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Health promotion urban spaces paz.ppt

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Public health and urban spaces

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Health promotion urban spaces paz.ppt

  1. 1. Berta Paz Lourido, PhD University of the Balearic Islands, bpaz@uib.es Health Promotion & urban spaces from the social determinants perspective
  2. 2. It is known that… Cities can play a critical role in determining health and health equity through the provision of basic goods such as health and social services.
  3. 3. By 2030, six out of every 10 people will live in cities. By 2050, seven of every 10 people will do. The nature of urban change differs within and among regions.
  4. 4. The process of urbanization is often accompanied by improvements in indicators of health and life expectancy.
  5. 5. But there is a unequal distribution of health both within countries and within cities.
  6. 6. The next question…? What are the attributes of urban governance, urban daily living conditions (social and physical environments) and climate change that contribute to urban health inequities?
  7. 7. Urban planning and design (physical environment) Environmental change (climate) Urban social conditions Urban Governance
  8. 8. Evidences There is a reciprocal relationship between urban social conditions and the built enviornment.
  9. 9. The poor or disadvantaged almost always live in the worst housing or worst neibourhoods.
  10. 10. And they are less likely to access public spaces and goods as a result of social and physical barriers.
  11. 11. Therefore, good urban planning can help offset social disadvantage, while bad urban planning can exacerbate it.
  12. 12. Urban planning can help mitigate climate change, depending upon how energy-efficient and carbon- intensive the cityʼs buildings, urban built form and tranport system are.
  13. 13. The nature of the physical environment can also assist people in adapting to climate change.
  14. 14. The effects of climate change and other forms of environmental degradation can exacerbate health inequities that are rooted in social and economic conditions.
  15. 15. When the natural and built environments and social and economic conditions are well integrated, the product is both improved health and greater health equity, and even more broadly, higher and more equitable levels of human development.
  16. 16. This is to the benefit of the citizens, their communities, local business and employers, the city and indeed the nation as a whole.
  17. 17. In rich countries, children from poor socioeconomic classes suffer more injuries and deaths from road crashes than their counterparts from high income groups.
  18. 18. The disruption of natural environmental systems, including climate change, has profound implications for the health and survival of people globally.
  19. 19. Crime and violence are more pronounced in urban areas, and specially in slum areas.
  20. 20. A social determinants approach suggest that improving living conditions in areas such as income, housing, transport, employment, education, social support and health services is central to improve the health of urban populations.
  21. 21. The overall quality of the urban environment can have impacts upon physical and mental health.
  22. 22. Many recrational facilities (recreation centres, youth centres, parks, physical fitness facilities, bicicle rentals, swimming pools and gyms) are unequally distributed, with poor beighbourhoods at a strong disadvantage.
  23. 23. Therefore… The urban physical form, its social infrastructure, the added pressure of climate change and the role of governance could determine equitable health benefits from urbanization in the context of globalization.
  24. 24. Urban planning and design have a particularly role in terms of influencing the urban physical environment and thus influencing health inequities.
  25. 25. The health sector need to stablish partnerships with other sectors and civil society to carry out a broad spectrum of interventions.
  26. 26. Strong political commitment to better urban planning and governance is crucial to create the intended improvements in sustained living conditions and health equity.
  27. 27. Berta Paz Lourido, PhD Bpaz@uib.es UIB

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