Multi-, Inter-, and Transdisciplinarity within the Public Health Workforce: A Scoping Review to Assess Definitions and Applications of Concepts

In light of the current public health challenges, calls for more inter- and transdisciplinarity in the public health workforce are increasing, particularly to respond to complex and intersecting health challenges, such as those presented by the climate crisis, emerging infectious diseases, or military conflict. Although widely used, it is unclear how the concepts of multi-, inter-, and transdisciplinarity are applied with respect to the public health workforce. We conducted a scoping review and qualitative content analysis to provide an overview of how the concepts of multi-, inter-, and transdisciplinarity are defined and applied in the academic literature about the public health workforce. Of the 1957 records identified, 324 articles were included in the review. Of those, 193, 176, and 53 mentioned the concepts of multi-, inter-, and transdisciplinarity, respectively. Overall, 44 articles provided a definition. Whilst definitions of multidisciplinarity were scarce, definitions of inter- and transdisciplinarity were more common and richer, highlighting the aim of the collaboration and the blurring and dissolution of disciplinary boundaries. A better understanding of the application of multi-, inter-, and transdisciplinarity is an important step to implementing these concepts in practice, including in institutional structures, academic curricula, and approaches in tackling public health challenges.

Selected Aspects of Sustainable Mobility Reveals Implementable Approaches and Conceivable Actions

The transportation sector plays a prominent role in driving the economy of any given nation. However, with the recent tensions arising in and around the transportation sector, sustainable mobility concepts have evolved. However, it is quite unclear whether sustainable mobility is feasible and exhibits economic returns, environmental benefits, and societal advantages. Hence, taking into account the environmental, economic, and social impact, and technical possibilities, this study intends to analyse sustainable mobility in relation to economic returns, environmental benefits and societal advantages using bibliometric analysis. For this study, we considered two decades of research, from 2001 to 2021. An in-depth search was performed on articles generated in the last two decades to assess the state of the literature on sustainable mobility. The most reverent, frequently referenced papers and influential journals in the field of sustainable mobility were identified. The acquired findings highlight the most prominent publications, journals, and authors who have made significant contributions to sustainable mobility studies, as well as the sub-areas or themes linked to sustainable mobility. Overall, the analysis discovered current paradigms, significant research topics, and a relationship between the domains of sustainable mobility studies. Meanwhile, this study also demonstrates advancements in the primary themes and sub-areas during the previous 20 years and alterations in future research fields. In addition, this study identified the promotion of rapid-reliable-safe-convenient (RRSC) transportation services, reduction in urban car traffic, and support to low transportation demand as the critical steps that require immediate attention in order to build a sustainable mobility future. We also observed that hydrogen would be a promising fuel and potential technology for the future mobility sector in the post-COVID era.

Measuring Risk Perception in Pregnant Women in Heavily Polluted Areas: A New Methodological Approach from the NEHO Birth Cohort

Risk perception (RP) evaluation during pregnancy and its relationship with lifestyles are considered useful tools for understanding communities living in high-risk areas and preventing dangerous exposure. It is well known that exposure to pollutants and less-healthy lifestyles may result in increased disease occurrence during life. Our work investigated environmental RP through ad hoc questionnaires administered to 611 mothers within the NEHO birth cohort, recruited in three heavily contaminated areas of Southern Italy. Four different RP indices, an exploratory factorial analysis (EFA), and a latent class analysis were evaluated from questionnaires. The highest values of risk perception index were observed in the Milazzo site (0.64 ± 0.16) and the lowest in the Crotone site (0.5 ± 0.18). EFA revealed four latent factors, including different items describing environmental pollution, and subjects were classified into four latent classes with different RP indices. Significant RP profiles were different among the sites (p < 0.001). Our results did not demonstrate any association between RP and lifestyles during pregnancy. Improving healthy lifestyle behaviours, particularly in polluted areas, would generate co-benefits by preventing further risk factors. As remediation interventions can take a long time, it needs to improve healthy lifestyles in residents until remediation is completed.

Physical and Sedentary Activities and Childhood Overweight/Obesity: A Cross-Sectional Study among First-Year Children of Primary Schools in Modena, Italy

Children obesity is a serious public health issue. This study aimed to investigate physical/sedentary activities of first-year primary schools children in Modena, and their association with overweight/obesity and dietary habits of children and family characteristics to identify the risk factors for unhealthy lifestyles. Child physical/sedentary activities were gathered through an anonymous questionnaire administered to parents, as well as family characteristics and weight/height of child and parents. Logistic regression models, eventually adjusted for parents' sociodemographic characteristics, were used to analyze data. Questionnaires were delivered by 660 families (74.2%), of which 72 without anthropometric data were excluded. Three out of four children spent in physical activities less than 7 h/week, while 63.9% dedicated to sedentary activities two or more hours/day. From multivariate analysis, the habit significantly affecting children's overweight/obesity was spending time on tablets/Personal Computers/mobile phones/videogames. Higher parental education level resulted in a protective factor for implementing unhealthy lifestyles in terms of time dedicated to physical/sedentary activities. Our results suggest the need of interventions to increase time for physical activity and to promote a responsible use of digital media involving the entire families to reach all parents regardless of their education and nationality with a possible relapse on other family members.

Reliability of T-WSI to Evaluate Neighborhoods Walkability and Its Changes over Time

More walkable neighborhoods are linked to increased physical activity. The Walking Suitability Index of the territory (T-WSI) is an easy method to evaluate walkability on the basis of direct observation. T-WSI provides 12 indicators divided into 4 categories (practicability, safety, urbanity, pleasantness); the weighted analysis of these indicators gives an overall score of the actual usability of the neighborhood. The aim of the study is to evaluate the ability of T-WSI’ indicators to measure, in a reliable way, any street’s walkability variations occurred over time. The investigation was performed in 2018 in nine urban neighborhoods of Rieti city. Cronbach’s α is used to evaluate internal consistency of T-WSI; Intraclass Correlation Coefficient (ICC) is used to evaluate the reproducibility of measurements (or ratings) made by different investigators. Cronbach’s α is 0.89 (± 0.02); ICC is also good (ICC = 0.89; 95% CI: 0.84–0.92). The results of the 2018 investigation are also compared with those collected in 2016 in the same districts. The results show that T-WSI is a reliable and easy to use tool, useful to measure the effectiveness of the interventions already realized at local level, but it could also contribute to making decisions to develop regeneration projects.

Walkable Urban Environments: An Ergonomic Approach of Evaluation

Background. The salutogenicity of urban environments is significantly affected by their ergonomics, i.e., by the quality of the interactions between citizens and the elements of the built environment. Measuring and modelling urban ergonomics is thus a key issue to provide urban policy makers with planning solutions to increase the well-being, usability and safety of the urban environment. However, this is a difficult task due to the complexity of the interrelations between the urban environment and human activities. The paper contributes to the definition of a generalized model of urban ergonomics and salutogenicity, focusing on walkability, by discussing the relevant parameters from the large and variegated sets proposed in the literature, by discussing the emerging model structure from a data mining process, by considering the background of the relevant functional dependency already established in the literature, and by providing evidence of the solutions’ effectiveness. The methodology is developed for a case study in central Italy, with a focus on the mobility issue, which is a catalyst to generate more salutogenic and sustainable behaviors.

Strategies for Post-COVID Cities: An Insight to Paris En Commun and Milano 2020

In recent times, many infectious diseases have been spreading at an increasing scale and frequency. There is a common agreement in the literature that our cities should be prepared in the future to react promptly to epidemics, but the way in which this preparedness should be shaped is still an open question. This study aims to introduce a series of factors that should be taken into consideration in building a working framework to define and evaluate strategies for post-COVID cities. Through the use of the mutual learning methodology, this contribution draws on the concept of the epidemic prevention area (EPA) proposed by a research team at the School of Architecture, Southeast University (SEU) in China together with the UNESCO Chair in Cultural Resource Management, as an urban responding system to the COVID-19 epidemic, extracting its main factors and comparing them with two European post-COVID urban strategies: The Paris en Commun and Milano 2020. Research findings highlight that three factors—decentralization of facilities, hierarchization of the transport system and public services, and redundancy of public and semipublic functions—appeared to be particularly relevant in post-COVID cities, to promptly face future epidemic events, while improving their quality, equity, and resilience.

Planning and Design Support Tools for Walkability: A Guide for Urban Analysts

We present a survey of operational methods for walkability analysis and evaluation, which we hold show promise as decision-support tools for sustainability-oriented planning and urban design. An initial overview of the literature revealed a subdivision of walkability studies into three main lines of research: transport and land use, urban health, and livable cities. A further selection of articles from the Scopus and Web of Science databases focused on scientific papers that deal with walkability evaluation methods and their suitability as planning and decision-support tools. This led to the definition of a taxonomy to systematize and compare the methods with regard to factors of walkability, scale of analysis, attention on profiling, aggregation methods, spatialization and sources of data used for calibration and validation. The proposed systematization aspires to offer to non-specialist but competent urban analysts a guide and an orienteering, to help them integrate walkability analysis and evaluation into their research and practice.

The Relevance of Indoor Air Quality in Hospital Settings: From an Exclusively Biological Issue to a Global Approach in the Italian Context

In the context of the architectures for health, it is an utmost priority to operate a regular and continuous updating of quality, efficacy, and efficiency’s processes. In fact, health promotion and prevention take place through a proper management and design of healing spaces, in particular with regard to the most sensitive users. In recent decades, there has been increasing attention to indoor air quality in healthcare facilities. Nowadays, this issue must involve the implementation of a series of appropriate interventions, with a global approach of prevention and reduction of risk factors on users’ health, which allows, in addition to a correct management of hospital settings, the realization of concrete actions. To date, in Italy, despite the indoor air being taken in consideration in numerous activities and studies aimed at understanding both building hygiene and environmental aspects, the greatest difficulty is strongly related to the absence of an integrated national policy. The scope of the paper is to underline the relevance of indoor air quality in hospital settings, highlighting the need of procedures, protocols, and tools for strengthening and improving interventions for health prevention, protection, and promotion of users.