# Do health benefits outweigh the costs of mass recreational programs: An economic analysis of four ciclovía programs

Montes, F; Sarmiento, O L; Zarama, R; Pratt, M; Wang, G; Jacoby, E; Schmid, T L; Ramos, M; Ruiz, O; Vargas, O; Michel, G; Zieff, S G; Valdivia, J A; Kahlmeier, S (2012). Do health benefits outweigh the costs of mass recreational programs: An economic analysis of four ciclovía programs. Journal of Urban Health, 89(1):153-170.

## Abstract

One promising public health intervention for promoting physical activity is the Ciclovía program. The Ciclovía is a regular multisectorial community-based program in which streets are temporarily closed for motorized transport, allowing exclusive access to individuals for recreational activities and physical activity. The objective of this study was to conduct an analysis of the cost–benefit ratios of physical activity of the Ciclovía programs of Bogotá and Medellín in Colombia, Guadalajara in México, and San Francisco in the USA. The data of the four programs were obtained from program directors and local surveys. The annual cost per capita of the programs was: US \$6.0 for Bogotá, US \$23.4 for Medellín, US \$6.5 for Guadalajara, and US \$70.5 for San Francisco. The cost–benefit ratio for health benefit from physical activity was 3.23–4.26 for Bogotá, 1.83 for Medellín, 1.02–1.23 for Guadalajara, and 2.32 for San Francisco. For the program of Bogotá, the cost–benefit ratio was more sensitive to the prevalence of physically active bicyclists; for Guadalajara, the cost–benefit ratio was more sensitive to user costs; and for the programs of Medellín and San Francisco.

One promising public health intervention for promoting physical activity is the Ciclovía program. The Ciclovía is a regular multisectorial community-based program in which streets are temporarily closed for motorized transport, allowing exclusive access to individuals for recreational activities and physical activity. The objective of this study was to conduct an analysis of the cost–benefit ratios of physical activity of the Ciclovía programs of Bogotá and Medellín in Colombia, Guadalajara in México, and San Francisco in the USA. The data of the four programs were obtained from program directors and local surveys. The annual cost per capita of the programs was: US \$6.0 for Bogotá, US \$23.4 for Medellín, US \$6.5 for Guadalajara, and US \$70.5 for San Francisco. The cost–benefit ratio for health benefit from physical activity was 3.23–4.26 for Bogotá, 1.83 for Medellín, 1.02–1.23 for Guadalajara, and 2.32 for San Francisco. For the program of Bogotá, the cost–benefit ratio was more sensitive to the prevalence of physically active bicyclists; for Guadalajara, the cost–benefit ratio was more sensitive to user costs; and for the programs of Medellín and San Francisco.

## Citations

23 citations in Web of Science®
27 citations in Scopus®

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Item Type: Journal Article, refereed, original work 04 Faculty of Medicine > Epidemiology, Biostatistics and Prevention Institute (EBPI) 610 Medicine & health English 2012 11 Jan 2012 12:48 05 Apr 2016 15:15 Springer 1099-3460 https://doi.org/10.1007/s11524-011-9628-8 22170324
Permanent URL: https://doi.org/10.5167/uzh-53166