Online Program

Health equity at the intersection of urban planning and public health: An analysis of programmatic, discursive, legislative, and structural actions

Tuesday, November 5, 2013 : 2:30 p.m. - 2:50 p.m.

Lindsay Rosenfeld, ScD, ScM, Heller School for Social Policy and Management, The Institute for Child, Youth and Family Policy, Brandeis University, Waltham, MA
Catherine Duarte, BA, Health Resources in Action, Boston, MA
Alexander Weinstein, BA, Operations Research Center, Massachusetts Institute of Technology, Cambridge, MA
Reginald Tucker-Seeley, MA, ScM, ScD, Center for Community Based Research, Dana-Farber Cancer Institute, Boston, MA
The urban planning and public health fields both describe complex relationships between the neighborhood environment and health. A Health in All Policies framework suggests that health determinants be considered in every policy. To explore whether this “health equity lens” is used in the U.S., we conducted a policy scoping of the 15 largest cities - and of major U.S. urban planning, public health and health impact assessment organizations - to determine if they considered both urban planning and public health in their policy efforts. No such policy database currently exists. We used Google's search engine to uncover any such policy “actions” that explicitly incorporate both perspectives. We categorized these policy and practice “actions” by mode: programmatic, discursive, legislative and structural as well as by issue. Our Google results returned 148 hits across 15 cities. Upon review we found many actions that integrated public health and urban planning. Specifically, we found multiple programmatic [79] and discursive actions [39] occurring primarily in Atlanta, New York City, San Francisco, Chicago, and Seattle. The planning and public health issues most-often addressed by cities were at the intersection of zoning and raising the public health profile [11], community development and general health [9], and transportation design/infrastructure and general health [8]. We will discuss our city and organization policy scoping results as well as next steps for research and policy. Finally, we will encourage attendees to tell us about any relevant policy “actions” happening in their cities.

Learning Areas:

Advocacy for health and health education
Other professions or practice related to public health
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
Define: health equity, health in all policies, health impact assessment, urban planning. Differentiate: between programmatic, discursive, legislative, and structural policy actions. Explain: how to design a policy scoping when no data currently exists. Identify: the major health issues and urban planning issues being jointly considered in policy actions in the largest 15 U.S. cities as well as by major urban planning, public health, and health impact assessment organizations.

Keyword(s): Policy/Policy Development, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My research and policy work focuses on nonhealth policies and programs that impact health, including health equity, health in all policies, health impact assessments, urban planning, housing, neighborhoods, education, (im)migration, literacy. Related, I am also the co-founder and director of ICUPPH: The Interdisciplinary Consortium on Urban Planning and Public Health – a group of researchers, professionals, and students from across the planning and public health fields; this research was supported (non-monetary) by this group.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4294.0: Legislating Health