title: Health Impact Assessment, Physical Activity and Federal Lands Trail Policy.
abstract: OBJECTIVE
  The objectives of this paper are to describe the application of Health Impact Assessment (HIA) to inform trail decisions affecting a rural, under-resourced community and propose the routine integration of HIAs to enhance NEPA environmental assessments and environmental impact statements for trail decisions on federal lands.
  
  
  METHODS
  Screening, scoping, assessment, recommendations, reporting, monitoring and evaluation are being used to examine the health impact of trail location and design.
  
  
  RESULTS
  HIA recommendations are being integrated into the public lands National Environmental Protection Act process for planning access to a new segment of the Continental Divide National Scenic Trail. Potential users from a nearby rural New Mexico community and a region of almost one million may benefit from this HIA-informed planning.
  
  
  CONCLUSIONS
  HIA can be integrated into the policy and decision-making process for trails on public lands.
authors.affiliation: Professor and Director, Prevention Research Center and Professor of Pediatrics, University of New Mexico, Albuquerque, NM.
authors.forename: Sally M
authors.initials: SM
authors.lastname: Davis
authors.affiliation: Epidemiologist and Research Assistant Professor, Prevention Research Center, University of New Mexico.
authors.forename: Theresa H
authors.initials: TH
authors.lastname: Cruz
authors.affiliation: Board President and Volunteer Coordinator, Step Into Cuba, Nacimiento Community Foundation, Cuba, NM.
authors.forename: Richard L
authors.initials: RL
authors.lastname: Kozoll
keywords: health impact assessment; public lands; trail policy