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Mixed-use development

Health Factors: Diet & Exercise Housing & Transit
Decision Makers: Community Development Professionals Local Government State Government
Evidence Rating: Scientifically Supported
Population Reach: 50-99% of WI's population
Impact on Disparities: No impact on disparities likely

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Mixed-use development supports a combination of land uses within a project rather than developing an area for a single purpose. Mixed-use development projects can be site-specific, neighborhood-based, or regional, and can be incorporated into new development, redevelopment, brownfield, and Smart Growth initiatives in urban and rural areas. Mixed-use development areas have high densities and incorporate places to work, shop, or play within residential areas. Such development is sometimes required through municipal zoning regulations or encouraged through Smart Growth initiatives and neighborhood planning efforts.

Expected Beneficial Outcomes

Increased physical activity
Increased active transportation
Improved health outcomes
Reduced vehicle miles traveled

Evidence of Effectiveness

There is strong evidence that design and land use policies, including mixed-use development, increase physical activity, especially when combined with transportation system interventions such as developing public transit infrastructure and sidewalks or trails (CG-Physical activity, Brownson 2006, Saelens 2008). Mixed-use development initiatives that include interventions to improve bicycle or pedestrian transportation systems also increase opportunities for active transportation (CG-Physical activity).

In mixed-use development areas, people walk and ride bicycles more often than in single use development areas (Brownson 2006, CDC MMWR-Khan 2009, Saelens 2008, EPA-Kramer 2013). Children who live in Smart Growth neighborhoods with more green space appear to engage in more moderate-to-vigorous physical activity (MVPA), as well as more physical activity with friends and within walking distance of their homes than peers in conventional neighborhoods (Dunton 2012, Almanza 2012, Jerrett 2013). Replacing automotive trips with biking and walking in mixed-use development areas can reduce vehicle miles traveled (VMT) and greenhouse gas emissions that contribute to climate change (EPA-Kramer 2013, Salon 2012). Mixed-use development and Smart Growth strategies can also successfully sustain and promote active living in rural and suburban areas (Dalbey 2008, Dunham-Jones 2009).

Mixed-use development is a suggested strategy to reduce transportation costs, increase economic opportunity, household wealth, and mobility, and enhance neighborhood cultural diversity (Litman 2017). Combining mixed-use development with regional transportation plans and transit-oriented development efforts may increase the effectiveness of Smart Growth policies (Moeckel 2017, Nahlik 2014).

Mixed-use development typically produces net societal economic, social, and environmental benefits, especially when plans result in dense development in relatively central locations with good access to transit (Chatman 2016). Regional mixed-use development efforts can also reduce the cost of public transportation infrastructure and services (Litman 2017, Litman 2017a). One feasibility study suggests that greyfields (e.g., empty parking lots, closed or dying shopping centers) and redfields (e.g., foreclosed commercial real estate) are more successfully and cost-effectively transformed into mixed-use developments than brownfields (e.g., contaminated lands) or greenfields (e.g., open, undeveloped areas) (Laitos 2013).


United States

Mixed-use development is happening across the country, often as part of Smart Growth projects. In 2015, the US Environmental Protection Agency granted its National Awards for Smart Growth Achievement to Jackson, TN; Hamilton, OH; and Newark, NJ for their innovative use of mixed-use development (US EPA-Smart growth).

Non-profit organizations can support site-specific mixed-use development projects throughout a region, for example, the East Bay Asian Local Development Corporation in Oakland, CA and the greater East Bay area (EBALDC-Healthy neighborhoods). Individual organizations can also support efforts around the country, as in the Congress for New Urbanism (CNU-Building places). The Smart Growth Network, a partnership of non-profit, business, and government organizations, also supports mixed-use development and smart growth projects throughout the US (SGO-Smart growth).

Via Verde in the Bronx, NY is an example of a mixed-use development housing project (Via Verde-Green living).


WI Comprehensive Planning Grants support mixed-use development throughout the state; however, grants have not been awarded since 2010 (WI DOA-Comprehensive planning grants).

Implementation Resources

ALBD - Active Living by Design (ALBD). Increasing physical activity and healthy eating through community design. Accessed on May 17, 2018
CG-BE resources - The Guide to Community Preventive Services (The Community Guide). Physical activity: Built environment (BE) approaches combining transportation system interventions with land use and environmental design: Additional materials. Accessed on May 30, 2017
ICMA-Mishkovsky 2010 - Mishkovsky N, Dalbey M, Bertaina S, Read A, McGalliard T. Putting Smart Growth to work in rural communities. Washington, DC: International City/County Management Association (ICMA); 2010. Accessed on May 10, 2017
LHC-Rockeymoore 2014 - Rockeymoore M, Moscetti C, Fountain A. Rural Childhood Obesity Prevention Toolkit. Leadership for Healthy Communities (LHC), Center for Global Policy Solutions, Robert Wood Johnson Foundation. 2014. Accessed on February 22, 2018
LHC-Toolkit 2009 - Leadership for Healthy Communities (LHC). Action strategies toolkit: A guide for local and state leaders working to create healthy communities and prevent childhood obesity. Princeton: Robert Wood Johnson Foundation (RWJF); 2009. Accessed on November 10, 2017
LISC-Affordable housing - Local Initiatives Support Corporation (LISC). Helping neighbors build communities: Affordable housing. Accessed on August 4, 2017
MA-Mixed-use - Massachusetts Executive Office of Housing and Economic Development (EOHED). Mixed-use development/transit oriented development. Accessed on May 19, 2017
NACCHO-Community Design - National Association of County & City Health Officials (NACCHO). Healthy community design toolkit. Accessed on May 24, 2017
PAS-Zoning 2016 - Planning Advisory Service (PAS). Planning & zoning for health in the built environment. American Planning Association (APA). 2016. Accessed on February 27, 2018
SGO-Resources - Smart Growth Online (SGO). Smart growth resources. Accessed on May 19, 2017
SRTSNP-Safe routes to healthy foods - Safe Routes to School National Partnership (SRTSNP). Healthy communities: Safe routes to healthy foods. Accessed on May 17, 2018
ULI Building healthy places - Urban Land Institute (ULI) Building Healthy Places Initiative. Building healthy places toolkit: Strategies for enhancing health in the built environment. Accessed on June 2, 2017
US DOT-PBIC Sidewalks - US Department of Transportation (US DOT), Federal Highway Administration (FHWA). Pedestrian and Bicycle Information Center (PBIC). Sidewalks and walkways. Accessed on November 10, 2017
US EPA-Trip generation - US Environmental Protection Agency (US EPA). Mixed-use trip generation model. Accessed on May 19, 2017
WI DOA-Gilman 2007 - Gilman J, Stoll L, Schuette A, et al. Wisconsin comprehensive planning: Implementation guide toolkit. Stevens Point: Center for Land Use Education, Wisconsin Department of Administration (WI DOA), Global Environmental Management Education Center (GEM), University of Wisconsin Extension; 2007. Accessed on August 11, 2017

Citations - Evidence

Almanza 2012 - Almanza E, Jerrett M, Dunton G, Seto E, Pentz MA. A study of community design, greenness, and physical activity in children using satellite, GPS and accelerometer data. Health & Place. 2012;18(1):46–54. Accessed on May 23, 2017
Brownson 2006* - Brownson RC, Haire-Joshu D, Luke DA. Shaping the context of health: A review of environmental and policy approaches in the prevention of chronic diseases. Annual Review of Public Health. 2006;27:341–70. Accessed on November 9, 2017
CDC MMWR-Khan 2009 - Khan LK, Sobush K, Keener D, et al. Recommended community strategies and measurements to prevent obesity in the United States. Morbidity and Mortality Weekly Report (MMWR). 2009;58(RR-07):1-26. Accessed on May 10, 2017
CG-Physical activity - The Guide to Community Preventive Services (The Community Guide). Physical activity. Accessed on April 4, 2018
Chatman 2016 - Chatman DG, Rayle L, Gabbe CJ, et al. Analyzing the economic benefits and costs of smart growth. 2016. Accessed on May 30, 2017
Dalbey 2008* - Dalbey M. Implementing smart growth strategies in rural America: Development patterns that support public health goals. Journal of Public Health Management and Practice. 2008;14(3):238-43. Accessed on May 19, 2017
Dunham-Jones 2009 - Dunham-Jones E, Williamson J. Retrofitting suburbia. Washington, DC: Urban Land Institute; 2009. Accessed on May 19, 2017
Dunton 2012 - Dunton GF, Intille SS, Wolch J, Pentz MA. Investigating the impact of a smart growth community on the contexts of children’s physical activity using Ecological Momentary Assessment. Health & Place. 2012;18(1):76–84. Accessed on May 19, 2017
EPA-Kramer 2013 - Kramer MG. Our built and natural environments: A technical review of the interactions among land use, transportation, and environmental quality. Washington, DC: US Environmental Protection Agency (EPA); 2013. Accessed on November 10, 2017
Jerrett 2013* - Jerrett M, Almanza E, Davies M, et al. Smart growth community design and physical activity in children. American Journal of Preventive Medicine. 2013;45(4):386-392. Accessed on May 30, 2017
Laitos 2013* - Laitos JG, Abel TM. Sites suitable for mixed use development in Britain and America. Kenna P, ed. International Journal of Law in the Built Environment. 2013;5(2):137-155. Accessed on May 30, 2017
Litman 2017 - Litman T. Selling smart growth: Communicating the direct benefits of more accessible, multi-modal locations to households, businesses and governments. Victoria, BC: Victoria Transport Policy Institute (VTPI); 2017. Accessed on May 30, 2017
Litman 2017a - Litman T. Understanding smart growth savings: Evaluating economic savings and benefits of compact development, and how they are misrepresented by critics. Victoria, BC: Victoria Transport Policy Institute (VTPI); 2017. Accessed on May 30, 2017
Moeckel 2017 - Moeckel R, Lewis R. Two decades of smart growth in Maryland (USA): Impact assessment and future directions of a national leader. Urban, Planning and Transport Research. 2017;5(1):22-37. Accessed on May 31, 2017
Nahlik 2014* - Nahlik MJ, Chester MV. Transit-oriented smart growth can reduce life-cycle environmental impacts and household costs in Los Angeles. Transport Policy. 2014;35:21-30. Accessed on May 30, 2017
Saelens 2008 - Saelens BE, Handy SL. Built environment correlates of walking: A review. Medicine & Science in Sports & Exercise. 2008;40(7 Suppl):S550-66. Accessed on May 24, 2017
Salon 2012* - Salon D, Boarnet MG, Handy S, Spears S, Tal G. How do local actions affect VMT? A critical review of the empirical evidence. Transportation Research Part D: Transport and Environment. 2012;17(7):495–508. Accessed on November 10, 2017

Citations - Implementation

CNU-Building places - Congress for the New Urbanism (CNU). Building places people love. Accessed on May 19, 2017
EBALDC-Healthy neighborhoods - East Bay Asian Local Development Corporation (EBALDC). Building healthy, vibrant and safe neighborhoods. Accessed on May 19, 2017
SGO-Smart growth - Smart Growth Online (SGO). Smart Growth: Supporting the development of vibrant, healthy communities Accessed on May 19, 2017
US EPA-Smart growth - US Environmental Protection Agency (US EPA). Smart growth: Program, resources, topics, partnerships, and the 2015 National Award for Smart Growth Achievement. Accessed on May 10, 2017
Via Verde-Green living - Via Verde, Center for Active Design. Via Verde: A new model for affordable, healthy, and green urban living. Accessed on May 19, 2017
WI DOA-Comprehensive planning grants - Wisconsin Department of Administration (WI DOA). Comprehensive planning grant program. Accessed on August 11, 2017

Page Last Updated

May 30, 2017

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