A natural experimental study of new walking and cycling infrastructure across the United Kingdom: The Connect2 programme
High quality evaluations of new walking and cycling routes are scarce and understanding contextual mechanisms influencing outcomes is limited. Using different types of data we investigate how context is associated with change in use of new and upgraded walking and cycling infrastructure, and the ass...
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Published in | Journal of transport & health Vol. 20; p. 100968 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Ltd
01.03.2021
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Abstract | High quality evaluations of new walking and cycling routes are scarce and understanding contextual mechanisms influencing outcomes is limited. Using different types of data we investigate how context is associated with change in use of new and upgraded walking and cycling infrastructure, and the association between infrastructure use and overall physical activity.
We conducted repeat cross-sectional pre-post analysis of monitoring data from a variety of walking and cycling routes built in 84 locations across the United Kingdom (the Connect2 programme, 2009–2013), using four-day user counts (pre n = 189,250; post n = 319,531), next-to-pass surveys of route users (pre n = 15,641; post n = 20,253), and automatic counter data that generated estimates of total annual users. Using multivariable logistic regression, we identified contextual features associated with 50% increase and doubling of pedestrians, cyclists, and sub-groups of users. We combined insights from monitoring data with longitudinal cohort data (the iConnect study) from residents living near three Connect2 schemes. Residents were surveyed by post at baseline, one-year (n = 1853) and two-year follow-up (n = 1524) to investigate associations between use of the new infrastructure and meeting physical activity guidelines.
The routes were associated with increased use (median increase in cyclists 52%, pedestrians 38%; p < 0.001). Large relative increases were associated with low baseline levels (e.g. odds of doubling cycling were halved for each additional 10,000 annual cyclists at baseline: OR 0.52, 95% CI 0.31, 0.77). Use was associated with meeting physical activity guidelines in both repeat cross-sectional and longitudinal analyses (users vs. non-users after one year, OR 2.07, 95% CI 1.37, 3.21; after two years, OR 2.00, 95% CI 1.37, 2.96).
This examination of use, users, benefit-cost ratios, and physical activity associated with new walking and cycling infrastructure across contexts, using multiple types of data, suggests that building walking and cycling infrastructure could improve population health and reduce inequalities.
•New walking and cycling routes were associated with increases in users.•Low baseline level of users was associated with large relative increase in use.•Use of the routes was associated with meeting physical activity guidelines.•Combining evaluation methods provides additional insights into effectiveness. |
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AbstractList | High quality evaluations of new walking and cycling routes are scarce and understanding contextual mechanisms influencing outcomes is limited. Using different types of data we investigate how context is associated with change in use of new and upgraded walking and cycling infrastructure, and the association between infrastructure use and overall physical activity.
We conducted repeat cross-sectional pre-post analysis of monitoring data from a variety of walking and cycling routes built in 84 locations across the United Kingdom (the Connect2 programme, 2009–2013), using four-day user counts (pre n = 189,250; post n = 319,531), next-to-pass surveys of route users (pre n = 15,641; post n = 20,253), and automatic counter data that generated estimates of total annual users. Using multivariable logistic regression, we identified contextual features associated with 50% increase and doubling of pedestrians, cyclists, and sub-groups of users. We combined insights from monitoring data with longitudinal cohort data (the iConnect study) from residents living near three Connect2 schemes. Residents were surveyed by post at baseline, one-year (n = 1853) and two-year follow-up (n = 1524) to investigate associations between use of the new infrastructure and meeting physical activity guidelines.
The routes were associated with increased use (median increase in cyclists 52%, pedestrians 38%; p < 0.001). Large relative increases were associated with low baseline levels (e.g. odds of doubling cycling were halved for each additional 10,000 annual cyclists at baseline: OR 0.52, 95% CI 0.31, 0.77). Use was associated with meeting physical activity guidelines in both repeat cross-sectional and longitudinal analyses (users vs. non-users after one year, OR 2.07, 95% CI 1.37, 3.21; after two years, OR 2.00, 95% CI 1.37, 2.96).
This examination of use, users, benefit-cost ratios, and physical activity associated with new walking and cycling infrastructure across contexts, using multiple types of data, suggests that building walking and cycling infrastructure could improve population health and reduce inequalities.
•New walking and cycling routes were associated with increases in users.•Low baseline level of users was associated with large relative increase in use.•Use of the routes was associated with meeting physical activity guidelines.•Combining evaluation methods provides additional insights into effectiveness. |
ArticleNumber | 100968 |
Author | Cope, Andy Foley, Louise Powell, Jane E. Woodcock, James Panter, Jenna R. Ogilvie, David Bird, Emma L. Le Gouais, Anna |
Author_xml | – sequence: 1 givenname: Anna orcidid: 0000-0002-3800-2090 surname: Le Gouais fullname: Le Gouais, Anna email: anna.legouais@bristol.ac.uk organization: MRC Epidemiology Unit & Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, University of Cambridge, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK – sequence: 2 givenname: Jenna R. surname: Panter fullname: Panter, Jenna R. organization: MRC Epidemiology Unit & Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, University of Cambridge, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK – sequence: 3 givenname: Andy surname: Cope fullname: Cope, Andy organization: Sustrans, 2nd Floor, Higham House, Higham Place, Newcastle Upon Tyne, NE1 8AF, UK – sequence: 4 givenname: Jane E. surname: Powell fullname: Powell, Jane E. organization: Centre for Public Health & Wellbeing, University of the West of England, Bristol (UWE Bristol), Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY, UK – sequence: 5 givenname: Emma L. surname: Bird fullname: Bird, Emma L. organization: Centre for Public Health & Wellbeing, University of the West of England, Bristol (UWE Bristol), Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY, UK – sequence: 6 givenname: James surname: Woodcock fullname: Woodcock, James organization: MRC Epidemiology Unit & Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, University of Cambridge, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK – sequence: 7 givenname: David surname: Ogilvie fullname: Ogilvie, David organization: MRC Epidemiology Unit & Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, University of Cambridge, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK – sequence: 8 givenname: Louise surname: Foley fullname: Foley, Louise organization: MRC Epidemiology Unit & Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, University of Cambridge, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK |
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Keywords | Context Infrastructure Walking Evaluation Cycling Physical activity |
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