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The emergence of a modern paradigm for urban health

2025· article· en· W4414854921 on OpenAlexaff
Marcus Grant, Evelyne de Leeuw, Waleska Teixeira Caiaffa, Jo Ivey Boufford, Carlos Dora, Susan Parnell

Bibliographic record

VenueF1000Research · 2025
Typearticle
Languageen
FieldEnvironmental Science
TopicClimate Change and Health Impacts
Canadian institutionsUniversité de Montréal
Fundersnot available
KeywordsPopulation healthHealth policyHealth careDisciplineUrban planningPopulationConceptual frameworkPublic health

Abstract

fetched live from OpenAlex

The importance of urban health in achieving population and planetary health goals is increasingly recognized. Cities offer important opportunities to improve health and wellbeing while also presenting significant challenges. As our understanding of, and evidence, for the importance of determinants of health beyond health care have grown, the need for urban health policies and actions that transcend disciplinary and sectoral boundaries and involve multiple stakeholders in urban decision-making has become clearer. Current urban health practice builds on decades of conceptual and operational work. This paper traces the evolution of the urban health paradigm through research, policy and practice in recent decades. We suggest that, despite the proven utility of urban health as a paradigm and its conceptual and practical evolution for effective urban health governance, significant challenges remain, especially related to implementing the systems approaches needed to improve health and wellbeing amidst the complexity of urban dynamics.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Direct model labels (unvalidated)

Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.

Model armCategoriesStudy designConfidence
gemmano category
Domain: not available · Genre: Review
About the Canadian research system: no · About a Canadian topic: no
Theoretical or conceptualhigh
gptno category
Domain: not available · Genre: Review
About the Canadian research system: no · About a Canadian topic: no
Theoretical or conceptualmedium
models agreeAgreement compares identical category sets and study designs across arms.

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.009
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.016
Threshold uncertainty score0.115

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0140.009
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.002
Science and technology studies0.0060.073
Scholarly communication0.0130.015
Open science0.0030.010
Research integrity0.0070.010
Insufficient payload (model declined to judge)0.0100.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.124
GPT teacher head0.441
Teacher spread0.317 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Labeled directly by 2 models reading the full record.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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