Abstract
Urban health, defined as “the study of the health of urban populations,” is becoming a great argument in the international research agenda since urbanization, the demographic transition from rural to urban, has become one of the major public health challenges of this century, considering that more than two thirds of the global population will be living in cities by 2050. Urbanization has significant effects on population health: of course, it can and should be beneficial for health as urban areas can provide healthy living and working environment and concentrate opportunities, jobs, services, and technologies; it is testified by the improvements over the past 50 years in mortality and morbidity in highly urbanized countries, other than by the direct correlation between urbanization and richness. However, there are several economic, social, and environmental determinants which could have a great negative impact on health in urban areas; for example, inequities and poverty (between and within cities) with increasing number of people living in slums; infectious diseases, exacerbated by poor living and working conditions, chronic, noncommunicable diseases linked to lifestyles in cities, road traffic, and accidents; violence and crime; air pollution; and climate change. To avoid these threats and turn every urban area into a “healthy city,” it is important to promote the urban health knowledge and spread the existing best practices: healthy cities integrate health considerations into urban planning, processes, strategic programs, and policies but anticipate also implications of the climate changes and public health emergencies to support health, recreation and well-being, safety, social interaction, easy mobility, and the sense of pride and cultural identity.
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References
Galea S, Vlahov D (2005) Urban health: populations, methods and practice. In: Galea S, Vlahov D (eds) Handbook on urban health: populations, methods and practice. Springer, New York
Frye V, Putnam S, O’Campo P (2008) Whither gender in urban health? Health Place 14(3):616–622
WHO (2008) Our cities, our health, our future: acting on social determinants for health equity in urban settings. World Health Organization, Geneva
United Nations Human Settlements Programme (UN-HABITAT) (2006). Urbanization: Mega & Meta Cities, New City States? http://www.unhabitat.org/documents/media_centre/sowcr2006/SOWCR%202.pdf. Accessed 2 Oct 2013
United Nations Human Settlements Programme (UN-HABITAT) (2010). State of the World’s Cities 2010/2011: Bridging The Urban Divide. http://www.unhabitat.org/documents/SOWC10/L1.pdf. Accessed 2 Oct 2013
WHO (2013) http://www.who.int/gho/urban_health/situation_trends/urban_population_growth/en/index.html. Accessed 2 Oct 2013
Lawrence RJ (2007) Urban health challenges in europe. J Urban Health 90(S1):23–36
WHO (2007) Global age-friendly cities: a guide. World Health Organization, Geneva
Friel S, Akerman M, Hancock T, Kumaresan J, Marmot M, Melin T, Vlahov D, GRNUHE members (2011) Addressing the social and environmental determinants of urban health equity: evidence for action and a research agenda. J Urban Health 88(5):860–874. doi:10.1007/s11524-011-9606-1
WHO - UNHABITAT. PART ONE. THE DAWN OF AN URBAN WORLD. In: HIDDEN CITIES: UNMASKING AND OVERCOMING HEALTH INEQUITIES IN URBAN SETTINGS. World Health Organization, The WHO Centre for Health Development, Kobe, and United Nations Human Settlements Programme (UN-HABITAT), 2010
United Nations Human Settlements Programme (UN-HABITAT) (2006) State of the worlds’ cities 2006/7. The millennium development goals and urban sustainability. Earthscan, London
African Population and Health Research Center (APHRC) (2002) Population and health dynamics in Nairobi’s informal settlements. African Population and Health Research Center, Nairobi
Global Health Observatory (GHO). Infant mortality. Available at: http://www.who.int/gho/urban_health/outcomes/infant_mortality_text/en/index.html. Accessed 2 Oct 2013
WHO Commission on Social Determinants of Health (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health. World Health Organization, Geneva
Yassi A et al (2001) Basic environmental health. Oxford University Press, New York
Wilson ME (1995) Infectious diseases: an ecological perspective. Br Med J 311:1681–1684
Morse S (1995) Factors in the emergence of infectious diseases. Emerg Infect Disord 1(1):7–15
UNAIDS (2006) Report on the global AIDS epidemic. UNAIDS, Geneva
WHO - Global Health Observatory (GHO). Access to piped water. Available at: http://www.who.int/gho/urban_health/determinants/safe_water/en/index.html. Accessed 2 Oct 2013
Roccaro P, Falciglia PP, Vagliasindi FG (2011) Effectiveness of water saving devices and educational programs in urban buildings. Water Sci Technol 63(7):1357–1365
Willis RM, Stewart RA, Panuwatwanich K, Williams PR, Hollingsworth AL (2011) Quantifying the influence of environmental and water conservation attitudes on household end use water consumption. J Environ Manage 92(8):1996–2009
Azara A, Moscato U (2009) Rapporto Osservasalute Ambiente 2008. (Eds. Ricciardi G). Prex, Milano
Addo J, Smeeth L, Leon D (2007) Hypertension in sub-Saharan Africa: a systematic review. Hypertension 50(6):1012–1018
Evans GW, Jones-Rounds ML, Belojevic G, Vermeylen F (2012) Family income and childhood obesity in eight European cities: the mediating roles of neighborhood characteristics and physical activity. Soc Sci Med 75(3):477–481
Fleischer N, Diez Roux A, Alazraqui M, Spinelli H (2008) Social patterning of chronic disease risk factors in a Latin American city. J Urban Health 85(6):923–937
Friel S, Chopra M, Satcher D (2007) Unequal weight: equity oriented policy responses to the global obesity epidemic. Br Med J 335(7632):1241–1243
Ruel MT, Garrett JL (2004) Features of urban food and nutrition security and considerations for successful urban programming. Electron J Agric Develop Econ 1(2):242–271
Dixon J, Omwega AM, Friel S, Burns C, Donati K, Carlisleet R (2007) The health equity dimension of urban food systems. J Urban Health 84(S1):118–129
Mendez M, Popkin B (2004) Globalization, urbanization and nutritional change in the developing world. Electron J Agric Develop Econ 1(2):220–241
Frank L, Kavage S, Litman T (2006) Promoting public health through Smart Growth: building healthier communities through transportation and land-use policies and practices. Vancouver BC SmartGrowth BC, Beaconsfield
Kjellstrom T, Hinde S (2007) Car culture, transport policy and public health. In: Kawachi I, Wamala S (eds) Globalization and public health. Oxford University Press, New York
Harpham T (1994) Urbanization and mental health in developing countries: a research role for social scientists, public health professionals and social psychiatrists. Soc Sci Med 39(2):233–245
WHO (2013) Global status report on road safety. World Health Organization, Geneva
Nantulya VM et al (2003) Introduction: the global challenge of road traffic injuries: can we achieve equity in safety? Inj Control Saf Promot 10:3–7
WHO—Global Health Observatory (GHO) (2013) http://gamapserver.who.int/gho/interactive_charts/phe/oap_mbd/atlas.html—Accessed 4 Nov 2013
WHO—Global Health Observatory (GHO) (2013) http://www.who.int/gho/phe/outdoor_air_pollution/exposure/en/. Accessed 4 Nov 2013
Pascal M, Corso M, Chanel O et al (2013) Assessing the public health impacts of urban air pollution in 25 European cities: results of the Aphekom project. Sci Total Environ 1(449):390–400
Donatiello G (2001) Environmental sustainability indicators in urban areas: an Italian experience. Joint ECE/Eurostat Work Session on Methodological Issues of Environment Statistics Working Paper 16. Ottawa
Campbell-Lendrum D, Corvalan C (2007) Climate change and developing country cities: implications for environmental health and equity. J Urban Health 84(3)i109–i117
Oxfam (2007) Adapting to climate change. What’s needed in poor countries and who should pay? Oxfam briefing paper 104, Oxford
McMichael A et al (2004) Climate Change. In: Ezzati M, Lopez A, Rodgers A, Murray C (eds) Comparative quantification of health risks: global and regional burden of disease due to selected major risk factors. World Health Organization, Geneva
Paykel ES, Abbott R, Jenkins R et al (2002) Noise exposure and public health. Environ Health Perspect 108(S1):123–131
Parikh SV, Wasylenki D, Goering P et al (1996) Mood disorders: rural/urban differences in prevalence, health care utilization, and disability in Ontario. J Affect Disord 38:57–65
Blazer D, George LK, Landerman R, et al (1985) Psychiatric disorders: a rural/urban comparison. Arch Gen Psychiatry 42:651–656
Blazer DG, Kessler RC, McGonagle KA, Swartz MS (1994) The prevalence and distribution of major depression in a national community sample: the National Comorbidity Survey. Am J Psychol 151:979–986
Kessler RC, McGonagle KA, Zhao S et al (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Arch Gen Psychiatry 51:8–19
Hwu H-G, Yeh E-K, Chang L-Y (1989) Prevalence of psychiatric disorders in Taiwan defined by the Chinese diagnostic interview schedule. Acta Psychiatr Scand 79:136–147
Yamamoto S, Watanabe S (2001) Geographic characteristics and mortality profiles in the JPHC study. Japan public health center-based prospective study on cancer and cardiovascular diseases. J Epidemiol 11(S6):S8–23
Vlahov D, Gibble E, Freudenberg N, Galea S (2004) Cities and Health: history, approaches, and key questions. Acad Med 79:1133–1138
UNICEF National Committees and Country Offices (2009) Child friendly cities promoted. Fact sheet, Geneva
Fowler PJ, Braciszewski JM (2009) Community violence prevention and intervention strategies for children and adolescents: the need for multilevel approaches. J Prev Interv Community 37(4):255–259
WHO (2007) Preventing injuries and violence. World Health Organisation, Geneva
WHO (2012) Health indicators of sustainable cities. In the context of the Rio + 20 UN conference on sustainable development. Initial findings from a WHO expert consultation. World Health Organisation, Geneva
Lester D, Mohammad A, Leach EE, Hernandez PI, Walker EA (2012) An investigation of asthma care best practices in a community health center. J Health Care Poor Underserved 23(S3):255–264
United Nations Human Settlements Programme (UN-HABITAT) (2012) Urban patterns for a green economy. Optimizing infrastructure. http://www.unhabitat.org/pmss/listItemDetails.aspx?publicationID‼/span>=3343. Accessed 04 Nov 2013
Rojas-Rueda D, de Nazelle A, Teixidó O, Nieuwenhuijsen MJ (2012) Replacing car trips by increasing bike and public transport in the greater Barcelona metropolitanarea: a health impact assessment study. Environ Int 15(49):100–109
United Nations Human Settlements Programme (UN-HABITAT) (2012) Urban patterns for a green economy. Working with nature. http://www.unhabitat.org/pmss/listItemDetails.aspx?publicationID‼/span>=3341. Accessed 04 Nov 2013
Galea S, Vlahov D (2005) Urban health: evidence, challenges and directions. Annu Rev Public Health 26:341–365
United Nations Human Settlements Programme (UN-HABITAT) (2012). Urban patterns for a green economy. Leveraging Density. http://www.unhabitat.org/pmss/listItemDetails.aspx?publicationID‼/span>=3342. Accessed 04 Nov 2013
Stine N, Chokshi D, Gourevitch M (2013) Improving population health in US cities. J Am Med Assoc 309(5):449–450. doi:10.1001/jama.2012.154302
Lee IM, Rexrode KM, Cook NR, Manson JE, Buring JE (2001) Physical activity and coronary heart disease in women: Is “no pain, no gain” passè? J Am Med Assoc 285:1447–1454
Campbell T, Campbell A (2007) Emerging disease burdens and the poor in cities of the developing world. J Urban Health 84(S1):54–64. doi:10.1007/s11524-007-9181-7
Jakab Z (2012) Contextualizing health: accounting for the urban environment. Harvard Int Rev 34(1): 46–51
Tsouros A (2013) City leadership for health and well-being: back to the future. J Urban Health 90(S1):4–13. doi:10.1007/s11524-013-9825-8
United Nations, Department of Economic and Social Affairs, Population Division (2010) World urbanization prospects, the 2009 revision: highlights. United Nations, New York
World Health Organization/UN HABITAT (2010) Hidden cities: unmasking and overcoming health inequities in urban settings. WHO, Kobe
Whitfield M, Machaczek K, Green G (2013) Developing a model to estimate the potential impact of municipal investment on city health. J Urban Health 90(S1):62–73. doi:10.1007/s11524-012-9763-x
Mau B (2011) Urbanity, revised: to imagine the future we must rethink the meaning of a city, Megalopolis. World Policy J 27(4):17–22
Ministry for the Environment, L and and Sea-Italy and Regional Environmental Center (2013) School environment and respiratory health of children. Summary of SEARCH II results and conclusions. http://search.rec.org/publications/airing-ideas/196. Accessed 2 Oct 2013
World Health Organization Regional Office for Europe (2012) Health 2020: policy framework and strategy. EUR/RC62/8. WHO, Copenaghen
Castleden M, McKee M, Murray V, Leonardi G (2011) Resilience thinking in health protection. J Public Health (Oxf) 33(3):369–377
Nuwayhid I, Zurayk H, Yamout R, Cortas CS (2011) Summer 2006 war on Lebanon: a lesson in community resilience. Glob Public Health 21:1–15
Plough A Fielding JE, Chandra A et al (2013) Building community disaster resilience: perspectives from a large urban county department of public health. Am J Public Health 103(7):1190–1197. doi:10.2105/AJPH.2013.301268
WHO (1986) The Ottawa charter for health promotion—first international conference on health promotion. WHO, Geneva
WHO Regional Office for Europe (2013). Healthy cities. http://www.euro.who.int/en/health-topics/environment-and-health/urban-health/activities/healthy-cities. Accessed 2 Oct 2013
Hancock T, Duhl T (1988) Promoting health in an urban context. WHO Healthy Cities Papers No. 1, WHO Regional Office for Europe, Copenhagen
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We would like to thank Dr. Daniel Ignazio La Milia for the support to the scientific literature review and research and Dr. Carolina Ianuale for the editing of the entire book.
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Moscato, U., Poscia, A. (2015). Urban Public Health. In: Boccia, S., Villari, P., Ricciardi, W. (eds) A Systematic Review of Key Issues in Public Health. Springer, Cham. https://doi.org/10.1007/978-3-319-13620-2_13
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