COVID-19 and urban planning: Built environment, health, and well-being in Greek cities before and during the pandemic.

The coronavirus disease (COVID-19) pandemic has led to dramatic changes in quality of life, bringing to the forefront of the debate the question of planning and design of pandemic-resilient cities. Using quasi-longitudinal survey data (via a social media campaign) and geospatial data from Greek cities, we evaluate changes in health and well-being during COVID-19 compared to the pre-COVID-19 period, and then explore in detail how specific built environment characteristics in Athens and Thessaloniki relate to health and well-being before and during COVID-19. Results suggest that overall health, life satisfaction, happiness, personal relationships satisfaction, leisure satisfaction, satisfaction with income, and satisfaction with vacations all decreased during COVID-19, while anxiety and back pain increased during COVID-19. The role of the urban built environment in health and well-being was found to differ considerably for the COVID-19 period compared to pre-COVID-19. Proximity to large parks, proximity to numerous local facilities, lower neighborhood density, living further from the city center, and living in a larger dwelling were associated with better health and well-being outcomes during COVID-19. Urban planning and relevant policies that cities adopt should carefully focus on mitigating implications for critical issues such as the quest for sustainable urban development and city forms.

Urban densification over 9 years and change in the metabolic syndrome: A nationwide investigation from the ORISCAV-LUX cohort study.

A growing body of evidence suggests that urban densification may be protective against obesity, type 2 diabetes, and cardiometabolic diseases, yet studies on how built environmental features relate to metabolic syndrome (MetS) and its components are scarce. This longitudinal study examines the associations of baseline urban density and densification over 9 years with MetS and MetS components, among 510 participants enrolled in both waves of the ORISCAV-LUX study (2007-2017) in Luxembourg. A continuous MetS score (siMS) was calculated for each participant. Six features of residential built environments were computed around participants' home address: street connectivity, population density, density of amenities, street network distance to the nearest bus station, density of public transport stations, and land use mix. A composite index of urban densification (UDI) was calculated by averaging the six standardized built environment variables. Using adjusted generalized estimating equation (GEE) models, one-SD increase in UDI was associated with a worsening of the siMS score (ß = 0.07, 95% CI: 0.02, 0.13), higher triglyceride levels (ß = 0.05, 95% CI: 0.02, 0.09), and lower HDL-c levels (ß = -1.29, 95% CI: -2.20, -0.38). The detrimental effect of UDI on lipid levels was significant only for participants living in dense areas at baseline. Higher baseline UDI, as well as increased UDI over time among movers, were also associated with greater waist circumference. There were no associations between UDI, fasting plasma glucose and systolic blood pressure. Sex and neighborhood socio-economic status did not moderate the associations between UDI and the cardiometabolic outcomes. Overall, we found limited evidence for an effect of urban densification on MetS and its components. Understanding urban dynamics remains a challenge, and more research investigating the independent and joint health effect of built environment features is needed to support urban planning and design that promote cardiometabolic health.

Does the Compact City Paradigm Help Reduce Poverty? Evidence from China.

City shape is an essential reflection of spatial structure, but it has largely been ignored in urban form research. This study employs night-time satellite imagery to depict the scope of urban economic activity to investigate its impact on urban poverty. It is the first study to provide a comprehensive assessment of the mechanisms of city shape on urban poverty by using the fixed-effect estimate methodology for panel data of 285 Chinese cities from 2000 to 2018. The results showed that city compactness has an inverted U-shaped relationship with poverty incidence, which was verified by several robustness tests. Compactness can significantly attract more population into the city, and space costs and commuting costs are important influence channels. Furthermore, there exists heterogeneous nexus between city shape and urban poverty. Compactness has more significant poverty reduction effects in low-attractive cities with low productivity, low wages, and high illiteracy rates.

Dataset of global cities' congestion level and urban spatial pattern.

This dataset includes many indexes of global cities. The variables of congestion level, skyscraper index, whether a city was bombed in WWII (World War II), and global cities' population are key variables. (1) The congestion level data were collected from TOMTOM company. The congestion level data include five indexes which are "Congestion level", "Morning peak Congestion level", "Evening peak Congestion level", "Highways Congestion level", "Non-highways Congestion level" in 2004, but only include two indexes in 2020 which are "Time lost per year" and "Congestion level". (2) The data of skyscraper index calculated using the data of building height from the Council on Tall Buildings and Urban Habitat, from which we can obtain accurate data on the number of buildings taller than 150 m. With these data, we constructed an index of skyscrapers taller than 150 m in a city. A building receives a score of 1.5 if it is taller than 150 m and shorter than 200 m, 2.0 if it is between 200 m and 300 m, and so on. Then, we summed the scores for skyscrapers in the city as the "skyscraper index" of the city. (3) The data of whether a city was bombed in WWII is dummy variable, if the urban area of a city was bombed in WWII, it is 1, and 0 otherwise. The authors consulted various historical files and determined the value. (4) The data of global cities' population, as well as the area and density of the city, are on the city-level, and were collected from the website of the cities or countries' statistics department. These indicators are good measures of the level of congestion, urban spatial structure, IV(instrumental variable) for urban spatial structure, and urban population in global cities, and can be reused in other analysis.

Compact Urban Form and Human Development: Retest Based on Heterogeneous Effects.

The Human Development Index does not follow a normal distribution. For skewed distributions, finite mixture models can provide better estimates than fixed-effects models. In this paper, the relationship between compact cities and human development is investigated by employing a finite mixture model using panel data of Chinese prefecture-level cities. In contrast to the majority of the literature, which focuses exclusively on economic density, this article examines the impact of economic and morphological density on the level of human development. The results show that the compact development model has a negative impact on the level of human development and that the intensity of the impact varies for cities with different characteristics.

Deciphering the impact of urban built environment density on respiratory health using a quasi-cohort analysis of 5495 non-smoking lung cancer cases.

INTRODUCTION: Lung cancer is a major health concern and is influenced by air pollution, which can be affected by the density of urban built environment. The spatiotemporal impact of urban density on lung cancer incidence remains unclear, especially at the sub-city level. We aimed to determine cumulative effect of community-level density attributes of the built environment on lung cancer incidence in high-density urban areas. METHODS: We selected 78 communities in the central city of Shanghai, China as the study site; communities included in the analysis had an averaged population density of 313 residents per hectare. Using data from the city cancer surveillance system, an age-period-cohort analysis of lung cancer incidence was performed over a five-year period (2009-2013), with a total of 5495 non-smoking/non-secondhand smoking exposure lung cancer cases. Community-level density measures included the density of road network, facilities, buildings, green spaces, and land use mixture. RESULTS: In multivariate models, built environment density and the exposure time duration had an interactive effect on lung cancer incidence. Lung cancer incidence of birth cohorts was associated with road density and building coverage across communities, with a relative risk of 1·142 (95 % CI: 1·056-1·234, P = 0·001) and 1·090 (95 % CI: 1·053-1·128, P < 0·001) at the baseline year (2009), respectively. The relative risk increased exponentially with the exposure time duration. As for the change in lung cancer incidence over the five-year period, lung cancer incidence of birth cohorts tended to increase faster in communities with a higher road density and building coverage. CONCLUSION: Urban planning policies that improve road network design and building layout could be important strategies to reduce lung cancer incidence in high-density urban areas.

Impact of morphological parameters on urban ventilation in compact cities: The case of the Tuscolano-Don Bosco district in Rome.

Air pollution and heat stress are major concerns associated with the liveability, resilience and sustainability of cities. They directly affect health and comfort and are associated with augmented morbidity and mortality and an increase in the energy demand for building ventilation, air cleaning and cooling. Nevertheless, the detrimental effects of poor air quality may partly be mitigated by increased urban ventilation. This strategy is closely related to the level of urbanization and the urban morphology. Therefore, detailed investigations on the impact of different morphologies on urban ventilation are of paramount importance. Computational Fluid Dynamics simulations have been widely used during the last decades to investigate the effects of the urban morphology on the urban ventilation. However, most of these studies focused on idealized building arrangements, while detailed investigations about the role of real urban morphologies are scarce. This study investigates the ventilation in a compact area in the city of Rome, Italy. 3D steady-state Reynolds-averaged Navier-Stokes simulations are performed to analyze the impact of Morphological Parameters (MP) on the urban ventilation. The results show a considerable worsening of urban ventilation with increasing building density with a reduction in the mean wind velocity up to 62% experienced at the pedestrian level (zp). Correlations between five MPs, e.g., plan area density, area-weighted mean building height, volume density, façade area density, and non-dimensional mean velocity at pedestrian level and at 10 m height are evaluated, and simple models are obtained using linear regression analysis. Among the selected MPs, the building façade area density shows a remarkable correlation with the non-dimensional mean velocity at zp (R2 = 0.82). Such correlations can be valuable tools for practitioners and urban designers, particularly during the first stage of planning, for highlighting areas potentially vulnerable to poor air conditions without running computationally expensive simulations.

Are high-density districts more vulnerable to the COVID-19 pandemic?

The COVID-19 pandemic has brought questions about the desirability of compact urban development to the fore. There are some concerns that high density may be a risk factor that makes it challenging to contain the pandemic. This study aims to investigate the link between density and pandemic spread through a case study of Tehran that has been the epicenter of the pandemic in Iran. Based on data obtained from an online platform and analyzed using structural equation modeling, we found that density alone cannot be considered a risk factor for the spread of COVID-19. In fact, density alone did not explain the geographic distribution pattern of confirmed COVID-19 cases and deaths across the 22 municipal districts of Tehran. We, therefore, argue that efforts should be made to minimize concerns about living in dense urban environments. Indeed, residents of high-density districts can live safely when an outbreak occurs, provided they make some changes in lifestyle and follow public health instructions. Based on the findings, and considering other benefits of compact cities (e.g., climate change mitigation) planners and policy makers are encouraged to continue promoting compact urban forms. They can also use the results of this study in their efforts towards developing appropriate mechanisms and guidelines for effective management of future pandemics in cities.

Three-Year Longitudinal Association Between Built Environmental Factors and Decline in Older Adults' Step Count: Gaining insights for Age-Friendly Urban Planning and Design.

This study examined the longitudinal association between the change in the step count of older adults and the neighborhood-built environment (BE) in Yokohama, Japan. We analyzed pedometer data in March 2016 and March 2019 that were acquired from 21,557 older adults aged 65-79 years at baseline, who lived in 758 neighborhoods in Yokohama City and participated in the Yokohama Walking Point Program (YWPP). Six BE variables were computed, for each of which neighborhoods were classified into quartiles. Using multilevel regression analysis, we examined the association between the BE variables, baseline step count, and change in step count. Higher population density, lower intersection density, and the second shortest quartile of the average distance to the nearest railway station were associated with a higher baseline step count. A lower intersection density and shorter average distance to the nearest railway station were associated with a smaller decline. The lowest quartile of population density was inversely associated with step-count decline. In conclusion, the neighborhood BEs were not only associated with their step count at baseline, but also widened the disparity of the step count over the three years. These findings would contribute to creating age-friendly cities where older adults can maintain and promote their health.

Modal Shift from Cars and Promotion of Walking by Providing Pedometers in Yokohama City, Japan.

Mobility management is a transportation policy aiming to change travel behavior from car use to sustainable transportation modes while increasing people's physical activity. Providing pedometers and visualizing step counts, popular interventions in public health practice, may constitute a mobility management program. However, the ease of modal shifts and changeability of walking habits differ across neighborhood environments. Using questionnaire data from 2023 middle-aged and older participants from Yokohama, Japan, in May 2017, this study examined (1) the relationship between the physical and social environments of Yokohama Walking Point Program participants who volunteered to use free pedometers and their modal shifts from cars to walking and public transport, and (2) whether participants' modal shifts were associated with increases in step counts. Multivariate categorical regression analyses identified the frequency of greetings and conversations with neighbors as well as health motivation as important explanatory variables in both analyses. Participants living in neighborhoods far from railway stations and in neighborhoods with a high bus stop density tended to shift to walking and public transport, a modal shift that was highly associated with increased step counts. These results suggest that mobility management should be promoted in collaboration with public health and city planning professionals.

How Does the Built Environment in Compact Metropolitan Cities Affect Health? A Systematic Review of Korean Studies.

This systematic review aimed to examine the associations between health-related outcomes and the built environment (BE) characteristics of compact metropolitan cities in Korea using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Searching the three Korean academic databases and PubMed, two independent reviewers identified 27 empirical articles published between 2011 and 2016. Data extracted for review included the study characteristics, the variables and measurement methods related to the BE and health-related outcomes, and the findings on the associations between the BE characteristics and health-related outcomes. Vote counting was used to assess the consistency of associations and the direction of associations between the BE characteristics and health-related outcomes. All of the reviewed studies used cross-sectional designs. The objective BE qualities were commonly examined. The BE characteristics associated with health-related outcomes in the reviewed articles included land use, street environment, transportation infrastructure, green and open spaces, and neighborhood facilities. Street environment, transportation infrastructure, and green and open spaces had consistent positive associations with physical health. Mixed land use and neighborhood facilities, however, had inconsistent associations with physical health. Generally, insufficient findings were reported in the association between the BE characteristics and mental and social health. The accessibility of the BE in a compact urban environment was the prominent attribute related to health promotion, health challenges, and health equity. An international comparative analysis of compact cities with different urban contexts and scale is required. Interdisciplinary urban health strategies are recommended based on the associations between the BE characteristics and health-related outcomes.

Impact of urbanization-related land use land cover changes and urban morphology changes on the urban heat island phenomenon.

Urban growth and development caused by urbanization influence the urban heat island (UHI) phenomenon. With the rapid development of urbanization, China's major cities are facing more serious climate change problems, especially the UHI phenomenon. Proper planning and urban design of compact cities may improve the ventilation of street canyons and change the heat balance in the urban canopy and thus mitigate the UHI phenomenon. The aim of this study is to evaluate and discuss the mitigation of UHI with different types of land-use and land-cover (LUCC), as well as different development patterns for compact cities. To this end, we applied the weather research and forecasting model (WRF) with urban canopy model (WRF/UCM) in this study. To evaluate the impact of LUCC changes on the UHI, we set 2 cases based on land use and land cover statistical data from 1965 and 2008 of Wuhan. Also, to evaluate the impact of urban morphology changes on the UHI, we designed 2 hypothetical cases based on 2 different urban developing patterns, one is high rise case and another is high density case, to simulate the impact of urban morphology on the UHI. As for the results of this study, with different LUCC of 1965 and 2008, UHI intensity of Wuhan increased by 0.2 °C-0.4 °C in average. Moreover, the critical wind speed which can mitigate UHI of case 1965 is much lower than case 2008. With different urban morphology, the high-rise case may lead to lower UHI intensity at the pedestrian level due to the shading effects of high-rise buildings. However, the critical value of wind speed in the high-rise case was almost 1.5-2 times greater than that of the high-density case, which illustrates the reduced possibility of mitigating the UHI phenomenon for high-rise buildings in Wuhan City.