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修改城市规划以促进儿童健康:综述的范围研究

Modifying urban planning to promote child health: A scoping review of reviews.

作者信息

Wallerich Louise, Simos Jean, Cambon Linda

机构信息

University of Bordeaux, INSERM, BPH, U1219, Mérisp/PHARES, Equipe Labellisée Ligue Contre le Cancer, CIC 1401, F-33000 Bordeaux, France.

Institut de Santé Globale, Faculté de Médecine, Université de Genève, Genève, Suisse.

出版信息

Health Promot Perspect. 2024 Dec 30;14(4):319-335. doi: 10.34172/hpp.42995. eCollection 2024.

Abstract

BACKGROUND

Children's health is shaped by their physical, natural, and socioeconomic environments. The objective of this study is to identify structural urban planning measures that can positively or negatively impact children's health. Specifically, we aim to explore how urban planning elements, such as housing, neighborhoods, play areas, and green spaces, influence children's well-being and health outcomes.

METHODS

We conducted a scoping review in accordance with the method developed by Arksey and O'Malley, Levac and colleagues' methodology advancement, and the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guideline. We explored eight databases, restricting our search to reviews, systematic reviews, and meta-analyses that report on structural measures aimed at modifying urban planning to promote child health.

RESULTS

A total of 41 studies were identified for inclusion in this review. The thematic analysis identified: i) interventions aimed at modifying streets; ii) interventions aimed at modifying play areas; iii) interventions aimed at modifying contact with nature; iv) interventions aimed at modifying deleterious exposures (exposure to tobacco, exposure to school); and v) housing. The second level of analysis enabled us to identify and evaluate the conditions for implementation and effectiveness.

CONCLUSION

The review highlighted measures that are favorable to children's health at the level of neighborhood urban planning and questioned the conditions for implementation in a French context.

摘要

背景

儿童的健康受其物理、自然和社会经济环境的影响。本研究的目的是确定可能对儿童健康产生积极或消极影响的城市规划结构性措施。具体而言,我们旨在探讨住房、社区、游乐区和绿地等城市规划要素如何影响儿童的福祉和健康结果。

方法

我们根据阿克西和奥马利开发的方法、莱瓦克及其同事的方法改进以及系统评价和Meta分析的首选报告项目(PRISMA)指南进行了一项范围综述。我们检索了八个数据库,将搜索范围限制在报告旨在修改城市规划以促进儿童健康的结构性措施的综述、系统评价和Meta分析。

结果

共确定41项研究纳入本综述。主题分析确定了:i)旨在改造街道的干预措施;ii)旨在改造游乐区的干预措施;iii)旨在增加与自然接触的干预措施;iv)旨在减少有害暴露(接触烟草、接触学校环境)的干预措施;以及v)住房。第二层次的分析使我们能够确定和评估实施条件及有效性。

结论

该综述强调了在邻里城市规划层面有利于儿童健康的措施,并对在法国背景下的实施条件提出了质疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c318/11873772/146c5ee2b58e/hpp-14-319-g001.jpg

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