Ranking the Effects of Urban Development Projects on Social Determinants of Health: Health Impact Assessment

摘要

Background and Objective: Health impact assessment (HIA) offer a very logical and interesting approach for those aiming to integrate health issues into planning processes. With a lot of works and plans waiting to be done (e.g., developing and updating plans, counseling planning commissions, cooperation with other organizations), planners find it difficult to prioritize health among a variety of possible issues and solutions they confront. Method: In the present article, first, the list of social determinants of health associated with Chitgar man-made lake was extracted out using a qualitative method and with content analysis approach, and then they were prioritized using analytic hierarchy process. Results: 28 social determinants of health including “intermediary” and “structural” determinants were extracted out. Regarding positive effects of lake on these determinants, “recreational services” and “traffic” received the highest and the lowest weights with 0.895 and 0.638 respectively among structural determinants and with consideration to “construction” option. Furthermore, among intermediary determinants for “construction” option, sub-criteria of both “physical activity” and “air quality” received the final highest weight (0.889) and “pathogenesis” indicated the lowest weight with 0.617. Moreover, lake demonstrated the highest negative effects on “housing” among “structural” determinants which it takes the highest weight (0.476) in “non-construction” option. Additionally, lake had the highest negative effects on “noise pollution” among “intermediary determinants” and it takes the highest weight (0.467) in “non-construction” option. Conclusion: It has been shown that urban development projects such as green spaces, man-made lakes … have a huge range of effects on community’s health, and having not considered these effects by urban planners and mangers is going to confront urban health with many challenges.