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Health Promotion Practice
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A Cost-Benefit Analysis of Physical Activity Using Bike/Pedestrian Trails

Guijing Wang, PhD

Caroline A. Macera, PhD

Centers for Disease Control and Prevention in Atlanta, Georgia

Barbara Scudder-Soucie, MEd

Nebraska Health and Human Services System in Lincoln

Tom Schmid, PhD

Michael Pratt, MD, MPH

Centers for Disease Control and Prevention in Atlanta, Georgia

David Buchner, MD, MPH

Physical Activity and Health Branch, Division of Nutrition and Physical Activity, National Centers for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention in Atlanta, Georgia

From a public health perspective, a cost-benefit analysis of using bike/pedestrian trails in Lincoln, Nebraska, to reduce health care costs associated with inactivity was conducted. Data was obtained from the city's 1998 Recreational Trails Census Report and the literature. Per capita annual cost of using the trails was U.S.$209.28 ($59.28 construction and maintenance, $150 of equipment and travel). Per capita annual direct medical benefit of using the trails was $564.41. The cost-benefit ratio was 2.94, which means that every $1 investment in trails for physical activity led to $2.94 in direct medical benefit. The sensitivity analyses indicated the ratios ranged from 1.65 to 13.40. Therefore, building trails is cost beneficial from a public health perspective. The most sensitive parameter affecting the cost-benefit ratios were equipment and travel costs; however, even for the highest cost, every $1 investment in trails resulted in a greater return in direct medical benefit.

Key Words: environment • community • inactivity • economic analysis

Health Promotion Practice, Vol. 6, No. 2, 174-179 (2005)
DOI: 10.1177/1524839903260687
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M. Peterson, M. Chandlee, and A. Abraham
Cost-Effectiveness Analysis of a Statewide Media Campaign to Promote Adolescent Physical Activity
Health Promot Pract, October 1, 2008; 9(4): 426 - 433.
[Abstract] [PDF]