Planning and health - the evidence

Sarah Burgess
WHO Collaborating Centre for Healthy Urban Environments, UWE, Bristol
Sarah2.Burgess@uwe.ac.uk
Health and planning
• Overview: a growing
  agenda

• Current research

• Challenges and
  priorities
A growing agenda
Current research
• Healthy planning
  audit

• Walking-friendly
  environment

• Healthy built
  environments
Healthy planning audit
                             • Key findings:
                               – Knowledge sharing
                               – Cross-discipline
                                 working
                               – Evidence and best
                                 practice
                               – Evidenced
                                 standards
                               – Health impacts
    http://www.apho.org.uk/resource/item.aspx?RID=119706
    http://www.idea.gov.uk/idk/aio/28692849
Walking-friendly environments




             Study report available at:
             http://www.livingstreets.org.uk/
             professionals/making-the-case-
             for-investment-in-the-walking-
             environment
The benefits of increased walking
 • Physical health
    • Reduced risk of all-cause mortality by up to 20%
    • Reduced risk of cardiovascular disease by up to
      30% (2004: £29bn)
    • Reduced obesity (2001: £7bn, 2015: £27bn)
 • Mental health (2009: £106bn)
    • Improved self-esteem, mood and mindset
    • Reduced stress
    • Increased social interaction
         Sense of community
         Social capital
Long-term decline in walking trips
Trips per person per year




                            Source: National Travel Survey (various years)
Types of study




                 Adapted from Williams and Dair (2007)
Higher density
Consistent evidence that higher density neighbourhoods are associated
with greater utility walking levels




Source: Morag Lindsey               Source: Morag Lindsey
Greater land use mix
Consistent evidence that neighbourhoods with more destinations are
associated with greater utility walking levels
Some evidence that the number of destinations is also related to
recreational walking levels




Source: Morag Lindsey   Source: e-architect.co.uk   Source: Morag Lindsey
Connectivity
Consistent evidence that neighbourhoods with better connectivity are
associated with greater utility walking levels
Pedestrian facilities
 Consistent evidence that neighbourhoods with a more pedestrian
 facilities are associated with greater recreational walking levels
 Some evidence that more pedestrian facilities are also related to utility
 walking levels




 Source: Morag Lindsey    Source: Morag Lindsey    Copyright: The Royal Borough of Kensington
                                                              and Chelsea
Aesthetics
Consistent evidence that neighbourhoods with a more interesting or
attractive features are associated with greater recreational walking
levels




Source: Morag Lindsey        Source: Morag Lindsey   Copyright: Gehl Architects
Personal safety
Some evidence that neighbourhoods with greater levels of personal
safety are associated with greater recreational and utility walking levels




Source: Morag Lindsey         Source: Morag Lindsey   Source: Morag Lindsey
Parks and open space
Some evidence that neighbourhoods with greater access to good quality
parks and open spaces are associated with greater utility walking
levels




Source: Morag Lindsey   Source: Morag Lindsey   Source: Morag Lindsey
Built environment characteristics associated
with more walking
                  Consistent              Mixed evidence          No evidence
                  evidence
Utility walking   Higher density          Parks/open space        Traffic
                  Land use mix            Personal safety         Aesthetics
                  Connectivity            Pedestrian facilities


Recreational      Pedestrian facilities   Personal safety         Higher density
walking           Aesthetics              Land use mix            Connectivity
                                                                  Parks/open space
                                                                  Traffic
Built environment interventions

Context                    Interventions
Residential streets        Traffic calming, Home Zones
Busy, mixed use streets    Mixed priority routes, shared space
Schools                    Safe routes to schools
Traffic-free connections   Shared use paths
Urban centres              Public realm improvements,
                           pedestrianisation
Area-wide                  Lower speed limits, mixed
                           infrastructure and marketing
Healthy built environments
Review of BE & physical activity

769 articles



  55 review papers
  (published 2000-
  2010)



     37 studies
     reviews
Key themes
• Distance, density and
  mixed uses
• Connectivity of street
  networks
• High quality and well
  maintained infrastructure
  and facilities
• Designing for safety
• Incidental movement
  (visible stairs)
• Access to good quality
  and safe open space
http://www.be.unsw.edu.au/programs/healthy-built-environments-program/literature-
review
Challenges and priorities
•   Causality
•   Self-selection
•   Monitoring interventions
•   Consistent and objective methods
•   Evidence to justify policy change
With thanks
• Walking-friendly environments:
     • Danielle Sinnett, Centre for Sustainable Planning and
       Environments, UWE
     • Kiron Chatterjee, Centre for Transport & Society, UWE
     • Katie Williams, Centre for Sustainable Planning and
       Environments, UWE
     • Nick Cavill, Cavill Associates
    http://www.livingstreets.org.uk/professionals/making-the-case-for-investment-
                                                       in-the-walking-environment

• Healthy Built Environments:
     • Susan Thompson, University of New South Wales, Australia
               http://www.be.unsw.edu.au/programs/healthy-built-environments-
                                                    program/literature-review
Thank you.

Sarah Burgess
WHO Collaborating Centre for Healthy Urban Environments
University of the West of England, Bristol
www.uwe.ac.uk/research/who
Sarah2.burgess@uwe.ac.uk

Sarah Burgess - Planning and health: The Evidence

  • 1.
    Planning and health- the evidence Sarah Burgess WHO Collaborating Centre for Healthy Urban Environments, UWE, Bristol Sarah2.Burgess@uwe.ac.uk
  • 2.
    Health and planning •Overview: a growing agenda • Current research • Challenges and priorities
  • 3.
  • 4.
    Current research • Healthyplanning audit • Walking-friendly environment • Healthy built environments
  • 5.
    Healthy planning audit • Key findings: – Knowledge sharing – Cross-discipline working – Evidence and best practice – Evidenced standards – Health impacts http://www.apho.org.uk/resource/item.aspx?RID=119706 http://www.idea.gov.uk/idk/aio/28692849
  • 6.
    Walking-friendly environments Study report available at: http://www.livingstreets.org.uk/ professionals/making-the-case- for-investment-in-the-walking- environment
  • 7.
    The benefits ofincreased walking • Physical health • Reduced risk of all-cause mortality by up to 20% • Reduced risk of cardiovascular disease by up to 30% (2004: £29bn) • Reduced obesity (2001: £7bn, 2015: £27bn) • Mental health (2009: £106bn) • Improved self-esteem, mood and mindset • Reduced stress • Increased social interaction  Sense of community  Social capital
  • 8.
    Long-term decline inwalking trips Trips per person per year Source: National Travel Survey (various years)
  • 9.
    Types of study Adapted from Williams and Dair (2007)
  • 10.
    Higher density Consistent evidencethat higher density neighbourhoods are associated with greater utility walking levels Source: Morag Lindsey Source: Morag Lindsey
  • 11.
    Greater land usemix Consistent evidence that neighbourhoods with more destinations are associated with greater utility walking levels Some evidence that the number of destinations is also related to recreational walking levels Source: Morag Lindsey Source: e-architect.co.uk Source: Morag Lindsey
  • 12.
    Connectivity Consistent evidence thatneighbourhoods with better connectivity are associated with greater utility walking levels
  • 13.
    Pedestrian facilities Consistentevidence that neighbourhoods with a more pedestrian facilities are associated with greater recreational walking levels Some evidence that more pedestrian facilities are also related to utility walking levels Source: Morag Lindsey Source: Morag Lindsey Copyright: The Royal Borough of Kensington and Chelsea
  • 14.
    Aesthetics Consistent evidence thatneighbourhoods with a more interesting or attractive features are associated with greater recreational walking levels Source: Morag Lindsey Source: Morag Lindsey Copyright: Gehl Architects
  • 15.
    Personal safety Some evidencethat neighbourhoods with greater levels of personal safety are associated with greater recreational and utility walking levels Source: Morag Lindsey Source: Morag Lindsey Source: Morag Lindsey
  • 16.
    Parks and openspace Some evidence that neighbourhoods with greater access to good quality parks and open spaces are associated with greater utility walking levels Source: Morag Lindsey Source: Morag Lindsey Source: Morag Lindsey
  • 17.
    Built environment characteristicsassociated with more walking Consistent Mixed evidence No evidence evidence Utility walking Higher density Parks/open space Traffic Land use mix Personal safety Aesthetics Connectivity Pedestrian facilities Recreational Pedestrian facilities Personal safety Higher density walking Aesthetics Land use mix Connectivity Parks/open space Traffic
  • 18.
    Built environment interventions Context Interventions Residential streets Traffic calming, Home Zones Busy, mixed use streets Mixed priority routes, shared space Schools Safe routes to schools Traffic-free connections Shared use paths Urban centres Public realm improvements, pedestrianisation Area-wide Lower speed limits, mixed infrastructure and marketing
  • 19.
  • 20.
    Review of BE& physical activity 769 articles 55 review papers (published 2000- 2010) 37 studies reviews
  • 21.
    Key themes • Distance,density and mixed uses • Connectivity of street networks • High quality and well maintained infrastructure and facilities • Designing for safety • Incidental movement (visible stairs) • Access to good quality and safe open space http://www.be.unsw.edu.au/programs/healthy-built-environments-program/literature- review
  • 22.
    Challenges and priorities • Causality • Self-selection • Monitoring interventions • Consistent and objective methods • Evidence to justify policy change
  • 23.
    With thanks • Walking-friendlyenvironments: • Danielle Sinnett, Centre for Sustainable Planning and Environments, UWE • Kiron Chatterjee, Centre for Transport & Society, UWE • Katie Williams, Centre for Sustainable Planning and Environments, UWE • Nick Cavill, Cavill Associates http://www.livingstreets.org.uk/professionals/making-the-case-for-investment- in-the-walking-environment • Healthy Built Environments: • Susan Thompson, University of New South Wales, Australia http://www.be.unsw.edu.au/programs/healthy-built-environments- program/literature-review
  • 24.
    Thank you. Sarah Burgess WHOCollaborating Centre for Healthy Urban Environments University of the West of England, Bristol www.uwe.ac.uk/research/who Sarah2.burgess@uwe.ac.uk