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dc.contributor.authorZapata-Diomedi, Belenen_US
dc.contributor.authorKnibbs, Luke D.en_US
dc.contributor.authorWare, Roberten_US
dc.contributor.authorHeesch, Kristiann C.en_US
dc.contributor.authorTainio, Markoen_US
dc.contributor.authorWoodcock, Jamesen_US
dc.contributor.authorVeerman, J. Lennerten_US
dc.date.accessioned2018-04-24T12:00:12Z
dc.date.available2018-04-24T12:00:12Z
dc.date.issued2017en_US
dc.identifier.issn1932-6203en_US
dc.identifier.doi10.1371/journal.pone.0184799en_US
dc.identifier.urihttp://hdl.handle.net/10072/360724
dc.description.abstractIntroduction An alarmingly high proportion of the Australian adult population does not meet national physical activity guidelines (57%). This is concerning because physical inactivity is a risk factor for several chronic diseases. In recent years, an increasing emphasis has been placed on the potential for transport and urban planning to contribute to increased physical activity via greater uptake of active transport (walking, cycling and public transport). In this study, we aimed to estimate the potential health gains and savings in health care costs of an Australian city achieving its stated travel targets for the use of active transport. Methods Additional active transport time was estimated for the hypothetical scenario of Brisbane (1.1 million population 2013) in Australia achieving specified travel targets. A multi-state life table model was used to estimate the number of health-adjusted life years, life-years, changes in the burden of diseases and injuries, and the health care costs associated with changes in physical activity, fine particle (<2.5 μm; PM2.5) exposure, and road trauma attributable to a shift from motorised travel to active transport. Sensitivity analyses were conducted to test alternative modelling assumptions. Results Over the life course of the Brisbane adult population in 2013 (860,000 persons), 33,000 health-adjusted life years could be gained if the travel targets were achieved by 2026. This was mainly due to lower risks of physical inactivity-related diseases, with life course reductions in prevalence and mortality risk in the range of 1.5%-6.0%. Prevalence and mortality of respiratory diseases increased slightly (≥0.27%) due to increased exposure of larger numbers of cyclists and pedestrians to fine particles. The burden of road trauma increased by 30% for mortality and 7% for years lived with disability. We calculated substantial net savings ($AU183 million, 2013 values) in health care costs. Conclusion In cities, such as Brisbane, where over 80% of trips are made by private cars, shifts towards walking, cycling and public transport would cause substantial net health benefits and savings in health care costs. However, for such shifts to occur, investments are needed to ensure safe and convenient travel.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherPublic Library of Sciencesen_US
dc.relation.ispartofpagefrome0184799-1en_US
dc.relation.ispartofpagetoe0184799-21en_US
dc.relation.ispartofissue10en_US
dc.relation.ispartofjournalPLoS Oneen_US
dc.relation.ispartofvolume12en_US
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classifieden_US
dc.subject.fieldofresearchcode111799en_US
dc.titleA shift from motorised travel to active transport: What are the potential health gains for an Australian city?en_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/en_US
dc.description.versionPublisheden_US
gro.rights.copyright© 2017 Zapata-Diomedi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_US
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