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Journal article
Urban Scaling of Health Outcomes: a Scoping Review
Journal of urban health, v 99(3), pp 409-426
Jun 2022
PMID: 35513600
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Urban scaling is a framework that describes how city-level characteristics scale with variations in city size. This scoping review mapped the existing evidence on the urban scaling of health outcomes to identify gaps and inform future research. Using a structured search strategy, we identified and reviewed a total of 102 studies, a majority set in high-income countries using diverse city definitions. We found several historical studies that examined the dynamic relationships between city size and mortality occurring during the nineteenth and early twentieth centuries. In more recent years, we documented heterogeneity in the relation between city size and health. Measles and influenza are influenced by city size in conjunction with other factors like geographic proximity, while STIs, HIV, and dengue tend to occur more frequently in larger cities. NCDs showed a heterogeneous pattern that depends on the specific outcome and context. Homicides and other crimes are more common in larger cities, suicides are more common in smaller cities, and traffic-related injuries show a less clear pattern that differs by context and type of injury. Future research should aim to understand the consequences of urban growth on health outcomes in low- and middle-income countries, capitalize on longitudinal designs, systematically adjust for covariates, and examine the implications of using different city definitions.
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Details
- Title
- Urban Scaling of Health Outcomes: a Scoping Review
- Creators
- Edwin M McCulley - Drexel UniversityPricila H Mullachery - Drexel UniversityAna F Ortigoza - Drexel UniversityDaniel A Rodríguez - Department of City and Regional Planning, University of California Berkeley, Berkeley, CA, USA.Ana V Diez Roux - Drexel UniversityUsama Bilal - Drexel University
- Publication Details
- Journal of urban health, v 99(3), pp 409-426
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000791054400001
- Scopus ID
- 2-s2.0-85129457263
- Other Identifier
- 991019167875104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health