"Does urban planning impact health?" by Giuseppe Costa, in the framework of the final conference of the European research project SOPHIE. 29th September 2015, Brussels

1. Does urban planning
impact health?
With contributions from WP4 partners in Turin,
Barcelona, Amsterdam and Prague
“The impact on health and equity of social
and economic policies”, Brussels, 29.9.2015
Giuseppe Costa

2. Health impact of
social disadvantage
Policy implications

3. An explanatory framework
for urban built environment
To know more: Gelormino, E., Melis, G., Marietta, C., & Costa, G. (2015). From built environment to health inequalities: An explanatory
framework based on evidence. Preventive Medicine Reports, 2, 737-745.

5. Impact of individual deprivation on mortality*
Impact of area deprivation on mortality**
+ 70%
+ 5% + 7% + 14% + 1%
*low education **composite deprivation index

6. Health
impact
of
social
disadvantage
Policy implications
Where you live matters!
a. Social environment
b. Built environment (urban features, housing)

7. Health
impact
of
social
disadvantage
Social environment
(four EU cities) Segregation and mortality

8. With whom you live: Impact of social segregation on female mortality
+3%
+3%
+
6%
+1%
***
*** index of dissimilarity,
in bold p<0,05
To know more: Marinacci C, Demaria M, Biggeri A, et al. The role of contextual socioeconomic circumstances and segregation on
mortality in four European cities. Forthcoming.

9. Policy implications
Social mix in urban planning?
Social
environment
(four EU ci-es)
Segrega8on
and
mortality

10. Mental health and
urban features
Built environment (Turin)

11. Mental health (first prescription of antidepressant)
in Turin according to urban characteristics
Difficulty in accessibility Vandalism Culture, sport and leisure
Minus 4-5%
prescriptions in
females (35-64)
Plus 11%
prescriptions in
females (35-49)
No association
with prescriptions
in both genders
To know more: Melis G, Gelormino E, Marra G, et al. Neighbourhood characteristics and mental health inequalities in Turin.
Forthcoming.

12. Policy implications
Urban planning of functional mix and transport!
Mental health
=
accessibility
services
security
Built environment (Turin)

13. To know more: Barosio M, Eynard E, Marra G, et al. From urban renewal to urban regeneration: classification criteria for urban
interventions. Forthcoming

14. Traffic injuries
Urban physical regeneration (Turin)
Natural experiment
Built environment (Turin)

15. The last segment of Turin metro line
has been built from 2007 to 2011.
No differences in traffic
accidents before and after
To know more: Bianco S, Melis G, Mamo C, et al. Does a new metro
line affect road accidents? A time series based health impact
assessment in Turin, Italy. Forthcoming.

16. Traffic injuriesBuilt environment (Turin)
Urban physical regeneration (Turin)
Natural experiment
Transport infrastructure (Turin)
Traffic accidents and metroline: mixed results
Policy implications
Physical urban regeneration?

17. Built environment (Turin)
Natural
experiment in
Barcelona
Natural
experiment in
Netherlands
Urban regeneration
and subjective health
Urban regeneration
and physical exercise
Policy implications
Social and Physical regeneration!