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Health impact assessment of active transportation: A systematic review

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Title: Health impact assessment of active transportation: A systematic review
Authors: Mueller, N
Rojas-Rueda, D
Cole-Hunter, T
De Nazelle, A
Dons, E
Gerike, R
Goetschi, T
Panis, LI
Kahlmeier, S
Nieuwenhuijsen, M
Item Type: Journal Article
Abstract: Objective Walking and cycling for transportation (i.e. active transportation, AT), provide substantial health benefits from increased physical activity (PA). However, risks of injury from exposure to motorized traffic and their emissions (i.e. air pollution) exist. The objective was to systematically review studies conducting health impact assessment (HIA) of a mode shift to AT on grounds of associated health benefits and risks. Methods Systematic database searches of MEDLINE, Web of Science and Transportation Research International Documentation were performed by two independent researchers, augmented by bibliographic review, internet searches and expert consultation to identify peer-reviewed studies from inception to December 2014. Results Thirty studies were included, originating predominantly from Europe, but also the United States, Australia and New Zealand. They compromised of mostly HIA approaches of comparative risk assessment and cost–benefit analysis. Estimated health benefit–risk or benefit–cost ratios of a mode shift to AT ranged between − 2 and 360 (median = 9). Effects of increased PA contributed the most to estimated health benefits, which strongly outweighed detrimental effects of traffic incidents and air pollution exposure on health. Conclusion Despite different HIA methodologies being applied with distinctive assumptions on key parameters, AT can provide substantial net health benefits, irrespective of geographical context.
Issue Date: 1-Jul-2015
Date of Acceptance: 18-Apr-2015
URI: http://hdl.handle.net/10044/1/56553
DOI: https://dx.doi.org/10.1016/j.ypmed.2015.04.010
ISSN: 0091-7435
Publisher: Elsevier
Start Page: 103
End Page: 114
Journal / Book Title: Preventive Medicine
Volume: 76
Copyright Statement: © 2015, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Keywords: Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Medicine, General & Internal
General & Internal Medicine
Active transportation
Air pollution
Health impact assessment
Mode shift
Physical activity
Traffic incident
TOTAL PHYSICAL-ACTIVITY
AIR-POLLUTION
ROAD SAFETY
PUBLIC TRANSPORT
GLOBAL BURDEN
MODAL SHIFT
TRAVEL MODE
UK ICONNECT
CAR TRIPS
BENEFITS
Active transportation
Air pollution
Health impact assessment
Mode shift
Physical activity
Traffic incident
Bicycling
Exercise
Female
Health Impact Assessment
Humans
Male
Risk Assessment
Transportation
Walking
Humans
Exercise
Walking
Risk Assessment
Bicycling
Transportation
Female
Male
Health Impact Assessment
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Medicine, General & Internal
General & Internal Medicine
Active transportation
Air pollution
Health impact assessment
Mode shift
Physical activity
Traffic incident
TOTAL PHYSICAL-ACTIVITY
AIR-POLLUTION
ROAD SAFETY
PUBLIC TRANSPORT
GLOBAL BURDEN
MODAL SHIFT
TRAVEL MODE
UK ICONNECT
CAR TRIPS
BENEFITS
1106 Human Movement And Sports Science
1117 Public Health And Health Services
1302 Curriculum And Pedagogy
Public Health
Publication Status: Published
Appears in Collections:Centre for Environmental Policy
Faculty of Natural Sciences



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