Healthy City: Global Systematic Scoping Review of City Initiatives to Improve Health with Policy Recommendations

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Currently over half of the world’s population, over 4 billion people, live in cities. This systematic scoping review has been conducted to understand what cities are doing to improve health and healthcare for their populations. Methods We conducted a systematic search to identify literature on city-wide initiatives to improve health. The study was conducted in accordance with PRISMA and the protocol was registered with PROSPERO (CRD42020166210). Results The search identified 42,137 original citations, yielding 1,614 papers across 227 cities meeting the inclusion criteria. The results show the majority of initiatives were targeted at non-communicable diseases. City health departments are making an increasing contribution however the role of mayors appears to be limited. Conclusion The collective body of evidence identified in this review, built up over the last 130 years, has hitherto been poorly documented and characterised. Cities are a meta-system with population health dictated by multiple interactions and multidirectional feedback loops. Improving health in cities requires multiple actions, by multiple actors, at every level. The authors use the term ‘The Vital 5’. They are the 5 most important health risk factors; tobacco use; harmful alcohol use; physical-inactivity, unhealthy diet and planetary health. These ‘Vital 5’ are most concentrated in deprived areas and show the greatest increase is in low and middle income countries. Every city should develop a comprehensive strategy and action plan to address these ‘Vital 5’ City Urban Health Transformation Systematic Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Background Global heath will increasingly be determined by cities. Currently over half (55 per cent) of the world’s population live in cities and by 2050, 68 percent of per cent of the world’s population is projected to be urban.(1) This growth has occurred and will continue to occur over a relatively short period. The world’s cities are growing in both size and number in all regions(2) but there is particularly rapid growth in the number and size of cities across Asia, Africa and South America.(3) For example, between 1950–2005 the percentage of the population of China living in cities rose from 13–40% and it is predicted to rise to 60.3 percent by 2030.(2) To put the scale of the urbanisation challenge and opportunity in context, since 2003, China poured more cement every two years than the US did in the entire 20th century.(4) Concrete manufacture accounts for at least 8% of global carbon emissions.(5) This will have a significant impact on environmental health which both directly and indirectly has an impact on population health. Whilst cities contain some of the best health and healthcare they also contain a disproportionate share of the worst.(6) There also remains significant variation in health and high levels of inequality.(7) Many urban health and environmental challenges are a consequence of how we organise and live in cities(8) which have resulted in cities that are making people sicker, fatter and more socially isolated.(9) , (10) , (11) Globally cities have been hardest hit by Covid-19.(12) However, there are also reasons for optimism. Cities are the world's engines of economic growth, innovation, and social change.(13) City living is better for the environment(3) and city dwellers have better health than their rural counterparts since at least the early to mid-20th century, in high income as well as low and middle income countries.(14) , (6) Climate change is the number one threat to population health (15) , (16, 17) , (18) and it is cities that are leading the way in becoming carbon neutral.(19) Cities have been shown to succeed - where national governments have failed - in making significant improvements in areas affecting population health.(20) , (21) , (22) , (23) , (24) , (25) , (26) It is widely accepted we need to improve equitable health and care in cities. There is good financial imperative to do so; good health is not only a consequence of, but also a condition for sustained and sustainable economic development.(27) In this way, the health of a city creates a virtuous circle of improved health and improved economic prosperity. Not just for the city but for its nation.(14) There is a compelling case to improve health in city populations. The aim of this global systematic scoping review is to provide an overview of the existing evidence of city initiatives to improve health. In addition, a summary of each of the 1614 papers which describe an initiative to improve health or healthcare (Appendix B) is provided in a format that can be thematically searched. This will be useful resource for academics and policy makers interested in improving urban health. The outputs of this systematic scoping review should be used to inform urban health policy for the next decade. Methods Aim and overview A systematic search was conducted to identify literature on city-wide initiatives to improve health. Our scoping review was done in accordance with the PRISMA extension for scoping reviews(28) The protocol was registered with the PROSPERO (number CRD42020166210) Search strategy and selection criteria Ten databases were searched; Embase, Ovid Medline, Cochrane Database (CENTRAL), Scopus, Campbell Library, CINALH, Health Business Elite, Health Management Information Consortium (HMIC), PyschINFO, and Prospero. Specific and pre-determined search terms were developed, tested and finalised for each database. These are available in Appendix A. The inclusion criteria was; city-wide initiatives that aimed to improve health or healthcare. The definition of improvement, for the purposes of this research, was purposefully broad and includes any aim to improve health outcomes or healthcare services. All databases were searched on the 10–12 February 2016, for entries from database inception to February 2016 (tranche 1). The search was updated on 16 March 2019, for entries from February 2016 to March 2019 (tranche 2). extensive hand searching was also completed. The database results were uploaded to Endnote (version 9). Publication selection All types of study design were eligible for inclusion, including grey literature. Studies were not selected or screened based on methodological quality. The key factor was the study needed to describe a city-wide initiative to improve health or healthcare. All initiatives were included irrespective of how ambitious they were. The primary outcome indicators that were sought and extracted were: improved health or reduced health inequalities; improved healthcare (safety, effectiveness, patient experience); failed initiative or negative or unintended consequences. The first tranche (31,251 original citations) were assessed independently by the lead author (SD) and HLP against the inclusion criteria. The level of inter-reviewer agreement on the articles was on average 96% (range 91% − 98%). Where there was a disagreement, the two reviewers discussed and agreed on a final outcome. The second tranche was assessed by SD. Where it was uncertain whether the initiatives were city-wide, they were included. Studies that were an evaluation of how health or healthcare has changed over time, without any description of an initiative, were excluded. Only studies in the English language were included. Data analysis Predetermined data fields were agreed prior to data extraction. These were; date of publication; type of publication; initiative; how the initiative was implemented; city; city population; country; continent; quantitative outcome; authors qualitative conclusion. A template (excel) was developed for data extraction and analysis. Where any of this data was not presented, it was coded as ‘not stated’. The only exception to this was with city population, where this was not presented, the information was sought through http://world-statistics.org/index-pop.php which was accessed on the 4th July 2018. The latest available population data was used (irrespective of when the initiative took place). The lead author (Danielli) extracted the data and systematically coded and analysed the data. Studies that did not name a specific city were still included as long as they indicated they were from a city. Inductive thematic analysis, in line with the guidelines of Braun and Clarke,(30) was carried out as it offered optimum flexibility and breadth. The included studies were not critically appraised for quality. However, comment on the major methodological issues, source of study heterogeneity and necessary contextual information for interpreting the results have been highlighted through the text. The authors used this data to debate and agree the key findings and recommended policy actions. Patient and public involvement This research was done without patient or public involvement. Results The database searches yielded a total of 42,028 original citations after duplicates were removed through Endnote standard duplicate check. These electronic searches were augmented with an additional 109 citations found through expert recommendations or internet searches, giving a total of 42,137 original citations. These citations were assessed and resulted in 1614 citations meeting the inclusion criteria. The full text of the 1614 was screened and all included in the inductive thematic coding. The overwhelming majority (90%, n = 1455) of papers were journal articles. The publication date ranged from 1892 to 2019.The trend shows that the volume of papers is increasing with over 180 publications in 2018 (the last full year before the search was carried out). Subject Areas of Health Improvement A total of 47 themes emerged as subject areas that cities were seeking to address. Just over two thirds (69% n = 1113) of the subject areas were related to improving health, with the remaining 31% (n = 501) related to improving health services. Across improving health and improving healthcare, 92% (n = 1483) were addressing non-communicable diseases. Of those related to improving health, 1043 (94%) were focused on non-communicable diseases and 70 (6%) were focused on communicable diseases. In relation to non-communicable diseases, there were 39 different subject area’s addressed. A significant proportion (n = 354 equivalent to 33%) did not state a specific area of health they were seeking to address. Where a specific area was stated, the highest was obesity (n = 104), followed by diet (n = 102), smoking (n = 61) and then air quality (n = 53). The non-communicable health subject area’s are presented in Fig. 4 below. The communicable diseases (67) included; HIV (n = 44), TB (n = 12), Sexual Transmitted Disease (n = 1), Influenza, Small Pox, Typhoid and others (n = 10) Those relating to improving health services (n = 501) were split across a 40 thematic areas as shown in Fig. 5 below Type of Initiative There were 6 categories of initiative identified (Table 1 ). Education was the most frequently applied type of initiative with 26%, followed closely by service reform (23%) and change to physical environment (21%). A significant proportion (17%) either did not state the type of initiative or it was unclear. Less than a tenth (8%) described a comprehensive initiative and the smallest volume of initiatives were related to digital, data or IT (6%) Table 1 Type of Initiative Category Definition of category # of papers % Education / support program A programme to education or support the individual(s), either patient / population or workforce. For example, the education initiative to improve healthy lifestyles with focused on school children.(31) 414 26% Service reform A change or addition to a health service, ie improved patient flow redesign or additional outpatient clinic. For example, the description of Shanghai’s service reforms.(32) 366 23% Change to physical environment A change to the physical environment to change the world in which the individual interacts. For example, Los Angeles banning fast-food restaurants.(33) 336 21% Comprehensive The initiative was described as, and believed to be, a comprehensive initiative (ie more than one single initiative) and / or it contained more than one of these 6 categories. For example, the urban health strategy in Detroit.(34) 124 8% Digital / IT / Data A digital or data initiative, or the use of IT more generally, to improve health or healthcare. 92 6% Not stated / unclear There was not an initiative or if there was it was not stated in the title or abstract. For example, Taipei’s multi-channel digital risk communications to prevent the spread of a communicable disease.(35) 282 17% How the Initiative was Instigated There were 12 categories which indicated how the initiative was instigated. Eight were predetermined ahead of data extraction, four (national or philanthropic funded, research, WHO, Stanford 5 city project) were identified during extraction. Over a third (34%) did not state how the initiative was instigated. Policy (12%), collaboration (12%), service reform (11%) and law (11%) were the next highest and quite even. It is worth noting the contribution of City Health Departments (6%), WHO Healthy Cities (5%) and national or philanthropic (5%). Only 44 (3%) referenced a Mayor as having a significant role. Table 2 Number of papers in each category. Categories of ‘how’ initiative was instigated # of papers % Policy 178 11% Collaboration 181 11% Service Reform 247 15% Law 91 6% City Health (or other) Department 163 10% WHO Healthy Cities 51 3% National or Philanthropic 68 4% Fiscal / Financial levers 38 2% Research 55 3% WHO (but not Healthy Cities) 6 0% Stanford 5 City Project 7 0% Not stated 529 33% Location The city in which an initiative was carried out was recorded and coded, as was the country and continent of the city. In addition the population of the city was recorded if it was started and if it was not recorded it was sought. The 1614 citations represent initiatives from 227 cities. The majority of cities were just in one paper (n = 179 cites). New York City accounted for nearly one fifth (17% 279 of 1614) of the total papers, followed by Baltimore (51) and London (48). Collectively, these 3 cities (1% of total) account for nearly a quarter (23%) of all the citations. The 227 cities come from 80 countries across five continents. The USA accounts for the highest number of citations (n = 690), significantly more than the next highest (England with 135 citations). North America accounts for 57% of all the citations. The populations of cities ranged from 1,465 (Stevenson, WA, USA)(36) to 23,019,196 (Shanghai, China)(32). This highlights the vast variation in population size of cities and indicates the breadth of the interpretation and definition of a city. Outcome of the Initiatives Outcome was extracted and coded into; 1) no outcome stated; 2) input or process measure; 3) positive outcome measure; or 4) negative outcome. Definition for 2) input or process measure is, for example, Feyerherm et al(37) which reported on the number of organisations that participated and carried through some subsequent action (input measure). Or, for example, Sacks and Nonas(38) who reported on the outcome of number of adults reported as eating fruit and vegetables (process measure). Definition for 3) positive outcome measure is, defined as a measure of health or a measure with a direct health benefit (eg reduced smoking, reduced obesity). For example; Duncan(39) who reported a 40% reduction in emergency department visits by high users (outcome related to healthcare). Or, Coady et al(40) who reported a 27% decrease in smokers (direct health benefit). Or Weinstein(41) that reported on reduced infant mortality. Finally, an example of a negative outcome would be De Salazar(42) who reported the initiative to reduce prevalence of cardiovascular disease in Cali (Columbia) actually increased sedentary lifestyles. More than half (57%) did not have an outcome recorded. Thirty four percent referenced an input or process measure. Eight percent reported an outcome measure and one percent reported a negative impact as a result of the initiative. It is not possible to describe all the initiatives in detail in this manuscript. Therefore, an excel file is provided with all records and data extraction and analysis is available in Appendix B. This appendix can be used as a resource for policy makers and researchers to further interrogate and build on the data. Discussion There is growing interest in the actions that cities are taking to improve health and healthcare. This is in keeping with the increasing importance of cities in determining global population health. The earliest initiative was the House of Lords Select Committee Report on Metropolitan Hospitals, Provident and Other Public Dispensaries and Charitable Institutions for the Sick Poor,(43) published in 1892. Whilst the social context and healthcare delivery have developed significantly, the issues identified in this report, including the need for co-ordination between services and unacceptable inequalities, remain as relevant today. The collective body of evidence identified in this review, built up over the last 130 years, has hitherto been poorly documented and characterised. This may in part explain why longstanding issues remain pertinent today. Education was the most frequently applied type of initiative (26%), with the trend increasing over time. It consistently features as one of the most reported initiatives in the last 15 years. With non-communicable diseases – often referred to as ‘life style choices’(44, 45) - being such a high proportion (92%) of the subject areas that initiatives were seeking to address, it could be expected that education features so strongly. Education initiatives tend to be straightforward to write up and evaluate(46), which lends them towards publication. They are also commonly associated with funding(47) that requires some kind of evaluation or report, which again lends towards publication. However, in our experience, trying to change individual behaviour without changing the system or environment within which people live does not work. The term ‘life style choices ’ is a misnomer. The reality is that we are strongly influenced by explicit and implicit prompts in our environment and those with the least resources have the least choice and are the most lectured. Changes to the physical environment is linked with to changing the environment within which we live. It was therefore disappointing that these types of initiatives accounted for only 21% (n = 336) of the total. It was also disappointing that only 21 of the 336 reported an outcome measure. These were addressing issues of obesity (48) , (49) smoking(50) , (51) , (52) water borne infections(53) , (54) , (55) and traffic related accidents and active travel.(56) , (57) , (58) , (59, 60) These changes to physical environment were instigated by policy or legal changes in just under half (43%) of the initiatives. In considering the balance between education and system or environmental initiatives, more focus and effort should be on system and environment to ‘make the healthy choice the easy choice’. Service reform (23% of the total citations) performed best on reporting an outcome measure (n = 34). These ranged from centralising heart attack and stroke services(61) , (62) injection drug user facilities for harm reduction(63) decentralising and creating networks for care for diabetes(64) and dementia(65) to mass nicotine replacement therapy.(66) Service reform, which is defined as ‘a change or addition to a health service’, is akin to changes to the physical environment or system within which we live. It is also most directly linked to health services. Therefore, service reforms have a direct and clear link to any changes in outcomes. This is not to say the changes are easy or straightforward. Changing any provision of health service, particularly if controversial services or moving services further from a patient’s home, is likely to understandably attract public and political interest. Clinical leadership and genuine (public and political) engagement are key. A relatively small number (n = 124) of initiatives described what was believed to be a comprehensive suite of initiatives. City health departments were most notable in leading these in a diverse range of cities including New York City (USA)(67), Geelong (Australia)(68) Barcelona (Spain)(69), Taipei (Tiawan)(70) to Nizwa (Oman)(71). Coincidently, there were also 124 records that stated an outcome measure. It is striking that although a comprehensive approach only represented 8% of the total, they represent almost a quarter (23%) of the number with an outcome measure. There could be a number of reasons why outcome measures feature strongly when a comprehensive suite of initiatives is undertaken. It could be seen how a range of initiatives addressing the same subject area would be more likely to bring about a change in outcome compared to a single initiative. City Health Departments are strongly associated with City Mayors. However, of the 1614 citations only 44 (3%) referenced a Mayor as having any kind of role. Considering Mayors are such features of cities, this was surprising. It was also notable, in general, that initiatives across all areas appeared quite piecemeal and carried out in insolation; a single initiative linked to a single health issue or risk factor without reference to a wider strategy, aim or other supporting initiatives. This could simply be a product of the way the papers were written. Indeed, there is a neat simplicity to this approach. However, the reality of the real world is that a single initiative is unlikely to making meaningful and lasting impact on long-standing issues. Cities are a meta-system with population health dictated by multiple interactions and multidirectional feedback loops. A change to one part of the system could both result in multiple unintended consequences or no impact on outcomes at all. Improving health in cities requires multiple actions, by multiple actors, at multiple levels. No single organisation, sector or initiative can solve the complex interlinked issues. The political and system leadership across a collaboration of partners by a Mayor will be crucial. The role and impact of Mayors in city residents’ health would warrant further investigation. The initiative itself also affected how it was instigated. It should be noted that “not stated” featured highly across all groups, ranging up to 54% in education and support and totalling 529 (33%) across all initiatives. Therefore, care should be taken with interpreting this result. The comprehensive initiatives were broadly split one fifth policy, collaboration and city health department, with 20%, 18%, 27%, respectively. Education initiatives were most associated with collaboration (15%), city health department (9%) and policy (6%). Changes made to the physical environment were strongly associated with policy (22%) and law (21%). Digital, IT and data was most commonly instigated by city health departments (21%). Table 3: Type of initiative and how it was instigated The majority of papers were from North America (57% of total, almost double the total of Europe) and in particular New York City which alone accounts for 17% (n = 279) of the total, more than the entire WHO Healthy City output found. It is not clear if this is because New York City is taking significant steps to improve health and healthcare or they are publishing a lot of their work, or both. This features in the bias and limitations identified in the section below. It also highlights the opportunity for further study through a survey of city health departments to get a more complete picture of the initiatives cities are undertaking to improve population health. The breadth of subject areas being addressed from a number of different perspectives and the interrelated nature of the subject areas is striking. For example, diet is known to impact on obesity,(72) and cancer(73), and cardiovascular(74) disease and obesity is known to impact on cancer,(75) cardiovascular,(76) mental health(77) and mental health is known to impact on obesity.(78) Therefore, an initiative to improve diet could be an initiative to address obesity, cancer, cardiovascular disease, mental health or health generally. The complexity of a range of subject areas being addressed could be simplified when the major causes of chronic diseases are well known. Indeed, the four main risk factors (tobacco use; harmful alcohol use; physical inactivity and unhealthy diet) account for at least 80% of all heart disease, stroke and type 2 diabetes and 40% of cancers.(79) The authors would add a fifth risk factor; planetary health. Planetary health is widely acknowledged to be a significant risk to human health(80) , (81) , (82) particularly impacting cities.(83, 84) The health risk factors are also directly linked to planetary health factors, for example diet(85) and evidence shows polices to promote sustainable food supply can improve personal and planetary health.(86) The authors would call these ‘The Vital 5’. They are the 5 most important health risk factors. These ‘Vital 5’ are most concentrated in deprived areas(87) and show the greatest increase is in low and middle income countries, even faster than has historically occurred in high income countries.(88) Therefore, action on these ‘Vital 5’ will be action on inequalities. Every city should develop a comprehensive strategy and action plan to address these ‘Vital 5’ of tobacco use; harmful alcohol use; physical inactivity, unhealthy diet and planetary health The 20th century was defined by breakthroughs in communicable diseases. Communicable diseases are certainly not eradicated, HIV(89) , (90) , (91) and TB(92) , (93) , (94) can still be seen to be particular issues in cities. The Covid-19 pandemic has also disproportionately impacted cities.(12) However, Covid-19 has also reminded us of the importance of these Vital 5. It is known that smoking,(95) alcohol,(96) poor diet,(97) physical inactivity(98) and air quality(99), all contribute to worse outcomes of Covid-19. They also contribute to other factors which have worse outcomes of Covid-19, such as high blood pressure(100) and obesity.(101) Crucially, it is also know that damaging the environment will make future pandemics more likely.(102) , (103) If cities were to focus on these Vital 5 they would be improving immediate and long term population health. This study has several limitations. The deliberate decision was taken to be as broad and inclusive as possible in the papers included. Mays et al(104) and Strech and Tilburt(105) identify the tension between using only academically rigorous, but therefore less, research and the inclusion of other sources of data, which increase the volume, but that are more susceptible to bias and therefore risk contaminating results. Because of the volume of papers and restrictions on time only the title and abstract were used in the data extraction. Formal quality assessment of the studies was not undertaken. Only studies in English language were included. A large volume of citations were from one city (New York City) which could introduce bias. Finally, given the heterogeneity of the study designs and data sources meta-analysis was not undertaken. They authors acknowledge that despite a comprehensive and systematic approach they may have missed relevant documentation. The authors believe non-communicable diseases will be the issue of the 21st century, accounting for over 40 million annual deaths globally (72% of total deaths).(106) The Vital 5; tobacco use; harmful alcohol use; physical inactivity, unhealthy diet and planetary health impact on both non-communicable diseases and the likelihood of future communicable pandemics. The progress made in the treatment and prevention of HIV from death sentence 20 years ago to entirely treatable and preventable long-term condition, plus the rapid response to Covid-19 demonstrates what could be achieved to eliminate these ‘Vital 5’ with collective determination and resources. Cities have demonstrated they are well placed to take this action. Conclusion And Policy Recommendations This global systematic scoping review provides an overview of the existing evidence of city initiatives to improve health and healthcare. Based on the findings a summary of key findings and recommended policy actions is provided below. This, with the excel file with the 1614 records and associated extracted data (Appendix B), will be a useful resource for academics and policy makers interested in improving urban health. The outputs of this systematic scoping review can be used to inform urban health policy for the next decade and shape future research. The role of Mayors and the real world understanding of the initiatives that city health departments are undertaking to improve population health warrants particular attention. Key Findings and Recommended Policy Actions: Key Finding : There is a large range of health issues and risk factors being addressed from a large number of perspectives. The overwhelming majority of the issues and initiative are addressing ‘non-communicable disease’ risk factors that are interrelated and overlapping. Recommended Policy Action : The same level of ambition that was applied to HIV and Covid-19 should be applied to the ‘Vital 5’ risk factors; smoking, alcohol, physical inactivity, unhealthy diet and planetary health. Key Finding : Education was the most commonly reported initiative. Recommended Policy Action : The term ‘lifestyle choices’ is a misnomer. More focus and resource should be put on system and environmental changes to ‘make the healthy choice the easiest choice’ Key Finding : City health departments are making an increasing contribution in improving city population health. Recommended Policy Action : Cities should collaborate and share learning in real world experience of initiatives to improve urban health. Key Finding : The contribution of Mayors in improving health and healthcare appears to be limited Recommended Policy Action : The role and impact of Mayors in city populations would warrant further study Key Finding : New York City stands out with nearly one fifth (18%) of the total citations. Recommended Policy Action : Further real world research to understand and get a comprehensive view on what cities are doing to improve population health would be of value. Declarations Ethics approval and consent to participate Not applicable Consent for publication Not applicable Availability of data and material The data generated from this review is provided in the supplementary information files. Competing interests AD is Chair and HA the Chief Scientific Officer of the Health Security Initiative at Flagship Pioneering UK Ltd. SD has no competing interests to declare. Funding This manuscript received no specific funding. Infrastructure support for this research was provided by the NIHR Imperial Biomedical Research Centre (BRC). Authors' contributions Conception or design of the research: SD. Data collection: SD. Data analysis and interpretation: SD, HA, AD. Drafting the article: SD, HA. Critical revision of the article: SD, HA, AD. All authors read and approved final manuscript. Acknowledgements We thank the members of the Healthy London Partnership (HLP)* that helped on providing a second review of titles and abstracts. These were: Patrice Donnelly, Pascale Montiel, Emily Treder, Natalia Proctor, Sarah Bowker, Claire Ruiz, Lauren Walker, Dominic Jones, Suzi Griffiths, Steve Solasta, Jess Simpson, Raman Patria, David Groom, Emile Radyte, Amy Bowkett, Helen Daly, Jess Drummond, Gabriella Baker, Martina Dalton, Andrea Priest, Tanmay Kale, Lise Hansen and Katie Horrell. 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Strech D, Tilburt J. Value judgments in the analysis and synthesis of evidence. J Clin Epidemiol. 2008;61(6):521-4. Healthier Societies for Healthy Populations Group. Healthier societies for healthy populations. The Lancet. 2020;395(10239):1747-9. Supplementary Files AppendixADatabaseSearchStringsv0.1.docx AppendixBListofCitationsandAnalysisv0.19.xlsm Cite Share Download PDF Status: Published Journal Publication published 01 Jul, 2023 Read the published version in BMC Public Health → Version 2 posted Editorial decision: Major revision 11 Apr, 2023 Reviewers agreed at journal 12 Jan, 2023 Reviewers invited by journal 16 Dec, 2022 Editor invited by journal 16 Dec, 2022 Editor assigned by journal 02 Nov, 2022 First submitted to journal 01 Nov, 2022 You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-1971668","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[{"code":1,"date":"2022-09-27 21:10:07","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":175475508,"identity":"1d9b72dc-797f-44a9-8625-36a859a6d528","order_by":0,"name":"shaun danielli","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA/klEQVRIiWNgGAWjYDACCTDJDEKMBx4Y2BgwsEMkDIjRwnAgwSDNAMQgUgsDSAvDYcJa5Gc3P5MuYLCWN2dnPnAgoeC8MX8zA+OHHwyHjXFpMbhzzEx6BkO64c5mtgSgw26bSRxmYJbsYThshlOLRIKZNA/DYcYNh3kMQFpsDIAOk2ZgOGyD02Ez0r+BtNhvOMz/AajlHEgL8298Whhu5IBtSQTaAgqxA2ZALWwgW3A77EZOsTWPQXryhsNsIIclG0scZmyz7DFIx+l9oMM23uapsLbdcP7wwwcf/tgZ9rc3H77xo8LasAGny8B2ofAYG/BF5CgYBaNgFIwCIgAAuKFOYoT2oC0AAAAASUVORK5CYII=","orcid":"","institution":"King's Health Academic Health Science Centre: King's Health Partners","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"shaun","middleName":"","lastName":"danielli","suffix":""},{"id":175475509,"identity":"01c06b6e-6ce4-4d31-a063-3c552e981475","order_by":1,"name":"Hutan Ashrafian","email":"","orcid":"","institution":"Imperial College London","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Hutan","middleName":"","lastName":"Ashrafian","suffix":""},{"id":175475510,"identity":"8258ef9f-f006-4dfd-97c9-d2703323a839","order_by":2,"name":"Ara Darzi","email":"","orcid":"","institution":"Imperial College London","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Ara","middleName":"","lastName":"Darzi","suffix":""}],"badges":[],"createdAt":"2022-08-17 15:18:41","currentVersionCode":2,"declarations":"","doi":"10.21203/rs.3.rs-1971668/v2","doiUrl":"https://doi.org/10.21203/rs.3.rs-1971668/v2","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12889-023-15908-0","type":"published","date":"2023-07-01T21:27:19+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":32874586,"identity":"00d2dfe5-17c7-4eb3-aa54-26788e88a234","added_by":"auto","created_at":"2023-02-13 23:03:39","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":41593,"visible":true,"origin":"","legend":"\u003cp\u003ePRISMA(\u003ca href=\"https://www.researchsquare.com/article/rs-1971668/admin/draft#_ENREF_29\" title=\"Moher, 2009 #31645\"\u003e29\u003c/a\u003e) Study Attrition Flow Chart\u003c/p\u003e","description":"","filename":"1.png","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/01bd15994b7d4b8c9349b88a.png"},{"id":32873747,"identity":"2649d339-09e1-4230-b34c-32bd37fa1b44","added_by":"auto","created_at":"2023-02-13 22:55:39","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":40439,"visible":true,"origin":"","legend":"\u003cp\u003eNumber of citations per year\u003c/p\u003e","description":"","filename":"2.png","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/7b934480c9af0f477563b32c.png"},{"id":32873745,"identity":"1402819f-79f8-4ac0-9f01-10035062430c","added_by":"auto","created_at":"2023-02-13 22:55:39","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":116722,"visible":true,"origin":"","legend":"\u003cp\u003eSubject Area Cities Were Seeking to Address\u003c/p\u003e","description":"","filename":"3.png","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/690dde34509435042039df9c.png"},{"id":32874584,"identity":"c203889f-cff2-437a-9bfe-53d72e579966","added_by":"auto","created_at":"2023-02-13 23:03:39","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":36599,"visible":true,"origin":"","legend":"\u003cp\u003eNon-communicable health subject area’s cities were seeking to address\u003c/p\u003e\n\u003cp\u003eThis graph shows subject areas with 5 or more. Those coded as general health or not stated have been removed.\u003c/p\u003e","description":"","filename":"4.png","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/a1cf0ca1417e2796c6428d88.png"},{"id":32875086,"identity":"234e303f-ad3f-4a07-9535-c6c84df6cdc1","added_by":"auto","created_at":"2023-02-13 23:11:39","extension":"png","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":110272,"visible":true,"origin":"","legend":"\u003cp\u003eSubject areas that were being addressed through improving healthcare\u003c/p\u003e","description":"","filename":"5.png","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/a01d153fa0efdbb1090ff3ba.png"},{"id":32874587,"identity":"911c3b91-3355-4d3c-91bd-659a00115fd5","added_by":"auto","created_at":"2023-02-13 23:03:39","extension":"png","order_by":6,"title":"Figure 6","display":"","copyAsset":false,"role":"figure","size":33249,"visible":true,"origin":"","legend":"\u003cp\u003eType of initiative per year\u003c/p\u003e","description":"","filename":"6.png","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/aeb8ab10c93c2c58e7cc134b.png"},{"id":32873753,"identity":"7bcb2513-8b13-493d-b661-d4c8b2e6add4","added_by":"auto","created_at":"2023-02-13 22:55:39","extension":"png","order_by":7,"title":"Figure 7","display":"","copyAsset":false,"role":"figure","size":52973,"visible":true,"origin":"","legend":"\u003cp\u003eHow initiatives were instigated each year\u003c/p\u003e","description":"","filename":"7.png","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/a4498f3bc4d49f3bbcb62ffb.png"},{"id":32873751,"identity":"3cd1a5b3-7b71-4573-b2f0-6341ec96e539","added_by":"auto","created_at":"2023-02-13 22:55:39","extension":"png","order_by":8,"title":"Figure 8","display":"","copyAsset":false,"role":"figure","size":34812,"visible":true,"origin":"","legend":"\u003cp\u003eCitations per continent\u003c/p\u003e","description":"","filename":"8.png","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/5a7f2b0301017be1ab9690e8.png"},{"id":44733023,"identity":"16ae677d-6635-4b33-9069-2d4bd92e2558","added_by":"auto","created_at":"2023-10-16 22:03:14","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":967861,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/93110c30-8042-47bf-ba0f-bc4e647b53ce.pdf"},{"id":32873749,"identity":"1ee91e23-da12-45dc-80ce-8d0bd1713fff","added_by":"auto","created_at":"2023-02-13 22:55:39","extension":"docx","order_by":4,"title":"","display":"","copyAsset":false,"role":"supplement","size":18838,"visible":true,"origin":"","legend":"","description":"","filename":"AppendixADatabaseSearchStringsv0.1.docx","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/6ac8dd0643856872054f9127.docx"},{"id":32873754,"identity":"23730a00-3b77-4f6c-9485-126380612111","added_by":"auto","created_at":"2023-02-13 22:55:39","extension":"xlsm","order_by":5,"title":"","display":"","copyAsset":false,"role":"supplement","size":3582541,"visible":true,"origin":"","legend":"","description":"","filename":"AppendixBListofCitationsandAnalysisv0.19.xlsm","url":"https://assets-eu.researchsquare.com/files/rs-1971668/v2/dd30aad428b75e7ebfd77d37.xlsm"}],"financialInterests":"","formattedTitle":"Healthy City: Global Systematic Scoping Review of City Initiatives to Improve Health with Policy Recommendations","fulltext":[{"header":"Background","content":"\u003cp\u003eGlobal heath will increasingly be determined by cities. Currently over half (55 per cent) of the world\u0026rsquo;s population live in cities and by 2050, 68 percent of per cent of the world\u0026rsquo;s population is projected to be urban.(1) This growth has occurred and will continue to occur over a relatively short period. The world\u0026rsquo;s cities are growing in both size and number in all regions(2) but there is particularly rapid growth in the number and size of cities across Asia, Africa and South America.(3) For example, between 1950\u0026ndash;2005 the percentage of the population of China living in cities rose from 13\u0026ndash;40% and it is predicted to rise to 60.3 percent by 2030.(2) To put the scale of the urbanisation challenge and opportunity in context, since 2003, China poured more cement \u003cem\u003eevery two\u003c/em\u003e years than \u003cem\u003ethe\u003c/em\u003e US \u003cem\u003edid in the\u003c/em\u003e entire 20th century.(4) Concrete manufacture accounts for at least 8% of global carbon emissions.(5) This will have a significant impact on environmental health which both directly and indirectly has an impact on population health.\u003c/p\u003e \u003cp\u003eWhilst cities contain some of the best health and healthcare they also contain a disproportionate share of the worst.(6) There also remains significant variation in health and high levels of inequality.(7) Many urban health and environmental challenges are a consequence of how we organise and live in cities(8) which have resulted in cities that are making people sicker, fatter and more socially isolated.(9)\u003csup\u003e,\u003c/sup\u003e(10)\u003csup\u003e,\u003c/sup\u003e(11) Globally cities have been hardest hit by Covid-19.(12)\u003c/p\u003e \u003cp\u003eHowever, there are also reasons for optimism. Cities are the world's engines of economic growth, innovation, and social change.(13) City living is better for the environment(3) and city dwellers have better health than their rural counterparts since at least the early to mid-20th century, in high income as well as low and middle income countries.(14)\u003csup\u003e,\u003c/sup\u003e(6) Climate change is the number one threat to population health (15)\u003csup\u003e,\u003c/sup\u003e(16, 17)\u003csup\u003e,\u003c/sup\u003e(18) and it is cities that are leading the way in becoming carbon neutral.(19) Cities have been shown to succeed - where national governments have failed - in making significant improvements in areas affecting population health.(20)\u003csup\u003e,\u003c/sup\u003e(21)\u003csup\u003e,\u003c/sup\u003e(22)\u003csup\u003e,\u003c/sup\u003e(23)\u003csup\u003e,\u003c/sup\u003e(24)\u003csup\u003e,\u003c/sup\u003e(25)\u003csup\u003e,\u003c/sup\u003e(26)\u003c/p\u003e \u003cp\u003eIt is widely accepted we need to improve equitable health and care in cities. There is good financial imperative to do so; good health is not only a consequence of, but also a condition for sustained and sustainable economic development.(27) In this way, the health of a city creates a virtuous circle of improved health and improved economic prosperity. Not just for the city but for its nation.(14) There is a compelling case to improve health in city populations.\u003c/p\u003e \u003cp\u003eThe aim of this global systematic scoping review is to provide an overview of the existing evidence of city initiatives to improve health. In addition, a summary of each of the 1614 papers which describe an initiative to improve health or healthcare (Appendix B) is provided in a format that can be thematically searched. This will be useful resource for academics and policy makers interested in improving urban health. The outputs of this systematic scoping review should be used to inform urban health policy for the next decade.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eAim and overview\u003c/h2\u003e \u003cp\u003eA systematic search was conducted to identify literature on city-wide initiatives to improve health. Our scoping review was done in accordance with the PRISMA extension for scoping reviews(28) The protocol was registered with the PROSPERO (number CRD42020166210)\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eSearch strategy and selection criteria\u003c/h2\u003e \u003cp\u003eTen databases were searched; Embase, Ovid Medline, Cochrane Database (CENTRAL), Scopus, Campbell Library, CINALH, Health Business Elite, Health Management Information Consortium (HMIC), PyschINFO, and Prospero. Specific and pre-determined search terms were developed, tested and finalised for each database. These are available in Appendix A. The inclusion criteria was; city-wide initiatives that aimed to improve health or healthcare. The definition of improvement, for the purposes of this research, was purposefully broad and includes any aim to improve health outcomes or healthcare services. All databases were searched on the 10\u0026ndash;12 February 2016, for entries from database inception to February 2016 (tranche 1). The search was updated on 16 March 2019, for entries from February 2016 to March 2019 (tranche 2). extensive hand searching was also completed. The database results were uploaded to Endnote (version 9).\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003ePublication selection\u003c/h2\u003e \u003cp\u003eAll types of study design were eligible for inclusion, including grey literature. Studies were not selected or screened based on methodological quality. The key factor was the study needed to describe a city-wide initiative to improve health or healthcare. All initiatives were included irrespective of how ambitious they were. The primary outcome indicators that were sought and extracted were: improved health or reduced health inequalities; improved healthcare (safety, effectiveness, patient experience); failed initiative or negative or unintended consequences. The first tranche (31,251 original citations) were assessed independently by the lead author (SD) and HLP against the inclusion criteria. The level of inter-reviewer agreement on the articles was on average 96% (range 91% \u0026minus;\u0026thinsp;98%). Where there was a disagreement, the two reviewers discussed and agreed on a final outcome. The second tranche was assessed by SD. Where it was uncertain whether the initiatives were city-wide, they were included. Studies that were an evaluation of how health or healthcare has changed over time, without any description of an initiative, were excluded. Only studies in the English language were included.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eData analysis\u003c/h2\u003e \u003cp\u003ePredetermined data fields were agreed prior to data extraction. These were; date of publication; type of publication; initiative; how the initiative was implemented; city; city population; country; continent; quantitative outcome; authors qualitative conclusion. A template (excel) was developed for data extraction and analysis. Where any of this data was not presented, it was coded as \u0026lsquo;not stated\u0026rsquo;. The only exception to this was with city population, where this was not presented, the information was sought through \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttp://world-statistics.org/index-pop.php\u003c/span\u003e\u003cspan address=\"http://world-statistics.org/index-pop.php\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e which was accessed on the 4th July 2018. The latest available population data was used (irrespective of when the initiative took place). The lead author (Danielli) extracted the data and systematically coded and analysed the data. Studies that did not name a specific city were still included as long as they indicated they were from a city. Inductive thematic analysis, in line with the guidelines of Braun and Clarke,(30) was carried out as it offered optimum flexibility and breadth. The included studies were not critically appraised for quality. However, comment on the major methodological issues, source of study heterogeneity and necessary contextual information for interpreting the results have been highlighted through the text. The authors used this data to debate and agree the key findings and recommended policy actions.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003ePatient and public involvement\u003c/h2\u003e \u003cp\u003eThis research was done without patient or public involvement.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cp\u003eThe database searches yielded a total of 42,028 original citations after duplicates were removed through Endnote standard duplicate check. These electronic searches were augmented with an additional 109 citations found through expert recommendations or internet searches, giving a total of 42,137 original citations. These citations were assessed and resulted in 1614 citations meeting the inclusion criteria.\u003c/p\u003e\n\u003cp\u003eThe full text of the 1614 was screened and all included in the inductive thematic coding. The overwhelming majority (90%, n\u0026thinsp;=\u0026thinsp;1455) of papers were journal articles. The publication date ranged from 1892 to 2019.The trend shows that the volume of papers is increasing with over 180 publications in 2018 (the last full year before the search was carried out).\u003c/p\u003e\n\u003cdiv id=\"Sec9\" class=\"Section2\"\u003e\n\u003ch2\u003eSubject Areas of Health Improvement\u003c/h2\u003e\n\u003cp\u003eA total of 47 themes emerged as subject areas that cities were seeking to address. Just over two thirds (69% n\u0026thinsp;=\u0026thinsp;1113) of the subject areas were related to improving health, with the remaining 31% (n\u0026thinsp;=\u0026thinsp;501) related to improving health services. Across improving health and improving healthcare, 92% (n\u0026thinsp;=\u0026thinsp;1483) were addressing non-communicable diseases.\u003c/p\u003e\n\u003cp\u003eOf those related to improving health, 1043 (94%) were focused on non-communicable diseases and 70 (6%) were focused on communicable diseases. In relation to non-communicable diseases, there were 39 different subject area\u0026rsquo;s addressed. A significant proportion (n\u0026thinsp;=\u0026thinsp;354 equivalent to 33%) did not state a specific area of health they were seeking to address. Where a specific area was stated, the highest was obesity (n\u0026thinsp;=\u0026thinsp;104), followed by diet (n\u0026thinsp;=\u0026thinsp;102), smoking (n\u0026thinsp;=\u0026thinsp;61) and then air quality (n\u0026thinsp;=\u0026thinsp;53). The non-communicable health subject area\u0026rsquo;s are presented in Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e4\u003c/span\u003e below. The communicable diseases (67) included; HIV (n\u0026thinsp;=\u0026thinsp;44), TB (n\u0026thinsp;=\u0026thinsp;12), Sexual Transmitted Disease (n\u0026thinsp;=\u0026thinsp;1), Influenza, Small Pox, Typhoid and others (n\u0026thinsp;=\u0026thinsp;10)\u003c/p\u003e\n\u003cp\u003eThose relating to improving health services (n\u0026thinsp;=\u0026thinsp;501) were split across a 40 thematic areas as shown in Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e5\u003c/span\u003e below\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec10\" class=\"Section2\"\u003e\n\u003ch2\u003eType of Initiative\u003c/h2\u003e\n\u003cp\u003eThere were 6 categories of initiative identified (Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e). Education was the most frequently applied type of initiative with 26%, followed closely by service reform (23%) and change to physical environment (21%). A significant proportion (17%) either did not state the type of initiative or it was unclear. Less than a tenth (8%) described a comprehensive initiative and the smallest volume of initiatives were related to digital, data or IT (6%)\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab1\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003eType of Initiative\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCategory\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eDefinition of category\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e# of papers\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e%\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEducation / support program\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eA programme to education or support the individual(s), either patient / population or workforce. For example, the education initiative to improve healthy lifestyles with focused on school children.(31)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e414\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e26%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eService reform\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eA change or addition to a health service, ie improved patient flow redesign or additional outpatient clinic. For example, the description of Shanghai\u0026rsquo;s service reforms.(32)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e366\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e23%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eChange to physical environment\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eA change to the physical environment to change the world in which the individual interacts. For example, Los Angeles banning fast-food restaurants.(33)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e336\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e21%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eComprehensive\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eThe initiative was described as, and believed to be, a comprehensive initiative (ie more than one single initiative) and / or it contained more than one of these 6 categories. For example, the urban health strategy in Detroit.(34)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e124\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e8%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDigital / IT / Data\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eA digital or data initiative, or the use of IT more generally, to improve health or healthcare.\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e92\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e6%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNot stated / unclear\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eThere was not an initiative or if there was it was not stated in the title or abstract. For example, Taipei\u0026rsquo;s multi-channel digital risk communications to prevent the spread of a communicable disease.(35)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e282\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e17%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec11\" class=\"Section2\"\u003e\n\u003ch2\u003eHow the Initiative was Instigated\u003c/h2\u003e\n\u003cp\u003eThere were 12 categories which indicated how the initiative was instigated. Eight were predetermined ahead of data extraction, four (national or philanthropic funded, research, WHO, Stanford 5 city project) were identified during extraction. Over a third (34%) did not state how the initiative was instigated. Policy (12%), collaboration (12%), service reform (11%) and law (11%) were the next highest and quite even. It is worth noting the contribution of City Health Departments (6%), WHO Healthy Cities (5%) and national or philanthropic (5%). Only 44 (3%) referenced a Mayor as having a significant role.\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab2\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003eNumber of papers in each category.\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCategories of \u0026lsquo;how\u0026rsquo; initiative was instigated\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e# of papers\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e%\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003ePolicy\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e178\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e11%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCollaboration\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e181\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e11%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eService Reform\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e247\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e15%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLaw\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e91\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e6%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCity Health (or other) Department\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e163\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e10%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eWHO Healthy Cities\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e51\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e3%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNational or Philanthropic\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e68\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e4%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eFiscal / Financial levers\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e38\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eResearch\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e55\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e3%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eWHO (but not Healthy Cities)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e6\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eStanford 5 City Project\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e7\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNot stated\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e529\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e33%\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec12\" class=\"Section2\"\u003e\n\u003ch2\u003eLocation\u003c/h2\u003e\n\u003cp\u003eThe city in which an initiative was carried out was recorded and coded, as was the country and continent of the city. In addition the population of the city was recorded if it was started and if it was not recorded it was sought. The 1614 citations represent initiatives from 227 cities. The majority of cities were just in one paper (n\u0026thinsp;=\u0026thinsp;179 cites). New York City accounted for nearly one fifth (17% 279 of 1614) of the total papers, followed by Baltimore (51) and London (48). Collectively, these 3 cities (1% of total) account for nearly a quarter (23%) of all the citations.\u003c/p\u003e\n\u003cp\u003eThe 227 cities come from 80 countries across five continents. The USA accounts for the highest number of citations (n\u0026thinsp;=\u0026thinsp;690), significantly more than the next highest (England with 135 citations). North America accounts for 57% of all the citations.\u003c/p\u003e\n\u003cp\u003eThe populations of cities ranged from 1,465 (Stevenson, WA, USA)(36) to 23,019,196 (Shanghai, China)(32). This highlights the vast variation in population size of cities and indicates the breadth of the interpretation and definition of a city.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec13\" class=\"Section2\"\u003e\n\u003ch2\u003eOutcome of the Initiatives\u003c/h2\u003e\n\u003cp\u003eOutcome was extracted and coded into; 1) no outcome stated; 2) input or process measure; 3) positive outcome measure; or 4) negative outcome. Definition for 2) input or process measure is, for example, Feyerherm et al(37) which reported on the number of organisations that participated and carried through some subsequent action (input measure). Or, for example, Sacks and Nonas(38) who reported on the outcome of number of adults reported as eating fruit and vegetables (process measure). Definition for 3) positive outcome measure is, defined as a measure of health or a measure with a direct health benefit (eg reduced smoking, reduced obesity). For example; Duncan(39) who reported a 40% reduction in emergency department visits by high users (outcome related to healthcare). Or, Coady et al(40) who reported a 27% decrease in smokers (direct health benefit). Or Weinstein(41) that reported on reduced infant mortality. Finally, an example of a negative outcome would be De Salazar(42) who reported the initiative to reduce prevalence of cardiovascular disease in Cali (Columbia) actually increased sedentary lifestyles.\u003c/p\u003e\n\u003cp\u003eMore than half (57%) did not have an outcome recorded. Thirty four percent referenced an input or process measure. Eight percent reported an outcome measure and one percent reported a negative impact as a result of the initiative.\u003c/p\u003e\n\u003cp\u003eIt is not possible to describe all the initiatives in detail in this manuscript. Therefore, an excel file is provided with all records and data extraction and analysis is available in Appendix B. This appendix can be used as a resource for policy makers and researchers to further interrogate and build on the data.\u003c/p\u003e\n\u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eThere is growing interest in the actions that cities are taking to improve health and healthcare. This is in keeping with the increasing importance of cities in determining global population health. The earliest initiative was the House of Lords Select Committee \u003cem\u003eReport on Metropolitan Hospitals, Provident and Other Public Dispensaries and Charitable Institutions for the Sick Poor,(43)\u003c/em\u003e published in 1892. Whilst the social context and healthcare delivery have developed significantly, the issues identified in this report, including the need for co-ordination between services and unacceptable inequalities, remain as relevant today. The collective body of evidence identified in this review, built up over the last 130 years, has hitherto been poorly documented and characterised. This may in part explain why longstanding issues remain pertinent today.\u003c/p\u003e\n\u003cp\u003eEducation was the most frequently applied type of initiative (26%), with the trend increasing over time. It consistently features as one of the most reported initiatives in the last 15 years. With non-communicable diseases \u0026ndash; often referred to as \u0026lsquo;life style choices\u0026rsquo;(44, 45) - being such a high proportion (92%) of the subject areas that initiatives were seeking to address, it could be expected that education features so strongly. Education initiatives tend to be straightforward to write up and evaluate(46), which lends them towards publication. They are also commonly associated with funding(47) that requires some kind of evaluation or report, which again lends towards publication. However, in our experience, trying to change individual behaviour without changing the system or environment within which people live does not work. The term \u0026lsquo;life style \u003cspan class=\"Underline\"\u003echoices\u003c/span\u003e\u0026rsquo; is a misnomer. The reality is that we are strongly influenced by explicit and implicit prompts in our environment and those with the least resources have the least choice and are the most lectured.\u003c/p\u003e\n\u003cp\u003eChanges to the physical environment is linked with to changing the environment within which we live. It was therefore disappointing that these types of initiatives accounted for only 21% (n\u0026thinsp;=\u0026thinsp;336) of the total. It was also disappointing that only 21 of the 336 reported an outcome measure. These were addressing issues of obesity (48)\u003csup\u003e,\u003c/sup\u003e(49) smoking(50)\u003csup\u003e,\u003c/sup\u003e(51)\u003csup\u003e,\u003c/sup\u003e(52) water borne infections(53)\u003csup\u003e,\u003c/sup\u003e(54)\u003csup\u003e,\u003c/sup\u003e(55) and traffic related accidents and active travel.(56)\u003csup\u003e,\u003c/sup\u003e(57)\u003csup\u003e,\u003c/sup\u003e(58)\u003csup\u003e,\u003c/sup\u003e(59, 60) These changes to physical environment were instigated by policy or legal changes in just under half (43%) of the initiatives. In considering the balance between education and system or environmental initiatives, more focus and effort should be on system and environment to \u0026lsquo;make the healthy choice the easy choice\u0026rsquo;.\u003c/p\u003e\n\u003cp\u003eService reform (23% of the total citations) performed best on reporting an outcome measure (n\u0026thinsp;=\u0026thinsp;34). These ranged from centralising heart attack and stroke services(61)\u003csup\u003e,\u003c/sup\u003e(62) injection drug user facilities for harm reduction(63) decentralising and creating networks for care for diabetes(64) and dementia(65) to mass nicotine replacement therapy.(66) Service reform, which is defined as \u0026lsquo;a change or addition to a health service\u0026rsquo;, is akin to changes to the physical environment or system within which we live. It is also most directly linked to health services. Therefore, service reforms have a direct and clear link to any changes in outcomes. This is not to say the changes are easy or straightforward. Changing any provision of health service, particularly if controversial services or moving services further from a patient\u0026rsquo;s home, is likely to understandably attract public and political interest. Clinical leadership and genuine (public and political) engagement are key.\u003c/p\u003e\n\u003cp\u003eA relatively small number (n\u0026thinsp;=\u0026thinsp;124) of initiatives described what was believed to be a comprehensive suite of initiatives. City health departments were most notable in leading these in a diverse range of cities including New York City (USA)(67), Geelong (Australia)(68) Barcelona (Spain)(69), Taipei (Tiawan)(70) to Nizwa (Oman)(71). Coincidently, there were also 124 records that stated an outcome measure. It is striking that although a comprehensive approach only represented 8% of the total, they represent almost a quarter (23%) of the number with an outcome measure. There could be a number of reasons why outcome measures feature strongly when a comprehensive suite of initiatives is undertaken. It could be seen how a range of initiatives addressing the same subject area would be more likely to bring about a change in outcome compared to a single initiative.\u003c/p\u003e\n\u003cp\u003eCity Health Departments are strongly associated with City Mayors. However, of the 1614 citations only 44 (3%) referenced a Mayor as having any kind of role. Considering Mayors are such features of cities, this was surprising. It was also notable, in general, that initiatives across all areas appeared quite piecemeal and carried out in insolation; a single initiative linked to a single health issue or risk factor without reference to a wider strategy, aim or other supporting initiatives. This could simply be a product of the way the papers were written. Indeed, there is a neat simplicity to this approach. However, the reality of the real world is that a single initiative is unlikely to making meaningful and lasting impact on long-standing issues. Cities are a meta-system with population health dictated by multiple interactions and multidirectional feedback loops. A change to one part of the system could both result in multiple unintended consequences or no impact on outcomes at all. Improving health in cities requires multiple actions, by multiple actors, at multiple levels. No single organisation, sector or initiative can solve the complex interlinked issues. The political and system leadership across a collaboration of partners by a Mayor will be crucial. The role and impact of Mayors in city residents\u0026rsquo; health would warrant further investigation.\u003c/p\u003e\n\u003cp\u003eThe initiative itself also affected how it was instigated. It should be noted that \u0026ldquo;not stated\u0026rdquo; featured highly across all groups, ranging up to 54% in education and support and totalling 529 (33%) across all initiatives. Therefore, care should be taken with interpreting this result. The comprehensive initiatives were broadly split one fifth policy, collaboration and city health department, with 20%, 18%, 27%, respectively. Education initiatives were most associated with collaboration (15%), city health department (9%) and policy (6%). Changes made to the physical environment were strongly associated with policy (22%) and law (21%). Digital, IT and data was most commonly instigated by city health departments (21%).\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;Table 3: Type of initiative and how it was instigated\u003c/p\u003e\n\u003cp\u003e\u003cimg 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\" width=\"946\" height=\"485\"\u003e\u003c/p\u003e\n\u003cp\u003eThe majority of papers were from North America (57% of total, almost double the total of Europe) and in particular New York City which alone accounts for 17% (n\u0026thinsp;=\u0026thinsp;279) of the total, more than the entire WHO Healthy City output found. It is not clear if this is because New York City is taking significant steps to improve health and healthcare or they are publishing a lot of their work, or both. This features in the bias and limitations identified in the section below. It also highlights the opportunity for further study through a survey of city health departments to get a more complete picture of the initiatives cities are undertaking to improve population health.\u003c/p\u003e\n\u003cp\u003eThe breadth of subject areas being addressed from a number of different perspectives and the interrelated nature of the subject areas is striking. For example, diet is known to impact on obesity,(72) and cancer(73), and cardiovascular(74) disease and obesity is known to impact on cancer,(75) cardiovascular,(76) mental health(77) and mental health is known to impact on obesity.(78) Therefore, an initiative to improve diet could be an initiative to address obesity, cancer, cardiovascular disease, mental health or health generally.\u003c/p\u003e\n\u003cp\u003eThe complexity of a range of subject areas being addressed could be simplified when the major causes of chronic diseases are well known. Indeed, the four main risk factors (tobacco use; harmful alcohol use; physical inactivity and unhealthy diet) account for at least 80% of all heart disease, stroke and type 2 diabetes and 40% of cancers.(79) The authors would add a fifth risk factor; \u003cem\u003eplanetary health.\u003c/em\u003e Planetary health is widely acknowledged to be a significant risk to human health(80)\u003csup\u003e,\u003c/sup\u003e(81)\u003csup\u003e,\u003c/sup\u003e(82) particularly impacting cities.(83, 84) The health risk factors are also directly linked to planetary health factors, for example diet(85) and evidence shows polices to promote sustainable food supply can improve personal and planetary health.(86) The authors would call these \u0026lsquo;The Vital 5\u0026rsquo;. They are the 5 most important health risk factors. These \u0026lsquo;Vital 5\u0026rsquo; are most concentrated in deprived areas(87) and show the greatest increase is in low and middle income countries, even faster than has historically occurred in high income countries.(88) Therefore, action on these \u0026lsquo;Vital 5\u0026rsquo; will be action on inequalities. Every city should develop a comprehensive strategy and action plan to address these \u0026lsquo;Vital 5\u0026rsquo; of tobacco use; harmful alcohol use; physical inactivity, unhealthy diet and planetary health\u003c/p\u003e\n\u003cp\u003eThe 20th century was defined by breakthroughs in communicable diseases. Communicable diseases are certainly not eradicated, HIV(89)\u003csup\u003e,\u003c/sup\u003e(90)\u003csup\u003e,\u003c/sup\u003e(91) and TB(92)\u003csup\u003e,\u003c/sup\u003e(93)\u003csup\u003e,\u003c/sup\u003e(94) can still be seen to be particular issues in cities. The Covid-19 pandemic has also disproportionately impacted cities.(12) However, Covid-19 has also reminded us of the importance of these Vital 5. It is known that smoking,(95) alcohol,(96) poor diet,(97) physical inactivity(98) and air quality(99), all contribute to worse outcomes of Covid-19. They also contribute to other factors which have worse outcomes of Covid-19, such as high blood pressure(100) and obesity.(101) Crucially, it is also know that damaging the environment will make future pandemics more likely.(102)\u003csup\u003e,\u003c/sup\u003e(103) If cities were to focus on these Vital 5 they would be improving immediate and long term population health.\u003c/p\u003e\n\u003cp\u003eThis study has several limitations. The deliberate decision was taken to be as broad and inclusive as possible in the papers included. Mays et al(104) and Strech and Tilburt(105) identify the tension between using only academically rigorous, but therefore less, research and the inclusion of other sources of data, which increase the volume, but that are more susceptible to bias and therefore risk contaminating results. Because of the volume of papers and restrictions on time only the title and abstract were used in the data extraction. Formal quality assessment of the studies was not undertaken. Only studies in English language were included. A large volume of citations were from one city (New York City) which could introduce bias. Finally, given the heterogeneity of the study designs and data sources meta-analysis was not undertaken. They authors acknowledge that despite a comprehensive and systematic approach they may have missed relevant documentation.\u003c/p\u003e\n\u003cp\u003eThe authors believe non-communicable diseases will be \u003cem\u003ethe\u003c/em\u003e issue of the 21st century, accounting for over 40\u0026nbsp;million annual deaths globally (72% of total deaths).(106) The Vital 5; tobacco use; harmful alcohol use; physical inactivity, unhealthy diet and planetary health impact on both non-communicable diseases and the likelihood of future communicable pandemics. The progress made in the treatment and prevention of HIV from death sentence 20 years ago to entirely treatable and preventable long-term condition, plus the rapid response to Covid-19 demonstrates what could be achieved to eliminate these \u0026lsquo;Vital 5\u0026rsquo; with collective determination and resources. Cities have demonstrated they are well placed to take this action.\u003c/p\u003e"},{"header":"Conclusion And Policy Recommendations","content":"\u003cp\u003eThis global systematic scoping review provides an overview of the existing evidence of city initiatives to improve health and healthcare. Based on the findings a summary of key findings and recommended policy actions is provided below. This, with the excel file with the 1614 records and associated extracted data (Appendix B), will be a useful resource for academics and policy makers interested in improving urban health. The outputs of this systematic scoping review can be used to inform urban health policy for the next decade and shape future research. The role of Mayors and the real world understanding of the initiatives that city health departments are undertaking to improve population health warrants particular attention.\u003c/p\u003e \u003cp\u003eKey Findings and Recommended Policy Actions:\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eKey Finding\u003c/b\u003e: There is a large range of health issues and risk factors being addressed from a large number of perspectives. The overwhelming majority of the issues and initiative are addressing \u0026lsquo;non-communicable disease\u0026rsquo; risk factors that are interrelated and overlapping.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eRecommended Policy Action\u003c/b\u003e: The same level of ambition that was applied to HIV and Covid-19 should be applied to the \u0026lsquo;Vital 5\u0026rsquo; risk factors; smoking, alcohol, physical inactivity, unhealthy diet and planetary health.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eKey Finding\u003c/b\u003e: Education was the most commonly reported initiative.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eRecommended Policy Action\u003c/b\u003e: The term \u0026lsquo;lifestyle choices\u0026rsquo; is a misnomer. More focus and resource should be put on system and environmental changes to \u0026lsquo;make the healthy choice the easiest choice\u0026rsquo;\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eKey Finding\u003c/b\u003e: City health departments are making an increasing contribution in improving city population health.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eRecommended Policy Action\u003c/b\u003e: Cities should collaborate and share learning in real world experience of initiatives to improve urban health.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eKey Finding\u003c/b\u003e: The contribution of Mayors in improving health and healthcare appears to be limited\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eRecommended Policy Action\u003c/b\u003e: The role and impact of Mayors in city populations would warrant further study\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eKey Finding\u003c/b\u003e: New York City stands out with nearly one fifth (18%) of the total citations.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eRecommended Policy Action\u003c/b\u003e: Further real world research to understand and get a comprehensive view on what cities are doing to improve population health would be of value.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and material\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe data generated from this review is provided in the supplementary information files.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAD is Chair and HA the Chief Scientific Officer of the Health Security Initiative at Flagship Pioneering UK Ltd. SD has no competing interests to declare.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis manuscript received no specific funding. Infrastructure support for this research was provided by the NIHR Imperial Biomedical Research Centre (BRC).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026apos; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eConception or design of the research: SD. Data collection: SD. Data analysis and interpretation: SD, HA, AD. Drafting the article: SD, HA. Critical revision of the article: SD, HA, AD. All authors read and approved final manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe thank the members of the Healthy London Partnership (HLP)* that helped on providing a second review of titles and abstracts. These were: Patrice Donnelly, Pascale Montiel, Emily Treder, Natalia Proctor, Sarah Bowker, Claire Ruiz, Lauren Walker, Dominic Jones, Suzi Griffiths, Steve Solasta, Jess Simpson, Raman Patria, David Groom, Emile Radyte, Amy Bowkett, Helen Daly, Jess Drummond, Gabriella Baker, Martina Dalton, Andrea Priest, Tanmay Kale, Lise Hansen and Katie Horrell.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026apos; information:\u003c/strong\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eSD is Director of Population Health and Equality at Kings Health Partners and South East London Integrated Care System. He has led transformation of health and healthcare across London for over 13 years. HA is Chief Scientific Advisor at the Institute of Global Health Innovation (Imperial College London) and has led and supervised multiple research projects. AD is the Co-director at the Institute of Global Health Innovation Imperial College London. He has led many city and national reviews of health and health care.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eUnited Nations. 2018 Revision of World Urbanization Prospects 2018 [Available from: https://www.un.org/development/desa/publications/2018-revision-of-world-urbanization-prospects.html.\u003c/li\u003e\n\u003cli\u003eUnited Nations. Department of Economic and Social Affairs, Population Divi- sion (2018). The World\u0026rsquo;s Cities in 2018\u0026mdash;Data Booklet (ST/ESA/ SER.A/417). 2018.\u003c/li\u003e\n\u003cli\u003eSatterthwaite D. Will most people live in cities? BMJ (Clinical research ed). 2000;321(7269):1143-5.\u003c/li\u003e\n\u003cli\u003eHawkins A. The grey wall of China: inside the world\u0026apos;s concrete superpower. The Guardian. 2019 28 February 2019.\u003c/li\u003e\n\u003cli\u003eEllis LD, Badel AF, Chiang ML, Park RJ-Y, Chiang Y-M. 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The Lancet. 2020;395(10239):1747-9.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-public-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"pubh","sideBox":"Learn more about [BMC Public Health](http://bmcpublichealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/pubh/default.aspx","title":"BMC Public Health","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"City, Urban, Health, Transformation, Systematic","lastPublishedDoi":"10.21203/rs.3.rs-1971668/v2","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-1971668/v2","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eGlobal health will increasingly be determined by cities. Currently over half of the world\u0026rsquo;s population, over 4\u0026nbsp;billion people, live in cities. This systematic scoping review has been conducted to understand what cities are doing to improve health and healthcare for their populations.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eWe conducted a systematic search to identify literature on city-wide initiatives to improve health. The study was conducted in accordance with PRISMA and the protocol was registered with PROSPERO (CRD42020166210).\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThe search identified 42,137 original citations, yielding 1,614 papers across 227 cities meeting the inclusion criteria. The results show the majority of initiatives were targeted at non-communicable diseases. City health departments are making an increasing contribution however the role of mayors appears to be limited.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eThe collective body of evidence identified in this review, built up over the last 130 years, has hitherto been poorly documented and characterised. Cities are a meta-system with population health dictated by multiple interactions and multidirectional feedback loops. Improving health in cities requires multiple actions, by multiple actors, at every level. The authors use the term \u0026lsquo;The Vital 5\u0026rsquo;. They are the 5 most important health risk factors; tobacco use; harmful alcohol use; physical-inactivity, unhealthy diet and planetary health. These \u0026lsquo;Vital 5\u0026rsquo; are most concentrated in deprived areas and show the greatest increase is in low and middle income countries. Every city should develop a comprehensive strategy and action plan to address these \u0026lsquo;Vital 5\u0026rsquo;\u003c/p\u003e","manuscriptTitle":"Healthy City: Global Systematic Scoping Review of City Initiatives to Improve Health with Policy Recommendations","msid":"","msnumber":"","nonDraftVersions":[{"code":2,"date":"2023-02-13 22:55:34","doi":"10.21203/rs.3.rs-1971668/v2","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Major revision","date":"2023-04-11T04:25:22+00:00","index":"","fulltext":""},{"type":"reviewerAgreed","content":"","date":"2023-01-12T09:05:25+00:00","index":0,"fulltext":""},{"type":"reviewersInvited","content":"","date":"2022-12-16T16:04:40+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"BMC Public Health","date":"2022-12-16T06:27:57+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2022-11-02T05:42:58+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Public Health","date":"2022-11-01T17:40:59+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-public-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"pubh","sideBox":"Learn more about [BMC Public Health](http://bmcpublichealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/pubh/default.aspx","title":"BMC Public Health","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"df0dd551-5508-4297-9941-4b53201c7f85","owner":[],"postedDate":"February 13th, 2023","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2023-10-16T21:45:47+00:00","versionOfRecord":{"articleIdentity":"rs-1971668","link":"https://doi.org/10.1186/s12889-023-15908-0","journal":{"identity":"bmc-public-health","isVorOnly":false,"title":"BMC Public Health"},"publishedOn":"2023-07-01 21:27:19","publishedOnDateReadable":"July 1st, 2023"},"versionCreatedAt":"2023-02-13 22:55:34","video":"","vorDoi":"10.1186/s12889-023-15908-0","vorDoiUrl":"https://doi.org/10.1186/s12889-023-15908-0","workflowStages":[]},"version":"v2","identity":"rs-1971668","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-1971668","identity":"rs-1971668","version":["v2"]},"buildId":"cBFmMYwuxLRRLfASyISRj","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}