View in EDS

Socioeconomic inequalities in urban and transport planning related exposures and mortality: A health impact assessment study for Bradford, UK.

Saved in:
Bibliographic Details
Title: Socioeconomic inequalities in urban and transport planning related exposures and mortality: A health impact assessment study for Bradford, UK.
Authors: Mueller, Natalie1, Rojas-Rueda, David1, Khreis, Haneen1, Cirach, Marta1, Milà, Carles1, Espinosa, Ana1, Foraster, Maria1, McEachan, Rosemary R.C.1, Kelly, Brian1, Wright, John1, Nieuwenhuijsen, Mark1 mark.nieuwenhuijsen@isglobal.org
Source: Environment International. Dec2018 Part 1, Vol. 121, p931-941. 11p.
Subjects: Air pollution, Sociocultural factors, Socioeconomic factors, Early death, Physical activity
Abstract: Abstract Background Cities have unique geographic, environmental and sociocultural characteristics that influence the health status of their citizens. Identification and modification of these characteristics may help to promote healthier cities. Objective We estimated premature mortality impacts of breaching international exposure guidelines for physical activity (PA), air pollution, noise and access to green space for Bradford (UK) adult residents (n = 393,091). Methods We applied the Urban and TranspOrt Planning Health Impact Assessment (UTOPHIA) methodology and estimated mortality, life expectancy (LE) and economic impacts of non-compliance with recommended exposure levels. We also investigated the distribution of the mortality burden among the population, focusing on socioeconomic position (SEP) as defined by deprivation status and ethnicity. Results We estimated that annually almost 10% of premature mortality (i.e. 375 deaths, 95% CI: 276–474) in Bradford is attributable to non-compliance with recommended exposure levels. Non-compliance was also estimated to result in over 300 days of LE lost (95% CI: 238–432), which translated in economic losses of over £50,000 per person (95% CI: 38,518–69,991). 90% of the premature mortality impact resulted from insufficient PA performance. Air and noise pollution and the lack of green space had smaller impacts (i.e. 48 deaths). Residents of lower SEP neighborhoods had the highest risks for adverse exposure and premature death. A larger number of deaths (i.e. 253 and 145, respectively) could be prevented by reducing air and noise pollution levels well below the guidelines. Discussion Current urban and transport planning related exposures result in a considerable health burden that is unequally distributed among the Bradford population. Improvements in urban and transport planning practices including the reduction of motor traffic and the promotion of active transport together with greening of the district, particularly in areas of lower SEP, are promising strategies to increase PA performance and reduce harmful environmental exposures. Highlights • 10% of mortality in Bradford is attributable to breaching physical activity, air pollution, noise and green space guidelines. • Residents of lower socioeconomic position neighborhoods had the highest risks for adverse exposure and premature death. • Reduction of motor traffic, the promotion of active transport and greening of the district are recommended. • Interventions should focus on lower socioeconomic position neighborhoods as the largest health gains are expected there. [ABSTRACT FROM AUTHOR]
Copyright of Environment International is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Engineering Source
FullText Text:
  Availability: 0
Header DbId: egs
DbLabel: Engineering Source
An: 132782608
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Socioeconomic inequalities in urban and transport planning related exposures and mortality: A health impact assessment study for Bradford, UK.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Mueller%2C+Natalie%22">Mueller, Natalie</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Rojas-Rueda%2C+David%22">Rojas-Rueda, David</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Khreis%2C+Haneen%22">Khreis, Haneen</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Cirach%2C+Marta%22">Cirach, Marta</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Milà%2C+Carles%22">Milà, Carles</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Espinosa%2C+Ana%22">Espinosa, Ana</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Foraster%2C+Maria%22">Foraster, Maria</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22McEachan%2C+Rosemary+R%2EC%2E%22">McEachan, Rosemary R.C.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Kelly%2C+Brian%22">Kelly, Brian</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Wright%2C+John%22">Wright, John</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Nieuwenhuijsen%2C+Mark%22">Nieuwenhuijsen, Mark</searchLink><relatesTo>1</relatesTo><i> mark.nieuwenhuijsen@isglobal.org</i>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Environment+International%22">Environment International</searchLink>. Dec2018 Part 1, Vol. 121, p931-941. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Air+pollution%22">Air pollution</searchLink><br /><searchLink fieldCode="DE" term="%22Sociocultural+factors%22">Sociocultural factors</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Early+death%22">Early death</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Abstract Background Cities have unique geographic, environmental and sociocultural characteristics that influence the health status of their citizens. Identification and modification of these characteristics may help to promote healthier cities. Objective We estimated premature mortality impacts of breaching international exposure guidelines for physical activity (PA), air pollution, noise and access to green space for Bradford (UK) adult residents (n = 393,091). Methods We applied the Urban and TranspOrt Planning Health Impact Assessment (UTOPHIA) methodology and estimated mortality, life expectancy (LE) and economic impacts of non-compliance with recommended exposure levels. We also investigated the distribution of the mortality burden among the population, focusing on socioeconomic position (SEP) as defined by deprivation status and ethnicity. Results We estimated that annually almost 10% of premature mortality (i.e. 375 deaths, 95% CI: 276–474) in Bradford is attributable to non-compliance with recommended exposure levels. Non-compliance was also estimated to result in over 300 days of LE lost (95% CI: 238–432), which translated in economic losses of over £50,000 per person (95% CI: 38,518–69,991). 90% of the premature mortality impact resulted from insufficient PA performance. Air and noise pollution and the lack of green space had smaller impacts (i.e. 48 deaths). Residents of lower SEP neighborhoods had the highest risks for adverse exposure and premature death. A larger number of deaths (i.e. 253 and 145, respectively) could be prevented by reducing air and noise pollution levels well below the guidelines. Discussion Current urban and transport planning related exposures result in a considerable health burden that is unequally distributed among the Bradford population. Improvements in urban and transport planning practices including the reduction of motor traffic and the promotion of active transport together with greening of the district, particularly in areas of lower SEP, are promising strategies to increase PA performance and reduce harmful environmental exposures. Highlights • 10% of mortality in Bradford is attributable to breaching physical activity, air pollution, noise and green space guidelines. • Residents of lower socioeconomic position neighborhoods had the highest risks for adverse exposure and premature death. • Reduction of motor traffic, the promotion of active transport and greening of the district are recommended. • Interventions should focus on lower socioeconomic position neighborhoods as the largest health gains are expected there. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Environment International is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=132782608
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.envint.2018.10.017
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 931
    Subjects:
      – SubjectFull: Air pollution
        Type: general
      – SubjectFull: Sociocultural factors
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Early death
        Type: general
      – SubjectFull: Physical activity
        Type: general
    Titles:
      – TitleFull: Socioeconomic inequalities in urban and transport planning related exposures and mortality: A health impact assessment study for Bradford, UK.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Mueller, Natalie
      – PersonEntity:
          Name:
            NameFull: Rojas-Rueda, David
      – PersonEntity:
          Name:
            NameFull: Khreis, Haneen
      – PersonEntity:
          Name:
            NameFull: Cirach, Marta
      – PersonEntity:
          Name:
            NameFull: Milà, Carles
      – PersonEntity:
          Name:
            NameFull: Espinosa, Ana
      – PersonEntity:
          Name:
            NameFull: Foraster, Maria
      – PersonEntity:
          Name:
            NameFull: McEachan, Rosemary R.C.
      – PersonEntity:
          Name:
            NameFull: Kelly, Brian
      – PersonEntity:
          Name:
            NameFull: Wright, John
      – PersonEntity:
          Name:
            NameFull: Nieuwenhuijsen, Mark
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Text: Dec2018 Part 1
              Type: published
              Y: 2018
          Identifiers:
            – Type: issn-print
              Value: 01604120
          Numbering:
            – Type: volume
              Value: 121
          Titles:
            – TitleFull: Environment International
              Type: main
ResultId 1