Evidence map›Paper›PMID 28780491›Full record

ArticleEnvironment international2017

Health impact modelling of different travel patterns on physical activity, air pollution and road injuries for São Paulo, Brazil.

Thiago Hérick de Sá, Marko Tainio, Anna Goodman, Phil Edwards, Andy Haines, Nelson Gouveia, Carlos Monteiro, James Woodcock

Abstract read
In one paragraph

Article in Environment international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Systematic Literature Review of Health Impact Assessments in Low and Middle-Income Countries.International journal of environmental research and public health · 2019
    Pooled it
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  7. Value of Information Analysis in Models to Inform Health Policy.Annual review of statistics and its application · 2022
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  16. Review
  17. Barriers to investing in cycling: Stakeholder views from England.Transportation research. Part A, Policy and practice · 2019
    Article
  18. Contextualising Safety in Numbers: a longitudinal investigation into change in cycling safety in Britain, 1991-2001 and 2001-2011.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2019
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  19. Article
  20. Diesel, children and respiratory disease.BMJ paediatrics open · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Thiago Hérick de SáCentre for Epidemiological Research in Nutrition and Health, University of São Paulo, São Paulo, SP, Brazil. Electronic address: thiagoherickdesa@gmail.com.
Marko TainioUKCRC Centre for Diet and Activity Research, MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge, UK.
Anna GoodmanLondon School of Hygiene and Tropical Medicine, London, UK.
Phil EdwardsLondon School of Hygiene and Tropical Medicine, London, UK.
Andy HainesLondon School of Hygiene and Tropical Medicine, London, UK.
Nelson GouveiaDepartment of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil.
Carlos MonteiroCentre for Epidemiological Research in Nutrition and Health, University of São Paulo, São Paulo, SP, Brazil.
James WoodcockUKCRC Centre for Diet and Activity Research, MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge, UK.

Funding

Medical Research Council MR/K021796/1Medical Research Council MR/K023187/1Medical Research Council MR/P024408/1Wellcome Trust
6 · The paper itself

Abstract

backgroundSão Paulo city, Brazil, faces challenges caused by rapid urbanization. We illustrate how future travel patterns could lead to different health consequences in the city.

methodsWe 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.

resultsWe found considerable health gains in the SP 2040 scenario (total 63.6k 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 54.9k 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.

conclusionsShifting 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.

Indexed as

Air PollutionExerciseHealth Impact AssessmentModels, BiologicalTravelAdultAir PollutantsBrazilCitiesFemaleHumansMaleMortality, PrematureWalkingAir Pollutants

Identifiers

PMID28780491
PMCPMC5632958

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.