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Do Health Benefits Outweigh the Costs of Mass Recreational Programs? An Economic Analysis of Four Ciclovía Programs.
MedLine Citation:
PMID:  22170324     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
One promising public health intervention for promoting physical activity is the Ciclovía program. The Ciclovía is a regular multisectorial community-based program in which streets are temporarily closed for motorized transport, allowing exclusive access to individuals for recreational activities and physical activity. The objective of this study was to conduct an analysis of the cost-benefit ratios of physical activity of the Ciclovía programs of Bogotá and Medellín in Colombia, Guadalajara in México, and San Francisco in the USA. The data of the four programs were obtained from program directors and local surveys. The annual cost per capita of the programs was: US $6.0 for Bogotá, US $23.4 for Medellín, US $6.5 for Guadalajara, and US $70.5 for San Francisco. The cost-benefit ratio for health benefit from physical activity was 3.23-4.26 for Bogotá, 1.83 for Medellín, 1.02-1.23 for Guadalajara, and 2.32 for San Francisco. For the program of Bogotá, the cost-benefit ratio was more sensitive to the prevalence of physically active bicyclists; for Guadalajara, the cost-benefit ratio was more sensitive to user costs; and for the programs of Medellín and San Francisco, the cost-benefit ratios were more sensitive to operational costs. From a public health perspective for promoting physical activity, these Ciclovía programs are cost beneficial.
Authors:
Felipe Montes; Olga L Sarmiento; Roberto Zarama; Michael Pratt; Guijing Wang; Enrique Jacoby; Thomas L Schmid; Mauricio Ramos; Oscar Ruiz; Olga Vargas; Gabriel Michel; Susan G Zieff; Juan Alejandro Valdivia; Nick Cavill; Sonja Kahlmeier
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-15
Journal Detail:
Title:  Journal of urban health : bulletin of the New York Academy of Medicine     Volume:  -     ISSN:  1468-2869     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9809909     Medline TA:  J Urban Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Industrial Engineering, Faculty of Engineering, Universidad de los Andes, CeiBA Complex systems Research Center, Carrera 1este # 19A 40, Bogotá, Colombia, fel-mont@uniandes.edu.co.
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