Applying Salutogenesis in Towns and Cities

This chapter casts light on how cities can facilitate good health through urban planning, design and organisation, and collaboration between multiple sectors. The way we organise cities is one aspect of the social determinants of health and can manifest or balance several aspects of social injustice. This chapter focuses on matters of planning and maintaining infrastructure, including transportation systems, green spaces and walkability, as well as matters of environmental justice across cities. Moreover, it is discussed how a Health in All Policies (HiAP) approach can be implemented at the city level, and in which ways the World Health Organization’s (WHO’s) Healthy City Network contributes to this work. The authors take a closer look at the evaluations of HiAP, as well as the Healthy Cities approach, and to what degree they facilitate long-lasting cross-sector collaboration. Last, it is discussed whether and how a salutogenic orientation can link places and environmental resources to health outcomes, and explore the implications of this approach for salutogenic practice and research.

Approaching Healthy City Ontology: First-Level Classes Definition Using BFO

In recent decades, the concept of the healthy city (HC) has become more and more relevant in many fields, such as city administration and scientific environment, and has become a commonly understood concept in the general public. Due to the breakneck growth of people living in urban contexts, the subsequent necessity to guarantee good urban conditions for all kinds of citizens, and the general deterioration of the hearth environment caused by human activities (concentrated in urban settlements), this issue is increasing in its relevance. In this paper, the authors discuss the concept of the HC from an ontological point of view to organize the highly complex system of elements and the mutual relations that constitute the idea of HC. The main goals of an HC are quite intuitive, but the number of components that define and manage it is vast and related to different disciplines: sustainability, urban management, urban planning, and health and social studies. With the presented research, the authors intend to start an organizational definition of the HC using basic formal ontology (BFO). Considering the definition of HC, the authors focus on the ontology process and the different typologies of ontological structures. Then, the authors describe a first-level scheme of HC ontology and, finally, discuss possible applications of the presented study and next research steps.

Design of Slow Traffic System in Historic District from the Perspective of Healthy City

Health is not only derived from a good personal lifestyle, but also from a good external social environment. This article summarizes relevant researches on healthy cities and slow-moving systems at home and abroad, and discusses how to understand the environmental space of historical locations from a human perspective, and use the concept of healthy cities to study the use of various spaces. Taking the Tanhualin Historic District in Wuhan as an example, this paper analyzes the current situation of the Tanhualin Historic District and the existing problems in the transportation system, and proposes a new design model for the slow system design of Tanhualin from the perspective of a healthy city.

Imagining and Implementing Healthy City Interventions: Combined Results from Parallel Concept Mapping Exercises in Montreal with Community Members and Stakeholders

Background Built environment interventions provide structural solutions to complex urban challenges. Though community voices are part of municipal decision-making, planners and public health professionals need tools to better integrate their perspectives for desired changes (what) in the successful implementation of built environment programs and interventions (how). Methods Two simultaneous concept mapping exercises were conducted as part of the INTErventions, Research, and Action in Cities Team (INTERACT) study. Community members (a subsample of the INTERACT cohort) were prompted about neighbourhood changes that could improve their quality of life, while stakeholders (city staff, NGO, public health officials) were prompted about factors that contribute to successful implementation of urban interventions. Through each exercise, items were generated, grouped, and rated on importance and feasibility. Concept maps were produced using multi-dimensional scaling and hierarchical cluster analysis. The clusters or themes identified by community members’ and the stakeholders’ were combined into a Community x Stakeholder Matrix, which served to frame a discussion with stakeholders on built environment interventions. Results Thirty-two community members generated 41 unique responses, which resulted in 6 clusters: 1: Strengthen public transportation, 2: Reduce space dedicated to cars, 3: Foster local social connections, 4: Develop quality cycling infrastructure, 5: Improve pedestrian accessibility, and 6: Green the city. Thirty-seven stakeholders generated 40 unique items, which resulted in 5 clusters: 1: Collaboration with stakeholders and citizens, 2: Planning and evaluation, 3: Common vision for the future, 4: Regulatory framework and funding, and 5: Context-informed approach. The clusters were then used to produce a Community x Stakeholder Matrix to inform healthy cities intervention planning and evaluation.Conclusion Capturing the collective vision of our urban environments and understanding the processes underlying change through concept mapping can lead to more inclusive and successful changes. We propose combining different perspectives in a matrix as a method for evaluation and strategic planning that can help facilitate the integration of community voices into operational planning.

Exploring the Impact of Urban Built Environment on Public Emotions Based on Social Media Data: A Case Study of Wuhan

In the era of public participation in government, public emotions and expectations are important considerations influencing urban construction, planning, and management. A desirable urban environment can make people feel at ease and comfortable and contribute to promoting positive public emotions. However, in the process of rapid urban development, the high-density and overloaded urban built environment has triggered people’s mental tension and anxiety and has contributed to negative emotions. Thus, this study aimed to explore the spatial distribution of public emotions and urban built environments in cities and to thoroughly investigate the correlation between urban built environments and public emotions. Considering the lack of dynamic elements analysis and emotions spatial analysis in previous studies, this study takes Wuhan City as an example, uses social media big data as the basis for text emotion analysis, introduces dynamic traffic elements, and establishes a multidimensional urban built environment measurement index system from five aspects: land use, spatial form, road and traffic, green space and open space, and daily life service facilities. Subsequently, the spatial distribution characteristics of public sentiment and urban built environment elements in Wuhan were analyzed. Finally, a geographically weighted regression method was used to analyze the degree of influence of different urban built environment elements on public emotions. The results showed that public emotions in Wuhan are not homogeneously distributed in terms of score and space and that there are significant differences. The urban built environment has a significant influence on public emotions. Higher land use mix, higher road network density, higher number of public transportation facilities, higher number of public open spaces, lower traffic congestion, and impact of freight transportation play important roles in promoting positive emotions. Therefore, in the process of urban construction, planners and decision makers should purposefully improve the quality of the built environment. Measures can include improving the mix of land functions, alleviating traffic congestion, avoiding the negative effects of freight traffic, rationally constructing green and open spaces, and improving various living facilities. This can help contribute toward improving urban functions and urban environments, and promote the construction of a people-oriented healthy city.

Bibliometric Analysis and Research Trend Forecast of Healthy Urban Planning for 40 Years (1981–2020)

The history of healthy city planning can be traced back to the beginning of the 19th century. Since the industrialization period, the harsh living conditions of cities and the outbreak of infectious diseases have promoted the coordinated development of urban planning and public health, and people have gradually realized the importance of urban design and planning to the health of residents. After searching keywords related to health city and urban planning, and excluding repeated, non-English, and unrelated papers, this work retrieved 2582 documents as the basic data (timespan is 1 January 1981–31 December 2020, retrieval time is 28 January 2021). Additionally, CiteSpace was used to analyze document co-citation, cooperation network, and topic co-occurrence. Subsequently, random forest algorithm was used to predict the probability of citation. Overall, this work found that the hot spots of healthy urban planning are physical activity, green space, urban green space, and mental health. It also shows the diversification of themes and the development trend of cross-fields in the field of healthy urban planning. In addition, the article found that two factors, namely, the average number of citations of the first author and whether the article belongs to the field of environmental research, have a great impact on the number of citations of the article. This work is of practical significance to relevant practitioners and researchers, because it provides guidance for hot topics and future research directions in the field of healthy urban planning.

A Post-Corona Perspective for Smart Cities: ‘Should I Stay or Should I Go?’

This exploratory essay aims to provide a reflection on the possible implications of the COVID-19 pandemic for urban development and to sketch a plausible picture of the urban future. It serves as an introductory contribution to the Special Issue of this journal on ‘happy and healthy cities’, with particular emphasis on the implications of COVID-19 in pluriform cities. There is no doubt that contemporary cities are growing, and have become more dynamic and crowded. The more people, the bigger the challenges are to manage urban growth and to cope with—and control—density frictions, such as pandemics (e.g., COVID-19). Cities have the task to satisfy the essential needs of many heterogeneous people and to develop appropriate people-based strategies in order to make or keep people happy and healthy. The current COVID-19 disaster is a real urban challenge. The deployment of smart cities’ strategies and the use of digital technology tools in order to capture and provide intelligent internal and external online information and communication opportunities may help cities—in active partnership with their residents (‘smart citizens’ voice’)—to manage shocks and disruptions in the urban system. Clearly, cities are dynamic and adaptive organisms with a high resilience capacity. A key question addressed in this paper is whether urban inhabitants may be inclined to move out of the city due to human health threats, or whether intelligent digital technology tools will be able to overcome the current challenges to the ‘urban way of life’. The paper argues that modern information and communication technology offers a range of opportunities for a healthy city life, so that the COVID-19 pandemic will most likely not lead to a massive demographic outflow from urban agglomerations to less densely populated areas in particular rural areas. Instead, what is called the ‘corona crisis’ may cause just a ripple in the permanent dynamic evolution of cities.