The effectiveness of health appraisal processes currently in addressing health and wellbeing during spatial plan appraisal: a systematic review.

The effectiveness of health appraisal processes currently in addressing health and wellbeing during spatial plan appraisal: a systematic review.
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DOI:
10.1186/1471-2458-11-889
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发表时间:
2011-11-24
期刊:
影响因子:
4.5
通讯作者:
Joynt J
Joynt J
中科院分区:
医学2区
文献类型:
--
作者:
Gray S;Carmichael L;Barton H;Mytton J;Lease H;Joynt J

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空间规划影响建成环境,反过来又有可能对健康产生重大影响,无论是好是坏。确保空间规划适当考虑健康的一种方式是将健康因素纳入与规划制定过程相联系的法定和非法定评估过程。一项系统的审查,以确定对1987年至2010年期间考虑健康问题的计划的评价或评估的评价研究。总共确定了6161条引文:6069条来自电子数据库,57条来自网站搜索,另外35条来自灰色文献,其中20条符合纳入标准。这20篇引文共报道了135个不同的案例研究:11个英国高收入国家;11个非英国高收入国家HIA;5个英国SEA或其他综合评估;108个非英国高收入SEA或其他综合评估。所有研究都用英语进行。没有确定关于低收入或中等收入国家的相关研究。这些研究受到潜在偏见的限制(没有独立的评估,进行评估的人也负责报告结果),缺乏细节,缺乏结果的三角测量。健康影响评估一般比海洋或其他综合评估更全面地涵盖四个具体的健康领域(身体活动、精神健康和福祉、污染和噪音、伤害等环境健康问题),尽管心理健康和福祉是一个不发达的领域。没有关于将健康纳入可持续性评估的现有证据,任何类型评估的建议得到执行的证据有限,几乎没有证据表明这些建议导致了预期的结果或假定的健康改善。需要进行研究,以评估(I)法定计划评估过程(英国的SA)纳入健康的程度;(Ii)健康评估产生的建议是否转化为发展过程;以及(Iii)结果是否如预期那样。
Spatial planning affects the built environment, which in turn has the potential to have a significant impact on health, for good or ill. One way of ensuring that spatial plans take due account of health is through the inclusion of health considerations in the statutory and non statutory appraisal processes linked to plan-making processes. A systematic review to identify evaluation studies of appraisals or assessments of plans where health issues were considered from 1987 to 2010. A total of 6161 citations were identified: 6069 from electronic databases, 57 fromwebsite searches, with a further 35 citations from grey literature, of which 20 met the inclusion criteria. These 20 citations reported on a total of 135 different case studies: 11 UK HIA; 11 non UK high income countries HIA, 5 UK SEA or other integrated appraisal; 108 non UK high income SEA or other integrated appraisal. All studies were in English. No relevant studies were identified reporting on low or middle income countries. The studies were limited by potential bias (no independent evaluation, with those undertaking the appraisal also responsible for reporting outcomes), lack of detail and a lack of triangulation of results. Health impact assessments generally covered the four specified health domains (physical activity, mental health and wellbeing, environmental health issues such as pollution and noise, injury) more comprehensively than SEA or other integrated appraisals, although mental health and wellbeing was an underdeveloped area. There was no evidence available on the incorporation of health in Sustainability Appraisal, limited evidence that the recommendations from any type of appraisal were implemented, and almost no evidence that the recommendations had led to the anticipated outcomes or improvements in health postulated. Research is needed to assess (i) the degree to which statutory plan appraisal processes (SA in the UK) incorporate health; (ii) whether recommendations arising from health appraisal translate into the development process and (iii) whether outcomes are as anticipated.
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发表时间: 2005-05-01
影响因子: 11.8
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通讯作者: Obbard, JP
DOI: 10.1016/j.eiar.2007.07.003
发表时间: 2008-05-01
影响因子: 7.9
作者:
Erlanger, Tobias E.;Krieger, Gary R.;Utzinger, Jurg
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