Recommendations on Evaluation and Development of Useful Metrics for Urban Health

Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age, volume 1)


Even as the field of Urban Health continues to emerge, the need for useful metrics and measurement tools is becoming apparent. Currently many attributes of factors found in the urban environment may be measured. We also can measure the magnitude and psychologic or physiologic impact of common many elements, exposures and other realities common to the urban environment. However a robust summary statistic of Urban Health that takes into account sociocultural, environmental, biophysiologic, economic, healthcare and urban assets or resources does not exist. This chapter highlights the inherent complexity of this goal by exploring select major issues and challenges with accomplishing this objective and in so doing, helps to highlight the need for Knowledge Management principles and expertise to be an intricate part of the process.


Social Determinant Contextual Characteristic Urban Health Public Health Nurse Enrichment Program 


  1. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–82.PubMedCrossRefGoogle Scholar
  2. Gibbons MC, Brock M, Alberg AJ, Glass T, LaVeist TA, Baylin SB et al. The Socio-biologic integrative model: Enhancing the integration of socio-behavioral, environmental and bio-molecular knowledge in urban health and disparities research. J Urban Health. 2007;84:198–211.PubMedCrossRefGoogle Scholar
  3. LaVeist TA. Race and Health. San Francisco: Jose-Bass; 2002.Google Scholar
  4. Minamoto T, Mai M, Ronai Z. Environmental factors as regulators and effectors of multistep carcinogenesis. Carcinogenesis. 1999;20:519–27.PubMedCrossRefGoogle Scholar
  5. Miura K, Nakagawa H, Tabata M, Morikawa Y, Nishijo M, Kagamimori S. Birth weight, childhood growth, and cardiovascular disease risk factors in Japanese aged 20 years. Am J Epidemiol. 2001;153:783–89.PubMedCrossRefGoogle Scholar
  6. Rothman KJ, Greenland S. Modern Epidemiology. Philadelphia, PA: Lippincot-Raven; 1998.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of EpidemiologyJHU/Bloomberg School of Public HealthBaltimoreUSA

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