142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

306194
Tools for collaboration: Integrating health into planning at a metropolitan planning organization

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Deirdre Browner, MPH , Public Health Services, County of San Diego Health and Human Services Agency, San Diego, CA
Lindsey McDermid, MS , Public Health Services, County of San Diego Health and Human Services Agency, San Diego, CA
Neil Maizlish, PhD, MPH , Center for Chronic Disease Prevention and Health Promotion, California Department of Public Health, Richmond, CA
Shelley Saitowitz, MPH , Maternal, Child and Family Health Services Branch, County of San Diego Health and Human Services Agency, San Diego,, CA
Dean Sidelinger, MD, MSEd , Public Health Services, County of San Diego, Health and Human Services Agency, San Diego, CA
Wilma J. Wooten, MD, MPH , Public Health Services, County of San Diego Health and Human Services Agency, San Diego, CA
The way we invest in transportation is essential to human health and wellbeing. Transportation has direct and indirect effects on health including physical activity, traffic injuries, environmental quality, and access to services and jobs.  Decreased physical activity is linked to an increase in obesity, diabetes, heart disease and many forms of cancer, but integrating health considerations into transportation planning is just beginning. Planners develop predictive models based on neighborhood level data, while both statistical validity and privacy concerns limit the availability of similar health data.  In San Diego, collaboration between the Health and Human Services Agency (HHSA) and the San Diego Association of Governments (SANDAG) to integrate a health modeling tool into the planning process has advanced the partnership and built the framework for active transportation planning.  The California Department of Public Health (CDPH) has facilitated the process by lending expertise to utilize the Integrated Transport and Health Impacts Model (ITHIM) including calibration with local data and the development of an economics module.  The ITHIM model is unique in that it utilizes a recognized standard (disability adjusted life years) as its health outcome from the Global Burden of Disease developed by the World Health Organization (WHO). It also integrates data from the National Household Travel Survey (NHTS) with county health data to predict the impact from planning scenarios that favor active transportation against a baseline scenario. Using San Diego’s existing health and transportation planning partnership was an important step to determine how ITHIM would provide real world solutions in a heavily motorized region.  The economic module adds a critical component for policymakers by translating lives lost and associated medical costs into a combined regional figure and highlights the true health impact of our auto-based culture.

Learning Areas:

Other professions or practice related to public health
Public health or related public policy

Learning Objectives:
Discuss the importance of collaborative efforts between public health and transportation planning to build healthy communities. Identify strategies to integrate health outcomes into the planning process.

Keyword(s): Built Environment, Chronic Disease Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the evaluation lead for two large federal grants in obesity prevention through policy, systems, and environmental change. I worked in collaboration with partners at the state public health agency and the regional metropolitan planning agency on the project described in this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.