Determining and Prioritizing the Health Promotion Dimensions of Urban Community (with the Municipalities' Participation) in Iran

Background: Today, urban health has become the basis of national and social development and health promotion is one of the key priorities in international, regional, local policies and programs. Municipalities have important capacities as executors of local development plans. The purpose of this study was to identify and rank factors affecting urban health promotion in five metropolises of Iran. Materials and Methods : Statistical sample was selected based on Cochran formula by stratified random sampling in Tehran, Tabriz, Isfahan, Shiraz, Mashhad metropolises. The purpose of this study was applied and descriptive in nature. Validity of the questionnaire was based on Delphi technique and content validity with relative coefficient above 4 and reliability with Cronbach's alpha coefficient with 0.84. Confirmed. After collecting the questionnaires, descriptive and inferential statistics (spss and emus software) were used. One-way ANOVA and Duncan tests were used to compare the dimensions of health promotion. Results: Effective dimensions of urban health promotion can be categorized into six dimensions which then improve urban living conditions with a coefficient of 0.96. The highest score and the founding dimension of Elderly Friendly Cities with a coefficient of 0.83. It was the least important. Conclusion : Comparison of the dimensions of health promotion in the five metropolitan areas revealed no significant differences between the four dimensions (improvement of urban living conditions, establishment of Elderly Friendly Cities, resilience of crisis and disaster areas, and general health promotion) in different metropolises. But there is a significant difference between the two aspects of promoting urban planning to promote healthy and safe behaviors and ensuring participatory governance in the city. Based on Duncan's test, metropolises can be divided into two groups; the cities of Tehran and Mashhad are grouped in one group and the cities of Shiraz, Tabriz and Isfahan in the dimension of urban planning to promote healthy and safe behaviors. In terms of ensuring participatory governance in the city, Tehran, Shiraz and Mashhad, the second group was classified as Isfahan and Tabriz.