Automobile Access

Bike Lane Access

Traffic Volume

Transportation

Diesel Particulate Matter

Fine Particulate Matter (PM2.5)

Ozone

Clean Environment

Park Access

Tree Canopy

Neighborhood

Above Poverty

Employed

Per Capita Income

Economic

Census Response

Voting

Social

Insured Adults

Healthcare Access

Homeownership

Housing Habitability

Severely Cost Burdened Low-Income Homeowners

Severely Cost Burdened Low-Income Renters

Uncrowded Housing

Housing

Bachelor's Education

High School Enrollment

Preschool Enrollment

Education

Outdoor Workers

Supermarket Access

Two Parent Households

Library Access

Safe Drinking Water

Public Transit Access

Decision Support

Every person should be able to get to school, work, doctor and dentist appointments, and other destinations that provide essential goods and services. Transit access has been linked to improved physical and mental health, physical activity, employment outcomes, medical care, and resiliency during disasters. Public transportation or transit includes buses, trains, subways, and other shared transportation services. For households and individuals without access to a car, including many low-income individuals and people of color, public transportation can be a critical link to jobs and other health supportive destinations that provide essential goods and services. Transit options can provide cheaper alternatives to driving and help people save on costs of owning and operating a car.

Public transportation also carries more passengers per mile than a car, and can help reduce congestion and pollution. Using public transportation allows people to get regular exercise. The U.S. Surgeon General recommends at least 150 minutes of physical activity per week, and most people can reach that goal simply by walking or biking to transit, while also building physical activity into their daily lives. This can add up: nearly a third of public transportation users are physically active for 30 minutes or more each day just from walking to and from their pickup location.

 Studies have shown that people who use public transportation for any reason were less likely to be sedentary or obese, taking 30% more steps and walking 8.3 more minutes per day than people who mostly drove everywhere.

 Walking to and from public transportation can also save people money on healthcare costs. One study estimated lifetime savings of $5,550 per person in 2007.

Conversely, lack of access to public transportation can negatively impact one’s health, particularly for those who depend on it as their primary transportation option. Where transit service is scarce or when routes are cut back, people have less access to goods and services, employment, and other opportunities. Low-income individuals and people of color, who use public transportation options the most, are greatly impacted by lack of access.

 During extreme heat events and other climate-related events, having access to public transportation can greatly impact the health outcomes of these communities. In some cases, transportation is required for survival and sufficient access to the transit system during these events is essential.

This indicator measures the percentage of people living close to convenient, reliable transit, as defined by a half-mile or ten-minute walk, that comes every fifteen minutes or less during peak commute times. 

Raynault, E., & Christopher, E. (2013). How does transportation affect public health? United States Department of Transportation. Retrieved from https://highways.dot.gov/public-roads/mayjune-2013/how-does-transportation-affect-public-health

Djurhuus, S., Hansen, H. S., Aadahl, M., & Glümer, C. (2014). The association between access to public transportation and self-reported active commuting. International Journal of Environmental Research and Public Health, 11(12), 12632–12651. https://doi.org/10.3390/ijerph111212632

Nahlik, M. J., & Chester, M. V. (2014). Transit-oriented smart growth can reduce life-cycle environmental impacts and household costs in Los Angeles. Transport Policy, 35, 21-30. https://doi.org/https://doi.org/10.1016/j.tranpol.2014.05.004

Besser, L. M., & Dannenberg, A. L. (2005). Walking to public transit: steps to help meet physical activity recommendations. American Journal of Preventive Medicine, 29(4), 273–280. https://doi.org/10.1016/j.amepre.2005.06.010

Lopez–Zetina, J., Lee, H. & Friis, R. (2006).The Link between Obesity and the Built Environment. Evidence from an Ecological Analysis of Obesity and Vehicle Miles of Travel in California. Health & Place, 12(4): 656–664; Edwards, R. (2008). Public Transit, Obesity, and Medical Costs: Assessing the Magnitudes. Preventive Medicine, 46(1): 14–21; Frank, L., Andresen, M. & Schmid, T. (2004). Obesity Relationships with Community Design, Physical Activity, and Time Spent in Cars. American Journal of Preventive Medicine, 27(2): 87–96.

Edwards R. D. (2008). Public transit, obesity, and medical costs: assessing the magnitudes. Preventive Medicine, 46(1), 14–21. https://doi.org/10.1016/j.ypmed.2007.10.004

Urban Institute. (2020, October 6). The unequal commute: Examining inequities in four metro areas’ transportation systems. Urban Institute. Retrieved from https://www.urban.org/features/unequal-commute

“Resilience” is defined as “the capacity of any entity – an individual, a community, an organization, or a natural system – to prepare for disruptions, to recover from shocks and stresses, and to adapt and grow from a disruptive

Wolch, J. R., Byrne, J., & Newell, J. P. (2014). Urban green space, public health, and environmental justice: The challenge of making cities ‘just green enough.’ Landscape and Urban Planning, 125, 234–244. https://doi.org/10.1016/j.landurbplan.2014.01.017

Cohen, D. A., Han, B., Isacoff, J., Shulaker, B., Williamson, S., Marsh, T., McKenzie, T. L., Weir, M., & Bhatia, R. (2015). Impact of park renovations on park use and park-based physical activity. Journal of Physical Activity & Health, 12(2), 289–295. https://doi.org/10.1123/jpah.2013-0165

Ebi, K. L., & Semenza, J. C. (2008). Community-based adaptation to the health impacts of climate change. American Journal of Preventive Medicine, 35(5), 501–507. https://doi.org/10.1016/j.amepre.2008.08.018

Improving public transportation access requires multiple steps, all designed to prepare communities and households for climate-related hazards and to support community resilience and action to reduce risks. Different strategies are needed in urban and rural areas, but overall the goal is to provide access by way of public transit to opportunities that generate healthier community conditions (access to jobs, schools, clinical care, parks, grocery stores with healthy, fresh, affordable food, etc) and ensure resilience

 during climate-related weather events by providing access to cooling centers, emergency support services, and organized evacuations.

Local jurisdictions can reduce the health impacts of extreme heat by using these planning processes to understand likely climate changes and impacts, assess vulnerability, and craft interventions. The U.S. Centers for Disease Control and Prevention’s 

Building Resilience Against Climate Effects (BRACE) Framework

 offers guidance for health agencies and others seeking to address the health effects of climate change.

Assessing vulnerability to climate impacts is a particularly important step in resilience planning. While climate change impacts all Utahns, some individuals and families are more impacted, and have fewer resources to draw upon to help them adapt. 

The health impacts of climate change often deepen existing social inequities—magnifying or layering new risks on top of economic, social, environmental, biological, and health disparities

. The Healthy Places Index can also be used to assess underlying social vulnerabilities at the census tract level. 

Actions designed to improve climate resilience also provide the opportunity to maximize additional health or quality of life benefits that can be achieved in addition to increased resilience. For example, the transportation policies discussed in this guide improve access to safety during a disaster, but they also offer a range of other benefits. Enhanced public transit service can provide greater access to employment, education, health, and other goods and services that can improve quality of life and economic security. Adding new sidewalks and bicycle lanes as a way to improve the first and last mile to public transportation can also increase options available to residents, and promote physical activity. Transit pass programs can encourage higher transit ridership and reducing congestion on the streets. Transit passes can also reduce transportation costs for low-income households who are often burdened by high housing and transportation costs relative to their income. Smart growth development, and green infrastructure, which incorporates plants, soils and other natural features into the streetscape to manage storm water and reduce pollution,

 can make communities more resilient to other climate events and emergencies. Many of these strategies will ultimately result in more sustainable, equitable communities and help reduce greenhouse gas emissions and reduce vehicle miles traveled.

Resilience efforts should prioritize the participation of community members in each step of the process. This will help ensure that community standards, expectations and requirements are effectively addressed, while building buy-in and support for resilience measures, and improving community capacity to envision and address climate impacts. 

In the short term, communities should make sure they are 

 by assessing their current transit networks and operations for climate risks, as well as the system’s effectiveness in getting core transit riders where they need to go. They should also develop a plan for responding to extreme weather events. When these events occur, effective and targeted 

 systems should be in place to get people who rely on public transit away from disaster and to emergency facilities.

In the longer term, governments should ensure residents have access to safety and essential destinations before, during, and after disasters by increasing their 

 in public transportation, including both expansions of the system and maintenance of existing operations. Local governments should also explore different 

 options to lower the cost and incentivize greater use of public transportation. Since most transit riders walk or bike to the transit stop or station, jurisdictions should also improve 

Local governments and transit agencies should consider 

 and how building and preserving affordable housing near transit can provide greater access to safety, health supportive destinations, and opportunity, and also how transit facility design can reduce the urban heat-island effect and keep people cool while waiting. Finally, local governments should foster 

, which has been shown to reduce social vulnerability and the health impacts of climate events, and also create public awareness and knowledge of the effects of climate change in their communities.

Although climate resilience actions tend to save money in the long term, some come with a high immediate cost, especially infrastructure investments. Several funding sources and technical assistance programs support local government efforts to build more resilient infrastructure and ensure vulnerable populations have adequate public transportation access. For more general climate resilience funding opportunities, see: The U.S. Climate Resilience Toolkit’s 

Ensure that effective public transit systems are in place for people to get to safety during extreme weather events and other disasters.

Equity

Sufficient Evidence

Transportation to Emergency Facilities

Lower the cost and incentivize greater use of public transportation.

Emerging

Payment Options

Discount Transit Pass Programs

Assess current transit networks and operations for climate risks and assure effectiveness in getting core transit riders where they need to go, particularly during extreme weather events and other climate events.

Best Practice

Emergency Response Plans

Service Planning for Climate Adaptation

Climate Risk Assessment of Transit System for Resilience Building

Support resident engagement, social connections, and climate awareness, which have been shown to reduce social vulnerability and the health impacts of climate events.

Transit Rider Surveys

Community Engagement and Connection

Community Organizing

Community-Based Resilience Planning Processes

Promising

Effective Community Engagement

Plan for concentrated and affordable development near transit to improve public transit access and support design that reduces the urban heat-island effect and keeps people cool.

Pollution

Physical Activity

Climate

Urban Greening

Healthy Neighborhoods

Transit-Oriented Affordable Housing

Cool Transit Facilities

Improve first and last mile connections to ensure that riders can walk or bike to transit stops or stations.

Integrate Special Considerations for Rural Areas

Shared Transportation Systems

Health

Safety for all Users

Healthy Transportation Policies

Regional Transportation Plans (RTP)

Demand-Responsive Transit Services

Active Transportation Infrastructure

Ensure residents have access to safety and essential destinations before, during, and after disasters by increasing investment in public transportation, including expansion of the system and maintenance of existing operations.

Policy Guide

Public Transit Access

References