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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Economics of Interventions to Increase Active Travel to School: A Community Guide Systematic Review
American journal of preventive medicine, v 60(1), pp e27-e40
Jan 2021
PMID: 33341185
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The number of children who bicycle or walk to school has steadily declined in the U.S. and other high-income countries. In response, several countries responded in recent years by funding infrastructure and noninfrastructure programs that improve the safety, convenience, and attractiveness of active travel to school. The objective of this study is to synthesize the economic evidence for the cost and benefit of these programs.
Literature from the inception of databases to July 2018 were searched, yielding 9 economic evaluation studies. All analyses were done in September 2018-May 2019.
All the studies reported cost, 6 studies reported cost benefit, and 2 studies reported cost effectiveness. The cost-effectiveness estimates were excluded on the basis of quality assessment. Cost of interventions ranged widely, with higher cost reported for the infrastructure-heavy projects from the U.S. ($91,000-$179,000 per school) and United Kingdom ($227,000-$665,000 per project). Estimates of benefits differed in the inclusion of improved safety for bicyclists and pedestrians, improved health from increased physical activity, and reduced environmental impacts due to less automobile use. The evaluations in the U.S. focused primarily on safety. The overall median benefit‒cost ratio was 4.4:1.0 (IQR=2.2:1-6.0:1, 6 studies). The 2-year benefit-cost ratios for U.S. projects in California and New York City were 1.46:1 and 1.79:1, respectively.
The evidence indicates that interventions that improve infrastructure and enhance the safety and ease of active travel to schools generate societal economic benefits that exceed the societal cost.
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Details
- Title
- Economics of Interventions to Increase Active Travel to School: A Community Guide Systematic Review
- Creators
- Verughese Jacob - Community Guide Office, Office of the Associate Director for Policy and Strategy, Centers for Disease Control and Prevention, Atlanta, GeorgiaSajal K Chattopadhyay - Community Guide Office, Office of the Associate Director for Policy and Strategy, Centers for Disease Control and Prevention, Atlanta, GeorgiaJeffrey A Reynolds - Community Guide Office, Office of the Associate Director for Policy and Strategy, Centers for Disease Control and Prevention, Atlanta, GeorgiaDavid P Hopkins - Community Guide Office, Office of the Associate Director for Policy and Strategy, Centers for Disease Control and Prevention, Atlanta, GeorgiaJennifer A Morgan - Community Guide Office, Office of the Associate Director for Policy and Strategy, Centers for Disease Control and Prevention, Atlanta, GeorgiaDavid R Brown - National Center for Chronic Disease Prevention and Health PromotionChristopher S Kochtitzky - National Center for Chronic Disease Prevention and Health PromotionAlison E Cuellar - George Mason UniversityShiriki K Kumanyika - University of PennsylvaniaCommunity Preventive Services Task Force
- Publication Details
- American journal of preventive medicine, v 60(1), pp e27-e40
- Publisher
- Elsevier
- Grant note
- CC999999 / Intramural CDC HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000600775000004
- Scopus ID
- 2-s2.0-85097651634
- Other Identifier
- 991019312318204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health