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Deciphering the stroke-built environment nexus in transitional cities: Conceptual framework, empirical evidence, and
Bo Xie1, Junfeng Jiao2, Zihao An3
1School of Urban Design, Wuhan University, Wuhan 430072, China.
Cities (London, England)
|January 19, 2024
Summary
Urbanization increases stroke risk, but dense environments aren't always detrimental. Access to parks and healthcare can mitigate risks, highlighting the need for comprehensive built environment (BE) strategies in transitional cities.
Area of Science:
- Environmental Health
- Urban Planning
- Public Health
Background:
- Adverse lifestyle-associated health outcomes, particularly stroke, are rising in rapidly urbanizing transitional countries.
- Existing research inadequately addresses the complex relationship between multifaceted built environments (BEs) and health outcomes.
- Understanding this nexus is crucial for developing effective public health interventions in urban settings.
Purpose of the Study:
- To explore the intricate connection between multidimensional built environments (BEs) and lifestyle-associated health outcomes, specifically stroke.
- To develop and apply a comprehensive conceptual framework for analyzing BEs and stroke risk in transitional cities.
- To provide empirical evidence on how specific BE elements influence stroke risk.
Main Methods:
- Clarified stroke-related BE elements and integrated them into a novel conceptual framework.
- Visualized stroke risk patterns across Wuhan, China.
- Employed Bayesian conditional autoregressive modeling to identify BE determinants of stroke risk, controlling for sociodemographic factors.
Main Results:
- Stroke risk was found to cluster significantly in high-density urban cores.
- Higher net population density and building density correlated positively with increased stroke risk.
- Increased public park availability, institutional land use, and access to medical facilities showed negative correlations with stroke risk, irrespective of urban density.
Conclusions:
- Compact urban development alone does not guarantee health promotion in transitional cities; its applicability requires critical evaluation.
- Mitigating adverse health effects of dense urban environments necessitates enhancing access to beneficial resources like green spaces and healthcare facilities.
- Developing integrated conceptual frameworks linking BEs and health outcomes is vital for future research, urban planning, and health impact assessments.
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