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

Significant health inequalities exist between neighbourhoods. Apart from differences in demographics, the neighbourhood environment including facilities has also been found to have a sizeable effect. Despite various health-promoting facilities being objectively available in neighbourhoods, not all citizens perceive them to be available to them. Therefore, some citizens might not make use of important facilities that improve their health. We need to know more about what predicts perceiving facilities as available besides them being objectively there.

For perestrain-friendly cities, many studies have tried to show the positive outcomes with different quantitative and qualitative analyses worldwide. However, there are almost no studies that focus on citizens’ points of view and how they experience these positive outcomes. Our study aims to fill this gap. We show that designing walkable cities can change people’s perception of space and have positive effects.

The foundation of children’s active lifestyles rests upon parents’ contentment with urban green spaces. This underscores the vital role urban planners and designers play in addressing parental concerns within these areas, thus amplifying children’s outdoor play and self-reliant exploration.