scholarly journals Health Impacts of Urban Bicycling in Mexico

Author(s):  
David Rojas-Rueda

Background: Bicycling has been associated with health benefits. Local and national authorities have been promoting bicycling as a tool to improve public health and the environment. Mexico is one of the largest Latin American countries, with high levels of sedentarism and non-communicable diseases. No previous studies have estimated the health impacts of Mexico’s national bicycling scenarios. Aim: Quantify the health impacts of Mexico urban bicycling scenarios. Methodology: Quantitative Health Impact Assessment, estimating health risks and benefits of bicycling scenarios in 51,718,756 adult urban inhabitants in Mexico (between 20 and 64 years old). Five bike scenarios were created based on current bike trends in Mexico. The number of premature deaths (increased or reduced) was estimated in relation to physical activity, road traffic fatalities, and air pollution. Input data were collected from national publicly available data sources from transport, environment, health and population reports, and surveys, in addition to scientific literature. Results: We estimated that nine premature deaths are prevented each year among urban populations in Mexico on the current car-bike substitution and trip levels (1% of bike trips), with an annual health economic benefit of US $1,897,920. If Mexico achieves similar trip levels to those reported in The Netherlands (27% of bike trips), 217 premature deaths could be saved annually, with an economic impact of US $45,760,960. In all bicycling scenarios assessed in Mexico, physical activity’s health benefits outweighed the health risks related to traffic fatalities and air pollution exposure. Conclusion: The study found that bicycling promotion in Mexico would provide important health benefits. The benefits of physical activity outweigh the risk from traffic fatalities and air pollution exposure in bicyclists. At the national level, Mexico could consider using sustainable transport policies as a tool to promote public health. Specifically, the support of active transportation through bicycling and urban design improvements could encourage physical activity and its health co-benefits.

2018 ◽  
Vol 2018 (1) ◽  
Author(s):  
Juan Pablo Orjuela ◽  
George Northover ◽  
Shahram Heydari ◽  
Audrey de Nazelle

2012 ◽  
Vol 6 (1) ◽  
pp. 84-92 ◽  
Author(s):  
K. N. Dirks ◽  
P. Sharma ◽  
J. A. Salmond ◽  
S. B. Costello

This paper investigates the carbon monoxide (CO) doses received while commuting by different modes (car, bus, train, motorcycle, bicycle and running), taking into account the commute time as well as the level of physical activity required. While the participants were constrained to travel at specific peak traffic times and between designated start and end points, they were free to choose a route appropriate for their mode of transport. The results of this study suggest that the lowest exposures (concentrations of pollutants) are experienced by train commuters, largely a reflection of the routes being removed from any significant road traffic. Motorcyclists experienced significantly higher average concentrations as a result of high-concentration and very-short-duration peaks not seen in the traces of car and bus commuters travelling on the same road. Travel by bus along a dedicated busway was also found to be effective in reducing commuter air pollution exposure compared to travel by car on a congested stretch of motorway. The average concentrations to which cyclists and runners were exposed were found to be not significantly different for those travelling by car or bus (except when on dedicated pedestrian/cycleways). However, when the increased physical activity that is required is taken into account (leading to higher volumes of air breathed) along with the increased commuting time (especially in the case of runners), the air pollution doses (as estimated by the product of the concentration, commute time and breathing factor) were found to be significantly higher than for the motorised modes. The results suggest that separate pedestrian/cycleways go some way towards providing healthier options for cyclists and pedestrians.


2015 ◽  
Vol 2 (4) ◽  
pp. 460-473 ◽  
Author(s):  
Paul Schepers ◽  
Elliot Fishman ◽  
Rob Beelen ◽  
Eva Heinen ◽  
Wim Wijnen ◽  
...  

Author(s):  
Christie Cole ◽  
Christopher Carlsten ◽  
Michael Koehle ◽  
Catherine Steer ◽  
Michael Brauer

2016 ◽  
Vol 59 (1) ◽  
pp. 17-29 ◽  
Author(s):  
Sally Radisic ◽  
K. Bruce Newbold ◽  
John Eyles ◽  
Allison Williams

Research associating adverse health effects with air pollution exposure is robust. Public health authorities recognize the need to implement population health strategies that protect public health from air pollution exposure. The Air Quality Health Index (AQHI) is a public health initiative that is intended to protect the public's health from exposure to air pollution. The aim of this research was to identify and explain factors influencing AQHI adoption at the individual level and to establish intervention strategies. A cross-sectional survey with both quantitative and qualitative questions was administered in Hamilton, Ontario, Canada, during the months of June to October 2012. Logistic regression and the Health Belief Model are used to explore the data. Demographics (gender, age, education, and area of residence), knowledge/understanding, and individual risk perceptions (neighbourhood air effects on health) were found to be significant predictors of AQHI adoption. The perceived benefits of AQHI adoption included protection of health for self and those cared for via familial and (or) occupational duties, whereas the perceived barriers of AQHI adoption included lack of knowledge about where to check and lack of time required to check and follow AQHI health messages. Also, self-efficacy was uncovered as a factor influencing AQHI adoption. Accordingly, increases in AQHI adoption could be achieved via increasing AQHI knowledge among low socioeconomic status females, communicating the benefits of AQHI adoption to “at-risk” populations and implementing supports for males to follow AQHI health messages.


BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030466 ◽  
Author(s):  
Hedi Katre Kriit ◽  
Jennifer Stewart Williams ◽  
Lars Lindholm ◽  
Bertil Forsberg ◽  
Johan Nilsson Sommar

ObjectivesTo conduct a health economic evaluation of a proposed investment in urban bicycle infrastructure in Stockholm County, Sweden.DesignA cost-effectiveness analysis is undertaken from a healthcare perspective. Investment costs over a 50-year life cycle are offset by averted healthcare costs and compared with estimated long-term impacts on morbidity, quantified in disability-adjusted life years (DALYs). The results are re-calculated under different assumptions to model the effects of uncertainty.SettingThe Municipality of Stockholm (population 2.27 million) committed funds for bicycle path infrastructure with the aim of achieving a 15% increase in the number of bicycle commuters by 2030. This work is based on a previously constructed scenario, in which individual registry data on home and work address and a transport model allocation to different modes of transport identified 111 487 individuals with the physical capacity to bicycle to work within 30 min but that currently drive a car to work.ResultsMorbidity impacts and healthcare costs attributed to increased physical activity, change in air pollution exposure and accident risk are quantified under the scenario. The largest reduction in healthcare costs is attributed to increased physical activity and the second largest to reduced air pollution exposure among the population of Greater Stockholm. The expected net benefit from the investment is 8.7% of the 2017 Stockholm County healthcare budget, and 3.7% after discounting. The economic evaluation estimates that the intervention is cost-effective and each DALY averted gives a surplus of €9933. The results remained robust under varied assumptions pertaining to reduced numbers of additional bicycle commuters.ConclusionInvesting in urban infrastructure to increase bicycling as active transport is cost-effective from a healthcare sector perspective.


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