School of Nursing & Health Innovations, University of Portland, 5000 N. Willamette Blvd, Portland, OR 97203, USA.
Int J Environ Res Public Health. 2022 Aug 31;19(17):10867. doi: 10.3390/ijerph191710867.
Evidence of the wide range of health benefits associated with the use of urban green space (UGS) continues to grow. Despite this evidence, many UGS designs do not adopt a community-inclusive approach that utilizes evidence-based public health strategies to maximize potential health benefits. This research focused on testing a multidisciplinary, community-involved public health framework to drive the UGS design process. The aim of this study was to use community feedback and evidence-based public health practices to promote physical health, psychological wellbeing, and social cohesion by creating a multifunctional UGS that enhances nature therapy, natural play, and sports and recreation. Community health assessment data (236 survey responses), community forum and survey feedback (157 survey responses), local urban green space inventory assessment, and environmental assessment and impact data were analyzed to develop a design plan that maximize the greatest potential health benefits for the greatest proportion of the population. Community health data indicated a strong relationship between the availability of places to be physically active in the community and higher ratings of mental (aOR = 1.80) and physical (aOR = 1.49) health. The creation and utilization of the proposed community-inclusive and public health-focused framework resulted in a UGS design that prioritized the needs of the community and provided evidence-informed strategies to improve the health of local residents. This paper provides unique insight into the application of a framework that promotes a more health-focused and functional approach to UGS design.
使用城市绿地（UGS）带来的广泛健康益处的证据不断增加。尽管有此证据，但许多 UGS 设计并未采用社区包容的方法，该方法利用基于证据的公共卫生策略来最大程度地提高潜在的健康益处。本研究专注于测试一个多学科、社区参与的公共卫生框架，以推动 UGS 设计过程。本研究的目的是通过创建一个多功能的 UGS 来增强自然疗法、自然游戏和运动和娱乐，利用社区反馈和基于证据的公共卫生实践来促进身体健康、心理健康和社会凝聚力。分析了社区健康评估数据（236 份调查回复）、社区论坛和调查反馈（157 份调查回复）、当地城市绿地清单评估以及环境评估和影响数据，以制定设计计划，为最大比例的人口最大限度地提高最大的健康益处。社区健康数据表明，社区中可供身体活动的场所的可用性与心理健康（aOR=1.80）和身体健康（aOR=1.49）的评分之间存在很强的关系。创建和利用拟议的社区包容和以公共卫生为重点的框架导致了 UGS 设计，该设计优先考虑了社区的需求，并提供了循证策略来改善当地居民的健康。本文提供了一个独特的视角，了解了促进更注重健康和更具功能性的 UGS 设计方法的框架的应用。
