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Acceptability of a city-wide transport plan: A thematic analysis of written consultation responses 城市交通规划的可接受性:书面咨询回应的专题分析
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 DOI: 10.1016/j.jth.2024.101956
Kate Garrott , Benjamin Hawkins , Jenna Panter

Introduction

Policy intervention to reduce car use is required for environmental and health benefits. Multi-component interventions with both positive (i.e. ‘carrot’) and negative (i.e. ‘stick’) strategies are effective in promoting modal shift, but ‘stick’ strategies are less acceptable and often abandoned before implementation. This study aims to understand the arguments surrounding policy acceptability for a multi-component transport plan including both carrot and stick strategies in Cambridge, UK.

Methods

A series of public consultations between 2017 and 2022 informed transport priorities and provided feedback on a range of proposals. The final public consultation sought views on detailed proposals to expand the bus network and invest in sustainable travel infrastructure funded by the implementation of a road user charge. Following the consultation, concessions were made to the plans and they were later abandoned due to a lack of political consensus. We downloaded and analysed written responses generated during the consultation to identify arguments influencing policy acceptance.

Results

From 115 included responses, we identified five themes: (1) support for the overall vision of the transport strategy; (2) mixed support on proposals (favouring carrots but not sticks); (3) concerns about consultation process; (4) concerns about deliverability of proposals; and (5) the effects of the scheme on transport, inequalities and economic growth.

Conclusions

Our findings suggest that policy design and communication should focus on perceived effectiveness and equity and building trust among agencies ahead of policy proposals to support the effective implementation of travel policy solutions.
为了环境和健康利益,需要进行政策干预以减少汽车使用。积极(即“胡萝卜”)和消极(即“大棒”)策略的多成分干预措施在促进模式转变方面是有效的,但“大棒”策略不太可接受,往往在实施之前就放弃了。本研究旨在了解围绕英国剑桥多组分运输计划的政策可接受性的争论,包括胡萝卜和大棒策略。方法在2017年至2022年期间进行了一系列公众咨询,了解了交通运输的优先事项,并就一系列建议提供了反馈。在最后的公众谘询中,政府就扩大巴士网络和投资可持续交通基础设施的详细建议征询公众意见,这些建议由道路使用者收费提供资金。在磋商之后,各方对这些计划作出了让步,但由于缺乏政治共识,这些计划后来被放弃。我们下载并分析了咨询期间产生的书面答复,以确定影响政策接受的论据。结果从115份回复中,我们确定了五个主题:(1)支持运输策略的整体愿景;(2)对提案的支持不一(喜欢胡萝卜而不是大棒);(三)对咨询过程的关注;(4)对方案可交付性的担忧;(5)该方案对交通、不平等和经济增长的影响。结论研究结果表明,政策设计和沟通应侧重于感知有效性和公平性,并在政策建议之前建立机构之间的信任,以支持旅行政策解决方案的有效实施。
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引用次数: 0
Does mental health influence commuters’ mode choice? A cross-sectional assessment from the Netherlands 心理健康是否会影响通勤者的出行方式选择?来自荷兰的横断面评估
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 DOI: 10.1016/j.jth.2024.101964
Jiakun Liu, Dick Ettema, Marco Helbich

Background

People's mental health may play a role in influencing their travel behaviors; however, few studies have quantified the association between mental health and commuting mode choice.

Objective

This study examined 1) how mental health is associated with commute mode choice and 2) whether gender differences exist.

Data and methods

We used cross-sectional data from a population-representative sample of 7,280 adults aged 18–65 from the Netherlands. We applied multilevel multinomial logit regression models to investigate the associations between commuting mode choice and self-perceived mental health controlled for multiple person-level and built environmental characteristics. We also assessed possible effect modification by gender.

Results

Our covariate-adjusted regression results based on the entire sample showed no compelling evidence for an association between self-perceived mental health and commute mode choice. While we found null associations between mental health and commute mode choice for women, stratified analyses showed that men with relatively poorer mental health were likelier to commute via bus/tram.

Conclusion

Our cross-sectional findings weakly support the notion that men's mental health may be related to commute mode choice and no such relationship was found for women. However, we advocate more research before ruling out the possibility of complex interactions between mental health and commuting behavior.
人们的心理健康状况可能会影响他们的旅游行为;然而,很少有研究量化心理健康与通勤方式选择之间的关系。目的探讨心理健康与通勤方式选择的关系,以及性别差异是否存在。数据和方法我们使用了来自荷兰的7280名18-65岁成年人的人口代表性样本的横断面数据。本研究采用多水平多项logit回归模型,探讨了通勤方式选择与多个体水平和环境特征控制下的自我感知心理健康之间的关系。我们还评估了性别对效果的影响。结果基于整个样本的协变量调整回归结果显示,没有令人信服的证据表明自我感知的心理健康与通勤方式选择之间存在关联。虽然我们发现女性的心理健康与通勤方式选择之间没有关联,但分层分析表明,心理健康状况相对较差的男性更有可能乘坐公共汽车/有轨电车通勤。结论我们的横断面研究结果很弱地支持了男性心理健康可能与通勤方式选择有关的观点,而在女性中没有发现这种关系。然而,我们主张在排除心理健康和通勤行为之间复杂相互作用的可能性之前进行更多的研究。
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引用次数: 0
Understanding COVID-19 pandemic-related shifts in active commute patterns: Insights from employees of a Canadian university 了解主动通勤模式中与COVID-19大流行相关的变化:来自加拿大大学员工的见解
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-28 DOI: 10.1016/j.jth.2024.101957
Megan Clemens , Patricia Collins , Eun-Young Lee

Introduction

It is well established that the COVID-19 pandemic profoundly disrupted the commute patterns of people worldwide. Yet, little is known about how commuting by active transportation (AT) has shifted since COVID-19 restrictions lifted. This quasi-experimental study aimed to: 1) compare AT mode share pre-versus post-COVID-19 pandemic; and 2) identify key post-pandemic correlates of transport mode.

Methods

A survey of employees from a Canadian university was conducted annually from 2013 to 2017 and in 2022. There were 644 valid participants who completed at least one of the surveys pre-COVID-19 pandemic and in 2022. Participants were categorized as using AT, passive transportation (PT), or mixed transportation (MT) as their primary transport mode between home and workplace. The mode share of each transport type pre-versus post-COVID-19 was analyzed. Additionally, shifts in individual-level transportation modes and related sociodemographic correlates were evaluated.

Results

Compared to pre-COVID-19 pandemic, AT decreased from 27.0% to 23.4%; however, PT increased from 52.0% to 60.7% in the post-pandemic era. Household income, age, and sex/gender were key correlates of transport mode shifting. Only the lowest income group showed an increase in AT (18.8%–20.3%); all other groups showed no change or a decrease, with the greatest decline observed in those earning $90,000 to $119,999 (20.5%–13.5%). AT use decreased in all age groups under 50 years with the clearest change in the 20- to 29-year-old age range (24.3%–8.1%). Females/women used AT at half the rates of males/men, both pre- and post-COVID-19.

Conclusions

Queen's university's employees demonstrated changes in transport mode use due to the COVID-19 pandemic. The decline in AT coupled with an increase in PT shown in this sample emphasizes the importance of organizational- and/or municipal-level interventions to encourage transportation modes that are both sustainable and health-promoting in the post-pandemic era.
众所周知,2019冠状病毒病大流行严重扰乱了全世界人们的通勤模式。然而,自COVID-19限制解除以来,人们对主动交通(AT)通勤的变化知之甚少。本准实验研究旨在:1)比较covid -19大流行前后的AT模式共享;2)确定大流行后与运输方式相关的关键因素。方法从2013年至2017年和2022年每年对加拿大一所大学的员工进行调查。共有644名有效参与者在covid -19大流行之前和2022年完成了至少一项调查。参与者被分类为使用交通工具、被动交通工具(PT)或混合交通工具(MT)作为他们在家和工作场所之间的主要交通方式。分析了covid -19之前和之后每种运输类型的模式份额。此外,还评估了个人层面交通方式的变化和相关的社会人口学相关性。结果与covid -19大流行前相比,AT从27.0%下降到23.4%;然而,在大流行后时代,PT从52.0%增加到60.7%。家庭收入、年龄和性别/性别是交通方式转换的关键相关因素。只有最低收入阶层的平均收入增加(18.8% ~ 20.3%);其他所有群体的收入都没有变化或下降,收入为9万美元的人群收入下降幅度最大,至119,999美元(20.5%至13.5%)。50岁以下所有年龄组的AT使用均有所下降,其中20- 29岁年龄组变化最明显(24.3%-8.1%)。在covid -19之前和之后,女性/女性使用抗逆转录病毒药物的比例都是男性/男性的一半。由于COVID-19大流行,queen大学的员工展示了交通方式使用的变化。本样本中显示的交通不便率的下降与交通不便率的增加强调了组织和/或市级干预措施的重要性,以鼓励在大流行后时代采用既可持续又促进健康的交通方式。
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引用次数: 0
Neighborhood facilities and physical self-efficacy of older adults: The mediating role of daily activity opportunities 邻里设施与老年人的身体自我效能感:日常活动机会的中介作用
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-26 DOI: 10.1016/j.jth.2024.101958
Yue Wei , Dongfeng Yang , Zhengying Liu

Introduction

The social and health benefits of physical self-efficacy have led to a strong interest in identifying neighborhood environment factors related to self-efficacy of older adults. However, little is known about the relationship between neighborhood facilities and physical self-efficacy. This study aims to investigate the structural relationships among neighborhood facilities, activity opportunities, and physical self-efficacy.

Methods

Data were collected through a survey of 788 older adults aged 60 and over living in Dalian, China; commercial, medical and recreational facilities were selected; the built environment characteristics were quantified in terms of location advantages, path patency, environmental comfort, suitability of design, travel convenience and environmental safety; and the relationships were assessed using path analyses.

Results

Daily activity perception was positively related to physical self-efficacy through daily activity participation. A greater presence of sidewalks around food markets and a larger residential area around clinics were associated with higher physical self-efficacy through increased the number of daily activity participation. More streetlights around drugstores and a higher density of main-road networks around gymnasiums were associated with more perceived opportunities for outdoor activities among older adults. The distance between an individual's house and the shopping mall was negatively related to daily activity opportunities and physical self-efficacy.

Conclusions

The findings demonstrated the mediating role of daily activity opportunities in the relationships between neighborhood facilities and physical self-efficacy. These findings have implications for the development of environmental optimization strategies of public service facilities to promote physical self-efficacy among older adults.
导言:身体自我效能感对社会和健康的益处使人们对确定与老年人自我效能感相关的邻里环境因素产生了浓厚的兴趣。然而,人们对邻里设施与身体自我效能感之间的关系知之甚少。本研究旨在探讨邻里设施、活动机会和身体自我效能感之间的结构关系。方法通过对居住在中国大连的 788 名 60 岁及以上老年人的调查收集数据,选取商业、医疗和娱乐设施,从区位优势、路径通畅性、环境舒适性、设计适宜性、出行便利性和环境安全性等方面量化建筑环境特征,并使用路径分析评估三者之间的关系。食品市场周围的人行道越多,诊所周围的住宅区越大,参与日常活动的次数越多,身体自我效能感就越高。药店周围的路灯越多,体育馆周围的主干道网络密度越高,则老年人认为户外活动的机会越多。结论研究结果表明,日常活动机会在邻里设施和身体自我效能感之间起着中介作用。这些发现对制定公共服务设施的环境优化策略以提高老年人的身体自我效能感具有一定的启示意义。
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引用次数: 0
An exploratory study of the transportation modes associated with community participation among adults with serious mental illnesses 关于患有严重精神疾病的成年人参与社区活动的交通方式的探索性研究
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-24 DOI: 10.1016/j.jth.2024.101943
Gretchen Snethen , Eugene Brusilovskiy , Crystal Slanzi , Greg Townley , Beth Pfeiffer , Mark S. Salzer

Purpose

This study explores the relationship between different modes of transportation and community participation among individuals with serious mental illnesses.

Methods

This study reports on data from 283 individuals with serious mental illnesses recruited from community mental health centers in 15 states. Participants responded to self-report items about the types of transportation used and participation in the community. Data were analyzed using Classification and Regression Trees to determine which modes of transportation were predictive of community participation.

Results

Individuals with serious mental illnesses reported walking as the most frequently used form of transportation followed by using public transportation. Biking and driving one's own car, were the strongest predictors of amount and breadth of community participation. Walking was the only predictor of community participation sufficiency.

Conclusions

Lack of transportation is an often-cited barrier to community participation for individuals with mental illnesses. Independent modes of transportation (Biking, driving one's own car, and walking) appear to facilitate participation. Future research should develop and test interventions that aim to promote transportation access and usage in order to facilitate diverse participation in the community.
目的 本研究探讨了不同交通方式与重症精神病患者参与社区活动之间的关系。方法 本研究报告了从 15 个州的社区精神健康中心招募的 283 名重症精神病患者的数据。参与者就所使用的交通方式和参与社区活动的情况进行了自我报告。我们使用分类树和回归树对数据进行了分析,以确定哪些交通方式对社区参与具有预测作用。结果据重症精神病患者报告,他们最常使用的交通方式是步行,其次是乘坐公共交通工具。骑自行车和自驾车是预测社区参与的数量和广度的最有力因素。结论缺乏交通工具是精神病患者参与社区活动经常遇到的障碍。独立的交通方式(骑自行车、自己开车和步行)似乎有助于参与社区活动。未来的研究应该开发和测试旨在促进交通便利和使用的干预措施,以促进社区的多元化参与。
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引用次数: 0
Unattended children in vehicles: Exploring risks, attitudes, and technology adoption among Australian parents/caregivers 车内无人照看的儿童:探究澳大利亚父母/照顾者的风险、态度和技术采用情况
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-23 DOI: 10.1016/j.jth.2024.101955
Sjaan Koppel , Jalaj Maheshwari , Emma Sartin

Introduction

Leaving children unattended in motor vehicles presents significant risks, particularly in Australia's harsh climate. This study investigated the frequency, context, and demographic factors associated with parental practices involving children aged 12 years and younger being left unattended in vehicles.

Method

A survey was conducted with 1742 parents and caregivers (mean age = 36.2 years, SD = 5.6; 85.7% female) to examine their behaviours and attitudes regarding leaving children unattended in vehicles. The survey collected data on the frequency of this practice, the context in which it occurs, and the demographic characteristics of those who reported engaging in it.

Results

The findings revealed that either ‘never’ (38.0%) or ‘rarely’ (40.9%) left their child unattended. However, those who did leave their children unattended typically did so for short durations while running errands. The data showed that parents or caregivers who left their children unattended were more likely to be male, younger, have a lower education level, and have a lower annual income. Despite being aware of risks such as heatstroke and unauthorised access, these demographic factors correlated with a higher likelihood of engaging in this risky behaviour.

Conclusion

The study highlights the need for targeted educational campaigns and interventions that address specific demographic groups to enhance child safety. The findings support the development of parent/caregiver education programs and the implementation of technological solutions to prevent incidents of children being left unattended in vehicles. Tailored strategies are essential for reducing the risks associated with this practice in Australia, ultimately contributing to better child safety outcomes.
导言:将儿童独自留在机动车内存在很大风险,尤其是在澳大利亚恶劣的气候条件下。本研究调查了与父母将 12 岁及以下儿童独自留在车内的做法相关的频率、背景和人口统计因素。方法 对 1742 名父母和看护人(平均年龄 = 36.2 岁,SD = 5.6;85.7% 为女性)进行了调查,以了解他们对于将儿童独自留在车内的行为和态度。调查收集了有关这种做法的频率、发生背景以及报告有这种做法的人的人口特征等数据。结果调查结果显示,"从不"(38.0%)或 "很少"(40.9%)将孩子留在车内无人看管。然而,那些确实将孩子独自留在家中的人通常是在跑腿时短暂离开。数据显示,将孩子独自留在家中的父母或看护人更有可能是男性、年轻人、教育程度较低和年收入较低。尽管意识到了中暑和未经授权进入等风险,但这些人口统计因素与从事这种危险行为的更高可能性相关。研究结果支持制定家长/监护人教育计划和实施技术解决方案,以防止儿童被独自留在车内的事件发生。在澳大利亚,有针对性的策略对于降低与这种做法相关的风险至关重要,最终有助于改善儿童安全状况。
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引用次数: 0
Managing the road safety risks of last mile deliveries with telematics: Views among drivers and managers in the UK 利用远程信息处理技术管理最后一英里配送的道路安全风险:英国驾驶员和管理人员的观点
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-22 DOI: 10.1016/j.jth.2024.101954
Nicola Christie , Sarah O'Toole , Alice Holcombe , Niamh Bull , Shaun Helman

Background

Parcel delivery drivers work under significant time pressures and admit to violating speed limits to get the job done. Telematics presents a promising avenue for mitigating these risks, yet its road safety impacts in the home delivery sector remains underexplored. This research explored the use of telematics to monitor speeding among home delivery drivers.

Methods

In-depth interviews were conducted with 20 fleet managers who used telematics and 39 delivery drivers, half using telematics. Template analysis was used to codify the data and verbatim quotes were used to illustrate themes.

Results

Managers emphasised the financial benefits derived from telematics, with safety considerations being secondary. Technology difficulties were also highlighted. Drivers who used telematics, still faced pressure to take risks to meet schedules, but believed telematics helped prevent speeding. Non-telematics users viewed telematics with scepticism.

Conclusions

Managers and drivers using telematics considered them a useful tool in managing road safety. Recommendations include making telematics easier to use, sharing data with drivers and using it to praise and reward safe driving. It is argued that work related road safety needs to be monitored nationally via in depth analysis of fatal and serious incidents involving delivery drivers.
背景包裹递送司机的工作时间压力很大,他们承认为了完成工作会违反限速规定。远程信息处理技术为降低这些风险提供了一条大有可为的途径,但其对送货上门行业的道路安全影响仍未得到充分探索。本研究探讨了使用远程信息处理技术监控送货司机超速行驶的情况。研究方法对 20 名使用远程信息处理技术的车队经理和 39 名送货司机(其中一半使用远程信息处理技术)进行了深入访谈。结果管理人员强调了远程信息处理系统带来的经济效益,而安全因素则是次要的。技术方面的困难也得到了强调。使用远程信息处理系统的司机仍然面临着为赶进度而冒险的压力,但他们认为远程信息处理系统有助于防止超速。结论使用远程信息处理系统的管理者和驾驶员都认为远程信息处理系统是管理道路安全的有用工具。建议包括使远程信息处理系统更易于使用,与驾驶员共享数据,并利用它来表扬和奖励安全驾驶。有观点认为,需要通过对涉及送货司机的致命和严重事故进行深入分析,在全国范围内监控与工作相关的道路安全。
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引用次数: 0
Recognised cognitive biases: How far do they explain transport behaviour? 公认的认知偏差:它们能在多大程度上解释运输行为?
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-20 DOI: 10.1016/j.jth.2024.101941
Stephen John Watkins , Charles Musselwhite
Human beings think in a slow, careful and logical way for important and complex issues and a fast, intuitive way for most decisions. The logical mechanism takes too much effort for the myriad of daily decisions. For example, logical thinking can be combined only with walking slowly not quickly. Hence behavioural approaches that assume humans make decisions logically are contrary to the evidence. Intuitive thinking is open to perceptual errors called ‘cognitive biases’. Cognitive biases are common and wide spread. In this paper we review salient cognitive biases that effect decision-making around transport using Dror's eight sources of cognitive bias described in three categories: (i) case specific biases (to do with the data or knowledge itself); (ii) environment, culture and experience bias, (between the data and the person acting upon the data), and; (iii) bias originating from human nature, (the cognitive make-up of the human brain shared across all people, regardless of the specific case, data or knowledge or the specific person doing the analysis).
These influence people's transport behaviour and the decisions of policy makers and engineers. Of especial importance are loss aversion (valuing something you have about twice as highly as you would value it if you were considering acquiring it); various other biases favouring the status quo; and various errors of risk perception. We conclude by suggesting more education and training and multi sectoral and multidisciplinary working is needed to help develop awareness of bias and identifying susceptibility to bias and how to overcome them where possible.
This description is an expansion of a table contained in Health on the Move 3:the Reviews (Mindell and Watkins, 2024)
人类在思考重要和复杂的问题时,是以缓慢、谨慎和逻辑的方式进行的,而在做大多数决定时,则是以快速、直觉的方式进行的。对于日常的无数决策来说,逻辑机制需要花费太多的精力。例如,逻辑思维只能与慢走而不是快走相结合。因此,假定人类以逻辑方式做出决策的行为学方法与证据相悖。直觉思维容易产生被称为 "认知偏差 "的感知错误。认知偏差很常见,也很普遍。在本文中,我们利用德洛尔将认知偏差分为三类的八种来源,回顾了影响交通决策的显著认知偏差:(i) 具体案例偏差(与数据或知识本身有关);(ii) 环境、文化和经验偏差(介于数据与根据数据行事的人之间);(iii) 源于人性的偏差(所有人都有的人脑认知构成,与具体案例、数据或知识或具体的分析人员无关)。这些都会影响人们的交通行为以及决策者和工程师的决策。其中尤为重要的是损失厌恶(对已有物品的重视程度约为考虑获取该物品时的两倍)、其他各种倾向于现状的偏见以及各种风险认知错误。最后,我们建议需要开展更多的教育和培训以及多部门和多学科的工作,以帮助提高对偏见的认识,识别偏见的易感性以及如何在可能的情况下克服它们。
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引用次数: 0
Impact assessment of local traffic interventions on disease burden: A case study on paediatric asthma incidence in two European cities 地方交通干预措施对疾病负担的影响评估:关于欧洲两个城市儿童哮喘发病率的案例研究
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-20 DOI: 10.1016/j.jth.2024.101953
Bram Vandeninden , Eva M. De Clercq , Brecht Devleesschauwer , Martina Otavova , Bruno Masquelier , Frans Fierens , Christel Faes , Catherine Bouland

Introduction

Air pollution, particularly NO2, contributes to poor health, including paediatric asthma. This study estimated the reduction in NO2 concentrations on annual car-free Sundays in two European cities, Brussels and Paris, which have extensive car-free zones (162 km2 and 105 km2). We then conducted health impact modelling of paediatric asthma incidence using a hypothesized expansion of annual car-free Sundays to car-free daily zones.

Problem statement

Exposure to air pollution, particularly NO2 exposure, contributes to negative health outcomes, including paediatric asthma. Local traffic interventions, such as car-free days, could offer a potential strategy to mitigate these effects.

Methods

We assessed NO2 concentration reductions using various methods, including (1) direct calculations, (2) direct calculations adjusted for meteorological conditions, (3) random forest modelling, and (4) boosted regression tree modelling. To estimate the reduction in paediatric asthma incidence, we applied existing Exposure Response Functions (ERFs) derived from epidemiological studies. These ERFs were used to quantify the relationship between NO2 exposure and asthma incidence by linking the estimated reductions in NO2 concentrations from our models to changes in health outcomes under exposure scenarios similar to the hypothetical case of permanent car-free days.

Results

NO2 concentrations were significantly lower on car-free Sundays, with reductions ranging from 63 to 83% in selected areas of Brussels and 27–56% in selected areas of Paris. The health impact modelling indicated a reduction in paediatric asthma incidence ranging from 15% [95% CI: 11–19%] in residential areas of Brussels to 34% [95% CI: 25–41%] in heavily trafficked areas in Brussels, and from 15% [95% CI: 10–19%] to 19% [95% CI: 13–24%] in Paris for the hypothesized counterfactual scenario of daily car-free zones.

Conclusion

Implementing car-free Sundays can strongly reduce NO2 levels and result in lower paediatric asthma incidence if these local traffic intervention measures were to be expanded and implemented permanently.
导言空气污染,尤其是二氧化氮,会导致包括儿童哮喘在内的不良健康状况。本研究估算了布鲁塞尔和巴黎这两个欧洲城市每年无车日(162 平方公里和 105 平方公里)二氧化氮浓度的降低情况。然后,我们利用将每年的周日无车区扩大到每天无车区的假设,对儿科哮喘发病率进行了健康影响建模。问题陈述暴露于空气污染中,尤其是暴露于二氧化氮中,会导致不良的健康后果,包括儿科哮喘。我们采用了多种方法评估二氧化氮浓度的降低情况,包括:(1)直接计算;(2)根据气象条件调整后的直接计算;(3)随机森林建模;(4)增强回归树建模。为了估算儿科哮喘发病率的降低,我们应用了从流行病学研究中得出的现有暴露反应函数(ERF)。这些ERFs用于量化二氧化氮暴露与哮喘发病率之间的关系,将我们模型中估计的二氧化氮浓度降低与类似于永久无车日假设情况下暴露情景下的健康结果变化联系起来。健康影响模型显示,在假设的反事实情景下,布鲁塞尔居民区的儿童哮喘发病率降低了 15%[95%CI:11-19%],在布鲁塞尔交通繁忙地区降低了 34%[95%CI: 25-41%],在巴黎降低了 15%[95%CI:10-19%]至 19%[95%CI: 13-24%]。结论如果这些地方性交通干预措施得到推广并永久实施,那么实施 "星期日无车区 "可以大大降低二氧化氮的水平,从而降低儿童哮喘的发病率。
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引用次数: 0
Exploring accessibility to medical facilities for older adults: Potential vs. Revealed accessibility 探讨老年人使用医疗设施的无障碍性:潜在无障碍与显性无障碍
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-19 DOI: 10.1016/j.jth.2024.101952
Zhuo Liu , Sichun Li , Long Cheng , Zhenjiang Shen , Frank Witlox

Introduction

The issue of population aging is increasingly prominent, presenting unprecedented challenges and pressures on urban medical resources. The equity and convenience of medical services for older adults have emerged as critical concerns for urban planners. While previous research on medical accessibility for older adults has yielded fruitful results, it has lacked a thorough analysis of the quantitative relationship between revealed and potential accessibility across urban spaces, as well as the influencing factors leading to the spatial heterogeneity of these two types of accessibility.

Methods

This study calculates the ratio of revealed to potential accessibility based on multi-source data, thereby identifying the allocation of medical resources in different sub-districts in Beijing. Furthermore, an extreme gradient boosting model is used to investigate the non-linear associations between the potential influencing factors and the ratio of revealed to potential accessibility.

Results

The results revealed a significant spatial disparity between potential accessibility and revealed accessibility and identified the threshold effects of influencing factors contributing to the accessibility ratio of revealed to potential accessibility. The density of bus stops, vehicle ownership, and density of roads are the top three among the influencing factors in terms of their relative importance in influencing the accessibility ratio.

Conclusions

The threshold effect should be considered when implementing planning adjustments, as simply increasing or decreasing the values of specific built environment variables may not result in a corresponding improvement in medical accessibility for older adults. With limited resources, enhancing the planning and construction of transportation infrastructure is more efficient in reducing the discrepancy between revealed accessibility and potential accessibility compared to other methods.
导言 人口老龄化问题日益突出,给城市医疗资源带来了前所未有的挑战和压力。老年人医疗服务的公平性和便利性已成为城市规划者关注的重要问题。方法 本研究基于多源数据计算显现可及性与潜在可及性的比例,从而识别北京不同分区的医疗资源配置情况。研究结果表明,潜在可达性与揭示可达性之间存在显著的空间差异,并确定了影响揭示可达性与潜在可达性之间可达性比率的影响因素的阈值效应。结论在实施规划调整时应考虑阈值效应,因为仅仅增加或减少特定建筑环境变量的值可能不会相应地改善老年人的医疗无障碍环境。在资源有限的情况下,与其他方法相比,加强交通基础设施的规划和建设能更有效地减少已显示的无障碍程度与潜在的无障碍程度之间的差异。
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引用次数: 0
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Journal of Transport & Health
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