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APHA Scientific Session and Event Listing

City streets as pubic health facilities

Jody Rosenblatt Naderi, MLA, RLA, Dept. Landscape Architecture and Urban Planning, Texas A&M University, Center for Health Systems Design, A337 Langford Architecture Center, 3137 TAMU, College Station, TX 77840, 979.458.0103, jrnaderi@archone.tamu.edu and Jun-Hyun Kim, PhD Candidate, Landscape Architecture and urban Planning, College of Architecture, Texas A&M University, Langford Architecture Center, College Station, TX 77843.

Recent research in health care supports the hypothesis that an early walking habit can be encouraged with enhanced pedestrian environments. Additionally, walking is prescribed by the health community. Recent research indicates walking for renewal is primarily implemented in neighborhood streets. What are appropriate design standards for the street which will optimize health outcomes and encourage healing through walking?

Based on pedestrian preference data and clinical simulation trials, develop a replicable method for 1) define a locally defensible “enhanced pedestrian environment” design standard for health outcomes and 2) recommend cost-sensitive capital programming and policy changes.

Participant preference through simulation of pedestrian environments, GIS data, and intercept surveys were used to develop the design and construction cost estimate for streets as alternative health facility. A comparison of existing and enhanced implementation costs and policy changes was completed.

The cost of implementing the enhanced pedestrian environment was less than 2% of typical project costs for reconstruction of the road. The policy change required to support right to walk for health was less than one page of text in planning, public works and capital programming.

The implementation of enhanced walking environment standards can support equitable access to health and renewal. This is particularly significant in America where the right to safely use the road for healing and renewal is often compromised by both public policy and capital programming priorities.

Learning Objectives:

Keywords: Human Rights, Access to Health Care

Presenting author's disclosure statement:

Not Answered

Alternative and Complementary Health Practices Poster Session

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA