Centre for Health Promotion Studies, School of Public Health, University of Alberta, Edmonton, AB.
Can J Public Health. 2012 Jul 26;103(9 Suppl 3):eS5-8. doi: 10.1007/BF03403828.
In April 2011, a conference with invited experts from research, policy and practice was held to build consensus around policy levers to address environmental determinants of obesity. The gap between existing policy tools and what can promote health through community design is a major policy opportunity. This commentary represents a consensus of next actions towards creating built environments that support healthy active living. The policy environment and Canadian evidence are reviewed. Issues and challenges to policy change are discussed. Recommendations to create supportive built environments that encourage healthy active living in communities include the following: 1) empower planning authorities to change bylaws that impede healthy active living, protect and increase access to green space, introduce zoning to increase high density, mixed land use, and influence the location and distribution of food stores; 2) establish stable funding for infrastructure promoting active transportation and opportunities for recreation; 3) evaluate the effectiveness of programs to improve the built environment so that successful interventions can be identified and disseminated; 4) mandate health impact assessment of planning, development and transportation policies to ensure that legislative changes promote health and safety; 5) frame issues to dispel myths and to promote protection from obesity risk factors.
2011 年 4 月，召开了一次会议，邀请了来自研究、政策和实践领域的专家，就解决肥胖的环境决定因素的政策杠杆达成共识。现有政策工具与通过社区设计促进健康的政策工具之间的差距是一个重大政策机遇。本评论代表了在创建支持健康积极生活的建筑环境方面达成的下一步行动共识。审查了政策环境和加拿大的证据。讨论了政策变革面临的问题和挑战。创建支持健康积极生活的社区的建议包括：1. 授权规划当局修改阻碍健康积极生活的地方法规，保护和增加绿地的使用，引入分区制以增加高密度、混合土地利用，并影响食品店的位置和分布；2. 为促进积极交通和娱乐机会的基础设施提供稳定的资金；3. 评估改善建筑环境的方案的有效性，以便确定和传播成功的干预措施；4. 对规划、发展和交通政策进行健康影响评估，以确保立法改革促进健康和安全；5. 提出问题，消除误解，保护人们免受肥胖风险因素的影响。
