Streets and Sidewalks Should Be Used To Improve Our Health

Streets and sidewalks take up 25 to 50 percent of a typical U.S. city’s land. New York City, for example, is on the lower end of that scale at 28 percent and Chicago (42 percent), Washington D.C. (43) and Portland, Oregon (47) are at the higher end.

This, believe it or not, presents a huge opportunity for us to address mental health through urban design. Streets and sidewalks represent space that’s largely under control of our city governments. In most cases our local departments of transportation. That means we can do something about it. Now.

Do our local DOTs think of themselves as being in the mental-health business? Likely not. At least not yet.

Take a quick snapshot of some of the existing research, much of it brought to light by The Happy City author Charles Montgomery, on what car-dependent, dispersed, and disconnected places do to our health:

They are bad for our physical health. They add unhealthy pounds to our bodies. They make us more likely to have heart and respiratory issues. They shorten our lives.

Their streets are made for cars and made to speed the cars through. This is unsafe not just for those who bike and walk but for those who drive too.

They cause us more stress. That stress exacerbates physical and mental-health issues.

They make us, especially those of us with longer car commutes, especially to the exurbs, more likely to experience rage, fear, depression and even get divorced, than people who walk, bike, or use transit to get to work.

They make us feel isolated and less connected to one another, which causes us to feel less trusting, and ultimately less happy.

So what can DOTs do about all this horrible news? Lots, especially by thinking creatively and fixing our broken infrastructure one street at a time.


Streets and transport for people means prioritizing people who walk over cars. It looks like skinny streets that are nine or 10 feet instead of the standard 12 feet per lane. Two-way not one-way streets. Narrow crosswalks. Mid-block crosswalks. Shortcuts. Paths. Places to rest and for refuge.


Streets and transport for people means prioritizing people who bike over cars. It looks like not just bike lanes, but protected bikeways like 15th, L, and M streets in Washington D.C. But we can’t settle for isolated projects. We need whole networks like in European cities. It means bikeshare, because bikeshare is a gateway to more biking. More people on bikes makes it safer for all. It means taking car parking and converting it to Portland-style bike-corral parking in retail areas.


Streets and transport for people means prioritizing people who use transit over cars. It looks like we care about people who use transit because we provide amenities like benches and shelters. Real-time arrival signs. Maps. It means painting the streets red and making them for buses only.


Streets for people means prioritizing people who want to shop, eat, sit, chat, socialize, and watch each other rather than prioritizing cars. It looks like the parklets made from parking spaces in San Francisco or the dozens of reclaimed streets turned into pedestrian plazas with benches and tables and chairs in New York City. It means promoting food trucks and pop-up retail.

If your city speaks of “balancing transportation choices” rather than prioritizing walking, biking, and transit, it’s still car centered.

If we make our streets more people centered, and if we help make it easy for more people to walk, bike, and take transit, our cities will be more green. More prosperous. More physically healthy. And yes, more mentally healthy.

As former New York City Transportation Commissioner Janette Sadik-Kahn said: “Streets are some of the most valuable resources that a city has, and yet it’s an asset that’s largely hidden in plain sight.”

This article is based off my July 7, 2015 presentation from the recent launch event for the Center for Urban Design and Mental Health in Washington D.C. at the British Embassy.

Main photo by Dylan Passmore. Bike-lane photo by Paul Krueger.
– Cross posted and originally posted on Mobility Lab on July 9, 2015. See more at: http://mobilitylab.org/2015/07/09/streets-and-sidewalks-should-be-used-to-improve-our-health/#sthash.SxD8NeRA.dpuf

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