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Developing a Health-Spatial Indicator System for a Healthy City in Small and Midsized Cities.

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This study introduces a new indicator system to evaluate Healthy City initiatives in small and midsized cities (SMCs). The system links urban design and public health, addressing health inequities in these underserved urban areas.

Keywords:
Healthy Citybuilt environmentindicator systemsmall and midsized cityurban design

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Area of Science:

  • Urban Planning
  • Public Health
  • Environmental Science

Background:

  • Growing recognition of urban environments' impact on public health.
  • Healthy City initiatives are globally implemented but lack focus on small and midsized cities (SMCs).
  • Existing research overlooks SMCs, contributing to health inequities.

Purpose of the Study:

  • To develop an indicator system for evaluating Healthy City initiatives specifically in SMCs.
  • To bridge the gap between urban design principles and public health outcomes in SMCs.
  • To address the lack of tailored Healthy City frameworks for smaller urban areas.

Main Methods:

  • Expert opinions collected via questionnaires and interviews.
  • Development of an indicator system with six dimensions and 37 variables.
  • Application of a fuzzy synthetic evaluation technique to determine factor importance.

Main Results:

  • The developed indicator system includes dimensions such as urban form and transportation (UFT), health-friendly service (HFS), and environmental quality and governance (EQG).
  • UFT, HFS, and EQG were identified as highly important factors, with importance indexes of 0.175, 0.174, and 0.174, respectively.
  • The system provides a structured approach for assessing Healthy City progress in SMCs.

Conclusions:

  • The proposed indicator system is valuable for SMCs aiming to implement Healthy City strategies.
  • It emphasizes the integration of urban design and governance for public health improvement.
  • This framework enhances the knowledge base for Healthy City development across various urban scales.