RESUMEN
BACKGROUND: As the world becomes increasingly urbanised, there is recognition that public and planetary health relies upon a ubiquitous transition to sustainable cities. Disentanglement of the complex pathways of urban design, environmental exposures, and health, and the magnitude of these associations, remains a challenge. A state-of-the-art account of large-scale urban health studies is required to shape future research priorities and equity- and evidence-informed policies. OBJECTIVES: The purpose of this review was to synthesise evidence from large-scale urban studies focused on the interaction between urban form, transport, environmental exposures, and health. This review sought to determine common methodologies applied, limitations, and future opportunities for improved research practice. METHODS: Based on a literature search, 2958 articles were reviewed that covered three themes of: urban form; urban environmental health; and urban indicators. Studies were prioritised for inclusion that analysed at least 90 cities to ensure broad geographic representation and generalisability. Of the initially identified studies, following expert consultation and exclusion criteria, 66 were included. RESULTS: The complexity of the urban ecosystem on health was evidenced from the context dependent effects of urban form variables on environmental exposures and health. Compact city designs were generally advantageous for reducing harmful environmental exposure and promoting health, with some exceptions. Methodological heterogeneity was indicative of key urban research challenges; notable limitations included exposure and health data at varied spatial scales and resolutions, limited availability of local-level sociodemographic data, and the lack of consensus on robust methodologies that encompass best research practice. CONCLUSION: Future urban environmental health research for evidence-informed urban planning and policies requires a multi-faceted approach. Advances in geospatial and AI-driven techniques and urban indicators offer promising developments; however, there remains a wider call for increased data availability at local-levels, transparent and robust methodologies of large-scale urban studies, and greater exploration of urban health vulnerabilities and inequities.
RESUMEN
This paper addresses the question of how a sustainable urban development can be supported through simple measured quantities in the context of the specific provision of green space and open space. The specific provision of green space is analysed based on a combination of six indicators that describe, on the one hand, the access of inhabitants to green spaces and on the other hand, the settlement character as well as the strong anthropogenic imprint on the urban landscape. The indicators were calculated and combined in a 9-cell matrix for classifying the areas studied. The implementation was carried out at two scales for all German cities with at least 50,000 inhabitants as well as exemplarily for city districts of eight big cities. The calculated indicator values for representing green characteristics decrease with increasing number of inhabitants, whereas the opposite relationship was obtained for the indicators of the grey characteristics. We show how the approach provides an in-depth morphological assessment of German cities ranking their scores from low to the high presence of grey/green characteristics.