Skip to main content

Advertisement

Log in

Public toilets in parklands or open spaces in international cities using geographic information systems

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

Availability of public toilets in parklands and open spaces is a community resource for all persons and may support self-management of incontinence. The purpose of this study was to describe and map the availability of public toilets in parklands and open spaces in major international cities by city population and area.

Methods

Observational/descriptive design. Twelve cities in nine countries with available data about toilets in parklands (Minneapolis-St. Paul (MSP), New York City, Philadelphia, Toronto, and Osaka) or open spaces (Greater London, Greater Sydney, Paris, Berlin, Brussels, and Seoul) were included in the analysis. Data were from online open/free data sets. Availability of publicly owned and/or operated permanent toilet facilities was measured/analyzed as number, density (calculated by population and area (km2)), and distribution (visualized using Geographic Information Systems).

Results

Density of public toilets/area (km2) in parklands was highest in Osaka. MSP had the most toilets per 100,000 residents. In open spaces, the density of public toilets/area (km2) was highest in Paris. Sydney had the most toilets in open spaces per 100,000 residents. The distribution of public toilets across parklands was fairly even in MSP, Philadelphia, and Toronto. The distribution of public toilets in open spaces was highly concentrated in one area in Brussels. Sydney has a low population density but a high toilet density in open spaces.

Conclusions

Availability of public toilets in parklands or open spaces varies among international cities. Toilet availability should be considered in urban planning and community healthcare programs to promote continence, health, and quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Coutts C, Chapin T, Horner M, Taylor C. County-level effects of green space access on physical activity. J Phys Act Health. 2013;10(2):232–40.

    Article  Google Scholar 

  2. Kaczynski AT, Potwarka LR, Saelens BE. Association of park size, distance, and features with physical activity in neighborhood parks. Am J Public Health. 2008;98(8):1451–6.

    Article  Google Scholar 

  3. Ribeiro AI, Pires A, Carvalho MS, Pina MF. Distance to parks and non-residential destinations influences physical activity of older people, but crime doesn’t: a cross-sectional study in a southern European city. BMC Public Health. 2015;15(1):593.

    Article  Google Scholar 

  4. Hanibuchi T, Kawachi I, Nakaya T, Hirai H, Kondo K. Neighborhood built environment and physical activity of Japanese older adults: results from the Aichi Gerontological evaluation study (AGES). BMC Public Health. 2011;11(1):657.

    Article  Google Scholar 

  5. Kerr J, Marshall S, Godbole S, Neukam S, Crist K, Wasilenko K, et al. The relationship between outdoor activity and health in older adults using GPS. Int J Environ Res Public Health. 2012;9(12):4615–25.

    Article  Google Scholar 

  6. Oja P, Titze S, Bauman A, De Geus B, Krenn P, Reger-Nash B, et al. Health benefits of cycling: a systematic review. Scand J Med Sci Sports. 2011;21(4):496–509.

    Article  CAS  Google Scholar 

  7. Ikpeze T, Glaun G, McCalla D, Elfar J. Geriatric cyclists: asessing risks, safety, and benefits. Geriatr Orthop Surg Rehabil. 2018;9.

  8. Mangione KK, McCully K, Gloviak A, Lefebvre I, Hofmann M, Craik R. The effects of high-intensity and low-intensity cycle ergometry in older adults with knee osteoarthritis. J Gerontol Series A: Biomed Sci Med Sci. 1999;54(4):M184–M90.

    Article  CAS  Google Scholar 

  9. Van Cauwenberg J, Clarys P, De Bourdeaudhuij I, Van Holle V, Verté D, De Witte N, et al. Physical environmental factors related to walking and cycling in older adults: the Belgian aging studies. BMC Public Health. 2012;12(1):142.

    Article  Google Scholar 

  10. Rauner A, Mess F, Woll A. The relationship between physical activity, physical fitness and overweight in adolescents: a systematic review of studies published in or after 2000. BMC Pediatr. 2013;13(1):19.

    Article  Google Scholar 

  11. Zander A, Passmore E, Mason C, Rissel C. Joy, exercise, enjoyment, getting out: a qualitative study of older people’s experience of cycling in Sydney, Australia. J Environ Public Health. 2013;2013.

  12. Atkinson M, Weigand L. A review of literature: The mental health benefits of walking and bicycling. Portland, Oregon; 2008. Report No.: CUS-CTS-08-04.

  13. Bliss DZ, Mimura T, Berghmans B, Bharucha A, Chiarioni G, Emmanuel A, et al. Assessment and consrvative management of faecal incontinence and quality of life in adults. In: Abrams P, Cardoso L, Wagg A, Wein A, editors. Incontinence. 6th ed. Bristol: International Continence Society; 2017. p. 1993–2085.

    Google Scholar 

  14. Peden-McAlpine C, Bliss D, Hill J. The experience of community-living women managing fecal incontinence. West J Nurs Res. 2008;30(7):817–35.

    Article  Google Scholar 

  15. Sinclair AJ, Ramsay IN. The psychosocial impact of urinary incontinence in women. Obstet Gynaecol. 2011;13(3):143–8.

    Google Scholar 

  16. Imamura M, Jenkinson D, Wallace S, Buckley B, Vale L, Pickard R, et al. Conservative treatment options for women with stress urinary incontinence: clinical update. Br J Gen Pract. 2013;63(609):218–20.

    Article  Google Scholar 

  17. World Health Organization. World report on ageing and health 2015 [Available from: http://www.who.int/ageing/events/world-report-2015-launch/en/.

  18. Greed C, editor Public toilets in the 24 hour city. 2003 World Toilet Summit; 2003.

  19. Afacan Y, Gurel MO. Public toilets: an exploratory study on the demands, needs, and expectations in Turkey. Environ Plann B. 2015;42(2):242–62.

    Article  Google Scholar 

  20. The Great British public toilet map [Available from: https://www.toiletmap.org.uk/.

  21. Continence Foundation of Australia. The National Public Toilet Map [Available from: https://www.continence.org.au/pages/public-toilet-map.html.

  22. Sugiyama T, Gunn LD, Christian H, Francis J, Foster S, Hooper P, et al. Quality of public open spaces and recreational walking. Am J Public Health. 2015;105(12):2490–5.

    Article  Google Scholar 

  23. Wagg AS, Newman DK, Leichsenring K, van Houten P. Developing an internationally-applicable service specification for continence care: systematic review, evidence synthesis and expert consensus. PLoS One. 2014;9(8):e104129.

    Article  CAS  Google Scholar 

  24. Hoehner CM, Brennan LK, Brownson RC, Handy SL, Killingsworth R. Opportunities for integrating public health and urban planning approaches to promote active community environments. Am J Health Promot. 2003;18(1):14–20.

    Article  Google Scholar 

  25. PHLUSH. Public Restroom Advocacy 2009 [Available from: https://www.phlush.org/public-restroom-advocacy/.

  26. Cromley EK, McLafferty SL. GIS and Public Health. 2 ed: Guilford Press. 2011.

  27. Kirk A. Data visualization: A successful design process. Birmingham: Packt Publishing; 2012.

    Google Scholar 

  28. Veljković N, Bogdanović-Dinić S, Stoimenov L. Benchmarking open government: an open data perspective. Gov Info Q. 2014;31(2):278–90.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Donna Z. Bliss.

Ethics declarations

Conflicts of interest

This study was funded in part by internal finds from the University of Minnesota School of Nursing, Minneapolis, MN. Ms. Park was paid as a research assistant. Dr. Bliss had a subcontract of an NIH grant from Innovative Design Labs for a research study that developed a a prototype of an augmented reality program to educate nursing students about pressure injuries.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Conference presentations

International Continence Society annual meeting podium presentation, Philadelphia, PA, USA, August 2018.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bliss, D.Z., Park, Y.S. Public toilets in parklands or open spaces in international cities using geographic information systems. Int Urogynecol J 31, 939–945 (2020). https://doi.org/10.1007/s00192-019-04024-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-019-04024-6

Keywords

Navigation