Sprawl On: Suburbs Top the Hierarchy of Healthy Places

A new finding by Univ. of Wisconsin Population Health Institute reveals that when the health variable is isolated, suburban living beats living in the city and in rural areas.

2 minute read

July 12, 2011, 2:00 PM PDT

By Jeff Jamawat


The County Health Rankings (CHR) measured four types of health factor: (1) health behaviors of residents; (2) access and quality of clinical care; (3) various socio-economic elements, such as household income and education attainment; and (4) overall quality of physical environment. The Wall Street Journal columnist Melinda Beck broaches the research results at the video accessible at the source link below.

On suburbia living: "In many measures, residents of suburban areas are the best off. They generally rate their own health the highest and have the fewest premature deaths than either their urban or rural counterparts. Suburbanites also have the fewest low-birth-weight babies, homicides and sexually transmitted diseases."

On city living: "[C]ity dwellers live with more air pollution and violent crime. They also have higher rates of sexually transmitted diseases and low-birth-weight babies and are more likely to drink excessively. But overall, urbanites tend to rate their own health more highly and are less likely to die prematurely than rural Americans."

On rural living: "Rural residents are now more likely than other Americans to be obese, sedentary and smoke cigarettes. They also face higher rates of related health problems including diabetes, stroke, heart attacks and high blood pressure. [...] About 25% of the U.S. population lives in rural areas, but they are served by only 10% of the country's physicians. They are also less likely to have private health insurance, prescription drug coverage or be covered by Medicaid."

Tuesday, July 12, 2011 in The Wall Street Journal

portrait of professional woman

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban Planner

Cover CM Credits, Earn Certificates, Push Your Career Forward

Logo for Planetizen Federal Action Tracker with black and white image of U.S. Capitol with water ripple overlay.

Planetizen Federal Action Tracker

A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

June 4, 2025 - Diana Ionescu

Metrorail train pulling into newly opened subterranean station in Washington, D.C. with crowd on platform taking photos.

Congressman Proposes Bill to Rename DC Metro “Trump Train”

The Make Autorail Great Again Act would withhold federal funding to the system until the Washington Metropolitan Area Transit Authority (WMATA), rebrands as the Washington Metropolitan Authority for Greater Access (WMAGA).

June 2, 2025 - The Hill

White and yellow DART light rail train in Dallas, Texas with brick building in background.

DARTSpace Platform Streamlines Dallas TOD Application Process

The Dallas transit agency hopes a shorter permitting timeline will boost transit-oriented development around rail stations.

May 28, 2025 - Mass Transit

Group of five people sitting on blanket in park on sunny day having picnic.

Parks: Essential Community Infrastructure — and a Smart Investment

Even during times of budget constraint, continued investment in parks is critical, as they provide proven benefits to public health, safety, climate resilience, and community well-being — particularly for under-resourced communities.

June 10 - National Recreation and Park Association Open Space Blog

Close-up on older woman holding contented looking cat on her lap.

Porches, Pets, and the People We Grow Old With

Neighborhood connections and animal companions matter to aging with dignity, and how we build can support them. Here’s a human-scale proposal for aging in place.

June 10 - Shelterforce Magazine

Concrete staircase next to elevator in bright building with large windows.

Single-Stair Design Contest Envisions Human-Scale Buildings

Single-stair building construction is having a resurgence in the United States, where, for the last several decades, zoning codes have required more than one staircase in multi-story housing developments.

June 10 - Congress For New Urbanism

Urban Design for Planners 1: Software Tools

This six-course series explores essential urban design concepts using open source software and equips planners with the tools they need to participate fully in the urban design process.

Planning for Universal Design

Learn the tools for implementing Universal Design in planning regulations.