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Research Article

Land use, transport, and population health: estimating the health benefits of compact cities

By Stevenson, M., Thompson, J., de Sá, T. H., Ewing, R., Mohan, D., McClure, R., ... & Woodcock, J.

Full Citation

Stevenson, M., Thompson, J., de Sá, T. H., Ewing, R., Mohan, D., McClure, R., ... & Woodcock, J. (2016). Land use, transport, and population health: estimating the health benefits of compact cities. The Lancet, 388(10062), 2925-2935.

Key Findings

This study reports on population health effects arising from alternative land-use and transport policy initiatives in six cities. Land-use changes were modelled to reflect a compact city in which land-use density and diversity were increased and distances to public transport were reduced to produce low motorised mobility, namely a modal shift from private motor vehicles to walking, cycling, and public transport, as advocated by New Urbanism. The modelled compact city scenario resulted in health gains for all cities (for diabetes, cardiovascular disease, and respiratory disease) with overall health gains of 420–826 disability-adjusted life-years (DALYs) per 100 000 population. The findings suggest that government policies need to actively pursue land-use elements—particularly a focus towards compact cities—that support a modal shift away from private motor vehicles towards walking, cycling, and low-emission public transport.

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