Municipal officials' perspectives on challenges and opportunities in shaping urban built environments for active living in Thailand: a qualitative study.

IF 6.1 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Thitikorn Topothai, Chompoonut Topothai, Nicholas Alexander Petrunoff, Viroj Tangcharoensathien, Rapeepong Suphanchaimat, Falk Müller-Riemenschneider
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引用次数: 0

Abstract

Introduction: Municipalities play a critical role in shaping built environments that support active living, yet little is known about how municipal officials interpret these agendas, implement them or balance them with competing policy demands. This study explores how municipal officials in urban Thailand perceive and implement built environment strategies, manage constraints and identify opportunities to promote active living.

Methods: We conducted a qualitative study using semistructured interviews with 27 informants: eight elected officials, 15 senior appointed officials and four technical staff from seven municipalities across Thailand. Municipalities were purposively selected to reflect variation in geography across seven regions and administrative levels, including metropolitan, city and town contexts. Thematic analysis combined deductive coding based on policy-related topics such as roles, coordination and governance challenges with inductive coding to identify emergent themes.

Results: Three themes emerged. First, municipal officials commonly viewed the built environment through a recreational lens, prioritising parks and leisure spaces for their visibility, popularity and alignment with community expectations. Planning was influenced by leadership preferences and external models. Second, implementation was hindered by institutional fragmentation, overlapping mandates, weak cross-sector coordination and contextual factors such as complex land use, unregulated street activity, motorcycle-dominated mobility and political sensitivities. These challenges were more pronounced in smaller municipalities with limited technical capacity. Third, enabling factors included strengthened decentralisation, national incentives (eg, additional floor area near transit hubs), partnerships to repurpose underused spaces, digital tools such as mobile apps for responsive service delivery, adaptive leadership for public communication and leveraging local assets to support inclusive, context-sensitive development.

Conclusion: In urban Thailand, municipal strategies for active living continue to emphasise recreation over mobility. Implementation remains constrained by institutional and contextual challenges. Advancing more inclusive and responsive environments will require stronger governance, supported by decentralisation, community partnerships, digital tools, local assets and adaptive leadership.

Abstract Image

泰国市政官员对塑造积极生活城市建筑环境的挑战和机遇的看法:一项定性研究。
导读:市政当局在塑造支持积极生活的建筑环境方面发挥着关键作用,但人们对市政官员如何解释、实施这些议程或如何在相互竞争的政策需求之间取得平衡知之甚少。本研究探讨了泰国城市的市政官员如何感知和实施建筑环境战略,管理约束和识别促进积极生活的机会。方法:我们通过半结构化访谈对27名举报人进行了定性研究:8名民选官员,15名高级任命官员和4名来自泰国7个城市的技术人员。有目的地选择市政当局,以反映七个地区和行政级别的地理差异,包括大都市、城市和城镇背景。主题分析将基于政策相关主题(如角色、协调和治理挑战)的演绎编码与归纳编码相结合,以识别紧急主题。结果:出现了三个主题。首先,市政官员通常通过娱乐的视角来看待建筑环境,优先考虑公园和休闲空间的可见性、受欢迎程度和与社区期望的一致性。规划受领导偏好和外部模型的影响。第二,机构分散、任务重叠、跨部门协调薄弱以及诸如复杂的土地使用、不受管制的街头活动、摩托车主导的流动性和政治敏感性等环境因素阻碍了执行工作。这些挑战在技术能力有限的小城市更为明显。第三,促成因素包括加强权力下放、国家激励措施(例如,在交通枢纽附近增加建筑面积)、合作重新利用未充分利用的空间、移动应用程序等数字工具以提供响应式服务、公共沟通的适应性领导以及利用地方资产支持包容性、因地制宜的发展。结论:在泰国城市,积极生活的市政策略继续强调娱乐而不是流动性。实施工作仍然受到体制和环境挑战的制约。推动更具包容性和响应性的环境需要加强治理,并辅以权力下放、社区伙伴关系、数字工具、地方资产和适应性领导。
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来源期刊
BMJ Global Health
BMJ Global Health Medicine-Health Policy
CiteScore
11.40
自引率
4.90%
发文量
429
审稿时长
18 weeks
期刊介绍: BMJ Global Health is an online Open Access journal from BMJ that focuses on publishing high-quality peer-reviewed content pertinent to individuals engaged in global health, including policy makers, funders, researchers, clinicians, and frontline healthcare workers. The journal encompasses all facets of global health, with a special emphasis on submissions addressing underfunded areas such as non-communicable diseases (NCDs). It welcomes research across all study phases and designs, from study protocols to phase I trials to meta-analyses, including small or specialized studies. The journal also encourages opinionated discussions on controversial topics.
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