Policy, Research and Residents' Perspectives on Built Environments Implicated in Heart Disease: A Concept Mapping Approach.
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.
['Stankov|Ivana|I|', 'Howard|Natasha J|NJ|', 'Daniel|Mark|M|', 'Cargo|Margaret|M|']
D000328:Adult D000368:Aged D001294:Attitude to Health D002318:Cardiovascular Diseases D002947:Cities D055812:Community-Based Participatory Research D003210:Concept Formation D004779:Environment Design D005260:Female D006291:Health Policy D006801:Humans D008297:Male D008659:Metabolic Diseases D008875:Middle Aged D013021:South Australia D014504:Urban Health
policy built environment concept mapping cardiometabolic risk community participation researcher perspectives