University of California, San Diego, CA, USA.
University of Western Australia, Perth, WA, Australia.
Lancet. 2016 Dec 10;388(10062):2936-2947. doi: 10.1016/S0140-6736(16)30068-X. Epub 2016 Sep 23.
Land-use and transport policies contribute to worldwide epidemics of injuries and non-communicable diseases through traffic exposure, noise, air pollution, social isolation, low physical activity, and sedentary behaviours. Motorised transport is a major cause of the greenhouse gas emissions that are threatening human health. Urban and transport planning and urban design policies in many cities do not reflect the accumulating evidence that, if policies would take health effects into account, they could benefit a wide range of common health problems. Enhanced research translation to increase the influence of health research on urban and transport planning decisions could address many global health problems. This paper illustrates the potential for such change by presenting conceptual models and case studies of research translation applied to urban and transport planning and urban design. The primary recommendation of this paper is for cities to actively pursue compact and mixed-use urban designs that encourage a transport modal shift away from private motor vehicles towards walking, cycling, and public transport. This Series concludes by urging a systematic approach to city design to enhance health and sustainability through active transport and a move towards new urban mobility. Such an approach promises to be a powerful strategy for improvements in population health on a permanent basis.
土地利用和交通政策通过交通暴露、噪音、空气污染、社会隔离、低体力活动和久坐行为,导致了全球范围内的伤害和非传染性疾病流行。机动车交通是威胁人类健康的温室气体排放的主要原因。许多城市的城市和交通规划以及城市设计政策并没有反映出这样的累积证据,即如果政策考虑到健康影响,它们可以造福于广泛的常见健康问题。加强研究转化,以增加健康研究对城市和交通规划决策的影响,可以解决许多全球健康问题。本文通过呈现应用于城市和交通规划以及城市设计的研究转化的概念模型和案例研究来说明这种变化的潜力。本文的主要建议是城市积极追求紧凑和混合用途的城市设计,鼓励交通模式从私人汽车向步行、骑自行车和公共交通转变。本系列最后敦促采用系统的城市设计方法,通过积极的交通和向新的城市机动性转变,来提高健康和可持续性。这种方法有望成为改善人口健康的一种有力策略,而且是永久性的。