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Beyond Urban Penalty and Urban Sprawl: Back to Living Conditions as the Focus of Urban Health
Open accessAbstract
Researchers have long studied urban health, both to describe the consequences of urban living and to design interventions to promote the health of people living in cities. Two approaches to understanding the impact of cities on health have been dominant, namely, urban health penalty and urban sprawl. The urban penalty approach posits that cities concentrate poor people and expose them to unhealthy physical and social environments. Urban sprawl focuses on the adverse health and environmental effects of urban growth into outlying areas. We propose a model that integrates these approaches and emphasizes urban living conditions as the primary determinant of health. The aim of the model is to move beyond describing the health-related characteristics of various urban populations towards identifying opportunities for intervention. Such a shift in framework enables meaningful comparisons that can inform public health activities at the appropriate level and evaluate their effectiveness in improving the health of urban populations. The model is illustrated with two examples from current urban public health practice.
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Metadata
- Authors
- Freudenberg, N., Galea, S., & Vlahov, D.
- Affiliations
- City University of New York (US)
- Corresponding author
- Freudenberg, Nicholas
- Venue
- Journal of Community Health
- Published
- 2005-02
- Volume
- 30
- Issue
- 1
- Pages
- 1-11
- ISSN
- 0094-5145 (ISSN-L)
- 1573-3610
- OpenAlex
- W2034600447
- Cited by
- 104
- References
- 55
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 6 · 2022: 9 · 2021: 8 · 2020: 7 · 2019: 8 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 4 · 2012: 5
- FWCI
- 20.73
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Community Health (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Topics
- Social Sciences › Transportation › Urban Transport and Accessibility
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Urban Studies › Urban and Rural Development Challenges
- Keywords
- urban health, urban sprawl, living conditions, health determinants, urban poverty, social environment, physical environment
- MeSH terms
- Community Health Services, Health Promotion, Models, Theoretical, Poverty, Public Health, Residence Characteristics, Social Conditions, Urban Health
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