Tuesday, February 7, 2012

[EQ] Urban Physical Environments and Health Inequalities: A Scoping Review of Interventions

Urban Physical Environments and Health Inequalities:
A Scoping Review of Interventions

Canadian Population Health Initiative (CPHI)

February 7, 2012

Available online PDF [89p.] at: http://bit.ly/ziWWvP

“……The first section of the report showcases a range of interventions and their respective characteristics, with a particular emphasis on the state of evaluation of the interventions found during our scoping efforts. In the second section, we introduce a framework that clarifies the components of an equity lens and look at how the concept of equity has been integrated into various interventions.

This framework will be useful to those who want to enrich their understanding of equity as a concept and to those who are interested in building equity into activities intended to improve health and urban physical environments……..”

“…..To distinguish among the ways that equity can be integrated, the report characterizes intervention activities according to five equity dimensions. Overall, results indicate that identifying and working with at-risk groups were the most common strategies for incorporating equity into urban physical environment interventions. Interventions that integrated equity considerations were most often related to communicating messages about health hazards in the physical environment and targeted at-risk groups through tailored programs and campaigns.


Fewer actions were related to addressing the determinants of health that influence capacity to act on information or to assessing equity outcomes and unintended consequences. In addition to describing intervention activities that address inequalities, the framework clarifies elements of an equity lens and can perhaps provide guidance for incorporating equity into future intervention planning and scoping reviews…..”


Table of Contents


Executive Summary


Scoping Method and Approach

Report Breakdown

How Can This Report Be Used?

Section 1: Describing the Terrain

Identifying the Research Questions

Identifying and Selecting Interventions

Reporting the Findings

Evaluation and Outcome Measurement


Intervention Typology


Describing the Terrain: A Summary


Section 2: Applying an Equity Lens

Initial Findings: Equity and Populations of Interest

Refining the Lens

Refined Findings: Exploring Equity-Oriented Components

Addressing Determinants

At-Risk Groups

Equity Outcomes

Unintended Consequences

Community Engagement

Applying an Equity Lens: A Summary


Appendix A: Detailed Methodology and Process

Appendix B: Detailed Table of Intervention Sample

Appendix C: Detailed Table of Evaluated Interventions



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