Exploring Transportation Challenges and Opportunities for Mobility-Vulnerable Populations Through the Social-Ecological Model.

IF 1.5 4区 医学 Q3 REHABILITATION Otjr-Occupation Participation and Health Pub Date : 2024-12-10 DOI:10.1177/15394492241302710
Mary Jeghers, Sandra Winter, Sherrilene Classen
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Abstract

Community mobility is a vital activity of daily living. Mobility-vulnerable populations-individuals with incomes below the federal poverty threshold, minorities, individuals with disabilities, and older adults-face transit disparities. Advanced technologies (e.g., ride-sharing) may mitigate transportation inequities, but limited evidence considers mobility-vulnerable populations. Utilizing the social-ecological model, the team examined challenges and opportunities associated with transportation availability, accessibility, affordability, acceptability, and adaptability among two socioeconomic communities. Four focus groups were conducted using community-based participatory research principles. Community advisory boards informed focus group development and implementation. A thematic analysis was performed using the social-ecological model. Participants (N = 23) experienced transportation challenges and opportunities at all levels of the social-ecological model-individual (e.g., bus availability), relationship (e.g., peer support), community (e.g., safety), and societal (e.g., social isolation). Findings indicate the importance of looking beyond individual factors and exploring relationships, community, and societal impacts on transportation use.

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通过社会生态模型探索易受伤害人群的交通挑战和机遇。
社区流动是人们日常生活的重要活动。流动性脆弱人群——收入低于联邦贫困线的个人、少数民族、残疾人和老年人——面临着交通差距。先进技术(如拼车)可能会缓解交通不平等,但考虑到流动性脆弱人群的证据有限。利用社会生态模型,该团队研究了两个社会经济社区之间与交通可用性、可达性、可负担性、可接受性和适应性相关的挑战和机遇。采用基于社区的参与性研究原则进行了四个焦点小组的研究。社区咨询委员会为焦点小组的发展和实施提供信息。使用社会生态模型进行了专题分析。参与者(N = 23)在社会生态模型的各个层面——个体(如公交车可用性)、关系(如同伴支持)、社区(如安全性)和社会(如社会孤立)——经历了交通运输的挑战和机遇。研究结果表明,重要的是要超越个人因素,探索关系、社区和社会对交通使用的影响。
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来源期刊
CiteScore
2.60
自引率
7.10%
发文量
54
期刊介绍: The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.
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