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Addressing Issues:
Health and Community Design

By Andy Schwartz

The lifestyles of Americans are becoming less active and more isolated by the day.

Incidences of obesity are surging nationwide, most alarmingly among children, 30% of whom are overweight. Heart disease, diabetes, depression and obesity are linked to inactivity, isolation, and the disconnectedness of our neighborhoods and lifestyles.

These issues dramatically affect older populations, among whom over 60% are inactive, and who suffer overwhelmingly from depression and mental illness. Most researchers agree that even a moderate amount of regular physical activity and social interaction could have a dramatic effect on these statistics.

However, there are many forces acting to prevent this. Studies show that increased television viewing, video games and the Internet have eaten into what was formerly social and active time for children and adults, and could therefore be tied to depression and other diseases related to inactivity and isolation. A lack of sidewalks and safe


Bikers and rollerbladers on the Battery Park City Promenade

places to cross streets forces us to stay at home, or drive instead of using active modes of transportation like walking and bicycling.

Sprawling developments and the lack of accessible public spaces and parks leave people with no places to go to. Blank walls and bleak landscapes are best viewed from a speeding car rather than on foot. And vehicle-dominated environments not only seriously affect air quality (they could be directly related to increased cases of asthma and other respiratory diseases), but also contribute significantly to pedestrian and bicycle-related deaths and injuries.

    How do we make our neighborhoods safer and our lifestyles more active and engaged? Studies abound on the "public health/community design connection," as it is becoming known. Until this point, the main focus of such research has been establishing the connection. Proactive solutions have been limited to suggestions such as constructing sidewalks, transit
Blank walls and bleak landscapes are best viewed from a speeding car rather than on foot.
 
 
facilities, recreation facilities and greenways closer to people's homes, so that exercise can easily be incorporated into daily routines, and to facilitate children safely walking to school.

Two key factors are critical to making any of these efforts successful.

1. Changes to the design of our communities should focus on creating social, public places that are destinations, with a multitude of ways to get to them.

2. Communities need to be involved from the outset in new planning and design, making changes and generating a vision.

1. Places to Go: Healthy Places, Healthy People
A focus on creating places will provide the rationale for every proscription that has come in the name of fostering health and livability. Making our towns and neighborhood centers easier to get to for walkers and bikers may promote physical and social activity - but it will not be a fruitful activity if we do not also create great places for them to go to.

True community places are available to everyone. They are the parks where we run, play and relax, where marathons end, where the seasons are marked and where cultures mix. They are the streets and sidewalks in front of homes and businesses where neighbors meet and people come to shop, jog and stroll. They are the "front porches" of our public institutions: city halls, libraries, schools, and post offices where a local farmers market may sell fresh produce. They must be places people    
When people interact and know each other - and have stronger social bonds - our communities are safer and healthier.
 
 
can walk to, or easily reach by transit. When cities and neighborhoods have thriving public spaces, residents have a strong sense of community. When people interact and know each other, and have stronger social bonds, our communities are safer and healthier. In short, public spaces are critical to creating livable cities and healthy communities. Unfortunately, good public spaces are all too rare in cities today.

2. Community-based Planning and Health
One reason why our cities and towns routinely fail at creating active social environments is that the community is not involved in establishing a vision for the place from the outset. This is known as a project-based approach, whereby officials deem what is wrong with a street, park or other public space, and make the necessary "improvements" without truly consulting the community in what they might want or like to do there. Not only do the planners and designers miss a great opportunity to gather local knowledge and ideas for creating a great place, but they also do not get the natural stewardship, in-kind donations and partnerships that likely would result from involving a broad cross-section of residents and other local leaders in the project.

What Makes A Healthy Place?
PPS's Place Diagram provides a good context for looking at these issues constructively.

Access and Linkages
According to the Department of Transportation, 25 percent of all trips are less than a mile, but 75 percent of those trips are made by car. Why? Because our neighborhoods are not built with the infrastructure to allow us to go any other way. Contributing to this problem are streets too wide to cross comfortably, traffic that moves too quickly, and an absence or lack of sidewalks, crosswalks, and bike lanes. Access means a truly public space is available and easy to reach for people of all incomes and backgrounds - and they don't have to pay to use it. It is critical for public spaces, our most democratic institutions.

Uses and Activities
A beautifully designed space is not worth anything if people don't use it - that's why we often say that a good public space is 80% management and 20% design. We need good programs, parks for recreation, and play areas that are connected to the communities around them - and are community places themselves. We need partnerships between local organizations, merchants associations, and government agencies so that these issues are being approached from every angle and with every available resource. New ideas and plans need to come from the ground up, not from the top down. True community process lets all the stakeholders, including residents, city agencies, local leaders and merchants, define the places and events that are important to them. Planning in this way promotes sustainability and use, and therefore activity.

Comfort and image
Our communities need to be designed in ways that make them easy and appealing to use - places that draw people to them, like a street that closes off temporarily for a festival, or a café that puts out sidewalk seating. A great park entrance should have amenities like benches under shady trees, waste receptacles, street lights and perhaps a bus stop. Comfort and image also involves feeling good about participating. In many neighborhoods where automobiles dominate, there is a stigma to simply walking down the street. We need to remove this stigma by creating places that attract people.

Sociability
In every great public space, sociability is the critical identifier. It is measured by public displays of affection, diversity, volunteerism, even people taking pictures and pointing with pride to neighborhood monuments and special features. Like physical activity, sociability also plays a crucial role in alleviating depression. This disease, like obesity and diabetes, among others, is linked strongly to isolation and disconnectedness. We need places to draw people out of the house and into community life.

Links:

Neal Pierce, Obesity and Sprawl, the Connection Tightens April 21, 2001

Creating A Healthy Environment: The Impact of the Built Environment on Public Health

Planning Healthier Suburbs, Where Cars Sit Idle and People Get Moving
New York Times; New York, N.Y.; Oct 17, 2000; Jane E. Brody

How Land Use and Transportation Systems Impact Public Health:
A Literature Review of the Relationship Between Physical Activity and Built Form
Lawrence D. Frank. PhD and Mr. Peter Engelke

Sprawl Harms Our Health
The Sierra Club

Kids Walk to School

HEY KID, TRY WALKING!
COMMUNITIES WIN WHEN SCHOOLS ARE CLOSE TO HOME

U.S. Obesity Trends 1985 to 2000

Diabetes Trends Among Adults in the U.S

The Center for Weight and Health at UC Berkeley

Supersized Kids, Diminishing Health
In a Bit More Than a Decade, the Number of Overweight Children Has Doubled in Many Racial Groups

Neil Pierce on health

Supersized Kids, Diminishing Health In a Bit More Than a Decade, the Number of Overweight Children Has Doubled in Many Racial Groups

 


Also in this issue:

Feature Story: Rebirth of a Great Street

News from PPS

Public Voices

Media Clips

Calendar

 

Books on Community Design:

How to Turn a Place Around

The Social Life of Small Urban Spaces by William H. Whyte

Cities Back from the Edge by Roberta Gratz and Norman Mintz

 

Download place diagrams in PDF format

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

© 1996-2001, Project for Public Spaces, Inc.