The intricate interplay between urban design, health, and equity has emerged as a critical focal point in pursuit of the United Nations Sustainable Development Goal 11, which seeks to make cities inclu¬sive, safe, resilient, and sustainable. It reflects an increasing aware¬ness of the social determinants of health – a term encapsulating the socioeconomic variables that shape an individual’s living and working conditions. In other words, a person’s-built environment (the human-made surroundings within which people live and work) can either support or detract from their health. This relationship is underscored by the impact of urban design on equity.

With Canada now 80% urbanized, it is not surprising that cities and urban centers have emerged as a primary arena for addressing current health challenges and safeguarding the wellbeing of residents. Therefore, by recognizing the relationship between urban design and health provides an opportunity to address gaps that contribute to health inequities. However, not all municipal actors and urban design professionals readily acknowledge their pivotal role in improving population health. To understand how key municipal policy- and decision-makers view the relationship between health and urban design, our team used the City of Regina as a case study.

We interviewed 30 municipal actors from various roles and educational backgrounds within Regina’s municipal government. These interviews were analyzed using qualitative research methods and the findings were used to inform this policy paper. We identified three key categories of barriers to integrating health and equity into urban design policies: constrained policy-making environment, societal and cultural factors, and competing interests of stakeholders.