San Francisco Burden of Disease & Injury Study:
Determinants of Health
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Physical Environment/Transport

The Physical Environment is the built and natural environment in which we live, including open and public spaces. The physical environment includes the following targets for intervention:

Housing. Affordable, adequate local housing located within viable communities near jobs provides a buffer to other social determinants of health.

Environmental toxins in the air, soil, water and in building structures and materials have a known impact on health. Particulate air pollution can trigger asthmatic reactions as well as other illnesses. The poor are exposed disproportionately to many environmental toxins.

Transport, which the Work Group identified as a priority area within this domain.

Transport. Planning decisions made at the regional, state and federal levels have designated the auto as the predominant mode of local transportation in the Bay Area, as well as most other urbanized areas in the United States. This political choice resulted in cities designed around roadways, and created suburbs and sprawl.

Auto transportation tends to spread populations out from urbanized settings, fragmenting communities and shifting the tax base outwards. Social inequalities are amplified by land use and tax inequity. The city extends outwards into low density suburbs, transforming and degrading the surrounding natural landscape. Local dependence on the car contributes to increased levels of air pollution, reduced physical activity and the loss of community. The motor vehicle transportation network pits pedestrians and bicyclists against automobiles and trucks to create neighborhood streets that are physically unsafe.

Transport

Overview

Contribution to overall disease burden in SF

Downstream (Health Consequences)

What can be done?

Web resources

MEDLINE strategies

Updated May 9, 2003 • Please send feedback to Stan Sciortino

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