TY - JOUR
T1 - Building a Data Platform for Cross-Country Urban Health Studies
T2 - the SALURBAL Study
AU - Quistberg, D. Alex
AU - Diez Roux, Ana V.
AU - Bilal, Usama
AU - Moore, Kari
AU - Ortigoza, Ana
AU - Rodriguez, Daniel A.
AU - Sarmiento, Olga L.
AU - Frenz, Patricia
AU - Friche, Amélia Augusta
AU - Caiaffa, Waleska Teixeira
AU - Vives, Alejandra
AU - Miranda, J. Jaime
AU - Alazraqui, Marcio
AU - Spinelli, Hugo
AU - Guevel, Carlos
AU - Di Cecco, Vanessa
AU - Tisnés, Adela
AU - Leveau, Carlos
AU - Santoro, Adrián
AU - Herkovits, Damián
AU - Gouveia, Nelson
AU - Barreto, Mauricio
AU - Santos, Gervásio
AU - Cardoso, Leticia
AU - de Menezes, Mariana Carvalho
AU - de Pina, Maria de Fatima
AU - de Lima Friche, Amélia Augusta
AU - de Souza Andrade, Amanda Cristina
AU - Alfaro, Tania
AU - Córdova, Cynthia
AU - Ruiz, Pablo
AU - Fuentes, Mauricio
AU - Vergara, Alejandra Vives
AU - Salazar, Alejandro
AU - Cortinez-O’ryan, Andrea
AU - Schmitt, Cristián
AU - Gonzalez, Francisca
AU - Baeza, Fernando
AU - Angelini, Flavia
AU - Dueñas, Olga Lucía Sarmiento
AU - Higuera, Diana
AU - González, Catalina
AU - Montes, Felipe
AU - Useche, Andres F.
AU - Guaje, Oscar
AU - Jaramillo, Ana Maria
AU - Guzmán, Luis Angel
AU - Hessel, Philipp
AU - Lucumi, Diego
AU - Meisel, Jose David
AU - Martinez, Eliana
AU - Kroker-Lobos, María F.
AU - Ramirez-Zea, Manuel
AU - Folger, Kevin Martinez
AU - Barrientos-Gutierrez, Tonatiuh
AU - Perez-Ferrer, Carolina
AU - Prado-Galbarro, Javier
AU - de Castro, Filipa
AU - Rojas-Martínez, Rosalba
AU - Hernández-Vásquez, Akram
AU - Diez-Canseco, Francisco
AU - Hammond, Ross
AU - Dronova, Iryna
AU - Sanchez, Brisa N.
AU - Hovmand, Peter
AU - Fuchs, Ricardo Jordán
AU - Braslow, Juliet
AU - Siri, Jose
AU - Auchincloss, Amy
AU - Langellier, Brent
AU - Lovasi, Gina
AU - McClure, Leslie
AU - Michael, Yvonne
AU - Quick, Harrison
AU - Granados, Jose Tapia
AU - Garcia-España, Felipe
AU - Stankov, Ivana
N1 - Funding Information:
The SALURBAL Group includes Marcio Alazraqui, Hugo Spinelli, Carlos Guevel, Vanessa Di Cecco, Adela Tisn?s, Carlos Leveau, Adri?n Santoro, and Dami?n Herkovits: National University of Lanus, Buenos Aires, Argentina; Nelson Gouveia: Universidad de S?o Paulo, S?o Paulo, Brazil; Mauricio Barreto and Gerv?sio Santos: Oswaldo Cruz Foundation, Salvador Bahia, Brazil; Leticia Cardoso, Mariana Carvalho de Menezes, and Maria de Fatima de Pina: Oswaldo Cruz Foundation, Rio de Janeiro, Brazil; Waleska Teixeira Caiaffa, Am?lia Augusta de Lima Friche, and Amanda Cristina de Souza Andrade: Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Patricia Frenz, Tania Alfaro, Cynthia C?rdova, Pablo Ruiz, and Mauricio Fuentes: School of Public Health, University of Chile, Santiago, Chile; Alejandra Vives Vergara, Alejandro Salazar, Andrea Cortinez-O?Ryan, Cristi?n Schmitt, Francisca Gonzalez, Fernando Baeza, and Flavia Angelini: Department of Public Health, Pontificia Universidad Cat?lica de Chile, Santiago, Chile; Olga Luc?a Sarmiento Due?as, Diana Higuera, and Catalina Gonz?lez: School of Medicine, Universidad de los Andes, Bogot?, Colombia; Felipe Montes, Andres F. Useche, Oscar Guaje, Ana Maria Jaramillo, and Luis Angel Guzm?n: School of Engineering, Universidad de los Andes, Bogot?, Colombia. Philipp Hessel and Diego Lucumi: School of Government, Universidad de los Andes, Bogot?, Colombia; Jose David Meisel: Universidad de Ibagu?, Ibagu?, Colombia; Eliana Martinez: Universidad de Antioquia, Medell?n, Colombia; Mar?a F. Kroker-Lobos, Manuel Ramirez-Zea, and Kevin Martinez Folger: INCAP Research Center for the Prevention of Chronic Diseases (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala; Tonatiuh Barrientos-Gutierrez, Carolina Perez-Ferrer, Javier Prado-Galbarro, Filipa de Castro, and Rosalba Rojas-Mart?nez: Instituto Nacional de Salud P?blica, Mexico City, Mexico; J. Jaime Miranda, Akram Hern?ndez V?squez, and Francisco Diez-Canseco: School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru; Ross Hammond: Brookings Institute, Washington, D.C., USA; Daniel Rodriguez and Iryna Dronova: Department of City and Regional Planning, the University of California Berkeley, USA; Brisa N. Sanchez: University of Michigan School of Public Health, Ann Arbor, Michigan, USA; Peter Hovmand: Washington University in St. Louis, St. Louis, Missouri, USA; Ricardo Jord?n Fuchs and Juliet Braslow: Economic Commission for Latin America and the Caribbean (ECLAC); Jose Siri: United Nations University International Institute for Global Health (UNU-IIGH); Ana Diez Roux, Amy Auchincloss, Brent Langellier, Gina Lovasi, Leslie McClure, Yvonne Michael, Harrison Quick, D. Alex Quistberg, Jose Tapia Granados, Kari Moore, Felipe Garcia-Espa?a, Usama Bilal, and Ivana Stankov: Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA; Salud Urbana en Am?rica Latina (SALURBAL), Urban Health in Latin America, is a 5-year project that studies how urban environments and urban policies impact the health of city residents throughout Latin America. SALURBAL?s findings inform policies and interventions to create healthier, more equitable, and more sustainable cities worldwide. SALURBAL is funded by the Wellcome Trust [205177/Z/16/Z]. More information about the project can be found at www.lacurbanhealth.org. This project was supported by the Wellcome Trust initiative, ?Our Planet, Our Health? (Grant 205177/Z/16/Z).
Publisher Copyright:
© 2018, The Author(s).
PY - 2019/4/15
Y1 - 2019/4/15
N2 - Studies examining urban health and the environment must ensure comparability of measures across cities and countries. We describe a data platform and process that integrates health outcomes together with physical and social environment data to examine multilevel aspects of health across cities in 11 Latin American countries. We used two complementary sources to identify cities with ≥ 100,000 inhabitants as of 2010 in Argentina, Brazil, Chile, Colombia, Costa Rica, El Salvador, Guatemala, Mexico, Nicaragua, Panama, and Peru. We defined cities in three ways: administratively, quantitatively from satellite imagery, and based on country-defined metropolitan areas. In addition to “cities,” we identified sub-city units and smaller neighborhoods within them using census hierarchies. Selected physical environment (e.g., urban form, air pollution and transport) and social environment (e.g., income, education, safety) data were compiled for cities, sub-city units, and neighborhoods whenever possible using a range of sources. Harmonized mortality and health survey data were linked to city and sub-city units. Finer georeferencing is underway. We identified 371 cities and 1436 sub-city units in the 11 countries. The median city population was 234,553 inhabitants (IQR 141,942; 500,398). The systematic organization of cities, the initial task of this platform, was accomplished and further ongoing developments include the harmonization of mortality and survey measures using available sources for between country comparisons. A range of physical and social environment indicators can be created using available data. The flexible multilevel data structure accommodates heterogeneity in the data available and allows for varied multilevel research questions related to the associations of physical and social environment variables with variability in health outcomes within and across cities. The creation of such data platforms holds great promise to support researching with greater granularity the field of urban health in Latin America as well as serving as a resource for the evaluation of policies oriented to improve the health and environmental sustainability of cities.
AB - Studies examining urban health and the environment must ensure comparability of measures across cities and countries. We describe a data platform and process that integrates health outcomes together with physical and social environment data to examine multilevel aspects of health across cities in 11 Latin American countries. We used two complementary sources to identify cities with ≥ 100,000 inhabitants as of 2010 in Argentina, Brazil, Chile, Colombia, Costa Rica, El Salvador, Guatemala, Mexico, Nicaragua, Panama, and Peru. We defined cities in three ways: administratively, quantitatively from satellite imagery, and based on country-defined metropolitan areas. In addition to “cities,” we identified sub-city units and smaller neighborhoods within them using census hierarchies. Selected physical environment (e.g., urban form, air pollution and transport) and social environment (e.g., income, education, safety) data were compiled for cities, sub-city units, and neighborhoods whenever possible using a range of sources. Harmonized mortality and health survey data were linked to city and sub-city units. Finer georeferencing is underway. We identified 371 cities and 1436 sub-city units in the 11 countries. The median city population was 234,553 inhabitants (IQR 141,942; 500,398). The systematic organization of cities, the initial task of this platform, was accomplished and further ongoing developments include the harmonization of mortality and survey measures using available sources for between country comparisons. A range of physical and social environment indicators can be created using available data. The flexible multilevel data structure accommodates heterogeneity in the data available and allows for varied multilevel research questions related to the associations of physical and social environment variables with variability in health outcomes within and across cities. The creation of such data platforms holds great promise to support researching with greater granularity the field of urban health in Latin America as well as serving as a resource for the evaluation of policies oriented to improve the health and environmental sustainability of cities.
KW - Built environment
KW - Cities
KW - Health Survey
KW - Latin America
KW - Mortality
KW - Multilevel Models
KW - Social Environment
KW - Urban health
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85057120882&origin=inward
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85057120882&origin=inward
U2 - 10.1007/s11524-018-00326-0
DO - 10.1007/s11524-018-00326-0
M3 - Article
C2 - 30465261
VL - 96
SP - 311
EP - 337
JO - Bulletin of the New York Academy of Medicine
JF - Bulletin of the New York Academy of Medicine
SN - 1099-3460
IS - 2
ER -
