Health equity and active transportation: A scoping review of active transportation interventions and their impacts on health equity

Hansmann, Kellia J.; Grabow, Maggie; McAndrews, Carolyn

doi:10.1016/j.jth.2022.101346

Cited by 16 publications

(12 citation statements)

References 43 publications

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“…Informed by transportation justice,77–79 public health perspectives80 and intersectionality in lived experiences,81 our work will consider how procedural and distributional inequities in sustainable transportation interventions contribute to inequities in health outcomes. Terminology in the research community may differ from what is used in practice,75 and so we detail CapaCITY/É’s equity terminology: procedural equity is the equitable participation in decision-making, including public participation in the planning processes for sustainable transportation interventions; distributional equity is equitable access, both in terms of where infrastructure is implemented and who has access to it; and health equity examines differences in health-related outcomes between groups, which is rarely done in studies of sustainable transportation interventions 82…”

Section: Methods and Analysismentioning

confidence: 99%

Building CapaCITY/É for sustainable transportation: protocol for an implementation science research program in healthy cities

Winters,

Fuller,

Cloutier

et al. 2024

BMJ Open

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IntroductionImproving sustainable transportation options will help cities tackle growing challenges related to population health, congestion, climate change and inequity. Interventions supporting active transportation face many practical and political hurdles. Implementation science aims to understand how interventions or policies arise, how they can be translated to new contexts or scales and who benefits. Sustainable transportation interventions are complex, and existing implementation science frameworks may not be suitable. To apply and adapt implementation science for healthy cities, we have launched our mixed-methods research programme, CapaCITY/É. We aim to understand how, why and for whom sustainable transportation interventions are successful and when they are not.Methods and analysisAcross nine Canadian municipalities and the State of Victoria (Australia), our research will focus on two types of sustainable transportation interventions: all ages and abilities bicycle networks and motor vehicle speed management interventions. We will (1)documentthe implementation process and outcomes of both types of sustainable transportation interventions; (2)examineequity, health and mobility impacts of these interventions; (3)advanceimplementation science by developing a novel sustainable transportation implementation science framework and (4)developtools for scaling up and scaling out sustainable transportation interventions. Training activities will develop interdisciplinary scholars and practitioners able to work at the nexus of academia and sustainable cities.Ethics and disseminationThis study received approval from the Simon Fraser University Office of Ethics Research (H22-03469). A Knowledge Mobilization Hub will coordinate dissemination of findings via a website; presentations to academic, community organisations and practitioner audiences; and through peer-reviewed articles.

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Section: Methods and Analysismentioning

confidence: 99%

Building CapaCITY/É for sustainable transportation: protocol for an implementation science research program in healthy cities

Winters,

Fuller,

Cloutier

et al. 2024

BMJ Open

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show abstract

“…One systematic review claimed that infrastructure changes benefit socio-economically advantaged groups, although the authors acknowledge most of the individual studies are of low quality (Smith et al, 2017). By contrast, better quality PPQE evidence from New Zealand suggests the opposite, that groups least likely to travel by active modes benefit more (Keall et al, 2022; see also Hansmann et al, 2022). This variability in the literature with respect to who benefits from ATI may be attributable to differences in design focus; it is unclear from the available evidence what design elements and safety aspects were considered within studies that have sought to analyze uptake among disadvantaged groups.…”

Section: Sociodemographic Predictors Of Usementioning

confidence: 99%

Active travel infrastructure design and implementation: Insights from behavioral science

Timmons,

Andersson,

McGowan

et al. 2024

WIREs Climate Change

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Replacing car travel with walking and cycling is at the core of the shift to healthier and more sustainable societies. Implementing dedicated infrastructure is a common measure to achieve this aim. But policymakers in multiple countries regularly contend with two obstacles: designing infrastructure that people will make use of and securing public support for implementation. We review and synthesize relevant research from behavioral science that sheds light on how to overcome these two obstacles. Given available literature, we focus on cycling infrastructure. We find that research on moderators of the success of active travel initiatives points to the importance of proximity, connectivity, and safety perceptions, particularly among women, older adults and children. We review empirical findings on which design elements make infrastructure both safe to use and perceived as safe. With respect to public support, we summarize common concerns and review research from behavioral economics and psychology that may help to counter misperceptions of the effects of active travel infrastructure. We also draw on evidence regarding support for climate policy and opinion formation more generally. The paper offers an evidence‐based guide for policymakers to design and implement active travel infrastructure, seen through the lens of behavioral science. It also highlights fruitful avenues for future research.This article is categorized under: Perceptions, Behavior, and Communication of Climate Change > Behavior Change and Responses The Carbon Economy and Climate Mitigation > Policies, Instruments, Lifestyles, Behavior Policy and Governance > Governing Climate Change in Communities, Cities, and Regions

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“…One systematic review claimed that infrastructure changes benefit socio-economically advantaged groups, although the authors acknowledge most of the individual studies to be of low quality (Smith et al, 2017). By contrast, better quality PPQE evidence from New Zealand suggests the opposite, that groups least likely to travel by active modes benefit more (Keall et al, 2022; see also Hansmann et al, 2022). This variability in the literature with respect to who benefits from active travel infrastructure may be attributable to differences in design focus; it is unclear from the available evidence whether connectivity and safety were priorities within studies that have sought to analyse uptake among disadvantaged groups.…”

Section: Socio-demographic Predictors Of Usementioning

confidence: 99%

Using Behavioural Science to Design and Implement Active Travel Infrastructure: A Narrative Review of Evidence

Timmons

Andersson²,

McGowan³

et al. 2023

SSRN Journal

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Health equity and active transportation: A scoping review of active transportation interventions and their impacts on health equity

Cited by 16 publications

References 43 publications

Building CapaCITY/É for sustainable transportation: protocol for an implementation science research program in healthy cities

Building CapaCITY/É for sustainable transportation: protocol for an implementation science research program in healthy cities

Active travel infrastructure design and implementation: Insights from behavioral science

Using Behavioural Science to Design and Implement Active Travel Infrastructure: A Narrative Review of Evidence

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