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The epidemiologic case for urban health: conceptualizing and measuring the magnitude of challenges and potential benefits [version 2; peer review: 1 approved, 2 approved with reservations]

Title: The epidemiologic case for urban health: conceptualizing and measuring the magnitude of challenges and potential benefits [version 2; peer review: 1 approved, 2 approved with reservations]
Authors: David Rojas-Rueda; Mark Nieuwenhuijsen; Audrey de Nazelle; Michael D. Garber; Tarik Benmarhnia
Source: F1000Research, Vol 13 (2025)
Publisher Information: F1000 Research Ltd, 2025.
Publication Year: 2025
Collection: LCC:Medicine; LCC:Science
Subject Terms: Urban health; Epidemiology; Global health; Policy evaluation; Public health surveillance; eng; Medicine; Science
Description: We discuss how epidemiology has been and can continue to be used to advance understanding of the links between urban areas and health informed by an existing urban-health conceptual framework. This framework considers urban areas as contexts for health, determinants of health and modifiers of health pathways, and part of a complex system that affects health. We highlight opportunities for descriptive epidemiology to inform the context of urban health, for example, by characterizing the social and physical environments that give rise to health and the actions that change those conditions. We then describe inferential tools for evaluating the impact of group-level actions (e.g., interventions, policies) on urban health, providing some examples, and describing assumptions and challenges. Finally, we discuss opportunities and challenges of applying systems thinking and methods to advance urban health. While different conceptual frames lead to different insights, each perspective demonstrates that urban health is a major and growing challenge. The effectiveness of urban health knowledge, action, and policy as the world continues to urbanize can be informed by applying and expanding upon research and surveillance methods described here.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2046-1402
Relation: https://f1000research.com/articles/13-950/v2; https://doaj.org/toc/2046-1402
DOI: 10.12688/f1000research.154967.2
Access URL: https://doaj.org/article/d61a622868bb45de88155db01ac5a7fe
Accession Number: edsdoj.61a622868bb45de88155db01ac5a7fe
Database: Directory of Open Access Journals