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What Is the Best Practice Method for Quantifying the Health and Economic Benefits of Active Transport?

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  • Holger Möller

    (Injury Division, The George Institute for Global Health, Newtown, NSW 2042, Australia
    School of Public Health & Community Medicine, UNSW, Sydney, NSW 2052, Australia)

  • Fiona Haigh

    (Centre for Health Equity Training Research and Evaluation (CHETRE), School of Public Health & Community Medicine, UNSW, Sydney, NSW 2052, Australia
    Health Equity Research Development Unit (HERDU), School of Public Health & Community Medicine, UNSW, Sydney, NSW 2052, Australia
    Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia)

  • Rema Hayek

    (NSW Ministry of Health, St Leonards, NSW 2065, Australia)

  • Lennert Veerman

    (School of Medicine, Gold Coast campus, Griffith University, Southport, QLD 422, Australia)

Abstract

The aim of this study was to identify a best practice method to cost the health benefits of active transport for use in infrastructure planning in New South Wales, Australia. We systematically reviewed the international literature covering the concept areas of active transport and cost and health benefits. Original publications describing a method to cost the health benefits of active transport, published in 2000–2019 were included. Studies meeting the inclusion criteria were assessed against criteria identified in interviews with key government stakeholders. A total of 2993 studies were identified, 53 were assessed for eligibility, and 19 were included in the review. The most commonly studied active transport modes were cycling ( n = 8) and walking and cycling ( n = 6). Exposures considered were physical activity, road transport related injuries and air pollution. The most often applied economic evaluation method was cost benefit analysis ( n = 8), and costs were commonly calculated by monetising health outcomes. Based on evaluation of models against the criteria, a Multistate Life Table model was recommended as the best method currently available. There is strong and increasing interest in quantifying and costing the health benefits of active transport internationally. Incorporating health-related economic benefits into existing regulatory processes such as cost benefit analyses could provide an effective way to encourage the non-health sector to include health impacts in infrastructure measures.

Suggested Citation

  • Holger Möller & Fiona Haigh & Rema Hayek & Lennert Veerman, 2020. "What Is the Best Practice Method for Quantifying the Health and Economic Benefits of Active Transport?," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6186-:d:404250
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    3. Brown, Vicki & Diomedi, Belen Zapata & Moodie, Marj & Veerman, J. Lennert & Carter, Rob, 2016. "A systematic review of economic analyses of active transport interventions that include physical activity benefits," Transport Policy, Elsevier, vol. 45(C), pages 190-208.
    4. Cristina Taddei & Roberto Gnesotto & Silvia Forni & Guglielmo Bonaccorsi & Andrea Vannucci & Giorgio Garofalo, 2015. "Cycling Promotion and Non-Communicable Disease Prevention: Health Impact Assessment and Economic Evaluation of Cycling to Work or School in Florence," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-22, April.
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    Cited by:

    1. Karina A. Rus & Ștefan Dezsi & Ovidiu R. Ciascai, 2023. "Transformative Experiences in Cycling Tourism: A Conceptual Framework," Sustainability, MDPI, vol. 15(20), pages 1-22, October.
    2. Ovidiu R. Ciascai & Ștefan Dezsi & Karina A. Rus, 2022. "Cycling Tourism: A Literature Review to Assess Implications, Multiple Impacts, Vulnerabilities, and Future Perspectives," Sustainability, MDPI, vol. 14(15), pages 1-18, July.
    3. Myung Ja Kim & C. Michael Hall, 2022. "Application of EMGB to Study Impacts of Public Green Space on Active Transport Behavior: Evidence from South Korea," IJERPH, MDPI, vol. 19(12), pages 1-27, June.

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