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Title: | Health impact assessment of active transportation: A systematic review | Authors: | Mueller, Natalie Rojas-Rueda, David Cole-Hunter, Torn de Nazelle, Audrey DONS, Evi Gerike, Regine Goetschi, Thomas INT PANIS, Luc Kahlmeier, Sonja Nieuwenhuijsen, Mark |
Issue Date: | 2015 | Publisher: | ACADEMIC PRESS INC ELSEVIER SCIENCE | Source: | PREVENTIVE MEDICINE, 76, p. 103-114 | 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. (C) 2015 Elsevier Inc. All rights reserved. | Notes: | [Mueller, Natalie; Rojas-Rueda, David; Cole-Hunter, Torn; Nieuwenhuijsen, Mark] Ctr Res Environm Epidemiol CREAL, Barcelona 08003, Spain. [Mueller, Natalie; Rojas-Rueda, David; Cole-Hunter, Torn] UPF, Barcelona 08003, Spain. [Mueller, Natalie; Rojas-Rueda, David; Cole-Hunter, Torn; Nieuwenhuijsen, Mark] CIBER Epidemiol & Salud Pabl CIBERESP, Madrid 28029, Spain. [de Nazelle, Audrey] Univ London Imperial Coll Sci Technol & Med, Ctr Environm Policy, London SW7 2AZ, England. [Dons, Evi; Panis, Luc Int] Flemish Inst Technol Res VITO, B-2400 Mol, Belgium. [Dons, Evi] Hasselt Univ, Ctr Environm Sci, B-3590 Diepenbeek, Belgium. [Gerike, Regine] Univ Nat Resources & Life Sci Vienna, Inst Transport Studies, A-1190 Vienna, Austria. [Goetschi, Thomas; Kahlmeier, Sonja] Univ Zurich, Epidemiol Biostat & Prevent Inst, Phys Activ & Hlth Unit, CH-8001 Zurich, Switzerland. [Panis, Luc Int] Hasselt Univ, Sch Mobil, B-3590 Diepenbeek, Belgium. | Keywords: | Active transportation; Air pollution; Health impact assessment; Mode shift; Physical activity; Traffic incident;active transportation; air pollution; health impact assessment; mode shift; physical activity; traffic incident | Document URI: | http://hdl.handle.net/1942/19163 | ISSN: | 0091-7435 | e-ISSN: | 1096-0260 | DOI: | 10.1016/j.ypmed.2015.04.010 | ISI #: | 000358189100016 | Rights: | © 2015 Elsevier Inc. All rights reserved. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2016 |
Appears in Collections: | Research publications |
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