Diagnosing the built environment for healthy living

Designing Healthy Communities, the companion book to the acclaimed public television documentary, highlights how we design the built environment and its potential for addressing and preventing many of the nation's devastating childhood and adult health concerns. Dr. Richard Jackson looks at the root causes of our malaise and highlights healthy community designs achieved by planners, designers, and community leaders working together. Ultimately, Dr. Jackson encourages all of us to make the kinds of positive changes highlighted in this book. 2012 Nautilus Silver Award Winning Title in category of “Social Change” "In this book Dr. Jackson inhabits the frontier between public health and urban planning, offering us hopeful examples of innovative transformation, and ends with a prescription for individual action. This book is a must read for anyone who cares about how we shape the communities and the world that shapes us." —Will Rogers, president and CEO, The Trust for Public Land "While debates continue over how to design cities to promote public health, this book highlights the profound health challenges that face urban residents and the ways in which certain aspects of the built environment are implicated in their etiology. Jackson then offers up a set of compelling cases showing how local activists are working to fight obesity, limit pollution exposure, reduce auto-dependence, rebuild economies, and promote community and sustainability. Every city planner and urban designer should read these cases and use them to inform their everyday practice." —Jennifer Wolch, dean, College of Environmental Design, William W. Wurster Professor, City and Regional Planning, UC Berkeley "Dr. Jackson has written a thoughtful text that illustrates how and why building healthy communities is the right prescription for America." —Georges C. Benjamin, MD, executive director, American Public Health Association Publisher Companion Web site: www.josseybass.com/go/jackson Additional media and content: http://dhc.mediapolicycenter.org/

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Designing Healthy Communities, the companion book to the acclaimed public television documentary, highlights how we design the built environment and its potential for addressing and preventing many of the nation's devastating childhood and adult health concerns. Dr. Richard Jackson looks at the root causes of our malaise and highlights healthy community designs achieved by planners, designers, and community leaders working together. Ultimately, Dr. Jackson encourages all of us to make the kinds of positive changes highlighted in this book. 2012 Nautilus Silver Award Winning Title in category of “Social Change” "In this book Dr. Jackson inhabits the frontier between public health and urban planning, offering us hopeful examples of innovative transformation, and ends with a prescription for individual action. This book is a must read for anyone who cares about how we shape the communities and the world that shapes us." —Will Rogers, president and CEO, The Trust for Public Land "While debates continue over how to design cities to promote public health, this book highlights the profound health challenges that face urban residents and the ways in which certain aspects of the built environment are implicated in their etiology. Jackson then offers up a set of compelling cases showing how local activists are working to fight obesity, limit pollution exposure, reduce auto-dependence, rebuild economies, and promote community and sustainability. Every city planner and urban designer should read these cases and use them to inform their everyday practice." —Jennifer Wolch, dean, College of Environmental Design, William W. Wurster Professor, City and Regional Planning, UC Berkeley "Dr. Jackson has written a thoughtful text that illustrates how and why building healthy communities is the right prescription for America." —Georges C. Benjamin, MD, executive director, American Public Health Association Publisher Companion Web site: www.josseybass.com/go/jackson Additional media and content: http://dhc.mediapolicycenter.org/

Urban planning is deeply implicated in both the planetary crisis of climate change and the personal crises of unhealthy lifestyles. Worldwide health issues such as obesity, mental illness, growing health inequalities and climate vulnerability cannot be solved solely by medicines but also by tackling the social, economic and environmental determinants. In a time when unhealthy and unsustainable conditions are being built into the physical fabric of cities, a new awareness and strategy is urgently needed to putting health and well-being at the heart of planning. The Routledge Handbook of Planning for Health and Well-being authoritatively and comprehensively integrates health into planning, strengthening the hands of those who argue and plan for healthy environments. With contributions from international leaders in the field, the Handbook of Planning for Health and Well-being provides context, philosophy, research, processes, and tools of experienced practitioners through case studies from four continents.

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

The Plan of Nashville is a community-based vision of how the urban core of Nashville should look and work in the 21st century. The purpose is to help the central city hold its place in civic life. Since Nashville assumed a metropolitan form of government - merging city and county - there have been almost a hundred plans that dealt with some aspect of the center city. This plan is different. The Plan was conceived and orchestrated by the Nashville Civic Design Center, which is committed to the practice of urban design. This three-dimensional discipline integrates streets and buildings, land use and transportation - a new approach for Nashville. As a private not-for-profit, the center listens with independent ears and speaks with an independent voice. Previous plans by Metro government departments and their consultants were constrained by politics and patronage, by available funding or the need to solve specific problems. Plan of Nashville is not an island bound by the noose of the interstate loop. The Plan integrates downtown with the areas that frame it via the spoke roads that are the historic entries into downtown. Rather than taking a top down approach, the design center organized the process of listening to the community. Over 400 citizens attended a series of workshops in downtown and the surrounding neighborhoods to express their opinions and draw their dreams. The center's staff translated the results into a series of maps and illustrations, with explanatory text - that articulate a three-dimensional vision for the city that will serve as a litmus test for current and future development.