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

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dc.contributor.author Mueller, Natalie, 1988-
dc.contributor.author Rojas Rueda, David, 1979-
dc.contributor.author Khreis, Haneen
dc.contributor.author Cirach, Marta
dc.contributor.author Milà, Carles
dc.contributor.author Espinosa Díaz, Ana
dc.contributor.author Foraster Pulido, Maria, 1984-
dc.contributor.author McEachan, Rosemary R.C.
dc.contributor.author Kelly, Brian
dc.contributor.author Wright, John
dc.contributor.author Nieuwenhuijsen, Mark J.
dc.date.accessioned 2020-01-21T09:32:46Z
dc.date.available 2020-01-21T09:32:46Z
dc.date.issued 2018
dc.identifier.citation Mueller N, Rojas-Rueda D, Khreis H, Cirach M, Milà C, Espinosa A et al. Socioeconomic inequalities in urban and transport planning related exposures and mortality: A health impact assessment study for Bradford, UK. Environ Int. 2018;121(Pt 1):931-41. DOI: 10.1016/j.envint.2018.10.017
dc.identifier.issn 0160-4120
dc.identifier.uri http://hdl.handle.net/10230/43316
dc.description.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.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof Environment International. 2018;121(Pt 1):931-41
dc.rights © 2018 Elsevier Ltd. This article is available under the Creative Commons CC-BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/)and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.title Socioeconomic inequalities in urban and transport planning related exposures and mortality: A health impact assessment study for Bradford, UK
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2018.10.017
dc.subject.keyword Active transport
dc.subject.keyword Deprivation
dc.subject.keyword Ethnicity
dc.subject.keyword Green space
dc.subject.keyword Physical activity
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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