Mapping urban health policies: A scoping review of environmental, behavioural and socioeconomic determinants of health

Researchers have consistently shown that determinants of health—factors beyond healthcare, including the built environment and socioeconomic conditions— significantly impact health outcomes. This understanding has led to a growing trend in recent decades towards policy discourse that links determinants of health with health outcomes. However, the scientific community’s access to these policies in a structured and systematised manner remains limited. The importance of this gap cannot be overstated, as information about which determinants of health are discussed and prioritised in policy agendas is spread across various documents from different organisations, making it difficult to address relevant policy questions promptly. A scoping review of urban health policies was conducted following JBI guidelines to bridge this gap. The aim was to create a structured framework that outlines the environmental, behavioural, and socioeconomic determinants of health included in policy agendas, as well as how they are understood and prioritised, their relationships with each other and with health outcomes, and how they vary across different geographic and governance levels. Using content analysis methods, 128 policy documents from intergovernmental, national, regional, and local governance levels were analysed, covering the World and European region and the cities of London, Lisbon, and Copenhagen from 2010 to 2022. The review identified 83 determinants of health employed in policy discourse, categorising them into nine priority themes: healthy diet; drug, alcohol, and tobacco; social cohesion; physical activity; safety; active travel; natural and open spaces; environmental exposures; and basic services. These determinants of health were organised in a structured framework to illustrate their perceived relationships with each other, the priority themes, and health outcomes, as well as their prioritisation in policy discourse based on their frequency of use in urban health policy. This review represents the first comprehensive scope of how determinants of health are employed in policy discourse…