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Evidence Tools
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Strategy. Zoning Regulations for Land Use Policy

Approach. Use zoning regulations and land use policies to create and improve local environmental design and increase physical activity

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Overview. Zoning regulations for land use policy include zoning and building codes and other governmental policies and efforts to shape building practices which change the physical environment of cities, towns, and counties. Zoning regulation reforms remove requirements, limitations, or prohibitions associated with exclusionary zoning codes and implement zoning codes which include a focus on building forms and types in the context of the neighborhood.[1, 2] Such regulations often address surrounding design elements such as aesthetic and safety aspects of the physical environment, street continuity and connectivity, residential density, mixed-use development, and the proximity of residential areas to stores, jobs, schools, and recreation in existing neighborhood developments. Efforts to update or revise zoning regulations are often precursors to mixed-use development and Smart Growth initiatives.[3]

Evidence. Scientifically Rigorous Evidence. Strategies based on scientifically rigorous evidence are proven effective across multiple robust studies. While success is highly likely, local impact may vary. Monitor outcomes and use data to tailor these strategies to the community's unique needs.

Access the peer-reviewed evidence through the MCH Digital Library or related evidence source.

Potential Data Sources. Data to support this strategy can be accessed through:

  • Building permit and development applications records
  • Meeting minutes and public hearing records from planning commissions
  • Staff reports from planning departments

Outcome Components. This strategy has shown to have impact on the following outcomes (Read more about these categories):

  • Environmental Health. This strategy improves the impact of physical, chemical, and biological factors in the environment on health.
  • Health and Health Behaviors/Behavior Change. This strategy improves individuals' physical and mental health and their adoption of healthy behaviors (e.g., healthy eating, physical activity).

Detailed Outcomes. For specific outcomes related to each study supporting this strategy, access the peer-reviewed evidence and read the Intervention Results for each study.

Intervention Type. Policy Development and Enforcement (Read more about intervention types and levels as defined by the Public Health Intervention Wheel).

Intervention Level. Community-Focused

Examples from the Field. Access descriptions of ESMs that use this strategy or aligned components.

Sample ESMs. Here are sample ESMs to use as models for your own measures using the RBA framework (see The Role of Title V in Adapting Strategies).

Quadrant 1:
Measuring Quantity of Effort
(“What/how much did we do?”)

  • Number of zoning code reviews conducted with a focus on physical activity promotion. (Assesses adherence to best practices in urban planning)
  • Number of community engagement sessions held in neighborhoods to gather input on zoning changes. (Measures authentic engagement of populations of focus)

Quadrant 2:
Measuring Quality of Effort
(“How well did we do it?”)

  • Percent of zoning reform proposals that incorporate principles of active living and universal design. (Measures alignment with evidence-based approaches)
  • Percent of zoning committee members who complete training on urban planning. (Evaluates capacity building for focused decision-making)

Quadrant 3:
Measuring Quantity of Effect
(“Is anyone better off?”)

  • Number of joint training sessions held for urban planners and public health professionals on health-promoting zoning. (Shows cross-sector capacity building)
  • Number of existing city plans updated to integrate new zoning regulations for physical activity promotion. (Measures integration into broader planning efforts)
  • Number of new mixed-use developments approved in areas previously zoned for single-use. (Quantifies tangible changes in land use patterns)
  • Number of additional miles of sidewalks and bike lanes resulting from zoning changes. (Measures impact on active transportation infrastructure)

Quadrant 4:
Measuring Quality of Effect
(“How are they better off?”)

  • Percent of zoning reform resources allocated to neighborhoods with limited physical activity opportunities. (Measures strategic deployment of resources)
  • Percent of joint training sessions held for urban planners and public health professionals on health-promoting zoning. (Shows cross-sector capacity building)
  • Percent increase in physical activity levels among residents in areas with implemented zoning reforms, disaggregated by key characteristics. (Directly evaluates behavior change across subgroups)
  • Percent reduction in gaps in access to walkable environments between neighborhoods with differing income levels. (Measures improvements in environmental access)

Note. When looking at your ESMs, SPMs, or other strategies:

  1. Move from measuring quantity to quality.
  2. Move from measuring effort to effect.
  3. Quadrant 1 strategies should be used sparingly, when no other data exists.
  4. The most effective measurement combines strategies in all levels, with most in Quadrants 2 and 4.

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.

References

1 Rosenbloom J. Reducing racial bias embedded in land use codes. CityLaw. New York Law School, Center for New York City Law. 2020;26(3):57-64. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3728927

2 Garde A, Hoff A. Zoning reform for advancing sustainability: insights from Denver’s form-based code. Journal of Urban Design. 2017;22(6):845-865. https://www.tandfonline.com/doi/abs/10.1080/13574809.2017.1337495?journalCode=cjud20

3 US EPA-SG codes - US Environmental Protection Agency (US EPA). Smart Growth (SG): Codes that support Smart Growth development. https://www.epa.gov/smartgrowth/codes-support-smart-growth-development

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.