Abstract
The bidirectional linkage between transportation and health is generating great interest in both the academic and policy arenas. Decades of transportation decisions favoring the automobile and the neglect of the physically active modes are credited with at least part of the responsibility for America’s epidemic of chronic disease. An integrated approach for considering health in the built environment and transportation planning is needed, and the health impact assessment (HIA) is a promising tool to assess the health effects of transportation decisions with unexplored impacts. Moreover, the HIA is of most value when its findings are built into policy and investment decision making structures. This chapter briefly examines the HIA’s promise for reconnecting health and transportation with long-term quality of life. It proceeds with an analysis of the benefits of this reconnection and how the results might impact transportation decision making through a case study of the Atlanta Regional Commission (ARC). As a result of the analysis of the ARC’s PLAN 2040 and the systematic examination of what constitutes an effective HIA, we propose a generalizable model for incorporating HIA into the regional transportation project selection, prioritization, and implementation process.
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