food environments were included. A quality assessment of the methods and tools identified from relevant studies was carried out using the following four criteria: comprehensiveness, relevance, generalizability and feasibility. This quality assessment was completed by two independent reviewers. The review identified 52 studies across different policy areas, levels and settings. Self-administered questionnaires and policy checklists were most commonly applied to assess the extent of policy implementation, whereas semi-structured interviews were most commonly used to evaluate the implementation process. Measures varied widely, with the existence of policy implementation the aspect most commonly assessed. The most frequently identified barriers and facilitators for policy implementation were infrastructure support, resources and stakeholder engagement. The assessment of policy implementation on food environments was usually undertaken in combination with other policy areas, particularly nutrition education and physical activity. Three tools/methods were rated 'high' quality and 13 tools/methods received 'medium' quality ratings. Harmonization of the available high-quality methods and tools is needed to ensure that assessment of government policy implementation can be compared across different countries and

  20. A healthy turn in urban climate change policies; European city workshop proposes health indicators as policy integrators.

    PubMed

    Keune, Hans; Ludlow, David; van den Hazel, Peter; Randall, Scott; Bartonova, Alena

    2012-06-28

    The EU FP6 HENVINET project reviewed the potential relevance of a focus on climate change related health effects for climate change policies at the city region level. This was undertaken by means of a workshop with both scientists, city representatives from several EU-countries, representatives of EU city networks and EU-experts. In this paper we introduce some important health related climate change issues, and discuss the current city policies of the participating cities. The workshop used a backcasting format to analyse the future relevance of a health perspective, and the main benefits and challenges this would bring to urban policy making. It was concluded that health issues have an important function as indicators of success for urban climate change policies, given the extent to which climate change policies contribute to public health and as such to quality of life. Simultaneously the health perspective may function as a policy integrator in that it can combine several related policy objectives, such as environmental policies, health policies, urban planning and economic development policies, in one framework for action. Furthermore, the participants to the workshop considered public health to be of strategic importance in organizing public support for climate change policies. One important conclusion of the workshop was the view that the connection of science and policy at the city level is inadequate, and that the integration of scientific knowledge on climate change related health effects and local policy practice is in need of more attention. In conclusion, the workshop was viewed as a constructive advance in the process of integration which hopefully will lead to ongoing cooperation. The workshop had the ambition to bring together a diversity of actor perspectives for exchange of knowledge and experiences, and joint understanding as a basis for future cooperation. Next to the complementarities in experience and knowledge, the mutual critical reflection

  1. A healthy turn in urban climate change policies; European city workshop proposes health indicators as policy integrators

    PubMed Central

    2012-01-01

    Background The EU FP6 HENVINET project reviewed the potential relevance of a focus on climate change related health effects for climate change policies at the city region level. This was undertaken by means of a workshop with both scientists, city representatives from several EU-countries, representatives of EU city networks and EU-experts. In this paper we introduce some important health related climate change issues, and discuss the current city policies of the participating cities. Methods The workshop used a backcasting format to analyse the future relevance of a health perspective, and the main benefits and challenges this would bring to urban policy making. Results It was concluded that health issues have an important function as indicators of success for urban climate change policies, given the extent to which climate change policies contribute to public health and as such to quality of life. Simultaneously the health perspective may function as a policy integrator in that it can combine several related policy objectives, such as environmental policies, health policies, urban planning and economic development policies, in one framework for action. Furthermore, the participants to the workshop considered public health to be of strategic importance in organizing public support for climate change policies. One important conclusion of the workshop was the view that the connection of science and policy at the city level is inadequate, and that the integration of scientific knowledge on climate change related health effects and local policy practice is in need of more attention. In conclusion, the workshop was viewed as a constructive advance in the process of integration which hopefully will lead to ongoing cooperation. Conclusions The workshop had the ambition to bring together a diversity of actor perspectives for exchange of knowledge and experiences, and joint understanding as a basis for future cooperation. Next to the complementarities in experience and

  2. 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

  3. 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.

  4. 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

  5. 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

  6. Mineral compositions in breast milk of healthy Chinese lactating women in urban areas and its associated factors.

    PubMed

    Zhao, Ai; Ning, Yibing; Zhang, Yumei; Yang, Xiaoguang; Wang, Junkuan; Li, Wenjun; Wang, Peiyu

    2014-01-01

    Optimal mineral intakes are important for infant growth and development. However, data on mineral compositions of breast milk in Chinese women are scarce, and most were acquired before 1990. The objectives of this study were three-fold: (1) to investigate the mineral compositions of Chinese healthy mothers' breast milk in different lactation stages; (2) to explore correlations among mineral concentrations in breast milk; and (3) to explore the associated factors affecting mineral compositions in breast milk. The inductively coupled plasma mass spectrometry (ICP-MS) was used to analyze mineral concentrations in breast-milk of 444 healthy lactating women from three cities in China. A questionnaire was used to survey socio-demographic characteristics and pregnancy history. Food intakes by lactating women were measured using both food frequency questionnaire and one cycle of 24-hour dietary recall. Mineral compositions of breast milk varied in different regions. Concentrations of most minerals were higher in the first one or two months of lactation, and then decreased with time, except for magnesium and iron. Inter-mineral correlations existed among several minerals. The calcium-to-phosphorus ratio was above 2:1 in each lactation stage. Women with caesarean section had higher concentration of iodine in the transitional milk (349.9 µg/kg) compared to women with natural delivery (237.5 µg/kg, P < 0.001). Dietary mineral intakes, supplements, food intake frequencies in the recent 6 months, maternal age and maternal BMI did not show significant correlations with concentrations of milk minerals (all P > 0.05). Milk minerals decreased with time, and changed most rapidly in the first one or two months of lactation. Caesarean section might affect the iodine level in transitional milk.

  7. 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

  8. Expenditure Pattern for TB Treatment among Patients Registered in an Urban Government DOTS Program in Chennai City, South India.

    PubMed

    Ananthakrishnan, Ramya; Muniyandi, M; Jeyaraj, Anita; Palani, Gopal; Sathiyasekaran, B W C

    2012-01-01

    Background. Tuberculosis (TB) patients registered in the government clinics under the DOTS (Directly Observed Treatment, Short Course) program in Chennai city catering to about 4.3 million population. Objective. To estimate the pattern and overall costs incurred by the new patients (who have never had treatment for tuberculosis or have taken antituberculosis drugs for less than one month) registered under DOTS program in the treatment of tuberculosis in Chennai city. Methodology. A cross-sectional survey among new TB patients, who had completed intensive phase of antituberculosis treatment, was done using a precoded semi-structured questionnaire between March and June 2007. Information was collected on demographic, socioeconomic characteristics and expenditure for before and during treatment. Mean costs were used for comparison. Results. Among the 300 TB patients, most economically productive age group and 186 (62%) were males. The overall estimated total costs incurred right from the onset of symptoms until treatment completion was found to be Rs. 3211 (3.8% of annual family income) under DOTS program, which is less compared to previous studies. The overall mean total cost was significantly high among male (Rs. 3270; P < 0.01), employed (Rs. 3945; P < 0.01), and extrapulmonary patients (Rs. 3915; P < 0.01). Conclusion. The study has reiterated the fact that DOTS helps in reducing out-of-pocket expenses to patients with tuberculosis and hence is a cost-effective health intervention. This cost reduction may help to increase the access to the poor people which would help in achieving universal access to TB care services.

  9. Action planning for healthy cities: the role of multi-criteria analysis, developed in Italy and France, for assessing health performances in land-use plans and urban development projects.

    PubMed

    Capolongo, Stefano; Lemaire, Nina; Oppio, Alessandra; Buffoli, Maddalena; Roue Le Gall, Anne

    2016-01-01

    In the last decades a growing attention has been paid to the relationship between urban planning and public health. The introduction of the social model of health has stressed the importance of the determinants of health such as socioeconomic, cultural, and environmental conditions, in addition to living and working conditions. Starting from the assumption that urban planning plays a crucial role for enhancing healthy lifestyles and environments, the paper describes two different approaches to include health issues into land use plans and urban development projects. Two different evaluation tools, defined according to the Italian and French legal framework, have been compared in order to find out whether they could be considered as an innovative answer to the instance of creating a more effective cross field of work and training among urban planners and public health professionals.

  10. Process and Outcomes From a Youth-Led Campaign to Address Healthy Eating in an Urban High School.

    PubMed

    Frerichs, Leah; Sjolie, Sarah; Curtis, Matthew; Peterson, Melissa; Huang, Terry T-K

    2015-12-01

    This article describes a pilot youth advocacy initiative for obesity prevention informed by social cognitive theory, social network theory, and theories of community mobilization. With assistance from school and health leaders, adolescent-aged youth led a cafeteria food labeling and social marketing campaign. We implemented an anonymous survey 2 weeks prior to and again at the conclusion of the campaign, and used cafeteria records to track servings of fruits and vegetables. The campaign resulted in a significant increase in youths' confidence to identify healthy foods (OR 1.97, 95 % CI 1.01, 3.84, p = .048), and a significant increase in per person per day servings of fruits (0.02, p = .03) and vegetables (0.01, p = .02). The results of our pilot were promising, and the integration of concepts from multiple theories benefited the implementation process. Obesity prevention initiatives should include strategies that encourage youth to create health promotion community networks and lead changes to their social and physical environments.

  11. A survey of blood conservation methods in clinical practice in some urban south-eastern government hospitals in Nigeria.

    PubMed

    Amucheazi, A O; Ajuzeiogu, V O; Ezike, H A; Odiakosa, M C; Nwoke, O M; Onyia, E

    2011-01-01

    , our practice must continually be refined by continuing medical education in order to keep everyone informed of changes in practice. The Government must improve the quality of service by the provision of unavailable infrastructure.

  12. The effects of an HIV project on HIV and non-HIV services at local government clinics in urban Kampala.

    PubMed

    Matsubayashi, Toru; Manabe, Yukari C; Etonu, Allan; Kyegombe, Nambusi; Muganzi, Alex; Coutinho, Alex; Peters, David H

    2011-03-09

    HIV/AIDS is a major public health concern in Uganda. There is widespread consensus that weak health systems hamper the effective provision of HIV/AIDS services. In recent years, the ways in which HIV/AIDS-focused programs interact with the delivery of other health services is often discussed, but the evidence as to whether HIV/AIDS programs strengthen or distort overall health services is limited. The aim of this study was to examine the effect of a PEPFAR-funded HIV/AIDS program on six government-run general clinics in Kampala. Longitudinal information on the delivery of health services was collected at each clinic. Monthly changes in the volume of HIV and non-HIV services were analyzed by using multilevel models to examine the effect of an HIV/AIDS program on health service delivery. We also conducted a cross-sectional survey utilizing patient exit interviews to compare perceptions of the experiences of patients receiving HIV care and those receiving non-HIV care. All HIV service indicators showed a positive change after the HIV program began. In particular, the number of HIV lab tests (10.58, 95% Confidence Interval (C.I.): 5.92, 15.23) and the number of pregnant women diagnosed with HIV tests (0.52, 95%C.I.: 0.15, 0.90) increased significantly after the introduction of the project. For non-HIV/AIDS health services, TB lab tests (1.19, 95%C.I.: 0.25, 2.14) and diagnoses (0.34, 95%C.I.: 0.05, 0.64) increased significantly. Noticeable increases in trends were identified in pediatric care, including immunization (52.43, 95%C.I.: 32.42, 74.43), malaria lab tests (1.21, 95%C.I.: 0.67, 1.75), malaria diagnoses (7.10, 95%C.I.: 0.73, 13.46), and skin disease diagnoses (4.92, 95%C.I.: 2.19, 7.65). Patients' overall impressions were positive in both the HIV and non-HIV groups, with more than 90% responding favorably about their experiences. This study shows that when a collaboration is established to strengthen existing health systems, in addition to providing HIV

  13. Health promoting schools in urban, semi-urban and rural Lao PDR.

    PubMed

    Yoshimura, Noriko; Jimba, Masamine; Poudel, Krishna C; Chanthavisouk, Chitsavang; Iwamoto, Azusa; Phommasack, Bounlay; Saklokham, Khamhoung

    2009-06-01

    Health promoting school activities have been implemented in developing countries, but their experiences have not been fully shared. Our objective is to explore the differences of health promoting school status in urban, semi-urban and rural areas in Lao PDR. To accomplish this we evaluated 138 schools in three provinces using a checklist developed by the government school health taskforce. We interviewed first through fifth grade pupils, school principals, food vendors, community chiefs, and observed school environments. We found that urban and semi-urban schools had higher scores than rural schools in the areas of, "personal health and life skills," "healthy school environment," "health and nutrition services," and "common disease control and prevention." However, semi-urban and rural schools showed better results than urban schools for some questions within the "school and community partnerships" component. When the results of individual schools were examined, there was considerable variation. We found a tendency for higher scores in urban areas, which went down for semi-urban areas and further decreased for rural areas. However, we also found differences among schools within each study site. In conclusion, we found not only a large difference among urban, semi-urban and rural schools but also clear differences in health promoting school status among schools within each study site in Lao PDR. Based on the results, we recommend that each school adopt a tailored approach for the health promoting school programme based upon an analysis of its own scores.

  14. Seasonal Epidemiology of Serum 25-Hydroxyvitamin D Concentrations among Healthy Adults Living in Rural and Urban Areas in Mongolia

    PubMed Central

    Bromage, Sabri; Rich-Edwards, Janet W.; Tselmen, Daria; Baylin, Ana; Houghton, Lisa A.; Baasanjav, Nachin; Ganmaa, Davaasambuu

    2016-01-01

    Many factors put Mongolians at risk of vitamin D deficiency. Despite low levels observed in Mongolian children and pregnant women, there are few data published on the vitamin D status of non-pregnant adults. Between summer 2011 and winter 2013, paired summer and winter blood samples were collected from 320 healthy men and women (20–58 years) living in eight Mongolian provinces. Mean serum 25(OH)D concentrations were 22.5 ng/mL (95% CI: 14.5, 32.5) in summer and 7.7 ng/mL (95% CI: 4.6, 10.8) in winter, with a distribution (<10/10–20/20–30/≥30 ng/mL) of 3.1%/39.3%/39.6%/17.9% in summer and 80.1%/19.5%/0.3%/0.0% in winter. Residents of the capital, Ulaanbaatar, had lower levels in both seasons than any other region, whereas residents of the Gobi desert had the highest. In summer, indoor workers had significantly lower levels than outdoor workers (−2.3 ng/mL; 95% CI: −4.1, −5.7) while levels in males exceeded those in females (4.0 ng/mL; 95% CI: 2.3, 5.7). Effects of region, occupation, and sex were also significant in multivariable regression. In conclusion, Mongolian adults had extremely low serum 25(OH)D, particularly in winter, when 80.1% had concentrations below 10 ng/mL. These results indicate a need for effective vitamin D interventions for the Mongolian adult population, particularly among women and residents of Ulaanbaatar. PMID:27669291

  15. Association of self-reported familial history of cardiometabolic disease with metabolic syndrome in apparently healthy urban Colombian men.

    PubMed

    Suárez-Ortegón, Milton F; Arbeláez, Alejandra; Mosquera, Mildrey; Méndez, Fabian; Pradilla, Alberto; Aguilar-de Plata, Cecilia

    2013-01-01

    Evidence about the relationship between familial history (FH) of cardiometabolic disease (CMD) and metabolic syndrome (MetS) in Latin American populations is scarce. The aim of this study was to evaluate the relationship of FH of CMD and of dyslipidemia and obesity with MetS in healthy men. One-hundred-twenty one individuals were recruited. Waist circumference and blood pressure were measured by a trained researcher using standard techniques. Glycemia and lipid profile were determined by colorimetric assays. A survey to record personal data and family antecedents in siblings, aunts/uncles, parents, and grandparents was conducted by trained interviewers. Individuals having three or more familial antecedents were associated with high triglycerides level even after adjusting by age, sedentarism, fat and carbohydrates intake, and alcohol consumption. After adjusting for the same variables, FH of dyslipidemia and hypertension was also associated with high triglycerides levels and elevated waist circumference, respectively. The FH of stroke was associated with high blood pressure after adjusting for the rest of familial antecedents, and with MetS in all adjustment models. the findings of association of this study together with the previous reports are evidence of the importance of hereditary component as independent predictor of cardiovascular risk factors and its clustering, as well as of possible specific association patterns between FH of CMD and MetS depending on evaluated population in terms of ethnic groups and geographic region. Further studies are required in other populations, as well as exploration of genetic markers of CMD regarding to MetS. Copyright © 2013 Wiley Periodicals, Inc.

  16. 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

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

    PubMed Central

    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

    2016-01-01

    Abstract Background 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. Methods 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. Results 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 (25th–75th 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. Conclusions Individual HGS measurements should be interpreted using region/ethnic‐specific reference ranges. PMID:27104109

  18. 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.

  19. 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....

  20. 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....

  1. 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....

  2. 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....

  3. 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....

  4. 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....

  5. 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....

  6. 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....

  7. 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....

  8. 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....

  9. Governing for a Healthy Population: Towards an Understanding of How Decision-Making Will Determine Our Global Health in a Changing Climate

    PubMed Central

    Bowen, Kathryn J.; Friel, Sharon; Ebi, Kristie; Butler, Colin D.; Miller, Fiona; McMichael, Anthony J.

    2011-01-01

    Enhancing the adaptive capacity of individuals, communities, institutions and nations is pivotal to protecting and improving human health and well-being in the face of systemic social inequity plus dangerous climate change. However, research on the determinants of adaptive capacity in relation to health, particularly concerning the role of governance, is in its infancy. This paper highlights the intersections between global health, climate change and governance. It presents an overview of these key concerns, their relation to each other, and the potential that a greater understanding of governance may present opportunities to strengthen policy and action responses to the health effects of climate change. Important parallels between addressing health inequities and sustainable development practices in the face of global environmental change are also highlighted. We propose that governance can be investigated through two key lenses within the earth system governance theoretical framework; agency and architecture. These two governance concepts can be evaluated using methods of social network research and policy analysis using case studies and is the subject of further research. PMID:22470278

  10. [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.

  11. 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.

  12. Healthy Water, Healthy People.

    ERIC Educational Resources Information Center

    Etgen, John

    2002-01-01

    Describes a hands-on activity, Hitting the Mark, which is found in the "Healthy Water, Healthy People Water Quality Educators Guide" in terms of its objectives, materials, background, procedures, activities, and assessment. (KHR)

  13. If Sport's the Solution Then What's the Problem? The Social Significance of Sport in the Moral Governing of "Good" and "Healthy" Citizens in Sweden, 1922-1998

    ERIC Educational Resources Information Center

    Österlind, Malin; Wright, Jan

    2014-01-01

    All over the westernised world, sport has been promoted as a "solution" to many of the social "problems" and challenges that face modern societies. This study draw on Foucault's concept of governmentality to examine the ways in which Swedish Government Official Reports on sport, from 1922 to 1998, define social problems and…

  14. If Sport's the Solution Then What's the Problem? The Social Significance of Sport in the Moral Governing of "Good" and "Healthy" Citizens in Sweden, 1922-1998

    ERIC Educational Resources Information Center

    Österlind, Malin; Wright, Jan

    2014-01-01

    All over the westernised world, sport has been promoted as a "solution" to many of the social "problems" and challenges that face modern societies. This study draw on Foucault's concept of governmentality to examine the ways in which Swedish Government Official Reports on sport, from 1922 to 1998, define social problems and…

  15. 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.

  16. 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.

  17. Assessment of knowledge about healthy heart habits in urban and rural population of Punjab after SMS campaign-A cross-sectional study.

    PubMed

    Mohan, Bishav; Sharma, Sarit; Sharma, Shruti; Kaushal, Dinesh; Singh, Bhupinder; Takkar, Shibba; Aslam, Naved; Goyal, Abhishek; Wander, Gurpreet S

    The prevalence of cardiovascular diseases (CVD) is increasing in developing countries but the awareness regarding prevention and treatment of these diseases is still low. Therefore the present study was conducted with the aim of imparting health education regarding certain changes in lifestyle and dietary habits among general population through the use of short message service (SMS) that may lead to improved knowledge about prevention of cardiovascular diseases. This cross-sectional study was conducted over a period of seven months. In the first phase, health education messages were sent through SMS to about 40,000 individuals from urban and rural population in Punjab. Twenty eight messages were sent to each individual and hence more than eleven lakh messages were sent over a period of six months. A questionnaire containing 11 questions based on these health education SMS was generated. Every 40th individual enrolled in the study was contacted on phone, and their responses noted. The data so collected was analyzed for correct responses. Complete responses could be obtained from 800 participants (males: 561 and females: 239). The participants giving correct responses to different questions ranged from 43% to 94%. Majority of participants could retain knowledge about many aspects of healthy heart habits provided by SMS except for topics concerning foods to be avoided, target for normal BP and precautions to be taken before BP measurement. Health related information imparted through SMS can act as a very effective tool for disseminating knowledge about prevention of heart diseases in general population. Copyright © 2017 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

  18. 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

  19. 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.

  20. 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

  1. Toward a healthy democracy.

    PubMed Central

    O'Connor, D; Gates, C T

    2000-01-01

    Because it represents a revival of citizen responsibility, the Healthy Communities movement is not only a health and quality-of-life movement but a civic and democratic movement as well. Healthy Communities efforts need to seek meaningful partnerships with local governments and work their collaborative and citizen-based efforts into formal local political structures. As the foundation of the Healthy Communities movement, civic renewal should be elevated as a major theme and goal for its future. PMID:10968748

  2. Toward a healthy democracy.

    PubMed

    O'Connor, D; Gates, C T

    2000-01-01

    Because it represents a revival of citizen responsibility, the Healthy Communities movement is not only a health and quality-of-life movement but a civic and democratic movement as well. Healthy Communities efforts need to seek meaningful partnerships with local governments and work their collaborative and citizen-based efforts into formal local political structures. As the foundation of the Healthy Communities movement, civic renewal should be elevated as a major theme and goal for its future.

  3. Implementation of A Better Choice Healthy Food and Drink Supply Strategy for staff and visitors in government-owned health facilities in Queensland, Australia.

    PubMed

    Miller, Jane; Lee, Amanda; Obersky, Natalie; Edwards, Rachael

    2015-06-01

    The present paper reports on a quality improvement activity examining implementation of A Better Choice Healthy Food and Drink Supply Strategy for Queensland Health Facilities (A Better Choice). A Better Choice is a policy to increase supply and promotion of healthy foods and drinks and decrease supply and promotion of energy-dense, nutrient-poor choices in all food supply areas including food outlets, staff dining rooms, vending machines, tea trolleys, coffee carts, leased premises, catering, fundraising, promotion and advertising. An online survey targeted 278 facility managers to collect self-reported quantitative and qualitative data. Telephone interviews were sought concurrently with the twenty-five A Better Choice district contact officers to gather qualitative information. Public sector-owned and -operated health facilities in Queensland, Australia. One hundred and thirty-four facility managers and twenty-four district contact officers participated with response rates of 48.2% and 96.0%, respectively. Of facility managers, 78.4% reported implementation of more than half of the A Better Choice requirements including 24.6% who reported full strategy implementation. Reported implementation was highest in food outlets, staff dining rooms, tea trolleys, coffee carts, internal catering and drink vending machines. Reported implementation was more problematic in snack vending machines, external catering, leased premises and fundraising. Despite methodological challenges, the study suggests that policy approaches to improve the food and drink supply can be implemented successfully in public-sector health facilities, although results can be limited in some areas. A Better Choice may provide a model for improving food supply in other health and workplace settings.

  4. How healthy is urban horticulture in high traffic areas? Trace metal concentrations in vegetable crops from plantings within inner city neighbourhoods in Berlin, Germany.

    PubMed

    Säumel, Ina; Kotsyuk, Iryna; Hölscher, Marie; Lenkereit, Claudia; Weber, Frauke; Kowarik, Ingo

    2012-06-01

    Food production by urban dwellers is of growing importance in developing and developed countries. Urban horticulture is associated with health risks as crops in urban settings are generally exposed to higher levels of pollutants than those in rural areas. We determined the concentration of trace metals in the biomass of different horticultural crops grown in the inner city of Berlin, Germany, and analysed how the local setting shaped the concentration patterns. We revealed significant differences in trace metal concentrations depending on local traffic, crop species, planting style and building structures, but not on vegetable type. Higher overall traffic burden increased trace metal content in the biomass. The presence of buildings and large masses of vegetation as barriers between crops and roads reduced trace metal content in the biomass. Based on this we discuss consequences for urban horticulture, risk assessment, and planting and monitoring guidelines for cultivation and consumption of crops. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. Families Coping without Earnings or Government Cash Assistance. Assessing the New Federalism: An Urban Institute Program to Assess Changing Social Policies. Occasional Paper.

    ERIC Educational Resources Information Center

    Zedlewski, Sheila R.; Nelson, Sandi; Edin, Kathryn; Koball, Heather; Pomper, Kate; Roberts, Tracy

    This study sought to determine why some families live outside the government cash income support system despite extreme poverty. Qualitative interviews were conducted with 95 extremely poor families (cash income below 50 percent of the federal poverty level living without employment income or government cash assistance). The interview sample was…

  6. Healthy Living, Healthy Vision

    MedlinePlus

    ... Eye Emergencies How to Jump Start a Car Battery Safely Electronic Screens and Your Eyes Nutrition and ... External Resources The Cost of Vision Problems The Future of Vision Vision Problems in the U.S. Healthy ...

  7. Rural-urban disparity in knowledge and compliance with traffic signs among young commercial motorcyclists in selected local government areas in Oyo State, Nigeria.

    PubMed

    Olumide, Adesola O; Owoaje, Eme T

    2016-01-21

    This study compared knowledge and compliance with traffic signs among young commercial motorcyclists in rural and urban communities in Oyo state, Nigeria. Information on knowledge and compliance with 10 common traffic signs was obtained from 149 rural and 113 urban commercial motorcyclists aged 18-35 years. Aggregate knowledge scores were computed and categorized as good (≥5) and poor (<5) knowledge. Overall, 98.7% rural versus 61.1% urban motorcyclists had poor knowledge of traffic signs (p < 0.05). After controlling for age, level of education and years of commercial riding, motorcyclists in the rural areas were more likely to have poor knowledge of the traffic signs (OR = 58.15; 95% CI = 11.96-282.79). A higher proportion of rural than urban motorcyclists never obeyed any of the traffic signs. Young rural commercial motorcyclists' knowledge and compliance with the road signs was poorer than their urban counterparts. Interventions to improve the rural motorcyclists' knowledge and ultimately compliance with road signs are urgently required.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. Government Publications.

    ERIC Educational Resources Information Center

    Whitlatch, Jo Bell

    1979-01-01

    Reviews recent federal publications on government information, particularly in the area of general informational services, public access to government information and privacy issues, coordination of government information systems, and congressional information needs. (Author)

  13. Local government guide to the emerging technologies of cogeneration and photovoltaics. Energy technology report of the energy task force of the urban consortium

    SciTech Connect

    1980-01-01

    An overview of cogeneration and photovoltaics systems is presented to provide local government managers a basic understanding of the technologies. Issues and considerations associated with applications are presented. Discussions cover installation and maintenance requirements, equipment availability, costs, and risks/benefits. Data describing demonstration sites and contacts for further information are provided. (MCW)

  14. Healthy Aging

    MedlinePlus

    ... About Us Contact Us Text size | Print | Healthy Aging This information in Spanish ( en español ) A healthy ... Aging email updates. Enter email address Submit Healthy Aging news Accessibility | Privacy policy | Disclaimers | FOIA | Link to ...

  15. Staying Healthy

    MedlinePlus

    ... 1 > Staying Healthy Font: What is Alpha-1? Emphysema Alpha-1 Symptoms Diagnosing Alpha-1 Current Treatments ... Healthy What can people with Alpha-1-related emphysema do to stay as healthy as possible? First ...

  16. Healthy Living

    MedlinePlus

    ... changes to your lifestyle. By taking steps toward healthy living, you can help reduce your risk of ... Get the screening tests you need Maintain a healthy weight Eat a variety of healthy foods, and ...

  17. 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.

  18. The influence of gender and self-efficacy on healthy eating in a low-income urban population affected by structural changes to the food environment.

    PubMed

    Robles, Brenda; Smith, Lisa V; Ponce, Mirna; Piron, Jennifer; Kuo, Tony

    2014-01-01

    Although U.S. obesity prevention efforts have begun to implement a variety of system and environmental change strategies to address the underlying socioecological barriers to healthy eating, factors which can impede or facilitate community acceptance of such interventions are often poorly understood. This is due, in part, to the paucity of subpopulation health data that are available to help guide local planning and decision-making. We contribute to this gap in practice by examining area-specific health data for a population targeted by federally funded nutrition interventions in Los Angeles County. Using data from a local health assessment that collected information on sociodemographics, self-reported health behaviors, and objectively measured height, weight, and blood pressure for a subset of low-income adults (n = 720), we compared health risks and predictors of healthy eating across at-risk groups using multivariable modeling analyses. Our main findings indicate being a woman and having high self-efficacy in reading Nutrition Facts labels were strong predictors of healthy eating (P < 0.05). These findings suggest that intervening with women may help increase the reach of these nutrition interventions, and that improving self-efficacy in healthy eating through public education and/or by other means can help prime at-risk groups to accept and take advantage of these food environment changes.

  19. Culture and healthy lifestyles: a qualitative exploration of the role of food and physical activity in three urban Australian Indigenous communities.

    PubMed

    Crowe, Ruth; Stanley, Rebecca; Probst, Yasmine; McMahon, Anne

    2017-08-01

    1) To explore the links between Indigenous Australian children's perspectives on culture, and healthy lifestyle behaviours. 2) To provide insight into how to approach the development of a health intervention targeting lifestyle behaviours in Australian Indigenous children. Seven semi-structured focus groups sessions were conducted with Australian Indigenous children aged 5-12 years living on the South Coast of New South Wales. Audio-recordings were transcribed and thematic analyses were conducted and related to principles of grounded theory. Participants had connections to aspects of Australian Indigenous culture that were embedded in their everyday lives. Healthy lifestyle behaviours (such as healthy eating and physical activity) were found to be interconnected with Australian Indigenous culture and positive emotional wellbeing was identified as an important outcome of connecting Australian Indigenous children to cultural practices. Understanding the importance of culture and its role in healthy lifestyles is critical in the development of health interventions for Indigenous populations. Health interventions embedded with Australian Indigenous culture may have potential to improve physical and emotional health within Australian Indigenous communities. However, it is unlikely that a 'one size fits all' approach to health interventions can be taken. © 2017 The Authors.

  20. 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...

  1. Local government guide to the emerging technologies of energy-efficient motors and heat pumps. Energy technology report of the energy task force of the urban consortium

    SciTech Connect

    1980-01-01

    Information is presented to provide a local government manager with a basic background in energy efficient motors and heat pump technologies. An overview of each technology and the issues and considerations associated with their application are presented. Discussions cover installation and maintenance requirements, equipment availability, costs and risks/benefits. Data describing demonstration sites for solar assisted heat pump systems and contacts for further information are provided.

  2. High prevalence of blaCTX-M-1/IncI1/ST3 and blaCMY-2/IncI1/ST2 plasmids in healthy urban dogs in France.

    PubMed

    Haenni, Marisa; Saras, Estelle; Métayer, Véronique; Médaille, Christine; Madec, Jean-Yves

    2014-09-01

    In the community, close contacts between humans and dogs may promote the transfer of extended-spectrum beta-lactamase/plasmidic AmpC cephalosporinase (ESBL/pAmpC) genes. Large-scale prevalence studies on ESBL/pAmpC carriage in dogs are rare, and data on ESBL/pAmpC plasmids are even more limited. Here, a considerable rate of 18.5% ESBL/pAmpC carriers was found among 368 unrelated healthy dogs in Paris, France. This prevalence is much higher than the one found in healthy humans in the same city (6%) but close to that recently reported in dogs in China (24.5%). All isolates were identified as Escherichia coli, except one Salmonella enterica and one Klebsiella pneumoniae isolate. The sequence type 131 (ST131) clone was rare (2/73 isolates). Interestingly, two plasmids (blaCTX-M-1/IncI1/ST3 and blaCMY-2/IncI1/ST2) were unexpectedly highly predominant, raising the question of their successful spread. Considering that CTX-M-1 was recently found to be equally as abundant as CTX-M-15 in healthy Parisian subjects, the question of dogs being a CTX-M-1 reservoir for humans is open. Such a high prevalence of the blaCMY-2/IncI1/ST2 plasmid may result from the use of cephalexin in veterinary medicine, as previously demonstrated experimentally. In all, our study points out healthy urban dogs as a potential source of ESBL/pAmpC genes that can further disseminate to the human community.

  3. High Prevalence of blaCTX-M-1/IncI1/ST3 and blaCMY-2/IncI1/ST2 Plasmids in Healthy Urban Dogs in France

    PubMed Central

    Saras, Estelle; Métayer, Véronique; Médaille, Christine; Madec, Jean-Yves

    2014-01-01

    In the community, close contacts between humans and dogs may promote the transfer of extended-spectrum beta-lactamase/plasmidic AmpC cephalosporinase (ESBL/pAmpC) genes. Large-scale prevalence studies on ESBL/pAmpC carriage in dogs are rare, and data on ESBL/pAmpC plasmids are even more limited. Here, a considerable rate of 18.5% ESBL/pAmpC carriers was found among 368 unrelated healthy dogs in Paris, France. This prevalence is much higher than the one found in healthy humans in the same city (6%) but close to that recently reported in dogs in China (24.5%). All isolates were identified as Escherichia coli, except one Salmonella enterica and one Klebsiella pneumoniae isolate. The sequence type 131 (ST131) clone was rare (2/73 isolates). Interestingly, two plasmids (blaCTX-M-1/IncI1/ST3 and blaCMY-2/IncI1/ST2) were unexpectedly highly predominant, raising the question of their successful spread. Considering that CTX-M-1 was recently found to be equally as abundant as CTX-M-15 in healthy Parisian subjects, the question of dogs being a CTX-M-1 reservoir for humans is open. Such a high prevalence of the blaCMY-2/IncI1/ST2 plasmid may result from the use of cephalexin in veterinary medicine, as previously demonstrated experimentally. In all, our study points out healthy urban dogs as a potential source of ESBL/pAmpC genes that can further disseminate to the human community. PMID:24982072

  4. Social change or business as usual at city hall? Examining an urban municipal government's response to neighbourhood-level health inequities.

    PubMed

    Cahuas, Madelaine C; Wakefield, Sarah; Peng, Yun

    2015-05-01

    There is a renewed interest in the potential of municipal governments working collaboratively with local communities to address health inequities. A growing body of literature has also highlighted the benefits and limitations of participatory approaches in neighbourhood interventions initiated by municipal governments. However, few studies have investigated how neighbourhood interventions tackling health inequities work in real-time and in context, from the perspectives of Community Developers (CDs) who promote community participation. This study uses a process evaluation approach and semi-structured interviews with CDs to explore the challenges they face in implementing a community development, participatory process in the City of Hamilton's strategy to reduce health inequities - Neighbourhood Action. Findings demonstrate that municipal government can facilitate and suppress community participation in complex ways. CDs serve as significant but conflicted intermediaries as they negotiate and navigate power differentials between city and community actors, while also facing structural challenges. We conclude that community participation is important to bottom-up, resident-led social change, and that CDs are central to this work.

  5. 24 CFR 570.800 - Urban renewal regulations.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Urban renewal regulations. 570.800... URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Urban Renewal Provisions § 570.800 Urban renewal regulations. The regulations governing urban renewal projects and...

  6. 24 CFR 570.800 - Urban renewal regulations.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Urban renewal regulations. 570.800... URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Urban Renewal Provisions § 570.800 Urban renewal regulations. The regulations governing urban renewal projects and...

  7. 24 CFR 570.800 - Urban renewal regulations.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Urban renewal regulations. 570.800... URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Urban Renewal Provisions § 570.800 Urban renewal regulations. The regulations governing urban renewal projects and...

  8. 24 CFR 570.800 - Urban renewal regulations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Urban renewal regulations. 570.800... URBAN DEVELOPMENT COMMUNITY FACILITIES COMMUNITY DEVELOPMENT BLOCK GRANTS Urban Renewal Provisions § 570.800 Urban renewal regulations. The regulations governing urban renewal projects and...

  9. Randomized Trial to Determine Safety and Immunogenicity of Two Strategies for Hepatitis B Vaccination in Healthy Urban Adolescents in the United States

    PubMed Central

    Cunningham, Coleen K; Rudy, Bret J; Xu, Jiahong; Bethel, James; Kapogiannis, Bill G; Ahmad, Sushma; Wilson, Craig M; Flynn, Patricia M

    2012-01-01

    Background Multiple studies have shown excellent response rates after hepatitis B immunization in youth; however, one previous study conducted in urban youth demonstrated poor responses. Methods Urban youth, ages 12-17 years, at participating Adolescent Medicine Trials Network for HIV/AIDS Interventions Clinical/Research (ATN) sites were randomized to receive either two doses of Recombivax HB (10mcg hepatitis B surface antigen) or Twinrix (20mcg hepatitis B surface antigen and 720 EL.U hepatitis A antigen) at 0 and 24 weeks. Safety data were collected and antibody measures performed at 0, 28 and 76 weeks. Results 123 subjects were enrolled and 102 had week 28 serum samples available for antibody measure. A positive response (serum antibody ≥ 10mIU/mL) to hepatitis B antigen was documented in 41/47 (87.2%; 95% confidence interval (CI) 74.3%-95.2%) Recombivax HB recipients and in 52/55 (94.6%; 95% CI 84.9%-98.9%) Twinrix recipients (p=.295). In an adjusted analysis, those identified as Hispanic ethnicity (N=86) were more likely to have a positive response (odds ratio 7.38, 95% confidence interval 1.56-34.95; p=0.0018); whereas those who identified as not heterosexual (N=9) were less likely to respond (odds ratio=0.12, 95%CI, 0.02-0.74). The majority of youth in the Twinrix arm were hepatitis A antibody positive at baseline (26/51; 51%); however, 24/25 hepatitis A antibody negative youth responded to the hepatitis A component. Both vaccines were safe. Conclusions Response rate to two doses of Recombivax HB in urban youth is lower than previous studies suggest. The factors associated with diminished response are not known. PMID:20173677

  10. Strengthening Urban Boards.

    ERIC Educational Resources Information Center

    McAdams, Donald R.

    2002-01-01

    Argues that urban school boards must understand and practice good governance and reform leadership to create functional, effective school districts. Describes how this can be accomplished by adopting high expectations for student performance, becoming leaders in the community, practicing the fundamentals of good governance, and formulating a…

  11. Middle school student and parent perceptions of government-sponsored free school breakfast and consumption: a qualitative inquiry in an urban setting.

    PubMed

    Bailey-Davis, Lisa; Virus, Amy; McCoy, Tara Alexis; Wojtanowski, Alexis; Vander Veur, Stephanie S; Foster, Gary D

    2013-02-01

    Universal free access to school breakfast is available in large urban schools, but participation rates are less than half of what they are at lunch. The purpose of this qualitative study was to understand the discrepancy between access and participation in school breakfast in a low-income, urban school district. Youth (n=23) and parents (n=22) were recruited from three middle schools where ≥ 50% of students were eligible for free or reduced-price meals. Parent focus groups (n=2) and student focus groups (n=4) were conducted in the fall/winter of 2009/2010. Content analysis was conducted to code transcripts and a constant comparative technique was used to identify emergent themes. Findings were validated using triangulation methods. The following themes emerged from the student and parent perceptions: sociocultural beliefs, physical availability, economic accessibility, social stigma, and consumption practices. There was agreement between students and parents across most themes, except consumption practices. Students were commonly purchasing food and beverages on the way to school, which was in conflict with parent rules. Parents desired access to copies of the school menus to be more involved in breakfast decisions with their child and students desired input into menu planning and taste testing to overcome school meal quality concerns. Future research aiming to improve participation in the breakfast program should examine the impact of student involvement in school menu planning and environmental modifications to reduce the social stigma associated with the program. Copyright © 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  12. 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.

  13. [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.

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

    PubMed Central

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

    2013-01-01

    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. PMID:23385371

  15. 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.

  16. Military Government

    DTIC Science & Technology

    1949-07-01

    CGSC MG MILITARY GOVERNMENT LIBHARY ARI\\’IY WAR COLLEGE CJ\\RLISLE BARRACKS, PAa This text is approved for resident and extension-course...and functions · of ’ military government . It conforms ·substantially to the subject matter , of Field Manual 27-5, Civil Affairs/ Military Government ...Teaching experience at the Command and General Staff College has ···--·demonstrated the need for a military government text which brings to- gether

  17. Right to a healthy city? Examining the relationship between urban space and health inequity by Aboriginal youth artist-activists in Winnipeg.

    PubMed

    Skinner, Emily; Masuda, Jeffrey R

    2013-08-01

    This paper explores the relationship between place and health inequity as experienced by Aboriginal youth living in Winnipeg, Canada. Between 2010 and 2011, a team of youth (N = 8) associated with a community-based Aboriginal youth arts program undertook a participatory community mapping process in order to link their personal health geographies to their right to the city. The results demonstrated several ways in which place, mobility, and boundaries affected their health experiences and, in turn, reflected their perceptions of health inequity. The study confirms that urban spaces can produce, and are produced by, highly racialized geographies that work to socially isolate, segregate, and immobilize Aboriginal youth while concomitantly increasing their exposure to higher risks to their health and well being. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. The Evolving Challenges of Black Urban Administration

    ERIC Educational Resources Information Center

    Herbert, Adam W.

    1975-01-01

    Analyzes some of the major administrative forces, personalities, problems and issues which will converge, it is stated, as urban governments seek to address the "urban crisis" from the perspective of black urban dwellers: the "urban crises" includes resource demands (i.e. for energy) and growing requests for expanded social services, unemployment…

  19. Boston: An Urban Community. Growth and Development in the Boston Metropolis: The Union of Government and Economics--A Marriage of Convenience. From the Psalm Book to the Symphony: Music in the Culture of Boston. From Common School to Magnet School: A History of Schooling in Boston. Annotated Reading Lists.

    ERIC Educational Resources Information Center

    Levitan, Donald; And Others

    These three annotated reading guides continue the series developed for courses offered at the Boston Public Library under the National Endowment for the Humanities Learning Library Program. The first lists 34 readings examining the growth and development of the Boston urban area, and linking the role of government with the functions of urban…

  20. 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

  1. Healthy Schools

    MedlinePlus

    ... for Healthy Schools School Health Guidelines Data & Statistics Multimedia Infographics Podcasts Videos Professional Development & Training Professional Development 101 Professional Development 201 FAQs E-Learning Series: Training Tools for Healthy Schools Comprehensive School ...

  2. Healthy Weight

    MedlinePlus

    ... this? Submit Button Our Division About Us Nutrition Physical Activity Overweight & Obesity Healthy Weight Breastfeeding Micronutrient Malnutrition State and Local Programs Healthy Weight Language: English (US) Español (Spanish) ...

  3. Healthy Eating

    MedlinePlus

    ... Under Control Nutrition Guide for Toddlers Healthy Food Shopping What Should Preschoolers Drink? Healthy Drinks for Kids ... to Eating Right Learning About Calories Smart Supermarket Shopping Go, Slow, and Whoa! A Quick Guide to ...

  4. Undocumented Youth Living Between the Lines: Urban Governance, Social Policy, and the Boundaries of Legality in New York City and Paris

    NASA Astrophysics Data System (ADS)

    Ruszczyk, Stephen P.

    This dissertation compares the transition to adulthood of undocumented youth in New York and Paris, along with analysis of the construction of illegality in each city. In both the United States and France, national restrictions against undocumented immigrants increasingly take the form of deportations and limiting access to social rights. New York City and Paris, however, mitigate the national restrictions in important but different ways. They construct "illegality" differently, leading to different young adult outcomes and lived experiences of "illegality." This project uses seven years of multi-site ethnographic data to trace the effects of these mitigated "illegalities" on two dozen (male) youth. We can begin to understand the variation in these undocumented young men's social lives within and between cities by centering on (1) governance structure, the labyrinth of obtaining rights associated with citizenship, (2) citizenship, the possibility of gaining a legal status, steered in particular by civil society actors, and (3) identity, here centered on youths' negotiation of social mobility with the fear of enforcement. Biographical narratives show the shifts in social memberships as youth transition to new countries, new restrictions at adulthood, and new, limiting work. In New York, most social prospects are flattened as future possibilities are whittled down to ones focusing on family and wages. Undocumented status propels New York informants into an accelerated transition to adulthood, as they take on adult responsibilities of work, paying bills, and developing families. In Paris, youth experience more divergent processes of transitioning to adulthood. Those who are more socially integrated use a civil society actor to garner a (temporary) legal status, which does not lead to work opportunities. Those who are less socially integrated face isolation as they wait to gain status and access to better jobs. Paris undocumented youth are thus characterized by a

  5. Cooking, Healthy Eating, Fitness and Fun (CHEFFs): Qualitative Evaluation of a Nutrition Education Program for Children Living at Urban Family Homeless Shelters

    PubMed Central

    Applebaum, Jo; Stephenson-Hunter, Cara; Tinio, Andrea; Shapiro, Alan

    2013-01-01

    Objectives. We assessed the feasibility of a 15-week nutrition education, physical activity, and media literacy program for children living in urban family homeless shelters. Methods. We developed a qualitative monitoring tool to evaluate program process and impact at 2 shelter sites in the Bronx, New York, from 2009 to 2012. Facilitators recorded indications of participants’ understanding of intended messages and demonstrations of changes in attitudes and behaviors. Comments, insights, and actions were recorded as they occurred. Facilitators also documented barriers to delivery of content and activities as intended. We used content analysis to examine data for patterns and identify themes. Results. A total of 162 children participated at the 2 shelter sites. Analysis of qualitative data yielded 3 themes: (1) children’s knowledge and understanding of content, (2) children’s shift in attitudes or intentions, and (3) interpretations through children’s life experience. Food insecurity as well as shelter food service and policies were important influences on children’s choices, hunger, and sense of well-being. Conclusions. Children’s experiences highlighted the need to advocate for shelter policies that adequately provide for children’s nutritional and physical activity requirements and foster academic development. PMID:24148062

  6. Cooking, healthy eating, fitness and fun (CHEFFs): qualitative evaluation of a nutrition education program for children living at urban family homeless shelters.

    PubMed

    Rodriguez, Jacqueline; Applebaum, Jo; Stephenson-Hunter, Cara; Tinio, Andrea; Shapiro, Alan

    2013-12-01

    We assessed the feasibility of a 15-week nutrition education, physical activity, and media literacy program for children living in urban family homeless shelters. We developed a qualitative monitoring tool to evaluate program process and impact at 2 shelter sites in the Bronx, New York, from 2009 to 2012. Facilitators recorded indications of participants' understanding of intended messages and demonstrations of changes in attitudes and behaviors. Comments, insights, and actions were recorded as they occurred. Facilitators also documented barriers to delivery of content and activities as intended. We used content analysis to examine data for patterns and identify themes. A total of 162 children participated at the 2 shelter sites. Analysis of qualitative data yielded 3 themes: (1) children's knowledge and understanding of content, (2) children's shift in attitudes or intentions, and (3) interpretations through children's life experience. Food insecurity as well as shelter food service and policies were important influences on children's choices, hunger, and sense of well-being. Children's experiences highlighted the need to advocate for shelter policies that adequately provide for children's nutritional and physical activity requirements and foster academic development.

  7. 'Mobile men with money': the socio-cultural and politico-economic context of 'high-risk' behaviour among wealthy businessmen and government officials in urban China.

    PubMed

    Uretsky, Elanah

    2008-11-01

    China's transition from an injection drug-driven HIV epidemic to one primarily transmitted through sexual contact has triggered concern over the potential for HIV to move into the non-drug-injecting population. Much discussion has focused on the migrant men of China's vast 'floating population' who are considered a high-risk group. As a result, many men who frequently engage in high-risk behaviour but are not included in this especially vulnerable group are evading HIV prevention messages. This paper highlights the socio-cultural and politico-economic factors that motivate many of China's wealthy businessmen and government officials, sometimes referred to as 'mobile men with money', to engage in such behaviour. Examination of the activities related to the work of these men reveals a situation where the confluence of a market-oriented economy operating within a socialist-style political system under the influence of traditional networking practices has engendered a unique mode of patron-clientelism that brings them together over shared social rituals including feasting, drinking and female-centered entertainment that is often coupled with sexual services. As a result, consideration of the socio-cultural factors influencing these men's sexual practices is important for responding to the newly emerging stage of China's HIV epidemic.

  8. Predictors of serum concentrations of polybrominated flame retardants among healthy pregnant women in an urban environment: a cross-sectional study

    PubMed Central

    2013-01-01

    Background Polybrominated diphenyl ethers (PBDEs) are a class of brominated flame retardants commonly used in a wide range of products. Prenatal exposure to PBDEs has been associated with adverse neurodevelopment. Our objective was to characterize predictors of exposure to PBDEs among a multi-ethnic, low-income cohort of pregnant women enrolled from highly urban communities in New York City between years 2009–2010. Methods During the first half of pregnancy we collected 316 maternal serum samples and administered an extensive questionnaire including items on demographics, diet and lifestyle. We measured 12 PBDE congeners in blood samples. Using bivariate and multivariate approaches, we regressed the most commonly detected PBDE congeners (PBDE-47, -99, -100 and -153) against potential demographic, dietary and lifestyle predictor variables. Results At least one PBDE congener was detected in each serum sample. Our analyses demonstrate unique predictor patterns for PBDE-47, -99, -100 and -153 based on demographic, lifestyle and dietary characteristics of women. Higher education and increased use of household electronics were associated with higher levels of all 4 congeners. Six characteristics were associated with PBDE-153 serum concentrations, more than for any other congener. These include maternal education, household income, body mass index, solid dairy consumption, processed meat consumption and frequent use of household electronics. Conclusions PBDE exposure in this widespread in this cohort, though levels are lower than previous assessments of US pregnant women. Lower levels may be in response to legislation restricting the production, sale and use of these compounds. In our cohort, we did not observe any individual predictor or a consistent pattern of several predictors representing a significant source of PBDE exposure. These data suggest that legislation and policy may be more effective at reducing exposure than personal lifestyle modifications. PMID

  9. A population-level approach to promoting healthy child development and school success in low-income, urban neighborhoods: Impact on parenting and child conduct problems

    PubMed Central

    Dawson-McClure, Spring; Calzada, Esther; Huang, Keng-Yen; Kamboukos, Dimitra; Rhule, Dana; Kolawole, Bukky; Petkova, Eva; Brotman, Laurie Miller

    2014-01-01

    Minority children living in disadvantaged neighborhoods are at high risk for school dropout, delinquency and poor health, largely due to the negative impact of poverty and stress on parenting and child development. This study evaluated a population-level, family-centered, school-based intervention designed to promote learning, behavior and health by strengthening parenting, early childhood classroom quality, and child self-regulation during early childhood. Ten schools in urban districts serving primarily low-income Black students were randomly assigned to intervention or a “pre-kindergarten education as usual” control condition. Intervention included a family program (13-week behavioral parenting intervention and concurrent group for children) and professional development for early childhood teachers. The majority (88%) of the pre-kindergarten population (N=1050; age 4) enrolled in the trial and nearly 60% of parents in intervention schools participated in the family program. This study evaluated intervention impact on parenting (knowledge, positive behavior support, behavior management, involvement in early learning) and child conduct problems over a 2-year period (end of kindergarten). Intent-to-treat analyses found intervention effects on knowledge, positive behavior support and teacher-rated parent involvement in early learning. For the highest-risk families, intervention also resulted in increased parent-rated involvement in early learning and decreased harsh and inconsistent behavior management. Among boys at high risk for problems based on baseline behavioral dysregulation (age 4, 23% of sample), intervention led to lower rates of conduct problems at age 6. Family-centered intervention at the transition to school has potential to improve population health and break the cycle of disadvantage for low-income, minority families. PMID:24590412

  10. The soil-water system as basis for a climate proof and healthy urban environment: opportunities identified in a Dutch case-study.

    PubMed

    Claessens, Jacqueline; Schram-Bijkerk, Dieneke; Dirven-van Breemen, Liesbet; Otte, Piet; van Wijnen, Harm

    2014-07-01

    One of the effects of climate change expected to take place in urban areas in the Netherlands is an increase in periods of extreme heat and drought. How the soil can contribute to making cities more climate proof is often neglected. Unsealed soil and green spaces increase water storage capacity and can consequently prevent flooding. The planning of public or private green spaces can have a cooling effect and, in general, have a positive effect on how people perceive their health. This paper reviews existing guidelines from Dutch policy documents regarding unsealed soil and green spaces in the Netherlands; do they support climate adaptation policies? Scientific literature was used to quantify the positive effects of green spaces on water storage capacity, cooling and public health. Finally we present a case study of a model town where different policy areas are linked together. Maps were made to provide insight into the ratio of unsealed soil and the number of green spaces in relation to existing guidelines using Geographical Information Systems (GIS). Maps marking the age and social-economic status of the population were also made. The benefits of green spaces are difficult to express in averages because they depend on many different factors such as soil properties, type of green spaces, population characteristics and spatial planning. Moreover, it is not possible to provide quantifications of the benefits of green spaces because of a lack of scientific evidence at the moment. Based on the maps, however, policy assessments can be made, for example, in which site a neighborhood will most benefit from investment in parks and public gardens. Neighborhoods where people have a low social-economic status have for example fewer green spaces than others. This offers opportunities for efficient adaptation policies linking goals of several policy fields.

  11. [Comparability of studies of epidemiological research on aging : Results from the Longitudinal Urban Cohort Ageing Study (LUCAS) and three representative Hamburg cross-sectional studies of healthy aging].

    PubMed

    Dapp, Ulrike; Dirksen-Fischer, Martin; Rieger-Ndakorerwa, Gudrun; Fertmann, Regina; Stender, Klaus-Peter; Golgert, Stefan; von Renteln-Kruse, Wolfgang; Minder, Christoph E

    2016-05-01

    Participants of the Longitudinal Urban Cohort Ageing Study (LUCAS) were recruited from patients 60 years and older from general practitioner's offices in Hamburg. This is different from the usual methods of drawing representative samples. The research question addressed the comparability of LUCAS results with those from cross-sectional surveys with participants randomly chosen from a population list. Therefore, the LUCAS data collected in four waves during the first 12 years were compared with data (age, gender) from the Hamburg Statistics Office (HSO), and selected characteristics (socio-demography, health, mobility) from three representative cross-sectional surveys in older Hamburg citizens. First, HSO data compiled in population pyramids for older men and women were compared with equivalent pyramids based on the LUCAS data at recruitment (2000/01) and in waves 2 to 4. Second, characteristics worded identically in the cross-sectional surveys and the simultaneous LUCAS waves were compared. The LUCAS population pyramids were in good accordance at all time points with those of the general older population in Hamburg (except ages 60-64 in men in 2000). Good comparability was also found for health related characteristics from the three representative studies and simultaneous LUCAS waves (e. g. need of nursing care in 2012: LUCAS 7.1 %; Hamburg 7.4 %). Information on health in old age generated periodically in the LUCAS cohort was largely comparable with that from representative cross-sectional studies and statistics registries. Older people are frequently under-represented in epidemiological studies. Therefore, the LUCAS data may provide useful information for Hamburg and similar metropolitan areas in Germany.

  12. A population-level approach to promoting healthy child development and school success in low-income, urban neighborhoods: impact on parenting and child conduct problems.

    PubMed

    Dawson-McClure, Spring; Calzada, Esther; Huang, Keng-Yen; Kamboukos, Dimitra; Rhule, Dana; Kolawole, Bukky; Petkova, Eva; Brotman, Laurie Miller

    2015-02-01

    Minority children living in disadvantaged neighborhoods are at high risk for school dropout, delinquency, and poor health, largely due to the negative impact of poverty and stress on parenting and child development. This study evaluated a population-level, family-centered, school-based intervention designed to promote learning, behavior, and health by strengthening parenting, classroom quality, and child self-regulation during early childhood. Ten schools in urban districts serving primarily low-income Black students were randomly assigned to intervention or a "pre-kindergarten education as usual" control condition. Intervention included a family program (a 13-week behavioral parenting intervention and concurrent group for children) and professional development for early childhood teachers. The majority (88 %) of the pre-kindergarten population (N = 1,050; age 4) enrolled in the trial, and nearly 60 % of parents in intervention schools participated in the family program. This study evaluated intervention impact on parenting (knowledge, positive behavior support, behavior management, involvement in early learning) and child conduct problems over a 2-year period (end of kindergarten). Intent-to-treat analyses found intervention effects on parenting knowledge, positive behavior support, and teacher-rated parent involvement. For the highest-risk families, intervention also resulted in increased parent-rated involvement in early learning and decreased harsh and inconsistent behavior management. Among boys at high risk for problems based on baseline behavioral dysregulation (age 4, 23 % of sample), intervention led to lower rates of conduct problems at age 6. Family-centered intervention at the transition to school has potential to improve population health and break the cycle of disadvantage for low-income, minority families.

  13. Urban pollution.

    PubMed

    Sancini, Angela; Tomei, Francesco; Tomei, Gianfranco; Caciari, Tiziana; Di Giorgio, Valeria; André, Jean-Claude; Palermo, Paola; Andreozzi, Giorgia; Nardone, Nadia; Schifano, Maria Pia; Fiaschetti, Maria; Cetica, Carlotta; Ciarrocca, Manuela

    2012-01-01

    Air pollution represents a health risk for people living in urban environment. Urban air consists in a complex mixture of chemicals and carcinogens and its effects on health can be summarized in acute respiratory effects, neoplastic nonneoplastic (e.g. chronic bronchitis) chronic respiratory effects, and effects on other organs and systems. Air pollution may be defined according to origin of the phenomena that determine it: natural causes (natural fumes, decomposition, volcanic ash) or anthropogenic causes which are the result of human activities (industrial and civil emissions). Transport is the sector that more than others contributes to the deterioration of air quality in cities. In this context, in recent years, governments of the territory were asked to advance policies aimed at solving problems related to pollution. In consideration of the many effects on health caused by pollution it becomes necessary to know the risks from exposure to various environmental pollutants and to limit and control their effects. Many are the categories of "outdoor" workers, who daily serve the in urban environment: police, drivers, newsagents, etc.

  14. Effect of adiposity, season, diet and calcium or vitamin D supplementation on the vitamin D status of healthy urban African and Asian-Indian adults.

    PubMed

    George, Jaya A; Norris, Shane A; van Deventer, Hendrick E; Pettifor, John M; Crowther, Nigel J

    2014-08-28

    Vitamin D deficiency has been implicated in the aetiology of infectious diseases and metabolic syndrome. These diseases are prevalent in the African and Asian-Indian populations of South Africa; however, there is limited data on 25-hydroxyvitamin D (25(OH)D) concentrations in these populations. The aim of the present study was to assess the vitamin D status and its predictors in healthy adults in Johannesburg. We assessed the vitamin D status of 730 adult African and Asian-Indian subjects residing in Johannesburg. The contributions of sun exposure, season, dietary intake of Ca and vitamin D, total body fat and body fat distribution to 25(OH)D concentrations were assessed. The concentrations of 25(OH)D were measured by HPLC. The contribution of 25(OH)D₃ to total 25(OH)D concentrations was assessed. The mean age of the subjects was 42·6 (SD 13·1) years (range: 18-65). Concentrations of 25(OH)D < 30 nmol/l were found in 28·6 % of the Asian-Indian subjects in comparison with 5·1 % of the African subjects (P< 0·0001). Parathyroid hormone (PTH) concentrations were negatively associated with 25(OH)D concentrations, while season and sun exposure were positive predictors explaining 16 % of the variance in 25(OH)D concentrations (P< 0·0001) in the African subjects. In the Asian-Indian subjects, PTH concentrations were negatively associated with 25(OH)D concentrations, while male sex, season and Ca supplementation were positive predictors and explained 17 % of the variance in 25(OH)D concentrations (P< 0·0001). In the multivariate regression analysis, neither total body fat nor body fat distribution was predictive of 25(OH)D concentrations in either group. In conclusion, factors such as sun exposure, dietary supplement use and ethnicity are important determinants of plasma 25(OH)D concentrations.

  15. Reinventing Government.

    ERIC Educational Resources Information Center

    Osborne, David T.

    1993-01-01

    Throughout all levels of American government, a shift is taking place from the rigid, wasteful, centralized bureaucracies of the industrial era to the more flexible, entrepreneurial, decentralized government needed to succeed in today's world. This shift has been brought about by an unprecedented, ongoing fiscal crisis that has created a sudden…

  16. Remaking Governance.

    ERIC Educational Resources Information Center

    Carver, John

    2000-01-01

    The Policy Governance model's philosophical foundations lie in Rousseau's social contract, Greenleaf's servant-leadership, and modern management theory. Policy Governance stresses primacy of the owner-representative role; full-board authority; superintendents as chief executive officers; authoritative prescription of "ends," bounded…

  17. Evaluating consumer preferences for healthy eating from Community Kitchens in low-income urban areas: A discrete choice experiment of Comedores Populares in Peru.

    PubMed

    Buttorff, Christine; Trujillo, Antonio J; Diez-Canseco, Francisco; Bernabe-Ortiz, Antonio; Miranda, J Jaime

    2015-09-01

    Many low-income individuals from around the world rely on local food vendors for daily sustenance. These small vendors quickly provide convenient, low-priced, tasty foods, however, they may be low in nutritional value. These vendors serve as an opportunity to use established delivery channels to explore the introduction of healthier products, e.g. fresh salad and fruits, to low-income populations. We sought to understand preferences for items prepared in Comedores Populares (CP), government-supported food vendors serving low-income Peruvians, to determine whether it would be feasible to introduce healthier items, specifically fruits and vegetables. We used a best-worst discrete choice experiment (DCE) that allowed participants to select their favorite and least favorite option from a series of three hypothetical menus. The characteristics were derived from a series of formative qualitative interviews conducted previously in the CPs. We examined preferences for six characteristics: price, salad, soup, sides, meat and fruit. A total of 432 individuals, from two districts in Lima, Peru responded to a discrete choice experiment and demographic survey in 2012. For the DCE, price contributed the most to individual's utility relative to the other attributes, with salad and soup following closely. Sides (e.g. rice and beans) were the least important. The willingness to pay for a meal with a large main course and salad was 2.6 Nuevos Soles, roughly a 1 Nuevo Sol increase from the average menu price, or USD $0.32 dollars. The willingness to pay for a meal with fruit was 1.6 Nuevo Soles. Overall, the perceived quality of service and food served in the CPs is high. The willingness to pay indicates that healthier additions to meals are feasible. Understanding consumer preferences can help policy makers design healthier meals in an organization with the potential to scale up to reach a considerable number of low-income families. Copyright © 2015 Elsevier Ltd. All rights

  18. 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.…

  19. 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.…

  20. 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

  1. 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

  2. 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.

  3. 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…

  4. 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)…

  5. Government Agencies

    DTIC Science & Technology

    1988-05-01

    large, complex , and difficult to manage. U.S. Government procurement is the largest business enterprise in the world affecting the security...listed in this study.) With the single exception of rocket and spacecraft acquisitions, ship acquisitions are the highest cost and most complex ...acquisitions U.S. Government agencies undertake. Many factors influence the level of complexity for a given ship acquisition program. Between the Navy and

  6. Successful Shared Governance Through Education.

    PubMed

    Brull, Stacey

    2015-01-01

    Shared governance is one way nurses can attain a healthy work environment. Having direct-care nurses involved in raising relevant clinical and operational issues and creating systematic approaches has been linked to greater levels of empowerment which is often transposed into shared governance. Nurse leaders at one hospital used a comprehensive educational strategy to implement shared governance in less than 2 years. An authoritative style of leadership and decision making does not meet the needs of today's complex health care environment; nor does it meet the needs of today's employees. The focus on a very deliberate and educational strategy for shared governance was successful in building the structures and processes needed to take a unit and division from traditional governance to shared governance in less than 2 years.

  7. 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...

  8. 12 CFR 1710.10 - Law applicable to corporate governance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Law applicable to corporate governance. 1710.10... AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS CORPORATE GOVERNANCE Corporate Practices and Procedures § 1710.10 Law applicable to corporate governance. (a) General. The corporate governance practices...

  9. 12 CFR 1710.10 - Law applicable to corporate governance.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 9 2013-01-01 2013-01-01 false Law applicable to corporate governance. 1710.10... AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS CORPORATE GOVERNANCE Corporate Practices and Procedures § 1710.10 Law applicable to corporate governance. (a) General. The corporate governance practices...

  10. 12 CFR 1710.10 - Law applicable to corporate governance.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 10 2014-01-01 2014-01-01 false Law applicable to corporate governance. 1710... HOUSING AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS CORPORATE GOVERNANCE Corporate Practices and Procedures § 1710.10 Law applicable to corporate governance. (a) General. The corporate governance practices...

  11. 12 CFR 1710.10 - Law applicable to corporate governance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 7 2011-01-01 2011-01-01 false Law applicable to corporate governance. 1710.10... AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS CORPORATE GOVERNANCE Corporate Practices and Procedures § 1710.10 Law applicable to corporate governance. (a) General. The corporate governance practices...

  12. 12 CFR 1710.10 - Law applicable to corporate governance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 9 2012-01-01 2012-01-01 false Law applicable to corporate governance. 1710.10... AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS CORPORATE GOVERNANCE Corporate Practices and Procedures § 1710.10 Law applicable to corporate governance. (a) General. The corporate governance practices...

  13. 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

    ... URBAN DEVELOPMENT Healthy Home and Lead Hazard Control Grant Programs Data Collection; Progress... progress of Healthy Homes Demonstration Program, Healthy Homes Technical Studies Program, Lead Base paint Hazard Control program, Lead Hazard Reduction Demonstration Program, Lead Outreach Program, Lead...

  14. 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…

  15. 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.

  16. Healthy Sexuality

    MedlinePlus

    ... a sexual experience is safe, healthy, and enjoyable. Sexual health is a vital part of a person’s total well-being. Of course, sex is essential for reproduction, but it can also build intimacy in relationships ...

  17. Healthy Eyes

    MedlinePlus

    ... please turn Javascript on. Healthy Eyes Maintaining Your Vision Click for more information Taking good care of ... are qualified to perform eye exams. Aging and Vision Changes As you age, it is normal to ...

  18. Government Regulatory

    NASA Astrophysics Data System (ADS)

    Becker, Katie

    Government regulation of food products, food processing, and food preparation is imperative in bringing an unadulterated, nonmisleading, and safe food product to market and is relevant to all areas of food science, including engineering, processing, chemistry, and microbiology. The liability associated with providing consumers with an adulterated or substandard product cannot only tarnish a company's name and reputation, but also impose substantial financial repercussions on the company and those individuals who play an active role in the violation. In order for a company to fully comply with the relevant food laws (both federal and state), an intimate knowledge of food science is required. Individuals knowledgeable in food science play an integral role not only in implementing and counseling food companies/processors to ensure compliance with government regulations, but these individuals are also necessary to the state and federal governments that make and enforce the relevant laws and regulators.

  19. Healthy Bones

    MedlinePlus

    ... Grants News & Events About U.S. Department of Health & Human Services The White House USA.gov: The U.S. Government's Official Web Portal Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD ...

  20. Project Canada West. Canurgo (Canadian Urban Government).

    ERIC Educational Resources Information Center

    Western Curriculum Project on Canada Studies, Edmonton (Alberta).

    The curriculum material the Nanaimo District Senior High School curriculum development project is designing is based on the City of Nanaimo and its environs. The problem selected for their substantive research is the socio-political process in a growing city including the role and impact of: 1) civil service, elected officials, voters, and…

  1. 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.

  2. A combined high-sugar and high-saturated-fat dietary pattern is associated with more depressive symptoms in a multi-ethnic population: the HELIUS (Healthy Life in an Urban Setting) study.

    PubMed

    Vermeulen, Esther; Stronks, Karien; Snijder, Marieke B; Schene, Aart H; Lok, Anja; de Vries, Jeanne H; Visser, Marjolein; Brouwer, Ingeborg A; Nicolaou, Mary

    2017-09-01

    To identify a high-sugar (HS) dietary pattern, a high-saturated-fat (HF) dietary pattern and a combined high-sugar and high-saturated-fat (HSHF) dietary pattern and to explore if these dietary patterns are associated with depressive symptoms. We used data from the HELIUS (Healthy Life in an Urban Setting) study and included 4969 individuals aged 18-70 years. Diet was assessed using four ethnic-specific FFQ. Dietary patterns were derived using reduced rank regression with mono- and disaccharides, saturated fat and total fat as response variables. The nine-item Patient Health Questionnaire (PHQ-9) was used to assess depressive symptoms by using continuous scores and depressed mood (identified using the cut-off point: PHQ-9 sum score ≥10). The Netherlands. Three dietary patterns were identified; an HSHF dietary pattern (including chocolates, red meat, added sugars, high-fat dairy products, fried foods, creamy sauces), an HS dietary pattern (including sugar-sweetened beverages, added sugars, fruit (juices)) and an HF dietary pattern (including high-fat dairy products, butter). When comparing extreme quartiles, consumption of an HSHF dietary pattern was associated with more depressive symptoms (Q1 v. Q4: β=0·18, 95 % CI 0·07, 0·30, P=0·001) and with higher odds of depressed mood (Q1 v. Q4: OR=2·36, 95 % CI 1·19, 4·66, P=0·014). No associations were found between consumption of the remaining dietary patterns and depressive symptoms. Higher consumption of an HSHF dietary pattern is associated with more depressive symptoms and with depressed mood. Our findings reinforce the idea that the focus should be on dietary patterns that are high in both sugar and saturated fat.

  3. Changes in Chinese Urban Family Structure.

    ERIC Educational Resources Information Center

    Tsui, Ming

    1989-01-01

    Examined incidence of urban nuclear and stem families in China and impact of government policies on urban family structure since 1949 through analysis of 1982 Five-City Family Survey of Chinese urban families (N=5,057). Concluded that rapid decrease in stem families is not soon likely because of traditional, social, political, and economic…

  4. 24 CFR 598.210 - What certifications must governments make?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... pervasive poverty, unemployment and general distress, as prescribed by § 598.110; (c) The nominated urban... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false What certifications must governments make? 598.210 Section 598.210 Housing and Urban Development Regulations Relating to Housing...

  5. 24 CFR 966.56 - Procedures governing the hearing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 4 2013-04-01 2013-04-01 false Procedures governing the hearing. 966.56 Section 966.56 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN DEVELOPMENT (CONTINUED) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING, DEPARTMENT OF HOUSING...

  6. 24 CFR 966.56 - Procedures governing the hearing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 4 2011-04-01 2011-04-01 false Procedures governing the hearing. 966.56 Section 966.56 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN DEVELOPMENT (CONTINUED) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING, DEPARTMENT OF HOUSING...

  7. 24 CFR 966.56 - Procedures governing the hearing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 4 2014-04-01 2014-04-01 false Procedures governing the hearing. 966.56 Section 966.56 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN DEVELOPMENT (CONTINUED) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING, DEPARTMENT OF HOUSING...

  8. 24 CFR 966.56 - Procedures governing the hearing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 4 2012-04-01 2012-04-01 false Procedures governing the hearing. 966.56 Section 966.56 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN DEVELOPMENT (CONTINUED) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING, DEPARTMENT OF HOUSING...

  9. 24 CFR 91.105 - Citizen participation plan; local governments.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 1 2014-04-01 2014-04-01 false Citizen participation plan; local governments. 91.105 Section 91.105 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development CONSOLIDATED SUBMISSIONS FOR COMMUNITY PLANNING AND DEVELOPMENT PROGRAMS...

  10. 24 CFR 91.105 - Citizen participation plan; local governments.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 1 2013-04-01 2013-04-01 false Citizen participation plan; local governments. 91.105 Section 91.105 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development CONSOLIDATED SUBMISSIONS FOR COMMUNITY PLANNING AND DEVELOPMENT PROGRAMS...

  11. 24 CFR 91.105 - Citizen participation plan; local governments.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Citizen participation plan; local governments. 91.105 Section 91.105 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development CONSOLIDATED SUBMISSIONS FOR COMMUNITY PLANNING AND DEVELOPMENT PROGRAMS...

  12. 24 CFR 91.105 - Citizen participation plan; local governments.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 1 2012-04-01 2012-04-01 false Citizen participation plan; local governments. 91.105 Section 91.105 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development CONSOLIDATED SUBMISSIONS FOR COMMUNITY PLANNING AND DEVELOPMENT PROGRAMS...

  13. Revitalizing urban waterways

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    2011-07-01

    Eleven U.S. federal agencies have joined together in a new initiative to protect and revitalize urban waterways and communities. The Urban Waters Federal Partnership, announced on 24 June, is focusing on seven pilot locations to help urban communities reconnect with and revitalize their waterways, according to Lisa Jackson, administrator of the U.S. Environmental Protection Agency (EPA), which launched the initiative. “Urban waters have the potential to support healthy environments, growing businesses, and educational and recreational activities. By bringing together the experience and expertise of multiple federal partners, we have a chance to reconnect local residents, young people, and community groups with the environmental resources all around them,” she said.

  14. Healthy Learning.

    ERIC Educational Resources Information Center

    Kennedy, Mike

    2003-01-01

    Offers ten suggestions for schools and universities to help maintain a healthy indoor environment: proper flooring, sanitary washrooms, consistent maintenance, indoor air quality, preventing mold, daylighting, good acoustics, avoiding volatile organic compounds (VOCs), ergonomic furniture, and well-maintained roofs. (EV)

  15. Healthy Learning.

    ERIC Educational Resources Information Center

    Kennedy, Mike

    2003-01-01

    Offers ten suggestions for schools and universities to help maintain a healthy indoor environment: proper flooring, sanitary washrooms, consistent maintenance, indoor air quality, preventing mold, daylighting, good acoustics, avoiding volatile organic compounds (VOCs), ergonomic furniture, and well-maintained roofs. (EV)

  16. Towards healthy cities.

    PubMed

    Satterthwaite, D

    1996-01-01

    Cities contain many of the world's most unhealthy living environments. They are considered ecologically unsustainable because of high consumption and waste levels, attributed to high population density. However, well planned and managed cities can combine high living standards with remarkably low levels of energy consumption, resource use and wastes. The concentration of people and production creates many more possibilities of collecting and recycling wastes and for walking, bicycling and a high quality public transport. This potential for providing healthy, stimulating and valued places to live and work for all age groups could be achieved with good governance. In any city, this approach means encouragement and support from all levels of government for a great range of investments of capital, expertise and time by individuals, households, communities, voluntary organizations and nongovernmental organizations, as well as private enterprises. Moreover, this means managing competing claims and finding common ground between enterprises, trade unions and residents about what should be done to make the city healthier.

  17. 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.

  18. 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).

  19. Healthy clocks, healthy body, healthy mind

    PubMed Central

    Reddy, Akhilesh B.; O’Neill, John S.

    2010-01-01

    Circadian rhythms permeate mammalian biology. They are manifested in the temporal organisation of behavioural, physiological, cellular and neuronal processes. Whereas it has been shown recently that these ∼24-hour cycles are intrinsic to the cell and persist in vitro, internal synchrony in mammals is largely governed by the hypothalamic suprachiasmatic nuclei that facilitate anticipation of, and adaptation to, the solar cycle. Our timekeeping mechanism is deeply embedded in cell function and is modelled as a network of transcriptional and/or post-translational feedback loops. Concurrent with this, we are beginning to understand how this ancient timekeeper interacts with myriad cell systems, including signal transduction cascades and the cell cycle, and thus impacts on disease. An exemplary area where this knowledge is rapidly expanding and contributing to novel therapies is cancer, where the Period genes have been identified as tumour suppressors. In more complex disorders, where aetiology remains controversial, interactions with the clockwork are only now starting to be appreciated. PMID:19926479

  20. Healthy Toronto by Design: Promoting a healthier built environment.

    PubMed

    Macfarlane, Ronald G; Wood, Linda P; Campbell, Monica E

    2014-07-08

    Chronic diseases, obesity and sedentary lifestyles are some of the health challenges facing Canada today. There is increasing recognition and evidence that the way our cities are planned, designed and built can contribute to these problems. Many of the policy levers to address the built environment exist outside the health sector and at the municipal level in areas such as urban planning, transportation, parks and recreation, and housing. The challenge for the public health sector is to build and sustain partnerships and collaboration across various sectors to ensure that health is considered in built environment policies. As the public health unit for the city of Toronto and part of the municipal government, Toronto Public Health is in a unique position to provide leadership, advocacy and support for healthy municipal public policies related to the built environment. This article provides some examples of CLASP (Coalitions Linking Action and Science for Prevention) initiatives undertaken to help create support for healthy public policies in the built environment and suggests that the "Healthy Cities" approach is a useful framework to promote policy change in the built environment at the municipal level.

  1. 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.

  2. 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

  3. Urban form, health, and the law's limits.

    PubMed

    Buzbee, William W

    2003-09-01

    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.

  4. Urban HEART Detroit: a Tool To Better Understand and Address Health Equity Gaps in the City.

    PubMed

    Mehdipanah, R; Schulz, A J; Israel, B A; Gamboa, C; Rowe, Z; Khan, M; Allen, A

    2017-09-19

    The Urban Health Equity Assessment Response Tool (Urban HEART) combines statistical evidence and community knowledge to address urban health inequities. This paper describes the process of adopting and implementing this tool for Detroit, Michigan, the first city in the USA to use it. The six steps of Urban HEART were implemented by the Healthy Environments Partnership, a community-based participatory research partnership made up of community-based organizations, health service providers, and researchers based in academic institutions. Local indicators and benchmarks were identified and criteria established to prioritize a response plan. We examine how principles of CBPR influenced this process, including the development of a collaborative and equitable process that offered learning opportunities and capacity building among all partners. For the health equity matrix, 15 indicators were chosen within the Urban HEART five policy domains: physical environment and infrastructure, social and human development, economics, governance, and population health. Partners defined the criteria and ranked them for use in assessing and prioritizing health equity gaps. Subsequently, partners generated a series of potential actions for indicators prioritized in this process. Engagement of community partners contributed to benchmark selection and modification, and provided opportunities for dialog and co-learning throughout the process. Application of a CBPR approach provided a foundation for engagement of partners in the Urban HEART process of identifying health equity gaps. This approach offered multiple opportunities for discussion that shaped interpretation and development of strategies to address identified issues to achieve health equity.

  5. Paying for healthy rivers.

    PubMed

    Pigram, J J J

    2002-01-01

    Concerted efforts are being made at state and federal levels to restore Australia's rivers and waterways to a healthy condition. Yet, there is little consensus on what constitutes a "healthy river" and even less on how to achieve this, or how far to go towards restoration. Some advocate removal of storages and weirs along rivers to revert to some natural state. Others, particularly water users, question the trade-offs involved in leaving more water in the rivers and how the costs of restoration are to be met. At present it seems that the major share of the costs is borne by irrigators, with the wider community essentially enjoying a "free-ride". This situation is justified on the basis of the impactor pays principle whereby water diversions, primarily for irrigation, are held to have contributed most to degradation of the river systems. The altemative-beneficiary pays principle--is of more relevance where demands are made on resource users to mitigate environmental impacts or bring about environmental improvements, eg. healthy rivers, where the beneficiaries are the wider public and the general community. Many resource users are voluntarily undertaking action on private land to conserve biodiversity and achieve sustainability. In these circumstances, the cost-sharing principle should apply, with governments, interest groups and the community contributing to the investment required to attain the desired resource condition objectives.

  6. Urban History, Urban Health

    PubMed Central

    Knowlton, Kim

    2001-01-01

    Over the course of the 20th century, the United States became an urban nation: 80% of Americans now live in metropolitan areas. Supplying basic sanitary services—drinking water, sewers, and garbage removal—to these cities is a gargantuan task, yet most people have little understanding of urban infrastructure systems and their enormous regional ecologic impacts. Municipalization of sanitary services, especially since 1880, distanced people from their wastes and gave city dwellers a simplistic experience of one-way material flow through cities, without knowledge of the environmental costs. Most sanitary infrastructures were built primarily for durability and lack the elasticity to meet changing needs. The challenge now is to adapt sanitary systems for flexibility and simultaneously move from unchecked material consumption toward resource-based thinking. PMID:11726370

  7. 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.

  8. Gender Disparities and Socio-Economic Factors on Learning Achievements in Agricultural Science in Rural and Urban Secondary Schools of Ogbomoso North Local Government Area of Oyo State, Nigeria

    ERIC Educational Resources Information Center

    Amao, S. R.; Gbadamosi, J.

    2015-01-01

    To contribute to the realization of the Millennium Development Goal (MDG) by the United Nations on the promotion of gender equity, the researchers sought to empirically verify the existence or otherwise of gender inequality in the agricultural and science achievement of urban and rural, male and female students in Ogbomoso North Local Government…

  9. Healthy Water Healthy People Field Monitoring Guide

    ERIC Educational Resources Information Center

    Project WET Foundation, 2003

    2003-01-01

    This 100-page manual serves as a technical reference for the "Healthy Water, Healthy People Water Quality Educators Guide" and the "Healthy Water Healthy People Testing Kits". Yielding in-depth information about ten water quality parameters, it answers questions about water quality testing using technical overviews, data interpretation guidelines,…

  10. Healthy Water Healthy People Field Monitoring Guide

    ERIC Educational Resources Information Center

    Project WET Foundation, 2003

    2003-01-01

    This 100-page manual serves as a technical reference for the "Healthy Water, Healthy People Water Quality Educators Guide" and the "Healthy Water Healthy People Testing Kits". Yielding in-depth information about ten water quality parameters, it answers questions about water quality testing using technical overviews, data interpretation guidelines,…

  11. 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…

  12. 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…

  13. 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...

  14. 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...

  15. 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.

  16. 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...

  17. Understanding Urban Regeneration in Turkey

    NASA Astrophysics Data System (ADS)

    Candas, E.; Flacke, J.; Yomralioglu, T.

    2016-06-01

    In Turkey, rapid population growth, informal settlements, and buildings and infrastructures vulnerable to natural hazards are seen as the most important problems of cities. Particularly disaster risk cannot be disregarded, as large parts of various cities are facing risks from earthquakes, floods and landslides and have experienced loss of lives in the recent past. Urban regeneration is an important planning tool implemented by local and central governments in order to reduce to disaster risk and to design livable environments for the citizens. The Law on the Regeneration of Areas under Disaster Risk, commonly known as the Urban Regeneration Law, was enacted in 2012 (Law No.6306, May 2012). The regulation on Implementation of Law No. 6306 explains the fundamental steps of the urban regeneration process. The relevant institutions furnished with various authorities such as expropriation, confiscation and changing the type and place of your property which makes urban regeneration projects very important in terms of property rights. Therefore, urban regeneration projects have to be transparent, comprehensible and acceptable for all actors in the projects. In order to understand the urban regeneration process, the legislation and projects of different municipalities in Istanbul have been analyzed. While some steps of it are spatial data demanding, others relate to land values. In this paper an overview of the urban regeneration history and activities in Turkey is given. Fundamental steps of the urban regeneration process are defined, and particularly spatial-data demanding steps are identified.

  18. Healthy Family 2009: Assuring Healthy Aging

    MedlinePlus

    ... Navigation Bar Home Current Issue Past Issues Healthy Family 2009 Assuring Healthy Aging Past Issues / Winter 2009 ... for steady, modest loss. Seek emotional support from family and friends. Expect setbacks; forgive yourself. Make physical ...

  19. Healthy Family 2009: Practicing Healthy Adult Living

    MedlinePlus

    ... Navigation Bar Home Current Issue Past Issues Healthy Family 2009 Practicing Healthy Adult Living Past Issues / Winter ... diabetes, or if heart disease runs in your family, begin checking cholesterol at age 20. Colorectal Cancer : ...

  20. Healthy Places for Healthy People 2016 Application

    EPA Pesticide Factsheets

    Application form for the 2016 round of Healthy Places for Healthy People technical assistance to help communities work with health care partners to revitalize downtowns and neighborhoods while helping residents live healthier lives.

  1. The city government's role in community health improvement.

    PubMed Central

    Clark, D K

    2000-01-01

    Amid increasing pressures to address complex issues not traditionally assigned to localities, Healthy Cities is seen as a powerful model for community improvement and quality-of-life enhancements for individuals and organizations willing to think beyond the traditional local government management models and responsibilities. As a model for community-oriented government, it offers opportunities for fostering a return to "barnraising" concepts, civic responsibility, participation, tailoring solutions to local circumstances, and the transition of local government to governance models. PMID:10968757

  2. 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

  3. Urban Blight or Urban Hope?

    ERIC Educational Resources Information Center

    Enderle, Jerry

    2002-01-01

    Discusses ways urban communities can improve neglected educational facilities, including converting existing commercial buildings into "new paradigm" schools and breaking large schools into small, specialized academies. (EV)

  4. 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...

  5. 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... Empowerment Zone; (2) Make the commitments required of nominating entities by § 598.215(b); and (3) Provide...

  6. Alaska Government and Politics: Study Guide and Workbook.

    ERIC Educational Resources Information Center

    McBeath, Jerry; And Others

    This study guide and workbook is intended to be used by students in conjunction with two books: "Alaska State Government and Politics" and "Alaska's Urban and Rural Governments." Each of the 15 units in the guide contains four sections. (1) The learning objectives tell the students what they should have learned after reading…

  7. Urban Resources.

    ERIC Educational Resources Information Center

    Novak, Kathy

    Designed as a resource for urban adult basic education (ABE) program planners, this guidebook describes model linkage strategies between ABE and job placement as well as ABE and job training services that are targeted to urban Americans. The following topics are covered in the guide: linkage strategies (the meaning of the term linkages, community…

  8. Urban Renewal.

    ERIC Educational Resources Information Center

    Johnston, Robert C.

    2001-01-01

    Discusses the court-ordered, multibillion-dollar infusion of funds to New Jersey cities for improving their school facilities and whether these additional funds will cause an urban renaissance. Some examples of New Jersey urban school facility needs are highlighted. (GR)

  9. Urban Forests

    Treesearch

    David Nowak

    2016-01-01

    Urban forests (and trees) constitute the second forest resource considered in this report. We specifically emphasize the fact that agricultural and urban forests exist on a continuum defined by their relationship (and interrelationship) with a given landscape. These two forest types generally serve different purposes, however. Whereas agricultural forests are...

  10. Urban Renewal.

    ERIC Educational Resources Information Center

    Johnston, Robert C.

    2001-01-01

    Discusses the court-ordered, multibillion-dollar infusion of funds to New Jersey cities for improving their school facilities and whether these additional funds will cause an urban renaissance. Some examples of New Jersey urban school facility needs are highlighted. (GR)

  11. Having a Healthy Pregnancy

    MedlinePlus

    ... Week of Healthy Breakfasts Shyness Having a Healthy Pregnancy KidsHealth > For Teens > Having a Healthy Pregnancy A ... or she can help you to get treatment. Pregnancy Discomforts Pregnancy can cause some uncomfortable side effects. ...

  12. Healthy Sleep Habits

    MedlinePlus

    ... Sleep Apnea Testing CPAP Healthy Sleep Habits Healthy Sleep Habits Your behaviors during the day, and especially ... team at an AASM accredited sleep center . Quick Sleep Tips Follow these tips to establish healthy sleep ...

  13. 24 CFR 291.505 - Definition of “unit of general local government.”

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 2 2013-04-01 2013-04-01 false Definition of âunit of general local government.â 291.505 Section 291.505 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING...

  14. 24 CFR 291.505 - Definition of “unit of general local government.”

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Definition of âunit of general local government.â 291.505 Section 291.505 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING...

  15. 24 CFR 291.505 - Definition of “unit of general local government.”

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Definition of âunit of general local government.â 291.505 Section 291.505 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING...

  16. 24 CFR 291.505 - Definition of “unit of general local government.”

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Definition of âunit of general local government.â 291.505 Section 291.505 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING...

  17. 24 CFR 291.505 - Definition of “unit of general local government.”

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 2 2012-04-01 2012-04-01 false Definition of âunit of general local government.â 291.505 Section 291.505 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING...

  18. 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.

  19. Urbanization and Insurgency: The Turkish Case, 1976-1980

    DTIC Science & Technology

    1991-01-01

    beLween 1950 and 1975.3 ’Michael N. Danielson and Rusen Keles, "Urbanization and Income Distribution in Turkey," in Ergun Ozbudun and Aydin Ulusan (eds...comprehensive study of urbanization in Turkey, see Michael N. Danielson and Rusen Keles, The Politics of Rapid Urbanization: Government and Growth in Modern...Istanbul, 1969; and Rusen Keles, 100 Soruda Turkiye’de Sehirlesme, Konut, ve Gecekondu (Urbanization, housing, and squatter settlements in Turkey

  20. [Governance for health].

    PubMed

    Holčík, Jan

    2012-01-01

    New approaches to governance are driven by the changing nature of the challenges faced by 21st century societies. People, their health and capabilities are the key resources of a knowledge society. In the article the meaning of "governance for health" is explained and some methods of governance are presented. Governance for health will be implemented in the new European health policy - Health 2020.

  1. Problems in Urban Centers. Oversight Hearings before the Committee on the District of Columbia. House of Representatives, Ninety-Sixth Congress, Second Session on Problems in Urban Centers, Washington, D.C., and the Federal Government Role (June 25, 26, 27, July 23, 24, 30, and September 30, 1980). [Volume I]. Serial No. 96-16.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on the District of Columbia.

    This is a transcript which documents 1980 hearings of the House of Representatives Committee on the District of Columbia. The transcript compares past and present conditions in Washington, D.C. and other American cities; surveys how Federal assistance has helped or hindered the ability of cities to confront urban problems; and explores how Federal…

  2. 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.

  3. 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.

  4. Strengthening health services to deliver nutrition education to promote complementary feeding and healthy growth of infants and young children: formative research for a successful intervention in peri-urban Trujillo, Peru.

    PubMed

    Robert, Rebecca C; Creed-Kanashiro, Hilary M; Villasante, Ruben; Narro, M Rocio; Penny, Mary E

    2017-04-01

    Formative research is critical for developing effective nutrition-specific interventions to improve infant and young child (IYC) feeding practices and promote healthy growth. Health workers interact with caregivers during health facility visits, yet there is limited research about how to optimize delivery of such interventions during these visits. The extensive reach of IYC health services globally calls for research to address this gap. In Trujillo, Peru, formative research was conducted to explore complementary feeding practices with caregivers as well as health worker routines and interactions with caregivers related to feeding and healthy growth; results informed the development and delivery of an educational intervention. Multiple qualitative methods were used to collect data on a purposive sample of health workers and caregivers from three health facilities and communities: household trials followed. Complementary feeding messages with doable behaviours were developed, and three were selected as key to promote based on their nutritional impact and cultural acceptability. In the health facilities, medical consultation, well-child visits and nutrition consultation all dealt with aspects of IYC nutrition/growth during their interactions with caregivers but were independent and inconsistent in approach. A nutrition education strategy was developed based on consistency, quality and coverage in the IYC health services. We conclude that formative research undertaken in the community and IYC health services was critical to developing a successful and culturally relevant intervention to promote optimal complementary feeding practices and healthy growth during interactions between health workers and caregivers at routine health facility visits. © 2016 John Wiley & Sons Ltd. © 2016 John Wiley & Sons Ltd.

  5. 24 CFR 570.906 - Review of urban counties.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... accountable for the actions or failures to act of any of the units of general local government participating in the urban county. Where the Department finds that a participating unit of government has failed to... county's use of funds made available under this part for that unit of government. HUD will also consider...

  6. 24 CFR 570.906 - Review of urban counties.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... accountable for the actions or failures to act of any of the units of general local government participating in the urban county. Where the Department finds that a participating unit of government has failed to... county's use of funds made available under this part for that unit of government. HUD will also consider...

  7. Leisure, Government and Governance: A Swedish Perspective

    ERIC Educational Resources Information Center

    Lindstrom, Lisbeth

    2011-01-01

    The leisure sector has witnessed a tremendous expansion since 1960. The purpose of this article is to analyse the decisions and goals of Swedish government policy during the period 1962 to 2005. The empirical analysis covers government Propositions and governmental investigations. The fields covered are sports, culture, exercise, tourism and…

  8. Leisure, Government and Governance: A Swedish Perspective

    ERIC Educational Resources Information Center

    Lindstrom, Lisbeth

    2011-01-01

    The leisure sector has witnessed a tremendous expansion since 1960. The purpose of this article is to analyse the decisions and goals of Swedish government policy during the period 1962 to 2005. The empirical analysis covers government Propositions and governmental investigations. The fields covered are sports, culture, exercise, tourism and…

  9. 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.

  10. 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

  11. 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.

  12. Promoting Healthy Schools through Action Research

    ERIC Educational Resources Information Center

    Browne, Elizabeth

    2004-01-01

    This article reports on research funded as a "Best Practice" project by the Department for Education and Skills (DfES) designed to use action research to progress the government agenda for healthy schools. The project involved teachers working with university researcher. The outcome is five small research reports consisting of two…

  13. Promoting Healthy Schools through Action Research

    ERIC Educational Resources Information Center

    Browne, Elizabeth

    2004-01-01

    This article reports on research funded as a "Best Practice" project by the Department for Education and Skills (DfES) designed to use action research to progress the government agenda for healthy schools. The project involved teachers working with university researcher. The outcome is five small research reports consisting of two…

  14. 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

  15. 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.

  16. Urban Dispersion Program: Urban Measurements Applied to Emergency Response

    SciTech Connect

    Allwine, K Jerry; Clawson, Kirk L.; Flaherty, Julia E.; Heiser, John H.; Hosker, Rayford P.; Leach, Martin J.; stockham, Leo W.

    2007-09-10

    Air motions in and around cities are highly complex, and the increasing threat of harmful releases into urban atmospheres makes advancing the state-of-science of understanding and modeling atmospheric flows and dispersion in and around cities essential. The four-year Urban Dispersion Program (UDP) funded primarily by the U.S. Department of Homeland Security and the Defense Threat Reduction Agency has recently been completed. The program’s primary focus was to conduct tracer and meteorological field studies in Manhattan to improve our understanding of flow and dispersion of airborne contaminants through and around the deep street canyons of New York City, including outdoor-indoor-subway exchange mechanisms. Additionally, urban dispersion models are being validated and first-responder guidance are being refined using data collected during the two UDP field studies. Pacific Northwest National Laboratory led several government laboratories, universities and private companies in conducting the two UDP field studies. The first study was a small-scale study that investigated dispersion in the immediate vicinity of the Madison Square Garden during March 2005 (MSG05), while the second UDP study was an extensive study conducted during August 2005 in Midtown Manhattan (MID05). A brief overview of the UDP field studies will be given followed by a discussion of some limitations of current urban models in simulating dispersion in urban areas. Some first-responder guidance based on findings from recent urban field studies will also be presented.

  17. 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

  18. Rediscovering nature in everyday settings: or how to create healthy environments and healthy people.

    PubMed

    Maller, Cecily J; Henderson-Wilson, Claire; Townsend, Mardie

    2009-12-01

    It is estimated that half of the world's population now live in urban environments. Urban living necessitates a removal from nature, yet evidence indicates that contact with nature is beneficial for human health. In fact, everyday urban places, such as where people live, study, and work, provide opportunities to bring nature back into cities to contribute to positive, healthy environments for people and to foster the human-nature connection. The inclusion of more nature in cities could have additional environmental benefits, such as habitat provision and improving the environmental performance of built environments. In the context of climate change, outcomes such as these assume further importance. This article explores how common urban places can foster links between people and nature, and generate positive health and well-being outcomes. We achieve this by exploring nature in the everyday settings of schools and residential housing.

  19. 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

    ... URBAN DEVELOPMENT Order of Succession for the Office of Healthy Homes and Lead Hazard Control AGENCY: Office of Healthy Homes and Lead Hazard Control, HUD. ACTION: Notice of Order of Succession. SUMMARY: In this notice, the Director of the Office of Healthy Homes and Lead Hazard Control for the Department of...

  20. 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

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection: Healthy Homes and Lead Hazard Control Programs Data Collection--Progress Reporting AGENCY: Office of Healthy Homes and Lead Hazard Control, HUD... Miller, Reports Liaison Officer, Office of Healthy Homes and Lead Hazard Control, Department of Housing...

  1. Preventing chronic diseases by promoting healthy diet and lifestyle: public policy implications for China.

    PubMed

    Hu, F B; Liu, Y; Willett, W C

    2011-07-01

    Fuelled by rapid urbanization and changes in dietary and lifestyle choices, chronic diseases have emerged as a critical public health issue in China. The Healthy China 2020 programme recently announced by the Chinese government has set an overarching goal of promoting public health and making health care accessible and affordable for all Chinese citizens by year 2020. One of important components of the programme is to reduce chronic diseases by promoting healthy eating and active lifestyles. Chronic diseases not only affect health and quality of life, but also have economical and social consequences. With a limited infrastructure for chronic disease care, China is ill-equipped to deal with the escalating chronic disease epidemic, which threatens to reverse the gains of economic development in recent decades. Population-based intervention studies conducted in China and elsewhere have demonstrated the efficacy and effectiveness of several preventive strategies to reduce risk of chronic diseases in high-risk individuals and the general population. However, translating these findings into practice requires changes in health systems and public policies. To achieve the goals set by the Healthy China 2020 programme, prevention of chronic diseases should be elevated to a national public policy priority.

  2. Transformative environmental governance

    USGS Publications Warehouse

    Chaffin, Brian C.; Garmestani, Ahjond S.; Gunderson, Lance H.; Harm Benson, Melinda; Angeler, David G.; Arnold, Craig Anthony (Tony); Cosens, Barbara; Kundis Craig, Robin; Ruhl, J.B.; Allen, Craig R.

    2016-01-01

    Transformative governance is an approach to environmental governance that has the capacity to respond to, manage, and trigger regime shifts in coupled social-ecological systems (SESs) at multiple scales. The goal of transformative governance is to actively shift degraded SESs to alternative, more desirable, or more functional regimes by altering the structures and processes that define the system. Transformative governance is rooted in ecological theories to explain cross-scale dynamics in complex systems, as well as social theories of change, innovation, and technological transformation. Similar to adaptive governance, transformative governance involves a broad set of governance components, but requires additional capacity to foster new social-ecological regimes including increased risk tolerance, significant systemic investment, and restructured economies and power relations. Transformative governance has the potential to actively respond to regime shifts triggered by climate change, and thus future research should focus on identifying system drivers and leading indicators associated with social-ecological thresholds.

  3. Resemblance in dietary intakes between urban low-income African-American adolescents and their mothers: the healthy eating and active lifestyles from school to home for kids study.

    PubMed

    Wang, Youfa; Li, Ji; Caballero, Benjamin

    2009-01-01

    To examine the association and predictors of dietary intake resemblance between urban low-income African-American adolescents and their mothers. Detailed dietary data collected from 121 child-parent pairs in Chicago during fall 2003 were used. The association was assessed using correlation coefficients, kappa, and percentage of agreement, as well as logistic regression models. Overall, the association was weak as indicated by correlations and other measures. None of the mother-son correlations for nutrients and food groups were greater than 0.20. Mother-daughter pairs had stronger correlations (0.26 for energy and 0.30 for fat). The association was stronger in normal-weight mothers than in mothers with overweight or obesity. Logistic models showed that mother being a current smoker, giving child more pocket money, and allowing child to eat or purchase snacks without parental permission or presence predicted a higher probability of resemblance in undesirable eating patterns, such as high-energy, high-fat, and high-snack intakes (P<0.05). Mother-child diet association was generally weak, and varied considerably across groups and intake variables in this homogenous population. Some maternal characteristics seem to affect the association.

  4. ‘Mobile men with money’: the socio-cultural and politico-economic context of ‘high-risk’ behaviour among wealthy businessmen and government officials in urban China

    PubMed Central

    URETSKY, ELANAH

    2014-01-01

    China’s transition from an injection drug-driven HIV epidemic to one primarily transmitted through sexual contact has triggered concern over the potential for HIV to move into the non-drug-injecting population. Much discussion has focused on the migrant men of China’s vast ‘floating population’ who are considered a high-risk group. As a result, many men who frequently engage in high-risk behaviour but are not included in this especially vulnerable group are evading HIV prevention messages. This paper highlights the socio-cultural and politico-economic factors that motivate many of China’s wealthy businessmen and government officials, sometimes referred to as ‘mobile men with money’, to engage in such behaviour. Examination of the activities related to the work of these men reveals a situation where the confluence of a market-oriented economy operating within a socialist-style political system under the influence of traditional networking practices has engendered a unique mode of patron-clientelism that brings them together over shared social rituals including feasting, drinking and female-centered entertainment that is often coupled with sexual services. As a result, consideration of the socio-cultural factors influencing these men’s sexual practices is important for responding to the newly emerging stage of China’s HIV epidemic. PMID:18975228

  5. Transformative environmental governance

    EPA Science Inventory

    Transformative governance is an approach to environmental governance that has the capacity to respond to, manage, and trigger regime shifts in coupled social-ecological systems (SESs) at multiple scales. The goal of transformative governance is to actively shift degraded SESs to ...

  6. Governance is Academic.

    ERIC Educational Resources Information Center

    Manahan, Richard A.; And Others

    1985-01-01

    A model for systematic development and reorganization of college governance systems consists of three processes: reviewing the existing governance structure; examining the concerns and interrelationships of individuals and groups; and pinpointing desired changes. All must be done in the context of linking governance to overall institutional…

  7. Teaching about Comparative Government

    ERIC Educational Resources Information Center

    Risinger, C. Frederick

    2009-01-01

    As international relationships become increasingly important (with both friendly and not-so-friendly governments), the author believes that it is important for U.S. students to learn about how a parliamentary democracy works--how it is similar, but different from a presidential-style government. Learning about the systems of government of other…

  8. Modelling University Governance

    ERIC Educational Resources Information Center

    Trakman, Leon

    2008-01-01

    Twentieth century governance models used in public universities are subject to increasing doubt across the English-speaking world. Governments question if public universities are being efficiently governed; if their boards of trustees are adequately fulfilling their trust obligations towards multiple stakeholders; and if collegial models of…

  9. Modelling University Governance

    ERIC Educational Resources Information Center

    Trakman, Leon

    2008-01-01

    Twentieth century governance models used in public universities are subject to increasing doubt across the English-speaking world. Governments question if public universities are being efficiently governed; if their boards of trustees are adequately fulfilling their trust obligations towards multiple stakeholders; and if collegial models of…

  10. Transformative environmental governance

    EPA Science Inventory

    Transformative governance is an approach to environmental governance that has the capacity to respond to, manage, and trigger regime shifts in coupled social-ecological systems (SESs) at multiple scales. The goal of transformative governance is to actively shift degraded SESs to ...

  11. Teaching about Comparative Government

    ERIC Educational Resources Information Center

    Risinger, C. Frederick

    2009-01-01

    As international relationships become increasingly important (with both friendly and not-so-friendly governments), the author believes that it is important for U.S. students to learn about how a parliamentary democracy works--how it is similar, but different from a presidential-style government. Learning about the systems of government of other…

  12. Taking Student Government Seriously.

    ERIC Educational Resources Information Center

    Bolen, J. R.

    1999-01-01

    Discusses the student government at La Mesa Middle School (California) that was modeled after the three-branch U.S. government as a means for increasing students' civic understanding. Describes the structure of the legislative, judicial, and executive branches, the different activities of the student government, and the reasons for the hiatus.…

  13. Wyoming Government, Unit VII.

    ERIC Educational Resources Information Center

    Robinson, Terry

    This unit on Wyoming government presents concepts, activities, and stories for elementary school students. Concepts stress that the functions of government are determined according to the demands, needs, and traditions of the people; each part of government has a special function; as citizens, we should be loyal to the underlying concepts of our…

  14. 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…

  15. 76 FR 53937 - Order of Succession for Government National Mortgage Association (GNMA)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ... URBAN DEVELOPMENT Order of Succession for Government National Mortgage Association (GNMA) AGENCY: Office of the President of the Government National Mortgage Association, HUD. ACTION: Notice of Order of Succession. SUMMARY: In this notice, the President of the Government National Mortgage Association (GNMA...

  16. 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

  17. Urban hopper.

    SciTech Connect

    Xavier, Patrick Gordon; Feddema, John Todd; Little, Charles Quentin; Spletzer, Barry Louis; Fischer, Gary John; Weagle, Christian A.; Salton, Jonathan Robert; Marron, Lisa Carol; Malchano, Matthew D.; Giarrantana, John; Murphy, Michael P.; Rizzi, Alfred A.; Buerger, Stephen P.

    2010-03-01

    Hopping robots provide the possibility of breaking the link between the size of a ground vehicle and the largest obstacle that it can overcome. For more than a decade, DARPA and Sandia National Laboratories have been developing small-scale hopping robot technology, first as part of purely hopping platforms and, more recently, as part of platforms that are capable of both wheeled and hopping locomotion. In this paper we introduce the Urban Hopper robot and summarize its capabilities. The advantages of hopping for overcoming certain obstacles are discussed. Several configurations of the Urban Hopper are described, as are intelligent capabilities of the system. Key challenges are discussed.

  18. Healthy Watersheds Protection

    MedlinePlus

    ... habitat loss from warmer water temperatures associated with climate change already has been observed in the southern ... altered water flow and availability, invasive species and climate change. Healthy Watersheds EPA Awards Healthy Watersheds Consortium ...

  19. Live Healthy, Live Longer

    MedlinePlus

    ... Human Services. More Health News on: Exercise and Physical Fitness Health Screening Healthy Living Recent Health News Related MedlinePlus Health Topics Exercise and Physical Fitness Health Screening Healthy Living About MedlinePlus Site Map ...

  20. Global urbanization and impact on health.

    PubMed

    Moore, Melinda; Gould, Philip; Keary, Barbara S

    2003-08-01

    Nearly half the world's population now lives in urban settlements. Cities offer the lure of better employment, education, health care, and culture; and they contribute disproportionately to national economies. However, rapid and often unplanned urban growth is often associated with poverty, environmental degradation and population demands that outstrip service capacity. These conditions place human health at risk. Reliable urban health statistics are largely unavailable throughout the world. Disaggregated intra-urban health data, i.e., for different areas within a city, are even more rare. Data that are available indicate a range of urban health hazards and associated health risks: substandard housing, crowding, air pollution, insufficient or contaminated drinking water, inadequate sanitation and solid waste disposal services, vector-borne diseases, industrial waste, increased motor vehicle traffic, stress associated with poverty and unemployment, among others. Local and national governments and multilateral organizations are all grappling with the challenges of urbanization. Urban health risks and concerns involve many different sectors, including health, environment, housing, energy, transportation, urban planning, and others. Two main policy implications are highlighted: the need for systematic and useful urban health statistics on a disaggregated, i.e., intra-urban, basis, and the need for more effective partnering across sectors. The humanitarian and economic imperative to create livable and sustainable cities must drive us to seek and successfully overcome challenges and capitalize on opportunities. Good urban planning and governance, exchange of best practice models and the determination and leadership of stakeholders across disciplines, sectors, communities and countries will be critical elements of success.

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

    PubMed

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

    2015-10-15

    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.

  2. [Towards an urban world].

    PubMed

    1991-12-01

    It has been estimated that by the year 2006, the proportion of the world's population residing in cities will for the 1st time exceed 50%. The entire urban population will be living on 1% of the earth's surface. Rapid growth of cities is largely limited to developing countries, where about 9/10 of urban growth is expected to occur in coming decades. Urban growth in developing countries is due to high fertility as well as inmigration of poor peasants seeking a better life. The current growth rate of Third World cities is 3.6% annually, which signifies doubling of the population in 20 years. Paris required over a century to grow from 547,000 to 3 million, but Lagos grew from 700,000 to 5.6 million in 20 years and Cairo grew by 6.5 million in 34 years. Immoderate population growth places a great strain on cities attempting to provide basic services. Only a few authoritarian governments have succeeded in limiting immigration to their metropolitan areas. Rapidly growing cities have become symbols not only of poverty and social deterioration, but of ecological destruction, contamination, and lack of health. Air pollution, waste management, and the water supply are 3 of the most serious problems of hygiene and sanitation in the world's cities. Air pollution is caused by various factors including car exhausts and coal burning. According to World Health Organization data, less than 60% of Third World housing has access to an adequate sanitary system. 90% of sewage is not treated before elimination. And millions of persons with no potable water supply are obliged to consume contaminated water or to use their scarce resources to buy water. Many cities lose up to 60% of their scarce water supplies through leaking pipes. If these pipes were repaired, and the loss amounted to the 12% typical of the US and Great Britain, this single measure would double the volume of potable water available. The lack of social balance is at the root of urban problems in the Third World. 600

  3. Keeping Your Voice Healthy

    MedlinePlus

    ... an ENT News About Us Our Campaigns Foundation Governance Diversity Honorary Awards & Lectures Specialty Society Advisory Council ... Disclosure Form News About Us Our Campaigns Foundation Governance Diversity Honorary Awards & Lectures Specialty Society Advisory Council ...

  4. 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.

  5. Urban Odyssey

    ERIC Educational Resources Information Center

    Gewertz, Catherine

    2004-01-01

    This article describes the experiences of teachers who participated in a program run by Outward Bound that helps them examine their beliefs and biases. The participants in this "urban expedition" come from schools that have contracted with Outward Bound to convert to its expeditionary model. Driving all Outward Bound ventures is the notion that…

  6. Urban Agrarians.

    ERIC Educational Resources Information Center

    White, Kerry A.

    1996-01-01

    Chicago's High School for Agricultural Sciences is a popular and successful urban school devoted to agriculture. This agriculturally focused high school features a tough academic curriculum and hands-on learning designed to prepare the predominantly Black and Hispanic student body for college and careers in agriculture. (SM)

  7. Virtual Urbanism.

    ERIC Educational Resources Information Center

    Sirc, Geoffrey

    2001-01-01

    Considers how visual literacy implies a poetics of technology, one rooted in basic human passion. Notes that most academic forms sanctioned for students to inhabit are as monumentally dull as the urban forms in which they pass an extra-academic portion of their lives. Concludes that technology is most useful when it allows the poetic spirit to…

  8. Urban Odyssey

    ERIC Educational Resources Information Center

    Gewertz, Catherine

    2004-01-01

    This article describes the experiences of teachers who participated in a program run by Outward Bound that helps them examine their beliefs and biases. The participants in this "urban expedition" come from schools that have contracted with Outward Bound to convert to its expeditionary model. Driving all Outward Bound ventures is the notion that…

  9. A pragmatic lifestyle modification programme reduces the incidence of predictors of cardio-metabolic disease and dysglycaemia in a young healthy urban South Asian population: a randomised controlled trial.

    PubMed

    Wijesuriya, Mahen; Fountoulakis, Nikolaos; Guess, Nicola; Banneheka, Sarath; Vasantharajah, Laksha; Gulliford, Martin; Viberti, Giancarlo; Gnudi, Luigi; Karalliedde, Janaka

    2017-08-30

    There is an increasing incidence of type 2 diabetes mellitus (T2DM) in young urban South-Asians. We tested the effect of a pragmatic trimonthly lifestyle modification (LSM) programme (P-LSM) versus a less-intensive 12-monthly control LSM (C-LSM) intervention on a primary composite endpoint of predictors of cardio-metabolic disease (new onset T2DM, hypertension, impaired glucose tolerance (IGT), impaired fasting glycaemia (IFG) and markers of cardio-renal disease) in participants aged 5-40 years with risk factors for T2DM. This was a randomised controlled trial performed at the National Diabetes Centre, Sri-Lanka. We individually randomised 4672 participants at risk of T2DM, of whom 3539 (mean age 22.5 (range 6-40 years, 48% males) received either trimonthly (P-LSM n = 1726) or 12-monthly (C-LSM n = 1813) peer educator advice aimed at reducing weight, improving diet, reducing psychological stress and increasing physical activity. During a median follow-up of 3 years, the cumulative incidence of the primary endpoint was n = 479 in P-LSM (74 per 1000 person years) vs. 561 in C-LSM (96 per 1000 person years), with an incident rate ratio (IRR) of 0.89 (95% CI 0.83-0.96, P = 0.02). In post hoc analyses, new onset dysglycaemia (T2DM, IFG and IGT), was the major contributor to the composite and was significantly reduced by P-LSM (IRR 0.9, 95% CI 0.83-0.97, P = 0.01). A significant impact of P-LSM on the incidence of the composite endpoint was noted in 1725 participants (P-LSM n = 850, C-LSM n = 875) aged below 18; P-LSM n = 140 (48 per 1000 person years) versus C-LSM n = 174 (55.4 per 1000 person years), with an IRR of 0.83 (95% CI 0.73-0.94, P = 0.004). In a young at-risk South-Asian population, a pragmatic LSM programme significantly reduces the incidence of predictors of cardio-metabolic disease. Our results highlight the importance of early intervention in young at-risk subjects. World Health Organization international clinical

  10. Mainland Chinese and Canadian Adolescents' Judgments and Reasoning about the Fairness of Democratic and Other Forms of Government

    ERIC Educational Resources Information Center

    Helwig, Charles C.; Arnold, Mary Louise; Tan, Dingliang; Boyd, Dwight

    2007-01-01

    This study examined the judgments and reasoning of adolescents (ages 12-19 years) from three sites in urban and rural China (n = 270) and in an urban Canadian comparison sample (n = 72), about the fairness of various forms of democratic and non-democratic government. Adolescents from both China and Canada preferred democratic forms of government,…

  11. 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

  12. 78 FR 25756 - Announcement of Funding Awards for Office of Healthy Homes and Lead Hazard Control (OHHLHC) Grant...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-02

    ... URBAN DEVELOPMENT [Docket No. FR-5600-FA-04A; Docket No. FR-5600-FA-04B; Docket No. FR- 5600-FA-07... accordance with Section 102(a)(4)(C) of the Department of Housing and Urban Development Reform Act of 1989..., Department of Housing and Urban Development, Office of Healthy Homes and Lead Hazard Control, Room 8236,...

  13. 24 CFR 5.526 - Protection from liability for responsible entities and State and local government agencies and...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Protection from liability for responsible entities and State and local government agencies and officials. 5.526 Section 5.526 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development GENERAL...

  14. 77 FR 18258 - Government-to-Government Telephonic Consultation Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Government-to-Government Telephonic Consultation Meetings AGENCY: National Park Service, Interior. SUMMARY: The National Park Service announces two telephonic government-...

  15. Urban Challenges for the Urban Educator Corps

    ERIC Educational Resources Information Center

    Howey, Kenneth

    2008-01-01

    The Urban Educator Corps, comprised of urban education school deans and faculty members from thirty-nine public urban research universities, is committed to advancing the quality of urban education, specifically addressing the key issues of teacher quality, student retention and success, and the creation of systemic partnerships. This article…

  16. [Urbanization and the urban network of Panama].

    PubMed

    Lecompte, D

    1983-01-01

    The urban structure of Panama is described. The dominant role of the Panama Canal in determining the urban structure of the country is noted. The urban centers located next to the canal contain approximately 78 percent of the country's urban population. (summary in SPA)

  17. 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).

  18. Year-Round Schools and Urban School Finance.

    ERIC Educational Resources Information Center

    Callahan, John J.; And Others

    Year-round schools have a place in the urban education process. However, the many fiscal pressures facing large city school systems may prohibit them from instituting the rescheduled school year. Only if State governments make fundamental reforms in their educational finance systems can urban school districts participate in the benefits of…

  19. 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,…

  20. 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…

  1. 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…

  2. 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…

  3. 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,…

  4. Moving into green healthy housing.

    PubMed

    Jacobs, David E; Ahonen, Emily; Dixon, Sherry L; Dorevitch, Samuel; Breysse, Jill; Smith, Janet; Evens, Anne; Dobrez, Doborah; Isaacson, Marjie; Murphy, Colin; Conroy, Lorraine; Levavi, Peter

    2015-01-01

    Green building systems have proliferated but health outcomes and associated costs and benefits remain poorly understood. To compare health before and after families moved into new green healthy housing with a control group in traditionally repaired housing. Mixed methods study in 3 Chicago housing developments. Public housing and low-income subsidized households (n = 325 apartments with 803 individuals). Self-reported health status, visual assessment of housing condition, indoor air sampling, and Medicaid expenditure and diagnostic data. Medicaid expenditures and International Classification of Diseases, Ninth Revision codes were modeled using a generalized linear model with γ distribution and log-link. Housing conditions and self-reported physical and mental health improved significantly in the green healthy housing study group compared with both the control group and the dilapidated public housing from which the residents moved, as did hay fever, headaches, sinusitis, angina, and respiratory allergy. Asthma severity measured by self-reported lost school/work days, disturbed sleep, and symptoms improved significantly, as did sadness, nervousness, restlessness, and child behavior. Medicaid data in this exploratory study were inconclusive and inconsistent with self-reported health outcomes and visual assessment data on housing quality but hold promise for future investigation. Possible sources of bias in the Medicaid data include older age in the study group, changes in Medicaid eligibility over time, controlling for Medicaid costs in an urban area, and the increased stress associated with moving, even if the move is into better housing. The mixed method approach employed here describes the complex relationships among self-reported health, housing conditions, environmental measures, and clinical data. Housing conditions and self-reported physical and mental health improved in green healthy housing. Health care cost savings in Medicaid due to improved housing could

  5. The Beneficial Evaluation of the Healthy City Construction in China.

    PubMed

    Wang, Yuming; Wang, Xinxin; Guan, Fangxia

    2017-06-01

    Creating healthy cities promotes socio-economic development, thus, the creation of such cities has been receiving more attention from the Chinese government and the Chinese people. In the current study, the intention was to conduct a comprehensive evaluation of the creation of healthy cities in Henan province in central China. We randomly selected 18 cities (7 healthy cities and 11 non-healthy cities) in middle regions of China in 2013 and established evaluation indices to evaluate the beneficial effects by horizontal and vertical comparison analyses. Creating the healthy cities promoted health service, economic development, spiritual and ecological success. This was achieved by constructing cities and changing work style among the officials and establishment of patriotic health organizations. This is the first comprehensive, in-depth, appraisal of the healthy cities in China. We suggest that creating the healthy cities should be promoted a larger extend world-wide since it is beneficial at many levels.

  6. Are there healthy obese?

    PubMed

    Griera Borrás, José Luis; Contreras Gilbert, José

    2014-01-01

    It is currently postulated that not all obese individuals have to be considered as pathological subjects. From 10% to 20% of obese people studied do not show the metabolic changes common in obese patients. The term "healthy obese" has been coined to refer to these patients and differentiate them from the larger and more common group of pathological obese subjects. However, the definition of "healthy obese" is not clear. Use of "healthy obese" as a synonym for obese without metabolic complications is risky. Clinical markers such as insulin resistance are used to identify this pathology. It is not clear that healthy obese subjects have lower morbidity and mortality than pathologically obese patients. According to some authors, healthy obese would represent an early stage in evolution towards pathological obesity. There is no agreement as to the need to treat healthy obese subjects.

  7. 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

  8. 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.

  9. 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.

  10. 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

  11. Government Quality Conference Proceedings

    NASA Technical Reports Server (NTRS)

    1992-01-01

    The Government Quality Conference was an attempt to bring together executive organizations and senior individuals in the Federal Government that have a desire to improve productivity. It was designed to provide an exchange of ideas based on experience, and to encourage individual management initiatives to tap the capabilities of Federal employees.

  12. Educational Governance in Denmark

    ERIC Educational Resources Information Center

    Moos, Lejf

    2014-01-01

    Denmark has entered global competition by expanding collaboration with European countries, which is profoundly impacting the public sector and school governance. Relations between the state and institutions are transforming from traditional democratic, public-sector models of governance into new forms characterized as corporate and market-driven…

  13. Improve Governance for Charters

    ERIC Educational Resources Information Center

    Finn, Chester E., Jr.; Manno, Bruno V.; Wright, Brandon L.

    2017-01-01

    With 25 years of experience, the charter sector has had enough time to experience a host of unanticipated and unresolved problems related to the complex ways in which charter school governance relates to school leadership. The time has come for the sector to revisit some fundamental decisions about how charter schools and networks are governed,…

  14. Using IT Governance

    ERIC Educational Resources Information Center

    Brobst, Jan; Council, Chip

    2005-01-01

    The discussion in this article is intended to provide an examination of why top management, IT management, and internal auditors should be interested in IT governance. Some aspects of IT management will be described including implementation, auditing, availability, security, and alignment. One governance framework, COBIT, will be utilized as a…

  15. State and local governments

    NASA Technical Reports Server (NTRS)

    Barnes, Dennis

    1990-01-01

    The Virginia Space Grant Consortium approach to a close working relation to state and local governments is presented as a model for consideration. State government relations are especially important in that this is a primary resource in securing matching funds. Avenues for establishing these relationships are listed and discussed.

  16. Restructuring for Good Governance

    ERIC Educational Resources Information Center

    Robert, Stephen; Carey, Russell C.

    2006-01-01

    American higher education has never been more in need of good governance than it is right now. Yet much of the structure many boards have inherited or created tends to stall or impede timely, well-informed, and broadly supported decision making. At many institutions (ours included), layers of governance have been added with each passing year,…

  17. Using IT Governance

    ERIC Educational Resources Information Center

    Brobst, Jan; Council, Chip

    2005-01-01

    The discussion in this article is intended to provide an examination of why top management, IT management, and internal auditors should be interested in IT governance. Some aspects of IT management will be described including implementation, auditing, availability, security, and alignment. One governance framework, COBIT, will be utilized as a…

  18. Policy Governance Revisited.

    ERIC Educational Resources Information Center

    Price, William J.

    2001-01-01

    An administrator trainer/former superintendent's experience suggests that corporate governance models don't fit the reality of school governance in many districts. Elected board members define their roles differently than their business counterparts and derive little or no monetary benefit from public service. The "new breed" resemble…

  19. Educational Governance in Denmark

    ERIC Educational Resources Information Center

    Moos, Lejf

    2014-01-01

    Denmark has entered global competition by expanding collaboration with European countries, which is profoundly impacting the public sector and school governance. Relations between the state and institutions are transforming from traditional democratic, public-sector models of governance into new forms characterized as corporate and market-driven…

  20. Global Governance, Educational Change

    ERIC Educational Resources Information Center

    Mundy, Karen

    2007-01-01

    In the last half decade, a rising literature has focused on the idea that processes of economic, political and social globalization require analysis in terms of governance at the global level. It is argued in this article that emerging forms of global governance have produced significant challenges to conventional conceptions of international…

  1. Policy Governance Revisited.

    ERIC Educational Resources Information Center

    Price, William J.

    2001-01-01

    An administrator trainer/former superintendent's experience suggests that corporate governance models don't fit the reality of school governance in many districts. Elected board members define their roles differently than their business counterparts and derive little or no monetary benefit from public service. The "new breed" resemble…

  2. Governance: Senates and Unions.

    ERIC Educational Resources Information Center

    Polishook, Irwin H.; Naples, Caesar J.

    1989-01-01

    Edited versions of two conference papers are presented. The first paper, "The Debate Over Academic Unions and Faculty Governance," by Irwin H. Polishook, discusses why the concept of collective bargaining continues to be a significant issue in academe and is considered to be incompatible with faculty governance. It examines the union…

  3. Pricing Government Information.

    ERIC Educational Resources Information Center

    Love, James

    1995-01-01

    Improvements in technology have increased the social and economic value of government information. This increase, combined with changes in information storage and dissemination cost, contributes to controversy over how government information should be disseminated and priced. Discussion includes economic concepts, rules and algorithms used by…

  4. 78 FR 62615 - Healthy Planet Partners Energy Company, LLC; Supplemental Notice that Initial Market-Based Rate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Healthy Planet Partners Energy Company, LLC; Supplemental Notice that... supplemental notice in the above-referenced proceeding of Healthy Planet Partners Energy Company,...

  5. Obesity and government.

    PubMed

    Kahan, Scott; Zvenyach, Tracy

    2016-10-01

    Despite much effort, obesity prevalence and disease severity continues to worsen. The purpose of this review is to describe the leading government supported food and nutrition interventions and policies to prevent and address obesity in the USA. The review also summarizes obesity interventions and policies that the government plays a role in, but further development is warranted. The government's role in obesity has largely focused on interventions and policies such as national surveillance, obesity education and awareness, grant-based food subsidy programs, zoning for food access, school-based nutrition programs, dietary guidelines, nutrition labeling, and food marketing and pricing policies. The government has played a lesser role in obesity interventions and policies that provide access to evidence-based obesity care to people affected by the disease. Given the magnitude of the obesity epidemic, the government should explore multiple evidence-based interventions and policies across prevention and clinical care.

  6. Physics and Government

    SciTech Connect

    Hendry, Nancy H.

    1999-08-24

    In defining the powers and duties of the three branches of government, the U.S. Constitution never explicitly referred to Science, except in the patent clause. But many technical responsibilities are implied in references to weights and measures, the census, and the like. Thomas Jefferson, John Adams, and in particular Benjamin Franklin, were highly literate in science, but it was their disciple, President John Quincy Adams who promoted as a matter of policy a direct role of the government in science--in particular with respect to astronomy, land surveys and navigation--all physical sciences. Some agencies of government--notably the National Bureau of Standards and the Department of Agriculture were founded in the early days of the Republic with scientific and technical missions. Since then the involvement of the government with science has waxed and waned but the major expansion of the interaction between physics and government occurred after World War II when physicists demonstrated the power of their craft during mobilization of science in support of the war effort. In discussing the interaction of physics with government we should distinguish ''science in government''--scientific input into policy making--from ''government in science,'' which is the support and management of that part of the overall scientific endeavor for which the government has responsibility. Let me turn first to the subject of physics in government. An overwhelming fraction of governmental decisions today have scientific and technical components; decisions ignoring these components are wasteful at best and can imperil the nation. For this reason governmental bodies at all levels solicit scientific advice--or at least give lip service to the need for such advice. When such advice was deliberately avoided, as President Reagan did before announcing his Strategic Defense Initiative in March 1983, the technically unattainable goal ''to make nuclear weapons impotent and obsolete'' was proclaimed.

  7. Strategic decisions for sustainable urban development in the Third World.

    PubMed

    White, R R

    1994-05-01

    The debate about sustainable development in general and sustainable urban development in particular is mired in confusion. The conflicts between the rich countries of the North and the poor countries of the South contribute to that confusion, especially since governments on each side have reasons to avoid clarification. Until the mid-1960s, the North believed that if the South adopted a capitalist system which encouraged economic growth, demographic transition would occur. This has not occurred, and poverty coupled with rapid population growth has placed a heavy toll on the environment. In addition, the Northern path to a stable population through affluence has also taken an environmental toll which has shown that neither poverty nor affluence is sustainable. Part of our problem is due to the assumption that the planetary ecosystem is open and static, when it is actually closed and dynamic. Cities are important in the search for sustainability because they are the site where the human impacts on the environment are most evident and the opportunities for impact reduction are most concentrated and because city governments have shown more initiative than national governments in working for improvements. Examples exist of urban governments which promote practices that are better for the environment and also reduce user costs and create employment. The fact that improvement is patchy is due to negative global trends including world recession; capital flows from South to North, which must be reversed; environmental deterioration, which must be dealt with as a global responsibility; and the arms race. Procrastination on the part of the North to ameliorate the situation will lead to population collapse. The best way to avoid collapse is to act as if all members of our species are important and to understand the limits of our ecosystems. The development of ecological cities in the North will offer alternative models for the South. An ecological city provides services with

  8. 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…

  9. 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…

  10. 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…

  11. 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…

  12. 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…

  13. 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…

  14. Urban Education in the 1970's.

    ERIC Educational Resources Information Center

    Passow, A. Harry

    The reported failure of urban schools has been well documented by various government commissions. To remedy this situation, quality and equality of education must be insured. Research and development on disadvantaged populations has increased in an effort to reverse the effects of traditional pedagogical methods. Numerous programs for early…

  15. 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…

  16. Having a Healthy Pregnancy

    MedlinePlus

    ... Lunch Planner Having a Healthy Pregnancy KidsHealth > For Teens > Having a Healthy Pregnancy Print A A A What's in this article? ... you might hear your doctor call problems "complications"). Teens are more at risk for certain problems during pregnancy, such as anemia, high blood pressure, and giving ...

  17. Promoting Healthy Dietary Behaviors.

    ERIC Educational Resources Information Center

    Perry, Cheryl L.; Story, Mary; Lytle, Leslie A.

    This chapter reviews the research on promoting healthy dietary behaviors in all youth, not just those who exhibit problems such as obesity or eating disorders. The first section of this chapter presents a rationale for addressing healthy dietary behavior with children and adolescents, on the basis of the impact of these behaviors on short- and…

  18. Pregnancy and Healthy Weight

    MedlinePlus

    ... Profiles Multimedia Pregnancy & Healthy Weight Skip sharing on social media links Share this: Page Content New research shows that maintaining a healthy weight before and during pregnancy can reduce the likelihood of negative effects for mothers and babies We’ve heard the ...

  19. Promoting Healthy Dietary Behaviors.

    ERIC Educational Resources Information Center

    Perry, Cheryl L.; Story, Mary; Lytle, Leslie A.

    This chapter reviews the research on promoting healthy dietary behaviors in all youth, not just those who exhibit problems such as obesity or eating disorders. The first section of this chapter presents a rationale for addressing healthy dietary behavior with children and adolescents, on the basis of the impact of these behaviors on short- and…

  20. Healthy Birth Practices Revisited

    PubMed Central

    Budin, Wendy C.

    2014-01-01

    In this column, the editor of The Journal of Perinatal Education describes this special issue where distiguished authors provide updated evidence-based reviews of the Lamaze International Six Healthy Birth Practices that promote, support, and protect natural, safe, and healthy birth. This issue is dedicated to Elisabeth Bing on the occasion of her 100th birthday.

  1. Healthy Homes Tools

    ERIC Educational Resources Information Center

    Peek, Gina; Lyon, Melinda; Russ, Randall

    2012-01-01

    Extension is focusing on healthy homes programming. Extension educators are not qualified to diagnose consumers' medical problems as they relate to housing. We cannot give medical advice. Instead, we can help educate consumers about home conditions that may affect their well-being. Extension educators need appropriate healthy homes tools to…

  2. Active and Healthy Schools

    ERIC Educational Resources Information Center

    Ball, Stephen; Kovarik, Jessica; Leidy, Heather

    2015-01-01

    The Active and Healthy School Program (AHS) can be used to alter the culture and environment of a school to help children make healthier choices. The purpose of this study was to determine the effectiveness of AHS to increase physical activity while decreasing total screen time, increase healthy food choices, and improve knowledge about physical…

  3. "Healthy" Human Development Indices

    ERIC Educational Resources Information Center

    Engineer, Merwan; Roy, Nilanjana; Fink, Sari

    2010-01-01

    In the Human Development Index (HDI), life expectancy is the only indicator used in modeling the dimension "a long and healthy life". Whereas life expectancy is a direct measure of quantity of life, it is only an indirect measure of healthy years lived. In this paper we attempt to remedy this omission by introducing into the HDI the morbidity…

  4. Active and Healthy Schools

    ERIC Educational Resources Information Center

    Ball, Stephen; Kovarik, Jessica; Leidy, Heather

    2015-01-01

    The Active and Healthy School Program (AHS) can be used to alter the culture and environment of a school to help children make healthier choices. The purpose of this study was to determine the effectiveness of AHS to increase physical activity while decreasing total screen time, increase healthy food choices, and improve knowledge about physical…

  5. "Healthy" Human Development Indices

    ERIC Educational Resources Information Center

    Engineer, Merwan; Roy, Nilanjana; Fink, Sari

    2010-01-01

    In the Human Development Index (HDI), life expectancy is the only indicator used in modeling the dimension "a long and healthy life". Whereas life expectancy is a direct measure of quantity of life, it is only an indirect measure of healthy years lived. In this paper we attempt to remedy this omission by introducing into the HDI the morbidity…

  6. Healthy Homes Tools

    ERIC Educational Resources Information Center

    Peek, Gina; Lyon, Melinda; Russ, Randall

    2012-01-01

    Extension is focusing on healthy homes programming. Extension educators are not qualified to diagnose consumers' medical problems as they relate to housing. We cannot give medical advice. Instead, we can help educate consumers about home conditions that may affect their well-being. Extension educators need appropriate healthy homes tools to…

  7. 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.

  8. Outdoor Recreation on Government Lands in Texas, An Analysis.

    ERIC Educational Resources Information Center

    Reed, David J.; Reid, Leslie M.

    This study represents an inventory of major government, non-urban outdoor recreation programs and facilities in Texas, as well as an indication of visitor use reported by individual agencies. The purpose of the analysis is to illustrate the importance of outdoor recreation in Texas and the contribution of various agencies, rather than to determine…

  9. Thermodynamic characterisation of urban nocturnal cooling.

    PubMed

    Wang, Zhi-Hua; Li, Qi

    2017-04-01

    Nocturnal cooling of urban areas governs the evolution of thermal state and many thermal-driven environmental issues in cities, especially those suffer strong urban heat island (UHI) effect. Advances in the fundamental understanding of the underlying physics of nighttime UHI involve disentangling complex contributing effects and remains an open challenge. In this study, we develop new numerical algorithms to characterize the thermodynamics of urban nocturnal cooling based on solving the energy balance equations for both the landscape surface and the overlying atmosphere. Further, a scaling law is proposed to relate the UHI intensity to a range of governing mechanisms, including the vertical and horizontal transport of heat in the surface layer, the urban-rural breeze, and the possible urban expansion. The accuracy of proposed methods is evaluated against in-situ urban measurements collected in cities with different geographic and climatic conditions. It is found that the vertical and horizontal contributors modulate the nocturnal UHI at distinct elevation in the atmospheric boundary layer.

  10. Government - contractor interaction

    NASA Technical Reports Server (NTRS)

    Thomas, D. M.

    1983-01-01

    The development of the Administrative Contracting Officer represents an advance in the Government system of contract management because it provides an individual with knowledge, time, and a specialized function to insure performance of Government contracts. However, the development has created a dichotomy between the award and the post-award function which increases the adversary relationship with Government contractors. This paper advocates that this adversary relationship can be decreased if PCOs and ACOs are provided with opportunities to serve in the assignments of the other.

  11. Urban Stream Ecology

    EPA Science Inventory

    Urban watersheds characteristically have high impervious surface cover, resulting in high surface runoff and low infiltration following storms. In response, urban streams experience “flashy” stormflows, reduced baseflows, bank erosion, channel widening, and sedimentation. Urban ...

  12. Urban Stream Ecology

    EPA Science Inventory

    Urban watersheds characteristically have high impervious surface cover, resulting in high surface runoff and low infiltration following storms. In response, urban streams experience “flashy” stormflows, reduced baseflows, bank erosion, channel widening, and sedimentation. Urban ...

  13. 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

  14. Urban alliance

    SciTech Connect

    Zmuda, J.T.

    1993-06-01

    Early reviews of the Clean Air Act Amendments of 1990 (CAAA) focused most strongly on the effects of Title I on local governments, the impact of Title III on industry, and requirements of Title IV on utilities. By concentrating on the compliance issues presented by Title III, however, some industries have overlooked the potential consequences of Title I, which can be expected to affect virtually every industrial operation within it designated nonattainment area by the turn of the century.

  15. The Healthy Kids, Healthy Communities national program.

    PubMed

    Strunk, Sarah L; Bussel, Jamie B

    2015-01-01

    In 2007, the Robert Wood Johnson Foundation announced a bold and unprecedented commitment of $500 million to reverse the epidemic of childhood obesity by 2015, especially in communities at greatest risk based on income, race, ethnicity, and geographic location. To support this work, the foundation launched an array of complementary initiatives aimed at building the evidence base, testing advocacy approaches, and supporting on-the-ground action to reverse the childhood obesity epidemic. Healthy Kids, Healthy Communities (HKHC), a 5-year $33.4 million national program, was one of the foundation's earliest such investments. Building on previous successes, HKHC was designed to address the policies, systems, and environments that make it easier for low-income children and their families to engage in physical activity and play and to access healthy food in their communities. As part of its strategy, the Robert Wood Johnson Foundation funded 50 multidisciplinary partnerships across the country, with a special focus on 15 southern states where health disparities were most significant. The selection of Active Living By Design to lead the HKHC National Program Office and Transtria, LLC, to lead the evaluation leveraged these organizations' experience in addressing the systemic issues that contribute to physical inactivity and unhealthy eating, using a broader healthy community lens. Key elements of HKHC included funding, ongoing technical assistance and consultation, a peer learning network, and participatory evaluation. The successes of the HKHC grant program are well documented in this journal as well as through case studies and case reports, spotlights, leadership profiles, and other products available at www.healthykidshealthycommunities.org and http://www.transtria.com/hkhc.php.

  16. 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

  17. 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

  18. Government and the Family

    ERIC Educational Resources Information Center

    Mondale, Walter F.

    1975-01-01

    In order to deal successfully with the changes and pressures placed upon families, article considered the extent government policies are helping or hurting families, and what kind of support services are available. (Author/RK)

  19. Local Governments Reimbursement Program

    EPA Pesticide Factsheets

    In the event of a release (or threatened release) of hazardous substances, EPA may provide a safety net of up to $25,000 per incident to local governments for expenses related to the release and associated emergency response measures.

  20. LESS Government Act

    THOMAS, 112th Congress

    Rep. Latham, Tom [R-IA-4

    2011-06-15

    06/30/2011 Referred to the Subcommittee on Government Organization, Efficiency, and Financial Management . (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation: