Scipediacontent: Scipediacontent moved page Draft Content 634165169 to Edwards et al 2017a

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Scipediacontent moved page Draft Content 634165169 to Edwards et al 2017a

Scipediacontent: Created page with " == Abstract == Background São Paulo city, Brazil, faces challenges caused by rapid urbanization. We illustrate how future travel patterns could lead to different health con..."

2021-02-03T17:08:01Z

Created page with " == Abstract == Background São Paulo city, Brazil, faces challenges caused by rapid urbanization. We illustrate how future travel patterns could lead to different health con..."

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== Abstract ==

Background São Paulo city, Brazil, faces challenges caused by rapid urbanization. We illustrate how future travel patterns could lead to different health consequences in the city. Methods We evaluated the health impacts of different travel pattern scenarios for the São Paulo adult population by comparing the travel patterns of São Paulo in 2012 with counterfactual scenarios in which the city adopted travel patterns of i) those living in the city's expanded centre; ii) London (2012); iii) a highly motorized São Paulo (SP California); and iv) a visionary São Paulo (SP 2040), with high levels of walking and cycling and low levels of car and motorcycle use. For each scenario we estimated changes in exposure to air pollution, road injury risk, and physical activity. Health outcomes were estimated using disability adjusted life years (DALYs) and premature deaths averted. Sensitivity analyses were performed to identify the main sources of uncertainty. Results We found considerable health gains in the SP 2040 scenario (total 63.6 k DALYs avoided), with 4.7% of premature deaths from ischemic heart disease avoided from increases in physical activity alone. Conversely, we found substantial health losses in the scenario favouring private transport (SP California, total increase of 54.9 k DALYs), with an increase in road traffic deaths and injuries among pedestrians and motorized vehicles. Parameters related to air pollution had the largest impact on uncertainty. Conclusions Shifting travel patterns towards more sustainable transport can provide major health benefits in São Paulo. Reducing the uncertainties in the findings should be a priority for empirical and modelling research on the health impacts of such shifts.

Highlights • There is scarce evidence of transportation impacts on health in developing cities • Comparative risk assessment used to assess impacts on three major risk factors • We found large net health gains in sustainable transport scenario for Sao Paulo, Brazil • We also found large net health losses in a car dependent scenario for Sao Paulo • Physical activity provided the largest health impacts, similar to previous studie

Document type: Article

== Full document ==
<pdf>Media:Draft_Content_634165169-beopen5824-3807-document.pdf</pdf>

== Original document ==

The different versions of the original document can be found in:

* [http://dx.doi.org/10.17863/cam.11843 http://dx.doi.org/10.17863/cam.11843] under the license http://creativecommons.org/licenses/by/4.0

* [http://europepmc.org/articles/PMC5632958 http://europepmc.org/articles/PMC5632958] under the license https://creativecommons.org/licenses/by/4.0/legalcode

* [https://doi.org/10.1016/j.envint.2017.07.009 https://doi.org/10.1016/j.envint.2017.07.009]

* [https://researchonline.lshtm.ac.uk/id/eprint/4189945/1/Health%20impact%20modelling%20of%20different%20travel%20patterns_GOLD%20VoR.pdf https://researchonline.lshtm.ac.uk/id/eprint/4189945/1/Health%20impact%20modelling%20of%20different%20travel%20patterns_GOLD%20VoR.pdf] under the license cc-by

* [https://www.repository.cam.ac.uk/handle/1810/265810 https://www.repository.cam.ac.uk/handle/1810/265810] under the license http://creativecommons.org/licenses/by/4.0

* [http://www.sciencedirect.com/science/article/pii/S0160412017305974 http://www.sciencedirect.com/science/article/pii/S0160412017305974],
: [https://doaj.org/toc/0160-4120 https://doaj.org/toc/0160-4120] under the license http://creativecommons.org/licenses/by/4.0/

* [https://api.elsevier.com/content/article/PII:S0160412017305974?httpAccept=text/xml https://api.elsevier.com/content/article/PII:S0160412017305974?httpAccept=text/xml],
: [https://api.elsevier.com/content/article/PII:S0160412017305974?httpAccept=text/plain https://api.elsevier.com/content/article/PII:S0160412017305974?httpAccept=text/plain],
: [http://dx.doi.org/10.1016/j.envint.2017.07.009 http://dx.doi.org/10.1016/j.envint.2017.07.009]

* [https://www.sciencedirect.com/science/article/pii/S0160412017305974 https://www.sciencedirect.com/science/article/pii/S0160412017305974],
: [https://www.ncbi.nlm.nih.gov/pubmed/28780491 https://www.ncbi.nlm.nih.gov/pubmed/28780491],
: [http://europepmc.org/articles/PMC5632958 http://europepmc.org/articles/PMC5632958],
: [https://core.ac.uk/display/84588654 https://core.ac.uk/display/84588654],
: [https://www.bv.fapesp.br/pt/publicacao/138338/health-impact-modelling-of-different-travel-patterns-on-phys https://www.bv.fapesp.br/pt/publicacao/138338/health-impact-modelling-of-different-travel-patterns-on-phys],
: [https://www.repository.cam.ac.uk/handle/1810/265810 https://www.repository.cam.ac.uk/handle/1810/265810],
: [http://researchonline.lshtm.ac.uk/4189945 http://researchonline.lshtm.ac.uk/4189945],
: [https://academic.microsoft.com/#/detail/2741305781 https://academic.microsoft.com/#/detail/2741305781] under the license https://www.elsevier.com/tdm/userlicense/1.0/

* [ ]

DOIS: 10.1016/j.envint.2017.07.009 10.17863/cam.11843

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Edwards et al 2017a - Revision history

Scipediacontent: Scipediacontent moved page Draft Content 634165169 to Edwards et al 2017a

Scipediacontent: Created page with " == Abstract == Background São Paulo city, Brazil, faces challenges caused by rapid urbanization. We illustrate how future travel patterns could lead to different health con..."