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7458198 
Book/Book Chapter 
Chapter eighteen - Barriers and enablers to change in transport and health 
Lee, KK 
2020 
Elsevier 
Advances in Transportation and Health 
391-406 
is a chapter of 7473119 Advances in transportation and health: Tools, technologies, policies, and developments
Noncommunicable diseases (NCDs), such as cardiovascular diseases, chronic respiratory diseases, cancers, diabetes, and mental health conditions, are now the leading causes of mortality, morbidity, and rapidly rising health-care costs. Among policies the United Nations (UN) has called for to address this dire situation is the creation of healthy cities and environments. According to the World Health Organization, transport systems in cities unsupportive of walking, cycling, and public transport contribute to physical inactivity, air pollution, and road traffic injuries. The UN has identified challenges to the development and implementation of healthy city policies, and these challenges affect policies that can improve transportation infrastructure for health. To address these challenges, lessons can be learned from advancements already made in policies on other NCD risk factors, such as tobacco. There are also lessons on knowledge translation progress for transport and health policies and practices from jurisdictions that have worked on these issues directly in recent years. Such work has identified five key processes to achieve improvements in health promoting and protecting policies and practices in sectors outside of health, including (1) cross-sector partnerships among health and multiple nonhealth sectors; (2) pilot initiatives; (3) evaluation of health and other outcomes in pilots; (4) community engagement; and (5) dissemination efforts for lessons learned. 
Risk factor; transport; health policies; key challenges; health-care costs; built environment 
Khreis, Haneen