New York City

纽约市
  • 文章类型: Journal Article
    背景:机动车碰撞是城市高速公路上死亡和伤害的主要来源。从时间的角度来看,随着时间的推移,确定路段容易碰撞可能会发生剧烈波动,使运输机构难以提出交通干预措施。然而,随着时间的推移,识别和表征具有不同碰撞密度模式的易发生碰撞的路段的研究有限。
    方法:本研究提出了一种识别和表征框架,该框架可概述具有各种碰撞密度变化的易发生碰撞的道路。我们首先采用时空网络核密度估计(STNKDE)方法和时间序列聚类来识别具有不同碰撞密度模式的路段。接下来,我们基于时空信息来表征易发生碰撞的路段,后果,车辆类型,以及导致碰撞的因素。所提出的方法适用于纽约市的两年机动车碰撞记录。
    结果:确定了具有不同碰撞密度模式的七个路段集群。经常被确定为容易发生碰撞的路段主要位于曼哈顿下城和布朗克斯区中心。此外,随着时间的推移,路段附近的碰撞会导致更多的伤亡,其中许多是由人为因素和车辆因素造成的。
    结论:随着时间的推移,具有各种碰撞密度模式的易碰撞路段在时空域和在其上发生的碰撞方面具有明显的差异。
    结论:提出的方法可以帮助决策者了解易发生碰撞的路段如何随时间变化,并可以作为更有针对性的交通处理的参考。
    BACKGROUND: Motor vehicle collisions are a leading source of mortality and injury on urban highways. From a temporal perspective, the determination of a road segment as being collision-prone over time can fluctuate dramatically, making it difficult for transportation agencies to propose traffic interventions. However, there has been limited research to identify and characterize collision-prone road segments with varying collision density patterns over time.
    METHODS: This study proposes an identification and characterization framework that profiles collision-prone roads with various collision density variations. We first employ the spatio-temporal network kernel density estimation (STNKDE) method and time-series clustering to identify road segments with different collision density patterns. Next, we characterize collision-prone road segments based on spatio-temporal information, consequences, vehicle types, and contributing factors to collisions. The proposed method is applied to two-year motor vehicle collision records for New York City.
    RESULTS: Seven clusters of road segments with different collision density patterns were identified. Road segments frequently determined as collision-prone were primarily found in Lower Manhattan and the center of the Bronx borough. Furthermore, collisions near road segments that exhibit greater collision densities over time result in more fatalities and injuries, many of which are caused by both human and vehicle factors.
    CONCLUSIONS: Collision-prone road segments with various collision density patterns over time have distinct differences in the spatio-temporal domain and the collisions that occur on them.
    CONCLUSIONS: The proposed method can help policymakers understand how collision-prone road segments change over time, and can serve as a reference for more targeted traffic treatment.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)给我们的日常生活带来了戏剧性的变化,特别是自2020年以来的人类流动性。作为大多数城市综合交通系统的主要组成部分,出租车出行代表了居民城市流动性的很大一部分。因此,量化新冠肺炎对全市出租车需求的影响,有助于更好地理解重塑的出行模式,优化公共交通运营战略,并在这场大流行的压力下收集紧急经验。为了实现目标,本研究采用地理和时间加权回归(GTWR)模型分析了COVID-19对出租车需求的影响机制。8月1日起全市出租车出行数据,2020年7月31日,纽约市的2021年被收集为模型的因变量,和COVID-19病例率,人口密度,道路密度,车站密度,选择兴趣点(POI)作为自变量。通过将GTWR模型与传统的普通最小二乘(OLS)模型进行比较,时间加权回归模型(TWR)和地理加权回归模型(GWR),对于GTWR,在时空滑行数据上的拟合优度明显更好。此外,时间分析,对GTWR模型结果进行了空间分析和疫情边际效应。本研究的结论如下:(1)病毒和医疗保健成为后疫情时代出租车需求的主要抑制和刺激因素。(2)在寒冷天气下,COVID-19对出租车需求的抑制水平更高。(3)COVID-19对出租车需求的抑制水平受到宵禁政策的严重影响。(4)尽管这种病毒在大多数时间和地点减少了出租车的需求,它仍然可以在某些特定的时间和地点增加出租车的需求。(5)随着COVID-19,体育设施和旅游业成为后疫情时代大多数地方和时间出租车需求增长的障碍。这些发现可以为政策制定者和利益相关者提供有用的见解,以在COVID-19大流行的剩余时间内提高出租车的运营效率。
    Coronavirus disease 2019 (COVID-19) has brought dramatic changes in our daily life, especially in human mobility since 2020. As the major component of the integrated transport system in most cities, taxi trips represent a large portion of residents\' urban mobility. Thus, quantifying the impacts of COVID-19 on city-wide taxi demand can help to better understand the reshaped travel patterns, optimize public-transport operational strategies, and gather emergency experience under the pressure of this pandemic. To achieve the objectives, the Geographically and Temporally Weighted Regression (GTWR) model is used to analyze the impact mechanism of COVID-19 on taxi demand in this study. City-wide taxi trip data from August 1st, 2020 to July 31st, 2021 in New York City was collected as model\'s dependent variables, and COVID-19 case rate, population density, road density, station density, points of interest (POI) were selected as the independent variables. By comparing GTWR model with traditional ordinary least square (OLS) model, temporally weighted regression model (TWR) and geographically weighted regression (GWR) model, a significantly better goodness of fit on spatial-temporal taxi data was observed for GTWR. Furthermore, temporal analysis, spatial analysis and the epidemic marginal effect were developed on the GTWR model results. The conclusions of this research are shown as follows: (1) The virus and health care become the major restraining and stimulative factors of taxi demand in post epidemic era. (2) The restraining level of COVID-19 on taxi demand is higher in cold weather. (3) The restraining level of COVID-19 on taxi demand is severely influenced by the curfew policy. (4) Although this virus decreases taxi demand in most of time and places, it can still increase taxi demand in some specific time and places. (5) Along with COVID-19, sports facilities and tourism become obstacles on increasing taxi demand in most of places and time in post epidemic era. The findings can provide useful insights for policymakers and stakeholders to improve the taxi operational efficiency during the remainder of the COVID-19 pandemic.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    交通事故已成为最公共卫生安全问题之一,引起公众和城市管理者的关注。准确预测交通事故的能力不仅支持政府的提前决策,而且增强了公众对安全措施的信心。然而,传统的时空预测模型的有效性受到事故数据的偏斜分布和稀疏标记的影响。为此,我们提出了一个稀疏时空动态超图学习(SST-DHL)框架,该框架通过结合超图学习和自监督学习来捕获稀疏交通事故中的高阶依赖关系。SST-DHL模型包含多视图时空卷积块,以捕获交通事故的局部相关性和语义,识别全球时空依赖关系的跨区域动态超图学习模型,和双监督的自我学习范式,以捕获局部和全局时空模式。通过对纽约市和伦敦事故数据集的实验,我们证明了我们提出的SST-DHL在不同稀疏度水平下与最佳基线模型相比具有显着改善。此外,它通过阐明各种交通事故实例之间复杂的时空依赖性,提高了结果的可解释性。我们的研究证明了SST-DHL框架在准确预测交通事故方面的有效性,从而增强公共安全和信任。
    Traffic accidents have emerged as one of the most public health safety matters, raising concerns from both the public and urban administrators. The ability to accurately predict traffic accident not only supports the governmental decision-making in advance but also enhances public confidence in safety measures. However, the efficacy of traditional spatio-temporal prediction models are compromised by the skewed distributions and sparse labeling of accident data. To this end, we propose a Sparse Spatio-Temporal Dynamic Hypergraph Learning (SST-DHL) framework that captures higher-order dependencies in sparse traffic accidents by combining hypergraph learning and self-supervised learning. The SST-DHL model incorporates a multi-view spatiotemporal convolution block to capture local correlations and semantics of traffic accidents, a cross-regional dynamic hypergraph learning model to identify global spatiotemporal dependencies, and a two-supervised self-learning paradigm to capture both local and global spatiotemporal patterns. Through experimentation on New York City and London accident datasets, we demonstrate that our proposed SST-DHL exhibits significant improvements compared to optimal baseline models at different sparsity levels. Additionally, it offers enhanced interpretability of results by elucidating complex spatio-temporal dependencies among various traffic accident instances. Our study demonstrates the effectiveness of the SST-DHL framework in accurately predicting traffic accidents, thereby enhancing public safety and trust.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    在家工作(WFH)已被采纳为COVID-19大流行的关键缓解策略;然而,很少有研究研究其对大流行结果的影响。在大流行期间使用多种数据来源,包括手机数据和在线调查,本研究调查了在美国城市COVID-19大流行期间,WFH对城市内健康差异的影响。纽约市(NYC)的邮政编码制表区域的大流行数据和人口普查街区组的手机移动数据,芝加哥,费城被转换成人口普查区,然后与2019年人口普查数据合并。WFH是根据人口普查区域的就业构成和大流行期间每个行业实际WFH的工作百分比,用可能可以远程工作的工人比例来衡量的。结果显示,尽管纽约市的感染率和死亡率较高,在费城,大流行结果的城市内部差异更为明显。泊松回归显示,纽约市和芝加哥的WFH和COVID-19感染与死亡率之间呈负相关,大流行期间在家里和少数民族社区(在纽约市)花费的时间增加,削弱了这一点。在费城,WFH与感染率几乎不相关,但与死亡率略有正相关,这也是通过在家里度过的时间来调节的。这项研究证明了WFH在减轻大流行结果方面的相对有效性,并强调了WFH与种族/民族和居民行为之间的交叉性。它为未来的大流行缓解提供了重要的政策影响。
    Working from home (WFH) has been adopted as a key mitigation strategy in the COVID-19 pandemic; yet few research has studied its impact on pandemic outcomes. Using multiple sources of data including cellphone data and online survey during the pandemic, this study investigates the effect of WFH on intra-city health disparities during the COVID-19 pandemic in American cities. Pandemic data for zip code tabulation areas and cellphone mobility data for census block groups in New York City (NYC), Chicago, and Philadelphia are converted to census tract level, which are then merged with 2019 census data. WFH is measured with the proportion of workers who potentially can telework based on employment composition in census tracts and percentages of jobs in each industry that actually WFH during the pandemic. Results show that while infection and death rates are higher in NYC, intra-city disparities in pandemic outcomes are more pronounced in Philadelphia. Poisson regressions show a negative association between WFH and COVID-19 infection and death rates in NYC and Chicago, which is weakened by increased time spent at home during the pandemic and in minority neighborhoods (in NYC). In Philadelphia, WFH is barely relevant for infection rates but has a marginally positive association with death rates, which is also moderated by the time spent at home. This study demonstrates the relative effectiveness of WFH in mitigating pandemic outcomes and underscores the intersectionality between WFH and race/ethnicity and resident behaviors. It provides important policy implications for future pandemic mitigation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    中央公园是纽约市的标志性建筑,这是美国第一个也是受冠状病毒影响最严重的城市之一。国家一级的居家秩序,提高COVID-19病例,以及公众对接触病毒的个人担忧,导致中央公园的游客大大减少。我们利用广泛的手机跟踪数据进行了一项开创性的实证研究,评估了COVID-19对城市公园的经济影响。我们将差异(DID)设计与娱乐需求模型集成在一起。DID设计有助于识别因果影响,控制可能混淆感兴趣的治疗效果的不可观察因素。同时,娱乐需求模型考察了造访变化的驱动因素,使我们能够估计纽约市居民经历的福利变化。我们的发现照亮了实质性的,但经常被忽视,大流行引发的福利损失。分析表明,大流行导致访问减少了94%,相当于每年4.5亿美元的消费者剩余损失。我们注意到,在最初的疫情爆发后,访问量出现了反弹,受政府政策变化的影响,天气条件,假日期间,和个人特征。
    Central Park is an iconic feature of New York City, which was the first and one of the hardest hit cities in the United States by the Coronavirus. State-level stay-at-home order, raising COVID-19 cases, as well as the public\'s personal concerns regarding exposure to the virus, led to a significant reduction of Central Park visitation. We utilized extensive cellphone tracking data to conduct one of the pioneering empirical studies assessing the economic impact of COVID-19 on urban parks. We integrated the difference-in-difference (DID) design with the recreation-demand model. The DID design aids in identifying the causal impacts, controlling for unobservable factors that might confound the treatment effects of interest. Concurrently, the recreational demand model examines the driving factors of visitation changes and enables us to estimate the welfare changes experienced by New York City\'s residents. Our findings shine a light on the substantial, yet often overlooked, welfare loss triggered by the pandemic. The analysis indicates that the pandemic resulted in a 94% reduction in visitation, corresponding to an annual consumer surplus loss of $450 million. We noted a rebound in visitation following the initial outbreak, influenced by shifts in government policy, weather conditions, holiday periods, and personal characteristics.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:本研究旨在确定使用长效可逆避孕(LARC)和非LARC激素方法的青少年和年轻女性使用安全套是否存在差异,并评估是否开始使用LARC与较低安全套相关。
    方法:本研究使用了一项针对13-25岁性活跃女性的大型纵向研究数据。问卷调查评估避孕,使用避孕套,性史,基线访视和每六个月的合作伙伴特征。对数二项回归分析检查了激素避孕方法和避孕套使用之间的关联,以及年龄和性伴侣数量的调节作用。探索性分析比较了基于伴侣特征的避孕套使用。
    结果:在1,512名参与者中,1,116例报告在任何研究访问期间使用LARC或非LARC激素方法。激素非LARC使用者(37.5%)在基线时使用避孕套显着高于LARC使用者(23.5%)(p<0.01)。LARC与非LARC使用者的安全套使用受年龄限制,因为LARC与13-18岁参与者的安全套使用率较低有关。但不是19-25岁的人。性伴侣的数量不是重要的调节因素。LARC用户比非LARC用户更有可能停止使用避孕套;然而,这没有统计学意义.在基于伴侣特征的性传播感染(STI)风险增加的参与者中,与非LARC用户相比,LARC用户的避孕套使用率较低。
    结论:开始使用LARC和激素非LARC方法后,避孕套停药是常见的。然而,基线时,LARC使用者的避孕套使用率较低,在年轻的青少年中,以及合作伙伴是否有性传播感染的风险因素。
    结论:在开始高效避孕后停用避孕套会增加性传播感染(STI)的风险。使用LARC的年轻女性可能比非LARC使用者面临更大的风险,尽管他们的伴侣有性传播感染的危险因素,但安全套使用率较低。使用避孕套进行性传播感染保护的咨询对青少年至关重要。
    This study aimed to determine whether condom use varied between adolescents and young women using long-acting reversible contraception (LARC) vs non-LARC hormonal methods and assess if the initiation of LARC was associated with lower condom use.
    This study used data from a large longitudinal study of sexually active females aged 13-25 years. Questionnaires assessed contraception, condom use, sexual history, and partner characteristics at the baseline visit and every 6 months. Log-binomial regression analyses examined associations between hormonal contraceptive methods and condom use, and the moderating effects of age and number of sexual partners. Exploratory analyses compared condom use based on partner characteristics.
    Of 1512 participants, 1116 reported LARC or non-LARC hormonal method use during any study visit. Among baseline and new LARC users, 75.7% and 84.7% reported intrauterine device (IUD) use, respectively. Condom use at baseline among hormonal non-LARC users (37.5%) was significantly higher (p < 0.01) than LARC users (23.5%). Condom use among LARC vs non-LARC users was moderated by age in that LARC was associated with lower condom use among participants aged 13-18 years, but not those aged 19-25 years. Number of sexual partners was not a significant moderator. Among participants with increased sexually transmitted infection (STI) risk based on partner characteristics, LARC users had lower condom use compared to non-LARC users.
    Condom discontinuation was common following initiation of LARC and hormonal non-LARC methods. However, condom use was lower in LARC users at baseline, among younger adolescents, and if partners had risk factors for STIs.
    Condom discontinuation following initiation of highly effective contraception increases the risk of STI. Young women using LARC may be at greater risk than non-LARC users given lower condom use despite having partners with risk factors for STIs. Condom use counseling for STI protection is critical for adolescents.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:我们研究了纽约市儿童高环境温度与急性心理健康相关的医疗保健之间的关系,青少年和年轻人。
    方法:这项病例交叉研究包括2005年至2011年在纽约市温暖季节(6-11岁、12-17岁和18-25岁)的患者中急诊(ED)就诊和在医院遇到任何心理健康障碍的主要诊断。使用0-5个滞后天的分布式滞后非线性模型,通过拟合每个年龄组的条件逻辑回归,我们计算了与体温升高相关的精神健康事件的累积比值比.分析按种族/族裔分层,支付来源和心理健康类别,以阐明脆弱的亚群。
    结果:在纽约市,在我们的研究期间,6至25岁的年轻人有82,982次与心理健康相关的遭遇。温度升高的天数与6至11岁儿童的心理健康相关ED和住院风险较高相关(比值比[OR]:1.28,95%置信区间[CI]:1.13-1.46),对于12至17岁(OR:1.17,95%CI:1.09-1.25)和18至25岁(OR:1.09,95%CI:1.04-1.15)。有反应障碍的儿童,患有焦虑和双相情感障碍的青少年,患有精神病和反应障碍的年轻人以及黑人和非西班牙裔儿童和青少年表现出体温升高的脆弱性。
    结论:我们发现,环境温度升高与儿童时期的急性心理健康ED或医院接触有关,青春期和年轻的成年。
    OBJECTIVE: We examine the association between high ambient temperature and acute mental health-related healthcare encounters in New York City for children, adolescents and young adults.
    METHODS: This case-crossover study included emergency department (ED) visits and hospital encounters with a primary diagnosis of any mental health disorder during warm-season months (June-August) in New York City from 2005 to 2011 from patients of three age groups (6-11, 12-17 and 18-25 years). Using a distributed lag non-linear model over 0-5 lag days, by fitting a conditional logistic regression for each age group, we calculated the cumulative odds ratios of mental health encounters associated with an elevated temperature. Analyses were stratified by race/ethnicity, payment source and mental health categories to elucidate vulnerable subpopulations.
    RESULTS: In New York City, there were 82,982 mental health-related encounters for young people aged 6 to 25 years during our study period months. Elevated temperature days were associated with higher risk of mental health-related ED and hospital encounters for the 6- to 11-year-olds (odds ratio [OR]: 1.28, 95% confidence interval [CI]: 1.13-1.46), for the 12- to 17-year-olds (OR: 1.17, 95% CI: 1.09-1.25) and for the 18- to 25-year-olds (OR: 1.09, 95% CI: 1.04-1.15). Children with reaction disorders, adolescents with anxiety and bipolar disorders, young adults with psychosis and reaction disorders and Black and non-Hispanic children and adolescents showed vulnerability to elevated temperature.
    CONCLUSIONS: We found that elevated ambient temperatures were associated with acute mental health ED or hospital encounters across childhood, adolescence and young adulthood.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    由于复杂的驱动因素,长岛之声(LIS)经常经历臭氧(O3)超标事件,这些事件超过了国家环境空气质量标准(NAAQS)。在2018年LIS对流层O3研究(LISTOS)期间,通过激光雷达遥感和地面采样器的协作观测,研究了夏季O3污染的基本机制。区域运输和局部化学反应被确定为LIS中观察到的O3事件背后的两个关键驱动因素。在大气边界层的O3垂直结构中观察到增强的层状结构(即,0-2km层),适用于以区域运输为主的情况。在O3超标事件的臭氧前体敏感性(OPS)中发现了O3形成方式的转变,该事件由区域运输和从纽约市(NYC)市区到LIS的富含NOx的空气质量运输主导。此外,综合工艺速率(IPR)分析表明,从纽约市市区的运输贡献了40%和27.1%的地面O3增强,以区域运输和当地生产为主的情况下,分别。这项研究提供了科学证据,以揭示控制LIS上夏季O3污染的两个关键过程,并有助于改善排放控制策略,以达到LIS和其他类似沿海地区环境O3水平的达标标准。
    Long Island Sound (LIS) frequently experiences ozone (O3) exceedance events that surpass national ambient air quality standards (NAAQS) due to complex driving factors. The underlying mechanisms governing summertime O3 pollution are investigated through collaborative observations from lidar remote sensing and ground samplers during the 2018 LIS Tropospheric O3 Study (LISTOS). Regional transport and local chemical reactions are identified as the two key driving factors behind the observed O3 episodes in LIS. An enhanced laminar structure is observed in the O3 vertical structure in the atmospheric boundary layer (i.e., 0-2 km layer) for the case dominated by regional transport. An O3 formation regime shift is found in ozone-precursor sensitivity (OPS) for the O3 exceedance event dominated by regional transport with NOx-enriched air mass transport from the New York City (NYC) urban area to LIS. Furthermore, the Integrated Process Rate (IPR) analysis demonstrates that transport from the NYC urban area contributed 40% and 27.1% of surface O3 enhancement to the cases dominated by regional transport and local production, respectively. This study provides scientific evidence to uncovers two key processes that govern summertime O3 pollution over LIS and can help to improve emission control strategies to meet the attainment standards for ambient O3 levels over LIS and other similar coastal areas.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Dataset
    城市中的个体树结构映射对于城市环境研究很重要。尽管使用各种方法在多个空间尺度上报告了树冠覆盖和生物量的制图产品,单个树及其三维结构的空间显式映射是稀疏的。在这里,我们制作了一个单独的树数据集,包括树的位置,高度,皇冠面积,冠体积,整个纽约市的生物量,美国为6,005,690棵树。从遥感数据集及其高度和树冠大小信息中检测并绘制了各个树木。使用i-TreeEco测量并建模了296个田间地块中的树木生物量。使用野外测量与遥感数据集之间的关系绘制了墙到墙的树木生物量,并将其缩小到单个树木。使用现场绘图测量进行的验证表明,我们的绘图产品高估了树数,平均树高和最大树高11.1%,8.6%,5.3%,分别。这些高估主要是由于现场测量和遥感观测之间的空间和时间不匹配以及树木分割算法的不确定性。该数据集可以评估城市森林生态系统服务,包括调节城市热量和促进城市健康,这可以为城市森林管理和政策制定提供有价值的见解。
    Individual tree structure mapping in cities is important for urban environmental studies. Despite mapping products for tree canopy cover and biomass are reported at multiple spatial scales using various approaches, spatially explicit mapping of individual trees and their three-dimensional structure is sparse. Here we produced an individual tree dataset including tree locations, height, crown area, crown volume, and biomass over the entire New York City, USA for 6,005,690 trees. Individual trees were detected and mapped from remotely sensed datasets along with their height and crown size information. Tree biomass in 296 field plots was measured and modelled using i-Tree Eco. Wall-to-wall tree biomass was mapped using relationships between field measurements and remotely sensed datasets and downscaled to individual trees. Validation using field-plot measurements indicated that our mapping products overestimated tree number, mean tree height and maximum tree height by 11.1%, 8.6%, and 5.3%, respectively. These overestimations were mainly due to the spatial and temporal mis-match between field measurements and remote sensing observations and uncertainties in tree segmentation algorithms. This dataset enables the evaluation of urban forest ecosystem services including regulating urban heat and promoting urban health, which can provide valuable insights for urban forest management and policy making.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    低水果和蔬菜(FV)摄入量和高糖饮料(SSB)消费与患心血管疾病(CVD)的风险增加独立相关。纽约市(NYC)的许多人FV摄入量低,SSB消费量高,部分原因是新鲜FV的成本高,SSB的成本低,易于使用。SSB税和FV补贴计划的潜在实施可能会带来巨大的公共卫生和经济利益。我们使用经过验证的微观模拟模型来预测CVD事件,以估计SSB税的健康影响和成本效益。FV补贴,并在纽约市征收SSB税,为FV补贴提供资金。使用纽约市健康与营养调查的数据估算了人口统计和健康状况。政策效应和价格弹性来自最近的荟萃分析。我们发现,从医疗保健行业的角度来看,用SSB税资助FV补贴预计是最具成本效益的政策。从社会的角度来看,最具成本效益的政策是SSB税。与女性相比,所有政策方案都可以预防更多的CVD事件,并节省更多的男性医疗费用。在黑色与白人成年人公共卫生从业者和政策制定者可能希望考虑采取这种政策行动的组合,同时权衡可行性考虑和其他意外后果。
    Low fruit and vegetable (FV) intake and high sugar-sweetened beverage (SSB) consumption are independently associated with an increased risk of developing cardiovascular disease (CVD). Many people in New York City (NYC) have low FV intake and high SSB consumption, partly due to high cost of fresh FVs and low cost of and easy access to SSBs. A potential implementation of an SSB tax and an FV subsidy program could result in substantial public health and economic benefits. We used a validated microsimulation model for predicting CVD events to estimate the health impact and cost-effectiveness of SSB taxes, FV subsidies, and funding FV subsidies with an SSB tax in NYC. Population demographics and health profiles were estimated using data from the NYC Health and Nutrition Examination Survey. Policy effects and price elasticity were derived from recent meta-analyses. We found that funding FV subsidies with an SSB tax was projected to be the most cost-effective policy from the healthcare sector perspective. From the societal perspective, the most cost-effective policy was SSB taxes. All policy scenarios could prevent more CVD events and save more healthcare costs among men compared to women, and among Black vs. White adults. Public health practitioners and policymakers may want to consider adopting this combination of policy actions, while weighing feasibility considerations and other unintended consequences.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号