Do Health Benefits Outweigh the Costs of Mass Recreational Programs? An Economic Analysis of Four Ciclovía Programs
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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.
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- Do Health Benefits Outweigh the Costs of Mass Recreational Programs? An Economic Analysis of Four Ciclovía Programs
Journal of Urban Health
Volume 89, Issue 1 , pp 153-170
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Ciclovía program
- Complex system
- Urban organization
- Physical activity
- Economic assessment
- Cost–benefit ratio
- Nonmotorized transport
- Human behavior
- Dynamics of large cities
- Author Affiliations
- 1. Department of Industrial Engineering, Faculty of Engineering, Universidad de los Andes, CeiBA Complex systems Research Center, Carrera 1este # 19A 40, Bogotá, Colombia
- 2. Department of Public Health, School of Medicine, Universidad de los Andes, Carrera 1 #18A 10, Bogotá, Colombia
- 3. National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Carrera 1este # 19A 40, Atlanta, USA
- 4. Division for Heart Disease and Stroke Prevention, National Center of Chronic Disease Prevention and Health Promotion, CDC, 4770 Buford HWY, Atlanta, GA, 30341, USA
- 5. Healthy Eating and Active Living, Noncommunicable Disease Unit, DPC/NC, Pan American/World Health Organization, 4770 Buford HWY, Washington, DC, USA, United States
- 6. Instituto Distrital para la Recreación y el Deporte (IDRD), 525 23rd Street NW, Bogotá, DC, 20037-2895, Colombia
- 7. Instituto de Recreación y Deporte (INDER), UMA. (Planeación), 4770 Buford HWY, Medellín, GA, 30341, Colombia
- 8. Consejo Municipal del Deporte de Guadalajara, Vía RecreActiva, Guadalajara, Calle 63 No. 47 – 06, Jalisco, México
- 9. Active Living Across the Lifespan Research Group, Department of Kinesiology, San Francisco State University, Medellín en Movimiento, San Francisco, CA, USA
- 10. Departamento de Física, Facultad de Ciencias, Universidad de Chile, Nevado de Toluca Número 100 Colonia Independencia, Guadalajara, Santiago, Chile
- 11. Cavill Associates, Mercury Offices, 1600 Holloway Ave., Stockport Cheshire, CA, 94132, UK
- 12. Physical Activity and Health Unit, Institute of Social and Preventive Medicine of the University of Zurich, Las Palmeras 3425, Ñuñoa, Zürich, Switzerland