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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Spinning the wheels and rolling the dice: Life-cycle risks and benefits of bicycle commuting in the U.S.
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Spinning the wheels and rolling the dice: Life-cycle risks and benefits of bicycle commuting in the U.S.

机译:旋转车轮并滚动骰子:在美国自行车通勤的生命周期风险和益处

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Objective. To assess the net impact on U.S. longevity of the decision to commute by bicycle rather than automobile.Methods. We construct fatality rates per distance traveled using official statistics and denominators from the 2009 National Household Travel Survey. We model the life-table impact of switching from auto to bicycle commuting. Key factors are increased risks from road accidents and reduced risks from enhanced cardiovascular health.Results. Bicycling fatality rates in the U.S. are an order of magnitude higher than in Western Europe. Risks punish both young and old, while the health benefits guard against causes of mortality that rise rapidly with age. Although the protective effects of bicycling appear significant, it may be optimal to wait until later ages to initiate regular bicycle commuting in the current U.S. risk environment, especially if individuals discount future life years.Conclusions. The lifetime health benefits of bicycle commuting appear to outweigh the risks in the U.S., but individuals who sufficiently discount or disbelieve the health benefits may delay or avoid bicycling. Bicycling in middle age avoids much fatality risk while capturing health benefits. Significant cross-state variations in bicycling mortality suggest that improvements in the built environment might spur changes in transit mode.
机译:客观的。评估通过自行车而不是汽车的决定对美国的净影响。我们使用2009年全国家庭旅游调查的官方统计数据和分母来构建每距离的死亡率。我们模拟了从自动切换到自行车通勤的生命表的影响。关键因素增加了道路事故的风险,降低了增强的心血管健康的风险。结果。美国的骑自行车的死亡率比西欧高的数量级。风险惩罚年轻人和老年人,而健康则会损害死亡的死亡原因,随着年龄迅速上升。虽然骑自行车的保护作用显得很大,但它可能是最佳的等待,以至于更晚时期,以便在当前的美国风险环境中启动常规自行车通勤,特别是如果个人折扣未来的生活年。结论。自行车通勤的终身健康益处似乎超过了美国的风险,而是足够折扣或不相信健康福利的个人可能会延迟或避免骑自行车。中年骑自行车在捕获健康益处时避免了大量死亡风险。骑自行车死亡率的显着的跨态变化表明,建筑环境的改进可能会在传输模式下刺激变化。

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