1
Equal-Li e – Deli e able 8.2
P ojec i le: Ea ly En i onmen al quali y and li e-cou se men al heal h e ec s
P ojec Numbe : 874724
P ojec Ac onym: Equal-Li e
Wo k package 8 - Deli e able D8.2
Dialogue minu es
HISTORY OF CHANGES
Ve sion Publica ion
da e Change
1.0 20.12.2023
2.0 31.12.2023
inal
Re . A es(2023)8897306 - 29/12/2023
H2020 p og am G an ag eemen numbe s 874724
(Equal-Li e)
P ojec s a da e: Jan 1s 2020 Du a ion: 60 mon hs
P ojec Coo dina o : I ene an Kamp (RIVM)
WP (numbe and
i le)
Equal-Li e WP8
S akeholde in ol emen and in e en ion
de elopmen
Deli e able Numbe Equal-Li e D8.2
Deli e able Ti le Dialogue minu es
Due da e 31. 10. 2022
Ac ual da e 31. 12. 2023
Dissemina ion Le el Public
Lead
bene icia y
INCHES
Responsible
au ho (s) and
bene icia y
ac onym:
Pe e an den Hazel –INCHES, Mi iam Webe – Ci y o U ech ,
Sonja Je am –NIJZ, Sammie Jansen – RIVM, Roos Teeuwen -
TU Del , Achilleas Psyllidis – TU Del , Go dana Ris o ska –
IJZERM, Sa ah Benz – ZEUS, Julia Kuhlmann – ZEUS, Anna
Sandionigi – Quan ia, Ma co Balduini – Quan ia, Di k
Sch eckenbe g – ZEUS, Maddie Whi e – UB, Lena Gudi-
Minde mann – UB, Jenny Ah ens – UB
Wo k
package/ ask: WP8 / Task 8.1
Documen
s a us: Final
Con iden iali y: public
Key wo ds: S akeholde , Co-design, o um, science-policy
in e ace
E-mail / phone
esponsible
au ho s
Pe e an den Hazel p [email protected]
Mi iam Webe m.webe @u ech .nl
Co-au ho s Sonja Je am [email p o ec ed]
Sammie Jansen [email p o ec ed]
Roos Teeuwen [email p o ec ed]
Achilleas Psyllidis [email p o ec ed]
Go dana Ris o ska [email p o ec ed]
Sa ah Benz [email p o ec ed]
3
Julia Kuhlmann kuhlman[email p o ec ed]
Anna Sandionigi anna.sandionigi@quan iaconsul ing.com
Ma co Balduini ma co.balduini@quan iaconsul ing.com
Di k Sch eckenbe g sch eckenbe [email protected]
Maddie Whi e gab iele.bol e@uni-b emen.de
Lena Gudi-Minde mann hgudimin@uni-b emen.de
4
Con en s
Summa y............................................................................................................................................6
In oduc ion.....................................................................................................................................7
Wo ldCa ésession..........................................................................................................................9
2.1Twoonlinewo ldca ésessionsJanua yandFeb ua y2021..................................................9
2.2Wo ldca é18May2021.............................................................................................................10
2.3Wo ldca é17June2021–Du chs akeholde s..........................................................................10
S akeholde o umLjubljana.........................................................................................................10
Co‐designwo kshopSkopje..........................................................................................................11
S akeholde o umMilano............................................................................................................11
6.Co‐designwo kshopComo............................................................................................................12
7.S akeholde o umHelsinki...........................................................................................................12
8.Pa ne s/Equal‐Li econ ac in o ma ion.....................................................................................14
9.Annexes.........................................................................................................................................15
Annex1Twoonlinewo ldca ésessionsJanua yandFeb ua y2021..................................................15
Annex2Wo ldca é18May2021........................................................................................................23
Annex3Wo ldca ésessionwi hDu chS akeholde s17June2021...................................................25
Annex4Men ime e ques ionsandanswe ss akeholde o uminLjubljana.....................................28
Annex5S akeholde o umLjubljana..................................................................................................35
Theme1:Scaleonwhich esul sshould ocus..................................................................................35
Theme2:Including heimpac o en i onmen al ac o sonmen alheal h ac o sinallpolicy
making...............................................................................................................................................35
Theme3:Se ingupe ec i eyou hpa icipa ion...........................................................................36
Men alheal hplans...........................................................................................................................36
Annex6Someexampleso usedpe sonas..........................................................................................38
Annex7Co‐designwo kshopinSkopje................................................................................................40
4.1Theme1:Co‐design ools......................................................................................................40
4.2Theme2:Wo kingonapplica iono oolsbasedonEqual‐li e esul s................................41
4.3Theme3:Wo king owa ds ansla iono scien i ic esul s.................................................41
4.4Theme4:In e en ions‘b idging hegap’asa ool oimp o eheal h o all.....................43
4.5Theme5:Spec umo p e en ion........................................................................................45
4.6Theme6:Wha a e henex s eps?......................................................................................46
Annex8S akeholde o umMilano......................................................................................................47
5.1Equal‐Li ehandbookand oolbox.........................................................................................47
5
5.2Wo ldca édiscussionsonEqual‐Li ep esen a ions.............................................................48
5.3Usingalogicmodelasa ool oencou age hinkingabou socialinequali iesinu ban
planningin e en ions......................................................................................................................56
5.4E alua ingchild en’saccess opublicou doo playspace...................................................56
5.5Policy ecommenda ionpe spec i es...................................................................................57
5.6Spec umo in e en ions,sc eeningme hods, oolboxandhandbookinp ac ice............58
5.7Wha a e henex s eps?......................................................................................................58
Annex9Co‐designwo kshopComo......................................................................................................60
Annex10S akeholde o uminHelsinki...............................................................................................66
Annex11Co‐designp ocessp esen a ion...........................................................................................74
Annex12Wo kingonapplica iono ools...........................................................................................77
Annex13Men ime e esul ss akeholde o umHelsinkiSep embe 2023.......................................79
Annex14 esea chques ionsusedinComoco‐designwo kshop........................................................83
6
Summa y
TheEqual‐Li ep ojec aims oin es iga e hecombinede ec so a iousexposu esonchild enand
adolescen men alheal hac ossdi e en de elopmen als ages.Impo an o hisp ojec is he
collabo a ionwi hs akeholde s.
The ask“Connec ingscience opolicy” ela ed oD8.2has heobjec i e oes ablishabi‐di ec ional
dialoguebe ween heEqual‐Li ep ojec and(in e )na ionalpolicymake s o1) ansla ep ojec
esul sin oe ec i echild enheal hpoliciesand2)injec knowledgeabou bes p ac icesandheal h
policiesin o hep ojec .
Thisdeli e ableisa epo o mee ingswi hs akeholde s ep esen ing hedialogueswi h hose
s akeholde s.The ewe eninedi e en mee ings.Eachmee ingwass uc u edacco ding odi e en
hemes.Thewo ldca ésessionswe e a ge ed ocollec in o ma ion om hes akeholde s oc ea e
ascience‐policyin e ace.Thes akeholde o ainLjubljana,MilanoandinHelsinkiwe es uc u ed
acco ding odi e en in e ac i esessions.Di e en wo kingme hodswe eused.A angeo po en ial
ou comeswe eadd essed.
Theou comeso hewo ldca ésessions, heco‐designwo kshopsands akeholde o asigni yamajo
s ep owa dde elopingase o policyimplemen a ions,a oolboxandguidebook.Theseou comes
no onlyadd ess hecomplexi ieso exposomeda abu alsoensu esi sp ac icalapplicabili yin
di e sese ings.Thecollabo a i eandinclusi ena u eo hise o e lec sacommi men o
ad ancingou unde s andingo heexposome'simpac onchildmen alheal handcogni i e
de elopmen .The indingsp o idea ounda ion o in o medpolicydecisions,p omo ing he
in eg a iono his oolboxin o ele an esea ch,heal hca e,andeduca ionalini ia i es.
Thecollec edin o ma ion oms akeholde scon ibu es oge in oanin e ac i emodewi h
s akeholde s.Theya ein e es edinp ac icalimplica ionso Equal‐Li e esul s.I shouldassis he
s akeholde s ounde s and heconnec ionsbe ween hemul iple esul sdisplayedandwha hey
mean o op ionso in e en ions.Fo hescien i iccommuni y,nea ness odecision‐make sis
impo an .Scien is sshouldmakeuseo communica ionexpe swe eapplicableino de o
communica e hei da a esul sand ecommenda ions.
7
In oduc ion
The ask“Connec ingscience opolicy” ela ed oD8.2has heobjec i e oes ablishabi‐di ec ional
dialoguebe ween heEqual‐Li ep ojec and(in e )na ionalpolicymake s o1) ansla ep ojec esul s
in oe ec i echild enheal hpoliciesand2)injec knowledgeabou bes p ac icesandheal hpolicies
in o hep ojec .This askensu es ha hegene a edknowledge(onexposome,mechanisms,and
heal he ec s)isde elopedinlinewi h heneedso heb oade socie y,and ha knowledgeo he
in ol ed(publicandp i a e)s akeholde swillhelp oin e p e he esul s.Thisscience‐policy
in e ac iongi esabe e unde s andingo hesocie alimpac and ele anceo heEqual‐Li e esea ch
bo h o hescien is swi hin hep ojec as o hes akeholde s.Weha eiden i iedkeys akeholde
(policymake s, egula o sand esea chne wo ks),andse up wo o malco‐designwo kshopand
h ees akeholde o aandes ablished egula in e ac ionbe weenscien is sands akeholde s.
Thisdeli e ableisina o ma o a epo .I isa ep esen a iono allac i i iesinninedi e en
mee ings.Eachmee ingwass uc u edacco ding odi e en hemes.Thes akeholde o ain
Ljubljana,MilanoandinHelsinkiwe es uc u edacco ding odi e en in e ac i esessions.
Wo ldca ésessionsin2021and2022
S akeholde o uminLjubljana,Ma ch7‐8,2022
Co‐designwo kshopinSkopje,Sep embe 14‐15,2022
S akeholde o uminMilan,No embe 16‐17,2022
Co‐designwo kshopinComo,June29‐30,2023
S akeholde o uminHelsinkiSep embe 7‐8,2023
This epo e lec sonly heminu eso hemee ingsThe eisano e lapwi hD8.4.This epo shows
mo eon hep esen a ionsandlesson heconclusionso hein e ac ionwi h hes akeholde s.This
sincein hep ojec p oposal he ewasno madeaclea dis inc ionbe ween hemee ings ha we e
mean obeonly ocommunica ewi hs akeholde so obemean o in e ac ion.Only hewo ld
ca ésessionsdu ing he i s p ojec couldbe ecognizedasapu elydialoguep ocess.
TheDeli e able8.2willbeupda edagainin2024a e upcomingmee ingswi hs akeholde s.
Wo ldca ésession
TheWo ldCa éme hodologyisasimple,e ec i e,and lexible o ma o conduc ingag oupdialogue.
Eachelemen o heme hodhasaspeci icpu poseandco esponds ooneo mo eo hedesign
p inciples.Theme hodmakesuseo anin o malca ese ing o pa icipan s oexplo eanissueby
discussingi insmall ableg oups.Discussionisheldinmul iple oundso 20‐30minu es,wi h heca e
ambiancein ended oallow o mo e elaxedandopencon e sa ions o akeplace.I isame hod o
quicklycollec alo o in o ma ionasallpa icipan sha e heoppo uni y ospeak.
Co‐designwo kshop
Co‐designis heac o c ea ingin e ac ionwi hs akeholde s(policymake s,end‐use s)speci ically
wi hinadesignde elopmen p ocess oensu e ha he esul smee hei needsanda eusable.I s
aimis oc ea esome hingno only o people,bu alsowi h hem.S akeholde scanbecomec ea o s
o ap oduc beingac i elyin ol edin hec ea ionp ocess.Co‐designiso ena ansdisciplina y
8
p ocess.The esul canbea epo o ap oduc (handbook,guideline).InEqual‐Li e heco‐designisa
ool oenables akeholde s ouseEqual‐Li e esul s o policymakingo e en od a in e en ions.
Weconduc edoneco‐designwo kshopinSkopje(seechap e 3).
S akeholde o um
S akeholde Fo ummeansapla o mopen o ep esen a i eso ins i u ions,na ional, egionaland
localau ho i ies,o ganisedin e es sandindi idualen i ies omdi e en domains,highe educa ion,
esea ch,associa ions,ci ilsocie yandclus e o ganisa ions,aswellaso he in e es edpa ies om
ac ossaselec edknowledgeo policy ocus.
These upo hewo kp ocesso co‐designwo kshopso s akeholde o umissimila .The o umaims
mo ea sendingin o ma ionbe ween hepa icipan s.Theco‐designwo kshopaimsa p oducing
con en ela ed o hep oduc s ha a eseenas esul o hep ojec .
Thep ocesso heco‐designwo kshopands akeholde o umusesas uc u edapp oach.This
app oach acili a esacodesignwo kshop/ o umaimeda collabo a i elyde eloping1)inpu o
policy ecommenda ions;2)a oolo guidebookwi hsuppo omdi e ses akeholde s.Thep ocess
emphasizesopencommunica ion,ac i epa icipa ion,andi e a i e eedback oensu eawell‐
oundedandinclusi e inalp oduc .The ollowings epscanbeiden i iedandha ebeenuseda he
di e en wo kshopsand o a.
1.De iningObjec i esandScope:Thewo kshopbeginswi haclea a icula iono i spu poseand
goals.The ocusisonde ining hescopeo he oolo guidebook,es ablishingbounda ies oguide
hecollabo a i ep ocess.
2.Iden i yingS akeholde s:S akeholde s,includingend‐use s,subjec ma e expe s,anddecision‐
make s,a eiden i iedandin i ed opa icipa e.Thegoalis oensu eadi e se ep esen a ion ha
cap u esab oad angeo pe spec i es.
3.P e‐wo kshopP epa a ion:Pa icipan s ecei e ele an in o ma ionbe o e hewo kshop,along
wi hma e ialso esou ces o e iew.Acommunica ionpla o mises ablished o acili a eongoing
collabo a ionamongs akeholde s.
4.Wo kshopAgenda:Ade ailedagendaou lines hewo kshopac i i ies,inco po a ing
in oduc ions,iceb eake s,andspeci icdesignsessions.Timeisalloca ed o b ains o ming,
p o o yping,and eedbacksessions.
5.Facili a ionTechniques:Facili a ion echniquesa eemployed oencou ageopencommunica ion,
ac i epa icipa ion,andequalcon ibu ion.The acili a o os e sacollabo a i eandinclusi e
en i onmen whe eall oicesa ehea d.
6.B ains o ming:S uc u edb ains o mingsessionsa econduc ed ogene a eideas.Techniques
suchasmindmappingo a ini ydiag amsa eemployed,andpa icipan sa eencou aged osha e
hei pe spec i esandinsigh s.
7.P o o yping:Thedesignisb okendownin osmalle componen s,andpa icipan swo kon
c ea ingp o o ypeso d a so he oolo guidebook.Collabo a i e oolso physicalma e ialsa e
used o isualizeideas.
8.I e a i eFeedback:Regula eedbacksessionsa e acili a ed,allowings akeholde s o e iewand
p o ideinpu onp o o ypes.Cons uc i ec i icismisencou aged,andconce nsa eadd essed o
e ine hedesign.
9
9.Decision‐Making:Facili a eddecision‐makingsessionshelpp io i ize ea u es,con en ,o design
elemen s.Techniqueslikedo o ingo consensusbuildinga eused o eachag eemen samong
s akeholde s.
10.Documen a ion:Ou comes,decisions,andchangesmadedu ing hewo kshopa e ho oughly
documen ed.A oadmapo ac ionplanwillc ea e o henex s epsin hede elopmen p ocess.
11.Follow‐upandImplemen a ion:S akeholde sa ekep in o medabou hewo kshopou comes.
Ag eed‐upondesignchangesa eimplemen ed,ands akeholde sa econ inuouslyin ol edin he
de elopmen p ocess.
12.Communica ion:Ongoingcommunica ionismain ainedwi hs akeholde s h oughou he
de elopmen p ocess.Regula upda esandin ol emen in u u ei e a ionsensu esus ained
collabo a ion.
By ollowing heses eps, hecodesignp ocessbecameadynamicandinclusi ejou ney,ha nessing
hecollec i ec ea i i yandexpe iseo s akeholde s ode elopa aluableandwell‐ ecei eds eps
owa dspolicyimplica ions,a oolo guidebook.
The ollowingsec ionsdesc ibe hedi e en sessions ha we eo ganisedwi hs akeholde s.
Wo ldCa ésession
2.1 Twoonlinewo ldca ésessionsJanua yandFeb ua y2021
Me hod:AnonlineWo ld‐Ca éwashos ed oc ea eascience‐policyin e ace o Sou h‐Eas e n
Eu opeans akeholde swi h ele an backg ounds oen i onmen al esea chand/o child en’s
(men al)heal h.Viaquali a i econ en analysisme hods, heda a e ie ed om he7pa icipa ing
s akeholde swas hema icallyanalysedandcoded.
Resul s:Thes akeholde sinc easinglysha ed,bo hbene icialandha m ul,in e nalexposu es(e.g.
me abolism,mic obiome,mela oninsys em,pa en sage),physicalexposu es(e.g.ou doo g een‐,
blue‐andedible‐spaceandplayg ounds;u ban e sus u alli ing;quali yo indoo andou doo space
includingai pollu ionandnoise;li es yle ac o ssuchasphysicalac i i y,die andschoolpe o mance
medica ionin ake)andsocialexposu es(e.g.a a ie yo socialcon ac sand hei cha ac e is ics
includingpee sandpa en s; heageo pa en sa bi hinRomania;sc een imeandli ingaseden a y
li es yle; amily/wo k‐li e(im‐)balance;bicyclingli es yle;compe i i enessandawa enessa ound
men alheal hinSou h‐Eas e nEu ope;socioeconomicci cums ancesandaccess ose ices;
ins i u ionalisa ioninBulga ia;COVIDmeasu esando he legisla ionsandp io i ieso he
go e nmen ).Men alheal hou comeswe edesc ibed h oughemo ionals a usandmedia ing
ac o swi hcau ion o diagnosingchild en.Agepe iodsdiscussedwe ep ena al,ea lyageand
adolescence.
Conclusion:Sou heas e nEu opeans akeholde in ol emen canbe acili a edwi hinascience‐policy
in e ace,isapp ecia edandcon ibu es ospeci iccoun y‐based opics.Wi hin hewide angeo
in e nalandex e nalexposu essha edby hes akeholde s,socialexposu esappea obe hemain
ieldo conce n.While alkingabou exposu es,clus e ingo mul ipleexposu eso ende elops
na u ally.Tobene i child en’smen alheal handcogni i ede elopmen aplea o coun yspeci ic
legisla ions ollowing esea chou comeswasmade,p e e ablywi ha ocusonp e en i eand
16
Table 3. Ha m ul exposu es and ea u ing segmen s iden i ied by he s akeholde s
In e nal Physical Social
Physical ac i i y Physical ac i i y
Ou doo space (balance
sa e y/dange , school, lea ning,
c ea i i y, cleanliness)
- G een space
- Blue space
- Edible space
- Playg ounds
Ru al li ing
Sound
Indoo space
Social con ac s (uncondi ional
lo e, suppo ,
eeling hea d,
in ol emen )
- Pa en s (educa ion,
age)
- Pee s (spo s)
- Teache s
- Family
Sc een ime (lea ning, pee
con ac , gami ica ion,
social media)
Economic s a us
Go e nmen and policies
Access o se ices
- School
- (Men al) heal h ca e
- Child ca e
- Violence p o ec ion
- Media ion
Ou doo space (pee con ac )
Li es yle ( amily/wo k-li e
balance, bicycling)
Awa eness a ound men al
heal h
Table 4. Bene icial exposu es and ea u ing segmen s iden i ied by he s akeholde s
17
In e nalexposome:Thes akeholde smen ioned he
me abolismasapossibleimpo an in e nalexposomecomponen
a ec ingchild en’smen alheal handcogni i ede elopmen .
I wassugges ed ha hehighme abolicdemando heb aininea ly
agescouldbea ec edbyai pollu ionand ha hee ec scouldbe
measu edin heamoun o oxida i es esso h oughOMICS.
Fu he e ec son heme abolismwe esugges ed obecausedby
child en’sdie and heamoun o physicalac i i y heyha ebu also
inpa icula by heseden a yli es yleasaconsequenceo an
inc easein heamoun o imespendbehindelec onicsc eens,also
knownassc een ime,in hecu en digi alage.Aside om heupcomingseden a yli es yle he
sc een imealsoa ec s heamoun o blueligh child ena eexposed odu ingday imeanddu ing
nigh ime,especiallywhenlookeda eenage s,whichmaya ec hei mela oninsys emandsleep
and he e o eagainalso hei me abolism.
Ano he in e nalexposomecomponen hes akeholde smen ionedwas hemic obiome.
The isein hean i‐ accinemo emen du ing helas decadesisno iced,alacko exposu eandan
inc easeinpa en sandchild enwi h oodin ole ances.Thesephenomenaa eall ela ed o he
mic obiomeandcouldha epossiblee ec sonchild en’sde elopmen .
Physicalexposome:Thes akeholde s epo ed heou doo space,andalli comp ises,asa
bene icialbu some imesalsoha m ulpa o hephysicalandsocialexposome.I wassaid he ehas
beenalo o esea chon hebene iciale ec so ou doo spaceonchild en’smen alheal hand he
impo anceo c ea ingou doo placesno onlyclose ochild en’sli ingen i onmen sand
neighbou hoodsbu alsonea kinde ga ensandschools.Theou doo placeswe esaid oha e
calminge ec s,helpchild ens ayconnec edwi h he ealwo ldand oencou agepee con ac .
The ewe emul iple equi emen sb ough upby hes akeholde s omee hecondi ionso he
ou doo space obes imula ing o hemen alheal handcogni i ede elopmen suchass imula ing
olea nwhichcanbedone h oughplay,bu alsobyin ol ingchild eninp ese ing heou doo
space;encou agingdisco e y h oughallsenses;s imula ingc ea i i yandimagina ion;cleanliness
andmain enance; obeable obealoneo osha e hespaceand he igh balancebe weendange
andsa e y,allpo en iallybene i ingchild en’smo o skills,cu iosi yandwo ld‐image.
Conce ningsa e y,i wassaid obenecessa y odis inguishbe ween hesa e yo playand he
In e nalizing Ex e nalizing O he Media ing
ac o s
Cogni i e
de elopmen
Emo ional
symp oms
Anxie y
T auma
Dep ession
Suicide
Concen a io
n p oblems
Agi a ion
Agg ession
ADHD
An i-social
beha iou
Heal h issues
Ea ing diso de s
Well-being
(secu enes
s, calmness,
happiness)
Resilience
S ess
Sleep
A achmen
Sel -image
Wo ld-image
Social skills
Communica ion skills
Ve bal skills
( ocabula y)
Mo o skills
Fine mo o skills
Digi al skills
School pe o mance
In elligence
Cu iosi y
Table 5. Men al heal h and Cogni i e de elopmen ou comes iden i ied by he s akeholde s
Age ca ego ies
P ena al
Ea ly age
Teenage s
Table 6. Age Ca ego ies
iden i ied by he
s akeholde s
18
sa e yo heaccessibili ybu also heimpo anceo no oomuchsa e y okeepachallengewhich
s imula esde elopmen .i
Thes akeholde sde inedmul iplecomponen s ha hebene icialou doo spacecouldcomp iseo :
G eenspacewhichcan ange ompa ks oac i elyplan ing ees;bu alsospeci icallyincludeedible
space,g eenspace ha isbeingg own oea ,nea child en’sli ingen i onmen sandschool
en i onmen .Bluespacecomp isingo lakes, i e sand hepossibili y oswimandplayg ounds o
s imula e hecogni i ede elopmen o child en.
Thes akeholde smen ioned heou doo spacebecomingaha m ulexposu ewheni is oo
dange ouso (pee )con lic inducingwhichcanmakechild en eellesswelcomeandsa e.This o
examplehappenswhen he eisno enoughspace,whenspaceispoo lymain ainedo comp isingo
oxins; oxinsin hebluespaceinpa icula ,becausebluespacesa eo enno designedwi h
child eninmind.Ha m ulou doo spaceswe e epo ed obeseenina easaccommoda ingmo e
immig an sandha inghighe po e y a es.
S akeholde sspeci icallypoin edou sound obebo hapossibleha m ulandbene icial
exposu ewi hin heou doo spaceand heindoo spacebygi ingadi e en eeling oinsideand
ou sideen i onmen s.Ha m ulsoundis e e ed oasnoiseandisbeingseenasdis u bing,
especially o smallchild enwhoa eno able osayany hingabou henoise.Con a ily,sound
couldalsobebene icial,gi ingexampleso na u esoundso music.Noisewassaid oa ec school
pe o mance, opo en iallycauseconcen a ion,agi a ionandsome imese enagg ession
p oblems.Acco ding o hes akeholde s, heWHOal eadyhaspa icula lygoodguidelines o noise
bu due oalacko legisla ion heya eno beingimplemen ed.
Almos e e ys akeholde men ioned hewidesp eadp oblemo ai pollu iona ec ing
e e yone om hemomen o concep iononwa dsandpoin ingou heneedo esea cho he
possiblee ec sai pollu ionhason hemen alheal handcogni i ede elopmen o child en.
Sugges ingusingwea ablede ices omeasu e he ola ilecompoundssuchasNOandO3peoplea e
eallyexposed oandasmen ionedbe o e,couldha eane ec on heoxida i es essandOMICSin
child en.
Thes akeholde spu o wa danex adimension o he opico ai pollu ionand hebeha iou o
peopleasa eac ion oi .Adi e encehasbeenno icedincogni i ede elopmen be weenchild en
whowe e aisedinu bana eascompa ed o u ala eas.S a ing ha child eno hegene a ion
b ough upa e hesecondwo ldwa we esome imessepa a ed.Thosewhowe e aisedinu ban
a easwi hhighe educa ionaloppo uni iesandbe e schoolings illpe o medlessemo ionally
andin e mso schoolpe o mance,communica ionskillsand e balskillscompa ed o hei
siblings aisedin u ala easwi h ewe acili iesbu alsolessai pollu ion.E ol ing h ough ime
people,o eno ahighe economicclass,a enowchoosing omo eou sideo heme opoli an
ci ies og eene lesspollu eda eas u ning hingsupsidedownespeciallydu ingwin e imewhen
he eappea s obea iseinbu ningo solidma e ssuchasbiomass,wood,coaland ash o
hea ingpu posesdu ing hecoldmon hsin u ala easwi he enmo eai pollu ionasa
consequenceopposed owha ismeasu edin heci y.Aside ombu ningsolidma e s he
s akeholde salsopoin edou aninc easeinca use.Pa en sa eusing hei ca smo e oc ossbigge
dis ancesbu alsobecause heywan op o ec hei child en ombeingou sidein hepollu edai
whilegoing oschool.Asa esul ,child ena ege ingou o heca ,wi h unningengines,when
hey eachschools eppingin oanex apollu edca pa kwi hmo eca s.Ali es ylechange owa ds
bicyclingissugges ed obeencou agedaspa o sol ing heca usep oblembu e enasbeinga
po en iallybene icialexposu e o child enoni sown.
Thes akeholde salsomen ionedphysicalac i i yingene alasap o enbene icialexposu e o
19
child en’smen alheal handcogni i ede elopmen byimp o ingemo ionalsymp omsandmo o
skills.TheWHOhasal eadyde ined heamoun o imeneeded o physicalac i i yinschoolpe age
ca ego yand heimpo anceo a a ie yo di e en ac i i ies.
S akeholde smen ionedplas icasapo en ialha m ulphysicalexposu e,poin ingou he
dange so mic o‐plas ics,ph hala eandbisphenol ha couldpo en iallyha mchild ene enbe o e
heya ebo n.Theysaw heuseandwas eo plas icbo les,( ood)packagingandcon aine sasa
p oblem.I wasalsosaid ha e en houghcoun iesappea obemo eincon olo hep oblem,
dange isalwaysclosewi hnewp oduc scomingon o hema ke e e yday.
O he po en iallyha m ulelemen so hephysicalexposomemen ionedby hes akeholde s
we e:Ciga e esmokeandsmokingbypa en s,o en e yyoungwomen,whichiss a ed obea
widesp eadp oblemin heBalkana eaandHunga y.Thiscauses(p ena al)oxygendep i a ionand
exposeschild en oha m ul ola ilecompoundsin hesmoke;Pes icideson ood,e enha ing
p ena ale ec s;Foodaddi i esand hesho cominginco ec labellingo oodinsomeo he
coun iesmakingi impossible oadd ess heissueinascien i icway;Chemicalssuchaslead,
u anium,o escoming omoldminingloca ionsand hes o ageo oldpes icideswhichwe eused
du ing heoldsocialis egimeands illneed obe akenca eo sa ely.
Socialexposome:All hes akeholde sdis inguishedsocialcon ac saspo en iallyha m ulo
bene icialexposu es.Whenabuse,sexualexploi a iono iolenceoccu insocialcon ac s he
de elopmen o men alheal handcogni i ede elopmen p oblemsisp one ohappen.On he
o he hand,s akeholde smen ioneduncondi ionallo e,suppo , eelinghea d,in ol emen insocial
con ac sandpa icipa ioninpublicli easpo en iallybene icial ochild en’smen alheal hand
cogni i ede elopmen .“Wi hin hein e ac ionwi ho he peopleandg oupdynamicschild ena e
able olea nsocialbeha iou .”Thes akeholde s epea edlypoin edou ha COVIDmeasu espu in
placeby hego e nmen a ea ec ingall he ypeso socialcon ac byminimizing hepo en ially
bene iciale ec sandenla ging henega i e.
Thea achmen oand he ela ionshipwi hpa en sin he i s place,bu alsowi h amily,we esaid
obep o en obeo signi ican impo ance o child en’smen alheal handcogni i ede elopmen ii
andapa en and amilys eng heningapp oach obe hebaseo allchildsuppo .Pa en ss uggling
wi haddic ion,busypa en sanda amily ha hasa amily/wo k‐li eimbalancecouldha m
child en’smen alheal handcogni i ede elopmen ,whileha ingasuppo i e amilywi ha
amily/wo k‐li ebalancecouldbene i hechild en.S akeholde ssugges ed ha hesen imen ha
li e’s alueisc ea ed h oughwo kneeds ochange,p omo inga educ ionin henumbe o hou s
spen onwo k,whichwouldmakei possible ospendmo equali y imewi h amily.iiiS akeholde s
alsosaid ha heeduca iono pa en scouldha eane ec onchild en’scogni i ede elopmen .
Thes akeholde sspeci icallypoin edou heageo hepa en sandi se ec onchild en.Whe e
Romaniahasa e yhigh a eo youngmo he swhoha e hei i s childunde 18i alsohasahigh
a eo mo he swhoa eha ing hei i s childa e heageo 35yea swi h hehelpo in i o
e ilisa ion.This esul sinau‐shapedbi hg aphic.Theageo hepa en scouldha egenomic
e ec sbu mo eimpo an ly,i a ec s heemo ionalandcul u alen i onmen child ena eb ough
upin.Ha ingoldpa en swasdesc ibedasg owingupwi ha‘g andpa en s‐ eeling’,p o idinga
mo eemo ionallysa eands ableen i onmen wi hlesss ess,mo ebondingandbe e
communica ionmakingchild enmo e esilien andgi ing hemanad an ageincogni i e
de elopmen bys imula ing hei communica ionskills.Whe eas e yyoungmo he swe esaid o
o encome om u ala eas,unp i ileged amiliesandgypsycommuni ieswi hless inancialmeans,
gi ingchild enalesss ableen i onmen and he e o epo en iallyha ming hei de elopmen .
20
Thes akeholde smen ionedschool,educa ionalsys emsand hesocialcon ac child en
ha ewi h hei eache sasbo hpo en iallyha m ulandbene icialexposu es.Thecommon
educa ionalsys em ha e ol esa oundpoin s,g adesandcompe i ionwe esaid op essu e
child enandcauses ess.Acco ding o hes akeholde ’scompe i ionhasbecomeoneo hehighes
aluesinsocie y.Theys a ecompe i i eness obeespeciallyhighamongs Sou h‐Eas e nEu opeans,
p o okingacompe i i eli es ylewhichin u ncausesa iseino e diagnosingand heuseo school
pe o mancemedica ionasapo en iallyha m ulexposu eoni sown.S ic educa ionalsys ems
whe e, o example,achildisno allowed ouse he oile when heyneed o,we esaid obe
ha m ul o hei men alheal h.Onlineeduca ioncouldnega i elya ec hei schoolpe o mance
andsocialskillsbyalacko eache andpee con ac ,especially heyounges child en.
S akeholde spoin edou ha child enneedsuppo om hei eache s,lesss essandmo e
eedom o lou ish.
Thes akeholde smen ionedpee con ac obeo impo ance o cogni i ede elopmen andmen al
heal h,wi hspecialmen ioningo pee con ac h oughspo simp o ing hei socialskills.In
con as ,i wassaid ha lacko pee con ac coulde enha eanega i ee ec whichwillbe u he
elabo a edin henex sec ion.Con lic be weenchild enwasalsosaid obepo en ially ela ed o
hede elopmen o men alheal hp oblems.
Almos e e ys akeholde poin edou heexposu e osc eensasha m ul,bu heyalsosaw
po en iallybene iciale ec ssc een imecanha e.Sc een imeincluded heusageo in e ne ,
ele isionandsocialmedia.
Asp e iouslymen ioned, hes akeholde s ouchedonsc een imein e nallya ec ing hemela onin
sys em h oughblueligh exposu eanda ec ing heme abolismasaconsequenceo heseden a y
li es yle.Thes akeholde s e e ed osc eensasbeingaddic i eands imula ingaseden a yli es yle
a ag owing a e.Theseden a yli es yle oge he wi h heindoo li es yleise en u he s imula ed
byCOVIDmeasu es ha a eimposedbygo e nmen s.I wasalsosaid ha he eisa iseinsc een
imebecauseo busypa en sandpa en swhousesc eens ocon ol hei child en, epo ing18‐
mon h‐oldchild enbeingable ousesc eens.
Ano he conce ns akeholde spoin edou we echild enha ingless eal‐li epee con ac becauseo
sc een ime,li inganindoo li es yleandCOVIDmeasu es.Thismakeschild enlessable o
communica e hei eelingsandemo ionsin ealli eanda ec s hei a achmen ,socialskills,
communica ionskills, e balskillsand ocabula y,sel ‐imageandwo ld‐image.Bu inopposi e
sc een imecouldalsohelpchild en olea n,imp o e inemo o skillsanddigi alskills,and o
connec and oha e unwi ho he child enandpa en s.“In hepas child enwouldha epenpals
bu now heycaneasilyha econ ac wi hchild enallo e hewo ld.”
Thes akeholde salsopoin edou ha child encouldbecomeexposed os e eo ypeson hesc eens
a ec ing hei beha iou .Theysugges weshouldbelookingin o hecon en ha hechild ena e
wa ching,likingandsha ingononlinepla o mssuchas“TikTok”.
Thes akeholde sspeci icallymen ioned ele isionandi scon en being e yloud,colou ul,o e he
op, as ‐mo inginan‘unna u al’wayand e ydis ac i e,whichcouldallpossiblya ec child en’s
men alheal h.
Thes akeholde salsosaid ha wecouldbeusinggami ica ionandsc een ime oposi i elya ec
child en’sbeha iou byencou agingchild en ogoou sideandlea nabou hei en i onmen and
e en opossiblybene i hei en i onmen .Poin ingou heimpo anceo pee e iewandagain he
compe i i enessasas ongcul u alcha ac e is icin hesou h‐eas e npa o Eu ope.Theuseo
child en’ssocialmediaandin luence swe eb ough up o esea ch hechild en.Fu he mo e,
in luence scouldalsobeused oposi i elya ec hemen alheal ho child enbecauseo he
eno mousimpac heyha eon hem.
S akeholde ssawsc een imea ec ing he esilienceo child en.Thisispo en iallycausedby he
21
easibili yo as swi chingbe weenexposu esin hedigi alwo ldassoonassome hingisno o
hei liking,lacko pee e iewandno ha ing odealwi h heemo ionsandac ionso o he pee s.
I wasalsosaid he eisa iseinADHDdiagnosesseenalongside he iseo sc eenusagewhichcould
beco ela ed.Thes akeholde saddi ionallypoin edou ha he ecouldbeabiasconce ningADHD
ino e diagnosingdue o hepossibili y o ecei e undsa e beingdiagnosedwi hADHDand he
likelihoodo ADHDbeingcausedbysomep ena alexposu es.
Thes akeholde sindica ed ha hein e ne canalsobeused olea nandde elopdigi alskillswhich
wassaid obeo impo ancein hemode nwo ld.Howe e , hes akeholde swe ealsowo ied ha
sc een imewillonlymakeb igh child encle e e a hecos o he es .
Thes akeholde ssawgo e nmen andpoliciesasanessen ialpa o heexposome
esea ch.Fi s ,bypo en iallya ec ingchild en’scogni i ede elopmen andmen alheal hin
posi i eo nega i eways h ough ulesandlegisla ionssuchas heCOVIDmeasu esandgi ing
access ose ices.Bu second o ha bya ec ingwha isdonewi hall heknowledgegained
h oughexposome esea cho anyo he exposu e esea ch.Thes akeholde sobse ed ha when
he ea enolegisla ionsandmanda o ye ec i epolicychanges, hego e nmen swillno pu he
ob ainedknowledgein ousee enwhen hee idenceiss ongandbackedupby heWo ldHeal h
O ganiza ionAsa esul , heykeep heapp oach ocu ingins eado p e en ingnega i eheal h
impac swi h hesuppo o publicheal h.I wassugges ed ha guidelines,adjus ed odi e en
coun ies,couldhelp.Theyalsop oposed hedi ec in ol emen o municipali iesbecause hey
some imess illha egoodwill omakeachangee enwheni isno manda o y.
Thes akeholde salsomen ioned heeconomics a uso hechild’ssocialen i onmen and he
access ose ices obeo impac onchild en’smen alheal handcogni i ede elopmen .Thiscan
be h ough hea ailabili yo app op ia echildca e,(men al)heal hca eandpsychosocialsuppo ,
disabili yca e,schoolandeduca iono heop ion o ecei emedia iono iolencep o ec ionbu
e ensome hingsmallasha ing hepossibili y o eadabook,goou sideandha e hepossibili y o
beinaplacewhe e heycan elax,canha eane ec .
Go e nmen sinBulga iawe esaid oha ebeen iola ingchild en’s igh sbyins i u ionalising
child enin‘o phanages’e enwhen heyhadpa en s.Theseins i u eswe epo ayedas ee
childca e,bu heydidno p o idep ope se iceo ca e.This ende edBulga iawi h hehighes
a eo abandonedchild enin hepas andcausesmen alheal handcogni i ede elopmen al
p oblems.
InBulga ia he ehasalsobeenap oblemo inco ec diagnosingo child enwi han i‐social
beha iou incaseo misdemeanou ssuchass ealing, unningaway omschoolo home.In hisway
hechildisheld esponsibleins eado lookingp ope lyin o heci cums anceswhicha ecausing his
beha iou ,whicho enin ol elacko amilysuppo andpo e y.Theseso‐called‘s a usc ime’
con ic ionscausechild en obesen awayin oco ec ionalins i u eso ‘socialpedagogicschools’
whe e heyo enlea nc iminalbeha iou ompee sins eado beingsuppo edand e o medby
heins i u es.Th ough heyea schangesha ebeenmadeand henumbe o ins i u eshasgone
downbu hephilosophybehind hesys emappea sno oha echangedand hep oblemisbeing
di e edin oo he o ms.
Thes akeholde smen ioned heimpo anceo aisingawa enessa oundmen alheal hand
en i onmen aldange sbu on heo he handalsoemphasized ha o e in o mingonen i onmen al
dange scanbecomeapo en iallyha m ulexposu eoni sownbyinc easings ess.Thes akeholde s
poin edou ha he es illisabigs igmaa oundmen alheal hinSou h‐Eas e nEu opeand
e o ma iono men alheal hca eisneeded.In hismen alheal hen i onmen , he eismainly ocus
on ea ing hediseaseand he eisli le onoplace o p e en ion.Thes akeholde salsoindica ed
ha weshouldbelookingmo ein owha in e en ionsandme hodse ec i elybene i hechild en
ins eado lookinga hediagnose hey ecei ed.
Men alheal h:Thes akeholde sdesc ibed hemen alillnessou comesas heemo ional
s a uso achildo hewayachildisemo ionallype o ming.O he in e nalizingou comes he
22
s akeholde s e e ed owe eanxie yand aumawhichwassaid obeap esen ‐dayp oblemo en
causedby iolenceandabuseandwi hnop ope suppo couldlead odep essiono e ensuicide.
Aside om hep e iousmen ionedconcen a ion,agi a ion,agg essionandADHDou comesno
o he ex e nalizingsymp omswe eb ough upby hes akeholde s.
Fu he mo e, hes akeholde s ouchedupon hewell‐beingo child enincludinghappiness,
calmnessandsecu eness,ea ingdiso de sand hepossibili yo men alheal hissuesappea ingas
o he heal hissues.
Ageca ego ies:Mul iples akeholde semphasized ha heywouldlike oseemo e esea ch
on heen i onmen alexposu esdu ing heea lyage,o i s 1000days,andon eenage sand
e e ed o hep ena alagein hep e iousspeci iedsi ua ions.
23
Annex2Wo ldca é18May2021
Pa icipan s:Dimi i(D),Licia(Li),Ana(A),Lau a(L).
Th eeques ionswe eadd essedin hissession.
1) Thein e nal,ex e nalandsocialexposu esyouconside aspo en iallyha m ul o
child en’smen alheal handcogni i ede elopmen .
D: auma ice en sin he amilyen i onmen ; hepa en sa esome imesalso ic imso he
si ua ion.I ’sha d op o ec child eninsuchsi ua ions[e.g.when he e’snoclea abuseby he
pa en s],and hesep oblemss a inea lyli e.
Li:wo ksona esea chp ojec abou kids/ eenage s ha akeca eo pa en s, heseca ing
esponsibili iesa ea isk ac o o u u emen alheal hp oblems,bu i canalsoha eaposi i e
e ec .Thesechild enshouldbesuppo ed omi iga e he isksandhelp hemenhance hepossible
posi i ee ec so hei ca egi ing.
A:inchild enwi hch onicdiabe es, auma ice en ssuchasalo o s essisa isk ac o .The amily
en i onmen canin luence hei men alheal hinbo hposi i eandnega i eways.These
pa en s/ amiliesandchild enshouldbeempowe ed odealwi h hesi ua ion.
D:ca ing o amilymembe scanalsobepa o heeduca ionandiden i yo child en,i canalso
help hemcopewi h hei men alheal hp oblemso aumas.Men alheal hisinc easinglylinked o
physicaldiseases iaepigene icmechanisms.He’spe o ming[o haspe o med?]ame a‐analysis
onbioma ke sindep ession; hesebiologicalindica o sa en’ lookedin omuchwhensignaling
men alheal hp oblemsbu canindica eea lysignso men alheal hp oblems,ea lie han
psychologis s/heal hp o essionalscande ec ssigns.
L:many ac o sa ein e ela ed, o examplebioma ke so s esscanbelinked oSES ac o s,and
he e’smul iplecauses o his ela ion.The e’s end ocollec mo eda a,bu ha canlead o
p oblemsdis inguishing he ees om he o es ,i ’sgood oha eaclea ocusin esea chandno
jus collec hugeamoun so da a.
D:ag eeswi h his end o bigda a;bu i ’sdi icul ocombinedi e en [ ea men ?]app oaches
inoneanalysis, o exampleinF ancei ’sha d oge unding o s udyingcombinedapp oaches
when hecomponen sha eal eadybeens udiedsepa a ely.Too e come hese undingdi icul ies
ane wo kme a‐analysiscanbeanop ion, hisusespooledin o ma ion omdi e en app oaches.
Quali a i eanalysesa ealsoinc easinglype o med.
2) Thein e nal,ex e nalandsocialexposu es ha youconside aspo en iallybene icial
ochild en’smen alheal handcogni i ede elopmen .
A:con ac wi hpee sando he amilies ha dealwi hsimila issuesandsi ua ionscanha ea
posi i ee ec onmen alheal hindiabe eschild enand hei amilies.I ’seasie oconnec opee s
han oheal hp o essionalsand hiswayp omo esempowe men .He o ganiza ioninPo ugalis
o ganizingsumme camps ha a e ema kablysuccess ul:child en eellesslonely,and heylea n
ompee show odeal/copewi h hei disease.Theyalsoo ganizemee ings/cou ses o amilies o
sha eexpe iencesandlea ns omeacho he .
24
Li: o childca egi e si canbegood obuild ela ionswi ho he signi ican o he s,no hesick
pa en so amilymembe sin ol edin heca egi ing,bu o example eache scanplayasigni ican
ole, hiscanhelpcopingwi h hesi ua ionandp e en men alheal hissues.
L:con ollabili yisalsoakey ac o ; oha esomedeg eeo con ol, eelingso helplessnessandlack
o con olcannega i elyin luencemen alheal h.Child enshouldgoou sideandexpe ience ha
hei ac ionsdosome hingin hewo ld.
Li:gi ingchild enand hei amilyin o ma ionabou hediseaseandsi ua ioncaninc ease hei
senseo con ol.
D:ineduca ionmo epsychologicalandscien i icinsigh s/ heo iesshouldbeapplied oimp o e he
schoolen i onmen ,child enshouldlea nhow ouse oolsandgainskillsins eado si ings illall
day, hisway heycanlea nhow obeincon oland obe esponsible
L: he e’sbeens udies ha show ha g eenspacecanbebene icial o hemic obiome;USA
esea chmeasu edpeople’sgeoloca ions,and ound ha mo edi e seen i onmen swas ela ed o
be e moods
A:physicalac i i ycanha ebiological(physical),beha io alandmen alheal hbene i s.Rou ineand
aschedulea ealsopa icula lyimpo an indealingwi ha[ch onicdiabe es]disease.
3) Themen alheal hp oblemsandcogni i ede elopmen aldiso de sinchild en ha
youobse ebeinga ec edbyallexposu esand hechild ena ec edby hese
exposu es.
Compila iono answe s:
‐ Anxie y,dep ession,beha io alissues, iskonaddic ionla e inli e
‐ Mic oin lamma o ys a us.
‐ The e’sa hinlinebe weenwha isconside ed obeadiseaseandwha ’sno –
he e’sag eya ea.
‐ L.men ioned esea chdomainc i e iaini ia i easanal e na i e o heDSMc i e ia
–i conside sbioma ke so psychopa hologywhe eas heDSMisbasedon
psychologicalques ionnai es.
‐ Bo ha edeba ableandha ep osandcons.
25
Annex3Wo ldca ésessionwi hDu chS akeholde s17June2021
The ewe e h eepa icipan sa heonlinesession.Theywe e om heNe he lands.
Th ee hemeswe eadd essedin hissession.
Theme1‐Thein e nal,ex e nalandsocialexposu esyouconside aspo en iallyha m ul ochild en’s
men alheal handcogni i ede elopmen .
Theme2–Thein e nal,ex e nalandsocialexposu es ha youconside aspo en iallybene icial o
child en’smen alheal handcogni i ede elopmen .
Theme3–Themen alheal hp oblemsandcogni i ede elopmen aldiso de sinchild en ha you
obse ebeinga ec edbyallexposu esand hechild ena ec edby heseexposu es.
Pa icipan s:E elieneD.(ED),Ka in(KB),EmilyM.(EM)
Theme1‐Thein e nal,ex e nalandsocialexposu esyouconside aspo en iallyha m ul ochild en’s
men alheal handcogni i ede elopmen .
ED– oleo pa en s,p oduc iono ood(packagingma e ials),b eas eedingcanbeap o ec i e
ac o agains obesi y,bu muchhasbeen esea chedabou nu i ion.Bu heb eedingg oundin
whichp oduc sa ep oducedisalsoin e es ing.
S esso since aing oups–lowSES,po e y, educedskills
Ai quali ycanalsoplaya ole.
KB–highlyeduca edpa en salsoha es ess.
EM–lowSEShaso enbeenlike his o manygene a ions,ac ossgene a ionsisin e es ing.Agingis
as ess ac o ,apa omSESe c.Sodon' jus keepaneyeonlowSESg oups,e e ypa en can
ha eabackpack ha a ec s hede elopmen o hechild.
KB– o ood,also iewpackagingma e ial.
EM–lacko exe cisea ec sb ainde elopmen –and ha in luences u u egene a ions.
Mode a o :wha ismeasu edinyou ieldin e mso (bio)ma ke s?
ED: ooli le
KB–welooka hemani es a ionso ha ,anxie ydiso de ,panice c.[lookinga hee ec side]
EM–i he ea ebeha iou alp oblems,welookbacka wha wen 'w ong'inea lyli e,bu wha
non‐medical ac o sandsignallingins umen sa enowslowlybeingdone.
RD– he amilysi ua ionisal eadybeinglookeda (con ex )
ED–andi alsolooksa childca eand hecon ex he e.
KB–goodde elopmen :midwi escanal eadyiden i ywhe he mo he / amilya e ulne able(b oad
de ini ion), henyou hnu secan isi he amily oseewha makes he amily ulne ableandhelpis
heno e ed.
Pe e :EQLwan s ose upin e en ions–couldwecon inue o alkabou how ha couldbe i ed
in op ena alsc eeningin hecomingyea s?
32
Session: B inging all coun ies in Eu ope a a highe le el o science and policy
making
33
34
35
Annex5S akeholde o umLjubljana
Theme1:Scaleonwhich esul sshould ocus
The i s discussionswe eabou onwha scale(neighbou hood,ci y,coun y,e c.) he esul so he
Equal‐Li e esea chshould ocus,andwhe he a ocusshouldbeplacedondep i edneighbou hoods.
Theo e allconclusionwas ha ineachcoun y hedecision‐makingpowe and inancesa eona
di e en scale,and ha da aa eo enonly ele an i heysaysome hingabou ha scale.Anexample
omSlo eniawas ha abenchma khadbeende elopedinwhich egionsa ecompa edwi heach
o he .Howe e , hese egionsa eno decisi een i iesanddono manage hei own inances, hus
he esul so hisbenchma kwe eno used o any hing.I wassugges ed ode e minescales ha
a e ansla able oeachcoun y(e.g.pieceo s ee segmen ,u banblock,neighbou hood,dis ic ,
ci y, egion,e c.)and o ocus/classi y esul son hesescales.
Someaddi ionalobse a ions ompa icipan s:
Mul i‐le elmodel;in e en ionsonallle elsshould eedin oeacho he .
E alua ionso e ec i enessa emissing;wha doin e en ionsachie e?
Socialdimensionandcogni i edimensiona e e yimpo an ; e ydi e en o men alheal h
( s.physical)
I iseasie o people o e lec onphysical a he hanmen alheal h.
Exposome esea chiscomplex&mul idimensional;in e en ionson a iousle elsa e
necessa y.
Exampleo in e en ion:h ps://young.sco /
P ac icalaspec s:needo s akeholde s ha esea chdeli e sp ac icalou pu s;a e he esea che s
awa eo s akeholde needs?How oin ol es akeholde sin henex ( esea ch)s eps?Ma ching
Equal‐Li ewo kwi hs akeholde s(needs).E eni heya eawa eo hei needs, heymayno beable
ohelp.Fo example,da aneededa eno a ailablea hele el ha wouldallowanalysis.Fo example,
da aonheal h/wellbeinga eonlya ailable o municipali iesinSlo enia.Thosedono allows udies
a neighbou hoodle el o example.MaybeEn i onmen alA lascanbep omo edassou ceo a leas
somein o ma ionon heen i onmen .Thisisa ailablea leas o someexamples o helocalle el.
Fo examplenoisemapsa ea ailablea neighbou hoodle elbu only o a easde inedinDi ec i e
2002/49/EC.h p://gis.a so.go .si/a lasokolja/p o ile.aspx?id=A las_Okolja_AXL@A so
Theme2:Including heimpac o en i onmen al ac o sonmen alheal h ac o sinall
policymaking
Thiscon e sa ions a edwi h heques iono whe he En i onmen alImpac Assessmen sa e
necessa y o e ec i epolicymaking.
Theen i onmen wasb oadlyde ined oalsoincludee.g.socialmedia,clima echange, ea o wa ,
a ailabili yo space oplay,e c.I wasmen ioned ha hemos ele an aspec he eis he'expe ience
36
o heen i onmen ',ins eado heobjec i edesigno heen i onmen .G oupscon inued odiscuss
wha i akes oincludemen alheal handcogni i ede elopmen asa ac o inallpolicy ields.
Impeding ac o s ha we emen ionedincludedi icul ieso wo king oge he inanin e disciplina y
way,unce ain y/unwillingness olookbeyondyou ownpolicy ield,no speaking hesamelanguage,
and'lacko men alheal hli e acy'.I wasalsomen ioned ha oo ewe alua ionsa eca iedou on
hee ec i enesso ini ia i es,makingi di icul ocon incepolicyo ice s/poli icians ha hei policy
a eahassome hing odowi hmen alheal h.Thecomplexi yo heconcep o men alheal h(and
in e en ions ela ed oi )wasmen ionedasapossible ac o oconnec policy ields: he opicisso
complexand e sa ile ha e e yone'sinpu isuse ulandnecessa y.Clien andci izen
pa icipa ion/ci izens'ini ia i es(speaking om heexpe ienceo heci izeninwhichallsec o scome
oge he na u ally)we ealsomen ionedasaconnec ing ac o be ween ields.
Theme3:Se ingupe ec i eyou hpa icipa ion
In helas ound,wediscussedhowabo om‐upapp oach,wi h hepa icipa iono youngpeopleand
child enin esea chandpolicymakingcanbes bese up.Theplay ulpa adigmand he15‐minu eci y
we emen ionedasgoodexamples.I wasdiscussed ha i isdi icul o eacha ep esen a i eg oup
o youngpeople.Finlandwo kswi hayou hpo al,inwhichyoungpeoplea easkedques ionsabou
policyplans.Alink o heseques ionsissha edinse e always iasocialmedia,wi hex ae o being
pu in oengagingg oupso youngpeoplewhoa eou o hepic u e– o example iaDisco d
discussionpla o msandTikTok.Theimpo anceo ainingchild enandyoungpeopleinpolicy
pa icipa ion( o examplea school),gi ing hem hecon idence ha hei inpu coun s,andimp o ing
hein ol emen o lessp i ilegedchild en/youngpeoplewasalsodiscussed.Asagoodexample,i
wasmen ionedhowchild eninCanadaa eencou aged omp ima yschool ospeakpubliclyand o
bepoli icallyengaged.
Finally,apa icipan omSco land alkedabou howlegisla ing hechild en's igh oin ol emen in
policymakingopeneddoo s ode elopingapp oaches obee ec i einyou hpa icipa ion.
Supplemen :Ano he goodexampleis heBundesjugend e e ung(Fede alYou hCouncil,BVJ)in
Aus iawhichis he“legallyancho ed ep esen a iono hein e es so allchild enandyoungpeople
inAus ia”(h ps://bj .a /english‐in o ma ion/).
Men alheal hplans
Wecollec edmen alheal hplans(wi ha ocusonchild en) oge ag iponsomeo heissues ha
s akeholde sa e acingin hei wo k.
Men alheal hpolicyplansmen ioneddu ing he o um:
InSlo enia,No hMacedonia,bu no speci ic o child en.See o Slo eniae.g.:
h ps://www.nijz.si/sl/publikacije/mi a‐za‐duse no‐zd a je‐nacionalni‐p og am‐duse nega‐
zd a ja
C oa ia:na ionalplan o child en,howe e no add essing hese ings,physical
en i onmen .Add essingheal handeduca ion.Men alheal hli e acyandheal hyli ing
p og ammeswi h ocusand inancial esou ces o g eena eas.
37
Du chp og amme‘Kans ijkes a ’.h ps://www.kans ijkes a nl.nl/
De elopmen alp og ammeandsuppo o eache se c.needed(inAus ia)
Scandina ia i s housand‐dayp ojec epo s:h ps://no den.di a‐
po al.o g/smash/ge /di a2:1571297/FULLTEXT01.pd ;
h ps://www.no den.o g/en/publica ion/ i s ‐1000‐days‐no dic‐coun ies‐si ua ion‐analysis;
h ps://no den.di a‐po al.o g/smash/ eco d.js ?pid=di a2%3A1640984&dswid=‐296
Theseplansha ebeenusedin hewo kshopsands akeholde s o aasexampleso inspi a ionand
o iden i ica iono p oblemsin hedomaino childmen alheal handcogni i ede elopmen .
38
Annex6Someexampleso usedpe sonas
39
40
Annex7Co‐designwo kshopinSkopje
Thewo kshopwass uc u edacco ding odi e en hemes.Each hemewasin oducedbyoneo he
Equal‐Li epa ne s.
Weuseddesc ip ionso pe sonaso di e en kindo s akeholde sin hewo kshop.Thepu poseo
pe sonasis oc ea e eliableand ealis ic ep esen a ionso akeyaudience.These ep esen a ions
shouldbebasedonquali a i eandsomequan i a i euse esea ch.Wewan ed oge someinsigh
o wha kindo s akeholde sa e ele an o coope a ionwi h esea che swi hin heEqual‐Li e
p ojec .No allpossibles akeholde swe ep esen .Theknowledgeo whichs akeholde swe eno
p esen isalso ele an in o ma ion.Wemus conside how o eachou o hosemissings akeholde s.
Someexampleso hedi e en pe sonas ha ha ebeende elopedby hepa icipan sa eaddedin
heannex6.
A e awelcomeandagene alin oduc ion,wediscussed hedi e en pe sonasands akeholde
ep esen a iono hepa icipan s.Thiswas ollowedbysessionsacco ding odi e en hemes.
4.1Theme1:Co‐design ools
Thissessionwasin oducedbyP dH(INCHES).Thesessionadd essedques ionsonhow owo k
owa dsimplemen a iono esul so Equal‐Li ein oheal handen i onmen alpoliciesconside ing
child enandyou h.Whichco‐design oolsa ea ailable?Wha canwelea n omdi e en examples?
Which oolscouldbene i you wo k?
Thewo kingme hodwasawo ldca ése upwi h4g oupsand4ques ions(4x15minu es).This
ound ablediscussed he ollowingques ions:
Doyouha eexpe ienceandlessonslea ned ega dingco‐designo o he pa icipa o y
app oaches?Doyouuseco‐designinyou wo k?Doyouuseco‐designinyou wo k,inyou
o ganisa ion?
Doyoucollabo a ewi ho he p o essionals,wi hscien is s,wi hci izens?
Doyouneed oshi policies,p ojec sand/o budge s ochild en’smen alheal handcogni i e
de elopmen ?
Doyouha e ips ega dingimplemen ingnew ools,new(scien i ic)e idenceinyou
o ganisa ion,you wo k?
Themainconside a ionswe eg oupedacco ding o he opics:1)co‐designp ocess;2)awa eness
aising;3)co‐design ools;and4)coope a ion.Thepa icipan sga eab oad angeo sugges ions.
Co‐designingp ocess:Lea ning omandlis ening os akeholde sneedin es men , om hes a ,
wi hou p esump ions.Non‐linea p ocess,some imesyouneed ogoback op e iouss eps.Lis en
opeople ha a eno en husias ic.Ha epeoplein hecen eo hisp ocess, o exampleas‘idea
gene a o s’.Conside ewa dings akeholde s.S ess head an ageso co‐design,wi hou men ioning
heconcep o co‐designingexplici ly.Andou pu s/ esul so suchp ocessesa eno se a he
beginningo he(co‐design)p ocess.
41
Awa eness aising:weneedgoods o iesandgood‘s o y elle s’ ob ing he opic o hepublicand o
poli icians.Posi i es o ies, ailo ed o egionsandcoun ies(cul u especi ic).Shi op e en ion
app oach(policiesand unding).Mo elong‐ e mands uc u alp ojec s(p og ammes)a eneeded.
The eiss illas igmain a iouscoun ies.Ci izens( o e s)canplead o ashi op e en ionwi h he
poli icians.
Tools:impo an oknow he a ge g oup, ailo ‐madep oduc s.Bes p ac ices.Issuesa emoneyand
s a ing.Va iousexamplessuchasLi elines,onda acollec ion.Visualandin e ac i e.Speci y he
(go e nmen al)le el ha isadd essed.Communica ion, ilms,s o y elling,e c..Tools o p esen ing
da a.Dono was ealo o ime o no eason.
Coope a ion:Adis inc ionneeds obemadebe weenpoli iciansandadminis a ionwi hin
go e nmen s.Conside whoisincha ge,whichin luences he esul so hecollabo a ion.Theonesin
cha gede ine heagenda, heexpec edou comese ce e a.Di e en channels o collabo a ion,see
pa icipa ionladde .Howe e ,e en heone‐waycommunica ion(lowes s ep)isdi icul .Peopleusing
TikTokdono wan o eadscien i icin o ma ion.Twi e ,wi hscien i icin o ma ion,isno usedby
‘ hepeople’.Thusconside hesocialmediasou ce o communica ion.Collec in o ma ion om
di e en expe s/pe spec i esandcombine ha in hecommunica ion.Makesuccess isible,which
migh bedi e en o di e en s akeholde s.Andiden i y‘wha a esuccesses o hesedi e en
s akeholde g oups om hebeginning.
4.2Theme2:Wo kingonapplica iono oolsbasedonEqual‐li e esul s
Thissession hepa icipan sdiscussedques ionssuchas:Wha oolssui hedi e en s akeholde s?
How lexibleshouldwebeinapplyingdi e en ools?Howabou isualiza ion?
Feedbackwasgi enonda aandons uc u eo he oolbox/demons a o .Thela e mus
be u he de eloped.Insp eading/dissemina ing he oolweneed oconside language.
Nex s epis oselec he‘da a hemes’and hende ail he(le eland ypeo )da a(needs).
Da a isualisa ion: ipwasgi en olooka heexampleo heDu ch“Kansenkaa .nl”(see
h ps://kansenkaa .nl/klasoude slaaginkomen#6.47/52.29/5.285)
Da ain he oolboxwillbebo h omEqual‐Li eand omo he exis ingsou ces.Thedi e en
WPswilldeli e algo i hmsand unc ions,andp obablyno da a.Wedono expec
anonymisedda a.Bu agg ega iono da awouldbe easible.
Seep esen a ioninannex11.
4.3Theme3:Wo king owa ds ansla iono scien i ic esul s
Du ing hissession, hepa icipan sdiscussedques ionssuchas:Howeasy ounde s andneed he
esul sbe?Doweha edisconnec ionsbe weenscien is sandpolicymake s?Wha a eba ie s?We
usedap esen a ionandg oupdiscussion.Thep esen a ionwas ocusedon ippingpoin so social
beha iou andadop iono changeinbeha iou bypeople.Seep esen a ioninannex12.
Summa yo eedbackgi en.
48
asdeli e ables, esea chques ions,and ea u esconside edin heanalysis.S ongin e es wasalso
exp essedinexplana ionsand ainingonanalysisme hodsandso wa ede elopeddu ing he
p ojec ,wi hconsequen in e es indedica ed ainingsessions.
5.2Wo ldca édiscussionsonEqual‐Li ep esen a ions
P esen e :MK,Uni e si yo Kaise slau e n,Cogni i eandDe elopmen alPsychology(online)
Ti lep esen a ion:E ec so en i onmen alexposu esonmen alheal h,well‐being,andcogni ionin
child ena he ansi ion omkinde ga en op ima yschool:Concep o alongi udinal ields udy
Wo ldca éques ions:
Wes udy he ela ionshipbe weeng eenspace,noise,ai pollu ion,social ac o s,and he
cogni i ede elopmen o child enin hepe iodbe weenp eschoolandp ima yschool.
F omanin e en ionpe spec i ewha associa ions oanalysewouldbeo mos in e es o
you
Wo ldca édiscussion:
Thep esen a ionwas ega dedas e ygood,pa lyabi ha d ounde s and(pa icula ly hedi e en
ou comemeasu emen sandhow heya e ela ed oeacho he ).Bu hes udyp esen edwas
ega dedasqui eillus a i eabou wha Equal‐Li eisdealingwi handisbe e ounde s and han
hecoho da a.
Topics/discussionpoin smen ionedwe e:
Iden i yquali yaspec so g eenspace ha a eimpo an ochild en'sde elopmen andhow
hey ela e o hep e e enceso hei pa en s.
G eenspacesin esiden iala easa emos impo an o smallchild en.
S udy he ela ionbe weeng eenspaces&quali yo imespen in hosespaces.
A ha poin , heg oupdiscussedwha de ines hebene icialquali yo g eenspaces(o o he places)
in ela ion o hemen alheal ho child en.I wasmen ioned ha heWP5de ini iono " imespen "
and" equencyspen "isp obablyagoodindica o o anen i onmen bene icial/a ac i e o
child en‐be e hande ining"highquali y"in e mso hephysical ea u es( ege a ion,wa e …).
"G eenspaceneedsmain enance"wasmen ionedhe e.
Themode a o smen ioned ha heP eschools udyisalsoin e es edinsocialexposu e/ ac o s.The
g oupdiscussion, he e o e,shi ed owa ds he oleo g eenspace o di e en (socio‐economic)
a ge g oups.
Topicsmen ionedhe ebyg oup1and he ollowingg oupswe e:
Is he eadi e encein hee ec o g eenspacebe weendi e en SESg oups?
Idea o anin e en ion:addg eenspace oschools.Schoolya di sel isanequalize o SES
di e ences.
Thisp o idesequi yo access og eenspace o pupils.
Mo egene alideas o in e en ion ollowed:
49
In e en ionshouldp o ideequi yina chi ec u e&u bandesign.
B ingna u einside he(a i icial)ci y owa dc ea i i y.
Also,animalsb ingna u eback o heci y,no hes anda delemen smo ec ea i e.
Conside hedidac icaspec so g eenen i onmen .
Designinganin e en ion ha isloca edinag eenspace( eeschoollunchinapa kdu ing
summe –Helsinki)=>p o idesheal h‐bene iciale ec so g eenspaceandequi y odi e en
socio‐economicg oups.
Besidesg eenspace,someg oups’membe ssugges edconside ingo he exposu esin hep eschool
s udy,namely:
Includedigi alexposome.
Impac o elec omagne ic adia iononp eschoolchild en.
Alsoincludenoise.
P esen e :CG,Cen e o Cogni i eScienceTUKaise slau e nGe many(online)
Ti lep esen a ion:Causalpa hmodellinginEqual‐Li e.Wha hasbeenandwha willbedone?
Wo ldca éques ion:
Howshould(complex)empi icalands a is ical esul sbecommunica ed o he a ge audience,and
how op esen hese esul s, oa oidmisconcep ions?
Wo ldca édiscussion:
S akeholde sdiscussed ha heanswe dependsonwho he a ge audienceisand ha he ea e
di e sele elso in o ma ion ha canbediscussed.Thes akeholde sexp essedin e es inin o ma ion
onwha he esul s ep esen andhow olinki oin e en ionsandp ac ice.I isimpo an oin o m
on hecon ex o he esul s–wha ques ionswe easked,wha da aandme hodswe eused,wha
da awasmissing,andhowwas heconclusion eached.I isalsoimpo an o hes akeholde s o
knowhow heycanchange heou comesin he ealwo ld.Rega ding he o mo p esen ing esul s,
se e al o mswe emen ioned:sho (w i en)summa ies,in e ac i esessionswi hs akeholde s,
ca oonso anima ions,andin e ac i eonlinema e ials.The esul smus bein oducedp ope ly,
communica edinause ‐ iendlyandsimpleway,and he ele ance o he a ge audienceshouldbe
clea .
P esen e :AP,TUDel , heNe he lands
Ti lep esen a ion:Newme hodologicalapp oaches omeasu ing hephysicalen i onmen
Wo ldca éques ions:
Wha me ics/indica o sa eyouusinginyou dailyp ac ice(i a all) oassessaneighbou hood’s
walkabili y/accessibili y/encou agemen o ac i e a elbeha iou ,e c.?Wha islacking?
Doyouuseanya ailable ools/designguidelines omglobalo ganiza ionssuchasWHO,UNHabi a ,
e c.?Whichones?Wha islacking?
Wheni comes oimp o ingchild en’smen alheal handwell‐being,whichen i onmen alaspec sdo
youconside hemos impo an andwhy?Onwha e idencedoyoup io i ize hem?
Doyouseeanypo en ialin hewo kwep esen ed o you dailyp ac ice?Wha wouldyouneed o
make hishappen?
50
Wo ldca édiscussion:
Allpa icipan sag eed ha hep esen a ionwas e ygood.Al eadyknowingabou hiskindo
esea chisan“eye‐opene ”.Membe so hisg oupdiscussionwe eimp essedwi hallda aga he ed
andwe ein e es edinhow heycan eachda aa asimila le el o hei cases.Theywouldbe
in e es edin eading epo sandpublica ions o eadmo eabou i on heEqual‐Li ewebsi e.
Rega ding he opic“g eena eas” heysugges ed oaddalsoloca ionso schools/kinde ga ens,and
playg ounds.Apa om he ac ha g eena easa ediscussedi isalsoimpo an wha sucha eas
o e ,wha a eac i i iessuppo edinsuchplaces( ec ea ion,useo digi alapps…).I wassugges ed
ha alis o aspec s ha spa ialplanne sshouldconside be o edecidingonnewin e en ions.
Planne sneedac i eengagemen o se e als akeholde sincluding esiden sand eedback omuse s.
I isimpo an omoni o ande alua e heuseo heg eena eaandmakeimp o emen swi h ime.
I isimpo an oknowwha kindo g eena easweneedin heci y(sa e y,ac i i ies…).Accessibili y
isimpo an ,need oa oidba ie so c oss hem( ailways…).I shouldbeadynamicp ocess.Tools
o municipali iesa eneeded oconside helis o aspec s ha heyshouldconside .
P esen e :JA&LG,Uni e si yo B emen,Ge many
Ti lep esen a ion:SocialExposome‐Concep ,applica ion ields,andimplica ions
Wo ldca éques ions:
Doesou esea chinspi eanyp ac icalimplica ionsinyou wo k?
Doyouseeanyop ions oin eg a eou esea chinyou wo k?
Doyouseeanygaps,whichshouldbeadd essedinou esea ch?
Wo ldca édiscussion:
Doyouseeanygaps,whichshouldbeadd essedinou esea ch?
Oneimpo an aspec wi hinSocialExposomeshouldbedigi aliza ionandsocialmedia:Social
eali yishighlydigi alized,and heinc easingglobaldigi aliza ionshouldbeconside edwhen
we e e o hesocialen i onmen ,becauseo hehighin e ela ednessbe ween he ealand
he i ual/digi alwo lds.
o Social eali yis ypicallype cei ed h ough‘digi al il e s’(i.e.useo sma phones,iPads,
socialmedia,e c.)
o Theomnip esenceo digi alde icesdis ac s om he ealwo ldandin luencesou
ela ionships:dis ac ion,losso ocus(e.g.pa en sandli lechild enpa en al
in es men )
o In e ac ione ec sbe ween heuseo digi alad iceandsocioeconomic/educa ional
backg ounddigi alli e acyisneeded.
When alkingabou heSocialExposomewealsoneed oconside communi yandsocial
in e ac ionsa heneighbou hood/dis ic le el.
o Quali yo neighbou hoodsdi e salo wi hinci iesanddependshighlyonmo emen o
employmen pa e ns.
o Wha canbeobse edis ha seg ega ioniswan edby hep i ileged
esiden s/communi ies:
51
Impo an How ob eak h ough hisa e sionandinc ease ole ance/openness o
achie e egene a ionwi hou losingbene i s?
o Young amilies ypicallya eacons an inneighbou hoodsmaybeinc easeexchange
pla o ms o child en o eachaccep ancebe weendi e sepopula ionsinsigh &
exchangeo li ingpa e ns.
o Look o op ions oinc easecommuni yin ol emen (pa icipa o yapp oach)
When alkingabou socialin e ac ionsweneed ode ine hemeaningo socialin e ac ions:
quali yandquan i yo in e ac ions.
o Inp ac icein e ac ionsou sidespeci icse ings(e.g.school)de ine hea mosphe e o
meaning,becausehe ein e ac ionslose hei unc ionas“social oles”(e.g. eache ,pupil)
bu cang owin o‘ ue’ ela ionships.Thus, o‘imp o e’in e ac ions,weneed oc ea e
exchangeop ionsou sidese ings.Thisunde s andingmayalsohelp oimp o e
neighbou hoods/ ela ionswi hinneighbou hoods.
Fo men alheal hsocialin e ac ionsa eo high ele ance,asweneed oconside bo h,
pe cep iono in e ac ionsandbeha iou wi hinin e ac ions.
o Toimp o ecommuni ies/neighbou hoodsweneedmoneyand, hus,weneed ocon ince
policyanddecision‐make s,weneed obeou come‐ ela ed.Bu awa enessisalsohighly
impo an whichalsocanbeou come ela ed.
Doyouseeanyop ions oin eg a eou esea chin oyou wo k?
Quali yo da a:Conc e eope a ionaliza ionop ionsneed obede ined ocollec good&clean
da a od aw alidconclusions.
Reduc iono complexi y omakei easiblein he ield–conc e eguidelineswouldhelp.
o E.g.LogicModel o Equi yAssessmen :nameconc e ee alua ionc i e ia ha a e obe
ollowedin hede elopmen o in e en ions.
P esen e :MD,TUEindho en, heNe he lands
Ti lep esen a ion:De ining ele an se ingsby ime‐ac i i y‐soundexposu emapping.
Wo ldca éques ions:
Couldyousee his ypeo s udybeingdoneinyou municipali yo ano he scaleyoua e
dealingwi hinyou dailywo k(neighbou hood/ci y/p o ince/coun y)?
Doyouseeanybene i oapplyou esea chinyou dailywo k?
Knowing he ypeso da awecollec ed,wha esea chques ionscome omind?(Ino he
wo ds,canyougi eanyaddi ions/sugges ions oou wo k?)
Wo ldca édiscussions:
S akeholde s ound heideao usingbeha iou alpa e ns o da acollec ionanin e es ingapp oach.
Theopinionswe edi idedonwhe he heysee hiss udybeing epea edin hei own ieldo wo k,
due ocos so p i acy.Thein o ma ion ha hes akeholde s hough o obebene icial o hei wo k
we e:SES–noise,quali yo li e–noise,men alheal h–noise,and hesocialdi e ences.I was
sugges edby hes akeholde s oexplo e he ela ionshipbe weendu a ionandnoise,wi h he
ques ionbeing:a eloca ionswi hahighe noiseexposu e isi ed o asho e ime?O he sugges ions
we e oconnec mo eda a o heexis ingda ase oin es iga e hemedia iono o he exposu es
52
suchasg eenspaceandai quali yand oinco po a esubjec i esoundexpe iencein he u u e.
Finally, hes akeholde swouldlike oseesugges ions o in e en ions,guidelines o whenase ing
is“good”o “bad”andhow oin o mpa en sand eache sbe e abou hee ec so noise.
P esen e :DK,Jože S e anIns i u e,Depa men o En i onmen alSciences,Ljubljana,Slo enia
Ti lep esen a ion:Child en's(men al)heal handpa icipa o y esea ch:di e si yo le elso inclusion
Wo ldca éques ions:
How o ansla e indings esul ing om a iouspa icipa o y/CSac i i iesinin e en ions?
Which ools(and hei ea u es)a e obeused o e ec i eengagemen o child en‐also o
os e mo i a ionandconsequen lysus ainabili yo ac i i ies?
Is he e oom o in eg a iono app oachedp esen edin oschoolcu iculum?
How oassessimpac o ac i i ies/in e en ionconside ingspeci icso pa icipan s(child en)
in ol ed?
How o os e heupscalingo he esul sand hei up akebypolicyanddecisionmake s?
Wo ldca édiscussion:
In hebeginningo hediscussion,someoneasked o anexplana iononwha isin e en ion.The
meaningo hewo disno su icien lyclea .Discussionwen indi ec ion ha esul s om he esea ch
a e e yo enno implemen edinpolicies.Decisionmake slis ena he esul scoming om esea ch,
bu heydono conside hese esul sindecisionmaking.Weag ee ha en i onmen alsenso s o ai
pollu ionandnoiseexposu ecangi e e y aluableda aand heyshouldbesha edwi hlocal
au ho i ies.Peoplea escep icalo implemen ingsolu ionsonchild en’sscience.
On he opic‐Which ools(and hei ea u es)a e obeused o e ec i eengagemen o child en‐
also o os e mo i a ionandconsequen lysus ainabili yo ac i i ies, hepa icipan sga e e y
in e es ingp oposals.These oolscouldbegames, oolsasamusemen o child en, ools ha make
child en esponsible ouse,bu s ill, heya eno obliga o y o child en.I isalsoimpo an oin ol e
eache sandchild en, eache scouldmake a ing o hei de elopmen especiallyinde elopmen o
emo ionalskills.Someo hese oolscouldbeincludedineduca ionp ocessandbecomepa o
educa ioncu iculum,especially o en i onmen alpollu ionandhumanheal h.
Weshould hink oincludechild enin hep ocesso de elopmen o ools—co‐c ea ionandco‐design
wi hchild en.
Someonega eidea o de elopmen o applica ion o dailydia y,sowecange pic u e o ime
ac i i ypa e ns.
How o os e heupscalingo he esul sand hei up akebypolicyanddecisionmake s?
Fo hisques ion,allpa icipan swe e e yscep ical ha esul swillbeimplemen edin hepolicies.
P esen e :KB,senio ad iso child&adolescen publicheal h, heNe he lands
Ti lep esen a ion:Men alHeal hin heDu chPublicHeal hsec o
Wo ldca éques ions:
A eyoumissingi emsin hewishlis ?
o Well‐beingasabasiccondi iona school
o Mo e a ge g oup‐o ien edin e en ions
o Mo eaccessiblein e en ions;mo ep e en i ein e en ions
53
o A en ion osocialandphysical ac o sin ela ion omen alheal h
o Da aabou :‐youngadul s;‐mig an s;‐lowsocio‐economics a us
o Mo equali a i eda ain he ieldo men alheal h.
A e he eal eadyquali a i eda aabou men alheal h ha youwouldsugges ?
Whichquali a i eda aa emos ele an ?
A e he eal eadyna ional esea chagenda’sMen alHeal honchild en’smen alheal h?
CanEqual‐Li ebeo anysuppo ?
Wo ldca édiscussion:
Conside ing he ime,nodiscussionwasheldonKa in’sp esen a ion.
P esen e :ES,Ci yo Helsinki,Finland
Ti lep esen a ion:Implemen inge idence‐basedpsychosocialin e en ions:anexample om
Helsinki,Finland
Wo ldca éques ions:
Wha kindo na ionalguidanceiso e edinyou ieldo wo k?
Howwouldyouapplyyou expe iencesinou wo k?
Wo ldca édiscussion:
Fi s , imewas aken oanswe ques ionsabou heIPC‐Ain e en ion.Fo example,ques ionsabou
heFinnishheal hca esys eminwhichbasicheal hca e ochild enisp o ided h ough heschool
sys em,and ha heIPC‐Aisanindi idualin e en ion ha canbep o idedbyanyonewhohas
comple ed he aining.Animpo an ques ion o Emmaishow oge manage sin heschooland
heal hca esys em oadop heIPC‐Ain e en ion.Thein e en ionisal eadyin hena ional
guidelines;howe e , hisna ionalguidanceisno en o ced.Ba ie sinFinlanda e ha manage sdo
no eel ha implemen ingheal hca ein e en ionsispa o hei jobdesc ip ion,as helawismo e
ocusedonp e en ion hanin e en ions.
A ewexpe iences omo he coun ieswi h hisissuewe esha ed:onepa icipan p oposed o
in o mpa en sabou heimpo anceo hisin e en ionso ha heywillaskschools oimplemen i .
AGe manpa icipan p oposed os a sc eening o men alheal hp oblems oshow hemagni ude
o hep oblemandc ea emo esuppo o implemen ingIPC‐Ao o he in e en ions.Ano he
Ge manpa icipan sugges ed ha i migh help ocon inceinsu e s ha hein e en ioniscos ‐
e icien , heymigh henlobby o hein e en ioninschoolsandheal hca ese ings.Apa icipan
omI alyp oposed ha i migh help oin o muni e si ys uden sabou heimpo anceo his
in e en ionand heimpo ance owo kin e disciplina y,so ha heymigh change heeduca ional
andheal hca esys emso he u u eandwillsee he alueo hesein e en ionswhen heyen e
p o essionalli e.InSlo enia heyencoun e simila di icul iesinimplemen ingin e en ions, hei
ba ie sa emainlyalacko esou ces,people,andmo i a ion,andwhohas he esponsibili y o he
implemen a iono in e en ionsisno clea .
P esen e :MW,NCJ, heNe he lands
Ti lep esen a ion:You b ainincon ol?!Uni e salp e en ion owa dsmen alheal hinadolescen s
Wo ldca éques ions:
54
Is he eawayinwhichEqual‐Li ecanhelpmeasu ing hechangesweaim o wi h hisin e en iona
school?
weexpec oseemo ein e ac ionbe weens uden s,ou sideclassesandlunchb eaks.
weexpec oseemo ein e ac ionbe weens uden sand eache s,ou sidescheduledclasses,
wi hou sel ‐ epo ed esea ch.
In hesequelo he i s ques ion:Whe ecanEqual‐li ehelp oge insigh so changeo beha iou by
looking omano he angle o hesi ua ion?Inmos esea chong oupsands uden he ea elo so
e hicaldiscussions.The e’sanon‐e hicalpa inEqual‐Li e ha canbehelp ul.
Wo ldca édiscussion:
The‘You b ainincon ol’p og amislooking o (new)ways oe alua e hee ec so hein e en ion.
Aswi ho he uni e salp e en ionp og amsp o idinge idenceonasingle,speci icin e en ionis
challenging.Ame hodcouldbe ousesocialmediaand–in hiscase–YouTube ideosandpos ed
commen s o ack,analyseandclassi y‘ hesen imen s’(sugges iono /suppo byQUANTIA).
Ano he ques ion om hep og amiswhe he hisin e en ionhelpsinimp o ingandenhancing he
socialen i onmen o schools.Willschoolsbea‘be e se ing’,as esea chedbyEqual‐Li e,due o
hisin e en ion?CanEqual‐Li ep o ideindica ionso causal ela ionsonsocialen i onmen s,school
se ings,andchild en’smen alheal h ha wouldsuppo his?
P esen e :LG,Co kCi y,I eland
Ti lep esen a ion:Le ’splayCo k
Wo ldca éques ions:
Ba ie s oamo eplay ulci yincludededica ed ull‐ ime esou cing,annualmul i‐s akeholde
budge ingandpublicliabili y/insu ancecos s.Bene i so applyingany esul omEqual‐Li e
inyou dailywo k: esea ch indings ha p ope lycla i y heimpo anceo ea lyp e en a i e
in e en ions.Applied esea chp ojec s ha es hese indingswouldbeag ea bene i .
Inmyp esen a ionIwill ocuson2Co kexamples‐Le ’sPlayCo k(Play ulPa adigm)andLe ’s
G owToge he (In an andChildhoodPa ne ship).I ’impo an ono e:Buyin o amo e
play ulci yisalwayseasy–bu he eisaneed o mo eapplied esea chandcommi edpilo
p ojec s og owcon idencein heabili y odeli e la ge /mo epe manen play ulci y
p ojec s.
Wo ldca édiscussion:
Themainchallengesa emain enanceo heplayg oundsandlong‐ e m unding.Collabo a ion
be weendi e en sec o sanddepa men s,andpeoplewi hdi e en expe isea enecessa y
o u he de elopmen .Tha isagood eason o eachci y oha eaheal hyci ycoo dina o
whowillcoo dina eallo hem.Someonemen ioned ha child enneeddigi alequipmen o
playingin heplayg ounds, hiscouldbea e yinno a i eidea.
Especiallyimpo an is oconside equi yp inciples oa oidenla ging hegapamongdi e en
popula iong oups.Lo can hinks heyconside edsocialinequali ieswhen heyplanned
playg ounds.
A es i alo in eg a edin ol emen o child en,pa en s,ando he adul sisanin e es ing
e en andimpo an o emo ionalconnec ion.Thise en waso ganizedinEs onia, heya e
no so equen lyo ganized,bu heycanbeagoodexampleo in e pe sonalconnec ion.
55
E alua iono hisin e en ioninCo kci ywasno pe o med,bu Lo can hinks ha people
a emos lysa is ied.The ewasap oposal o e alua iono hein e en ionwi hwalking
in e iews,likewalking h ough heci yandaskingpeoplewha hey hinkandwha will hey
changeo addsome hingelse.
Someonemen ionedasagoodexample“play ulbenchesinNewZeeland”;benchesin he
g eena eas,wi hdi e en possibili ies o playingands imula iono child en’sde elopmen .
P esen e :ISE,U banPlanningIns i u eo heRepublico Slo enia
Ti lep esen a ion:G eenspaces o heal hie child enandyou h: ecommenda ions om“GoingOu
o Heal h”p og ammeinSlo enia
Wo ldca éques ions:
Wha “addi ional”a gumen a ion osuppo g eenspaceplanninganddesigninp ac icecan
yougi e?
Howcan hequali yo ou doo li ingen i onmen a ec andimp o e hemen al(and
physical)heal ho child enandyou h.
Wha kindo indica o scanbeused omeasu e ha ?
Wo ldca édiscussion:
Ques ions ha cameupin hediscussionwe ewha hede ini ionsa eo ‘na u e’and‘g een
space’,and ha de ini ionsp obablydi e indi e en se ings.Weshouldin ol eci izensin
de iningg eenspacesandwha quali ies heyapp ecia ein hem.
S akeholde salsowan mo einsigh sin ohowpeople eac odi e en ypeso g eenspaces:
wha dopeoplelikeandhowisi bene icial o hem?
I isimpo an oha eg eenspacesclose ohomesandschoolsandon he ou eschild en
ake oschool, he eisno enoughda aon hisye .
In oducedigi al ools o playing eenspaces.
P esen e :UB,SocialP o ec ionIns i u eo heRepublico Slo enia
Ti lep esen a ion:Isi allabou loca ion?Spa ialInequali iesin heci yo Ljubljana
Wo ldca éques ions
Wha is hepolicy ele anceandapplicabili yo highligh edda a?
A epolicymake sandpoli icaldecision‐make sin e es edin he esul s?
Wo ldca édiscussion:
Oneques ionwasi he ea emo einequali iesbe ween hea eas,e.g.:A e he emo e
acili iesingene alin hea luen a eas?Is hisquan i iable o u u eanalysis?
I wassugges ed olink henoiseexposu eda a(e.g., ompubliclya ailablenoisemaps) o
heda aonkinde ga ensubsidiesandseei he ea edi e encesinnoiseexposu e
dependingon hep ospe i ys a us.
Weag eed ha i isaninno a i eapp oach oes ima e hep ospe i yo aneighbou hood
andi couldbeconside ed ouseinEqual‐Li easwell.
56
Keyno ep esen a ionSD(online)
The i s 1000daysin heNo dicCoun ies
The i s mon hsandyea so child en’sli esa epa amoun o hei u u ewell‐being.B ain
de elopmen isa i speakand ounda ionsa elaid o neu alpa hwaysandb ain egions ha dic a e
u u elea ning,language,emo ion egula ion,andbeha iou .Thislays he ounda ion o goodmen al
heal h h oughou heli espan.
The i s 1000daysin heNo dicCoun iesisa h ee‐yea No dicco‐ope a ionp ojec launchedin
2019.I hasbeenwo kingonanex ensi esi ua ionanalysiso heNo diccoun ies, e iewing he
e idence‐base o in e en ionsandassessmen ools,andde elopmen o policy ecommenda ions.
This esul edin h eeex ensi e epo son hese h eepilla s.
Fo mo ein o ma ionsee:www. i s 1000days.is/abou ‐ he‐p ojec
5.3Usingalogicmodelasa ool oencou age hinkingabou socialinequali iesin
u banplanningin e en ions
Fo hiswo kshopsession anbyJennyAh ens(UB), hegoalwas oe alua e heapplicabili yo he
LogicModel o Equi yAssessmen usinganexempla yin e en iononbicyclein as uc u ebasedon
hewo kshoppa icipan s’expe ise.Todo his, i eg oupswe e o med,andeachg oup ocussed
on he h eemainpa so anin e en ion:Planning–Implemen a ion–E alua ion.
Du ing hediscussion, he ollowing h eeques ionswe eou guidingques ions:
Wha oolssimila o helogicmodela eyoucu en lyusinga wo k(e.g.,guidingques ions,
amewo ks,o he models)?
Canyousee helogicmodelbeingusedinyou wo k?
Wha couldbeaddedo changed omake helogicmodelamo euse ul ool?
As o hedi e en h eephases,i wasno ed ha animpac assessmen wouldbe aluablewi hin
heplanningphaseand ha e alua ionneeds obeimplemen edwi hinallphases.
Themain akeaway om hediscussionwi hs akeholde sandmembe so Equal‐Li ewas ha i needs
obemadeno iceablyclea ha hisLogicModel o Equi yAssessmen isno ano he p ocess‐model
bu isabou assessing heequi yaspec sin he h eemainphaseso anin e en ion.Ideas oimp o e
hiswas oemphasize hise enin he isualmodelbyusing“ igge wo ds”.
5.4E alua ingchild en’saccess opublicou doo playspace
In hesessiononE alua ingChild en’sAccess oPublicOu doo PlaySpace,RTandAP(TUDel )
collec edknowledge om heEqual‐Li es akeholde sinanin e ac i ewo kshopsession.TUDel aims
omeasu echild en’saccess oplayspacesinci ies, obeused o heen ichmen o heEqual‐Li e
coho andschools udyda ase s.Thegoalo hissessionwas h ee old: ocollabo a i elyiden i y he
ac o s ha limi o p omo echild en’saccess oplayspace; oconnec hese ac o s oelemen sin
57
heu banen i onmen ;and oassess hela es wo k‐in‐p og essapp oacho TUDel inmeasu ing
child en’saccess oplayspace.
Fi s ,RTin oduced he opic o hes akeholde sandp o ided hemwi hab ie o e iewo he
heo y ha hewo kshopwasbuil upon.Then,s akeholde swe easked ocon ibu ewi h
sugges ionso ac o s ha limi o ha p omo echild en’saccess oplayspaceaskeywo ds, ollowed
byab ie plena ydiscussiono hemos p e alen limi ing(i.e.,lacko sa e yo secu i y, a ic,and
lacko placessui ingageo mul iplegene a ionso use s)andp omo ing ac o s(i.e.,sa e y,o he
child en,in o malplaces oplay,andequipmen o child enwi h educedabili ies).
Second,bo hs akeholde sandEqual‐Li epa icipan sspli in o6g oups,eacha hei own able, o
discusschild en’saccessibili yinaspeci icu bancase:3 ables ocusedonLjubljana,Slo enia,and3
ablesonMilan,I aly.Pa icipan s amilia wi hei he Milano Ljubljanawe ep esen edwi h he
co espondingci y,whileo he swe esp eado e ables oensu e a ie yinexpe iseand
geog aphicalbackg ound.A each able,anEqual‐Li emode a o guided hep ocess.Pa icipan s
discussedpho osandmapso heci ya handandpinpoin edwha couldlimi o p omo echild en o
accessplayspaces.
Thi d,pa icipan swe ep esen edwi hamapo e layon opo hemapo hesecond ound,made
byTUDel omodelchild en’saccess oplayspace.Speci ically, heseo e laysshowedplaces hey
iden i ied ha maya ac child en’splay(i.e.,playg oundsandsmallpa ks),o ha maybeaba ie
ochild enwhowan oaccessaspace oplayin heci y(i.e., anspo andna u alin as uc u es).
Pa icipan sdiscussed owha ex en heyag eedwi h heba ie sandplacesp esen edon hemaps,
aswellaswha shouldbeomi edo added obe e e lec p ac ice.
Th oughou hesecondand hi d ounds,pa icipan scon ibu ed hei knowledgebymeanso
anno a ions,d awings,ands ickyno es.Pa icipan salsoelabo a edonexpe iences om hei own
li eo own,whichwe ecap u edinaudio eco dings.TUDel willuse hese ounde s and he
po en ialandlimi a ionso usingsuchda a omodelchild en’saccess oplayspacein heEqual‐Li e
p ojec .
P elimina y ake‐awaymessages om hepa icipan s oRTandAPinclude:Thesizeandshapeo
pa ks, imeo day,mo emen ajec o ies,andsu oundinglanduseandac i i iesma e when
assessingchild en’saccess oplayspace;Goodquali yin as uc u eisimpo an ;Andknowledge
omlocalexpe so child enisc ucial oge acomple eunde s andingo child en’saccess opublic
ou doo playspacein heu banen i onmen a hand.
5.5Policy ecommenda ionpe spec i es
P dHin oduced hesessionwi hasho p esen a ionon heecologicaldoughnu modeland he
DPSIRmodel.Thedoughnu modelbyKa eRawo h(2012)isa isual amewo k o sus ainable
de elopmen ,combining heconcep o plane a ybounda ieswi h hecomplemen a yconcep o
socialbounda ies.TheDPSIRmodel(d i e s,p essu es,s a e,impac ,and esponsemodelo
in e en ion)isacausal amewo k o desc ibing hein e ac ionsbe weensocie yand he
en i onmen .
64
SessiononDa aandha moniza ionp esen edbyJennySelande (KI)
Ap esen a ionwasgi enonmappingo exis ingcon en in hecoho sandha moniza ion(p o ocol)
andcodebook.
The ea eAnalysis eamson:diagnosis eam(men alheal h),in e nalizing/ex e nalizing(men al
heal h),cogni ion,well‐being,andonbioma ke s.Selec iono li ephasewhe eou comesa e(mos )
ele an .
Analysisplan:
- Which esiden ial(ma e nal)physicalandsocialexposu esdu ingp egnancya eassocia ed
wi hADHDdiagnosis?
- Which esiden ialphysicalandsocialexposu esa age0‐3yea sa eassocia edwi hanADHD
diagnosis?
- Wha is heassocia ionbe weenp ena alphysicalandsocialexposomeandanADHD
diagnosis?Towha ex en is hisassocia ionmedia edbyp e e mbi h/SGA/LBW?
- Wha is heassocia ionbe weenphysicalandsocialexposomea age0‐3yea sandanAHDH
diagnosis?Towha ex en is hisassocia ionmedia edbys ess/sleep(measu eda age0‐3
yea )?
- Which esiden ial(ma e nal)physicalandsocialexposu esdu ingp egnancya eassocia ed
wi hau ismdiagnosis?
- Which esiden ialphysicalandsocialexposu esa age0‐3yea solda eassocia edwi han
au ismdiagnosis?
- Wha is heassocia ionbe weenp ena alphysicalandsocialexposomeandanau ism
diagnosis?
- Wha is heassocia ionbe weenphysicalandsocialexposomea age0‐3yea sandan
au ismdiagnosis?Towha ex en is hisassocia ionmedia edbys ess/sleep(measu eda
age0‐3yea s)?
S akeholde s’ olepa icula ly ele an and aluableinin e p e ing heanalysisou comes.Mo e
away oms a is icsin oin e p e a ion(RIVM‐I ene anKamp).
Addingda a:inEHENcon ex –o i s ollow‐up(p oposal o newEUp ojec :I‐EHEN).
In e ac i esessiononP io i isingda a(ca ego ies)
Wewan ed oknowwhichca ego ieso da aa eimpo an in he iewo s akeholde s.Di e en
ca ego ieso da awe emen ioned.P io i isedca ego iesa emen alheal h, luidin elligence,socio‐
demog aphic ac o s,psychosocials ess, ela ionshipsandsocialsuppo ,educa ionalmobili y,
heal hcha ac e is ics,lea ningand eachingcondi ions,li ingcondi ions.
Al houghallha e(some)impo ance.
Re lec ionson his‘exe cise’:
- Weshouldha edone hisa hes a o he esea chp ojec .
- Combining esea chandp ac i ione s’a gumen s–in e disciplina yapp oach
- Combine hesep io i ieswi h he esea chques ionsp io i ies.
SessiononConcep ualmodellingwi hseman ic echnologies(Quan ia,MB)
65
Wi hinEqual‐Li easeman icknowledgesea ch oolwillbede eloped:a ool ohelpyou indinga
speci icdocumen .Wha isanon ology?Amodelo (someaspec o ) hewo ld.In oduces ocabula y
ele an o hedomain.Speci iesmeaning(seman ics)o e ms.Fo malisedusingsui ablelogic.Sha ed
amongmul ipleo ganisa ions.
C ea ingclasses.C ea ingsubclasses.C ea ingaclassins ance.Fo example:a is isaclass.Pain e
andsculp o a esubclasseso hea is class.AndLeona doisapain e (hence,alsoan
a is ).Leona doisno aclass.And henc ea ingaddi ionalclassins ances: o example,DaVinci,age,
bi hda e.C ea ingclassins ances h oughclassp ope ies, o example:Leona dopain s he
Monalisa(pain ing),Michelangelopain s heSis ineChapel(pain ing),Michelangelosculp s heDa id
(sculp u e).And henanAI oolcanknow ha Leona doc ea es heMonalisao ha Michelangelo
c ea es heSis ineChapeland heDa id.
S akeholde helpneeded oimp o e/ e lec on he ool.
Feedbacks akeholde s:sea ch hee idenceandbes p ac ice, ake heo yandimplemen ha .No
in e es edinwha isa hebacko ha (websi e, oole c).Technique e suscon en .
Sea chengineop imisa ion.Concep ualmodelo Equal‐Li eis heon ology o he oolp o o ype.To
be alida edbys akeholde s(e.g.ins akeholde o uminHelsinki).Ha eap ac i ione andITexpe
wo kingsidebyside.
O ganising heinpu o hemachinelea ningisamajo s ep.I K:no e, he ea emo econcep ual
modelsinEqual‐Li e, husneed ouse hede ini iondocumen s/goalaye deepe .Sugges ion:
p epa eanexample o u he discuss/p e‐ es wi hs akeholde s.S a ingpoin o heon ology
couldbe heconcep ualmodelo WP1.
Finalconclusion:
ADemons a o e siono he oolbox/handbookwasp epa edand e iewedwi hs akeholde sa he
WP8co‐c ea ionmee inginComo.Addi ionally,anEdi o ialBoa dwas o med oo ganizeand
inco po a e esul sand indings om heEqual‐Li ep ojec in o he oolboxandhandbook.Thisboa d,
adop inga op‐downapp oach,comp isesmembe swi hdi e seexpe iseina eassuchas oolsand
aining,knowledgemanagemen ,handbookand oolboxde elopmen ,s akeholde expe ise,and
communica ionandcoo dina ion.Thei goalis omake hep ojec 'sou comeseasilyunde s andable
and ele an o hepublic.
66
Annex10S akeholde o uminHelsinki
Thu sday7 hSep embe
Themee ings a edwi haconciseexplana iono Equal‐Li e esea ch, heconcep ual amewo kand
hep og amo he2‐daywo kshopso ganizedbyWP8(s akeholde in ol emen )andWP9( oolbox
and aining).
Theconcep ual amewo k: he o ali yo in e nal,socialandphysicalexposu es,o e ali e ime, o
be e unde s and hecauseso andp ocesses ela ed omen alheal handcogni i e unc ioning,wi h
po en ialmedia ingpa hways,p o idingapossibili y o in e en ionsalong heli ecou se.
Expec ed esul s:ea lyli eexposu e ou banplanning ela ed ac o s(noise,ai ),social ac o s
(pa en als ess,socialeconomic),bioma ke s ela ed oen i onmen alandsocialexposu es.
P esen a ion:O e iewo p elimina y esul s/upda es(DS,Zeus)
Aimo WP1(onmechanisms)is o o mula e heo iesandmechanisms, o howexposomelinks o
men alheal handcogni i ede elopmen o child enandadolescen sand ounde s andhows ess/
es o a ion,sel ‐ egula ion/copingandsleepmaya ec hese ela ionships.
Resea chques ionsa es udiedin‐dep hinsleepandp e‐schools udiesandin hecoho s udies
(da a),en ichedwi hnewda a.Exampleso da aa ailablein hecoho sand/o a eillus a ed.
Re lec ions oms akeholde s:coping,digi alen i onmen anddayligh a e(ye )missingin esea ch.
Ou comesin luence heexposome; ha a ow/linkis‘missing’in heconcep ual amewo k.Thiscan
bemodelled hough(inWP7).
P esen a ion:Measu ingaccess opublicspaces(TUD)
Thiswo kshopconsis edo wopa s.
Pa 1:In he i s pa ,weexaminewhich ac o sin luencepedes ianaccess opublicspaces
and o whom.Usinganin e ac i eca dgame,wewillp io i ize a ied ac o s ha a ec pedes ian
accessibili yanddiscusshowwecanp ac icallymeasu e hem.
Pa 2:In hissecondpa we ocusonhow oassesschild en’saccess og eenspacein heci y
asaplace oplay,socialize,beac i e,andsoon,ul ima elycon ibu ing oheal hyu ban
en i onmen s.Usingin e ac i e ools,wewillcollabo a e oc ea eidealme ics o child en’saccess
og eenspaceanddiscussse e alme ics ha ha ebeenimplemen edbyTUDso a .
Rela ed opa 1:SDGs, a ge 7:by2030p o ideuni e salaccess osa e,inclusi eandaccessible,
g eenandpublicspacesinpa icula o womenandchild en,olde pe sonsandpe sonswi h
disabili ies.How oiden i y,assess,es ablish/main ain hesea eas?G oupwo konwha ac o sand
o whom?Andonmeasu ingg eenspace.
Iden i yingandp io i izingu ban ac o s:o e lapin ac o s,impo anceo p oximi y,shadow,sa e y,
ligh andameni ies.Mos impo an ac o sa e a ic,sa e y, ollowedbyen i onmen al ac o s,
g een,shade.A ac i enessandaccessibili ya ekey.O he ac o smen ioneda eseasono he
yea ,a ailabili yo ime,educa ion/p ac ice/no ms.
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Mos impo an ac o so ena eha d omeasu e,whe eas hoselessimpo an a eeasie o
measu e.Fo example:wha is‘sa e y’,how omeasu e his?
Rep io i izingspeci ically o pa icula popula iong oups:
- o elde lynew ac o swe eiden i iedsuchas eepublic anspo ,ice‐ ee ou es.
- o child enaswellnew ac o swe eiden i iedsuchaspee s,dis ance omhome,
sidewalks/bikelanes.
- o womenno manychangesoccu ed
- o pe sonswi hdisabili ies:accessibili yismos impo an o hisg oup,aswellas
sa e anspo .
Rela ed opa 2:
Measu ingg eenspace o p ima yschoolagedchild en.Wha in o ma ionwouldyouneed?Fo
example,geog aphicalsizeandde ail,a neighbou hoodle eland/o na ionalle el?
Sugges ions:addingwea ablesino de ocollec da a omchild en’smo emen s,addingchild en’s
oiceandpe cep ionongooden i onmen s.Ano he p esen a ionwasoncycling owo k,addingda a
onp i a eandpublicland,a o dabili y,subsidized a elin o ma ion,bicycles o ageandseasonal
maps.Andano he idea:“Le ’splayandmo emo eou side”,aschild ena eno ge ingou side
anymo e.A a ie yo publicplacesandinc easeda ac i eness, oiceo pa en sando child en.And
planandmeasu ewi h hechild en.
TUDel p oposals:
- child en’sindependen access og eenspace.I isgood o child en ogoou doo s
independen ly;can hey eacha(g een)space oplaywi hou c ossingba ie s?
- day odayg eenspaces.Child engo oschoole e yday,bu whichs ee sdo hey
passandhow ege a eda e hose?
- c owd‐sou cedpe cei edg eenspaces.A eda aong eenspaces,suchas
OpenS ee Mapandsa elli eimages,comple e?O do heymissg eenspaces?
Imp o emen sugges ions:(social)sa e yo playa eas,a ac i enesso s ee s,addchild en’s oice,
useo blackspaceandwhy hesea eno used(ye ).
P esen a iononen iching heen i onmen alexposome: oad a ic lowp edic ionandnoise
modelling(ULEIC)
Road a icnoise e‐modellingandincludingincoho s udies(whe eneeded).Eu opeans anda d
modellingme hod(CNOSSOS‐EU)isused ocalcula enoiseexposu esa acadeso dwellings(and
indi ec lyo indi iduals) ommain oads.Inepidemiologicals udiesweneedexposu eda a o
smalle /mino oads, o indi idualdwellings,and hus hisapp oachacco ding o heEn i onmen al
NoiseDi ec i e(END)isno ideal.Equal‐Li eis ying o illin hesegapsbyusings a is icalme hods
wi haselec ednumbe o a iables( heso‐calledgene alizedlinea mixede ec s eg essionmodel).
Suchas oad ype,a e agedaily a iccoun ,popula ion,numbe o e minal/dead‐end oads,
nea es majo oadjunc ion,g adien o he oad,connec i i y oo he oad ypes,numbe o people
ha cand i ewi hin5minu es oapa icula loca ion/d i e ime.Road a ic lowp edic ionsha e
been es edinUK,Ba celona;nowused o 3Dnoisemodelling.
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Ques ions:Wha is hein luenceo elec ic ehicles?Wha abou lownoiseemissionzones?Dominan
sou ceandbackg oundnoisedi e pe oad ype, husa a esiden ial oadyouwillhea ollingnoise
whe easa amajo oad ha willbeenginenoise.
Noda aon ees(canopies)isincludedin hemodelling.Mos challengingis he empo alaspec
(and husda a)o oad a ic.
Socialexposome(NIJZ)
S a ingpoin be o e hep esen a ionwas hedesc ip iono womain ools o he oolbox/handbook
planned omWP4:
1)Fo he a ge g oupo esea che s:Concep ualF amewo ko heSocialExposomeandi s
implica ions o esea ch.Ab ie in oduc ionwasgi en, heconcep ual amewo kisal eady
published(Gudi‐Minde manne al.(2023).In eg a ing hesocialen i onmen wi hanequi y
pe spec i ein o heexposomepa adigm:Anewconcep ual amewo ko heSocialExposome.
En i onmen alResea ch.DOI:h ps://doi.o g/10.1016/j.en es.2023.116485).
2)Fo he a ge g oupo policymake s/u banplanne s/o he s akeholde s:LogicModel o Equi y
Impac Assessmen andi simplica ions o in e en ionplanningande alua ion.A e ab ie
in oduc ionaCaseS udyonNoiseLegisla ioninSlo eniawasp esen ed.
Explana iono hesocialexposomeconcep ual amewo k, hein eg a iono physicalandsocial
exposomesand heheal hou comesandheal hinequali ies.Tobe es edincoho s udiesand esul s
expec edin/a e summe 2024.Fo he a ge g oupo policymake s,u banplanne s,publicheal h
au ho i iesando he sis helogicmodel o equi yimpac assessmen .Thisisa ool ohelpembedan
equi ype spec i ein heplanning,implemen a ionande alua ionp ocesso uni e salin e en ions
oimp o e hebuil en i onmen .Publica ion o eseen.
Sugges ion:includea‘#when?’ques ionaswell,inaddi ion oHow,Who,Wha andWhe e.
Cases udiesconduc edinEqual‐Li ewe e(i) educ iono en i onmen alnoiseexposu esinSlo enia,
(ii)imp o emen o bicyclein as uc u eandinc easeo cyclingbeha iou inMacedonia,(iii)mobili y
hubsand(i )playa easinU ech , heNe he lands.Theen i onmen alnoisecases udyis u he
explained,see hehandou /ICBENcon e encepape aswell.
Discussiononconcep ual amewo k(INCHES)
Theaimo hisdiscussionwas oge apic u eo :(i)wha ' ype'o in o ma ioncan hedi e en
s akeholde sapplyin hei wo k?(ii)whichda ao esul s(exposu es,media o s)a e ele an o he
wo ko s akeholde s?(iii)dos akeholde s ecognize hei owndilemmasandques ions ha heyha e
in he i s esul sandde ia e his omwha s akeholde sexpec ed,in hei wo k?(e.g.wha a e he
maincausesandpe hapsmedia o s o men alheal hinchild en,acco ding o heEqual‐Li e
esea che sandacco ding o hes akeholde s?).
Anin e ac i egamewasplayed oge anideawhichkindo exposu eswe ep io i izedby he
s akeholde s:physicalexposu es,media o so socialexposu es.Inaddi ion,s ickyno eswe e
p oduced.Someou comeswe e:
Socialexposu eswe ehighly a edasbeingimpo an .
Child en’s oicesneed obeandcanbehea d.
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Whe eismos impac obeexpec ed?In hedecision‐makingsys ems, he echangecanbe
achie ed.
F iday8 hSep embe
Cases udy:Ci ycollabo a ion ack,Imp o ingyoungpeople’ssenseo sa e yin heci y(Me iVi a)
Bloombe gandHa a dCi yLeade shipIni ia i esuppo ,inHelsinki.Public alues a emen :enabling
asa eandwelcomingen i onmen o child en h oughou hedayisgood o eachindi idualand he
communi y.Tackling heissuebyb eakingi downin osubcausesandiden i yingcomplexi iesbyan
in e disciplina y eam.E.g.lacko sa e ee imeac i i ies o heyoung,beha iou alissuesamong he
younga schoolandin hes ee s.G owingnumbe o con on a ionsbe weeng oups,lacko suppo
andsenseo belonging o amilies.
Th eeen ypoin sha ebeenselec ed:
- Se icesa edesigned o ‘a e age’use s
o Hobbypla o m.
o Co‐c ea ese iceswi hchild en.
o Newa ea‐basedleade shipmodel.
o e c.
- Lacko sa e ee imeac i i ies o young
o Familiesha eknowledgeabou ee imepossibili ies o child en.
o P oac i eleisu ese ices indyoungpeoplewi hou hobbies.
o e c.
- Publicspaces(inclschools)a eexpe iencedasunsa e
o In e eningandsol inge e ycaseo bullyingandha assmen .
o Publicspaceimp o emen sandnewschoolbuildinga ep io i ized.
o Placemakingin e en ionswi hchild en.
o e c.
Lessonsa ein eg a edin o egula wo kp ac ices.
P oblemD i enIn e ac i eAdap a ion(PDIA)p ocess(Ha a d)s eps:Ini ialp oblemanalysis;Iden i y
ac ions eps;Takeac ion;Check‐in;Sus ainau ho i yandlegi imacy;Adap andi e a e.
Key esul sand akeaways:
- Wemanaged ocomple enume oussimul aneousjoinedin e en ionsin hea eain
ma e o mon hs.Ini ial esul sindica e ha an isocialbeha iou hasdec easedin
hea ea.
- S a wi h hep oblemand he oo causes.S oppinga hecommonp oblemwas
wo h he ime– hisenhancedpeople’sowne shipand omanea lys age hey
s a edseeing hei olein hesolu ions oo.
- Makesu eyouha e he igh peoplea he able.Ha ing hemanda e ob ingabou
conc e echangeandin e en ionswasc ucial.
- In e en ionswe ebasedonwidepa icipa iono s akeholde sandasolid
knowledgebase.
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Quali a i eda acollec ion(anduse)needs obeimp o ed.Quali a i eda awillbecombinedwi h
heexis ing(quan i a i e)da ain hemunicipali y.Thenadecisionon o m(a )o da acollec ionwill
be aken.
Wha happensnex ?
- Resul sa ecompiledandp esen ed o heci yleade ship.Decisionsa eye obe
madeabou scaling.
- Allci ydi isionsa ecommi ed os eng heninga ea‐basedwo k,u ilizing he ools
andp ocess ialedin hea ea.
- Goodwo kcon inuesin hea eaandsimila wo kwillbeexpanded o he
su oundingneighbo hoods.
- Keychallenge oadd ess: heco eg oupo 8peoplepu alo o imein o hisand
ecei edcoaching h oughou hep ocess–howdoweu ilize heme hodsin
exis ingcoope a ions uc u es?
Cases udy:in an men alheal h(TL‐Heal hyCi iesCo k)
Co kci y:Le ’sg ow oge he !Va iousin e connec eds a egies:in an men alheal handwell‐
being;speechlanguagecommunica ionandli e acy.
Ea lyen i onmen alquali y:p esen a ionp elimina y esul s(KI)
Acombina iono bi hcoho da aandda a omschools udies.
FAIRcoho :ADHDmos impo an a iables(du ingp egnancy)a ebi hyea ,income,smoking,
popula iondensi y, oadin e sec ioncloseness,educa iono a he , oaddis ance,e c.Fo Au ism he
mos impo an a iablesa eincome,g eenu bana eas,build‐upa ea, oadnoise,g eenu bana ea,
o eignci izenship,e c.O he esul sa ea ailable om heALPINE,PIAMAandWALNUTScoho s.
Ques ion:how ocommunica e he esul s?
- Communica e he esul spe coho o allpooledcoho s?
- Visualize heimpo anceo he a iables.O a op enp esen a ion.
- In og aphic
- Mo ein o ma ionisneeded, o exampleoncausali y,how oin e p e he ela ion
be ween he a iableand heou come.
- In ol es akeholde sin e iewingpape s!Ino de ogi emeaning o esea ch
ou comes.
Toolboxandhandbook(Quan ia)
Thes akeholde o uminHelsinkip oducedbene icial eedback o he e isedp o o ypeo he
oolbox/handbook. In ol emen o s akeholde sinb oade communica iono Equal‐Li e esul sis
c ucial–ando e ed!
Discussedi ems o heToolboxmodulesa es akeholde s, isualiza ion,seman icknowledge
explo a ion,connec ionandsha ingmodules.Inmo ede ail heS akeholde moduleshouldbean
explo a i ewebsi ewi hclickableelemen s.Feedbackhasbeen es edinp e iouss akeholde
wo kshops.Theupda edwebsi eisp esen edin hiswo kshop o commen s.
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Toolsa eb oadlyde ined,andab oadselec ionwillbep esen ed,bu no hos edon hewebsi ebu
h oughlinkages o he‘owne s’o hespeci ic ools.Thewebsi ewillbeopen o e e yoneandwill
ha eanexplo a i epa .
Uses o y elling(wo kshops) o he esea che sino de ocollec s o ies,con en o hewebsi e.
Sugges ions:
- Ins eado awebsi eo inaddi ion o hewebsi econside de elopinganapp.
- Link oo he websi esanddashboa dssuchasUNICEF.
P esen a ionbyLAonPe sonallis eningandITde icesand hei ela ion oli es yleo adolescen sin
heSlo akRiskBeha iou alSu ey
Thes udyisbasedonabila e alUS‐Slo akp ojec oe alua e heimpac o selec edbeha io al,
psychological,andsocioeconomic ac o sonadolescen heal hin heB a isla aagglome a ion.Special
a en ionispaid o heuseo selec edITde ices(TV,PC‐pe sonalcompu e s,pe sonalmusicplaye s
‐PMPs).Theda a om525s uden s(185boys)a ending8seconda yschoolsinB a isla a,aged15‐
20yea sa ep esen ed. Themos impo an heal h iskbeha io sin hes uden s’samplewe e
iden i ied,90.9%o s uden slis en oPMPona e age o 405minu esandusemobilephones o 384
minu espe week,signi ican lymo egi ls.Abou 50%o s uden slis en oPMPsmo e han200
minu esaweek.Thoses uden sha eawo seli es yle han hoselis ening oPMPsless han200
minu esaweek.Ahighpe cen ageo PCusagehasbeenobse ed,especiallydu ing heweekend
(72.1%mo e han h eehou spe day),andlessin e es inwa chingTV.S uden suse hePCmo e
han hei pa en sandwa chlessTV,bu whenwa chingi , heycopy hebeha io o bo hpa en s.
Thes udyp esen sachallenge o heanalysisand o u u ep e en ionaswellasin e en ion
ac i i ies op o ec andp omo e heheal ho child enandyou h.
PlaceS anda dTool o Child enandYoungPeople(JH,ci yo Glasgow)
ThePlaceS anda d ool(PS )waslaunchedin2015andin esponse oon‐going eedbacka
e sion o child enandyoungpeoplewasco‐p oducedandpublishedin2022. This ool
p o idesap ac icalsolu ion ohelpyounge communi iesiden i yinacollabo a i eand
inclusi emanne wha wo kswellwi hin hei place,wha needsimp o ingand hesolu ions
oadd ess hese.The oolismadeupo 14placedimensionswhichalignwi h heUNSDGs
and his ela ionshipcoupledwi h hesuccess ulapplica iono he oolac ossEu opehasled
oanin i a ion omWHO oPublicHeal hSco land(PHS) ohos anewCollabo a ingCen e
o Place om2024onwa ds. Thelessonslea ned om heEqualLi eP ojec wouldbe
in aluablecon ibu ion o heCollabo a ingCen e’sp og amme.
Equal‐Li eou comesandheal hequi y(INCHES)
In e ac i esessionwi hmen ime e onques ions ela ed oda acollec ionand ulne abili y.See
esul sinannex13.
Ques ion1:The ea eda acollec ionplans.Howcanweconnec da aonphysicalexposu es o
knowledgeabou wha wo ks o child en’smen alheal h?
Mul iplechoiceanswe s
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‐ Da aCollec ionandIn eg a iono da a
‐ In e disciplina yCollabo a ion
‐ Longi udinalS udies
‐ CausalPa hwaysandMechanisms
‐ Communi yEngagemen
‐ O he
Resul :The ea eda acollec ionplans.Howcanweconnec da aonphysicalexposu es oknowledge
abou wha wo ks o child en’smen alheal h?Highes ank o ‘in e disciplina ycollabo a ion’
ollowedby‘da acollec ionandin eg a iono da a’.Sugges ion:mapda aowne sandda asou ces
ino de omakesenseo combina ionso da aand omakeas o yon heda a.
Rela ed oVulne abili y
The ollowing woques ionswe ebasedonsomehomewo kona ex o ulne abili ies( omWP1).
Ques ion2:Whichdimensiono ulne abili ydoyou hinkwillcausemos impac onchild en’s
men alheal h?(oneanswe possible)
‐ Di e en ialexposu e
‐ Di e en ialsuscep ibili y
‐ Di e en ia ionincapaci y
‐ O he
Resul :Whichdimensiono ulne abili ydoyou hinkwillcausemos impac onchild en’smen al
heal h?Highes ankedanswe is‘di e en ialsuscep ibili y’.Al e na i eanswe ca ego ies:
en i onmen alexposu esandp e en i ein e en ions.
No e: heused e msa equi edi icul ounde s and.
Ques ion3:Whichdimensiono ulne abili yp o ides hebes oppo uni y o policyac ion?
(oneanswe possible)
‐ Di e en ialexposu e
‐ Di e en ialsuscep ibili y
‐ Di e en ia ionincapaci y
‐ O he
Resul :Highes ankinganswe is‘di e en ialexposu es’.
The inalques ionwas ela ed oT ansdisciplina yin e ac ion.
Imp o ing ansdisciplina ycoope a ioninpolicyde elopmen equi esa hough ulands a egic
app oach ob eakingdownsilos, os e ingcollabo a ion,andin eg a ingdi e sepe spec i es.
T ansdisciplina ycoope a ionin ol eswo kingac ossmul ipledisciplinesands akeholde s oadd ess
complexissuesandc ea ewell‐ oundedpolicies.
Ques ion4
Whichapp oachwillenhance ansdisciplina yin e ac ioninyou iewmos ?
Mul iplechoiceanswe s(mo eanswe spossible),
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‐ Sha edVisionandGoals
‐ Di e seS akeholde Engagemen
‐ E ec i eCommunica ion
‐ In e disciplina yT aining
‐ In eg a edResea chandDa aSha ing
‐ O he
Resul :Highes ankinganswe is‘e ec i ecommunica ion’, ollowedby‘di e ses akeholde
engagemen ’and‘in e disciplina y aining’.
W ap‐upandconclusions(INCHESandCoU)
Ac ionsandnex s eps:
- S akeholde e iewinanalysesand epo ing
- B oadeningpa icipa ion/s akeholde engagemen om a iousdisciplines
- Policy ecommenda ions
- S o y elling
- Socialmediaplan/dissemina ionplan
- T aining
- Nex mee ing obescheduled:ea lyJune2024,possibleloca ionsCo k,Ghen o
Leipzig
Inconclusion:Thecollabo a i ee o swi hinWo kPackage8(WP8 oge he wi hWP9)ha eyielded
subs an ialp og essinshapingandde elopingideas o policyde elopmen , he oolboxand
guidebook.Each askwasexecu edinasyne gis icmanne , esul inginap o o ypeo heseman ic
explo a ionandknowledge ools ha wasp esen ed os akeholde sinHelsinki.This,alongsideac i e
pa icipa ionins akeholde wo kshopsandjoin endea o swi hWP9,bols e eds akeholde
engagemen anden ichedp ojec esou ces.
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Which dimension o ulne abili y do
you hink will cause mos impac on
child en’s men al heal h?
81
Which dimension o ulne abili y
p o ides he bes oppo uni y o policy
ac ion?
82
Which app oach will enhance
ansdisciplina y in e ac ion in you
iew mos ?
Annex14 esea chques ionsusedinComoco‐designwo kshop
Resea chques ions
Session3.Topic:Resea chques ions
Theaimo hissessionis ocuson heuseo ou esea ch esul s o hewo ldo policymaking.
The e o e,wewouldlike oaskyou odosomehomewo kbe o e hemee inginComo.
Weha ea angeo esea chques ions.
Table1showsano e iewo ex e nalexposomeques ionsinassocia ionwi hcogni i eandmen alheal hou comes.Thesea eo e a ching esea ch
ques ions.
Table2shows heou line o alis o ques ions ocusingonacombina iono selec edexposu es(ex e nalandin e nal).Theseques ionsa ealsoan icipa edas
o e a ching esea chques ions.In hislis o ques ions, he ea e7co eques ionswhicha e hen epea ed o he9di e en ou comes ha a eo in e es in
Equal‐Li e.These a ge edques ionsaim oconside bo h hecumula i ee ec sand heli e‐cou sepe spec i einanalysing hee ec so di e en
combina ionso exposu esonmen alheal handcogni i eou comes.The a ge edanalysiswillalsoincludemedia o s,modi ie sand e‐ e e sedcausali y(bi‐
di ec ional)analyses.
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Inaddi ion o hemain esea chques ionsinEqual‐Li e,inTable3,weha ega he edques ions ha a especi ic os udying heassocia ionsbe weendi e se
ypeso exposomes(e.g.,socialexposome,physicalexposome).
Ashomewo kwewouldlike oaskyou ochoose o each able he h eeques ions ha youconside hemos ele an .
Youmayha especi icc i e ia ha suppo you decision.Please akeno eo you a gumen s oselec you p e e enceques ions.
Youmigh conside a gumen sbasedon easibili y omakein e en ions,on hebigges heal himpac ,oncos ‐bene i easons,onsuppo ingcu en
p ojec s,o anyo he eason.Youalsoha ea gumen swhysome esea chques ionsa eno good,no easibleo maybeno jus o e hical.
Doyouconside esea chques ionsassucha e aluable o s akeholde slikepolicymake so only he esul s?
Canyoub ingyou illedin o ms oComo.
Howe e ,wep e e i i youcouldsendusyou illedin o ms wodaysbe o esowecanp in hemou .
In hesession ela ed o heEqual‐Li eques ionswewilldiscussyou eedbackon he esea chques ions.
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