Urban Transformations and Health: Methods for TrUST—a Natural Experiment Evaluating the Impacts of a Mass Transit Cable Car in Bogotá, Colombia

Frontiers in Public Health

article

Olga L. Sarmiento¹  Maria Isabel Arévalo²  Eliana Martínez-Herrera³  Felipe Montes⁴  Jose D. Meisel⁵  Andrés F. Useche⁴  Elizabeth García¹  Camilo A. Triana¹  Andrés L. Medaglia⁴  Philipp Hessel⁷  Julian Arellana⁸  Diana Higuera-Mendieta¹  Carlos Moncada⁹  Abby C. King^1,10  Ana V. Diez Roux^1,12  Maria A. Wilches-Mogollon¹  Luis A. Guzman^1,14  Daniel A. Rodríguez^1,15  Ricardo Morales^1,14  Daniela Méndez^1,14  Claudia Bedoya¹  Mario Linares-Vásquez² 

[1] School of Medicine, Universidad de Los Andes;Systems Engineering and Computing Department, School of Engineering, Universidad de Los Andes;National School of Public Health, Research Group of Epidemiology, Universidad de Antioquia;Department of Industrial Engineering, School of Engineering, Universidad de Los Andes;Universidad de Ibagué;Fundación Santa Fe de Bogotá;School of Government, Universidad de Los Andes;Department of Civil and Environmental Engineering, Universidad del Norte;Universidad Nacional de Colombia;Department of Epidemiology & Population Health, Stanford University School of Medicine, United States;Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, United States;Urban Health Collaborative, Dornsife School of Public Health, Drexel University, United States;Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, United States;Department of Civil and Environmental Engineering, School of Engineering, Universidad de Los Andes;College of Environmental Design and Institute for Transport Studies, University of California, United States

关键词: cable car;    impact evaluation;    Latin America;    urban health;    transport;    physical activity;    Citizen's Science;   

DOI  :  10.3389/fpubh.2020.00064

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background: Cable cars provide urban mobility benefits for vulnerable populations. However, no evaluation has assessed cable cars' impact from a health perspective. TransMiCable in Bogotá, Colombia, provides a unique opportunity to (1) assess the effects of its implementation on the environmental and social determinants of health (microenvironment pollution, transport accessibility, physical environment, employment, social capital, and leisure time), physical activity, and health outcomes (health-related quality of life, respiratory diseases, and homicides); and (2) use citizen science methods to identify, prioritize, and communicate the most salient negative and positive features impacting health and quality of life in TransMiCable's area, as well as facilitate a consensus and advocacy-building change process among community members, policymakers, and academic researchers. Methods: TrUST (In Spanish: Transformaciones Urbanas y Salud: el caso de TransMiCable en Bogotá) is a quasi-experimental study using a mixed-methods approach. The intervention group includes adults from Ciudad Bolívar, the area of influence of TransMiCable. The control group includes adults from San Cristóbal, an area of future expansion for TransMiCable. A conceptual framework was developed through group-model building. Outcomes related to environmental and social determinants of health as well as health outcomes are assessed using questionnaires (health outcomes, physical activity, and perceptions), secondary data (crime and respiratory outcomes) use of portable devices (air pollution exposure and accelerometry), mobility tracking apps (for transport trajectories), and direct observation (parks). The Stanford Healthy Neighborhood Discovery Tool is being used to capture residents' perceptions of their physical and social environments as part of the citizen science component of the investigation. Discussion: TrUST is innovative in its use of a mixed-methods, and interdisciplinary research approach, and in its systematic engagement of citizens and policymakers throughout the design and evaluation process. This study will help to understand better how to maximize health benefits and minimize unintended negative consequences of TransMiCable.

【 授权许可】

CC BY