Public Transportation in the U.S.: A Driver of Health and Equity

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25 Questions

What is meant by 'public transportation' in the context of the brief?

Transportation services available to the general public

Who is disproportionately harmed by lack of access to public transportation according to the brief?

Older adults and individuals with disabilities

How can new or expanded public transportation options impact health and health equity?

Improve physical and mental health, and increase access to vital services

What can inform decision making on equitable approaches to transportation planning and implementation?

Improved and aligned metrics

Which groups are overrepresented among commuters who rely on public transportation according to the brief?

Black workers, low-income workers, and younger adults

What is one of the interventions supported by the Health Impact in 5 Years initiative?

Adding new or expanding existing bus routes

What does the CDC Foundation provide for public health professionals?

A Public Health Action Guide on how public health can partner

What has the COVID-19 pandemic led to in terms of transit agencies?

Partnerships with public health and federal agencies

What is identified as essential for communities recovering from the COVID-19 pandemic?

Safe and thriving public transit options

What is considered as a potential role for public health practitioners according to the text?

Engaging in local transit decision making

What is the main focus of the transit plan mentioned in the text?

Reducing disparities in access to economic and social opportunities

Which transportation method is mentioned as a cost-efficient option with increased passenger capacity?

Buses

What did Florida adopt in 2014, focusing on land use and transit ridership?

Complete Streets Policy

Which demographic group relies more on public transportation according to the text?

Black workers

Which entity aims to eliminate transportation barriers for vulnerable populations?

Coordinating Council on Access and Mobility

What percentage of public transportation funding comes from the federal government?

18%

What needs more research for better health outcomes?

Equitable transportation access and performance measurement

During which time period did public transportation ridership decline?

2014-2018

Which act provides long-term funding for regional transportation and aligns with public health goals?

FAST Act of 2015

What type of projects were funded by a collaboration between the metropolitan planning organization and the Federal Highway Administration in Nashville?

Active transportation projects

How can public transportation improve health and health equity?

By improving access to medical care, healthy food, vital services, employment, and social connection

Why has public transportation infrastructure historically faced challenges?

Due to the prioritization of roads over public and active transportation

What impact does inadequate public transportation have on health care appointments?

It results in missed or delayed health care appointments

How does access to public transportation impact social isolation?

It can increase social isolation for older populations, people with disabilities, and others who do not drive

What was the influence of the Federal Aid Highway Act of 1956 on public transportation infrastructure?

It contributed to the diminished public transportation infrastructure

Study Notes

  • Public transit is crucial for community recovery from the COVID-19 pandemic, according to experts.
  • Public transportation can improve health and health equity by reducing traffic crashes, air pollution, increasing physical activity, improving access to medical care, healthy food, vital services, employment, and social connection.
  • Health is influenced by social and economic conditions, with 40% related to social and economic factors, 30% to health behaviors, 20% to clinical care, and 10% to the physical environment.
  • Transportation is a part of the built environment with significant impacts on public health and health equity.
  • Public transportation policies, planning, and infrastructure investments have historically favored roads over public and active transportation, leading to health hazards and community segregation.
  • Access to public transportation can increase use and improve health outcomes by promoting better air quality, increasing levels of physical activity, decreasing injuries from motor vehicle crashes, and improving mental health.
  • Public transportation can reduce health disparities and promote health equity by increasing access to healthier food options, medical care, vital services, and employment for underserved communities.
  • Public transportation includes various options like buses, streetcars, light rail, ferries, and subways, providing regular and continuous transportation to the public.
  • The history of public transportation in the US has been influenced by the Federal Aid Highway Act of 1956, which prioritized national highway networks and contributed to the diminished public transportation infrastructure.
  • Motor vehicle crashes are a leading cause of injury-related death for many age groups and contribute to significant air pollution.
  • Public transportation systems have been associated with reductions in motor vehicle crashes and significantly lower emissions per passenger mile compared to single-occupancy vehicles.
  • Inadequate public transportation can result in missed or delayed health care appointments, poorer health outcomes, and increased health expenditures.
  • Public transportation can increase social isolation, particularly for older populations, people with disabilities, and others who do not drive.
  • In 2019, about 5% of all workers in the US commuted by public transportation, with the highest usage in major cities like New York, Chicago, and San Francisco.

This quiz explores the impact of public transportation on health disparities, focusing on groups such as women, young adults, Black workers, and low-income workers who rely heavily on public transportation. It also delves into the disproportionate harm faced by older people and individuals with disabilities due to lack of access to public transportation.

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