Skip to content

The 2019 Conference on Health and Active Transportation: Research Needs and Opportunities

Berrigan, David; Dannenberg, Andrew L.; Lee, Michelle; Rodgers, Kelly; Wojcik, Janet R.; Wali, Behram; Tribby, Calvin P.; Buehler, Ralph; Sallis, James F.; Roberts, Jennifer D.; Steedly, Ann; Peng, Binbin; Eisenberg, Yochai; Rodriguez, Daniel A. (2021). The 2019 Conference on Health and Active Transportation: Research Needs and Opportunities. International Journal Of Environmental Research And Public Health, 18(22).

View Publication

Abstract

Active transportation (AT) is widely viewed as an important target for increasing participation in aerobic physical activity and improving health, while simultaneously addressing pollution and climate change through reductions in motor vehicular emissions. In recent years, progress in increasing AT has stalled in some countries and, furthermore, the coronavirus (COVID-19) pandemic has created new AT opportunities while also exposing the barriers and health inequities related to AT for some populations. This paper describes the results of the December 2019 Conference on Health and Active Transportation (CHAT) which brought together leaders from the transportation and health disciplines. Attendees charted a course for the future around three themes: Reflecting on Innovative Practices, Building Strategic Institutional Relationships, and Identifying Research Needs and Opportunities. This paper focuses on conclusions of the Research Needs and Opportunities theme. We present a conceptual model derived from the conference sessions that considers how economic and systems analysis, evaluation of emerging technologies and policies, efforts to address inclusivity, disparities and equity along with renewed attention to messaging and communication could contribute to overcoming barriers to development and use of AT infrastructure. Specific research gaps concerning these themes are presented. We further discuss the relevance of these themes considering the pandemic. Renewed efforts at research, dissemination and implementation are needed to achieve the potential health and environmental benefits of AT and to preserve positive changes associated with the pandemic while mitigating negative ones.

Keywords

Improving Arterial Roads; Physical-activity; Cost-effectiveness; Built Environment; Autonomous Vehicles; Walking; Behavior; Impact; Active Transportation; Covid-19; Climate Change; Physical Activity; Public Health; Pandemics; Public Transportation; Collaboration; Transportation; Economic Models; Environmental Impact; Outdoor Air Quality; Vehicle Emissions; Coronaviruses; Hispanic Americans; Fatalities; Systems Analysis; African Americans; Infrastructure; Medical Research; Committees; Land Use; Economic Analysis; New Technology; United States--us

Association of Neighborhood Physical Activity Opportunities with Incident Cardiovascular Disease in the Cardiovascular Health Study

Garg, Parveen K.; Platt, Jonathan M.; Hirsch, Jana A.; Hurvitz, Philip; Rundle, Andrew; Biggs, Mary Lou; Psaty, Bruce M.; Moore, Kari; Lovasi, Gina S. (2021). Association of Neighborhood Physical Activity Opportunities with Incident Cardiovascular Disease in the Cardiovascular Health Study. Health & Place, 70.

View Publication

Abstract

We determined associations of cumulative exposures to neighborhood physical activity opportunities with risk of incident cardiovascular disease (CVD). We included 3595 participants from the Cardiovascular Health Study recruited between 1989 and 1993 (mean age = 73; 60% women; 11% black). Neighborhood environment measures were calculated using Geographic Information Systems (GIS) and annual information from the National Establishment Time Series database, including the density of (1) walking destinations and (2) physical activity/ recreational facilities in a 1- and 5-km radius around the respondent's home. Incident CVD was defined as the development of myocardial infarction, stroke, or cardiovascular death and associations with time to incident CVD were estimated using Cox proportional hazards models. A total of 1986 incident CVD cases occurred over a median follow-up of 11.2 years. After adjusting for baseline and time-varying individual and neighborhood-level confounding, a one standard deviation increase in walking destinations and physical activity/recreational facilities within 5 km of home was associated with a respective 7% (95% confidence interval (CI) = 0.87-0.99) and 12% (95% CI = 0.73-1.0) decreased risk of incident CVD. No significant associations were noted within a 1-km radius. Efforts to improve the availability of physical activity resources in neighborhoods may be an important strategy for lowering CVD.

Keywords

Cardiovascular Diseases; Physical Activity; Proportional Hazards Models; Geographic Information Systems; Recreation Centers; Built Environment; Cardiovascular Disease; Coronary-heart-disease; Census Tract Data; Older-adults; Longitudinal Associations; Risk; Resources; Time; Atherosclerosis; Survival

The Benefits and Limits of Urban Tree Planting for Environmental and Human Health

Pataki, Diane E.; Alberti, Marina; Cadenasso, Mary L.; Felson, Alexander J.; McDonnell, Mark J.; Pincetl, Stephanie; Pouyat, Richard V.; Setala, Heikki; Whitlow, Thomas H. (2021). The Benefits and Limits of Urban Tree Planting for Environmental and Human Health. Frontiers In Ecology And Evolution, 9.

View Publication

Abstract

Many of the world's major cities have implemented tree planting programs based on assumed environmental and social benefits of urban forests. Recent studies have increasingly tested these assumptions and provide empirical evidence for the contributions of tree planting programs, as well as their feasibility and limits, for solving or mitigating urban environmental and social issues. We propose that current evidence supports local cooling, stormwater absorption, and health benefits of urban trees for local residents. However, the potential for urban trees to appreciably mitigate greenhouse gas emissions and air pollution over a wide array of sites and environmental conditions is limited. Consequently, urban trees appear to be more promising for climate and pollution adaptation strategies than mitigation strategies. In large part, this is due to space constraints limiting the extent of urban tree canopies relative to the current magnitude of emissions. The most promising environmental and health impacts of urban trees are those that can be realized with well-stewarded tree planting and localized design interventions at site to municipal scales. Tree planting at these scales has documented benefits on local climate and health, which can be maximized through targeted site design followed by monitoring, adaptive management, and studies of long-term eco-evolutionary dynamics.

Keywords

Outdoor Thermal Comfort; Improved Public-health; Carbon Storage; Ecosystem Services; Air-quality; Rainfall Interception; Vegetation; Cover; Design; Impact; Urban Ecology; Forestry; Sustainability; Policy; Climate Mitigation; Climate Adaptation; Ecosystem Disservices

A Set Pair Analysis Model for Suitability Evaluation of Human Settlement Environment

Xiang, Wei-qi; Yang, Xiao-hua; Li, Yu-qi. (2021). A Set Pair Analysis Model for Suitability Evaluation of Human Settlement Environment. Thermal Science, 25(3B), 2109 – 2116.

View Publication

Abstract

The human settlement environment is a dynamic subsystem where people live and produce in the social system. This paper aims at evaluating comprehensively the suitability state of a given human settlement environment in a certain time and space and its evolutionary trend, the set pair analysis theory and its connection numbers are introduced into the suitability evaluation, and the set of human settlements is established. The set pair analysis model based on partial connection number is used to assess the suitability status and the development trend of human settlements in Guizhou Province from 2014 to 2017. The result shows that the set pair analysis model has the features of convenience, impersonality and good feasibility.

Keywords

Human Ecology; Human Settlements; Number Theory; Social Systems; Guizhou Sheng (china); Human Settlement Environment; Partial Connection Number; Set Pair Analysis; Suitability Evaluation

Associations between Neighborhood Greenspace and Brain Imaging Measures in Non-Demented Older Adults: The Cardiovascular Health Study

Besser, Lilah M.; Lovasi, Gina S.; Michael, Yvonne L.; Garg, Parveen; Hirsch, Jana A.; Siscovick, David; Hurvitz, Phil; Biggs, Mary L.; Galvin, James E.; Bartz, Traci M.; Longstreth, W. T. (2021). Associations between Neighborhood Greenspace and Brain Imaging Measures in Non-Demented Older Adults: The Cardiovascular Health Study. Social Psychiatry And Psychiatric Epidemiology, 56(9), 1575 – 1585.

View Publication

Abstract

Purpose Greater neighborhood greenspace has been associated with brain health, including better cognition and lower odds of Alzheimer's disease in older adults. We investigated associations between neighborhood greenspace and brain-based magnetic resonance imaging (MRI) measures and potential effect modification by sex or apolipoprotein E genotype (APOE), a risk factor for Alzheimer's disease. Methods We obtained a sample of non-demented participants 65 years or older (n = 1125) from the longitudinal, population-based Cardiovascular Health Study (CHS). Greenspace data were derived from the National Land Cover Dataset. Adjusted multivariable linear regression estimated associations between neighborhood greenspace five years prior to the MRI and left and right hippocampal volume and 10-point grades of ventricular size and burden of white matter hyperintensity. Interaction terms tested effect modification by APOE genotype and sex. CHS data (1989-1999) were obtained/analyzed in 2020. Results Participants were on average 79 years old [standard deviation (SD) = 4], 58% were female, and 11% were non-white race. Mean neighborhood greenspace was 38% (SD = 28%). Greater proportion of greenspace in the neighborhood five years before MRI was borderline associated with lower ventricle grade (estimate: - 0.30; 95% confidence interval: - 0.61, 0.00). We observed no associations between greenspace and the other MRI outcome measures and no evidence of effect modification by APOE genotype and sex. Conclusion This study suggests a possible association between greater greenspace and less ventricular enlargement, a measure reflecting global brain atrophy. If confirmed in other longitudinal cohort studies, interventions and policies to improve community greenspaces may help to maintain brain health in older age.

Keywords

Mild Cognitive Impairment; Ventricular Enlargement; Residential Greenness; Hippocampal Atrophy; Volume; Disease; Environment; Progression; Symptoms; Dementia; Neighborhood; Green Space; Mri; Brain Volume; Hippocampal; White Matter

A Global Horizon Scan of the Future Impacts of Robotics and Autonomous Systems on Urban Ecosystems

Goddard, Mark A.; Davies, Zoe G.; Guenat, Solene; Ferguson, Mark J.; Fisher, Jessica C.; Akanni, Adeniran; Ahjokoski, Teija; Anderson, Pippin M. L.; Angeoletto, Fabio; Antoniou, Constantinos; Bates, Adam J.; Barkwith, Andrew; Berland, Adam; Bouch, Christopher J.; Rega-brodsky, Christine C.; Byrne, Loren B.; Cameron, David; Canavan, Rory; Chapman, Tim; Connop, Stuart; Crossland, Steve; Dade, Marie C.; Dawson, David A.; Dobbs, Cynnamon; Downs, Colleen T.; Ellis, Erle C.; Escobedo, Francisco J.; Gobster, Paul; Gulsrud, Natalie Marie; Guneralp, Burak; Hahs, Amy K.; Hale, James D.; Hassall, Christopher; Hedblom, Marcus; Hochuli, Dieter F.; Inkinen, Tommi; Ioja, Ioan-cristian; Kendal, Dave; Knowland, Tom; Kowarik, Ingo; Langdale, Simon J.; Lerman, Susannah B.; Macgregor-fors, Ian; Manning, Peter; Massini, Peter; Mclean, Stacey; Mkwambisi, David D.; Ossola, Alessandro; Luque, Gabriel Perez; Perez-urrestarazu, Luis; Perini, Katia; Perry, Gad; Pett, Tristan J.; Plummer, Kate E.; Radji, Raoufou A.; Roll, Uri; Potts, Simon G.; Rumble, Heather; Sadler, Jon P.; De Saille, Stevienna; Sautter, Sebastian; Scott, Catherine E.; Shwartz, Assaf; Smith, Tracy; Snep, Robbert P. H.; Soulsbury, Carl D.; Stanley, Margaret C.; Van De Voorde, Tim; Venn, Stephen J.; Warren, Philip H.; Washbourne, Carla-leanne; Whitling, Mark; Williams, Nicholas S. G.; Yang, Jun; Yeshitela, Kumelachew; Yocom, Ken P.; Dallimer, Martin. (2021). A Global Horizon Scan of the Future Impacts of Robotics and Autonomous Systems on Urban Ecosystems. Nature Ecology & Evolution, 5(2), 219.

View Publication

Abstract

The future challenges and potential opportunities of robotics and autonomous systems in urban ecosystems, and how they may impact biodiversity, are explored and prioritized via a global horizon scan of 170 experts. Technology is transforming societies worldwide. A major innovation is the emergence of robotics and autonomous systems (RAS), which have the potential to revolutionize cities for both people and nature. Nonetheless, the opportunities and challenges associated with RAS for urban ecosystems have yet to be considered systematically. Here, we report the findings of an online horizon scan involving 170 expert participants from 35 countries. We conclude that RAS are likely to transform land use, transport systems and human-nature interactions. The prioritized opportunities were primarily centred on the deployment of RAS for the monitoring and management of biodiversity and ecosystems. Fewer challenges were prioritized. Those that were emphasized concerns surrounding waste from unrecovered RAS, and the quality and interpretation of RAS-collected data. Although the future impacts of RAS for urban ecosystems are difficult to predict, examining potentially important developments early is essential if we are to avoid detrimental consequences but fully realize the benefits.

Keywords

Smart City; Green Infrastructure; Automated Vehicles; Water-quality; Land-use; Cities; Opportunities; Biodiversity; Challenges; Services; Robotics; Horizon; Ecosystems; Land Use; Ecosystem Management; Transportation Systems; Strategic Management; Urban Areas

Climate Change Impacts and Workforce Development Needs in Federal Region X: A Qualitative Study of Occupational Health and Safety Professionals’ Perceptions

Pedersen, Katherine M.; Busch Isaksen, Tania M.; Baker, Marissa G.; Seixas, Noah; Errett, Nicole A. (2021). Climate Change Impacts and Workforce Development Needs in Federal Region X: A Qualitative Study of Occupational Health and Safety Professionals’ Perceptions. International Journal Of Environmental Research And Public Health, 18(4).

View Publication

Abstract

Climate change is considered one of the top health threats in the United States. This research sought to (1) to understand the perceptions of occupational health and safety (OHS) professionals regarding the impacts of climate-related hazards on OHS in Region X, and (2) to explore the ideas of these OHS professionals regarding the content of future training programs that would better prepare OHS professionals to identify and mitigate climate-related hazards in Region X. Key informant (KI) interviews with 17 OHS professionals familiar with the climate-related hazards and impacts to OHS in Region X were coded and thematically analyzed. Climate hazards, social and economic impacts from climate-related hazards, and sector-specific worker and workplace impacts from climate-related hazards were described as having interacting relationships that influenced worker health and safety impacts. KIs further described how workplace controls could be used to mitigate OHS impacts of climate-related hazards, and how training of the OHS workforce could influence the ability to successfully implement such controls. Our findings suggest that OHS impacts are sector-specific, influenced by social and economic factors, and can be mitigated through workplace controls designed and implemented by a trained OHS workforce. The findings from this work should inform future educational and training programming and additional research and translation activities in the region, while our approach can inform other regions as they develop regionally specific OHS climate change training and programming.

Keywords

Heat-related Illness; Workers; Stress; Occupational Health And Safety; Climate Change; Climate-related Hazards; Pacific Northwest; Education; Training; Key Informant Interviews

Factors Affecting Material-Cart Handling in the Roofing Industry: Evidence for Administrative Controls

Zhang, Zhenyu; Lin, Ken-yu; Lin, Jia-hua. (2021). Factors Affecting Material-Cart Handling in the Roofing Industry: Evidence for Administrative Controls. International Journal Of Environmental Research And Public Health, 18(4).

View Publication

Abstract

Material-cart handling can be strenuous and lead to overexertion injuries. The aim of this study is to produce a thorough understanding of how the cart condition, tire type, physical environment-related factors, and load interact to influence the ergonomics and productivity of cart handling. Eighteen roofing carts with different conditions, tires, and loads were tested by one subject on three laboratory tracks: one L-shaped, one with ramps within constrained spaces, and one with obstacles within constrained spaces. A multiple linear regression analysis was performed to quantify the main and interaction effects of the factors of interest on the cart operations. The research findings confirm that using aged carts increases the injury risk by as much as 30.5% and decreases productivity by 35.4%. Our study also highlights the necessity of keeping an open space for cart operation; the travel distance from a cart to a ramp/obstacle should be greater than 61 cm. Finally, the results suggest the at-risk thresholds for different ramp slopes and obstacle heights, and the safe load capacities for the various working circumstances that are common on construction sites. The evidence created in this study can be translated into administrative controls for cart handling to reduce overexertion injuries and enhance performance.

Keywords

Overexertion In Pulling And Pushing; Material Cart Handling; Roof Construction; Ergonomic Risk Factors; Administrative Control

Use of Health Impact Assessments in the Housing Sector to Promote Health in the United States, 2002-2016

Bever, Emily; Arnold, Kimberly T.; Lindberg, Ruth; Dannenberg, Andrew L.; Morley, Rebecca; Breysse, Jill; Pollack Porter, Keshia M. (2021). Use of Health Impact Assessments in the Housing Sector to Promote Health in the United States, 2002-2016. Journal Of Housing And The Built Environment, 36(3), 1277 – 1297.

View Publication

Abstract

Housing affects health, yet health is seldom considered in housing decisions. Health impact assessment (HIA) is a tool that can improve housing-related policies, plans, programs, and projects by bringing together scientific data, health expertise, and stakeholder engagement to identify the potential health effects of proposed decisions. We systematically identified and reviewed HIAs of housing decisions in the United States, yielding 54 HIAs between 2002 and 2016. Two examined federal proposals; the others explored decisions in 20 states. A variety of organizations led the HIAs, including non-profits, public health departments, and academic institutions. The primary decision-makers each HIA sought to inform were housing, planning, and/or elected officials. Eighteen HIAs focused on housing policies, codes, design elements, and utilities in residential structures. The remaining 36 HIAs included housing as one element of broader community development and transportation planning decisions. HIA recommendations changed decisions in some cases, and the assessment process helped strengthen connections between public health and housing decision-makers. To illustrate key characteristics of housing HIAs, we purposefully selected three HIAs and described the decisions they informed in detail: off-campus student housing in Flagstaff, Arizona; a rental housing inspections program in Portland, Oregon; and revitalization plans for a major thoroughfare in a suburb of St. Louis, Missouri. With a few exceptions, federal, state, and local agencies in the U.S. are not required to consider the health impacts of housing decisions, such as where housing is sited, how it is designed and constructed, and policies for ensuring that it is affordable and safe. HIA has emerged as a tool for advocates, health and housing practitioners, and policymakers to fill this gap. However, few studies have examined whether HIAs do in fact change housing decisions, shift the way that decision-makers think, or ultimately shift determinants of health (e.g., housing affordability and quality). This review demonstrates that HIAs can facilitate the consideration of health during housing decision-making. Housing HIAs can also help decision-makers address commonly overlooked effects, such as changes to social cohesion, and improve civic participation by engaging communities in the decisionmaking process.

Keywords

0; Community Development; Decision-making; Healthy Housing; Health Impact Assessment; Housing Policy; Stakeholder Engagement; Health Promotion; Public Health; Exceptions; Impact Analysis; Nonprofit Organizations; Affordability; Suburban Areas; Profits; Housing; Policy Making; Transportation Planning; Decision Making; Rental Housing; Public Officials; Policies; Regeneration; Utilities; Social Cohesion; Inspections; Community Involvement; Decision Makers; Community Participation; United States--us

Searching for Housing in the Digital Age: Neighborhood Representation on Internet Rental Housing Platforms across Space, Platform, and Metropolitan Segregation

Hess, Chris; Acolin, Arthur; Walter, Rebecca; Kennedy, Ian; Chasins, Sarah; Crowder, Kyle. (2021). Searching for Housing in the Digital Age: Neighborhood Representation on Internet Rental Housing Platforms across Space, Platform, and Metropolitan Segregation. Environment And Planning A-economy And Space, 53(8), 2012 – 2032.

View Publication

Abstract

Understanding residential mobility, housing affordability, and the geography of neighborhood advantage and disadvantage relies on robust information about housing search processes and housing markets. Existing data about housing markets, especially rental markets, suffer from accuracy issues and a lack of temporal and geographic flexibility. Data collected from online rental platforms that are commonly used can help address these issues and hold considerable promise for better understanding the full distribution of available rental homes. However, realizing this promise requires a careful assessment of potential sources of bias as online rental listing platforms may perpetuate inequalities similar to those found in physical spaces. This paper approaches the production of rental advertisements as a social process driven by both contextual and property level factors. We compare data from two online platforms for the 100 most populated metropolitan areas in the United States to explore inequality in digital rental listing spaces and understand what characteristics are associated with over and underrepresentation of advertisements in certain areas. We find similar associations for socioeconomic measures between platforms and across urban and suburban parts of these metropolitan areas. In contrast, the importance of racial and ethnic composition, as well as broader patterns of segregation, for online representation differs substantially across space and platform. This analysis informs our understanding of how online platforms affect housing search dynamics through their biases and segmentation, and highlights the potential and limits in using the data available on these platforms to produce small area rental estimates.

Keywords

Fair Market Rents; Cities; Opportunity; Residential Mobility; Online Rental Listings; Rental Housing Markets; Housing Search; Inequality