Air Pollution Health Literacy among Active Commuters in Hamilton, Ontario.

The promotion of active transportation (AT), which has been broadly defined as a physical effort performed by the traveller to produce motion, has been a popular strategy to reduce vehicular emissions, improve air quality, and promote physical activity. However, individuals who engage in AT may incur increased exposure to air pollutants and thus potential health impacts. This research sought to determine how active commuters understand the health risks associated with air pollution during their commutes, and whether they engage in any behaviours to limit exposure. An online survey was adapted from the Environmental Health Literacy framework to assess air pollution health literacy among active commuters in Hamilton, ON, and generated a sample size of 192 AT users. Analyses involved the use of frequency tables and cross-tabulations for the quantitative data, and the Health Belief Model and thematic analysis to interpret the qualitative data. Results revealed that most AT users do not adopt behaviours that would limit air pollution exposure on commutes and exhibited low self-rated knowledge of the health impacts of air pollution exposure. Issues of perceived susceptibility and severity, barriers, cues to action, and self-efficacy all further impacted the likelihood of adopting health protective behaviours. Conclusively, air pollution is an often-neglected consideration among active commuters, with air pollution knowledge predicting the likelihood of behavioural modification.