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Public health in linkage to land use: Theoretical framework, empirical evidence, and critical implications for reconnecting health promotion to land use policy

机译:与土地利用相关的公共卫生:理论框架,经验证据以及将健康促进与土地利用政策重新联系的关键意义

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The increasing health burdens pose great challenge for planners and policy makers to create a more livable city. Recent literature has linked land use to a wide range of illness and death causes in developed nations. It therefore requires evidence-driven and replicable frameworks to inform land use decisions that integrate with health promotion. This paper proposes a theoretical framework for the mechanistic links between neighborhood land use and public health; and then quantifies their associations at district level, using the case of Shenzhen in developing China. Data for 15 health indicators in 2010 are collected at district level; and a set of standardized land use variables (individual land use type, general land use mix, and physical street conditions) are proposed to comprehensively reflect the neighborhood land use characteristics. Spatial regression is employed to analyze the relationships between health outcomes and land use variables. Results show that the land use exploratory variables vary with health indicators, but several key land use determinants are identified: green land abundance, green land morphology, institutional land proximity, industrial land proximity, blue land abundance, street walkability and street connectivity. Structural equation modeling is further applied to examine the possible mediators and it demonstrates that the casual pathways between land use and public health are quite complex. The developed set of standardized land use variables can serve as practical tools to facilitate land use decisions with health considerations. In practice, several complexities at governance levels challenge the efforts to reconnect land use policies and public health promotion. We put forward three useful solutions to enhancing health connection with land use policy across different international settings. This study captures the nuanced health disparities varied with districts and indicators, and therefore produces some more generalized knowledge that ultimately helps develop land use policies aimed at promoting public health at home and abroad. (C) 2016 Elsevier Ltd. All rights reserved.
机译:日益增加的健康负担对规划者和决策者提出了一个挑战,以创建一个更宜居的城市。最近的文献将土地使用与发达国家的各种疾病和死亡原因相关联。因此,它需要循证驱动和可复制的框架,以为与健康促进相结合的土地使用决策提供依据。本文为邻里土地利用与公共卫生之间的机制联系提出了理论框架。然后以发展中的深圳为例,在地区层面上量化他们的协会。 2010年在地区一级收集了15项健康指标的数据;并提出了一套标准化的土地利用变量(个体土地利用类型,一般土地利用组合和实际街道状况)以全面反映邻里土地利用特征。空间回归用于分析健康结果与土地利用变量之间的关系。结果表明,土地利用探索性变量随健康指标而变化,但确定了几个关键的土地利用决定因素:绿地丰富度,绿地形态,机构用地接近度,工业用地接近度,蓝地丰富度,街道可通行性和街道连通性。结构方程模型被进一步应用于检验可能的媒介,它表明土地利用与公共卫生之间的偶然路径是相当复杂的。已开发的标准化土地用途变量集可以用作实用工具,以促进出于健康考虑的土地用途决策。在实践中,治理层面的一些复杂性对重新建立土地使用政策和促进公共卫生的努力提出了挑战。我们提出了三种有用的解决方案,以在不同的国际环境下加强与土地使用政策之间的卫生联系。这项研究捕获了因地区和指标而异的细微差别,因此产生了一些更普遍的知识,这些知识最终有助于制定旨在促进国内外公共卫生的土地使用政策。 (C)2016 Elsevier Ltd.保留所有权利。

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