Quantitative health impact assessment of environmental exposures linked to urban transport and land use in Europe: state of research and research agenda
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
In this article, we summarise recent developments, identify gaps, and propose a research agenda for quantitative health impact assessment (HIA) of environmental exposures linked to urban transport and land use. This is based on a workshop of 30 experts, complemented by targeted literature identified by participants to illustrate the state of research and practice gaps. The practice of quantitative HIA in urban transport and land use interventions covers a diverse range of methods, models, and frameworks. The selection of an appropriate model depends upon the use case, i.e., the research question, resources and expertise, and application. The plurality of models can be a strength if differences are explicit and their implications are understood. A major gap in most assessments and frameworks is the lack of equity consideration. This should be integrated into all stages of the HIA, considering exposures, susceptibility, disease burden, capacity to benefit, household budgets, responsibility for harm, and participation in the process. Scenarios of environmental exposures in urban transport and land use interventions are often overly simple, while the scenario design process of spatial planning is often opaque. Researchers should specify the involvement of stakeholders and the data, evidence, or behavioural model used to construct the scenario. Recent developments in exposure assessment (remote sensing and modelling) have increased the capacity to conduct HIAs for small geographies at scale. At the same time, advances in simulation have enabled the representation of behaviours at high spatial and temporal resolution. The combination can enable person-centric measures accounting for location, activities, and behaviours, with HIA proceeding ahead of epidemiology. Most HIAs still use Comparative Risk Assessment. This is suitable for estimating the disease burdens of environmental exposures, but more advanced longitudinal methods are better suited for studying interventions. Beyond health outcomes, well-being must be incorporated. The monetisation of health outcomes through welfare economics remains contentious. Representation of uncertainty is increasingly acknowledged. Value of Information methods can inform where new data collection would most efficiently reduce final result uncertainty. In the context of the climate crisis and related environmental limits, methods are needed that consider adaptation alongside mitigation and prevention and test robustness to an increasingly unstable future.
Date Issued
2025-12-01
Date Acceptance
2025-10-08
Citation
Current Environmental Health Reports, 2025, 12
ISSN
2196-5412
Publisher
Springer
Start Page
38
Journal / Book Title
Current Environmental Health Reports
Volume
12
Copyright Statement
© The Author(s) 2025 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/41118069
PII: 10.1007/s40572-025-00505-7
Subjects
Environmental Exposure
Health Impact Assessment
Humans
Europe
Transportation
Cities
Publication Status
Published
Coverage Spatial
Switzerland
Article Number
38
Date Publish Online
2025-10-21