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JEANETTE M. BALL, MS

2012 GEORGIA-LINA BIKE SUMMIT October 20, 2012. A Health Impact Assessment (HIA) on a Proposed “Road Diet” and Re-Striping Project In Spartanburg, SC. JEANETTE M. BALL, MS. The South Carolina Institute of Medicine & Public Health (IMPH).

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JEANETTE M. BALL, MS

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  1. 2012 GEORGIA-LINA BIKE SUMMIT October 20, 2012 A Health Impact Assessment (HIA) on a Proposed “Road Diet” and Re-Striping Project In Spartanburg, SC JEANETTE M. BALL, MS

  2. The South Carolina Institute of Medicine & Public Health (IMPH) • Mission: To collectively inform policy to improve health and healthcare. • Purpose: To serve as a convener to assemble evidence-based information relevant to policy decisions and other actions impacting the health and well-being of all South Carolinians www.imph.org

  3. HEALTH IN ALL POLICIES “A sweeping goal that aims to help decision makers understand the links between policies, interventions, health determinants, and the resulting health outcomes in a wide range of focus areas.” Source: American Public Health Association

  4. Health Impact Assessment A systematic assessment that combines scientific data, professional expertise, and stakeholder involvement to determine the effects that a potential policy, plan, program, or project might have on the health of a particular population

  5. Steps of an HIA • Screening • Scoping • Assessment • Develop Recommendations • Reporting • Monitoring & Evaluation

  6. Completed HIA and In Progress HIAs 2012 (N = nearly 200) WA 6 ME 1 MT 2 MN 13 OR 20 NH 1 WI 7 NY 2 MI 1 MA 5 PA 1 NE 1 OH 4 NJ 1 IL 3 CO 4 CA 53 KS 1 MO 2 VA 1 MD 3 KY 2 DC 1 TN 2 AZ 2 NM 2 SC 2 Federal HIAs: 2 GA 7 TX 4 AK 15 HI 1

  7. Spartanburg Project • Proposed Road Diet and Re-Striping • Managed by state Department of Transportation

  8. Partners • South Carolina Department of Health & Environmental Control (SC DHEC) • South Carolina Institute of Medicine & Public Health (IMPH) • Spartanburg Area Transportation Study (SPATS) • Partners for Active Living (PAL) • Berkeley/Charleston/Dorchester Council of Governments (BCD COG)

  9. A Vulnerable Population • Average household income: • SC: $37,082 • Spartanburg County:$37,579 • zip code 29303: $28,343 • zip code 29306: $22,672 • Percent of families living below poverty level: • SC: 10.7% • Spartanburg County: 9.2% • zip code 29303: 13.3% • zip code 29306: 25.3%

  10. BIKE LANE RESTRIPE SECTION ROAD DIET SECTION

  11. Proposed “Road Diet” Section Example before Example after

  12. Road Diet Cross Section

  13. Proposed Re-Stripe Section Example after Example before

  14. HIA Scoping Potential health determinants examined: • traffic safety • access to goods and services • air quality • physical activity

  15. Traffic Safety: Causal Pathway Safe Bicycle and Pedestrian Paths Reconfiguration of Lanes Reduction in Speed of Motor Vehicles Reduction in Motor Vehicles Decrease in Motor Vehicle Collisions Decrease in Injury and Deaths Due to Motor Vehicle Collisions

  16. Traffic Safety: Data Collected Average Annual Daily Traffic Count Bicycle Level of Service Speed Collisions

  17. Access to Goods & Services: Causal Pathway Safe Bike and Pedestrian Pathways Increased access to: parks, trails, grocery stores, farmer’s markets Increased Opportunity for Physical Activity on Trails and in Parks Increased Access to Healthy Foods Decrease in Obesity/Overweight Decrease in cardiovascular disease, diabetes, high blood pressure, cancer

  18. Access to Goods & Services: Data Collected Number and location of healthy food and services locations Number and location of connections including transit stops Transit ridership

  19. Air Quality: Causal Pathway Safe Bike and Pedestrian Paths Reduction in Motor Vehicles Decrease in Air Pollution Decrease in Rates of Asthma and Other Respiratory Illnesses

  20. Air Quality: Data Collected Days ozone is above level of the standard Hospital visits with asthma as primary diagnosis (emergency department visits and inpatient visits by zip code)

  21. Physical Activity: Causal pathway Safe Bike and Pedestrian Paths Increased Opportunity for Physical Activity Decrease in Obesity/Overweight Decrease in cardiovascular disease, diabetes, high blood pressure, hypertension, cancer, etc.

  22. Physical Activity: Data collected • Number of bikes on nearby bicycle racks • Number and trend of users of PAL’s bicycle lending program • Number of bicyclists and pedestrians on DMA • Time that area residents spent biking and walking

  23. Physical Activity: Data Results

  24. HIA Recommendations Road Diet Section Re-stripe Section Expand and marketing of bicycle lending program Provide ample signs Establish a cycling safety class

  25. jeanette@imph.orgwww.imph.org

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