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Benefits of Multimodal Transportation on Public Health and Social Equity. Department of Rail and Public Transportation Steering Committee on Multi-Modal and Public Space Design Guidelines. Michael O. Royster, MD, MPH Director, Office of Minority Health and Health Equity

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benefits of multimodal transportation on public health and social equity

Benefits of Multimodal Transportation on Public Health and Social Equity

Department of Rail and Public Transportation Steering Committee on Multi-Modal and Public Space Design Guidelines

Michael O. Royster, MD, MPH

Director, Office of Minority Health and Health Equity

Virginia Department of Health

health
Health

The presence of complete physical, mental, and social well-being and not merely the absence of disease.

-World Health Organization

major determinants of public health
Major Determinants of Public Health

McGinnis M, et al. 2002. The case for more active policy attention to health promotion. Health Affairs; 21(2):78-93.

social determinants of health sdoh
Social Determinants of Health (SDOH)

“The complex, integrated, and overlapping social structures and economic systems that include the social environment, physical environment, and health services and structural and societal factors that are responsible for most health inequities. SDOH are shaped by the distribution of money, power and resources which are themselves influenced by policy choices.”

-Centers for Disease Control and Prevention (CDC)

slide10

↓ All-Cause Mortality

↓ Cancer Mortality

↓ Cardiovascular Mortality

↓ Colon and Breast Cancer

↓ Diabetes

↓ Stroke

↓ Heart Disease

↓ Stress

Transportation Policies Affect Health Through…

↑ Physical Activity

↑ Active Transportation

↓ Risk Pedestrian/ Bicyclist Fatalities

↓ Air Pollution

↓ Asthma

↓ Lung Disease

↓ Lung Cancer

↓ Mortality

↓ Driving

↓ Car Injuries

↓ Car Fatalities

↓ Car Collisions

slide11

20-Minute Neighborhoods & Health

↑ Physical Activity

↓ Mortality & Chronic Disease

↓ Stress

↑ Destinations and Good Land Use Mix

↑ Active Transportation

↓ Risk Pedestrian & Bicyclist Fatalities

↓ Air Pollution

↓ Mortality & Chronic Disease

↓ Driving

↑ Population and Residential Unit Density

(↓ Sprawl)

↓ Car Collisions

↓ Car Injuries

↑ Minor Car Collisions

↓ Car Fatalities

↑ Car Injuries

slide12

Pedestrian/Bicycle Infrastructure &Health

↑ Sidewalks

↓ Mortality & Chronic Disease

↓ Stress

↑ Bicycle/ Pedestrian Paths

↑ Active Transportation & Physical Activity

↓ Risk Pedestrian and Bicyclist Injuries/Fatalities

↑ Quality Pedestrian Facilities

↑ Street Lighting

↕ Exposure to Air Pollutants

↑ Route Connectivity

slide13

Transit Access & Health

↑ Transit Access

↑ Physical Activity

↓ Mortality & Chronic Disease

↓ Stress

↑ Transit Use

slide16

Transportation Disadvantage and Health Equity- Racial/Ethnic Minority

Source:Steven Raphael and Alan Berube, “Socioeconomic Differences in Household Automobile Ownership Rates: Implications for Evacuation Policy,” paper prepared for the Berkeley Symposium on “Real Estate, Catastrophic Risk, and Public Policy,” March 23, 2006, http://urbanpolicy.berkeley.edu/pdf/raphael.pdf.

slide17

Transportation Disadvantage and Health Equity- Rural

“Realizing the Potential: Expanding Housing Opportunities near Transit,” Reconnecting America’s Center for Transit Oriented Development, 2007, http://www.reconnectingamerica.org/public/ reports?page=2

slide18

Transportation Disadvantage and Health Equity- 65 Years and Older

L. Bailey, “Aging Americans: Stranded Without Options,” Surface Transportation Policy Project, 2004, http://www.apta.com/research/info/online/documents/aging_stranded.pdf

slide20

Source: At the Intersection of Public Health and Transportation: Promoting Healthy Transportation Policy, American Public Health Association.

slide21

http://www.apha.org/NR/rdonlyres/43F10382-FB68-4112-8C75-49DCB10F8ECF/0/TransportationBrief.pdfhttp://www.apha.org/NR/rdonlyres/43F10382-FB68-4112-8C75-49DCB10F8ECF/0/TransportationBrief.pdf

slide22

http://www.policylink.org/atf/cf/%7B97C6D565-BB43-406D-A6D5-ECA3BBF35AF0%7D/transportationRX_final.pdfhttp://www.policylink.org/atf/cf/%7B97C6D565-BB43-406D-A6D5-ECA3BBF35AF0%7D/transportationRX_final.pdf

slide23

http://www.upstreampublichealth.org/currentwork/transportation/THEprincpleshttp://www.upstreampublichealth.org/currentwork/transportation/THEprincples

health impact assessment
Health Impact Assessment

How does the proposed

project, plan, policy

affect

Democratic process

Housing

Air quality

Noise

Safety

Social networks

Nutrition

Parks and natural space

Private goods and services

Public services

Transportation

Social equity

Livelihood

Water quality

Education

and lead tohealth outcomes

Health Impact Partners

http://www.cdc.gov/healthyplaces/hia.htm

slide30

http://www.upstreampublichealth.org/sites/default/files/HIAEugene.pdfhttp://www.upstreampublichealth.org/sites/default/files/HIAEugene.pdf

slide31

http://www.policylink.org/site/c.lkIXLbMNJrE/b.7841971/k.7BB/The_Healthy_Corridor_for_All_Health_Impact_Assessment.htmhttp://www.policylink.org/site/c.lkIXLbMNJrE/b.7841971/k.7BB/The_Healthy_Corridor_for_All_Health_Impact_Assessment.htm

slide35

Health Opportunity Index

http://www.vdh.virginia.gov/healthpolicy/2012report.htm

slide39

Michael O. Royster, MD, MPHOffice of Minority Health and Health EquityVirginia Department of Health(804) 864-7425michael.royster@vdh.virginia.govwww.vdh.virginia.gov/healthpolicy