Built Environment
In the public health sector, we occasionally hear the expression "making the healthy choice the easy choice". This statement goes to the heart of the debate over structural determinants of health versus personal choice as causes for ill health. Making the healthy choice the easy choice effectively neutralizes the debate by pointing to the importance of structural elements in individual decision-making, and it points to the role of not just the public health sector but all citizens in influencing the way in which our society builds itself.

Indeed, it is not always the easiest, most readily available, lowest cost, most advertised, or most subsidized choice that is the most favourable to health. In many sectors, we find that making the healthy choice is increasingly difficult. 

Image of escalators and stairs © iStockphoto.com/ Auke Holwerda     

Many are now asking how and why things came to be that way, and are looking at how structural factors influence people's choices.

It is possible for public policies to take the potential or likely health effects of different options into account, thereby bringing health as a value into the equation. We could continue to focus on personal choice as the locus of health promotion, but we would be missing an important dimension. 

This kind of thinking applies to the built environment, or the ensemble of buildings, transportation systems, access to healthy food, housing, how we spatially organize our lives around home, recreation, workplaces, shopping, schools, and so on. The way in which our spaces have come to be structured (both literally, in terms of the buildings, passable routes, barriers, etc.; as well as in the patterns we tend to adopt as participants in particular communities) can be examined in order to determine if the spaces we inhabit will tend to favour health or not. These spaces can strongly influence the tacit choices we make during our daily routines. Many have cumulative effects on health, and many are replicated daily by millions of Canadians.

The built environment can have a positive or negative effect on health (chronic illnesses, mental health, respiratory illnesses, sexually transmitted and blood-borne infections, etc.) inasmuch as it is tied to many of the social determinants of health (air quality, noise exposure, modes and speed of travel, injecting drugs in public, access to healthy food, etc.). 

Public policies that inform the built environment and its determinants are many and diverse: housing policies, traffic policies, urban or regional planning policies, etc. 

Innovative Municipal Norms Conducive to Safe Active Transportation
The NCCHPP published briefing notes that present innovative municipal norms that have the potential to contribute to safe active transportation environments by modifying the design or the organisation of public transit networks.

Traffic Calming
Numerous public policies can influence the speed limits and the modes of movement of goods and people by informing the built environment. This project's focus is on a few of these, those that we can regroup under traffic calming policies.

Healthy Canada by Design
The NCCHPP is a partner of Healthy Canada by Design. The principal goal of this coalition is to inspire change in the ways in which the built environment is currently developed, by influencing the policies that inform it.

Please see our Publications and Presentations pages to learn more about these projects

Photo Credits:
© iStockphoto.com/ Auke Holwerda 
For information about how to legally obtain these images,
click here.

The production of the NCCHPP website has been made possible through a financial contribution from the Public Health Agency of Canada.