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January 2003, Vol 93, No. 1 | American Journal of Public Health 118-121
© 2003 American Public Health Association

REKINDLING HEALTH CARE REFORM

A Joint Urban Planning and Public Health Framework: Contributions to Health Impact Assessment

Mary E. Northridge, PhD, MPH and Elliott Sclar, PhD

Mary E. Northridge is with the Harlem Health Promotion Center, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY. Elliott Sclar is with the Urban Planning Program, Graduate School of Architecture, Planning, and Preservation and School of International and Public Affairs, Columbia University.

Correspondence: Requests for reprints should be sent to Mary E. Northridge, PhD, MPH, Harlem Health Promotion Center, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 600 W 168th St, New York, NY 10032.

A joint urban planning and public health perspective is articulated here for use, in health impact assessment. Absent a blueprint for a coherent and supportive structure on which to test our thinking, we are bound to fall flat.

Such a perspective is made necessary by the sheer number of people living in cities throughout the world, the need for explicit attention to land use and transportation systems as determinants of population health, and the dearth of useful indicators of the built environment for monitoring progress.

If explicit attention is not paid to the overarching goals of equality and democracy, they have little if any chance of being realized in projects, programs, and policies that shape the built environment and therefore the public’s health.




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