City Know-hows
Target audience
City council public health and transport officers
The problem
Urban health studies usually focus on the differences between neighbourhoods in the same city; however, that approach lacks any assessment of the overarching forces affecting the city as a whole.
What we did and why
We compared differences in the walking environment between Madrid and Philadelphia. We used an audit tool called M-SPACES that measures, for each street segment;
Our study’s contribution
We found that Philadelphia’s streets had higher scores for function (physical attributes that supported walking) and safety, while Madrid streets had greater a greater proportion of streets having at least one walking destinations. These results are key to understand which elements of the built environment could be key to uncover mass influences that operate at the city level.
Impacts for city policy and practice
In order to understand which urban characteristics impact on physical activity and health, we need to understand what characterize our cities as a whole. In our study, Madrid is characterized by a higher proportion of daily walking destinations, while the streets of Philadelphia have better physical infrastructure for walking in the street.
Future studies should include attention to the potential impact of built environment characteristics at the city level.
Further information
Authors: Pedro Gullón (@pgullon), Usama Bilal (@usama_bilal), Patricia Sánchez, Julia DÃez (@JuliaDiez91), Gina S. Lovasi, and Manuel Franco (@mfranco_uah)
Full research article:
Related posts

With so many different forms of guidance available for incorporating health into planning, our study evaluated what makes a healthy planning framework successful.

Through field observations, surveys with the residents, and interviews with decision-maker, we identified key variables that define food access in rural areas in Jordan, mapped access to food services according to the identified variable. and assessed food access in relation to land use regulations. Our work investigated frameworks governing the allocation of food service establishment locations, spatial requirements, integration into city masterplans, equitable distribution of food service types, and pertinent legislative frameworks.

What if urban health went beyond human wellness? Through our more-than-One Health conceptualization, we explored urban wild spaces as places where the health and flourishing of humans, animals, and ecosystems intertwine. This approach provides new insights into designing cities that are not just green, wild, but interconnected as restorative habitats for human and non-human health.