edra 5/31/2013- applied health policy paper session 5: leann andrews

Just What the Doctor Ordered: Strategies to Create Healthier Design a framework for designers to better understand the health implications of their design decisions

Leann Andrews, RLA, SEEDUniversity of Washingtonlandscape architecture + global health graduate [email protected]

Thesis Chair: Daniel Winterbottom, RLA, ASLAThesis Committee: Nancy Rottle, RLA, ASLA

In collaboration with: Jordan Bell, Tera Hatfield + David Tomlinson

Questions:

Could the built environment act as a form of preventive medicine?

How can landscape designers better understand the health implications of their designs?

‘unhealth’ emerges from the landscape

19th Century

miasmatic theory

[New York Public Library]

could the reverse be possible?

designing the landscape so that it heals

(Szcaygiel & Hewitt, 1974)

[Catton, Bruce. The Civil War. Boston: Houghton Miffin Company. March 3, 2010.]

Design for the World Trade Center Ground Zero Memorial [Michael Arad, Peter Walker]

today: niche landscape architecture fields

Tabor Hills Healthcare Facility[http://www.worldhealthdesign.com/]

Registered Landscape Architects:health, safety and welfare (aka don’t get sued)

what about improving health?what about ‘healing’ all people?

desire... but training?

who defines health?

free from injury, illness or pain (Webster)

state of complete physical, mental and social well-being and not merely the absence of disease or infirmity (WHO)

a dynamic state of wellbeing characterized by a physical, mental and social potential, which satisfies the demands of a life commensurate with age, culture and personal responsibility (Johannes Bircher)

holistic health for

landscapes, people,

ecologies

economic health

environmental health

ecological health

physical health

mental health

spiritual health

social health

civic health

holistic health entanglement

communitydesign

professionals regulatory client / operations

EXISTING CONDITIONS

ANALYSIS

PARTICIPATORY PUBLIC

MEETINGS + OUTREACH

SITELOCATION,

FINANCING + OPERATIONS

DESIGNMEETINGS

AGENCY REPORTS + ANALYSIS

LAWS + POLICY

project partners to define ‘health’ for a project

communitydesign


EXISTING CONDITIONS

ANALYSIS


MEETINGS + OUTREACH

SITELOCATION,


DESIGNMEETINGS

3RD PARTYINTERPRETS // CONSOLIDATES // CATEGORIZES

GOALS


LAWS + POLICY

need for a 3rd party mediator?

communitydesign


EXISTING CONDITIONS

ANALYSIS


MEETINGS + OUTREACH

SITELOCATION,


DESIGNMEETINGS

3RD PARTYINTERPRETS // CONSOLIDATES // CATEGORIZES

GOALS


LAWS + POLICY

need for a 3rd party mediator?

health champion!

health champion!

(would lead project partners through a health-design

framework)

establishing a design-health

framework

DESIGN

POSSIBLE RESULTANTS POTENTIAL OUTCOMESECOLOGICAL

DESIGN IDEAS

SOCIAL

ECONOMIC

HEALTH

WELLNESS

COMMUNITY REVITALIZATION

Framework Strategy 1: Design to Outcomes

DESIGN

POSSIBLE RESULTANTS POTENTIAL OUTCOMESECOLOGICAL

DESIGN IDEAS

SOCIAL

ECONOMIC

HEALTH

WELLNESS

COMMUNITY REVITALIZATION

Framework Strategy 1Design to Outcomes

Pros:• straightforward and easy to add into current design

process• designers began thinking about health

Cons:• beginning with design doesn’t influence outcomes• more validation than education• categorization of resultants unhelpful and tedious• categorization of outcomes subjective and unhelpful• categorizations difficult since many spanned

multiple categories • uninspiring, did not influence design or change

outcomes

FAIL

Framework Strategy 1: Design to Outcomes

Framework Strategy 2: Goals to OutcomesPROJECT

GOALS

CRITERIATO MEET GOALS

DESIGNSCRIPTS

DESIGNRESULTANTS

INDIVIDUALHEALTH

OUTCOMES

COMMUNITYHEALTH

OUTCOMES

DEGREE OFOUTCOMES

Framework Strategy 2: Goals to OutcomesPROJECT

GOALS

CRITERIATO MEET GOALS

DESIGNSCRIPTS

DESIGNRESULTANTS

INDIVIDUALHEALTH

OUTCOMES

COMMUNITYHEALTH

OUTCOMES

DEGREE OFOUTCOMES

Framework Strategy 2Goals to Outcomes

Pros:• in-depth process• considering health from the beginning in goals• grouping health and wellness together• considering how one would evaluate results

Cons:• too linear• inhibited creative design process• unnatural and painful for designers• uninspiring, did not influence design or change

outcomes

FAIL

EXISTINGISSUES

PROJECTGOALS

DESIGNSCRIPTS

INDIVIDUALHEALING

COMMUNITYHEALING

POTENTIALUNHEALTH

EVALUATIONDATA

DATARESOURCES

Framework Strategy 3: Organic Flow

EXISTINGISSUES

PROJECTGOALS

DESIGNSCRIPTS

INDIVIDUALHEALING

COMMUNITYHEALING

POTENTIALUNHEALTH

EVALUATIONDATA

DATARESOURCES

Framework Strategy 3Organic Flow

Pros:• flexibility of framework embeds health dialogue

within the creative design process• conversational and freeflowing• health outcomes open to being determined by

published literature, modelling, professional opinion, or merely identifying positive correlations

Cons:• unclear how helpful the framework is in creating

more healthful outcomes• data collection potentially cumbersome (i.e.

literature, modelling etc) to determine health outcomes

Framework Strategy 3: Organic Flow

not fail

testing the framework

on a [theoretical] project

EXISTINGISSUES

PROJECTGOALS

DESIGNSCRIPTS

INDIVIDUALHEALING

COMMUNITYHEALING

POTENTIALUNHEALTH

EVALUATIONDATA

DATARESOURCES

existing conditions research

predicting design-health outcomes using EBD principles

evaluation of outcomes

The Health-Design Framework

{ EXISTING ISSUES } contamination of soil + water

PAH, arsenic, copper, lead

existing cap function + failure

fallow, unused site

no people + fear issues

no current function

overly controlled shoreline

fenced + inaccessible

access + wayfinding difficult

perception of homeless

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{ PROJECT GOALS } ecotones + edge conditions

biodiversity

functioning ecosystem services

multiple overlapping complementary systems

reconnected fragmented landscapes

economic draw / creative capital

learning lab

accessibility

walkable destination / attraction

neighborhood amenity / value

curiosity about site

touch points

sensory stimulation + excitement

secure (crime)

positive perception

social engagement

safe (injury)

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{ DESIGN SCRIPTS } controlled breaking of cap to release toxic

plumes + remediate with plant plumes

dimples along shoreline that punch + treat contaminated soil below cap

sheet piling revealed with natural erosion over time creating occupiable vs visual spaces

bicycle access + connection to west side of river

reusing barges as glass bottom underwater observatories

nanotube remediation + monitoring cleanses, with interpretive light-up barometer

nano particles inserted in river sediment, creates jetty, plant plume colonizes + breaks down

floating islands become free floating river cleanup tool, + create new remediating land

grading breaks up site monotony

ADA accessibility

removal of fence, no trespassing signs

access to water recreation, recreational beach

continued rail line

plant phasing to biodiversity (starts out with monoculture poplar cleanup, insert species after)

indeterminate game fields

connection to university, physically + with programming elements

open to neighborhood (dog walking, running, biking etc.)

create attractive amenities

testing lab that educates, explores, creates jobs

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{ INDIVIDUALHEALING } exercise (sports, walking, running,

biking, crew launch platform)

less chronic diseases

less contaminants- less humanvector pathways

education

individual jobs

income, business revenue

inspiration

stimulation

less injuries

opportunities for play

less mental disease, depression

{{{{{{{

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{ COMMUNITYHEALING } less crime

community access

home values increase

university draw (research money, publicity, prospective students)

social justice for neighborhood

environmental stewardship

community education

increased opportunities forrelationships with neighbors,families

community + university partnerships + programs

healthier habitats

reduced carbon emissions

connecting community to west sideof river

increase in community pride, visitors

{{{{{{{

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{ POTENTIALUNHEALTH } islands could get stuck in

undesirable places, habitat issues

island conflicts with boats

people running into nanotubes

lighting + safety not addressed yet

monoculture of poplars wouldreduce habitat at first

wet areas undesirable for walking(need to elevate boardwalk)

erosion - sediments may at first destroy aquatic habitat

rail conflicts with safety

erosion- safety with mudslides

shore edge safety

poplars may agitate asthma/allergies

limited emergency access

spreading of bacteria / mycorrhizal contamination of neighborhood

{{{{{{{

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{ EVALUATION DATA } on-site people, action, location

+ quality counts

on-site flora, fauna, soil, water air + quality counts

grade, attendance + education reports

crime + injury reports

property + business revenue reports

demographic + income GIS data

insurance company data

neighbor observations + opinions

user observations + opinions

current + historic aerial + on-ground photos + video

current news, magazine, blog articles + social networking sites

regulatory reports

{{{{{{{

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{ {{ DATA RESOURCES }

interviews

in-field questionaires

mailed questionnaires

site observations

video surveillance

online blog + social networking sites

automatic on-site monitoringequipment

expert on-site measurements + data collection

insurance companies

census + city data

university + nearby schools

police and emergency services

local + county auditor

published literature

historic + archival records online + in local library

local, state, federal agencies

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existing conditions research predicting design-health outcomes potential evaluation of outcomes

Outline of Health-Design Framework Tested on Capstone Project

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+ p WALKABILITY +

q CHRONIC ILLNESSES

+ p MENTAL WELLBEING

~ p INJURIES+

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+ p PEOPLE

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+ p SOCIAL COHESION

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INSERTION: PLUME; FLEX PLAN

SUBSET INTRUCTIONS:B. PLANT PLUME NODES 1. SURVEY EVERY 12 MONTHS FOR EDGE DELINEATION (PLANT HEIGHT & CONCENTRATION ) 2. INSTALL ELEVATED MODULAR GRATE PATH AT EDGE 3. @1 YEAR: REMOVE & REINSTALL PATH AT NEW SURVEYED EDGEREPEAT STEPS 1-3 EVERY 12 MONTHS

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INSERTION: PLUME; FLEX PATH

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INSERTION: PLUME; RIGID PLAN

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INSERTION: PLUME; RIGID PATH

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INSERTION: NANOBUCKS> JETTY

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POTENTIAL FOR HEALTHFUL OUTCOME

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Design Interventions and Potential Health + Unhealth Outcomes

+ p WALKABILITY +

q CHRONIC ILLNESSES


~ p INJURIES+

q CRIME

+ p PEOPLE

ON SITE

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+ p COMMUNITY

PRIDE

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s

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. unhea

lth:

ecol

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alth

: ec

olog

y

pot. unhealth: injuries

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economy

p SENSE OF COMMUNITY

p SOCIAL TIESq CRIME + FEAR

p SENSORY STIMULATION

q MENTAL FATIGUEq

STRESS

p CHILD DEVELOPMENT

q CRISIS EFFECTS

p COPING WITH LIFE ADVERSITY

p HEALTHY RELATIONSHIPS

p PHYSICAL ILLNESS RECOVERY

q MENTAL ILLNESS

q BEHAVIORAL SYMPTOMS

p PUBLIC PERCEPTION p PROPERTY VALUES

kuo + sullivan 2001b

sall is, mil lstein + carlson 2

01

1

l ou

v 2

00

5

coley, kuo + depooter 1997

sullivan, kuo + depooter 2004

kuo + sullivan 2001a

prof. experience

prof. experienc

e

taylor + kuo 2006, kahn 2001louv 2005

o t t o s o n + g r a h n 2 0 0 8

pope + pope 2012

faber + kuo, 2009, kuo + taylor 2004

kuo 2001, kuo + sullivan 2001d

prof. experience prof. experience

taylor + stanton 2007 and mil ler 2007 and sachser, durschla

g + h

ir

zel 199

8

taylor + stanton 2006

q CHRONIC ILLNESSESk u o 2 0 0 1

p

SENSE OF

COMMUNITYp

SOCIAL TIES

q

CRIME + FEAR

p

SENSORY

STIMULATION

q

MENTAL

FATIGUE

q STRESS

p CHILD

DEVELOPMENTq CRISIS

EFFECTS p COPING

WITH LIFE

ADVERSITY

p

HEALTHY

RELATIONSHIPS

p

PHYSICAL

ILLNESS

RECOVERY

q

MENTAL

ILLNESS

q

BEHAVIORAL

SYMPTOMS

p PUBLIC

PERCEPTION

p

PROPERTY

VALUES


sallis, mil lste

in +

ca

rlso

n 2

01

1

louv 2

00

5




prof. exp

erienceprof. experience

taylor + kuo 2006, kahn 2001

louv 2005

ot t o

son +

gr a

hn 2

00

8

pope + pope 2012

fab

er +

kuo, 2

009, ku

o +

taylor 2004

kuo 2001, kuo +

sullivan 2001d


taylo

r + sta

nton

2007 and m

il ler 2007 and sachser, durschlag + hirzel 1998


q

CHRONIC

ILLNESSES

k u o 20

01

p

SENSE OF

COMMUNITYp

SOCIAL TIES

q

CRIME +

FEAR

p

SENSORY

STIMULATION

q

MENTAL

FATIGUE

q

STRESS

p CHILD

DEVELOPMENT

q

CRISIS

EFFECTS

p

COPING

WITH LIFE

ADVERSITY

p

HEALTHY

RELATIONSHIPS

p

PHYSICAL

ILLNESS

RECOVERY

q

MENTAL

ILLNESS

q

BEHAVIORAL

SYMPTOMS

p

PUBLIC

PERCEPTION

p

PROPERTY

VALUES


sallis, m

illste

in +

ca

rl so

n 2

01

1lo

uv 2

00

5




prof. experience

prof. experiencetaylor + kuo 2006, kah

n 2

00

1

louv 2005

ot t o

son +

grah

n 2

00

8

pope + pop

e 2012

fab

er +

ku

o, 2

00

9, k

uo +

taylo

r 2004

kuo 2

001, kuo +

sullivan 2001d


taylo

r + s

tanto

n 2

007 and

mil ler 2007 and sachser, durschlag + hirzel 1998


q

CHRONIC

ILLNESSES

k uo

20

01

p

SENSE O

F

CO

MM

UN

ITY

p

SOC

IAL TIES

q

CR

IME +

FEAR

p

SENSO

RY

STIMU

LATION

q

MEN

TAL

FATIGU

E

q

STRESS

p

CH

ILD

DEVELO

PM

ENT

q

CR

ISIS

EFFECTS

p

CO

PIN

G

WITH

LIFE

ADVER

SITY

p

HEALTH

Y

RELATIO

NSH

IPS

p

PH

YSICAL

ILLNESS

REC

OVER

Y

q

MEN

TAL

ILLNESS

q

BEH

AVIOR

AL

SYMP

TOM

S

p

PU

BLIC

PER

CEP

TION

p

PR

OP

ERTY

VALUES

kuo +

sullivan 2001b

sa

llis, m

illstein

+ carlson 2

011

lo

uv

2

00

5

coley, ku

o +

dep

ooter 1997


kuo +

sullivan 2001a

prof. experience

prof. experience

taylo

r + k

uo

20

06

, ka

hn

20

01

lou

v 2

00

5

otto

so

n +

g

ra

hn

2

00

8 pop

e + p

ope 2012fa

be

r + k

uo

, 20

09

, ku

o +

taylo

r 20

04

kuo 2001, kuo +

sullivan

2001d

prof. experience p

rof. experience

taylo

r +

sta

nto

n 2

00

7 a

nd

mi l le

r 20

07

and s

achse

r, d

urschlag + hirzel 1998

taylor + stan

ton 2

006

q

CH

RO

NIC

ILLNESSES

ku

o 2

00

1

p

SENSE O

F C

OM

MU

NITY

p

SOC

IAL TIESq

C

RIM

E + FEAR

p

SENSO

RY

STIMU

LATION

q

MEN

TAL FATIG

UE

q

STRESS

p

CH

ILD

DEVELO

PM

ENT

q

CR

ISIS EFFEC

TS

p

CO

PIN

G

WITH

LIFE AD

VERSITY

p

HEALTH

Y R

ELATION

SHIP

S

p

PH

YSICAL

ILLNESS

REC

OVER

Y

q

MEN

TAL ILLN

ESS

q

BEH

AVIOR

AL SYM

PTO

MS

p

PU

BLIC

P

ERC

EPTIO

N

p

PR

OP

ERTY

VALUES

kuo + su

llivan 2001b

sallis, millstein + carlson 2011

lo

uv 2

00

5

coley, kuo +

dep

ooter 1

99

7

sulliva

n, ku

o +

dep

ooter 2

004

kuo + su

llivan 2001a

prof. experience

prof. experience

taylo

r + k

uo

20

06

, ka

hn

20

01

lou

v 2

00

5o

tto

so

n +

g

ra

hn

2

00

8

pope + pope 2012

faber +

kuo, 2

009

, kuo +

taylo

r 20

04


prof. experience

prof. experien

ce

taylo

r + s

tan

ton

20

07

an

d m

iller 2

00

7 a

nd

sa

ch

se

r, du

rsch

lag +

hirzel 1998


q

CH

RO

NIC

ILLN

ESSESk

uo

20

01

p

SENSE OF

COMMUNITY

p

SOCIAL TIES

q

CRIME +

FEAR

p

SENSORY

STIMULATION

q

MENTAL

FATIGUE

q

STRESS

p

CHILD

DEVELOPMENT

q

CRISIS

EFFECTS

p

COPING

WITH LIFE

ADVERSITY

p

HEALTHY

RELATIONSHIPS

p

PHYSICAL

ILLNESS

RECOVERY

q

MENTAL

ILLNESS

q

BEHAVIORAL

SYMPTOMS

p

PUBLIC

PERCEPTION

p

PROPERTY

VALUES


sallis, millstein + carlson 2011lou

v 2

00

5


sullivan, kuo + d

epooter 2

00

4


prof. experience

prof. experien

ce

taylo

r + ku

o 2006, kahn 2001

louv 2

00

5

otto

son +

grah

n 2008

pope + pope 2012



prof. experience

prof. experience

taylor + stanton 2007 an

d m

iller 2

00

7 a

nd

sa

ch

se

r, du

rsc

hla

g +

hir

ze

l 19

98


q

CHRONIC

ILLNESSES

kuo 2001

p SENSE OF COMMUNITY

p SOCIAL TIESq CRIME + FEARp SENSORY STIMULATION

q MENTAL FATIGUEq STRESS

p CHILD DEVELOPMENT

q CRISIS EFFECTS


p HEALTHY RELATIONSHIPS

p PHYSICAL ILLNESS RECOVERY

q MENTAL ILLNESS


p PUBLIC PERCEPTION

p PROPERTY VALUES


sallis, m

illst

ein

+ c

arls

on 2

01

1

lou

v 2

00

5




pro

f. ex

perie

nce

prof. experience

taylor + kuo 2006, kahn 2001louv 2005 ottoson + grahn 2

008

pope + pop

e 20

12

faber +

kuo, 2

009, kuo + ta

ylor 2004

kuo

2001

, kuo

+ su

llivan 2001d

prof. experienceprof. experience

taylo

r + stanton 2007 and miller 2007 and sachser, durschlag + hirzel 1

998


q CHRONIC ILLNESSES kuo 2001

p

SEN

SE O

F

COM

MUN

ITY p

SOCI

AL T

IES

q

CRIM

E +

FEAR

p

SEN

SORY

STIM

ULAT

ION

q

MEN

TAL

FATI

GUE

q

STRE

SS

p

CHIL

D

DEVE

LOPM

ENT

q

CRIS

IS

EFFE

CTS

p

COPI

NG

WIT

H L

IFE

ADVE

RSIT

Y

p

HEA

LTH

Y

RELA

TION

SHIP

Sp

PHYS

ICAL

ILLN

ESS

RECO

VERY

q

MEN

TAL

ILLN

ESS q

BEH

AVIO

RAL

SYM

PTOM

S

p

PUBL

IC

PERC

EPTI

ON

p

PROP

ERTY

VALU

ES

kuo

+ su

llivan

2001b

sa

llis

, m

ills

tein

+ c

arl

so

n 2

01

1

lo

uv

2

00

5

cole

y, k

uo +

dep

oote

r 19

97

sulli

van,

kuo +

depooter 2

004

kuo

+

sulliv

an 2001a

prof

. exp

erie

nce

prof.

experience ta

ylor

+ k

uo 2

006,

kah

n 2

00

1

louv 2

0

05

otto

so

n +

gra

hn

2

00

8

pope

+ p

ope

2012

fab

er

+ k

uo

, 2

00

9,

ku

o +

taylo

r 2

004

kuo

2001, ku

o +

sul

livan

200

1dpr

of. e

xp

erien

cepro

f. ex

perie

nce

taylo

r +

sta

nto

n 2

00

7 a

nd m

ille

r 20

07 a

nd sachser,

durschlag + hirzel 1998

tayl

or +

sta

nton

2006

q

CHRO

NIC

ILLN

ESSE

S

ku

o 2

00

1

p

SEN

SE O

F C

OM

MU

NIT

Y

p

SOC

IAL

TIES

q

CR

IME

+ FE

AR

p

SEN

SOR

Y ST

IMU

LATI

ON

q

MEN

TAL

FATI

GU

Eq

ST

RES

S

p

CH

ILD

D

EVEL

OP

MEN

T

q

CR

ISIS

EF

FEC

TS

p

CO

PIN

G

WIT

H L

IFE

AD

VER

SITY

p

HEA

LTH

Y R

ELA

TIO

NSH

IPS

p

PH

YSIC

AL

ILLN

ESS

REC

OVE

RY

q

MEN

TAL

ILLN

ESS

q

BEH

AVI

OR

AL

SYM

PTO

MS

p

PU

BLI

C

PER

CEP

TIO

Np

P

RO

PER

TY

VALU

ESku

o +

sulli

van

2001

b

sall

is,

mil

lste

in +

c

arlso

n 2011

lo

uv

2

00

5

cole

y, k

uo +

dep

oote

r 1

99

7su

lliv

an,

kuo

+ d

epoo

ter

2004

kuo

+ s

ulliv

an 2

001a

prof. exp

er

ienc

e

pro

f. ex

perie

nce

taylo

r +

ku

o 2

00

6,

ka

hn

20

01

lou

v 2

00

5

otto

so

n +

g

ra

hn

2

00

8

pop

e + p

ope

2012

fab

er

+ k

uo,

20

09

, ku

o +

ta

ylo

r 2

00

4

kuo

2001

, kuo

+ s

ulliv

an 2

001d

pro

f. ex

per

ienc

epr

of. ex

per

ienc

e

taylo

r +

sta

nto

n 2

00

7 a

nd

mil

ler 2

00

7 a

nd

sa

ch

ser,

durs

chla

g +

hir

zel 1998

tayl

or +

sta

nton

200

6

q

CH

RO

NIC

IL

LNES

SES

ku

o 2

00

1

p

SEN

SE O

F

COM

MUN

ITY

p

SOCI

AL T

IES

q

CRIM

E +

FEAR

p

SEN

SORY

STIM

ULATI

ON

q

MEN

TAL

FATI

GUE

q

STRE

SS

p

CHIL

D

DEVEL

OPM

ENT

q

CRIS

IS

EFFE

CTS

p

COPI

NG

WIT

H LIF

E

ADVE

RSIT

Y

p

HEALT

HY

RELA

TION

SHIP

S

p

PHYS

ICAL

ILLN

ESS

RECO

VERY

q

MEN

TAL

ILLN

ESS

q

BEHAV

IORA

L

SYM

PTOM

S

p

PUBLI

C

PERC

EPTI

ON

p

PROP

ERTY

VALU

ES

kuo

+ su

lliva

n 2

001b

sal l is, m

il lstein + carlson 2011

lou

v 2

00

5

cole

y, k

uo +

dep

oote

r 199

7

sulliv

an,

kuo +

dep

oote

r 2

00

4

kuo

+ s

ulliv

an 2

001a

prof. experience

pro

f. ex

per

ienc

e

taylo

r +

ku

o 2

006,

kahn

2001

lou

v 2

00

5

ot t

oson

+ g

r ahn 2

008

pope

+ pope 2012

faber

+ kuo, 2

009, kuo +

tay

lor

200

4

kuo 2001, kuo + sulliv

an 2

001d

prof

. exp

erie

nce

prof

. exp

erie

nce

tayl

or +

sta

nto

n 2

007 a

nd

mil

ler

20

07

an

d s

ach

se

r, d

ursc

hla

g +

hir

zel

1998

taylor

+ s

tant

on 2006

q

CHRO

NIC

ILLN

ESSE

S

kuo 2

0

0 1

p

SENSE OF

COMMUNITY

p SOCIAL TIES

q CRIME +

FEAR

p SENSORY

STIMULATION

q MENTAL

FATIGUE

q STRESS

p CHILD

DEVELOPMENT

q CRISIS

EFFECTS

p COPING

WITH LIFE

ADVERSITY

p HEALTHY

RELATIONSHIPS

p PHYSICAL

ILLNESS

RECOVERY

q MENTAL

ILLNESS

q BEHAVIORAL

SYMPTOMS

p PUBLIC

PERCEPTION

p PROPERTY

VALUES

kuo + sulliv

an

200

1b


l o u v 2 0 0 5coley, kuo + depooter 1997

sulliv

an, kuo +

dep

oote

r 200

4

kuo + sulliv

an 2

001a

prof. experience

prof. e

xper

ienc

e

taylor +

kuo 2006, kahn 2001

louv 2005

o t t o s o n + g r a h n 2 0 0 8

pope + pope 2012


kuo 2001, kuo + sullivan 2001dprof. experi

ence

prof. experienc

e

taylor + stanton 2007 and mil le

r 2007 a

nd sach

ser, d

urs

chla

g +

hir

ze

l 1

99

8


q CHRONIC

ILLNESSES

k u o 2 0 0 1

p

PH

YSICA

L A

CTIVITY

q

OB

ESITY

q

RISK

FOR

D

IAB

ETES

q

RISK

FOR

H

EAR

T D

ISEASE

q

DEP

RESSIO

N

q

BIR

TH

DEFEC

TS

q

JOIN

T + BO

NE

DISEA

SE

q

STRESS

q

MEN

TAL

FATIG

UE

p

CO

PIN

G

WITH

LIFE A

DVER

SITY

p

SENSE O

F C

OM

MU

NITY

p

SOC

IAL TIES

p

HEA

LTHY

RELA

TION

SHIP

S

fitzh

ug

h, b

asse

tt + evan

s 2010

lu

nd

2

00

3

layden 20

03

, lun

d 2

00

3


011

prof. experie

nce

pro

f. experience

kuo 2001, kuo + sullivan 2

001d

to

mp

ki n

s, s

oro

s, s

oth

em

+ v

arg

as

20

09

ce

lia

2

00

2

bray

19

92

manson et al. 1990

anandacoom

arasamy et al 2

009

watkins et al., 2003

chen, jiang + mao 2009

prof. experience

kuo + su

llivan 2

001a

ku

o 2

00

1

p

PHYSICAL

ACTIVITY

q

OBESITYq

RISK FOR

DIABETESq

RISK FOR

HEART

DISEASE

q

DEPRESSION

q

BIRTH

DEFECTS

q

JOINT + BONE

DISEASE

q

STRESS

q

MENTAL

FATIGUEp

COPING

WITH LIFE

ADVERSITY

p

SENSE OF

COMMUNITYp

SOCIAL TIES

p

HEALTHY

RELATIONSHIPS

fitzhugh, bassett + eva

ns 2

01

0

lun

d 2

00

3

layden 2003, lund 2003


pro

f. experience

prof. experience


tom

pkin

s, s

oro

s, so

them

+ vargas 2009

ce

lia

2

00

2

bra

y 1

99

2

man

son et al. 1

990

anandacoomarasam

y et al 2009


chen, jiang + mao 2009

prof. experience kuo + sullivan 2001a

kuo 2

001

p

PHYSICAL

ACTIVITY

q

OBESITY

q

RISK FOR

DIABETES

q

RISK FOR

HEART

DISEASE

q

DEPRESSION

q BIRTH

DEFECTS

q

JOINT + BONE

DISEASE

q STRESS

q MENTAL

FATIGUEp

COPING

WITH LIFE

ADVERSITY

p

SENSE OF

COMMUNITY

p

SOCIAL TIES

p HEALTHY

RELATIONSHIPS

fitzhugh, bassett + evan

s 20

10

lund 20

03

layden 2003, lund 2003


prof. experience

prof. experience


to

mpkins, soros, sothem + vargas 2009

celia 20

02

bra

y 1

99

2m

anson et al. 1990

anandacoomarasam

y et al 2009

watkins et al., 2003chen, jiang + mao 2

009

prof. experiencekuo + sullivan 2001a

kuo 2001

p PHYSICAL ACTIVITY

q OBESITY

q RISK FOR DIABETESq RISK FOR

HEART DISEASE

q DEPRESSION

q BIRTH DEFECTS

q JOINT + BONE DISEASE

q STRESSq MENTAL

FATIGUE

p COPING WITH LIFE

ADVERSITY

p SENSE OF

COMMUNITYp

SOCIAL TIES

p HEALTHY

RELATIONSHIPS

fitzhugh, b

assett + evans 2010 lund

20

03

lay

de

n 2

00

3,

lun

d 2003

salli

s, m

illst

ein

+ ca

rlson

2011

prof. experience

prof.

expe

rien

ce

kuo

2001

, kuo

+ sul

livan

2001d

tompkins, soros, sothem

+ v

argas 2

00

9

celia 2002

bray 19

92

manson et al. 1990

anandacoomarasamy et al 2009

watki

ns e

t al

., 2

003

ch

en

, ji

an

g +

ma

o 2

00

9

prof

. exp

erien

ce

kuo

+ sulliva

n 2001a

kuo 200

1

p

PHYSICAL

ACTIVITY

q

OBESITY

q

RISK FOR

DIABETES

q

RISK FOR

HEART

DISEASE

q

DEPRESSION

q

BIRTH

DEFECTS

q

JOIN

T + BONE

DISEASE

q

STRESS

q

MENTAL

FATIGUE p

COPING

WITH LIFE

ADVERSITY

p

SENSE OF

COMMUNITY

p

SOCIAL TIES

p

HEALTHY

RELATIONSHIP

S

fitzh

ugh, b

asse

tt +

eva

ns

20

10

l un

d 2

0

03

l a y d e n 2 0 0 3 , l u n d 20 0 3


pro

f. e

xper

ience

prof. e

xperience


t om

pki n

s,

sor o

s , s o t h

em +

va r g a s 2

0 0 9

ce

lia

2

00

2

bra

y 1

99

2m

anso

n e

t al

. 1990

anan

daco

omar

asam

y et

a

l 2009


c h e n , j i a n g + m a o 2 0 0 9

prof. experienc

ekuo + su

lliva

n 20

01a

k uo 2

0 0 1

q HUMAN

CONTACT

q CANCER

RISK

q BIRTH

DEFECTS

q CHRONIC

ILLNESSES

q AIR + WATER

BORNE

DISEASES

p CLEAN

AIR

p CLEAN

SOIL

p CLEAN WATER

p PUBLIC

PERCEPTION

p PROPERTY

VALUESp

ENVIRON.

JUSTICE

p COPING

WITH LIFE

ADVERSITY

q CRIME +

FEAR

p CHILD

DEVELOPMENT


kochititzky 2011

backer 2011p r o f . e x p e r i e n c e

p r o f . e x p e r i e n c epro f. expe r i ence

d e s o u s a 2 0 0 6

d e s o u s a 2 0 0 6

prof. experience

lanphear, vorhees, + bellinger 2005

pope

+ pope 2012

beck , 1979 and becke r, 2011 and a r ns t , 2006p h i b b s 1 9 9 6

k u o 2 0 0 1

q HUMAN CONTACTq CANCER RISK

q BIRTH DEFECTS

q CHRONIC ILLNESSES

q AIR + WATER BORNE DISEASES

p CLEAN AIR

p CLEAN SOIL

p CLEAN WATERp PUBLIC PERCEPTION p PROPERTY VALUES

p ENVIRON.JUSTICE

p COPING WITH LIFE ADVERSITYq CRIME + FEAR

p CHILD DEVELOPMENT


kochititzky 2011 backer 2011

p r o f . e x p e r i e n c ep r o f . e x p e r i e n c e

pro f. expe r i enced e s o u s a 2 0

06

d e s o u s a 2 00

6

prof. experience


pope + pope 2012

beck , 1979 and becke r, 2011 and a r ns t , 2006

ph

i bb

s 1 9 9 6

k u o 2 0 0 1

q

HUMAN

CONTACT

q

CANCER

RISK

q

BIRTH

DEFECTSq

CHRONIC

ILLNESSES

q

AIR + WATER

BORNE

DISEASES

p

CLEAN

AIR

p

CLEAN

SOIL

p

CLEAN

WATER

p

PUBLIC

PERCEPTION

p

PROPERTY

VALUESp

ENVIRON

.

JUSTICE

p

COPING

WITH LIFE

ADVERSITY

q

CRIME +

FEAR

p

CHILD

DEVELOPMEN

T

kuo +

sullivan 2001b

kochititzky 2011

backer 2011

p r o f . e x per i e

nce

pr o

f . exp

er i e

nc

e

pro

f. ex

pe

r i en

ce

de

sou

sa

20

06

de

so

us

a 2

00

6

prof. experien

ce


pope + pope 2012

beck , 1979 an

d b

ecke r, 20

11

an

d a

r ns t , 2

00

6

ph

ibb

s 1

99

6

ku

o 2

00

1

q HUMAN

CONTACT

q CANCER

RISK

q BIRTH

DEFECTS

q CHRONIC

ILLNESSES

q AIR + WATER

BORNE

DISEASESp

CLEAN

AIR

p CLEAN

SOIL

p CLEAN

WATER

p PUBLIC

PERCEPTION

p PROPERTY

VALUESp

ENVIRON.

JUSTICE

p COPING

WITH LIFE

ADVERSITY

q CRIME +

FEAR

p CHILD

DEVELOPMENT


kochititzky 2011

backer 2011

prof. experience

prof. experience

prof. experiencede sousa 2006

de sousa 2006

prof. experience


pope + pope 2012

beck, 1979 and becker, 2011 and arnst, 2006

phibbs 1996

kuo 2001

q HUMAN

CONTACT

q CANCER

RISK

q BIRTH

DEFECTS

q CHRONIC

ILLNESSES

q AIR + WATER

BORNE

DISEASES

p CLEAN

AIR

p CLEAN

SOIL

p CLEAN

WATER

p PUBLIC

PERCEPTION

p PROPERTY

VALUESp

ENVIRON.

JUSTICE

p COPING

WITH LIFE

ADVERSITY

q CRIME +

FEAR

p CHILD

DEVELOPMENT


koch

ititzky 2011

backer 2011 prof. experience


de sousa 2006

de sousa 2006

prof. experience


pope + pope 2012

beck, 1979 and becker, 2011 and arnst, 2006phib

bs 1996

kuo 2001

q

HUMAN

CONTACT

q

CANCER RIS

K

q

BIRTH

DEFECTSq

CHRONIC

ILLNESSES q

AIR + W

ATER

BORNE

DISEASES

p

CLEAN AIR

p

CLEAN SOIL

p

CLEAN

WATER

p

PUBLIC

PERCEPTION

p

PROPERTY

VALUES

p

ENVIRON.

JUSTIC

E

p

COPING

WITH LIFE

ADVERSITY

q

CRIME +

FEAR

p

CHILD

DEVELOPMENT

kuo

+ s

ulliv

an 2

001b

koch

ititzk

y 20

11

back

er 2

011

prof. experie

nce

prof.

exp

erien

ce

pro

f. e

xp

eri

en

ce

de sous

a 2

00

6

de s

ou

sa

20

06

prof. ex

perie

nce

lanp

hear

, vor

hees

, + bell

inger 2

005 pope + pope 201

2

beck, 1979 a

nd becker,

2011 a

nd arn

st,

2006

ph

ibb

s 1

99

6

kuo 2

00

1

q

HUMAN

CONTACT

q

CANCER

RISK

q

BIRTH

DEFECTS

q

CHRONIC

ILLNESSES q

AIR +

WATE

R

BORNE

DISEASES

p

CLEAN

AIR

p

CLEAN

SOIL

p

CLEAN

WATE

R

p

PUBLIC

PERCEPTION

p

PROPERTY

VALUES

p

ENVIRON.

JUSTI

CE

p

COPING

WIT

H LIFE

ADVERSIT

Y

q

CRIME +

FEAR

p

CHILD

DEVELOPMENT

kuo

+ s

ulliv

an 2

001b

koch

ititzk

y 20

11

back

er 2

011

prof. experi

ence

prof.

exp

eri

en

ce

pro

f. e

xp

eri

en

ce

de sou

sa 2

00

6

de s

ou

sa

20

06

prof.

expe

rien

cela

nphe

ar, v

orhe

es, +

bell

inger 2

005pope + pope 2

012

beck, 1979 a

nd becker,

2011 a

nd arn

st,

2006

ph

ibb

s 1

99

6 kuo

20

01

q

HU

MAN

CON

TACT

q

CAN

CER

RIS

K q

BIR

TH

DEF

ECTS q

CH

RON

IC

ILLN

ESSE

S

q

AIR

+ W

ATER

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NE

DIS

EASE

S

p

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N

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p

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N

SOIL

p

CLEA

N

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ER

p

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LIC

PER

CEPT

ION

p

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ERTY

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ESp

EN

VIR

ON.

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ICE

p

COPI

NG

WIT

H L

IFE

ADVE

RSI

TY

q

CRIM

E +

FEAR

p

CHIL

D

DEV

ELOP

MEN

T

kuo

+ s

ulli

van

2001

b

koch

itit

zky

201

1

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er 2

011

pro

f. e

xp

erie

nc

e

pro

f. e

xp

erie

nc

e

pro

f. e

xp

er i

en

ce

de s

ou

sa

2

00

6

de

so

us

a 2

00

6pr

of.

exp

eri

en

ce

lanp

hear

, vo

rhee

s, +

bel

linge

r 20

05

pope + p

ope

2012

bec

k, 1

97

9 a

nd

becke

r, 2

01

1 a

nd

arn

st,

20

06

ph

i bb

s 1

99

6

ku

o 2

00

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q

HU

MAN

C

ON

TAC

T

q

CAN

CER

R

ISK

q

BIR

TH

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ECTS

q

CH

RO

NIC

IL

LNES

SES

q

AIR

+ W

ATER

B

OR

NE

DIS

EASE

S

p

CLE

AN

AIRp

C

LEAN

SO

IL

p

CLE

AN

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ER

p

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BLI

C

PER

CEP

TIO

Np

P

RO

PER

TY

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ES

p

ENVI

RO

N.

JUST

ICE

p

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PIN

G

WIT

H L

IFE

ADVE

RSI

TYq

C

RIM

E +

FEAR

p

CH

ILD

D

EVEL

OP

MEN

T

ku

o +

sulli

van

2001b

koch

ititz

ky 2

011

bac

ker 2

011

pro

f. e

xp

eri e

nc

ep

ro

f . e

xp

er i

en

ce

pro

f. e

xpe r

i ence

de

s

ou

sa

2

00

6

de

so

us

a 2

0

06

pro

f. e

xperi

ence

lanp

hear

, vo

rhee

s, +

bel

linge

r 2005

pope

+ p

ope

2012

be

ck

, 1

97

9 a

nd

be

ck

er,

20

11

an

d a

r ns

t , 2

00

6

p h i bbs

19

96

ku

o 2

00

1

q HUMAN

CONTACT

q CANCER

RISK

q BIRTH

DEFECTS

q

CHRONIC

ILLNESSES

q

AIR + WATER

BORNE

DISEASES

p CLEAN

AIR

p CLEAN

SOIL

p CLEAN

WATER

p PUBLIC

PERCEPTION

p

PROPERTY

VALUES p ENVIRON.

JUSTICE

p COPING

WITH LIFE

ADVERSITY

q CRIME +

FEAR

p CHILD

DEVELOPMENT


kochititzky 2011

backer 2011

pr o

f . e

x p e r i en c e

p r o f . e x p e r i e n c e

pro f. expe r i ence

d

e s

o u s a 2 0 0 6d e s o u s a 2 0 0 6pr

of. experience

lanphear, vorhees

, + bell

inger

2

005

pop

e +

pope

2012beck , 1979 a

nd becke r,

2011 and a r ns t , 2006

p h i b b s 1 9 9 6

k u o 2 0 0 1

p FUNCTIONING ECOLOGIES

p BIODIVERSITY

p ECOTONES

q FRAGMENTED LANDSCAPES

p AIR QUALITY

p THERMAL

REGULATION

p RESILIENCY TO NATURAL DISASTERS

p WATER

CLEANSING

p NOISE

ATTENUATION

q CLIMATE CHANGE IMPACTS

q CHRONIC

ILLNESSES

q AIR + WATER

BORNE DISEASES

q DEPRESSION

p COPING

WITH LIFE ADVERSITY

q INJURIES

currie + bass 2008

samet 2011 and currie + bass 2008

mackey, lee + smith 2012

beat

l ey 2

01

1

yoshida et al 2003

horwitz + finlayson 2011

eicher + kawachi 2011

s l e e t , n a u m a n n + r u d d 2 0 1 1

kiellstrom + weaver 2

009


frumkin 2011

k u o 2 0 0 1

prof. experience

prof. experience

b a s k i n 1 9 94

a l b e r t i 2 00

5

p FUNCTIONING

ECOLOGIES

p BIODIVERSITY

p ECOTONESq

FRAGMENTED

LANDSCAPES

p AIR QUALITYp THERMAL

REGULATION

p RESILIENCY

TO NATURAL

DISASTERS

p WATER CLEANSINGp NOISE

ATTENUATION

q CLIMATE CHANGE

IMPACTS

q CHRONIC ILLNESSESq AIR + WATER

BORNE DISEASES

q DEPRESSION

p COPING WITH LIFE

ADVERSITY

q INJURIES

currie + bass 2008

samet 2011 and currie + bass 2008

mackey, lee + smith 2012be

atle

y 2

01

1yosh

ida et al 2003


011


s l e e t , n a u m a n n + r u d d 2 0 1 1



frumkin 2011

k u o 2

00

1

prof. experience

prof. experience

ba

sk

i n 1 9 9 4al b

ert

i 2

00

5

p

FUN

CTIO

NIN

G

ECO

LOG

IES

p

BIO

DIVER

SITY

p

ECO

TON

ES

q

FRAG

MEN

TED

LAND

SCAPES

p

AIR Q

UALITY

p

THER

MAL

REG

ULATIO

Np

RESILIEN

CY

TO N

ATUR

AL

DISASTER

S

p

WATER

CLEAN

SING

p

NO

ISE

ATTENU

ATION

q

CLIM

ATE

CH

ANG

E

IMPAC

TS

q

CH

RO

NIC

ILLNESSES

q

AIR + W

ATER

BO

RN

E

DISEASES

q

DEPR

ESSION

p

CO

PING

WITH

LIFE

ADVER

SITYq

IN

JUR

IES

cu

rrie + bass 2008

sam

et 2

01

1 a

nd

currie +

bass 2008

mackey, lee +

smith

2012

be

atle

y 2

01

1

yoshida et al 2003

horwitz +

finlayson 2011

eicher + kaw

achi 2

011

s l eet , n

au

ma

nn

+ r u

dd

20

11


kiellstrom +

weaver 2

009frum

kin 2

011

ku

o 2

00

1

prof. experience

prof. experience

ba

sk

in

1

99

4

alb

er

ti 2

00

5

p

FUN

CTIONIN

G

ECOLOGIES

p

BIODIVERSITY

p

ECOTONES

q

FRAGMEN

TED

LANDSCAPES

p

AIR QUALITY

p

THERM

AL REGU

LATION

p

RESILIENCY

TO NATU

RAL

DISASTERS

p

WATER

CLEANSIN

Gp

N

OISE ATTEN

UATION

q

CLIMATE

CHAN

GE IM

PACTS

q

CHRON

IC ILLN

ESSES

q

AIR + WATER

BORNE

DISEASES

q

DEPRESSION

p

COPING

WITH

LIFE ADVERSITY

q

INJU

RIES

currie

+ b

ass 2

00

8

samet 2

011 an

d cu

rrie +

bass 2

00

8

mackey, lee + sm

ith 2012

be

atley 2011yoshida et al 2003



sle

et, n

au

ma

nn

+ ru

dd

20

11

kiellstrom +

weaver 2

009


frumkin 2011

ku

o 2

001

prof. experience

prof. experience

ba

sk

in

1

99

4alb

erti

20

05

p FUNCTIONING ECOLOGIES

p BIODIVERSITY

p ECOTONES

q FRAGMENTED LANDSCAPES

p AIR QUALITY

p THERMAL REGULATION

p RESILIENCY TO NATURAL DISASTERS

p WATER CLEANSING

p NOISE ATTENUATION

q CLIMATE CHANGE IMPACTS

q CHRONIC ILLNESSES

q AIR + WATER BORNE

DISEASES

q DEPRESSION


q INJURIES

currie + bass 2008samet 2011 and currie + bass 2008


bea

tley 2

01

1

yosh

ida

et a

l 2003

horwitz + finlay

son

2011


1sleet, naumann + rudd 2011


kiel

lstro

m + weaver 2009

frumkin 2011

kuo 2001

prof. experience

prof. experience

baskin 1994

alberti

20

05

p

FUN

CTI

ON

ING

EC

OLO

GIE

S

p

BIO

DIV

ERSI

TY

p

ECO

TON

ES

q

FRA

GM

ENTE

D

LAN

DSC

AP

ES

p

AIR

QU

ALI

TY

p

THER

MA

L R

EGU

LATI

ON

p

RES

ILIE

NC

Y TO

NA

TUR

AL

DIS

AST

ERS

p

WA

TER

C

LEA

NSI

NG

p

NO

ISE

ATT

ENU

ATI

ON

q

CLI

MA

TE

CH

AN

GE

IMP

AC

TS

q

CH

RO

NIC

IL

LNES

SES

q

AIR

+ W

ATE

R

BO

RN

E D

ISEA

SES

q

DEP

RES

SIO

Np

C

OP

ING

W

ITH

LIF

E A

DVE

RSI

TY

q

INJU

RIE

S

cu

rrie

+ b

ass

2008

sam

et

20

11

an

d c

urr

ie +

bass

20

08

mac

key,

lee

+ s

mit

h 2

012

be

atley

2

01

1

yosh

ida

et a

l 200

3

hor

wit

z +

fin

lays

on 2011

eich

er +

kaw

achi

201

1

sle

et,

na

um

an

n +

ru

dd

20

11

kiel

lstr

om +

wea

ver 2

009

kiel

lstr

om +

wea

ver

2009

frum

kin 2

011

ku

o 2

00

1

prof

. ex

per

ience

prof

. ex

per

ience

ba

sk

in

1

99

4

alb

er

ti 2

00

5 p

FUN

CTIO

NIN

G EC

OLOG

IES

p

BIO

DIV

ERSI

TY

p

ECOT

ONES

q

FRAG

MEN

TED

LA

ND

SCAP

ES

p

AIR

QUAL

ITY

p

THER

MAL

RE

GULA

TION

p

RESI

LIEN

CY

TO N

ATU

RAL

DIS

ASTE

RS

p

WAT

ER

CLEA

NSI

NG

p

NOI

SE

ATTE

NU

ATIO

N

q

CLIM

ATE

CHAN

GE

IMPA

CTS

q

CHRO

NIC

IL

LNES

SES

q

AIR

+ W

ATER

B

ORN

E D

ISEA

SES

q

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RESS

ION

p

COPI

NG

WIT

H L

IFE

ADVE

RSIT

Y

q

INJU

RIES

cu

rrie

+ b

ass 2

00

8

sam

et 2

01

1 a

nd

cu

rrie

+ b

ass

20

08

mac

key,

lee

+ s

mith

2

012

bea

t l ey 2 0 1 1

yoshida et al 2003

horw

itz +

finla

yson 2011

eich

er +

kaw

ac

hi 2011

sle

et ,

na

um

an

n +

ru

dd

20

11

kiel

lstr

om +

wea

ver

2009

kiellstro

m +

wea

ver

200

9

frum

kin

2011

ku

o 2

00

1

pro

f. ex

perien

ce

pro

f. ex

per

ienc

e

ba

sk

in

1

99

4a

lb

erti 2

00

5

p FUNCTIONING

ECOLOGIES

p BIODIVERSITY

p ECOTONES

q

FRAGMENTED

LANDSCAPES

p AIR QUALITY

p THERMAL

REGULATION

p RESILIENCY

TO NATURAL

DISASTERS

p WATER

CLEANSING

p NOISE

ATTENUATION

q CLIMATE

CHANGE

IMPACTS

q CHRONIC

ILLNESSES

q AIR + WATER

BORNE

DISEASES

q

DEPRESSION

p COPING

WITH LIFE

ADVERSITY q INJURIEScurri

e + b

ass

20

08

samet 2011 and currie +

bass

2008


b e a t l e y 20

11

yoshida et al 2003



s l ee t ,

na u m

a n n + r u d d 2 0 1 1

kiellstrom

+

wea

ver

200

9

kiellstrom + weaver 2009frumkin 2011

k u o 2 0 0 1

prof. experience

prof.

experience

b a s ki n

19

94

a l b e r t i 2 0 0 5

Complexity Diagram Displaying Predicted

Outcomes of Capstone Project Design

Key:

design goals of

interventions

literature review

connecting goals to

outcomes

potential community wellbeing outcomes

potential individual wellbeing outcomes

literature + case study

review of health + wellbeing outcomes

potential individual

health outcomes

increase in strength of correlation or evidence

taylor + stanton 2007 and mil ler 2007 and sachser, durs

chla

g + h

irzel

19

98

p SENSE OF

COMMUNITY

p SOCIAL TIES

q CRIME +

FEAR

p SENSORY

STIMULATION q MENTAL FATIGUE

q STRESS

p CHILD

DEVELOPMENT

q CRISIS

EFFECTS

p COPING

WITH LIFE ADVERSITY

p HEALTHY

RELATIONSHIPS

p PHYSICAL ILLNESS

RECOVERY

q MENTAL ILLNESS


p PUBLIC

PERCEPTION

p PROPERTY

VALUESkuo + sulliva

n 2001b


l o u v 2 00

5

coley, kuo + depooter 1997sullivan, kuo + depooter 2004


prof. experience

prof. exp

erie

nce


louv 2005

o t t o s o n + g r a h n 2 0 0 8

pope + pope 2012





q CHRONIC

ILLNESSES

k u o 2 0 0 1

provide greenspace

BIR

CH

& A

SPEN

PLA

NTI

NG

15FT

60°

15FT

SHO

RE

PIN

E P

LAN

TIN

G


+PUBLIC

ACCESSIBLE

=REFORESTATION

HABITAT

using evidence-based practices to predict health outcomes.

LAF case study:

Heong

gyec

heon

Stre

am Restoration

LAF case study: Daybreak Community

, Uta

h

LAF case study: Avalon Park and Preserve, Stony Brook NY

LAF case study: Avalon Park and Preserve, Stony Brook NY

LAF case study: Thomas Jefferson University Lubert Plaza

design element example

potential outcome

example of one of the goals of the design element

potential health + wellbeing outcomes

case studies with similar outcomes

literature review linking

outcomes

Visual Example of Predicting Outcomes of One Goal of One Design Element

Visual Example of Evaluating Outcomes of One Goal of One Design Element

taylor + stanton 2007 and mil ler 2007 and sachser, durs

chla

g + h

irzel

19

98

p SENSE OF

COMMUNITY

p SOCIAL TIES

q CRIME +

FEAR

p SENSORY

STIMULATION q MENTAL FATIGUE

q STRESS

p CHILD

DEVELOPMENT

q CRISIS

EFFECTS

p COPING

WITH LIFE ADVERSITY

p HEALTHY

RELATIONSHIPS

p PHYSICAL ILLNESS

RECOVERY

q MENTAL ILLNESS


p PUBLIC

PERCEPTION

p PROPERTY

VALUESkuo + sulliva

n 2001b


l o u v 2 00

5

coley, kuo + depooter 1997sullivan, kuo + depooter 2004


prof. experience

prof. exp

erie

nce


louv 2005

o t t o s o n + g r a h n 2 0 0 8

pope + pope 2012





q CHRONIC

ILLNESSES

k u o 2 0 0 1

provide greenspace

BIR

CH

& A

SPEN

PLA

NTI

NG

15FT

60°

15FT

SHO

RE

PIN

E P

LAN

TIN

G

?

design element example

actual outcome in one given

moment of time

example of one of the goals of the design element

predicted health + wellbeing outcomes

literature review of predicted outcomes

data to collect to evaluate actual

outcomes

potential methods for data

collection

on s

ite p

eople,

action, lo

catio

n co

unts

+ u

ser o

pini

ons

SITE OBSERVATIONS,

INTERVIEWS, ONLINE

BLOG, SOCIAL NETWORKING

on site flora, fauna counts + user opinions

user opinions

neig

hbor

obser

vatio

ns +

opi

nion

s, u

ser o

pini

ons,

med

iane

ighb

orho

od opinion

s, m

edia

repo

rts

neig

hbor

ho

od o

pi

nion

s, m

edia

repo

rts,

crim

e re

port

s

neig

hbor

o

bser

vatio

ns, p

rope

rty

valu

es

user opinions, workplace + school reports

neighbor opinions, school reports

user opinions

user opinions

neig

hbor

+

use

r opi

nion

s

user opinions + health reports

INTERVIEWS, QUESTIONNAIRES,

ONLINE BLOG


NEWSPAPERS, ONLINE BLOG

NEWSPAPERS, POLICE

SERVICES, INTERVIEWS QUESTIONNAIRES,

CENSUS + CITY DATA


SOCIAL NETWORKING


ONLINE BLOG INTERVIEWS, QUESTIONNAIRES,

SITE OBSERVATIONS

INTERVIEWS, SCHOOL +

WORKPLACE SERVICES

QUESTIONNAIRES, ONLINE BLOG, NARRATIVES QUESTIONNAIRES,

ONLINE BLOG, SCHOOL SERVICES

HEALTHCARE SERVICES,

QUESTIONNAIRES, ONLINE BLOG

QUESTIONNAIRES, ONLINE BLOG,

ON-SITE JOURNAL

Testing: Health Outcomes After Construction

concluding questions

how to not be painful for the designer?

how to add flare? how to inspire?

how to not feel squished?

what about happiness? delight? wonder? magic?

flickr.com[Samantha Decker]

Copenhagen, Denmark[Leann Andrews]

how to make designers (and clients) feel the urgency of the health crisis (and want to do something about it)?

Urg

ency

Percentage Increase in Health Insurance Premiums

Compared to Inflation, 2000 - 2009

[Keiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009. Bureau of Labor Statistics, Consumer Price Index, U.S. City Aver-age Inflation (April to April), 1999-2009.] [HfS Research/Google, 2011]

Inte

rest

Number of Stories in News Coverage, 2005-2010

Thanks!

Leann Andrews, RLA, SEEDUniversity of Washingtonlandscape architecture + global health graduate [email protected]

Thesis Chair: Daniel Winterbottom, RLA, ASLAThesis Committee: Nancy Rottle, RLA, ASLA

In collaboration with: Jordan Bell, Tera Hatfield + David Tomlinson

many thanks for their comments + insights:

Dr. Andy Dannenberg, Dr. Howard Frumkin, Dr. Bob Mugerauer, Dr. Thaisa Way, Dr. Ken Yocom, Dr. Fritz Wagner, Ben Spencer, Barbara Wright, Julia Walton, Jonathan Childers, Karen Larsen

edra 5/31/2013- applied health policy paper session 5: leann andrews

Documents