Changing places: policies to make a healthy choice the easy choice

The environments where people live, learn, work and play have a profound influence on health. Policies affecting physical activity, access to healthy foods, and the prevalence of tobacco products in our neighbourhoods can either promote or discourage behaviour associated with cancer and other chronic diseases. Given the regulatory landscape in the USA, where federal law controls venues with the widest possible scope (such as television and the Internet), states and cities have tremendous latitude in regulating the physical environments that residents experience every day. This paper explores innovative and meaningful ways to improve public health through policy initiatives targeted specifically at places such as homes and neighbourhoods, schools, shops, restaurants, bars and recreational areas.