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Policy, Research and Residents’ Perspectives on Built Environments Implicated in Heart Disease: A Concept Mapping Approach

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  • Ivana Stankov

    (Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA 19104, USA
    Centre for Population Health Research, School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia)

  • Natasha J. Howard

    (Centre for Population Health Research, School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia)

  • Mark Daniel

    (Centre for Population Health Research, School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia
    South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia)

  • Margaret Cargo

    (Centre for Population Health Research, School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia)

Abstract

An underrepresentation of stakeholder perspectives within urban health research arguably limits our understanding of what is a multi-dimensional and complex relationship between the built environment and health. By engaging a wide range of stakeholders using a participatory concept mapping approach, this study aimed to achieve a more holistic and nuanced understanding of the built environments shaping disease risk, specifically cardiometabolic risk (CMR). Moreover, this study aimed to ascertain the importance and changeability of identified environments through government action. Through the concept mapping process, community members, researchers, government and non-government stakeholders collectively identified eleven clusters encompassing 102 built environmental domains related to CMR, a number of which are underrepresented within the literature. Among the identified built environments, open space, public transportation and pedestrian environments were highlighted as key targets for policy intervention. Whilst there was substantive convergence in stakeholder groups’ perspectives concerning the built environment and CMR, there were disparities in the level of importance government stakeholders and community members respectively assigned to pedestrian environments and street connectivity. These findings support the role of participatory methods in strengthening how urban health issues are understood and in affording novel insights into points of action for public health and policy intervention.

Suggested Citation

  • Ivana Stankov & Natasha J. Howard & Mark Daniel & Margaret Cargo, 2017. "Policy, Research and Residents’ Perspectives on Built Environments Implicated in Heart Disease: A Concept Mapping Approach," IJERPH, MDPI, vol. 14(2), pages 1-17, February.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:2:p:170-:d:89820
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    References listed on IDEAS

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    1. Rosas, Scott R. & Kane, Mary, 2012. "Quality and rigor of the concept mapping methodology: A pooled study analysis," Evaluation and Program Planning, Elsevier, vol. 35(2), pages 236-245.
    2. Sterman, J.D., 2006. "Learning from evidence in a complex world," American Journal of Public Health, American Public Health Association, vol. 96(3), pages 505-514.
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    4. Corburn, J., 2004. "Confronting the Challenges in Reconnecting Urban Planning and Public Health," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 541-546.
    5. Trochim, William M. K., 1989. "An introduction to concept mapping for planning and evaluation," Evaluation and Program Planning, Elsevier, vol. 12(1), pages 1-16, January.
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    Cited by:

    1. Gavin R. McCormack & Autumn Nesdoly & Dalia Ghoneim & Tara-Leigh McHugh, 2020. "Realtors’ Perceptions of Social and Physical Neighborhood Characteristics Associated with Active Living: A Canadian Perspective," IJERPH, MDPI, vol. 17(23), pages 1-15, December.
    2. Amal Chakraborty & Natasha J. Howard & Mark Daniel & Alwin Chong & Nicola Slavin & Alex Brown & Margaret Cargo, 2021. "Prioritizing Built Environmental Factors to Tackle Chronic and Infectious Diseases in Remote Northern Territory (NT) Communities of Australia: A Concept Mapping Study," IJERPH, MDPI, vol. 18(10), pages 1-17, May.
    3. Mohammad S. Jalali & Hazhir Rahmandad & Sally Lawrence Bullock & Alice Ammerman, 2017. "Dynamics of Implementation and Maintenance of Organizational Health Interventions," IJERPH, MDPI, vol. 14(8), pages 1-24, August.

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