The Relationship of Built Environments with Health Indicators and Quality of Life: A Community Participatory Model Proposal for Healthy Cities


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Özüduru B. H. (Executive), Gürel Z. A., Yiğiter A.

TUBITAK Project, 2019 - 2023

  • Project Type: TUBITAK Project
  • Begin Date: December 2019
  • End Date: December 2023

Project Abstract

One of the main reasons of existence of cities is the diversity and range of the built environments that they cover. These environments are complex and multi-dimensional in nature. There is a significant relationship between spatial characteristics of built environments and the health and wellbeing of their inhabitants. High-quality, active, healthy and livable built environments can be constructed only if the structural elements of these environments can be dichotomized and the relationship between socio-economic characteristics and physical attributes can be explained thoroughly.

The main hypothesis of this project is that the physical constituents of built environments, such as characteristics of land use and site selection of various urban services, density of the built environment, the morphological and topological characteristics of street networks, spatial distribution of urban resources and services have significant impact on physical activity and social interaction levels of their inhabitants, body mass indices, mental health and wellbeing. The main goals of this project are to identify the internal relations within and across built environments through analyzing the physical attributes of built environments, street network morphometrics and land use characteristics, population density, socio-economic characteristics of inhabitants, and various health indicators at different geographical scales (such as physical activity, obesity and non-communicable chronic diseases (cardiovascular diseases, hypertension, diabetes, depression), and to generate an evidence-based study within the framework of community participatory model and with an urban vision of high quality and satisfacting, healthy environments. 

In order to reach the principles of sustainable urban development and active cities, aside from the physical characteristics and facility attributes, the new built environment should be socially and physically integrated. This would generate high physical quality, socially and economically beneficial built environments, where people can easily access these environments, both individual and communal interests are important, and sense of belonging is significantly high. For these reasons, urban planning policies, plans and strategies at various geographical levels should be evaluated along with comprehensive analyses of past trends and present urban attributes. These analyses at various geographical levels will be assessed in relation to street network morphology and its connectivity, betweenness, closeness characteristics.

In Turkey, the number of studies that have examined the physical activity levels across urban built environments except for rural/urban division is limited. In our project, various indicators of urban life and quality of life will be examined at various geographical levels (regional, provincial, and neighborhood level (for Ankara)) and the subjective evaluation of individuals in selected neighborhoods will also be inquired. With these qualifications, our study will set an example for future studies. These various geographical level analyses will be interrelated using spatial statistical analyses (stratification, clustering etc).

The theoretical approach used in this study is relational and multi-dimensional. Quality of life scales and the relations across selected variables will be analyzed using various spatial statistical methods and these analyses will be linked to the behavioral patterns of individuals. The results of these analyses will be helpful both at broader scale with regional and urban health policies and at smaller scale where urban infrastructure strategies and spatial design principles can be specified.

The project covers 1 main project and 3 sub-projects complying with the 3 basic dimensions and 3 basic frameworks of the project call. All analyses at various geographical scales include the objective/material attributes of built environments, and analyze past trends, current conditions along with future expectations. In particular, the first subproject of the main project covers the analyses of the relationships within the built environment. The first subproject offers an overall analysis of indicators related to the characteristics of the built environments across regions and provinces in Turkey. The main project covers Ankara’s metropolitan area, and, in this project, the intra-city relations will be analyzed. The second subproject offers a subjective evaluation of quality of life in built environments along with the proposal of a community participatory model. In coordination with all three project packages, the goal of the fourth subproject will be to focus on proposition of implementation and monitoring of urban public policies aiming to create physically active, high-quality built environments. The dissemination impact of this subproject across local governments will be enhanced with the participation of Ministry of Health of Turkey, General Directorate of Public Health, Department of Healthy Diet and Physical Activity.