City Know-hows
Target audience
City council public health and transport officers
The problem
Urban health studies usually focus on the differences between neighbourhoods in the same city; however, that approach lacks any assessment of the overarching forces affecting the city as a whole.
What we did and why
We compared differences in the walking environment between Madrid and Philadelphia. We used an audit tool called M-SPACES that measures, for each street segment;
Our study’s contribution
We found that Philadelphia’s streets had higher scores for function (physical attributes that supported walking) and safety, while Madrid streets had greater a greater proportion of streets having at least one walking destinations. These results are key to understand which elements of the built environment could be key to uncover mass influences that operate at the city level.
Impacts for city policy and practice
In order to understand which urban characteristics impact on physical activity and health, we need to understand what characterize our cities as a whole. In our study, Madrid is characterized by a higher proportion of daily walking destinations, while the streets of Philadelphia have better physical infrastructure for walking in the street.
Future studies should include attention to the potential impact of built environment characteristics at the city level.
Further information
Authors: Pedro Gullón (@pgullon), Usama Bilal (@usama_bilal), Patricia Sánchez, Julia DÃez (@JuliaDiez91), Gina S. Lovasi, and Manuel Franco (@mfranco_uah)
Full research article:
Related posts
New healthy urbanism framework reverses traditional focus on individual lifestyles, focusing on equity, inclusion and sustainability as essential components for urban health.

Solid waste production is rapidly increasing in Kenyan cities. However, the implementation of available policies to address the canker leaves much to be desired.

Building place attachment and sense of community through design can improve community well-being, yet reviews on this topic are lacking. This manuscript presents a systematic review of the links between pedestrian designs and place attachment and sense of community, and also highlights several health equity considerations to encourage new ideas about inclusive and healthy urban design practice and study.