Agenda. US-1 Corridor Study and HIA Update. Pathway Diagram / Primary Indicators. Research Questions. Linking Multimodal Improvements to Indicators

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2 Icebreaker

3 Agenda US-1 Corridor Study and HIA Update Pathway Diagram / Primary Indicators Research Questions Linking Multimodal Improvements to Indicators Vulnerable Populations

4 US-1 Corridor Study Vision for Multimodal Corridor Local Buy-In Active Transportation Enhanced Transit & Continuous Bike/Ped Facilities Implementable Plans Community Health, Safety, and Economic Development

5 Study Area Limits Camino Real to Indiantown Rd 6 Sections, 14 Cities Section 1: Boca Raton Section 2: Delray Beach, Boynton Beach, Gulf Stream Section 3: Hypoluxo, Lantana, Lake Worth Section 4: West Palm Beach Section 5: Riviera Beach, Lake Park, North Palm Beach Section 6: Juno Beach, Jupiter, Palm Beach Gardens Indiantown Rd PGA Blvd Northlake Blvd Blue Heron Blvd Okeechobee Blvd Southern Blvd Forest Hill Blvd Lake Worth Rd Lantana Rd Boynton Beach Blvd Atlantic Ave Jupiter Juno Beach Palm Beach Gardens North Palm Beach Lake Park Riviera Beach West Palm Beach Lake Worth Lantana Hypoluxo Boynton Beach Gulf Stream Delray Beach Yamato Rd Glades Rd Camino Real Boca Raton 5

6 US-1 Corridor Study Timeline Spring 2017 Summer-Fall 2017 Winter 2018 Spring 2018 Project Research Public Outreach Final Report Public Outreach

7 Continuous Bike and Pedestrian Facilities

8 Enhanced Transit Source: Kittelson and Associates

9 US-1 Health Impact Assessment Spring 2017 Screening Spring-Summer 2017 Scoping Summer 2017 Assessment Fall-Winter 2017 Decision Making & Recommendations Denotes Working Group Meeting (5) We are here 2018 and Beyond Evaluation & Follow Up Winter 2017 Reporting

Key Findings 1. High transit ridership 2.

especially at night 3. Employment corridor 4.

Concentrations of lower income, lower education

Concentrations of transit dependent and minority

10 Key Findings 1. High transit ridership 2. Critical pedestrian/bicycling safety issue, especially at night 3. Employment corridor 4. Redevelopment occurring 5. Concentrations of lower income, lower education populations 6. Concentrations of transit dependent and minority populations Corridor Needs/ Goals 1. Improve access to jobs and education 2. Improve access to health and community services 3. Improve safety for pedestrians and cyclists 4. Support development / redevelopment along corridor

11 Pathway Diagram / Indicators

12 US-1 HIA Goal The goal of the study is to better understand the impacts of the potential US 1 multimodal improvements on the overall health of the communities that would be served by this proposed transit investment. This would include potential impacts of improvements on: Access to jobs and education Access to health and community services Safety for pedestrians and cyclists Development / redevelopment along corridor

13 US-1 HIA Pathway Diagram Exercise

14 Health Indicator Long List Mental Health / Depression Admissions Preventative Care Visits Obesity / Diabetes Rate Access to Healthy Foods Access to Jobs People Living below the Poverty Line Access to Health Care School absenteeism Number of students walking / biking to school Recreational facility visits Bike and Pedestrian Crash Rates Transit Ridership / Mode Split Vehicle Miles Traveled Air Quality Noise Pollution Violent and Non Violent Crime Social Interaction / Quality of Life Local Business Revenue Respiratory Disease / Asthma Walk Score School Performance Affordable Housing Insurance Rates

15 Health Indicators Long List Pathway Diagram Exercise during Working Group Meeting #1 Strongest Relationships to Goals and Outcomes Long List Indicators Short List Indicators Data Availability Primary Indicators Final Pathway Diagram

16 Health Indicator Short List Households with Access to Jobs within 30 min Households with Access to Educational Facilities within 30 min Households with Access to Health Care Facilities within 30 min Transit Ridership / Mode Split Bike and Pedestrian Crash Rates Taxable Land Value Quality of Life / Social Interaction Mental Health / Depression Admissions Preventative Health Care Visits Obesity / Diabetes Respiratory Disease / Asthma Households with Access to Healthy Food Sources within 15 min

17 Health Indicator Short List Pathway Diagram Exercise during Working Group Meeting #1 Strongest Relationships to Goals and Outcomes Long List Indicators Short List Indicators Data Availability Primary Indicators Final Pathway Diagram

access to health care facilities within 30 min Mental Health / Depression

/ Asthma Households with access to healthy food sources within 15 min Transit

18 Health Indicator Short List Households with access to jobs within 30 min Households with access to educational facilities within 30 min Households with access to health care facilities within 30 min Mental Health / Depression Admissions Preventative Health Care Visits Obesity / Diabetes Respiratory Disease / Asthma Households with access to healthy food sources within 15 min Transit ridership / mode split Bike and Pedestrian Crash Rates Taxable land value Quality of Life / Social Interaction

19 Health Indicator Short List Pathway Diagram Exercise during Working Group Meeting #1 Strongest Relationships to Goals and Outcomes Long List Indicators Short List Indicators Data Availability Primary Indicators Final Pathway Diagram

20 Health Indicator Short List

21 Research Questions

22 US-1 HIA Research Questions 1. How will the project improve access to: Jobs, major employment centers, schools and educational opportunities? Hospitals, clinics, and healthy food sources? Social services, parks, and exercise opportunities? 2. How will the project impact: Mode split and physical activity levels? Economic development and redevelopment?

23 US-1 HIA Research Questions 3. How will the project affect frequency and severity of bike and pedestrian crashes? 4. How will the increased physical activity and commute benefits of the project affect obesity, mental health, and other chronic diseases levels in the study corridor? 5. How will the project affect corridor residents and workers perception of quality of life / social cohesion?

24 Linking US-1 Improvements to Indicators

25 Linking US-1 Improvements to Indicators Indicator: Obesity Lack of Exercise Responsible for Twice as Many Early Deaths as Obesity University of Cambridge, 2015 A brisk 20 minute walk each day could be enough to reduce an individual's risk of early death by between 16 30% The impact was greatest amongst normal weight individuals, but even those with higher BMI saw a benefit. Does Bus Rapid Transit Promote Walking? Journal of Physical Activity and Health, 2014 Identified higher average self reported distances walked associated with riding the BRT versus the local bus. Transit could result in an extra 20 blocks walked per month or 240 blocks walked per year People with safe places to walk within ten minutes of home are twice as likely to meet physical activity targets

Linking US-1 Improvements to Indicators Indicator: Pedestrian and Bike Crashes Evaluation of the Safe Routes to Transit Program in California Safe Transportation Research & Education Center, 2014

26 Linking US-1 Improvements to Indicators Indicator: Pedestrian and Bike Crashes Evaluation of the Safe Routes to Transit Program in California Safe Transportation Research & Education Center, 2014 Streetscape and roadway improvements positively influenced the propensity to walk, bicycle, and take the bus to transit stations. Lessons from the Green Lanes National Institute for Transportation and Communities, % stated that the protected bike lanes increased the safety of bicycling on the street. Safety in numbers: more walkers and bicyclists, safer walking and bicycling Injury Prevention, 2003 Motorists adjust their behavior in the presence of people walking and bicycling Policies that increase walking and bicycling appear to be an effective way to improve walking and bicycling safety

Linking US-1 Improvements to Indicators Indicators: Access to Health Care, Access to Education Economic Development Impacts of Bus Rapid Transit University of Minnesota, 2016 BRT improvements enhance

27 Linking US-1 Improvements to Indicators Indicators: Access to Health Care, Access to Education Economic Development Impacts of Bus Rapid Transit University of Minnesota, 2016 BRT improvements enhance job access by shortening journey times. Evaluating Public Transportation Health Benefits Victoria Transport Policy Institute, 2010 High quality public transportation increases access to healthy food sources, especially for those who are physically or economically disadvantaged

Linking US-1 Improvements to Indicators Indicator: Taxable Land Value Social, Environmental, and Economic Impacts of BRT Systems EMBARQ, 2013 The reductions in travel time and the improvements in

28 Linking US-1 Improvements to Indicators Indicator: Taxable Land Value Social, Environmental, and Economic Impacts of BRT Systems EMBARQ, 2013 The reductions in travel time and the improvements in quality of service associated with implementation of a new transit line often get capitalized into land value, as residents and businesses are willing to pay a premium to be closer to transit stations... Proximity to BRT has a positive impact on land values. More Development for Your Transit Dollar Institute for Transportation and Development Policy, 2013 The Cleveland Healthline BRT has led to $ in development per dollar of transit investment and the Kansas City Main Street Metro Area Express (MAX) bus has seen $ in investment per dollar of transit investment

29 Vulnerable Populations

Indiantown Rd Poverty PGA Blvd Northlake Blvd Blue Heron Blvd North Palm Beach Lake Park Riviera Beach

Blvd West Palm Beach Forest Hill Blvd Lake Worth Rd Lake Worth 40% of biker commuters are classified in

30 Indiantown Rd Poverty PGA Blvd Northlake Blvd Blue Heron Blvd North Palm Beach Lake Park Riviera Beach Most Households Under the Poverty Line Source: U.S. Census Bureau Year Estimates Lake Worth West Palm Beach Riviera Beach Okeechobee Blvd Southern Blvd West Palm Beach Forest Hill Blvd Lake Worth Rd Lake Worth 40% of biker commuters are classified in the poorest quartile (race and bike lanes) Lantana Rd Boynton Beach Blvd Lantana Hypoluxo Boynton Beach Gulf Stream Atlantic Ave Delray Beach Households below the Poverty Line 0.29 (County Avg) 1/ Acre / Acre / Acre Yamato Rd Glades Rd Camino Real Boca Raton

Indiantown Rd Jupiter Zero Car Households PGA Blvd Northlake Blvd Blue Heron Blvd Juno Beach Palm Beach Gardens North Palm Beach Lake Park Riviera Beach Highest

31 Indiantown Rd Jupiter Zero Car Households PGA Blvd Northlake Blvd Blue Heron Blvd Juno Beach Palm Beach Gardens North Palm Beach Lake Park Riviera Beach Highest Concentrations of Zero Car Households Source: U.S. Census Bureau Year Estimates West Palm Beach Lake Worth Boynton Beach Okeechobee Blvd Southern Blvd Forest Hill Blvd Lake Worth Rd West Palm Beach Lake Worth 34% of Palm Beach residents have long daily commutes driving alone Lantana Rd Boynton Beach Blvd Lantana Hypoluxo Boynton Beach Gulf Stream Atlantic Ave Delray Beach Households Without Access to a Vehicle 0.29 (County Avg) 1/ Acre / Acre / Acre Yamato Rd Glades Rd Camino Real Boca Raton 37

Census Bureau 2011 2015 5 Year Estimates Jupiter Palm Beach Gardens Boynton Beach PGA Blvd Northlake Blvd Blue Heron Blvd Okeechobee Blvd Southern Blvd Juno Beach PalmBeach

32 Indiantown Rd Jupiter Age Highest Concentrations of Over 65 Population Source: U.S. Census Bureau Year Estimates Jupiter Palm Beach Gardens Boynton Beach PGA Blvd Northlake Blvd Blue Heron Blvd Okeechobee Blvd Southern Blvd Juno Beach PalmBeach Gardens North Palm Beach Lake Park Riviera Beach West Palm Beach Forest Hill Blvd Lake Worth Rd Lake Worth People aged 65 and older cited difficulty finding transportation as one of the most common issues affecting their ability to see a doctor in the past year (Fitzpatrick, et. al., 2004). Lantana Rd Boynton Beach Blvd Atlantic Ave Lantana Hypoluxo Boynton Beach Gulf Stream Delray Beach Median Age Yamato Rd Glades Rd Camino Real Boca Raton

Indiantown Rd Jupiter Racial and Ethnic Minorities White Non White (incl. Hispanic) Highest Concentrations of Minorities Asian White Source: U.S. Census Bureau 2011 2015 5 Year Estimates 10.8% 32.

33 Indiantown Rd Jupiter Racial and Ethnic Minorities White Non White (incl. Hispanic) Highest Concentrations of Minorities Asian White Source: U.S. Census Bureau Year Estimates 10.8% 32.6% 34.9% Riviera Beach West Palm Beach Lake Worth Boynton Beach 46.1% 53.1% Obesity Rate by Ethnicity 62.8% Percentage of Population Percentage of Pedestrian Deaths 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% PGA Blvd Northlake Blvd Blue Heron Blvd Okeechobee Blvd Southern Blvd Forest Hill Blvd Lake Worth Rd Lantana Rd Boynton Beach Blvd Atlantic Ave Juno Beach Palm Beach Gardens North Palm Beach Lake Park Riviera Beach West Palm Beach Lake Worth Lantana Hypoluxo Boynton Beach Gulf Stream Delray Beach Hispanic 42.5% African American 47.8% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% Racial + Ethnic Minorities 38% (County Avg) 50% 51% - 75% 76% - 100% Yamato Rd Glades Rd Camino Real Boca Raton 40

34 Vulnerable Populations Exercise

35 Next Steps

36 Next Steps Literature review Assess baseline indicator conditions US 1 Corridor Survey (us1pbcorridorstudy.com) Next meeting: July 26 th

37 Thank You! us1pbcorridorstudy.com US 1 Corridor Survey:

HIA Working Group Meeting #4 September 27, 2017

HIA Working Group Meeting #4 September 27, 2017 Icebreaker Agenda US-1 Corridor Study Update Health Indicator Assessment Station Demonstration Area Assessment Preliminary Recommendations Discussion Next