Healthy Built Environment Linkages Toolkit: Applying built environment principles in EH practice Lisa Mu Medical Health Officer Fraser Health Authority ACT Canada Summit Dec. 1, 2014 1 Healthy Built Environment Alliance (HBEA; the Alliance) • Knowledge sharing network (BC) • Forum for collaboration on priority activities to promote & develop built environments that encourage & support healthy living • Members from: – – – – – Land use planning Design fields Provincial ministries Health authorities Community-based health organizations – Local government – Universities/academia What do we mean by built environment? • Human-made or modified physical surroundings in which people live, work, and play • Homes, communities, schools, workplaces, parks/recreational areas, business areas, and transportation systems 3 • Large-scale urban areas to smaller rural developments • Directly impacts physical, social, and mental health • Reflected in measures of health status Healthy built environments: What do they look like? e.g., Which of these neighbourhoods is more ‘walkable’? (A) (B) Healthy built environments: What do they look like? e.g., Which of these eating environments is healthier? (A) Photo credit: iStock (B) Photo credit: Tabercil Healthy built environments: How do we create them? How do you decide what to do? Examine the evidence..... …? ≠ Purpose Why did the Alliance develop another toolkit? How should we share health evidence that can support good planning and the HBE? What are our key messages about the HBE? (need for common language/consistent messaging) www.phsa.ca/populationhealth Physical Features of a Healthy Built Environment Neighbourhood design Transportation networks Housing Food environments Natural environments 8 HBE Linkages Toolkit: Approach Collected, analyzed & summarized the evidence 1. Consultation with experts • Advisory groups – planners and content experts 2. Evidence review methodology • Literature reviews of the physical features: – – – – – Neighbourhood design Transportation networks Natural environments Food systems Housing • Cluster evidence by planning principle 3. Grading system • Quality assessment of findings HBE Linkages Toolkit: Scope of Evidence Review/Toolkit • Systematic reviews • English; North America, Europe and Australia • No specified time frame • Context: urban, suburban, and rural • Focused on large-scale, outdoor physical features & environments 10 HBE Linkages Toolkit: Layout Current evidence used to identify planning principles for each of the five physical features User guide created to encourage consideration of context HBE Linkages Toolkit: What does the evidence say? HBE Linkages Toolkit: What does the evidence say? HBE Linkages Toolkit: Components Planning principles for: • • • • • Healthy Neighbourhood Design Healthy Transportation Networks Healthy Natural Environments Healthy Food Systems Healthy Housing www.phsa.ca/populationhealth HBE Linkages Toolkit: Components Linkages Summary • Briefly describes the links shown in the literature between: • Planning principles • Intermediate impacts • Health-related outcomes www.phsa.ca/populationhealth HBE Linkages Toolkit: Components Fact Sheet • Highlights key aspects of the evidence behind each planning principle, and how these link to intermediate impacts & healthrelated outcomes www.phsa.ca/populationhealth HBE Linkages Toolkit: Components Health Evidence Diagram • Visually show the strength of evidence or expert opinion linking planning principles to impacts & health-related outcomes • Shows areas where more research needed www.phsa.ca/populationhealth HBE Linkages Toolkit: Limitations • See User Guide! • Indirect nature of evidence linking principles to health outcomes • Toolkit identifies what should be done to create HBEs – it doesn’t get into the how • Significantly more research is available for some physical features (e.g., neighbourhood design) vs. others (e.g., food systems) 18 HBE Linkages Toolkit: Using the Toolkit 1) It’s a “conversation-starter” • Provides an organizing framework for presenting information and facilitating discussions between & within sectors 2) Helps users apply health evidence • Provides consistent & clear messages to inform the development of other documents & support decision-making around health & the built environment 3) Identifies where more research needed • Toolkit provides a roadmap for emerging and innovative evidence Using the Linkages Toolkit for EH Practice Education • New staff • Staff new to HBE Planning • Framing thinking about what to do Collaboration • Start conversations with other jurisdictions Advocacy • Evidence to support policy change/by-law development 20 Linkages Toolkit in EH Practice 21 Slide courtesy of Karen Rideout, BCCDC, NCCEH 22 Slide courtesy of Karen Rideout, BCCDC, NCCEH Linkages Toolkit in EH Practice Agricultural Land Reserve removal applications 23 https://www.interiorhealth.ca/YourEnvironment/HealthyBuiltEnvironment/Pages/default.aspx Slide courtesy of Karen Rideout, BCCDC, NCCEH Linkages Toolkit in EH Practice New Westminster HBE Lens http://www.newwestcity.ca/about_t he_city/living_in_new_westminster/ healthier-communitiespartnership#healthy-builtenvironments 24 Slide courtesy of Karen Rideout, BCCDC, NCCEH Linkages Toolkit in EH Practice North Vancouver SpeakUp for Health http://www2.cnv.org/CityShaping/papers/Vancouver%20Coastal%20Health%20%20Position%20Paper.pdf 25 Slide courtesy of Karen Rideout, BCCDC, NCCEH Linkages Toolkit in EH Practice North Vancouver SpeakUp for Health 26 Slide courtesy of Karen Rideout, BCCDC, NCCEH Linkages Toolkit in EH Practice North Vancouver SpeakUp for Health 27 Slide courtesy of Karen Rideout, BCCDC, NCCEH How are you using the Toolkit? 1) Will the HBE Linkages Toolkit be useful for your work? If yes, please share some examples of how it will be useful. 2) Who will you share the HBE Linkages Toolkit with? 3) How do you think HBE Linkages Toolkit could be improved? 4) What additional HBE tools or resources would help support you in your work? 28 HBE Linkages Toolkit: Next Steps Sustainability plan • Monitor the evidence base & periodically update the toolkit • Develop a user guide to support evidence collection/capture Evaluation plan • Track toolkit use • Seek feedback from users for toolkit improvement & suggestions for other resources needed www.phsa.ca/populationhealth Questions? • Download the HBE Linkages Toolkit www.phsa.ca/populationhealth • Contact: [email protected] 30
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