Advancing Health Considerations Within a Sustainable Transportation Agenda: Using Indicators and Decision-Making

  • Josias ZietsmanEmail author
  • Tara Ramani


Urban transportation planning and decision making broadly centers on the provision of transportation infrastructure and services in a manner consistent with established procedures and priorities. Decision-making in this context goes hand-in-hand with the use of indicators to represent and measure progress towards the goals and objectives being pursued. Sustainable transportation principles provide a desirable framework for the development of an urban transportation planning agenda that addresses environmental, economic and societal goals. Several transportation planning activities around the world use some form of a sustainable transportation definition in the framing of their higher-level goals and priorities, with indicators to reflect the same. This chapter discusses how health considerations can potentially be addressed within a sustainable transportation agenda, specifically through the use of indicators. Similar to sustainable transportation, the area of health and transportation is broad, cross-cutting and holistic. There are several synergies between the areas of health and sustainability. Appropriate consideration of these overlaps and the use of compatible indicators can promote the advancement of health considerations in transportation planning and decision-making. However, it is important to keep in mind the bigger picture with regard to sustainable transportation, which often goes beyond health considerations.


  1. Accorsi, R., Zio, E., & Apostolakis, G. E. (1999). Developing utility functions for environmental decision making. Progress in Nuclear Energy, 34, 387–411.CrossRefGoogle Scholar
  2. Amekudzi, A., & Meyer, M. D. (2006). Considering the environment in transportation planning: Review of emerging paradigms and practice in the United States. Journal of Urban Planning and Development, 132, 42–52.CrossRefGoogle Scholar
  3. Beatley, T. (1995). The many meanings of sustainability: Introduction to a special issue of JPL. Journal of Planning Literature, 9, 339–342. Scholar
  4. Brownson, R., Hoehner, C., Day, K., Forsyth, A., & Sallis, J. (2009). Measuring the built environment for physical activity. American Journal of Preventive Medicine, 36, S99–S123.e112.CrossRefGoogle Scholar
  5. Burbidge, S. K. (2010). Merging long range transportation planning with public health: A case study from Utah’s Wasatch Front. Preventive Medicine, 50(Suppl 1), S6–S8. Scholar
  6. Castillo, H., & Pitfield, D. E. (2010). ELASTIC—A methodological framework for identifying and selecting sustainable transport indicators. Transportation Research Part D: Transport and Environment, 15, 179–188. Scholar
  7. CDPH. (2013). A primer for California’s public health community on regional transportation plans and sustainable communities strategies. Sacramento: California Department of Public Health.Google Scholar
  8. Dannenberg, A. L., & Wendel, A. M. (2011). Measuring, assessing, and certifying healthy places. In Making healthy places (pp. 303–318). New York: Springer.CrossRefGoogle Scholar
  9. Davis, A. (2005). Transport and health—What is the connection? An exploration of concepts of health held by highways committee chairs in England. Transport Policy, 12, 324–333.CrossRefGoogle Scholar
  10. Emberger, G., Pfaffenbichler, P., Jaensirisak, S., & Timms, P. (2008). “Ideal” decision-making processes for transport planning: A comparison between Europe and South East Asia. Transport Policy, 15, 341–349. Scholar
  11. Frank, L. D. (2000). Land use and transportation interaction: Implications on public health and quality of life. Journal of Planning Education and Research, 20, 6–22. Scholar
  12. Frank, L. D., Sallis, J. F., Conway, T. L., Chapman, J. E., Saelens, B. E., & Bachman, W. (2006). Many pathways from land use to health: Associations between neighborhood walkability and active transportation, body mass index, and air quality. Journal of the American Planning Association, 72, 75–87. Scholar
  13. Gallopín, G. C. (1996). Environmental and sustainability indicators and the concept of situational indicators. A systems approach. Environmental Modeling & Assessment, 1, 101–117.CrossRefGoogle Scholar
  14. Gilbert, R., Irwin, N., Hollingworth, B., & Blais, P. (2003). Sustainable transportation performance indicators (STPI). Transportation Research Board (TRB), CD ROM.Google Scholar
  15. Gudmundsson, H., Hall, R. P., Marsden, G., & Zietsman, J. (2015). Sustainable transportation: Indicators, frameworks, and performance management. Springer texts in business and economics. Berlin, Heidelberg: Springer-Verlag. Scholar
  16. Haghshenas, H., & Vaziri, M. (2012). Urban sustainable transportation indicators for global comparison. Ecological Indicators, 15, 115–121. Scholar
  17. Haines, A., Kovats, R. S., Campbell-Lendrum, D., & Corvalan, C. (2006). Climate change and human health: Impacts, vulnerability and public health. Public Health, 120, 585–596. Scholar
  18. Hall, R. P. (2006). Understanding and applying the concept of sustainable development to transportation planning and decision-making in the US. Cambridge: Massachusetts Institute of Technology.Google Scholar
  19. Holden, E., Linnerud, K., & Banister, D. (2013). Sustainable passenger transport: Back to Brundtland. Transportation Research Part A: Policy and Practice, 54, 67–77. Scholar
  20. Jeon, C. M., & Amekudzi, A. (2005). Addressing sustainability in transportation systems: Definitions, indicators, and metrics. Journal of Infrastructure Systems, 11, 31–50. Scholar
  21. Jeon, C. M., Amekudzi, A. A., & Guensler, R. L. (2010). Evaluating plan alternatives for transportation system sustainability: Atlanta metropolitan region. International Journal of Sustainable Transportation, 4, 227–247. Scholar
  22. Joumard, R., & Gudmundsson H. (2010). Indicators of environmental sustainability in transport: An interdisciplinary approach to methods. INRETS report, Recherches R282, Bron, France, 422 p.Google Scholar
  23. Khreis, H., May, A. D., & Nieuwenhuijsen, M. J. (2017). Health impacts of urban transport policy measures: A guidance note for practice. Journal of Transport & Health.
  24. Kidd, C. V. (1992). The evolution of sustainability. Journal of Agricultural and Environmental Ethics, 5, 1–26. Scholar
  25. Killingsworth, R. E., De Nazelle, A., & Bell, R. H. (2003). Building a new paradigm: Improving public health through transportation. ITE Journal, 73, 28–32.Google Scholar
  26. King, M. (1990). Health is a sustainable state. The Lancet, 336, 664–667. Scholar
  27. Lautso, K., & Toivanen, S. (1999). SPARTACUS system for analyzing urban sustainability. Transportation Research Record: Journal of the Transportation Research Board, 1670, 35–46. Scholar
  28. Lee, C., & Moudon, A. V. (2004). Physical activity and environment research in the health field: Implications for urban and transportation planning practice and research. Journal of Planning Literature, 19, 147–181. Scholar
  29. Litman, T. (2003). Integrating public health objectives in transportation decision-making. American Journal of Health Promotion, 18(1), 103–108.CrossRefGoogle Scholar
  30. Litman, T. (2007). Developing indicators for comprehensive and sustainable transport planning. Transportation Research Record: Journal of the Transportation Research Board, 2017, 10–15. Scholar
  31. Litman, T. (2010). Sustainability and livability: Summary of definitions, goals, objectives and performance indicators.Google Scholar
  32. Lyons, W., Peckett, H., Morse, L., Khurana, M., & Nash, L. (2012). Metropolitan area transportation planning for healthy communities (No. DOT-VNTSC-FHWA-13-01). John A. Volpe National Transportation Systems Center (US).Google Scholar
  33. Lyons, W., Morse, L., Nash, L., & Strauss, R. (2014). Statewide transportation planning for healthy communities (No. DOT-VNTSC-FHWA-14-01). United States. Federal Highway Administration.Google Scholar
  34. Maclaren, V. (1996). Urban sustainability reporting American Planning Association. Journal of the American Planning Association, 62, 184–202.CrossRefGoogle Scholar
  35. Marsden, G., Kelly, C., Snell, C., & Forrester, J. (2005). Sustainable transport indicators: Selection and use. DISTILLATE Deliverable C1. Institute for Transport Studies, University of Leeds, UK.Google Scholar
  36. McMichael, A. J. (2006). Population health as the ‘bottom line’ of sustainability: A contemporary challenge for public health researchers. The European Journal of Public Health, 16, 579–581. Scholar
  37. McMichael, A. J., Butler, C. D., & Folke, C. (2003). New visions for addressing sustainability. Science, 302, 1919–1920. Scholar
  38. McMichael, A. J., Woodruff, R. E., & Hales, S. (2006). Climate change and human health: Present and future risks. The Lancet, 367, 859–869. Scholar
  39. McVoy, G., Gunasekera, K., Sousa, L. R., & Schaffner, P. (2013). An analytical framework for sustainability analysis of transportation investments across the triple bottom line using a common metric. In 2013 international conference on ecology and transportation (ICOET 2013), 2013.Google Scholar
  40. Muench, S. T., Anderson, J., & Bevan, T. (2010). Greenroads: A sustainability rating system for roadways. International Journal of Pavement Research and Technology, 3, 270–279.Google Scholar
  41. Oswald, M., & McNeil, S. (2009). Rating sustainability: Transportation investments in urban corridors as a case study. Journal of Urban Planning and Development, 136, 177–185. Scholar
  42. Patz, J. A., Campbell-Lendrum, D., Holloway, T., & Foley, J. A. (2005). Impact of regional climate change on human health. Nature, 438, 310–317. Scholar
  43. Pei, Y., Amekudzi, A., Meyer, M., Barrella, E., & Ross, C. (2010). Performance measurement frameworks and development of effective sustainable transport strategies and indicators. Transportation Research Record: Journal of the Transportation Research Board, 2163, 73–80.CrossRefGoogle Scholar
  44. Ramani, T. (2017a). Assessing alternative conceptualizations of sustainable transportation. Paper presented at the Transportation Research Board 96th Annual Meeting, Washington, DC.Google Scholar
  45. Ramani, T. (2017b). Validating alternative conceptualizations of sustainable transportation. College Station: Texas A&M University.Google Scholar
  46. Ramani, T., Zietsman, J., Eisele, W., Rosa, D., Spillane, D., & Bochner, B. (2009) Developing sustainable transportation performance measures for TX DOT’S strategic plan. Texas Transportation Institute Technical Report 0-5541-1.Google Scholar
  47. Ramani, T., Zietsman, J., Gudmundsson, H., Hall, R., & Marsden, G. (2011a). Framework for sustainability assessment by transportation agencies. Transportation Research Record, 2242, 9–18.CrossRefGoogle Scholar
  48. Ramani, T., Zietsman, J., Gudmundsson, H., Hall, R., & Marsden, G. (2011b). Framework for sustainability assessment by transportation agencies. Transportation Research Record: Journal of the Transportation Research Board, 2242, 9–18.CrossRefGoogle Scholar
  49. Ramani, T., Zietsman, J., & Pryn, M. R. (2015). Towards sustainable transport planning in the United States working paper prepared for SUSTAIN Research Network, Danish Research Council.Google Scholar
  50. Rioux, C. L., Gute, D. M., Brugge, D., Peterson, S., & Parmenter, B. (2010). Characterizing urban traffic exposures using transportation planning tools: An illustrated methodology for health researchers. Journal of Urban Health, 87, 167–188. Scholar
  51. Rowangould, G. M. (2013). A census of the US near-roadway population: Public health and environmental justice considerations. Transportation Research Part D: Transport and Environment, 25, 59–67. Scholar
  52. Sallis, J. F., Frank, L. D., Saelens, B. E., & Kraft, M. K. (2004). Active transportation and physical activity: Opportunities for collaboration on transportation and public health research. Transportation Research Part A: Policy and Practice, 38, 249–268. Scholar
  53. USDOT. (2015). Transportation and health tool. United States Department of Transportation. Retrieved November 5, 2015 from
  54. WBCSD. (2015). Sustainable urban mobility – Methodology and indicator calculation method world business council on sustainable development Google Scholar
  55. WCED. (1987). Our common future. Oxford paperbacks. Oxford; New York: Oxford University Press.Google Scholar
  56. Wefering, F., Rupprecht, S., Bührmann, S., Böhler-Baedeker, S., & GmbH, R. C. F. B. (2013). Guidelines: Developing and implementing a sustainable urban mobility plan. Brussels: European Commission.Google Scholar
  57. Zietsman, J., & Rilett, L. R. (2002). Sustainable transportation: Conceptualization and performance measures. College Station, TX: Southwest Region University Transportation Center.Google Scholar
  58. Zietsman, J., Ramani, T., Reeder, V., Potter, J., & DeFlorio, J. (2011). A guidebook for sustainability performance measurement for transportation agencies (Vol. 708). Transportation Research Board.Google Scholar

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© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Texas A&M Transportation InstituteCollege StationUSA

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