Tiwari Geetam
Transportation Research and Injury Prevention Program, Indian Institute of Technology-Delhi, India.
Bull World Health Organ. 2003;81(6):444-50. Epub 2003 Jul 25.
Current transportation policies in mega-cities worldwide lead to major threats to health through traffic injuries, air pollution, noise, reduction in physical activities, and adverse impact on urban quality of life. In addition, a large section of the population in cities in low-income countries has to live in informal-sector, substandard housing. Many transportation policies fail to take enough account of their impacts on poverty and social exclusion, and they neglect the access and transportation demands of the more economically disadvantaged groups of society, who rely mostly on public transportation, walking, and cycling. Delhi, the capital city of India, is an interesting case because failure to consider the broad spectrum of health effects that may result from transport and land-use policies and investments has resulted in decisions that penalize the least affluent groups of the population and make it more difficult for them to get to jobs, education, health care, amenities, and services.
全球特大城市当前的交通政策通过交通伤害、空气污染、噪音、身体活动减少以及对城市生活质量的不利影响,对健康构成重大威胁。此外,低收入国家城市中的很大一部分人口不得不居住在非正规部门的不合标准住房中。许多交通政策没有充分考虑其对贫困和社会排斥的影响,忽视了社会中经济上较为弱势群体的出行和交通需求,这些群体主要依赖公共交通、步行和骑自行车出行。印度首都德里就是一个有趣的例子,因为未能考虑到交通和土地利用政策及投资可能产生的广泛健康影响,导致做出了对最贫困人群不利的决策,使他们更难获得工作、教育、医疗保健、便利设施和服务。