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Policy approaches to decarbonising the transport sector in Aotearoa New Zealand: modelling equity, population health, and health-system effects

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Authors:
Summary:

Decarbonising transport could improve overall population health, reduce health system costs, and reduce health inequities for Māori, according to a modelling study of two transport pathways developed by the New Zealand Climate Change Commission. The behaviour pathway included reduced driving, increased cycling and use of public transport, and light vehicle electrification, while the technology pathway focused on vehicle electrification. Changes in health effects through the pathways of physical activity, air pollution and injury were simulated for the New Zealand population from 2018 to 2050, including impacts for Māori. While both pathways showed improvements in population health, reduced health system costs, and reduced greenhouse gas emissions, health gains were substantially larger in the behaviour pathway. Health gains were 20-30% larger for Māori than non-Māori in both pathways, although a greater effect was noted in the behaviour pathway. Assumptions about equity of the implemented pathway influenced health gains for both Māori and non-Māori.

Comment:
I encourage readers to review the whole article, as the authors raise important points about the impact of inequitable implementation of public health interventions for Māori health; and how powerful sectors (in this case transport but could equally apply to others which have raised concerns for health leaders) actively pursue policies that discriminate against Māori.
Reference: Lancet Planet Health. 2024;8(9):e647-e656.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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