%0 Comparative Study
%T The Cost-Effectiveness of Bike Share Expansion to Low-Income Communities in New York City.
%A Yu W
%A Chen C
%A Jiao B
%A Zafari Z
%A Muennig P
%J J Urban Health
%V 95
%N 6
%D 12 2018
%M 30397819
%F 5.801
%R 10.1007/s11524-018-0323-x
%X The "Citi Bike" bike share program in New York City is the largest bike share program in the USA. We ask whether expanding this program to lower-income communities is cost-effective means of encouraging exercise and reducing pollution in New York City. We built a stochastic Markov model to evaluate the cost-effectiveness of the Citi Bike expansion program, an effort to extend bike share to areas with higher costs and risks over a 10-year time horizon. We used one-way sensitivity analyses and Monte Carlo simulation to test the model uncertainty. The incremental cost-effectiveness ratio of the Citi Bike expansion program relative to the current program (status quo) was $7869/quality-adjusted life year gained. The Citi Bike expansion program in New York City offers good value relative to most health interventions.