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Evidence for healthy cities : reflections on practice, method and theory

de Leeuw, Evelyne 2009, Evidence for healthy cities : reflections on practice, method and theory, Health promotion international, vol. 24, no. Supplement 1, pp. i19-i36, doi: 10.1093/heapro/dap052.

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Title Evidence for healthy cities : reflections on practice, method and theory
Author(s) de Leeuw, Evelyne
Journal name Health promotion international
Volume number 24
Issue number Supplement 1
Start page i19
End page i36
Publisher Oxford University Press
Place of publication Oxford, England
Publication date 2009
ISSN 0957-4824
1460-2245
Keyword(s) Healthy Cities
evidence
theory
methodology
Summary The European Healthy Cities project can be characterized as a social movement that employs an extremely wide range of political, social and behavioural interventions for the development and sustenance of urban population health. At all of these levels, the movement is inspired by ideological, theoretical and evidence-based perspectives. The result of this stance is a dynamic, complex and diverse landscape of initiatives, plans, programmes and actions. In quantitative terms (the number of WHO designated cities and associated cities and communities through national networks), ‘Healthy Cities’ can be regarded as an extraordinary accomplishment and a credit for both WHO and cities in the movement. In qualitative terms, however, critics of the movement have maintained that little evidence on its success and effectiveness has been generated. This critique finds its foundations in the mere perceptions of evidence, the politics of science and urban governance, and perspectives on the preferred or professed utilities of evidence-based health notions. The article reviews the nature of evidence and its interface with politics and governance. Applying a conceptual framework combining insights from knowledge utilization theory, theoretical perspectives on (health) policy development, theory-based evaluations and planned intervention approaches, it demonstrates that, although the evidence is overwhelming, there are barriers to the implementation of such evidence that should be further addressed by ‘Healthy Cities’.
Language eng
DOI 10.1093/heapro/dap052
Field of Research 160810 Urban Sociology and Community Studies
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2009
Copyright notice ©2009, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30020853

Document type: Journal Article
Collection: School of Medicine
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Created: Sun, 15 Nov 2009, 10:54:30 EST by Evelyne de Leeuw

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