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September 2003, Vol 93, No. 9 | American Journal of Public Health 1500-1508
© 2003 American Public Health Association


PUBLIC HEALTH MATTERS

The Impact of Community Design and Land-Use Choices on Public Health: A Scientific Research Agenda

Andrew L. Dannenberg, MD, MPH, Richard J. Jackson, MD, MPH, Howard Frumkin, MD, DrPH, Richard A. Schieber, MD, MPH, Michael Pratt, MD, MS, MPH, Chris Kochtitzky, MSP and Hugh H. Tilson, MD, DrPH

Andrew L. Dannenberg and Richard J. Jackson are with the National Center for Environmental Health, Centers for Disease Control and Prevention (CDC), Atlanta, Ga. Howard Frumkin is with the Department of Environmental and Occupational Health, Emory University Rollins School of Public Health, Atlanta, Ga. Richard A. Schieber is with the National Center for Injury Prevention and Control, Michael Pratt is with the National Center for Chronic Disease Prevention and Health Promotion, and Chris Kochtitzky is with the National Center on Birth Defects and Developmental Disabilities, CDC. Hugh H. Tilson is with the University of North Carolina at Chapel Hill School of Public Health, Chapel Hill.

Correspondence: Requests for reprints should be sent to Andrew L. Dannenberg, MD, MPH, Division of Emergency and Environmental Health Services, National Center for Environmental Health, CDC, 4770 Buford Hwy, Mail Stop F-30, Atlanta, GA 30341 (e-mail: acd7{at}cdc.gov).

The design of a community’s built environment influences the physical and mental health of its residents. Because few studies have investigated this relationship, the Centers for Disease Control and Prevention hosted a workshop in May 2002 to help develop a scientific research agenda on these issues.

Workshop participants’ areas of expertise included physical activity, injury prevention, air pollution, water quality, urban planning, transportation, architecture, epidemiology, land use, mental health, social capital, housing, and social marketing. This report describes the 37 questions in the resulting research agenda.

The next steps are to define priorities and obtain resources. The proposed research will help identify the best practices for designing new communities and revitalizing old ones in ways that promote physical and mental health.




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