A Brief History of Health Impact Assessment in the United States

  title={A Brief History of Health Impact Assessment in the United States},
  author={Andrew L. Dannenberg},
In recent decades, several factors have contributed to the increasing use of health impact assessment (HIA) in the United States. Initially in California and subsequently in other states, communities that have been traditionally disenfranchised began seeing HIA as an opportunity to address the issues impacting their lives and to increase their ability to participate in decision-making processes about those issues. Second, public health professionals began to better understand the links between… Expand

Figures from this paper

Trends in the implementation of health impact assessments in the United States: exploring the role of educational attainment, poverty, and government ideology
Health impact assessment (HIA) is a systematic tool for policy-makers to identify the potential health effects of proposed new laws and programs. We examined HIA implementation trends from 2007 toExpand
Building Healthy Community Environments: A Public Health Approach
A conceptual framework is presented that represents a shift from compartmentalized solutions toward an inclusive systems approach that encourages partnership across disciplines and sectors and identifies priorities in research, practice, and education to advance the role of public health in decision making to improve health. Expand
A Systematic Review of Health Impact Assessments in the Criminal Justice System
This study is a systematic review of the current and potential role of a public health tool or process called a health impact assessment (HIA) within the criminal justice system. The review exploresExpand
Health impact assessment: An information needs analysis of HIA practitioners across sectors
Background: Information contained in health impact assessments (HIAs) provides valuable guidance for professionals in many fields and industries, also known as sectors. However, a growing body ofExpand
Air pollutant strategies to reduce adverse health impacts and health inequalities: a quantitative assessment for Detroit, Michigan
It is shown that quantitative HIA methods can be used to develop AQM strategies that simultaneously meet environmental, public health, and environmental justice goals, advancing AQM beyond its current compliance-oriented focus. Expand
Local Parks and Recreation Agencies Use of Systems Thinking to Address Preventive Public Health Factors.
PENBROOKE, TERESA L. Local Parks and Recreation Agencies Use of Systems Thinking to Address Preventive Public Health Factors. (Under the direction of Dr. Michael B. Edwards). Many leaders believeExpand
Rapid Health Impact Assessment of a Proposed Poultry Processing Plant in Millsboro, Delaware
A rapid health impact assessment of the proposed poultry processing plant in Millsboro, Delaware provided an example of how HIAs can be used as a tool to educate residents, raise awareness about environmental justice issues, and enhance meaningful engagement in local environmental decision-making processes. Expand


Growing the field of health impact assessment in the United States: an agenda for research and practice.
Issues associated with advancing the use of HIA methods by local health departments, planning commissions, and other decisionmakers in the United States are explored. Expand
Prospects for Health Impact Assessment in the United States: New and Improved Environmental Impact Assessment or Something Different?
Health impact assessment (HIA) has been advanced as a means of bringing potential health impacts to the attention of policy makers, particularly in sectors where health impacts may not otherwise beExpand
Use of health impact assessment in the U.S.: 27 case studies, 1999-2007.
These completed HIAs are useful for helping conduct future HIAs and for training public health officials and others about HIAs, and more work is needed to document the impact and increase their value in decision-making processes. Expand
Assessing health impact assessment: multidisciplinary and international perspectives
It is argued that while HIA has the potential to enhance recognition of societal determinants of health and of intersectoral responsibility for health, its pitfalls warrant critical attention and greater clarity is required regarding criteria for initiating, conducting, and completing HIA. Expand
The State of Alaska's early experience with institutionalization of health impact assessment
An example of institutionalization in the United States through Alaska's early experience with institutionalization of HIA is described, which benefits from sustainable funding that promotes continuous quality improvement and involves the program in the entire life cycle of a development project. Expand
An Evaluation of Health Impact Assessments in the United States, 2011–2014
Results of this study suggest HIAs are a useful tool to promote public health because they can influence decisions in nonhealth-related sectors, strengthen cross-sector collaborations, and raise awareness of health issues among decision makers. Expand
Effectiveness of Health Impact Assessments: A Synthesis of Data From Five Impact Evaluation Reports
HIAs can be useful to promote health and mitigate adverse impacts of decisions made outside of the health sector, and further work could strengthen the role of HIAs in promoting equity, examine HIA impacts in specific sectors, and document the role in a “health in all policies” approach. Expand
Health impact assessment in the United States: Has practice followed standards?
Abstract As an emerging practice, Health Impact Assessment is heterogeneous in purpose, form, and scope and applied in a wide range of decision contexts. This heterogeneity challenges efforts toExpand
Health impact assessment: a step toward health in all policies.
Although most EISs in the United States incorporate little about health effects, experience in California and Alaska has demonstrated that a wide range of health effects can be successfully integrated into the EIS process. Expand
Building capacity for Health Impact Assessment: Training outcomes from the United States
Abstract Background Despite the continued growth of Health Impact Assessment (HIA) in the US, there is little research on HIA capacity-building. A comprehensive study of longer-term training outcomesExpand