Healthy Cities a Planning Perspective
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Towards Healthy Cities A planning perspective 1 Prepared by Beth Matlawski In partial fulfillment of the UNSW Bachelor of Town Planning Degree 2 Abstract Research has demonstrated that designing the built environment in a manner that is conducive to good health can increase the health and well being of inhabitants. The premise of this research is based on the assumption that people are more likely to make healthy behaviour choices when options are easily available to them; and thus environments that support or discourage unhealthy behaviours critically influence their health. The town planning profession plays an important role in decision making and controlling orderly development of cities and therefore is the driving force of healthy urban planning. Effective planning policy and integration of health in the urban planning process can assist in alleviating preventable diseases and increase general well being through promoting physical activity by incorporating considerate land use and design principles. Therefore the attitudes of planning professionals toward these ideals, together with professionals armed with the tools and means to positively alter unhealthy behaviours are crucial in producing healthy environments This thesis investigates the attitudes, opinions and knowledge of planners in regard to health and healthy urban planning in Sydney. The research primarily focuses on the key human factors that influence the implementation of healthy urban practices and policy in local governments and current barriers within local governments today which inhibit the development of healthy cities. 3 Acknowledgement I would like to thank my thesis advisor, Susan Thompson, for her guidance and for sharing and the enthusiasm for my chosen topic. To my family, for their love and constant support especially Adam and Paul who supported me through this stressful time, offering me advice and insight when needed and for providing a sanctuary away from distractions. Bianca, Matt, Vy, Pete and Katie thanks for the advice, technical SPSS support, the phone calls and motivation which got me through the past 3 months. Last of all, to the class of 2006, thanks for making life at UNSW over the past 5 years, the funny, interesting and enjoyable experience it was! You will certainly be missed. 4 Table of Contents ABSTRACT ............................................................................................................................. 3 ACKNOWLEDGEMENT ...................................................................................................... 4 TABLE OF CONTENTS........................................................................................................ 5 LIST OF TABLES................................................................................................................... 7 LIST OF FIGURES................................................................................................................. 8 CHAPTER ONE: INTRODUCTION.................................................................................... 9 PROBLEM SETTING ................................................................................................................ 10 RESEARCH OBJECTIVES ........................................................................................................ 11 RESEARCH QUESTIONS.......................................................................................................... 13 DEFINITIONS........................................................................................................................... 14 STRUCTURE ............................................................................................................................ 15 CHAPTER TWO: HEALTHY CITIES.............................................................................. 16 THE ORIGIN OF HEALTHY CITIES ........................................................................................ 17 WORLD HEALTH ORGANISATION......................................................................................... 18 HEALTHY URBAN PLANNING ................................................................................................ 19 TODAY’S CONTEXT ................................................................................................................ 21 SEDENTARY LIFESTYLES ......................................................................................................... 21 CURRENT STATE OF HEALTH ................................................................................................... 22 ROLE OF THE PLANNER ......................................................................................................... 23 CONCLUSION .......................................................................................................................... 24 CHAPTER THREE: LITERATURE REVIEW ................................................................ 25 TRENDS AND THE EVOLUTION OF THE BUILT ENVIRONMENT OVER TIME ....................... 26 URBAN SPRAWL....................................................................................................................... 27 CAR DEPENDENCY ................................................................................................................... 28 SAFETY .................................................................................................................................... 29 THE RELATIONSHIP BETWEEN THE BUILT ENVIRONMENT AND HEALTH ......................... 30 MENTAL HEALTH AND WELL BEING....................................................................................... 30 PHYSICAL HEALTH AND ACTIVE LIFESTYLES......................................................................... 30 PLANNING AND HEALTH IN NSW.......................................................................................... 35 THE INFLUENCE OF PLANNERS IN THE ACHIEVING HEALTHY CITIES ....................................... 35 REGULATION AT THE GOVERNMENT LEVEL............................................................................ 37 SUPPORT AND GUIDANCE FOR HEALTH URBAN PLANNING...................................................... 38 CONCLUSION .......................................................................................................................... 39 CHAPTER FOUR: METHODOLOGY.............................................................................. 40 SELECTION CRITERIA............................................................................................................ 41 5 SAMPLING METHOD............................................................................................................... 44 QUESTIONNAIRE DESIGN....................................................................................................... 46 LIMITATIONS .......................................................................................................................... 47 ETHICAL AND POLITICAL CONSIDERATIONS....................................................................... 48 CHAPTER FIVE: ATTITUDES AND KNOWLEDGE OF SYDNEY PLANNERS...... 49 HEALTH AND THE HEALTHY CITIES MOVEMENT. .............................................................. 51 THE LINK BETWEEN THE BUILT ENVIRONMENT AND HEALTH.......................................... 55 IMPORTANCE OF THE HEALTH.............................................................................................. 60 GENERAL RESULTS.................................................................................................................. 61 LOCAL GOVERNMENT AREAS ................................................................................................. 61 POSITION DESCRIPTION ........................................................................................................... 62 HEALTHY PLANNING IN COUNCILS ...................................................................................... 66 WORKSHOPS AND SEMINARS................................................................................................... 66 CONSIDERATION OF HEALTH WITHIN THE WORKPLACE......................................................... 67 HEALTHY POLICIES WITHIN LGAS .......................................................................................... 69 CONCLUSION .......................................................................................................................... 71 CHAPTER SIX: CONSIDERATIONS FOR PLANNERS & COUNCILS..................... 72 PLANNERS KNOWLEDGE ....................................................................................................... 73 HEALTHY CITIES...................................................................................................................... 73 HEALTH BEHAVIOURS ............................................................................................................. 74 PLANNERS ROLE .................................................................................................................... 76 PERCEIVED IMPORTANCE......................................................................................................... 76 HEALTH AWARENESS .............................................................................................................. 76 POSITION DESCRIPTION ........................................................................................................... 77 PRACTICING HEALTHY URBAN PLANNING IN COUNCILS ..................................................