Literature DB >> 25955544

Application of an evidence-based tool to evaluate health impacts of changes to the built environment.

Jared M Ulmer1, James E Chapman, Suzanne E Kershaw, Monica Campbell, Lawrence D Frank.   

Abstract

OBJECTIVES: To create and apply an empirically based health and greenhouse gas (GHG) impact assessment tool linking detailed measures of walkability and regional accessibility with travel, physical activity, health indicators and GHG emissions.
METHODS: Parcel land use and transportation system characteristics were calculated within a kilometre network buffer around each Toronto postal code. Built environment measures were linked with health and demographic characteristics from the Canadian Community Health Survey and travel behaviour from the Transportation Tomorrow Survey. Results were incorporated into an existing software tool and used to predict health-related indicators and GHG emissions for the Toronto West Don Lands Redevelopment.
RESULTS: Walkability, regional accessibility, sidewalks, bike facilities and recreation facility access were positively associated with physical activity and negatively related to body weight, high blood pressure and transportation impacts. When applied to the West Don Lands, the software tool predicted a substantial shift from automobile use to walking, biking and transit. Walking and biking trips more than doubled, and transit trips increased by one third. Per capita automobile trips decreased by half, and vehicle kilometres travelled and GHG emissions decreased by 15% and 29%, respectively.
CONCLUSION: The results presented are novel and among the first to link health outcomes with detailed built environment features in Canada. The resulting tool is the first of its kind in Canada. This tool can help policy-makers, land use and transportation planners, and health practitioners to evaluate built environment influences on health-related indicators and GHG emissions resulting from contrasting land use and transportation policies and actions.

Keywords:  Environment and public health; city planning; decision support techniques; geographic information systems; health impact assessment; spatial analysis

Mesh:

Substances:

Year:  2014        PMID: 25955544     DOI: 10.17269/cjph.106.4338

Source DB:  PubMed          Journal:  Can J Public Health        ISSN: 0008-4263


  5 in total

1.  The Integrated Transport and Health Impact Modeling Tool in Nashville, Tennessee, USA: Implementation Steps and Lessons Learned.

Authors:  Geoffrey P Whitfield; Leslie A Meehan; Neil Maizlish; Arthur M Wendel
Journal:  J Transp Health       Date:  2016-07-22

2.  Bringing health into transportation and land use scenario planning: Creating a National Public Health Assessment Model (N-PHAM).

Authors:  Jessica Schoner; Jim Chapman; Eric H Fox; Nicole Iroz-Elardo; Allen Brookes; Kara E MacLeod; Lawrence D Frank
Journal:  J Transp Health       Date:  2018-09

3.  Urban Health Indicator Tools of the Physical Environment: a Systematic Review.

Authors:  Helen Pineo; Ketevan Glonti; Harry Rutter; Nici Zimmermann; Paul Wilkinson; Michael Davies
Journal:  J Urban Health       Date:  2018-10       Impact factor: 3.671

4.  Californians Linking Action with Science for Prevention of Breast Cancer (CLASP-BC)-Phase 2.

Authors:  Jon F Kerner; Marion H E Kavanaugh-Lynch; Christopher Politis; Lourdes Baezconde-Garbanati; Aviva Prager; Ross C Brownson
Journal:  Int J Environ Res Public Health       Date:  2020-11-28       Impact factor: 3.390

Review 5.  Environments favorable to healthy lifestyles: A systematic review of initiatives in Canada.

Authors:  Tegwen Gadais; Maude Boulanger; François Trudeau; Marie-Claude Rivard
Journal:  J Sport Health Sci       Date:  2017-09-20       Impact factor: 7.179

  5 in total

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