Macfarlane Ronald G, Wood Linda P, Campbell Monica E
Toronto Public Health.
Can J Public Health. 2014 Jul 8;106(1 Suppl 1):eS5-8. doi: 10.17269/cjph.106.3855.
Chronic diseases, obesity and sedentary lifestyles are some of the health challenges facing Canada today. There is increasing recognition and evidence that the way our cities are planned, designed and built can contribute to these problems. Many of the policy levers to address the built environment exist outside the health sector and at the municipal level in areas such as urban planning, transportation, parks and recreation, and housing. The challenge for the public health sector is to build and sustain partnerships and collaboration across various sectors to ensure that health is considered in built environment policies. As the public health unit for the city of Toronto and part of the municipal government, Toronto Public Health is in a unique position to provide leadership, advocacy and support for healthy municipal public policies related to the built environment. This article provides some examples of CLASP (Coalitions Linking Action and Science for Prevention) initiatives undertaken to help create support for healthy public policies in the built environment and suggests that the "Healthy Cities" approach is a useful framework to promote policy change in the built environment at the municipal level.
慢性病、肥胖症和久坐不动的生活方式是当今加拿大面临的一些健康挑战。人们越来越认识到并有证据表明，我们城市的规划、设计和建设方式可能会导致这些问题。许多解决建成环境问题的政策杠杆存在于卫生部门之外，在城市规划、交通、公园和娱乐以及住房等领域的市政层面。公共卫生部门面临的挑战是建立并维持跨部门的伙伴关系与合作，以确保在建成环境政策中考虑到健康因素。作为多伦多市的公共卫生部门以及市政府的一部分，多伦多公共卫生部门处于独特的地位，能够为与建成环境相关的健康市政公共政策提供领导、倡导和支持。本文提供了一些CLASP（预防行动与科学联盟）倡议的例子，这些倡议旨在帮助为建成环境中的健康公共政策创造支持，并表明“健康城市”方法是促进市政层面建成环境政策变革的有用框架。
