New knowledge and operative framework of urban health

New knowledge and operative framework of urban health

Authors

  • Federico Serra Health City Institute, Rome, Italy; C14+ Network,Rome, Italy
  • Stefano Capolongo Design&Health Lab. Department of Architecture, Built environment and Construction engineering (ABC) – University Politecnico di Milano, Milan, Italy
  • Alessandro Cosimi Health City Institute, Rome, Italy
  • Roberta Crialesi Health City Institute, Rome, Italy; ISTAT, Integrated System Service for Health, Care and Welfare, Rome, Italy
  • Lucio Corsaro Health City Institute, Rome, Italy; Bhave, Rome, Italy
  • Stefano da Empoli Health City Institute, Rome, Italy; Institute for Competitiveness, Rome, Italy
  • Francesco Dotta Health City Institute, Rome, Italy; Dept. of Medicine, Surgery and Neurosciences, University of Siena , Siena, Italy
  • Antonio Gaudosio Health City Institute, Rome, Italy
  • Daniele Gianfrilli Design&Health Lab. Department of Architecture, Built environment and Construction engineering (ABC) – University Politecnico di Milano, Milan, Italy; Health City Institute, Rome, Italy
  • Luciano Grasso Health City Institute, Rome, Italy; Comune di Genova-Health City Manager, Genova, Italy
  • Francesca Romana Lenzi Health City Institute, Rome, Italy; Department of Movement, Human and Health Sciences, University of Rome "Foro Italico"
  • Eleonora Mazzoni Health City Institute, Rome, Italy
  • Antonio Nicolucci Health City Institute; Center for Outcomes Research and Clinical Epidemiology – CORESEARCH, Pescara, Italy
  • Giuseppe Novelli University of Rome Tor Vergata, Laboratorio Genetica Medica, UOC PTV, Rome, Italy;
  • Fabio Pagliara SportCity Foundation, Italy
  • Attilio Parisi Department of Movement, Human and Health Sciences, University of Rome "Foro Italico"
  • Antonella Polimeni Sapienza University of Rome, Rome, Italy
  • Andrea Rebecchi Design&Health Lab. Department of Architecture, Built environment and Construction engineering (ABC) – University Politecnico di Milano, Milan, Italy
  • Walter Ricciardi Institute of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
  • Marco Ronchi Design School of Politecnico di Milano, Milan, Italy
  • Carlo Signorelli University Vita-Salute San Raffaele, Milan, Italy; Association of Schools of Public Health in the European Region (ASPHER);
  • Roberta Siliquini Italian Society of Hygiene, Preventive Medicine and Public Health (SItI); University of Turin, Turin, Italy; Fondazione CENSIS, Rome, Italy
  • Giulia Sormani Design School of Politecnico di Milano, Milan, Italy
  • Chiara Spinato Health City Institute, Rome, Italy
  • Gianluca Vaccaro UO Education and Health Promotion, Asp Catania, Catania, Italy; Bhave, Rome, Italy https://orcid.org/0009-0002-4760-3856
  • Maria Concetta Vaccaro Health City Institute, Rome, Italy; Fondazione CENSIS, Rome, Italy
  • Andrea Lenzi Health City Institute, Rome, Italy; UNESCO Chair on Urban Health Sapienza University of Rome, Rome, Italy

Keywords:

health management

Abstract

It is easy to understand how healthy choices bring us to an healthy life. The capability of adopt healthy lifestyles is due by opportunities, possibilities and personal motivation, all variabilities influenced by external factors. Some citizens, unlike others, have easy access to affordable, fresh and healthy foods. Some citizens, similar to others, have easy access to safe places where to walk, run, ride bicycles and play. This also shows that when some vulnerable groups get sick, the impact is wider, and the consequences are worse. The issue of the social-health inequality has gained global relevance after the Covid-19 pandemic. The Coronavirus has damaged different populations that were already fighting predictable diseases such as obesity, diabetes, cardiovascular pathologies, and cancers. This has underlined the need to establish collaboration throughout the different sectors in order to reduce the spread of predictable diseases. The solutions are known. If we offer the right incentives, we can modify the social and economic environments that affect the risk factor in order to gradually solve the gap regarding health inequalities. Cities have an important responsibility regarding this, other than the possibility of taking a lead role in promoting innovative solutions that create healthy and sustainable spaces and communities to support citizens in adopting healthy choices. But specialists, who can develop multi-sectorial plans and deal with the different aspects that operate in a city's social health system, are needed. In this context, new professional competencies like Health City Managers (HCM), who are able to elaborate on Urban Health Framework (UHF), appear necessary to facilitate the collaboration between public health entities to grant the creation of healthy environments. The HCM approach analyses the different factors that affect environment, where public and private sectors can operate in a functional way.

Author Biography

Gianluca Vaccaro, UO Education and Health Promotion, Asp Catania, Catania, Italy; Bhave, Rome, Italy

.

References

WHO. Hidden Cities: Unmasking and overcoming health inequalities in urban settings. Geneva, Switzerland: World Health Organization. 2010.

Health City Institute, Manifesto Health in the Cities common good. 2016_rev 2020_2023

European Committee of Region, 123rd plenary session, Opinion, Health in cities: the common good; 11-12 May 2017

WHO, Copenhagen Consensus of Mayors. Healthier and happier cities for all; 2018

G7 Side Event, Roma Urban Health Declaration; 11 December 2018

Health City Institute, Creating the World of tomorrow,4th Health City Forum, Health City Manager: Core Competences In Urban Health Management, 2019

World Urbanization Prospects: The 2009 Revision. Rep. Departments of Economic and Social Affairs: Population Division, Mar. 2010. Web.

World Development Report 2009: Reshaping Economic Geography. Rep. no. 43738. The World Bank, 2009. Web. 8 Feb. 2011.

Urban World: Mapping the Economic Power of Cities. Rep. McKinsey Global Institute,

Mar.2011. Web. 8 Feb.2012.

Glaeser, Edward. “Cities: Engines of Innovation.” Scientific American, 17 Aug. 2011. Web. 9 Feb. 2012.

Glaeser, Edward. “Triumph of the City [Excerpt].” Scientific American, 17 Aug. 2011. Web. 9 Feb. 2012.

Pacione, M. Urban Geography: A Global Perspective. New York: Routledge, 2001. Print.

World Energy Outlook 2008. Rep. International Energy Agency, 2008. Web. 9 Feb. 2012.

Outlook on the Global Agenda 2011. Rep. World Economic Forum, June 2011. Web. 10 Feb. 2012.

Global Risks 2012. Rep. World Economic Forum, June-July 2012. Web. 10 Feb. 2012.

Satterhwaite, David. Climate Change and Urbanization: Effects and Implications for Urban Governance. Rep. United Nations Secretariat: Department of Economic and Social Affairs, 27 Dec. 2007. Web. 11 Feb. 2012.

Matuschke, Ira. Rapid Urbanization and Food Security: Using Food Density Maps to Identify Future Food Security Hotspots. Rep. Food and Agriculture Organization of the United Nations (FAO), 2009. Web. 11 Feb. 2012.

“Technology Trends.” ABI Research. Web. 10 Feb. 2012

Hill, Dan. “The Adaptive City.” City of Sound, 7 Sep. 2008. Web. 11 Feb. 2012.

Glaeser, Edward L. “E-Ties That Bind.” Economix Blog. New York Times, 1 Mar. 2011. Web. 11 Feb. 2012.

“Check out Zynga’s Zany New Offices.” CNN Money. Cable News Network. Web. 10 Feb. 2012.

Gansky, Lisa. The Mesh: Why the Future of Business Is Sharing. New York, NY: Portfolio Penguin, 2010. Print.

“Climate: C40 Cities’ Aggarwala Says Local Governments Can Lead the Way on Climate Action.” E&E TV, 27 July 2011. Web. 10 Feb. 2012.

Brockman, John. “Why Cities Keep Growing,Corporations and People Always Die, And Life Gets Faster.” Edge: Conversationson theEdgeofHuman Knowledge.23May2011. Web. 10 Feb. 2012.

Lehrer, Jonah. “A Physicist Solves the City.” New York Times, 17 Dec. 2011. Web. 10 Feb. 2012.

A Unified Theory of Urban Living. Rep. Macmillan Publishers Limited, 21 Oct. 2010. Web. 10 Feb. 2012.

“GeoffreyB. West:WhyCitiesKeep onGrowing,Corporations Always Die, and Life Gets Faster.” Seminars About Long-Term Thinking. The Long Now Foundation, JulyAug. 2011. Web. 10 Feb. 2012.

Guterl, Fred. “Why Innovation Won’t Defuse the Population Bomb.” Scientific American, 31 Oct. 2011. Web. 02

Mar. 2012.

D’Estries, Michael. “Top Five Most Sustainable Cities in the World.” Ecomagination.com. 29 Nov. 2011. Web. 10 Feb. 2012.

“10 BestCitiesfortheNext Decade.” Kiplinger PersonalFinance. July 2010. Web. 02 Mar. 2012.

“CFP: Intercity Networks and Urban Governance in Asia.” Center for Southeast and Asian Studies. 22 Aug. 2011. Web. 10 Feb. 2012.

“Joint Initiative on Urban Sustainability (JIUS).” Environmental Protection Agency. Web. 10 Feb. 2012.

Clay, Jason. “Precompetitive Behaviour: Defining the Boundaries.” The Guardian, 02 June 2011. Web. 10 Feb. 2012.

“City Mayors: Eurocities Report on City Branding.” Eurocities. Web. 10 Feb. 2012. 31 Jacobs, Jane. The Death and Life of Great American Cities. [New York]: Random House, 1961. Print.

Kermeliotis, Teo. “Hacking the city for a greener future.” CNN Tech. Web. 02 Feb. 2012.

West, Harry. “Why Don’t Regular Joes Care About Sustainability?” Co.Design. Web. 10 Feb. 2012.

“Urbanization and Megacities in Emerging Economies.” GlobeScan/SustainAbility, 10 Feb. 2010. Web. 02 Mar. 2012. “Trendwatching.com’s February 2011 Trend Briefing Covering CITYSUMERS.” Trendwatching.com. Web. 11 Feb. 2012.

“Can Cities Build Local Developmental Strategies? Some Surprising Good News from Colombia.” From Poverty to Power by Duncan Green. Oxfam International. Web. 10 Feb. 2012.

Duranton, Gilles, and Diego Puga. Nursery Cities: Urban Diversity, Process Innovation, and the Life-cycle of Products. CEPR Discussion Paper 2376. American Economic Review. Feb. 2000. Web. 14 Feb. 2012.

Lenzi Andrea,Capolongo Stefano, Ricciardi Gualtiero, Signorelli Carlo, Napier David, Rebecchi Andrea, Spinato Chiara.New competences to manage urban health: Health City Manager core curriculum Acta Biomed 2020; Vol. 91, Supplement 3: 21-28.

Araújo-Soares V, Hankonen N, Presseau J, Rodrigues A. and Sniehotta F.F. Developing behavior change interventions for self-management in chronic illness. European Psychologist. 2018.

Bartholomew Eldrigde LK, Markham CM, Ruiter RAC, Fernàndez ME, Kok G, Parcel GS. Planning health promotion programs: An Intervention Mapping approach (4th ed.). 2016. Hoboken, NJ: Wiley.

D’Alessandro D, Rebecchi A, Appolloni L, Brambilla A, Brusaferro S, Buffoli M, Carta M, Casuccio A, Coppola L, Corazza MV et al. Re-Thinking the Environment, Cities, and Living Spaces for Public Health Purposes, According with the COVID-19 Lesson: The LVII Erice Charter. Land, 2023, 12(10), 1863. https://doi.org/10.3390/land12101863

Buffoli M, Rebecchi A. The Proximity of Urban Green Spaces as Urban Health Strategy to Promote Active, Inclusive and Salutogenic Cities. in E. Arbizzani et Al. (eds.), Technological Imagination in the Green and Digital Transition. The Urban Book Series. Springer. 2023, Part F813, pp. 1017–1027. https://doi.org/10.1007/978-3-031-29515-7_90

Gianfredi V, Buffoli M, Rebecchi A, Croci R, Oradini-Alacreu A, Stirparo G, Marino A, Odone A, Capolongo S, Signorelli C. Association between Urban Greenspace and Health: A Systematic Review of Literature. International Journal of Environmental Research and Public Health. 2021, 18, 5137. https://doi.org/10.3390/ijerph18105137

Buffoli M, Rebecchi A, Dell’Ovo M, Oppio A, Capolongo S. Transforming the Built Environment Through Healthy-Design Strategies. A Multidimensional Framework for Urban Plans’ Evaluation. Smart Innovation, Systems and Technologies. 2020, 177 SIST, pp. 187-196. https://doi.org/10.1007/978-3-030-52869-0_16

D’Alessandro D, Gola M, Appolloni L, Dettori M, Fara GM, Rebecchi A, Settimo G, Capolongo S. COVID-19 and living spaces challenge. Well-being and Public Health recommendations for a healthy, safe and sustainable housing. Acta Biomed. 2020, 91, pp. 61-75. https://doi.org/10.23750/abm.v91i9-S.10115

Capolongo S, Buffoli M, Brambilla A, Rebecchi A. Healthy Urban Planning and Design Strategies to improve urban quality and attractiveness of places. TECHNE. 2020, 19, pp. 271-279. https://doi.org/10.13128/techne-7837

Capolongo S, Buffoli M, Mosca EI, Galeone D, D’Elia R, Rebecchi A. Public health aspects’ assessment tool for urban projects, according to the urban health approach. Research for Development. 2020, pp. 325-335. https://doi.org/10.1007/978-3-030-33256-3_30

Capolongo S, Rebecchi A, Buffoli M, Appolloni L, Signorelli C, Fara GM, D’Alessandro D. COVID-19 and cities: From urban health strategies to the pandemic challenge. a decalogue of public health opportunities. Acta Biomed. 2020, 91(2), pp. 13-22. https://doi.org/10.23750/abm.v91i2.9515

Bloch P, Toft U, Reinbach HC, Clausen LT, Mikkelsen BE, Poulsen K, Jensen BB. Revitalizing the setting approach - supersettings for sustainable impact in community health promotion. The international journal of behavioral nutrition and physical activity. 2014, 11, 118. https://doi.org/10.1186/s12966-014- 0118-8

C40 Cities Leadership Group. Climate Action Planning Framework. 2020. Website accessed March2020 at: https://resourcecentre.c40.org/ climate-action-planning-framework-home

Change Lab Solutions. From Start to Finish: How to Permanently Improve Government through Health in All Policies. 2015. Accessed at https://www.changelabsolutions rg/sites/default/files/From-Start-to-Finish_HIAP_ Guide-FINAL-20150729_1_0.pdf

University of Kansas Center for Community Health and Development, Community ToolBox. Accessed March 2020 at: https://ctb.ku.edu/

University of Wisconsin Population Health Institute.Take Action Cycle. 2019.Accessed March 2020 at: https://www. countyhealthrankings.org/take-action-toimprove-health/action-center

Gehl Institute. A Mayors Guide to Public Life. 2017. Accessed March 2020 at: https://mayorsguide.gehlinstitute.org/ MAYORS_GUIDE_Complete.pdf

Green L, Kreuter M. Health Program Planning: An Educational And Ecological Approach. 1999. Mountain View, CA: Mayfield Publishing Company.

MichieS, Atkins L, West R. The behaviour change wheel. A guide to designing interventions. 2014, 1st ed. Great Britain: Silverback Publishing, 1003-1010.

O’CathainA, Croot L, Duncan E, RousseauN, Sworn K, Turner KM, HoddinottP et al. Guidance on how to develop complex interventions to improve health and healthcare. BMJ open. 2019, 9(8), e029954.

O’Cathain A, Croot L, Sworn K, Duncan E, Rousseau N, Turner K, Hoddinott P. et al. Taxonomy of approaches to developing interventions to improve health: a systematic methods overview. Pilot and feasibility studies. 2019, 5(1), 41.

U.S. Department of Health and Human Services Centers for Disease Control and Prevention. Office of the Director, Office of Strategyand Innovation. Introduction to program evaluation for public health programs: A self-study guide. Atlanta, GA: Centers for Disease Control and Prevention, 2011. Accessed at https://www.cdc.gov/eval/guide/index.htm.

World Health Organization. ExpandNet. Beginning with the End in Mind: Planning Pilot Projects and Other Programmatic Research for Successful Scaling up. 2021

Nicolucci A, Rossi CM,Vaccaro K, CrialesiR, Rossetti S,DaEmpoliS, Corsaro L, MorviducciL, Baroni MG, FrontoniS,Dotta F. Urban diabetes: the case of the metropolitan area of Rome Acta Biomed. 2019; 90(2): 209–214

DaEmpoli S, Fadda M , Mazzoni E, GaudiosoA, Serra F, Spinato C, Cosimi A, Vaccaro K, Dotta F, Lenzi A. Urban health in Italy: health outcomes and sustainable living European Journal of Public Health. 2018; Vol. 28, Supplement 4.

Lenzi A. Why urbanisation and health? Acta Biomed. 2019; Vol. 90, N. 2: 181-183

Health City Institute. Health City Manager: un professionista al servizio della salute in tutte le politiche. 6 Dicembre 2022. Accessed November 2023 at:https://healthcityinstitute.com/wp-content/uploads/2022/12/programma-6-DICEMBRE.pdf

Lenzi A, Serra F, Spinato C.Health City Report. Health City Institute.2022.

ANCI. Avviso di selezione per il corso di alta formazione “Health City Manager”. Accessed April 2024 at: https://www.anci.it/wp-content/uploads/Avviso-di-selezione_Giovani-per-le-Citt%C3%A0-della-Salute_SIGLATO-11.03.pdf

UNESCO. A new social contract for education: advancing a paradigm of relational interconnectedness. 2023. Accessed April 2024 at: https://unesdoc.unesco.org/ark:/48223/pf0000384218?posInSet=1&queryId=45d65f45-bc3f-4771-a756-00b87344dc55

International Commission on the Futures of Education. Reimagining our futures together: a new social contract for education; executive summary. 2021. Accessed April 2024 at: https://unesdoc.unesco.org/ark:/48223/pf0000379381?msclkid=32f1eb19ac4611ec8bcd9d6826d8e1fd

ENLIGHTENme. Deliverable D1.2: City level lighting and Health Maps. 2022. Accessed April 2024 at: https://www.enlightenme-project.eu/user/pages/06.resources/03.research-insights/ENLIGHTENme_D1.2_CityLevelLightingHealthMaps.pdf

https://www.urban-health.eu/wp-content/uploads/Policy-brief-draft-1-final.pdf

Lenzi FR, Vaccaro K. Il valore della multidimensionalità nell’approccio dell’urban health. Sicurezza e Scienze Sociali, 2019; 1:192-206.

Lenzi FR, Iazzetta F. Sport, health in the city: Promoting physical activity in urban areas. A case study of Rome. Proceedings ofESA Research Network, 28 Society and Sport Midterm Conference Sport and social responsibility: science and practice in times of crisis. Rome, Italy. 2022

G20 Rome Leaders’ Declaration. G20 Summit 30-31 Ottobre 2021.

Italian Urban Heath Declaration. G20 bridge event: “Health in the cities: key priorities for the Italian G20 2021: global health for the future of people, planet, prosperity”. 21 Giugno 2021

Capolongo S, Rebecchi A, Dettori M, Appolloni L, Azara A, Buffoli M, Capasso L,Casuccio A, Oliveri Conti G, D’Amico A, Ferrante M, Moscato U, Oberti I, Paglione L, Restivo V, D’Alessandro D. Healthy Design and Urban Planning Strategies, Actions, and Policy to AchieveSalutogenic Cities.International Journal of Environmental Research and Public Health.2018; 15(12), 2698https://doi.org/10.3390/ijerph15122698.

D’AlessandroD, Capolongo S. Ambiente Costruito e Salute.Franco Angeli: Milano, Italy, 2015.

Capolongo S, BattistellaA, Buffoli M, Oppio A. Healthy design for sustainable communities. Ann. Ig. 2011, 23, 43–53.

D'Alessandro D, Arletti S, Azara A, Buffoli M, Capasso L, Cappuccitti A, Casuccio A, Cecchini A, Costa G, De Martino AM, Dettori M, Di Rosa E, Fara GM, Ferrante M, Giammanco G, Lauria A, Melis G, Moscato U, Oberti I, Patrizio C, Petronio MG, Rebecchi A, Romano Spica V, Settimo G, Signorelli C, Capolongo S; Attendees of the 50th Course Urban Health. Strategies for Disease Prevention and Health Promotion in Urban Areas: The Erice 50 Charter. Ann Ig. 2017 Nov-Dec;29(6):481-493. doi: 10.7416/ai.2017.2179.

Signorelli C, Capolongo S, Buffoli M, Capasso L, Faggioli A, Moscato U, Oberti I, Petronio MG, D’Alessandro D. Italian Society of Hygiene (SItI) recommendation for a healthy, safe and sustainable housing. Epidem Prev 2016; 40(3-4): 265-270. doi: 10.19191/EP16.3-4.P265.094.

Odone A, Privitera G, Signorelli C and the Board of Directors of the Schools of Hygiene and Preventive Medicine. Post-graduate medical education in public health: the case of Italy and a call for action. Public Health Reviews 2017; 38: 24 doi: 10.1186/s40985-017-0069-0.

Downloads

Published

28-08-2024

Issue

Section

FOCUS ON

How to Cite

1.
Serra F, Capolongo S, Cosimi A, et al. New knowledge and operative framework of urban health. Acta Biomed. 2024;95(4):e2024122. doi:10.23750/abm.v95i4.16062