National Academies Press: OpenBook
« Previous: Appendix C: Statement of Task of the Committee on Health Impact Assessment
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

Appendix D

Glossary

Capacity building: The process by which skills and competence are built for understanding the use for and carrying out a health impact assessment. It may include “policy seminars to sensitise senior managers and advocate change; training courses to build knowledge of method and procedure; dissemination; institutionalisation to enable self-sustaining training in institutions…;[and]case studies and research to build specialist skills.”1

Community: In the context of this report, the committee uses this term to describe “groups of people who live in the same geographical area; groups of people with a shared history, culture, language; [or] citizens for whom governments are responsible and to whom governments are accountable.”2

Comprehensive plans: “A legal document that states the goals, principles, policies, and strategies to regulate the growth and development of a particular community… The main characteristics are comprehensiveness, long-range time frame, and holistic territorial coverage. They include elements on land use, economic development, housing, circulation and transportation infrastructures, recreation and open space, community facilities, and community design, among many other possible elements.”3

_________________

1Birley, M.H. 2001. Annex 3: HIA Guidelines and capacity building. Pp. 39-56 in Health Impact Assessment. WHO/SDE/WSH/01.07. Geneva: World Health Organization [online]. Available: http://hia.anamai.moph.go.th/nwha/pdf/thai62e.pdf [accessed June 8, 2011].

2AIDA (Australian Indigenous Doctors’ Association). 2010. HIA Connect [online]. Available: http://www.hiaconnect.edu.au/reports/AIDA_HIA.pdf [accessed June 13, 2011].

3Hutchinson, E.R., ed. 2010. Pp. 304-305 in Encyclopedia of Urban Studies. Thousand Oaks, CA: Sage Publications. Examples of how comprehensive plans have addressed public health concerns can be found at http://www.planning.org/research/publichealth/pdf/surveyreport.pdf.

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

Consultation: “The dynamic process of dialogue between individuals or groups, based upon a genuine exchange of views, and normally with the objective of influencing decisions, policies, or programs of action.”4

Cost-benefit analysis: A method of considering the advantages and disadvantages of alternative policies or programs by converting all outcomes into monetary values.5

Cost-effectiveness analysis: An analysis that compares two or more policies or programs on at least two attributes, for example, costs and benefits. The analysis is done at the margin—that is, to determine the incremental cost effectiveness of one policy or program compared with another, the analyst determines the additional cost required to achieve an additional unit of benefit.6

Council on Environmental Quality: An agency in the Executive Office of the President that “coordinates federal environmental efforts and works closely with agencies and other White House offices in the development of environmental policies and initiatives. CEQ was established…by Congress as part of the National Environmental Policy Act of 1969 and additional responsibilities were provided by the Environmental Quality Improvement Act of 1970.”7

Determinants of health: Many factors contribute to the health of individuals or communities. “Whether people are healthy or not, is determined by their circumstances and environment. To a large extent, factors such as where we live, the state of our environment, genetics, our income and education level, and our relationships with friends and family all have considerable impacts on health, whereas the more commonly considered factors such as access and use of health care services often have less of an impact. The determinants of health include:

_________________

4RTPI (Royal Town Planning Institute). 2005. Guidelines on Effective Community Involvement and Consultation. Royal Town Planning Institute [online]. Available: http://www.rtpi.org.uk/download/385/Guidlelines-on-effective-communityinvolvement.pdf [accessed June 8, 2011].

5Bergus, G.R., S.B. Cantor, M.H. Ebell, T.G. Ganiats, P.P. Glasziou, M.D. Hagen, R.M. Hamm, F.H. Lawler, and J.F. Murray. 1995. A glossary of medical decision-making terms. Prim. Care 22(2):385-393.

6Bergus, G.R., S.B. Cantor, M.H. Ebell, T.G. Ganiats, P.P. Glasziou, M.D. Hagen, R.M. Hamm, F.H. Lawler, and J.F. Murray. 1995. A glossary of medical decision-making terms. Prim. Care 22(2):385-393.

7CEQ (Council on Environmental Quality). 2010. The Council on Environmental Quality – About. Council on Environmental Quality [online]. Available: http://www.whitehouse.gov/administration/eop/ceq/about [accessed Nov. 22, 2010].

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

the social and economic environment, the physical environment, and the person’s individual characteristics and behaviours.”8

Environmental assessment (EA): In the context of the National Environmental Policy Act, an environmental assessment is a public document that briefly discusses a proposed action and alternatives to it, including the need for the action and the direct, indirect, and cumulative ecologic, cultural, historical, social, or health impacts of the proposed action and the alternatives. It may be the basis for determining whether the proponent agency has a responsibility for preparing a more comprehensive environmental impact statement or whether it can execute a finding of “no significant impact.” It also aids in an agency’s compliance with the statute when an environmental impact statement is not necessary.9

Environmental impact assessment (EIA): “The process of identifying, predicting, evaluating and mitigating the biophysical, social, and other relevant effects of development proposals prior to major decisions being taken and commitments made.”10 It is a process mandated by law in countries around the world, including the United States, and is also used by multilateral development banks.

Environmental impact statement (EIS): The “detailed statement” required by the National Environmental Policy Act for proposed major federal actions “significantly affecting the quality of the human environment.”11 It is prepared prior to a federal agency making a decision on the proposed action and must include an analysis of the effects of the proposed action and reasonable alternatives to it.12

Environmental, social, and health impact assessment (ESHIA): An integrated process by which the impacts of a project on the environment, society, and the health of individuals and the surrounding community are assessed. These assessments are currently carried out more often in the oil, gas, and mining industries.13,14,15

_________________

8WHO (World Health Organization). 2011. The Determinants of Health. Health Impact Assessment. World Health Organization [online]. Available: http://www.who.int/hia/evidence/doh/en/ [accessed Feb. 10, 2011].

940 C.F.R. §1508.9.

10International Association for Impact Assessment. 1999. Principles of Environmental Impact Assessment Best Practice. International Association for Impact Assessment [online]. Available: http://www.iaia.org/publicdocuments/special-publications/Principles%20of%20IA_web.pdf [accessed Nov. 22, 2010].

1174 Fed. Reg. 63765 [2009].

1242 U.S.C. Section 4332 (1969).

13IPIECA/OGP (International Petroleum Industry Environmental Conservation Association and International Association of Oil and Gas Producers). 2007. Health Perform-

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

European Union: In 2010, the European Union (EU) had 27 member states and four applicants for membership. The EU “is not a federation like the United States. Nor is it simply an organisation for the co-operation between governments, like the United Nations. The countries that make up the EU (its ‘Member States’) remain independent sovereign nations but they pool their sovereignty…and delegate some of their decision-making powers to shared institutions.”16 “The EU’s decision-making process in general and the co-decision procedure in particular involve three main institutions: the European Parliament (EP), which represents the EU’s citizens and is directly elected by them; the Council of the European Union, which represents the individual member states; [and] the European Commission, which seeks to uphold interests of the Union as a whole.”17 The commission proposes new laws, which are debated and then adopted by the European Parliament and the council of the EU. The commission and the member states then implement the laws, and the commission ensures that the laws are properly carried out.18

Framework: A set of basic elements of a process for evaluating scientific and technical information; in the context of HIA, this process is conducted to understand the potential adverse and beneficial effects of proposed policies, plans, programs, and projects on health.

Health: “A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”19

_________________

ance Indicators: A Guide for the Oil and Gas Industry. OGP Report No. 393. International Petroleum Industry Environmental Conservation Association, and International Association of Oil and Gas Producers [online]. Available: http://www.ipieca.org/system/files/publications/HPI.pdf [accessed June 2, 2011].

14ICMM (International Council on Mining and Metals). 2010. Good Practice Guidance on Health Impact Assessment. London, UK: International Council on Mining and Metals [online]. Available: http://www.icmm.com/page/35457/good-practice-guidanceon-health-impact-assessment [accessed May 16, 2011].

15Chevron. 2011. Stakeholder Engagement. Growing Successful Partnerships. Highlights [online]. Available: http://www.chevron.com/globalissues/corporateresponsibility/2007/stakeholderengagement/#b2 [accessed Feb. 10, 2011].

16EC (The European Commission). 2010. How the EU Works. The European Commission [online]. Available: http://ec.europa.eu/ireland/about_the_eu/how_the_eu_works/index_en.htm [accessed February 11, 2011].

17EU (European Union). 2011. EU Institutions and Other Bodies. Europa [online]. Available: http://europa.eu/institutions/index_en.htm [accessed Feb. 11, 2011].

18EC (European Commission). 2007. How the European Works: Your Guide to the EU Institutions. European Commission. July 2007 [online]. Available: http://ec.europa.eu/publications/booklets/eu_glance/68/en.doc [accessed Feb. 11, 2011].

19WHO (World Health Organization). 2003. WHO Definition of Health. World Health Organization [online]. Available: http://www.who.int/about/definition/en/print.html [accessed Nov. 22, 2010].

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

Health disparities: “Systematic, plausibly avoidable health differences adversely affecting socially disadvantaged groups.”20

Health effect, health impact: In this report, these two terms are used interchangeably and defined as any change in the health of a population or subpopulation or any change in the physical, natural, or cultural environment that has a bearing on public health.

Health impact assessment: The most commonly cited definition of health impact assessment (HIA) is in the Gothenburg consensus paper:

A combination of procedures, methods and tools by which a policy, program or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population.21

Other definitions have arisen over the decades, and several examples are provided in Chapter 1, Table 1-1. As discussed in Chapter 3, the committee has chosen to adapt the International Association of Impact Assessment definition22 and define HIA as follows:

HIA is a systematic process that uses an array of data sources and analytic methods and considers input from stakeholders to determine the potential effects of a proposed policy, plan, program, or project on the health of a population and the distribution of those effects within the population. HIA provides recommendations on monitoring and managing those effects.

The committee has selected a six-step framework as the clearest way to organize and describe the critical elements of an HIA (see Chapter 3).

Screening determines whether a proposal is likely to have health effects and whether the HIA will provide information useful to the stakeholders and decision-makers.

_________________

20Braveman, P.A., S. Kumanyika, J. Fielding, T. LaVeist, L.N. Borrell, R. Manderscheid, and A. Troutman. 2011. Health disparities and health equity: The issue is justice. American Journal of Public Health [online]. Available: http://ajph.aphapublications.org/cgi/reprint/AJPH.2010.300062v1?view=long&pmid=21551385 [accessed July 6, 2011].

21WHO (World Health Organization). 1999. P. 4 in Health Impact Assessment: Main Concepts and Suggested Approach. The Gothenburg Consensus Paper. Brussels: European Centre for Health Policy, WHO Regional Office for Europe, Brussels.

22Quigley, R., L. den Broeder, P. Furu, A. Bond, B. Cave, and R. Bos. 2006. Health Impact Assessment: International Best Practice Principles. Special Publication Series No. 5. Fargo: International Association for Impact Assessment. September 2006 [online]. Available: http://www.iaia.org/publicdocuments/special-publications/SP5.pdf [accessed May 6, 2011].

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

Scoping establishes the scope of health effects that will be included in the HIA, the populations affected, the HIA team, sources of data, methods to be used, and alternatives to be considered.

Assessment involves a two-step process that first describes the baseline health status of the affected population and then assesses potential impacts.

Recommendations suggest design alternatives that could be implemented to improve health or actions that could be taken to manage the health effects, if any, that are identified.

Reporting documents and presents the findings and recommendations to stakeholders and decision-makers.

Monitoring and evaluation are variably grouped and described. Monitoring can include monitoring of the adoption and implementation of HIA recommendations or monitoring of changes in health or health determinants. Evaluation can address the process, impact, or outcomes of an HIA.

Health impact assessment (HIA) practitioner: One who conducts HIA as an individual or part of a team.

Health in all policies: “An approach that looks at all public- and private-sector policy making through a health lens, with the objective of promoting and protecting the health of the population by addressing the social and physical environment influences on health.”23

Human health risk assessment: A process used to incorporate the understanding of the health implications of exposures, often environmental, into the regulatory decision-making process. See the description of “risk assessment” for more information.

Indigenous: “An official definition of ‘indigenous’ has not been adopted by any UN-system body. Instead the system has developed a modern understanding of this term based on the following: self-identification as indigenous peoples at the individual level and accepted by the community as their member; historical continuity with pre-colonial and/or pre-settler societies; strong link to territories and surrounding natural resources; distinct social, economic or political systems;

_________________

23PHI (Public Health Institute). 2010. PHI statement on Health in all Policies Task Force, March 12, 2010 [online]. Available: http://www.phi.org/news_events/phi_statements.html [accessed Feb. 10, 2011].

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

distinct language, culture and beliefs; form non-dominant groups of society; [and] resolve to maintain and reproduce their ancestral environments and systems as distinctive peoples and communities.”24

Land-use planning: Considers a “community’s vision for future development; the policies, goals, principles, and standards upon which the development of the community are based; the proposed location, extent, and intensity of future land usage; existing and anticipated future housing needs; the location and types of transportation required; the location of public and private utilities; and the location of educational, recreational, and cultural facilities including libraries, hospitals, and fire and police stations.”25

Life-cycle assessment (LCA): “A technique to assess the environmental aspects and potential impacts associated with a product, process, or service, by: compiling an inventory of relevant energy and material inputs and environmental releases; evaluating the potential environmental impacts associated with identified inputs and releases; [and] interpreting the results to help you make a more informed decision.”26 “The major stages in [a life-cycle assessment] study are raw material acquisition, materials manufacture, production, use/reuse/maintenance, and waste management.”27

National Environmental Policy Act: A U.S. federal law that requires federal agencies in the executive branch to “integrate environmental values into their decision-making processes by considering the environmental impacts of their proposed actions and reasonable alternatives to those actions.”28 It establishes U.S. environmental policy and the Council on Environmental Quality.29

_________________

24United Nations Permanent Forum on Indigenous Issues. 2006. Indigenous Peoples and Identity. Fact Sheet 1. United Nations Permanent Forum on Indigenous Issues [online]. Available: http://www.un.org/esa/socdev/unpfii/documents/5session_factsheet1.pdf [accessed Jan. 4, 2011].

25Breslow, L. 2002. Pp. 677-678 in Encyclopedia of Public Health, Vol. 3. New York: Macmillan.

26EPA (U.S. Environmental Protection Agency). 2011. Life-Cycle Assessment (LCA). U.S. Environmental Protection Agency [online]. Available: http://www.epa.gov/nrmrl/lcaccess/ [accessed Feb. 10, 2011].

27EPA (U.S. Environmental Protection Agency). 2011. LCA 101. U.S. Environmental Protection Agency [online]. Available: http://www.epa.gov/nrmrl/lcaccess/lca101.html [accessed May 10, 2011].

28FedCenter. 2010. NEPA: General Description. FedCenter [online]. Available: http://www.fedcenter.gov/assistance/facilitytour/construction/nepa/ [accessed June 13, 2011].

2942 U.S.C. § 4321 et seq.

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

Participation: The overarching term that describes “the extent and nature of activities undertaken by those who take part in public or community involvement, [engagement, and consultation.]”30

Plan: In the context of this report, a document, often adopted by a government entity, that describes a future course of action for a community to achieve a desired vision or goal. A plan typically describes the vision and goals of a community or a problem that must be solved, includes a systematic synthesis of available information to analyze the problem, and identifies future actions that must be taken and future investments that must be made to address the stated problem and achieve the desired vision. Plans are prepared and implemented by all levels of government but are especially common at local government levels. Plans include general or comprehensive plans, land-use plans, economic-development plans, and transportation plans. Plans that are commonly subjected to health impact assessment include plans for land use, infrastructure, and natural-resource management.

Policy: Generally, “an agreement or consensus on a range of issues, goals and objectives which need to be addressed….For example, ‘Saving Lives: Our Healthier Nation’ can be seen as a national health policy aimed at improving the health of the population of England, reducing health inequalities and setting objectives and targets which can be used to monitor progress towards the policy’s overall goal or aims.”31 In the committee’s report, the use of the term is extended to refer to anything other than land-use plans or development and infrastructure projects. In this context, policy includes formal and informal social rules, including legislation, regulation, budgets, guidelines, and practices.

Program: “Usually refers to a group of activities which are designed to be implemented in order to reach policy objectives…. For example, many Single Regeneration Budget programmes and New Deal for Communities initiatives have a range of themes within their programmes—often including health, community safety (crime), education, employment and housing—and within these themes

_________________

30RTPI (Royal Town Planning Institute). 2005. Guidelines on Effective Community Involvement and Consultation. Royal Town Planning Institute [online]. Available: http://www.rtpi.org.uk/download/385/Guidlelines-on-effective-community-involvement.pdf [accessed June 8, 2011].

31WHO (World Health Organization). 2011. Health Impact Assessment (HIA) Glossary of Terms Used [online]. Available: http://www.who.int/hia/about/glos/en/index1.html [accessed Feb. 11, 2011].

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

are a number of specific projects which, together, make up the overall programme.”32

Project: “Usually a discrete piece of work addressing a single population group or health determinant, usually with a pre-set time limit.”33 “Usually (but not always), the term refers to ‘bricks and mortar’ projects involving construction of a discrete structure or group of structures, such as a power plant, highway, or housing development.”34

Public (or community) engagement: Action taken to begin to “establish effective relationships with individuals or groups so that more specific interactions can then take place.”35

Public health: The Institute of Medicine has defined public health as “what we, as a society, do collectively to assure the conditions in which people can be healthy.”36 However, the term used in the present report refers more generally to the health of the public. This use is synonymous with the emerging term population health.37 Implicit in both terms is the notion that health is affected by a wide array of factors that range from the societal to the biologic.

Public (or community) involvement: “Effective interactions between planners, decision-makers, individual and representative stakeholders to identify issues and to exchange views on a continuous basis.”38

_________________

32WHO (World Health Organization). 2011. Health Impact Assessment (HIA) Glossary of Terms Used [online]. Available: http://www.who.int/hia/about/glos/en/index1.html [accessed Feb. 11, 2011].

33WHO (World Health Organization). 2011. Health Impact Assessment (HIA) Glossary of Terms Used [online]. Available: http://www.who.int/hia/about/glos/en/index1.html [accessed Feb. 11, 2011].

34UCLA HI-CLIC (University of California, Los Angeles-Health Impact Assessment Clearinghouse Learning and Information Center). 2011. Glossary [online]. Available: http://www.hiaguide.org/glossary [accessed Feb. 11, 2011].

35RTPI (Royal Town Planning Institute). 2005. Guidelines on Effective Community Involvement and Consultation. Royal Town Planning Institute [online]. Available: http://www.rtpi.org.uk/download/385/Guidlelines-on-effective-communityinvolvement.pdf [accessed June 8, 2011].

36IOM (Institute of Medicine). 1988. The Future of Public Health. Washington, DC: National Academy Press.

37Kindig, D.A. 2007. Understanding population health terminology. Milbank. Q 85 (1):139-161.

38RTPI (Royal Town Planning Institute). 2005. Guidelines on Effective Community Involvement and Consultation. Royal Town Planning Institute [online]. Available: http://www.rtpi.org.uk/download/385/Guidlelines-on-effective-community-involvement.pdf [accessed June 8, 2011].

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

Risk assessment: Traditionally, risk assessment is defined as “the characterization of the potential adverse health effects of human exposures to environmental hazards.” Risk assessment can be divided into four major steps: hazard identification (“the process of determining whether exposure to an agent can cause an increase in the incidence of a health condition”), dose-response assessment (“the process of characterizing the relation between the dose of an agent administered or received and the incidence of an adverse health effect in exposed populations and estimating the incidence of effect as a function of human exposure to the agent”), exposure assessment (“the process of measuring or estimating the intensity, frequency, and duration of human exposures to an agent”), and risk characterization (“the process of estimating the incidence of a health effect under the various conditions of human exposure described in exposure assessment”).39

Stakeholder: Any individual or group that will be affected by the outcome of a decision. Stakeholders may include the affected community or specific interest groups, individuals, or organizations that have an economic stake in the outcome and the proponents of a project.40

State environmental policy act: Legislation that “provides a way to identify possible environmental impacts that may result from governmental decisions [at the state-level]. These decisions may be related to issuing permits for private projects, constructing public facilities, or adopting regulations, policies or plans.”41 Several states have state environmental policy acts, including California, Connecticut, North Carolina, Washington, and Wisconsin.

Strategic environmental assessment (SEA): “A systematic and anticipatory process, undertaken to analyze the environmental effects of proposed government plans, programmes and other strategies, and to integrate the findings into decision-making. It involves the public and environmental and health authorities, giving them a say in government planning: the responsible authority has to arrange for informing the public and consulting the public concerned, and the decision-maker has to take due account of comments received from the public and from the environmental and health authorities. Such assessments are most commonly carried out for land-use planning at various levels of government, but

_________________

39NRC (National Research Council). 1983. Risk Assessment in the Federal Government: Managing the Process. Washington, DC: National Academy Press.

40Mindell, J., E. Ison, and M. Joffe. 2003. A glossary for health impact assessment. J. Epidemiol. Community Health. 57(9):674-651.

41Washington State Department of Ecology. 2002. Washington State Environmental Policy Act. Publication No. 02-06-013. FOCUS Sheet May 2002 [online]. Available: http://www.ecy.wa.gov/pubs/0206013.pdf [accessed Mar. 22, 2011].

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×

are also applied to other sectoral plans, such as for energy, water, waste, transport, agriculture and industry.”42

Tribal environmental policy act: A model act that would establish an environmental impact assessment for actions proposed by tribal governments in the United States.43

Zoning ordinance (or bylaws): “Legislative regulations by which a municipal government seeks to control the use of buildings and land within the municipality. It has become, in the United States, a widespread method of controlling urban and suburban construction and removing congestion and other defects of existing plans.”44

_________________

42UNECE (United Nations Economic Commission for Europe). 2010. New International Treaty to Better Integrate Environmental and Health Concerns into Political Decision-Making. United Nations Economic Commission for Europe. July 6, 2010[online]. Available: http://www.unece.org/press/pr2010/10env_p22e.htm [accessed Jan. 3, 2011].

43The Tulalip Tribes of Washington. 2000. Participating in the National Environmental Policy Act: Developing a Tribal Environmental Policy Act. A Comprehensive Guide for American Indian and Alaska Native Communities. The Tulalip Tribes of Washington [online]. Available: http://www.tulalip.nsn.us/pdf.docs/Tribal_EA_Handbook.pdf [accessed Nov. 22, 2010].

44Columbia University. 2007. The Columbia Electronic Encyclopedia, 6th Ed. New York: Columbia University Press.

Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 185
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 186
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 187
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 188
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 189
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 190
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 191
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 192
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 193
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 194
Suggested Citation:"Appendix D: Glossary." National Research Council. 2011. Improving Health in the United States: The Role of Health Impact Assessment. Washington, DC: The National Academies Press. doi: 10.17226/13229.
×
Page 195
Next: Appendix E: Summary of Health Impact Assessment Guides »
Improving Health in the United States: The Role of Health Impact Assessment Get This Book
×
Buy Paperback | $39.00 Buy Ebook | $31.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

Factoring health and related costs into decision making is essential to confronting the nation's health problems and enhancing public well-being. Some policies and programs historically not recognized as relating to health are believed or known to have important health consequences. For example, public health has been linked to an array of policies that determine the quality and location of housing, availability of public transportation, land use and street connectivity, agricultural practices and the availability of various types of food, and development and location of businesses and industry.

Improving Health in the United States: The Role of Health Impact Assessment offers guidance to officials in the public and private sectors on conducting HIAs to evaluate public health consequences of proposed decisions -- such as those to build a major roadway, plan a city's growth, or develop national agricultural policies -- and suggests actions that could minimize adverse health impacts and optimize beneficial ones.

Several approaches could be used to incorporate aspects of health into decision making, but HIA holds particular promise because of its applicability to a broad array of programs, consideration of both adverse and beneficial health effects, ability to consider and incorporate various types of evidence, and engagement of communities and stakeholders in a deliberative process. The report notes that HIA should not be assumed to be the best approach to every health policy question but rather should be seen as part of a spectrum of public health and policy-oriented approaches.

The report presents a six-step framework for conducting HIA of proposed policies, programs, plans, and projects at federal, state, tribal, and local levels, including within the private sector. In addition, the report identifies several challenges to the successful use of HIA, such as balancing the need to provide timely information with the realities of varying data quality, producing quantitative estimates of health effects, and engaging stakeholders.

  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

    « Back Next »
  6. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  7. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  8. ×

    View our suggested citation for this chapter.

    « Back Next »
  9. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!