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For instance, while the Healthy Cities movement, one of the most important movements to operationalise the settings approach, has been successful in raising awareness about the role of cities in shaping health outcomes (Galea and Vlahov 2005), the movement as a whole has been slow to move beyond treating settings (workplaces, schools, neighbourhoods) as containers or venues for delivering health promotion programming, otherwise known as health promotion in settings. Instead, however, the settings approach was intended to directly address the aspects of settings that influence health outcomes and behaviours (health-promoting settings) (Masuda et al.

Perdue, L. (2009). Neighborhood environment in studies of health of older adults: A systematic review. American Journal of Preventive Medicine, 37(5), 455–463. Chapter 3 Area Effects on Behaviour and Lifestyle: The Spatiality of Injustice Katherine L. Frohlich Introduction In 1993 David Mechanic, American medical sociologist, wrote the following in an article published in the journal Social Science and Medicine: …there is little appreciation of the extent to which life imperatives and social opportunities and constraints either enhance or inhibit harmful personal behaviours.

N. (2001). Neighborhood effects on health: Exploring the links and assessing the evidence. Journal of Urban Affairs, 23(3–4), 391–408. Esping-Andersen, G. (1990). The three worlds of welfare capitalism. London: Polity. , & Spears, W. (2003). Contributions of social context to inequalities in years of life lost to heart disease in Texas, USA. Social Science & Medicine, 57(10), 1847–1861. , van Lenthe, F. , & Mackenbach, J. P. (2006). Smokers living in deprived areas are less likely to quit: A longitudinal follow-up.

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