Abstract:In cities, social well-being faces obstacles posed by globalization, demographic and climate change, new forms of social organization, and the fragmentation of lifestyles. These changes affect the vulnerability of city societies and impact their health-related urban well-being (UrbWellth). The conceptual model introduced in this paper systematizes the relevant variables while considering previous research, and establishes the target value UrbWellth. The model differs from existing approaches mainly in the analytical distinctions it suggests. These allow us to group the relevant urban influence variables into four sectors and enable a more general and abstract consideration of health-related urban relations. The introduction of vulnerability as a filter and transfer function acts as an effect modifier between UrbWellth and the various urban variables.

Living in cities offers many benefits and thus more and more people are living in urban areas. However, the concentration of human activities also creates environmental stressors with severe influence on people's health and well-being. Noise is an environmental stressor with known health impact. Despite this, studies investigating small-scale difference in noise exposure and annoyance are lacking. Against this background, this case study investigates environmental justice empirically, focusing on the distribution of road traffic noise and its perception in Hamburg, Germany. The study outlines a methodological approach that takes into account subjective and objective measures of exposure in small-scale residential blocks. The results show that annoyance by noise is clearly related to noise emission. Moreover, different groups are affected by noise pollution in our study area unequally. In particular, younger people and people with lower socio-economic status have higher probabilities to be affected by noise. Additionally, it emerged that participants reporting higher levels of annoyance from noise are on average younger than those feeling less annoyed. Overall, these results show that the current legal noise limits applicable to residential planning processes in German cities are not sufficient to prevent substantial annoyance effects in residential populations.

From the current perspectives of urban health and environmental justice research, health is the result of a combination of individual, social and environmental factors. Yet, there are only few attempts to determine their joint influence on health and well-being. Grounded in debates surrounding conceptual models and based on a data set compiled for the city of Hamburg, this paper aims to provide insights into the most important variables influencing urban health. Theoretically, we are primarily referring to the conceptual model of health-related urban well-being (UrbWellth), which systemizes urban influences in four sectors. The systematization of the conceptual model is empirically confirmed by a principal component analysis: the factors derived from the data correspond well with the deductively derived model. Additionally, a multiple linear regression analysis was used to identify the most important variables influencing the participant's self-rated health (SRH): rating of one's social network, rating of neighborhood air quality, rating of neighborhood health infrastructure, heat stress (day/outdoors), cold stress (night/indoors). When controlling for age, income and smoking behavior, these variables explain 12% of the variance of SRH. Thus, these results support the concept of UrbWellth empirically. Finally, the study design helped to identify hotspots with negative impact on SRH within the research areas.

Modeling the urban system for urban health and well-being with the aim of finding ways to optimize the well-being of urban dwellers is a complex task. Different modeling approaches that consider specific parts of the urban system, e.g., environmental stressors, urban society, and urban morphology, need to be integrated. The conceptual model of health-related urban well-being (UrbWellth) has been constructed to provide a structure for an integrated modeling framework. However, interfaces between the different modeling approaches were not sufficiently identified until now. The challenge to specify and operationalize these interfaces is met by using the Design Structure Matrix (DSM) concept, which is widely used in design engineering. It is used here to identify necessary interfaces within the urban system by determining the relevant interface variables and processes. The conceptual model for UrbWellth is used to construct a DSM. The results of a clustering of this UrbWellth-based DSM reveal that the structure of the conceptual model is indeed suitable to serve as a basis for an integrated model. Further, a Multi-Domain DSM (MDDSM), which is an extension of the DSM based on expert knowledge from individual modelers, identified the interface variables for the integrated model components as well as the processes for which different modeling approaches need to be coordinated. Moreover, the approach based on MDDSM identified processes that are not yet covered by the available modeling approaches.