Background
A consensus is emerging in the literature that urban form can impact health by either facilitating or deterring physical activity (PA). However, there is a lack of evidence measuring population health and the economic benefits relating to alternative urban forms. We examined the issue of housing people within two distinct types of urban development forms: a medium-density brownfield development in an established area with existing amenities (e.g. daily living destinations, transit), and a low-density suburban greenfield development. We predicted the health and economic benefits of a brownfield development compared with a greenfield development through their influence on PA.
Methods
We combined a new Walkability Planning Support System (Walkability PSS) with a quantitative health impact assessment model. We used the Walkability PSS to estimate the probability of residents’ transport walking, based on their exposure to urban form in the brownfield and greenfield developments. We developed the underlying algorithms of the Walkability PSS using multi-level multivariate logistic regression analysis based on self-reported data for transport walking from the Victorian Integrated Survey of Transport and Activity 2009–10 and objectively measured urban form in the developments. We derived the difference in transport walking minutes per week based on the probability of transport walking in each of the developments and the average transport walking time per week among those who reported any transport walking. We then used the well-established method of the proportional multi-cohort multi-state life table model to translate the difference in transport walking minutes per week into health and economic benefits.
Results
If adult residents living in the greenfield neighbourhood were instead exposed to the urban development form observed in a brownfield neighbourhood, the incidence and mortality of physical inactivity-related chronic diseases would decrease. Over the life course of the exposed population (21,000), we estimated 1600 health-adjusted life years gained and economic benefits of A$94 million.
Discussion
Our findings indicate that planning policies that create walkable neighbourhoods with access to shops, services and public transport will lead to substantial health and economic benefits associated with reduced incidence of physical inactivity related diseases and premature death.
Electronic supplementary material
The online version of this article (10.1186/s12966-019-0775-8) contains supplementary material, which is available to authorized users.
The increasing process of urbanisation has major implications for the environment, biodiversity, and health and well-being of urban residents. Empirical evidence for urban greening benefits suggests that it is an appropriate planning and policy approach for tackling some of the problems associated with urbanisation, including biodiversity loss and heat island effects. Gardens on private residential lots represent a substantial proportion of greenspaces in low density cities with extensive suburban areas. Drawing on a qualitative study of residents in Sunshine North, Melbourne, Australia, this paper discusses three questions about the relationship of private gardens to public greenspaces:1) how does residents’ use of private gardens impact their use of other neighbourhood greenspaces;2) can private gardens address inequality of access to greenspaces in lower income neighbourhoods; and,3) what does this imply for planning and neighbourhood design?Contrary to previous research, the findings did not show a meaningful relationship between residents’ use of their gardens and local greenspaces, and further, that large yards and gardens do not substitute for poor access to local greenspaces. The paper concludes that policy makers and planners cannot assume private gardens and public greenspaces are interchangeable. While private gardens and local greenspaces can both provide positive benefits to residents, private gardens do not act as a substitute for local greenspaces in neighbourhoods of varying socio-economic status.
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