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1.
J Environ Public Health ; 2022: 3010851, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35815254

RESUMO

The deterioration of the environment in the 21st century has made environmental issues one of the most severe tests for modern society. With this comes a change in energy structure from high-carbon to low-carbon direction, and electric vehicles are gradually developing into the darling of a city with low-carbon transportation and safe travel. This paper carries out a systematic analysis of landscape design and environmental protection in the development of new energy electric vehicle charging facilities in urban habitat. By categorizing the content and provisions of published domestic and international standards, new requirements for standardization are obtained, including barrier-free design, electromagnetic radiation, child safety protection, and urban landscape integration. Among them, ecological landscape public charging facilities can enhance the overall quality of urban environment. This paper analyzes the necessity of landscape design in charging facilities, explores the ecological concepts extended by macroscopic landscape design principles and the problems of public charging facilities, and proposes a design and evaluation method of ecologically landscaped public charging facilities based on hierarchical analysis and neural networks. The hierarchical analysis method is introduced to establish a landscape design assessment index system, and then a neural network is introduced to describe the characteristics of electric vehicle charging, and the landscape design assessment learning samples are trained to establish a landscape design assessment model. Finally, a comparison experiment is conducted with other landscape design assessment methods using specific examples, and the results show that the proposed method has more obvious advantages in ecological landscape public charging facility design assessment with high accuracy, faster landscape design assessment, charging efficiency, and environmental protection.


Assuntos
Automóveis/classificação , Planejamento de Cidades , Conservação dos Recursos Naturais , Eletricidade , Carbono , Criança , Cidades , Planejamento de Cidades/normas , Planejamento de Cidades/tendências , Humanos , Redes Neurais de Computação , População Urbana/classificação , População Urbana/estatística & dados numéricos
2.
PLoS One ; 17(2): e0263331, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35176053

RESUMO

This study investigates the satisfaction and adequacy of citizens through the expected quality and perceived quality in the areas of planning and territorial viability, experience in the provision of municipal services and citizen experience in environmental issues, in order to provide tools for territorial decision making for the citizens' well-being. In our research PLS software is used for the analysis of hypotheses. A questionnaire was delivered to a sample of 521 citizens, representing the spectrum of the population, and the statistical study of the responses yielded results on citizen satisfaction and loyalty. Our research includes the study of moderating effects on the causal ratio of perceived value and satisfaction in territorial planning and viability, the perceived quality in the provision of municipal services and the perceived quality in the citizen experience in the environmental management of the territory on the value relationship perceived by the citizen and general satisfaction. A second objective of the study is to see if there are significant differences in the hypotheses raised by gender by performing a multigroup analysis. This difference has been appreciated in two of the hypotheses. The study shows that the policies exercised by the territorial managers of the different areas have a significant influence on the value perceived by citizens, satisfaction and loyalty, which shape their general well-being. Areas for improvement in territorial policies and municipal services such as citizen security, air quality, public lighting and sports services have been identified. Knowing these shortcomings allows politicians to focus their efforts on improving the quality of life in cities.


Assuntos
Ciência do Cidadão , Planejamento de Cidades/normas , Planejamento Ambiental/normas , Satisfação do Paciente/estatística & dados numéricos , Saúde Pública/normas , Qualidade de Vida , Saúde da População Urbana/normas , Adulto , Equador , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Participação do Paciente , Percepção , Desenvolvimento Sustentável
3.
PLoS One ; 15(11): e0242172, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33170899

RESUMO

Public space lighting (PSL) contributes to pedestrians' feeling of safety (FoS) in urban areas after natural dark. However, little is known how different PSL attributes, such as illuminance, light temperature, uniformity and glare, affect people's FoS in different contextual settings. The present study aims to bridge this knowledge gap by developing a model linking different PSL attributes with FoS, while controlling for individual, locational, environmental and temporal factors. To develop such model, the study employs a novel interactive user-oriented method, based on a specially-designed mobile phone application-CityLightsTM. Using this app, a representative sample of observers reported their impressions of PSL attributes and FoS in three cities in Israel, following a set of predetermined routes and points. As the study shows, higher levels of illumination and uniformity positively affect FoS, while lights perceived as warm tend to generate higher FoS than lights perceived as cold. These findings may guide future illumination polices aimed at promoting energy efficiency while ensuring urban sustainability.


Assuntos
Planejamento de Cidades/normas , Emoções , Iluminação , Pedestres/psicologia , Segurança , Humanos , Aplicativos Móveis , Fotoperíodo , Logradouros Públicos , Inquéritos e Questionários
4.
Health Promot Chronic Dis Prev Can ; 40(9): 288-293, 2020 Sep.
Artigo em Inglês, Francês | MEDLINE | ID: mdl-32909939

RESUMO

There is no standard naming convention for cycling infrastructure across cities. Our aim was to develop a common nomenclature for cycling infrastructure in Canada, relevant to the context of public health practice. We drew on transportation engineering design guides and public health guidance to develop a bicycle facility classification system: the Canadian Bikeway Comfort and Safety (Can-BICS) classification system, a three-tiered classification scheme that groups five bicycle facilities based on safety performance and user comfort. Adopting consistent nomenclature as per the Can-BICS system will support regional and national surveillance efforts in public health, planning and sustainability.


A common nomenclature for cycling infrastructure in Canada is needed to further public health surveillance efforts on activetransportation environments. The Can-BICS system is a threetiered cycling infrastructure classification system that reflects the safety performance and user comfort of five bicycle facility types. High-comfort bikeways are lowstress routes. These bikeways include cycle tracks on major streets, local street bikeways and cycle-only off-street paths. Medium-comfort bikeways are low-to-medium stress routes. These bikeways include multi-use paths sited next to a roadway or along independent corridors. Low-comfort bikeways are highstress routes. These bikeways include painted bike lanes along busy roadways.


Il est nécessaire d'établir une nomenclature commune pour les aménagements cyclables au Canada afin d'améliorer les mesures de surveillance en santé publique en matière de milieux de transport actif. Le système Can-BICS est un système de classification des amé- nagements cyclables à trois niveaux qui définit le degré de sécurité et le confort pour les usagers de cinq types d'aménagement cyclable. Les voies cyclables très confortables sont peu stressantes : ce sont principalement les pistes cyclables sur chaussée longeant les rues principales, les voies cyclables dans les rues secondaires (« vélorues ¼) et les pistes en site propre. Les voies cyclables moyennement confortables sont peu ou moyennement stressantes : ce sont principalement les sentiers polyvalents longeant une chaussée ou formant un corridor indépendant. Les voies cyclables peu confortables sont très stressantes : ce sont principalement les bandes cyclables peintes au sol sur des routes achalandées.


Assuntos
Acidentes de Trânsito/prevenção & controle , Ciclismo , Planejamento de Cidades , Segurança , Ciclismo/lesões , Ciclismo/normas , Canadá/epidemiologia , Cidades/epidemiologia , Planejamento de Cidades/métodos , Planejamento de Cidades/normas , Planejamento Ambiental , Humanos , Saúde Pública , Terminologia como Assunto
5.
PLoS One ; 15(9): e0239628, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32970755

RESUMO

The increase in data amount makes the traditional Internet of Vehicles (IoV) fail to meet users' needs. Hence, the IoV is explored in series. To study the construction of freight integer linear programming (ILP) model based on fog computing (FG), and to analyze the application of the model in the optimization of the networking deployment (ND) of the IoV. FG and ILP are combined to build a freight computing ILP model. The model is used to analyze the application of ND optimization in the IoV system through simulations. The results show that while analyzing the ND results in different scenarios, the model is more suitable for small-scale scenarios and can optimize the objective function; however, its utilization rate is low in large-scale scenarios. While comparing and analyzing the network cost and running time, compared with traditional cloud computing solutions, the ND solution based on FG requires less cost, shorter running time, and has apparent effectiveness and efficiency. Therefore, it is found that the FG-based model has low cost, short running time, and apparent efficiency, which provides an experimental basis for the application of the later deployment of freight vehicles (FVs) in the Internet of Things (IoT) system for ND optimization. The results will provide important theoretical support for the overall deployment of IoV.


Assuntos
Simulação por Computador , Internet das Coisas , Veículos Automotores/estatística & dados numéricos , Planejamento de Cidades/normas , Tecnologia de Sensoriamento Remoto
6.
Health Place ; 61: 102227, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-32329722

RESUMO

INTRODUCTION: There is international interest in how to limit growth in alcohol availability in areas of high outlet density in order to reduce alcohol-related harms. Town planning legislation in Victoria, Australia, allows local government officers to refuse planning permits for new licensed premises on 'cumulative impact' grounds (impacts from existing alcohol outlet density). State guidelines (PN61) outline how local government planners should approach cumulative impact assessments. This paper explores officers' views and experience assessing cumulative impact in order to understand whether the legislation assists officers limit alcohol availability in areas of high outlet density. METHODS: Interviews with 22 officers from 11 local governments who were recruited with purposive sampling to reflect a range of licensing environments. Interview transcripts were analysed inductively, and content categorized accordingly. FINDINGS: Officers challenged the definition and relevance of the alcohol outlet density threshold provided in state guidelines. They faced problems securing relevant amenity data for assessing cumulative impact and pointed to the guidelines' inadequacy for assessing off-premise licences. They pointed to the limits of cumulative impact assessments as a tool for planning and were unconvinced they would lead to reductions in permits granted. CONCLUSIONS: A single state-wide density threshold to guide cumulative impact assessments is unlikely to be a relevant measure for several local governments. A greater orientation towards municipal variation and alcohol outlet characteristics is needed. Further research is needed to investigate whether cumulative impact assessments increase restrictions on liquor licence planning permits and whether the adoption of local planning policies strengthens restrictive permit decision-making. International implications of the research are noted.


Assuntos
Bebidas Alcoólicas/legislação & jurisprudência , Planejamento de Cidades , Comércio , Licenciamento/normas , Governo Local , Consumo de Bebidas Alcoólicas/efeitos adversos , Bebidas Alcoólicas/provisão & distribuição , Planejamento de Cidades/legislação & jurisprudência , Planejamento de Cidades/normas , Comércio/legislação & jurisprudência , Comércio/normas , Humanos , Entrevistas como Assunto , Vitória
7.
Artigo em Inglês | MEDLINE | ID: mdl-32121293

RESUMO

Urban areas offer many opportunities for people with disabilities, but limited accessibility may prevent their full engagement in society. It has been recommended that the experience-based perspective of people with disabilities should be an integral part of the discussion on urban accessibility, complementing other stakeholder expertise to facilitate the design of more inclusive environments. The goals of this mixed-method study were to develop knowledge mobilization (KM) strategies to share experience-based findings on accessibility and evaluate their impact for various urban stakeholders. Using a participatory approach, various KM strategies were developed including videos, a photo exhibit and an interactive game. These strategies were evaluated based on various impact indicators such as reach, usefulness, partnerships and practice changes, using quantitative and qualitative methods. The findings suggested that the KM strategies were effective in raising the awareness of various urban stakeholders and providing information and guidance to urban planning practices related to accessibility.


Assuntos
Pessoal Administrativo/educação , Acessibilidade Arquitetônica/normas , Planejamento de Cidades/educação , Planejamento de Cidades/normas , Pessoas com Deficiência , Planejamento Ambiental/normas , Guias como Assunto , Pessoal Administrativo/estatística & dados numéricos , Adulto , Canadá , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
8.
PLoS One ; 15(2): e0228499, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32045427

RESUMO

Examining the distributional equity of urban tree canopy cover (UTCC) has increasingly become an important interdisciplinary focus of ecologists and social scientists working within the field of environmental justice. However, while UTCC may serve as a useful proxy for the benefits provided by the urban forest, it is ultimately not a direct measure. In this study, we quantified the monetary value of multiple ecosystem services (ESD) provisioned by urban forests across nine U.S. cities. Next, we examined the distributional equity of UTCC and ESD using a number of commonly investigated socioeconomic variables. Based on trends in the literature, we predicted that UTCC and ESD would be positively associated with the variables median income and percent with an undergraduate degree and negatively associated with the variables percent minority, percent poverty, percent without a high school degree, percent renters, median year home built, and population density. We also predicted that there would be differences in the relationships between each response variable (UTCC and ESD) and the suite of socioeconomic predictor variables examined because of differences in how each response variable is derived. We utilized methods promoted within the environmental justice literature, including a multi-city comparative analysis, the incorporation of high-resolution social and environmental datasets, and the use of spatially explicit models. Patterns between the socioeconomic variables and UTCC and ESD did not consistently support our predictions, highlighting that inequities are generally not universal but rather context dependent. Our results also illustrated that although the variables UTCC and ESD had largely similar relationships with the predictor variables, differences did occur between them. Future distributional equity research should move beyond the use of proxies for environmental amenities when possible while making sure to consider that the use of ecosystem service estimates may result in different patterns with socioeconomic variables of interest. Based on our findings, we conclude that understanding and remedying the challenges associated with inequities requires an understanding of the local social-ecological system if larger sustainability goals are to be achieved.


Assuntos
Planejamento de Cidades , Conservação dos Recursos Naturais/métodos , Ecossistema , Florestas , Árvores , Cidades/epidemiologia , Planejamento de Cidades/métodos , Planejamento de Cidades/organização & administração , Planejamento de Cidades/normas , Planejamento de Cidades/estatística & dados numéricos , Conservação dos Recursos Naturais/estatística & dados numéricos , Equidade em Saúde/normas , Equidade em Saúde/estatística & dados numéricos , Humanos , Densidade Demográfica , Justiça Social/normas , Justiça Social/estatística & dados numéricos , Fatores Socioeconômicos , Árvores/fisiologia , Estados Unidos/epidemiologia
9.
Artigo em Inglês | MEDLINE | ID: mdl-32033230

RESUMO

Resilient planning demands not only resilient actions, but also resilient implementation, which promotes adaptive capacity for the attainment of the planned objectives. This requires, in the case of multi-level infrastructure systems, the simultaneous pursuit of bottom-up infrastructure planning for the promotion of adaptive capacity, and of top-down approaches for the achievement of global objectives and the reduction of structural vulnerabilities and imbalances. Though several authors have pointed out the need to balance bottom-up flexibility with top-down hierarchical control for better plan implementation, very few methods have yet been developed with this aim, least of all with a multi-objective perspective. This work addressed this lack by including, for the first time, the mitigation of urban vulnerability, the improvement of road network condition, and the minimization of the economic cost as objectives in a resilient planning process in which both actions and their implementation are planned for a controlled, sustainable development. Building on Urban planning support system (UPSS), a previously developed planning tool, the improved planning support system affords a planning alternative over the Spanish road network, with the best multi-objective balance between optimization, risk, and opportunity. The planning process then formalizes local adaptive capacity as the capacity to vary the selected planning alternative within certain limits, and global risk control as the duties that should be achieved in exchange. Finally, by means of multi-objective optimization, the method reveals the multi-objective trade-offs between local opportunity, global risk, and rights and duties at local scale, thus providing deeper understanding for better informed decision-making.


Assuntos
Planejamento de Cidades/normas , Tomada de Decisões , Desenvolvimento Sustentável , Espanha
10.
Valparaíso; BCN; ago. 2019. 14 p.
Não convencional em Espanhol | LILACS | ID: biblio-1418163

RESUMO

La informalidad o irregularidad se refiere, de manera general, a las distintas situaciones en que un predio incumple las regulaciones que la normativa le impone, tanto desde el punto de vista de las formalidades de su tenencia como respecto del cumplimiento de las exigencias de urbanismo y construcción. En lo central, esto se produce por las formas de crecimiento y regulación que han tenido las ciudades en el país, grandes y pequeñas, fenómeno similar al resto de Latinoamérica, y sumado a problemas socioeconómicos como el desempleo, los bajos salarios, las variaciones macroeconómicos, la ausencia de oferta de viviendas accesibles, entre otros aspectos, que afectan principalmente a las poblaciones más vulnerables y a sus posibilidades de acceder a viviendas en el mercado formal. Desde esta perspectiva, se revisa la legislación vigente que propone mecanismos para superar situaciones de informalidad en el país. Particularmente la Ley 20.234 que aborda las situaciones de informalidad colectiva, en que las personas tienen algún tipo de titulación de dominio, incompleta o imperfecta, o alguna relación con el suelo que ocupan, y carecen de la urbanización, ya sea materialmente o de las recepciones finales correspondientes, que las reconocen como tales. El objetivo de la norma es generar un mecanismo que les permita establecer un plano de loteo, con exigencias mínimas referidas a los servicios básicos, obtener una recepción provisora, gestionar el financiamiento respectivo, y ejecutar las obras de urbanización cuando corresponda. Una vez concretada la urbanización, se podrá obtener la recepción definitiva. Respecto de la efectividad y masividad en la aplicación de esta norma, es necesario advertir que no fue posible acceder a información que permita dar cuenta de su aplicación, número de beneficiarios, ni utilidad de sus herramientas. Específicamente, en el caso de las modificaciones efectuadas, su origen tiene relación principalmente, con casos puntuales en que esta no pudo ser aplicada.


Assuntos
Humanos , Habitação Popular , Assentamentos Humanos/legislação & jurisprudência , Planejamento de Cidades/normas
11.
J Community Health ; 44(2): 396-399, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30542971

RESUMO

Over the past 5 years, the number of regular cyclists in New York City (NYC) increased by ~ 140,000 to over 800,000 regular riders. Aiming to promote safe cycling, NYC has developed over 1000 miles of planned commuting and recreational bike paths across its five boroughs. Bike lane obstructions pose a safety risk to cyclists but the extent of such obstructions is unknown. The purpose of this cross-sectional study was to document the frequency and rate of obstructions in protected bike lanes throughout Manhattan, NYC. During the fall of 2018, bicycle obstructions were observed in ten zones of Manhattan, NYC. Three kinds of obstructions within the bicycle lanes were coded: object, pedestrian, and vehicle. A total of 233 obstructions in the protected bike lanes were observed in this study. Obstructions per zone ranged from 11 to 39. The most common type of obstruction was objects, which accounted for 53.2% (n = 124) of obstructions and ranged through zones from 2 to 22. People were the second most common obstruction, which accounted for 28.3% (n = 66) of the obstructions, with a range of 1-22. Vehicles accounted for the remaining 18.5% (n = 43) of the obstructions with a range of 1-9 throughout zones. Findings of this study indicate that, even in "protected" lanes, bikers may be forced into traffic or to approach parked cars, increasing the risk of being "doored."


Assuntos
Ciclismo/normas , Planejamento de Cidades/normas , Segurança/normas , Acidentes de Trânsito/prevenção & controle , Estudos Transversais , Humanos , Cidade de Nova Iorque
13.
Gerontologist ; 58(1): 26-35, 2018 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-28958016

RESUMO

Background and Objectives: In the United States, the older adult population and the proportion of neighborhoods experiencing gentrification are both growing. However, there is limited scholarship on the effects of gentrification on older adults, with most work focusing on those who leave rather than stay. This study examines the effects of remaining in a gentrifying neighborhood on older adults' self-rated health and mental health, with particular attention to outcomes for those who are economically vulnerable. Research Design and Methods: Data are from 6,810 community-dwelling respondents in metropolitan areas from the first wave of the National Health & Aging Trends Study combined with the 1970-2010 National Neighborhood Change Database. We estimate the effects of gentrification on self-rated health and mental health separately using a quasi-experimental approach and comparing two methods: matching design and linear regression. Results: Economically vulnerable older adults in gentrifying neighborhoods reported higher self-rated health than economically vulnerable older adults in low-income neighborhoods. Both economically vulnerable and higher-income older adults in gentrifying neighborhoods had more depression and anxiety symptoms than those living in more affluent areas. Higher-income older adults in gentrifying neighborhoods had poorer mental health than their counterparts in low-income neighborhoods. Discussion and Implications: Findings call attention to the complexity of gentrification, and the need for more research examining how the intersection of neighborhood and individual characteristics influences older adults' health. Results reinforce the need for neighborhood-level interventions as well as relocation support to promote health in later life and caution against an overemphasis on aging in place.


Assuntos
Envelhecimento , Autoavaliação Diagnóstica , Vida Independente , Características de Residência/estatística & dados numéricos , Reforma Urbana/organização & administração , Idoso , Envelhecimento/fisiologia , Envelhecimento/psicologia , Planejamento de Cidades/normas , Feminino , Disparidades nos Níveis de Saúde , Humanos , Vida Independente/psicologia , Vida Independente/normas , Masculino , Saúde Mental/estatística & dados numéricos , Estados Unidos/epidemiologia
14.
Gerontologist ; 58(1): 36-46, 2018 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-28958029

RESUMO

Background and Objectives: Proximity to health care, healthy foods, and recreation is linked to improved health in older adults while deterioration of the built environment is a risk factor for poor health. Yet, it remains unclear whether individuals prone to good health self-select into favorable built environments and how long-term exposure to deteriorated environments impacts health. This study uses a longitudinal framework to address these questions. Research Design and Methods: The study analyzes 3,240 Americans aged 45 or older from the Panel Study of Income Dynamics with good self-reported health at baseline, and follows them from 1999 to 2013. At each biennial survey wave, individual data are combined with data on services in the neighborhood of residence (defined as the zip code) from the Economic Census. The analysis overcomes the problem of residential self-selection by employing marginal structural models and inverse probability of treatment weights. Results: Logistic regression estimates indicate that long-term exposure to neighborhood built environments that lack health-supportive services (e.g., physicians, pharmacies, grocery stores, senior centers, and recreational facilities) and are commercially declined (i.e., have a high density of liquor stores, pawn shops, and fast food outlets) increases the risk of fair/poor self-rated health compared to more average neighborhoods. Short-term exposure to the same environments as compared to average neighborhoods has no bearing on self-rated health after adjusting for self-selection. Discussion and Implications: Results highlight the importance of expanding individuals' access to health-supportive services prior to their reaching old age, and expanding access for people unlikely to attain residence in service-dense neighborhoods.


Assuntos
Envelhecimento , Autoavaliação Diagnóstica , Planejamento Ambiental , Acessibilidade aos Serviços de Saúde/normas , Características de Residência , Idoso , Envelhecimento/fisiologia , Envelhecimento/psicologia , Planejamento de Cidades/normas , Planejamento Ambiental/normas , Planejamento Ambiental/estatística & dados numéricos , Feminino , Disparidades nos Níveis de Saúde , Humanos , Masculino , Fatores Socioeconômicos , Tempo , Estados Unidos
15.
Gac Sanit ; 31(5): 382-389, 2017.
Artigo em Espanhol | MEDLINE | ID: mdl-28545739

RESUMO

OBJECTIVE: To describe the tool developed in Andalusia (Spain) to conduct an analysis and prospective assessment of health impacts from urban planning projects as well as the process followed to design it. METHOD: On the one hand, direct and indirect relationships between urban setting and health were identified in light of the best scientific evidence available; and, on the other hand, methods and tools in impact assessment were reviewed. After the design of the tool, it was tested via both internal and external validation processes (meetings, workshops and interviews with key informants). RESULTS: The tool consists of seven phases, structured in two stages. A first descriptive stage shows how to obtain information about goals, objectives and general points pertaining the project and also to characterise the potentially affected population. The second one indicates, in several phases, how to identify and sort out potential impacts from the project using different supporting tools. CONCLUSIONS: Both in the testing phase and through its implementation since the entry into force of Andalusian Decree 169/2014 (16 June 2015) and forced all urban planning projects to be subjected to an Health Impact Assessment, this methodology has proved responsive, identifying major potential health impacts from the measures included in those projects. However, the tool has been shaped as a living tool and will be adapted in line with the experience acquired in its use.


Assuntos
Planejamento de Cidades/normas , Avaliação do Impacto na Saúde/métodos , Humanos , Espanha
17.
Prev Med ; 95S: S120-S125, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27364934

RESUMO

Nearly one-third of adults report no leisure-time physical activity (LTPA). Governmental and authoritative bodies recognize the role that community design through zoning code changes can play in enabling LTPA. This study examined the association between zoning and no adult LTPA in the U.S. This study was conducted between 2012 and 2016, with analyses occurring in 2015-2016. Zoning codes effective as of 2010 were compiled for jurisdictions located in the 495 most populous U.S. counties and were evaluated for pedestrian-oriented code reform zoning, 11 active living-oriented provisions (e.g., sidewalks, bike-pedestrian connectivity, mixed use, bike lanes) and a summated zoning scale (max=12). Individual-level LTPA data were obtained from the 2012 CDC Behavioral Risk Factor Surveillance System (BRFSS). County-aggregated, population-weighted zoning variables were constructed for linking to BRFSS. Log-log multivariate regressions (N=147,517 adults), controlling for individual and county characteristics and with robust standard errors clustered on county, were conducted to examine associations between zoning and no LTPA. Relative risks (RR) compared predicted lack of LTPA at 0% and 100% county-level population exposure to each zoning predictor. Zoning code reforms were associated with a 13% lower probability of no LTPA (RR: 0.87, 95% CI: 0.82-0.92). Except for crosswalks, all zoning provisions were associated with an 11-16% lower probability of no LTPA. Having all 12 zoning provisions was associated with a 22% lower probability of no LTPA (RR: 0.78, 95% CI: 0.72-0.83). The results suggest that active living-oriented zoning is a policy lever available to communities seeking to reduce rates of no LTPA.


Assuntos
Planejamento de Cidades/normas , Planejamento Ambiental/normas , Exercício Físico , Atividades de Lazer , Saúde Pública/normas , Adolescente , Adulto , Sistema de Vigilância de Fator de Risco Comportamental , Índice de Massa Corporal , Planejamento de Cidades/estatística & dados numéricos , Planejamento Ambiental/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Pública/estatística & dados numéricos , Fatores Socioeconômicos , Estados Unidos , Caminhada/normas , Caminhada/estatística & dados numéricos , Adulto Jovem
18.
Prev Med ; 95S: S92-S94, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27509869

RESUMO

Health Impact Assessments are an important tool to help policymakers perceive the potential positive and negative contributions of decisions to public health. While they have been increasingly used in the United States, studies have not examined intermediate effects. Using key stakeholder interviews, this manuscript examines policy outcomes and other related effects of the HIA 21months after completing a Health Impact Assessment Report around connectivity policy. Further, it reflects on the measurement of these effects as part of the monitoring and evaluation stage of the Health Impact Assessment process.


Assuntos
Planejamento de Cidades/normas , Avaliação do Impacto na Saúde/estatística & dados numéricos , Política de Saúde , Saúde Pública/normas , Meios de Transporte/normas , Planejamento de Cidades/métodos , Avaliação do Impacto na Saúde/métodos , Humanos , Entrevistas como Assunto , Formulação de Políticas , Avaliação de Programas e Projetos de Saúde , Saúde Pública/estatística & dados numéricos , Meios de Transporte/métodos , West Virginia
19.
J Nurs Manag ; 25(1): 37-45, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27730723

RESUMO

AIMS: This study focuses on home nursing care distribution in an urban setting in Germany. BACKGROUND: A shortage of nursing care workforce is present in Germany. METHODS: A geospatial analysis was performed to examine distribution patterns at the district level in Frankfurt, Germany (n = 46 districts) and factors were analysed influencing the location choice of home nursing care providers (n = 151). Furthermore, within the analysis we focused on the population aged over 65 years to model the demand for nursing care. RESULTS: The analysis revealed a tendency of home nursing care providers to be located near the city centre (centripetal distribution pattern). However, the demand for care showed more inconsistent patterns. Still, a centripetal distribution pattern of demand could be stated. Compared with the control groups (e.g. acute hospitals and pharmacies) similar geographical distribution patterns were present. However, the location of home nursing care providers was less influenced by demand compared with the control groups. CONCLUSION: The supply of nursing care was unevenly distributed in this metropolitan setting, but still matched the demand for nursing care. IMPLICATION FOR NURSING MANAGEMENT: Due to the rapidly changing health care environments policy, regulations must be (re-)evaluated critically to improve the management and delivery of nursing care provision.


Assuntos
Planejamento de Cidades/normas , Ciências da Terra/métodos , Necessidades e Demandas de Serviços de Saúde , Casas de Saúde/provisão & distribuição , Idoso , Idoso de 80 Anos ou mais , Planejamento de Cidades/métodos , Demografia , Alemanha , Humanos , Estatística como Assunto/instrumentação , Estatística como Assunto/métodos
20.
Epidemiol Prev ; 40(3-4): 243-8, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27436259

RESUMO

Cross-sector, life-course, and setting approaches are identified in the 2015-2018 Regional Prevention Plan (PRP) of Lombardy Region (Northern Italy) as valuable strategies to ensure the efficacy and sustainable prevention of the non-communicable disease (NCDs). The involvement of non-health sectors in health promotion activities represents a suitable strategy to affect on social, economic, and political determinants and to change environmental factors that could cause NCDs. A dialogue among communities, urban planning, and prevention know-how is a prerequisite to develop a system of policies suitable to promote healthy lifestyle in general and, specifically, active lifestyles. The 2015-2018 Lombardy PRP pursues its aims of health promotion and behavioural risk factors for NCDs prevention through programmes that implement their own setting networks (Health Promoting Schools - SPS; Workplace Health Promotion - WHP) and develop new networks. Sedentary lifestyle prevention and active lifestyle promotion are performed through the approach promoted by the Healthy Cities Programme (WHO), encouraging two main processes: 1. creating integrated capacity-building among health and social prevention services, academic research, and local stakeholders on different urban planning and design issues; 2. promoting community empowerment through active citizens participation. Through this process, Lombardy Region aims to orient its services developing evidence-based programmes and enhancing advocacy and mediating capacity skills in order to create a profitable partnership with non-health sectors. This paper reports the main impact data: 26,000 children that reach school by foot thanks to walking buses, 57% of 145 companies joining WHP are involved in promoting physical activity, 18,891 citizens who attend local walking groups.


Assuntos
Planejamento de Cidades/normas , Promoção da Saúde , Doenças não Transmissíveis/prevenção & controle , Instituições Acadêmicas/normas , Adolescente , Adulto , Idoso , Índice de Massa Corporal , Criança , Pré-Escolar , Estudos Transversais , Medicina Baseada em Evidências , Feminino , Promoção da Saúde/métodos , Humanos , Lactente , Recém-Nascido , Itália , Masculino , Pessoa de Meia-Idade , Obesidade/prevenção & controle , Fatores de Risco , Comportamento de Redução do Risco , Comportamento Sedentário
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