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      Autonomous Vehicles and Public Health

      1 , 2 , 2 , 3 , 4 , 5 , 2 , 3 , 4 , 6 , 7
      Annual Review of Public Health
      Annual Reviews

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          Abstract

          Autonomous vehicles (AVs) have the potential to shape urban life and significantly modify travel behaviors. “Autonomous technology” means technology that can drive a vehicle without active physical control or monitoring by a human operator. The first AV fleets are already in service in US cities. AVs offer a variety of automation, vehicle ownership, and vehicle use options. AVs could increase some health risks (such as air pollution, noise, and sedentarism); however, if proper regulated, AVs will likely reduce morbidity and mortality from motor vehicle crashes and may help reshape cities to promote healthy urban environments. Healthy models of AV use include fully electric vehicles in a system of ridesharing and ridesplitting. Public health will benefit if proper policies and regulatory frameworks are implemented before the complete introduction of AVs into the market.

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          Most cited references77

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          The State of US Health, 1990-2016

          Several studies have measured health outcomes in the United States, but none have provided a comprehensive assessment of patterns of health by state.
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            The health risks and benefits of cycling in urban environments compared with car use: health impact assessment study

            Objective To estimate the risks and benefits to health of travel by bicycle, using a bicycle sharing scheme, compared with travel by car in an urban environment. Design Health impact assessment study. Setting Public bicycle sharing initiative, Bicing, in Barcelona, Spain. Participants 181 982 Bicing subscribers. Main outcomes measures The primary outcome measure was all cause mortality for the three domains of physical activity, air pollution (exposure to particulate matter <2.5 µm), and road traffic incidents. The secondary outcome was change in levels of carbon dioxide emissions. Results Compared with car users the estimated annual change in mortality of the Barcelona residents using Bicing (n=181 982) was 0.03 deaths from road traffic incidents and 0.13 deaths from air pollution. As a result of physical activity, 12.46 deaths were avoided (benefit:risk ratio 77). The annual number of deaths avoided was 12.28. As a result of journeys by Bicing, annual carbon dioxide emissions were reduced by an estimated 9 062 344 kg. Conclusions Public bicycle sharing initiatives such as Bicing in Barcelona have greater benefits than risks to health and reduce carbon dioxide emissions.
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              Physical Activity Associated with Public Transport Use—A Review and Modelling of Potential Benefits

              Active travel, particularly walking and cycling, has been recommended because of the health benefits associated with increased physical activity. Use of public transport generally involves some walking to bus stops or train stations. This paper is a systematic review of how much time is spent in physical activity among adults using public transport. It also explores the potential effect on the population level of physical activity if inactive adults in NSW, Australia, increased their walking through increased use of public transport. Of 1,733 articles, 27 met the search criteria, and nine reported on absolute measures of physical activity associated with public transport. A further 18 papers reported on factors associated with physical activity as part of public transport use. A range of 8–33 additional minutes of walking was identified from this systematic search as being attributable to public transport use. Using “bootstrapping” statistical modelling, if 20% of all inactive adults increased their walking by only 16 minutes a day for five days a week, we predict there would be a substantial 6.97% increase in the proportion of the adult population considered “sufficiently active”. More minutes walked per day, or a greater uptake of public transport by inactive adults would likely lead to significantly greater increases in the adult population considered sufficiently active.
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                Author and article information

                Journal
                Annual Review of Public Health
                Annu. Rev. Public Health
                Annual Reviews
                0163-7525
                1545-2093
                April 02 2020
                April 02 2020
                : 41
                : 1
                : 329-345
                Affiliations
                [1 ]Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, Colorado 80523, USA;
                [2 ]ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona 08003, Spain;
                [3 ]Universitat Pompeu Fabra (UPF), Barcelona 08003, Spain
                [4 ]CIBER Epidemiología y Salud Pública (CIBERESP), Madrid 28029, Spain
                [5 ]Municipal Institute of Medical Research (IMIM), Hospital del Mar, Barcelona 08003, Spain
                [6 ]Center for Advancing Research in Transportation Emissions, Energy, and Health (CARTEEH), Texas A&M Transportation Institute (TTI), Texas 77843, USA;
                [7 ]Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington 98195, USA;
                Article
                10.1146/annurev-publhealth-040119-094035
                84e833ee-22f1-4795-89a2-914435a5298b
                © 2020

                http://creativecommons.org/licenses/by/4.0/

                History

                Social & Information networks,Data structures & Algorithms,Performance, Systems & Control,Robotics,Neural & Evolutionary computing,Artificial intelligence

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