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A systematic review of economic analyses of active transport interventions that include physical activity benefits

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  • Brown, Vicki
  • Diomedi, Belen Zapata
  • Moodie, Marj
  • Veerman, J. Lennert
  • Carter, Rob

Abstract

Physical inactivity is one of the leading causes for the growing prevalence of non-communicable diseases worldwide and there is a need for more evidence on the effectiveness and cost-effectiveness of interventions that aim to increase physical activity at the population level. This study aimed to update a systematic review published in 2008 by searching peer-reviewed and unpublished literature of economic evaluations of transport interventions that incorporate the health related effects of physical activity. Our analysis of methods for the inclusion of physical activity related health effects into transport appraisal over time demonstrates that methodological progress has been made. Thirty-six studies were included, reflecting an increasing recognition of the importance of incorporating these health effects into transport appraisal. However, significant methodological challenges in the incorporation of wider health benefits into transport appraisal still exist. The inclusion of physical activity related health effects is currently limited by paucity of evidence on morbidity effects and of more rigorous evidence on the effectiveness of interventions. Significant scope exists for better quality and more transparent reporting. A more consistent approach to the inclusion of benefits and disbenefits would reinforce the synergies between the health, environmental, transport and other sectors. From a transport sector perspective the inclusion of physical activity related health benefits positively impacts cost effectiveness, with the potential to contribute to a more efficient allocation of scarce resources based on a more comprehensive range of merits. From a public health perspective the inclusion of physical activity related health benefits may result in the funding of more interventions that promote active transport, with the potential to improve population levels of physical activity and to reduce prevalence of physical activity related diseases.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:trapol:v:45:y:2016:i:c:p:190-208
    DOI: 10.1016/j.tranpol.2015.10.003
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    3. Anciaes, Paulo & Jones, Peter & Mindell, Jennifer S. & Scholes, Shaun, 2022. "The cost of the wider impacts of road traffic on local communities: 1.6% of Great Britain's GDP," Transportation Research Part A: Policy and Practice, Elsevier, vol. 163(C), pages 266-287.
    4. M. Joseph Sirgy & Muzaffer Uysal & Stefan Kruger, 2017. "Towards a Benefits Theory of Leisure Well-Being," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 12(1), pages 205-228, March.
    5. Thomas Götschi & Sonja Kahlmeier & Alberto Castro & Christian Brand & Nick Cavill & Paul Kelly & Christoph Lieb & David Rojas-Rueda & James Woodcock & Francesca Racioppi, 2020. "Integrated Impact Assessment of Active Travel: Expanding the Scope of the Health Economic Assessment Tool (HEAT) for Walking and Cycling," IJERPH, MDPI, vol. 17(20), pages 1, October.
    6. Maria Cieśla & Elżbieta Macioszek, 2022. "The Perspective Projects Promoting Sustainable Mobility by Active Travel to School on the Example of the Southern Poland Region," Sustainability, MDPI, vol. 14(16), pages 1-18, August.
    7. Ralph Chapman & Michael Keall & Philippa Howden-Chapman & Mark Grams & Karen Witten & Edward Randal & Alistair Woodward, 2018. "A Cost Benefit Analysis of an Active Travel Intervention with Health and Carbon Emission Reduction Benefits," IJERPH, MDPI, vol. 15(5), pages 1-10, May.
    8. Joan Mendivil & Marilena Appierto & Susana Aceituno & Mercè Comas & Montserrat Rué, 2019. "Economic evaluations of screening strategies for the early detection of colorectal cancer in the average-risk population: A systematic literature review," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-18, December.
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    10. Hearne, David & Yerushalmi, Erez, 2023. "Do Bicycle Networks Have Economic Value? A Hedonic Application to Greater Manchester," CAFE Working Papers 24, Centre for Accountancy, Finance and Economics (CAFE), Birmingham City Business School, Birmingham City University.

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