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Improving health through policies that promote active travel : a review of evidence to support integrated health impact assessment

de Nazelle A., and Nieuwenhuijsen, M. J. and Anto, J. M. and Brauer, M. and Briggs, D. and Braun-Fahrländer C., and Cavill, N. and Cooper, A. R. and Desqueyroux, H. and Fruin, S. and Hoek, G. and Panis, L. I. and Janssen, N. and Jerrett, M. and Joffe, M. and Andersen, Z. J. and van, K. E. and Kingham, S. and Kubesch, N. and Leyden, K. M. and Marshall, J. D. and Matamala, J. and Mellios, G. and Mendez, M. and Nassif, H. and Ogilvie, D. and Peiro, R. and Perez, K. and Rabl, A. and Ragettli, M. and Rodriguez, D. and Rojas, D. and Ruiz, P. and Sallis, J. F. and Terwoert, J. and Toussaint, J. F. and Tuomisto, J. and Zuurbier, M. and Lebret, E.. (2011) Improving health through policies that promote active travel : a review of evidence to support integrated health impact assessment. Environment international : a journal of environmental science, risk and health, 37 (4). pp. 766-777.

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Official URL: http://edoc.unibas.ch/dok/A6002245

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Abstract

BACKGROUND: Substantial policy changes to control obesity, limit chronic disease, and reduce air pollution emissions, including greenhouse gasses, have been recommended. Transportation and planning policies that promote active travel by walking and cycling can contribute to these goals, potentially yielding further co-benefits. Little is known, however, about the interconnections among effects of policies considered, including potential unintended consequences. OBJECTIVES AND METHODS: We review available literature regarding health impacts from policies that encourage active travel in the context of developing health impact assessment (HIA) models to help decision-makers propose better solutions for healthy environments. We identify important components of HIA models of modal shifts in active travel in response to transport policies and interventions. RESULTS AND DISCUSSION: Policies that increase active travel are likely to generate large individual health benefits through increases in physical activity for active travelers. Smaller, but population-wide benefits could accrue through reductions in air and noise pollution. Depending on conditions of policy implementations, risk tradeoffs are possible for some individuals who shift to active travel and consequently increase inhalation of air pollutants and exposure to traffic injuries. Well-designed policies may enhance health benefits through indirect outcomes such as improved social capital and diet, but these synergies are not sufficiently well understood to allow quantification at this time. CONCLUSION: Evaluating impacts of active travel policies is highly complex; however, many associations can be quantified. Identifying health-maximizing policies and conditions requires integrated HIAs
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Environmental Exposures and Health > Physical Hazards and Health (Röösli)
UniBasel Contributors:Braun-Fahrländer, Charlotte
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Elsevier
ISSN:0160-4120
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:06 Sep 2018 14:56
Deposited On:26 Apr 2013 06:54

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