Health impact assessment – A survey on quantifying tools

Fehr, Rainer; Mekel, Odile; Hurley, J F; Mackenbach, Johan P.

doi:10.1016/j.eiar.2016.01.001

Cited by 11 publications

(7 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lastly, our proposed pathway suffers potential limitations from being a quantitative HIA approach: chiefly that not everything that should be taken into account in HIA is quantifiable (Mindell et al 2001;Fehr et al 2012Fehr et al , 2016. Qualitative HIA approaches should generally complement quantitative ones.…”

Section: Discussionmentioning

confidence: 99%

“…An assortment of computational tools for HIA quantification has been made available: some more generic, others more specific to certain determinants or diseases; some more related to environmental health risk assessments, others more in tune with public health risk factor-outcome modeling; most not very user-friendly without support from the original developers. Further tool development is no longer considered a priority, but improvements are needed regarding two aspects: its application in various real-life contexts and especially in 'whether and how they estimate impacts on health inequalities' (Fehr et al 2012(Fehr et al , 2016.…”

Section: Strategymentioning

confidence: 99%

“…Among the difficulties, a major one is to find available and reliable data to model interrelations, explicitly between health determinants, health impacts, policies and related costs (Fehr et al 2012(Fehr et al , 2016Harris-Roxas et al 2012). Another barrier is that complex statistical methodologies used frequently generate results difficult to understand by non-statisticians, including decision-makers (Fehr et al 2012).…”

Section: Strategymentioning

confidence: 99%

See 2 more Smart Citations

Picturing inequities for health impact assessment: linked electronic records, mortality and regional disparities in Portugal

Bacelar–Nicolau

Rodrigues

Fernandes

et al. 2017

Impact Assessment and Project Appraisal

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Strategymentioning

confidence: 99%

Section: Strategymentioning

confidence: 99%

See 1 more Smart Citation

Picturing inequities for health impact assessment: linked electronic records, mortality and regional disparities in Portugal

Bacelar–Nicolau

Rodrigues

Fernandes

et al. 2017

Impact Assessment and Project Appraisal

View full text Add to dashboard Cite

“…agriculture, water, disaster management, urban design) can support responses that address human health impacts, with a focus on prevention activities. Initiatives to reduce environmental risks, focusing on benefits across sectors, are consistent with the World Health Organization's (WHO) call for Health in All Policies (WHO 2014) and the development of tools for integrated environmental and health assessment (Fehr et al 2016). The health sector must rapidly strengthen the way that it articulates messages on human health and emphasize that the majority of environmental pressures will ultimately have human health impacts.…”

Section: Healthmentioning

confidence: 94%

Cross-cutting Issues

2019

Global Environment Outlook – GEO-6: Healthy Planet, Healthy People

View full text Add to dashboard Cite

Environmental pollution is still a major source of damage to the health of the planet (well established), human health (well established), equity (well established) and economic sustainability (established but incomplete). The risks, however, are systemic and wide-ranging, including climate change, ecosystem and biodiversity loss, wildlife damage, systemic change and other major issues. Sustainable development is possible if 'Healthy Planet, Healthy People' becomes central to our understanding of genuine progress. Solutions need to be both evidence-based and systemic, tackling sources of pollution, aiming for co-benefits and checking for unintended consequences. {4.2.1} The number of people affected by both slow and suddenonset environmental disasters is increasing due to compounding effects of multiple and interacting drivers (well established). These drivers include climate change and environmental degradation, poverty and social inequality, demographic change and settlement patterns, increasing population density in urban areas, unplanned urbanization, unsustainable use of natural resources, weak institutional arrangements, and policies which do not consider disaster risk. Disasters undermine human security and well-being, resulting in loss and damage to ecosystems, property, infrastructure, livelihoods, economies and places of cultural significance while forcing millions of people each year to flee their homes. {4.2.2} Gender equality and women's empowerment are multipliers of sustainability (well established). Ensuring gender-equal representation in environmental assessments, resource management and environmental decision-making ensures that diverse experiences and knowledge systems about the environment are integrated and ecosystem conservation and sustainable use of natural resources are enhanced. In this way, increasing gender equality and women's empowerment contribute to achieving the environmental dimension of the Sustainable Development Goals (SDGs). {4.2.3} Significant progress has been made around the world with implementing education for sustainable development (ESD) in all educational sectors (well established). However, upscaling of ESD is still needed in order to include it as a core element in the structures of educational systems globally. In this way, education will contribute to achieving the SDGs. Policies are needed that eliminate economic and gender barriers to accessing education. {4.2.4}

show abstract

“…The tool applies an epidemiological model to estimate the net transition probabilities from risk factor prevalence, relative risk (RR) for death, and baseline allcause mortality, assuming that the age-specific risk factor exposure does not change over time (Boshuizen 2010;Lhachimi et al 2008Lhachimi et al , 2010. While several other tools exist for health impact assessment, as, for example, reviewed by Fehr et al (2016), DYNAMO-HIA offers the advantage of being generic, flexible, and publicly available (via http:// www.dynamo-hia.eu/). DYNAMO-HIA software estimates the health impact of different policy scenarios over time, by comparing an alternative scenario with the ''business-as-usual'' scenario (Boshuizen et al 2012;Lhachimi et al 2012).…”

Section: Dynamo-hia Softwarementioning

confidence: 99%

Potential impact of reduced tobacco use on life and health expectancies in Belgium

Otavova

Oyen

Yokota

et al. 2019

Int J Public Health

View full text Add to dashboard Cite

Objectives We investigated the potential impact of reduced tobacco use scenarios on total life expectancy and health expectancies, i.e., healthy life years and unhealthy life years. Methods Data from the Belgian Health Interview Survey 2013 were used to estimate smoking and disability prevalence. Disability was based on the Global Activity Limitation Indicator. We used DYNAMO-HIA to quantify the impacts of risk factor changes and to compare the ''business-as-usual'' with alternative scenarios. Results The ''business-as-usual'' scenario estimated that in 2028 the 15-year-old men/women would live additional 50/52 years without disability and 14/17 years with disability. The ''smoking-free population'' scenario added 3.4/2.8 healthy life years and reduced unhealthy life years by 0.79/1.9. Scenarios combining the prevention of smoking initiation with smoking cessation programs are the most effective, yielding the largest increase in healthy life years (1.9/1.7) and the largest decrease in unhealthy life years (-0.80/-1.47). Conclusions Health impact assessment tools provide different scenarios for evidence-informed public health actions. New anti-smoking strategies or stricter enforcement of existing policies potentially gain more healthy life years and reduce unhealthy life years in Belgium.

show abstract

Health impact assessment – A survey on quantifying tools

Cited by 11 publications

References 43 publications

Picturing inequities for health impact assessment: linked electronic records, mortality and regional disparities in Portugal

Picturing inequities for health impact assessment: linked electronic records, mortality and regional disparities in Portugal

Cross-cutting Issues

Potential impact of reduced tobacco use on life and health expectancies in Belgium

Contact Info

Product

Resources

About