Skip to main content

Advertisement

Log in

Community-Initiated Urban Development: An Ecological Intervention

  • Published:
Journal of Urban Health Aims and scope Submit manuscript

Abstract

Neglected urban environments have been linked to social isolation, depression, and other health problems. In Portland, OR in 2003, an intervention was implemented and evaluated in three neighborhoods with the objective of promoting community participation in urban renewal and engaging residents in the construction of attractive urban places. Municipal officials approved and permitted community-designed street murals, public benches, planter boxes, information kiosks with bulletin boards, trellises for hanging gardens, all positioned in the public right-of-way. Residents within a two-block radius of the three sites were systematically sampled and interviewed before (N = 325) and after (N = 349) the intervention, of which, 265 individuals completed both surveys of the panel study. After the intervention, multivariate results revealed improvements in mental health (p = 0.03), increased sense of community (p < 0.01), and an overall expansion of social capital (p = 0.04). Through community empowerment, participation, and collective action, the strategy successfully engaged residents in restoring neighborhoods, with direct benefits to community well-being.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Hippocrates Medical Corpus: Airs, Water, Places 500 b.c. In: Lloyd GER, ed. Hippocratic Writings. Harmondsworth, England: Penguin; 1978.

  2. Syme SL. Rethinking disease: where do we go from here? Ann Epidemiol. 1996;6(5):463–468.

    Article  PubMed  CAS  Google Scholar 

  3. Buzbee WW. Urban form, health and the law’s limits. Am J Public Health. 2003;93(9):1395–1398.

    PubMed  Google Scholar 

  4. Jackson RJ. The impact of the built environment on health: an emerging field. Am J Public Health. 2003;93(9):1382–1383.

    PubMed  Google Scholar 

  5. Semenza JC. Building healthy cities: a focus on interventions. In: Vlahov D, Sandro G, eds. Handbook of Urban Health: Populations, Methods and Practice. New York, New York: Springer Science and Business Media; 2005:459–478.

    Chapter  Google Scholar 

  6. Calthorp P, Fulton W. The Regional City: Planning for the End of Sprawl. Washington District of Columbia: Island Press; 2001:39.

  7. Putnam R. Bowling alone: america’s declining social capital. J Democr. 1995;6:65–78.

    Article  Google Scholar 

  8. Bourdieu P. The forms of capital. In: Richardson J, ed. Handbook of Theory and Research for the Sociology of Education. New York, New York: Macmillan; 1986.

    Google Scholar 

  9. Coleman, J. Social capital in the creation of human capital. Am J of Sociol. 1988; 94(Suppl):S95–S120.

    Article  Google Scholar 

  10. Granovetter M. The strength of weak ties. Am J Sociol. 1973;78:1360–1380.

    Article  Google Scholar 

  11. Szreter S. The state of social capital: bringing back in power, politics and history. Theory Soc. 2002;31:573–621.

    Article  Google Scholar 

  12. Altschuler A, Somkin CP, Adler NE. Local services and amenities, neighborhood social capital, and health. Soc Sci Med. 2004;59(6):1219–29.

    Article  PubMed  Google Scholar 

  13. Semenza JC. The intersection of urban planning, art, and public health: the Sunnyside Piazza. Am J Public Health. 2003;93(9):1439–1441.

    PubMed  Google Scholar 

  14. Eng E, Parker E. Measuring community competence in the Mississippi Delta: the interface between program evaluation and empowerment. Health Educ Q. 1994;21(2):199–220.

    PubMed  CAS  Google Scholar 

  15. Israel BA, Checkoway B, Schulz A, Zimmerman M. Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control. Health Educ Q. 1994;21(2):149–170.

    PubMed  CAS  Google Scholar 

  16. Wallerstein N. Powerlessness, empowerment, and health: implications for health promotion programs. Am J Health Promot. 1992;6(3):197–205.

    PubMed  CAS  Google Scholar 

  17. Green LW, Kreuter MW. Applications in Communities. In: Health Program Planning. An Educational and Ecological Approach (4th ed.). New York, New York: McGraw-Hill; 2005:255–316.

  18. Robertson A, Minkler M. New health promotion movement: a critical examination. Health Educ Q. 1994;21(3):295–312.

    PubMed  CAS  Google Scholar 

  19. McKnight JL, Kretzmann JP. Mapping Community Capacity. In: M. Minkler ed. Community Organizing and Community Building for Health. New Brunswick, New Jersey: Rutgers University Press; 2005:158–172.

    Google Scholar 

  20. Israel B, Schulz A, Parker E, Becker A. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health. 1998;19:173–202.

    Article  PubMed  CAS  Google Scholar 

  21. Radloff LS. The CESD: a self-report depression scale for research on the general population. Appl Psychol Meas. 1977;1:385–401.

    Article  Google Scholar 

  22. Ware JE, Snow KK, Kosinski M. SF-36 Health Survey: Manual and Interpretation Guide. Boston, Massachusetts: New England Medical Center; 1993.

    Google Scholar 

  23. Krishna A, Shrader E. Social capital assessment tool. Conference on Social Capital and Poverty Reduction, The World Bank, Washington DC; 1999.

  24. Dalgard OS, Tambs K. Urban environment and mental health. A longitudinal study. Br J Psychiatry. 1997;171:530–536.

    Article  PubMed  CAS  Google Scholar 

  25. Leventhal T, Brooks-Gunn J. Moving to opportunity: an experimental study of neighborhood effects on mental health. Am J Public Health. 2003;93(9):1576–1582.

    PubMed  Google Scholar 

  26. Stiffman AR, Hadley-Ives E, Elze D, Johnson S, Dore P. Impact of environment on adolescent mental health and behavior: structural equation modeling. Am J Orthopsychiatr. 1999;69(1):73–86.

    Article  CAS  Google Scholar 

  27. Black MM, Krishnakumar A. Children in low-income, urban settings. Interventions to promote mental health and well-being. Am Psychol. 1998;53(6):635–646.

    Article  PubMed  CAS  Google Scholar 

  28. Buka SL, Brennan RT, Rich-Edwards JW, Raudenbush SW, Earls F. Neighborhood support and the birth weight of urban infants. Am J Epidemiol. 2003;157(1):1–8.

    Article  PubMed  Google Scholar 

  29. Johnell K, Merlo J, Lynch J, Blennow G. Neighbourhood social participation and women’s use of anxiolytic-hypnotic drugs: a multilevel analysis. J Epidemiol Community Health. 2004;58(1):59–64.

    Article  PubMed  CAS  Google Scholar 

  30. Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new millennium. Soc Sci Med. 2000;51(6):843–857.

    Article  PubMed  CAS  Google Scholar 

  31. Kawachi I, Berkman LF. Social ties and mental health. J Urban Health. 2001;78(3):458–467.

    PubMed  CAS  Google Scholar 

  32. Ziersch AM, Baum FE, Macdougall C, Putland C. Neighbourhood life and social capital: the implications for health. Soc Sci Med. 2005;60(1):71–86.

    Article  PubMed  Google Scholar 

  33. Veenstra G. Location, location, location: contextual and compositional health effects of social capital in British Columbia, Canada. Soc Sci Med. 2005;60(9):2059–2071.

    Article  PubMed  Google Scholar 

  34. Veenstra G, Luginaah I, Wakefield S, Birch S, Eyles J, Elliott S. Who you know, where you live: social capital, neighbourhood and health. Soc Sci Med. 2005;60(12):2799–2818.

    Article  PubMed  Google Scholar 

  35. Aneshensel CS, Sucoff CA. The neighborhood context of adolescent mental health. J Health Soc Behav. 1996;37(4):293–310.

    Article  PubMed  CAS  Google Scholar 

  36. Latkin CA, Curry AD. Stressful neighborhoods and depression: a prospective study of the impact of neighborhood disorder. J Health Soc Behav. 2003;4(1):34–44.

    Article  Google Scholar 

  37. Balfour JL, Kaplan GA. Neighborhood environment and loss of physical function in older adults: evidence from the Alameda County Study. Am J Epidemiol. 2002;155(6):507–515.

    Article  PubMed  Google Scholar 

  38. Kingsley GT. Housing, health, and the neighborhood context. Am J Prev Med. 2003;24(3 Suppl):6–7.

    Article  PubMed  Google Scholar 

  39. Sampson RJ, Morenoff J, Earls F. Beyond social capital: spatial dynamics of collective efficacy for children. Am Sociol Rev. 1999;64:633–660.

    Article  Google Scholar 

  40. Wallace R. Urban desertification, public health and public order: ‘planned shrinkage’, violent death, substance abuse and AIDS in the Bronx. Soc Sci Med. 1990;31(7):801–813.

    Article  PubMed  CAS  Google Scholar 

  41. Cook TD, Campbell DT. Quasi-experimentation: Design & Analysis Issues for Field Settings. Boston, MA: Houghton-Mifflin, Co.; 1979:207–233.

  42. Macintyre S, Ellaway A. Neighborhoods and health: an Overview. In: Kawachi I, Berkman LF, eds. Neighborhood and Health. New York, New York: Oxford University Press; 2003:20–42.

    Google Scholar 

  43. Larsen K, Merlo J. Appropriate assessment of neighborhood effects on individual health: integrating random and fixed effects in multilevel logistic regression. Am J Epidemiol. 2005;161:81–88.

    Article  PubMed  Google Scholar 

  44. Semenza JC, Krishnasamy PV. Design of a health-promoting neighborhood intervention. Health Promotion Practice. Prepublished; http://dx.doi.org/10.1177/1524839906289585.

Download references

Acknowledgements

Funding for this public health intervention was obtained, in part, from the Meyer Memorial Trust, in Portland, OR (JCS); from a faculty enhancement award (JCS) and scholarly and creative activity grants for undergraduates (to Andrea Thompson, Eva Rippetau, and Troy Hayes) from Portland State University, OR.; and from the Community Initiatives Small Grant Program (JCS) from the Bureau of Housing and Community Development at the City of Portland. We are grateful to the members of The City Repair Project that are dedicated to create community-oriented places, in particular Mark Lakeman, Daniel Lerch, Saskia Dresler, Eva Miller, and Diane Beck; faculty and students from Portland State University, including Dr. Pedro Ferbel-Azcarate, Shanna Eller, Dr. Stephanie Farquhar, Dr. Sy Adler, and Dr. Barry Messer; staff from the Southeast Uplift Neighborhood Program, Elizabeth Kennedy-Wong, and Jenny Leis; City of Portland traffic engineers, Robert Burchfield and Elizabeth Papadopoulos; and local artists Brian Borello and Matt Cartwright. We thank Dr. Lisa Weasel from PSU for critical feedback on the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jan C. Semenza PhD, MPH, MS.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Semenza, J.C., March, T.L. & Bontempo, B.D. Community-Initiated Urban Development: An Ecological Intervention. J Urban Health 84, 8–20 (2007). https://doi.org/10.1007/s11524-006-9124-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11524-006-9124-8

Keywords

Navigation