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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Sociology of Medicine</journal-id><journal-title-group><journal-title xml:lang="en">Sociology of Medicine</journal-title><trans-title-group xml:lang="ru"><trans-title>Социология медицины</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1728-2810</issn><issn publication-format="electronic">2413-2942</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">707609</article-id><article-id pub-id-type="doi">10.17816/socm707609</article-id><article-id pub-id-type="edn">HXMNMV</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>SOCIETY AND MEDICINE</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЩЕСТВО И МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Salutogenic approach in urban studies: from A. Antonovsky’s theory to designing healthy urban environments</article-title><trans-title-group xml:lang="ru"><trans-title>Салютогенный подход в урбанистических исследованиях: от теории А. Антоновского к проектированию здоровой городской среды</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5251-130X</contrib-id><contrib-id contrib-id-type="spin">6930-9377</contrib-id><name-alternatives><name xml:lang="en"><surname>Prisyazhnaya</surname><given-names>Nadezhda V.</given-names></name><name xml:lang="ru"><surname>Присяжная</surname><given-names>Надежда Владимировна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cand. Sci. (Sociology)</p></bio><bio xml:lang="ru"><p>канд. социол. наук</p></bio><email>prisyazhnaya_n_v@staff.sechenov.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-1609-6541</contrib-id><name-alternatives><name xml:lang="en"><surname>Vershinina</surname><given-names>Vera A.</given-names></name><name xml:lang="ru"><surname>Вершинина</surname><given-names>Вера Алексеевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>vershininait@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Sechenov First Moscow State Medical University (Sechenov University)</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский университет)</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2026-07-27" publication-format="electronic"><day>27</day><month>07</month><year>2026</year></pub-date><pub-date date-type="pub" iso-8601-date="2026-09-03" publication-format="electronic"><day>03</day><month>09</month><year>2026</year></pub-date><volume>25</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>78</fpage><lpage>88</lpage><history><date date-type="received" iso-8601-date="2026-05-18"><day>18</day><month>05</month><year>2026</year></date><date date-type="accepted" iso-8601-date="2026-07-08"><day>08</day><month>07</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2026, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2026, Эко-Вектор</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2029-09-03"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref></license></permissions><self-uri xlink:href="https://rjsocmed.com/1728-2810/article/view/707609">https://rjsocmed.com/1728-2810/article/view/707609</self-uri><abstract xml:lang="en"><p>Despite a half-century history of studying the city as a living environment, the majority of research remains focused on the pathogenic factors of urbanization—pollution, stress-inducing factors, and the spread of infections. However, this approach leaves a key question unanswered: why, under identical urban conditions, do some individuals maintain a high level of health and well-being while others lose it? Paradoxically, the positive resources of the urban environment itself and the resilience mechanisms of its inhabitants have long remained on the periphery of scientific analysis. This article offers a systematic analysis of Aaron Antonovsky’s salutogenic approach as an alternative lens for investigating the city–health relationship. As a result of a scoping and analytical review encompassing a corpus of 70 key publications in international databases, we identified three principal directions for applying salutogenesis to urban themes: first, the reconceptualization of urban stressors as potentially salutogenic challenges; second, the operationalization of the “sense of coherence” (SOC) in relation to the urban lifeworld; and, third, the formation of principles for the salutogenic design of public spaces. Special attention is given to the transformation of these ideas in the era of digitalization, where the digital urban environment becomes simultaneously a generalized resistance resource and a source of new entropy. The findings show that the COVID-19 pandemic paradoxically actualized the salutogenic agenda, shifting the focus from mere survival to the search for community resilience resources. The article presents a historical and theoretical overview of the evolution of the salutogenic model, as well as a holistic conceptual framework for its application in urban studies, taking into account the potential and limitations of this approach within the Russian context of urban environment design and digital healthcare.</p></abstract><trans-abstract xml:lang="ru"><p>Несмотря на полувековую историю изучения города как среды обитания, большинство исследований по-прежнему сфокусированы на патогенных факторах урбанизации — загрязнении, стрессогенности, распространении инфекций. Однако такой подход оставляет без ответа ключевой вопрос: почему в идентичных городских условиях одни люди сохраняют высокий уровень здоровья и благополучия, тогда как другие утрачивают его? Парадоксальным образом именно позитивный ресурс самой городской среды и механизмы устойчивости её жителей долгое время оставались на периферии научного анализа.</p> <p>В данной статье предпринята попытка систематизации положений салютогенного подхода А. Антоновского как альтернативной оптики для исследования взаимосвязи «город — здоровье». В результате поисково-аналитической работы, охватившей корпус из 70 ключевых публикаций в международных базах данных, выявлены три магистральных направления применения салютогенеза к урбанистической тематике: во-первых, переосмысление городских стрессоров как потенциально салютогенных вызовов, во-вторых, операционализация «чувства когерентности» (SOC) применительно к городскому жизненному миру и, в-третьих, формирование принципов салютогенного дизайна общественных пространств. Отдельное внимание уделено трансформации этих идей в эпоху цифровизации, когда цифровая городская среда становится одновременно и обобщённым ресурсом сопротивляемости, и источником новой энтропии. Показано, что пандемия COVID-19 парадоксальным образом актуализировала салютогенную повестку, сместив фокус с выживания на поиск ресурсов устойчивости сообществ.</p> <p>Статья представляет историко-теоретический обзор эволюции салютогенной модели, а также предлагает целостную концептуальную схему для её применения в урбанистических исследованиях — с учётом потенциала и ограничений этого подхода в российском контексте проектирования городской среды и цифрового здравоохранения.</p></trans-abstract><kwd-group xml:lang="en"><kwd>urban environment</kwd><kwd>megalopolis</kwd><kwd>theory of salutogenesis</kwd><kwd>salutogenic approach</kwd><kwd>salutogenic design</kwd><kwd>review</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>урбанистическая среда</kwd><kwd>мегаполис</kwd><kwd>теория салютогенеза</kwd><kwd>салютогенный подход</kwd><kwd>салютогенный дизайн</kwd><kwd>обзор</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Wirth L. 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