Physical activity & transport in Bogotá:

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Physical activity & transport in Bogotá: The case of TransMilenio Olga L. Sarmiento

1. Context Outline Bus Rapid Transit (BRT) worldwide TransMilenio 2. Aim 3. Methods 4. Results 5. Conclusions & policy implications

Bus Rapid Transit (BRT) & Bus of High Level of Service (BHLS) Flexible, rubber-tired form of rapid transit that combines stations, vehicles, services, running ways and information technologies into an integrated system with strong identity (Levinson, Zimmerman, Clinger, Gast, et al., 2003). BRT are usually considered part of multimodal transport systems

BRT & BHLS around the world 120 cities 280 corridors 4,300 Km 6,700 stations 30,000 buses 28 million passangers/day Source: Hidalgo, D., & Gutiérrez, L., BRT and BHLS around the world: Explosive growth, large positive impacts and many issues outstanding, Research in Transportation Economics (2012 4

TransMilenio TM fases 1 2 y 3 y TM total

TransMilenio 30% of the trips in Bogotá are made by public transport (9% TransMilenio) TransMilenio buses operate in exclusive lanes with fixed stations ~500m Average of 1.2million pasangers per day The fastest mode of transport 28km/h Source: Informe de indicadores, Encuesta de Movilidad de Bogotá 2011, Preparado por la Unión Temporal Steer Davies Gleave & Limited Centro Nacional de Consultoría and Observatorio de Movilidad 2010

TransMilenio & physical activity Having 1 TransMilenio stations within the 1000-m buffer of the neighborhood periphery increased the odds of walking for utilitarian purposes ( 150min/wk) POR:1.72 (IC 95% 1.19-2.47), p=0.006) Low prop walking neigh & feeders Having 1 TransMilenio stations within the neighborhood increased the odds of reporting 10-149 min/wk of Leisure activity POR: 1.3 (IC 95% 1.07-1.50), p=0.009) Cervero R, Sarmiento OL, Jacoby E, Gómez LF, Neiman A. Influences of built environments on walking and cycling: Lessons from Bogotá. International Journal of Sustainable Transportation. 2009;3:203-226. High prop walking neigh & Trans stations

Aim To assess the association between the use of TransMilenio and walking for transport in adults from Bogotá

Methods

Study Population 2010-2011 30 neighborhoods stratification variables: SES, slope, proximity to TransMilenio and public park provision IPEN Walkability index (median split) and SES (high vs. low) Random selection 5 blocks within each neighborhood 10 households within each block 1 adult within each household 18-70 years N=1000

Outcome and independent variables Utilitarian physical activity: minutes of walking for transport during the last 7 days (<150 minutes vs. 150 minutes (IPAQ). Module of transport designed for IPEN (Curitiba, Cuernavaca and Bogotá) Number of days that the adult used TransMilenio, bus, Car, taxi motorcycle (0 vs. 1 day) Sociodemographic characteristics & BMI Built environment variables (walkability index, distance to TM, # of TM stations, slope) 1000m street network buffers around the centroid of the block Multilevel Poisson-model SAS 9.2 and Stata 12.0

Results

Characteristics of study population Age Study Population N=1000 40.1 (SD:14.5) Sex Male: 36.3% Female: 63.7% Education level <High school: 61.0% High school: 39.0% Socioeconomic status 1-2: 49.0% 3-5: 50.7% Normal: 38.2 % BMI Overweight: 44.4% Obesity: 17.4% Car in the household 32%

Modes of transport in the last 7 days Percentage 80 70 60 50 40 30 20 10 0 68.1 33.2 29.3 29.0 Bus Carro TransMilenio Taxi Alimentador de TransMilenio 10.4 7.9 5.3 Otro Moto

Physical activity &TM 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 150 min/wk 58% p=0.001 48% TransMilenio user No TransMilenio user 51% Met PA recomendations walking for transport

Adjusted PR and 95% CI for the Association Between Walking 150min for transport and TM use in the last 7 days 10 Prevalence ratios 1 0.1 Usuarios TransMilenio 1.3 0.9 1.3 (CI 95% 1.01-1.59); p=0,04 Usuarios carro Ingresos menores a 350 dólares 1.5 1.6 Ingresos entre 350 y 1000 dólares 1.0 Ingresos mayores a 1000 dólares Model adjusted for sex, age, ses, education, occupation, BMI, walkability index, distance to TM and # TM stations, slope

Limitations The cross-sectional design of this study did not allow us to infer causality. Reliability and validity of PA measures could be overestimated

Transport & Walking High income countries Middle income countries a. Association between walking for transport 150 minutes per week (30 minutes per day per 5 days) and TransMilenio access b. Association between walking during leisure time at least 10 minutes and TransMilenio access c. Association between walking for transportation at least 10 minutes and BRT bus stop number ( 2) d. Association between walking for transportation at least 10 minutes and bus stop number e. Association between walking for transportation at least 10 minutes and train use f. Association between walking 10.000 steps day and public transport use g. Association between walking 10.000 steps day and public transport use h. Association between walking for transport (up to 2,4Km/day) and Transit stop distance

Conclusions & policy implications Use of public transport contributes to meeting physical activity recommendations. TransMilenio users were more likely to walk 150 minutes compared to non-users of TransMilenio. Manager of TransMilenio SA --co-benefit of the BRT system Continued improvements to public transit systems can lead to lasting improvements to opportunities for physical activity.

What is next. Bogotá cross-sectional repeated study Agent based modeling to assess scenarios of walking and TM used with the projected expansion IPEN network To assess the association between PA and access to public transportation in 12 countries.

Gracias