Journal of Transport & Health最新文献

Occupation type, home and work environments, and physical activity and sedentary behaviour 职业类型，家庭和工作环境，身体活动和久坐行为

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-28 DOI: 10.1016/j.jth.2026.102269

Binay Adhikari , Andy Hong , Emily Johnson , Pat Fisher , Lawrence D. Frank

Introduction

Research to date on the relation between workplace environments and physical activity and sedentary behaviour is limited. Occupation may play an important role in affecting an individual's activity patterns at work, but evidence remains unclear. This study investigated the combined association of home and workplace walkability and occupation type on device-measured moderate-to-vigorous physical activity (MVPA) and sedentary behaviour.

Methods

We analyzed a sub-sample of 231 participants from the NEWPATH study, which surveyed households in the Region of Waterloo, Ontario, from May 2009 to May 2010. Participants provided their home and workplace postal codes. A stepwise regression analysis assessed the relationships between built environment characteristics, average daily moderate-to-vigorous physical activity (MVPA), occupation type, and sedentary behaviour. The models controlled for age, sex, and annual household income, examining both main effects and interactions between walkability and occupation types.

Results

Results indicate that walkability around the place of residence was a significant predictor of MVPA [β = 1.110; standard error (SE) = 0.505; p < 0.05]. Workplace walkability had a differential association with MVPA based on occupation type. Professional, managerial, or technical occupation types showed a significant positive association with workplace walkability compared to other occupation types (β = 2.440; SE = 0.965; p < 0.05).

Conclusions

Enhancing workplace walkability in suburban areas may positively influence physical activity levels among employees, especially those in professional roles. These efforts could contribute to healthier lifestyles and reduce sedentary behaviour during the workday. Exploring environmental influences on physical activity could provide valuable insights for developing supportive interventions promoting active living in communities. However, alternative or tailored interventions may be needed to promote physical activity among individuals in other occupation types, which warrants further investigation.

迄今为止，关于工作环境与身体活动和久坐行为之间关系的研究是有限的。职业可能在影响个人的工作活动模式方面发挥重要作用，但证据尚不清楚。本研究调查了家庭和工作场所步行能力和职业类型与设备测量的中高强度身体活动（MVPA）和久坐行为的综合关系。方法我们分析了NEWPATH研究中231名参与者的子样本，该研究于2009年5月至2010年5月对安大略省滑铁卢地区的家庭进行了调查。参与者提供了他们的家庭和工作地点的邮政编码。逐步回归分析评估了建筑环境特征、平均每日中等至剧烈身体活动（MVPA）、职业类型和久坐行为之间的关系。这些模型控制了年龄、性别和家庭年收入，检验了步行性和职业类型之间的主要影响和相互作用。结果居住地周边步行能力是MVPA的显著预测因子[β = 1.110；标准误差(SE) = 0.505；p < 0.05]。工作场所步行性与MVPA的相关性因职业类型而异。与其他职业类型相比，专业、管理或技术职业类型与工作场所步行性呈显著正相关（β = 2.440; SE = 0.965; p < 0.05）。结论提高城郊地区工作场所的可步行性可能会对员工的身体活动水平产生积极影响，尤其是专业岗位的员工。这些努力有助于形成更健康的生活方式，减少工作日久坐不动的行为。探索环境对身体活动的影响可以为制定支持性干预措施促进社区积极生活提供有价值的见解。然而，可能需要替代或定制干预措施来促进其他职业类型的个人的身体活动，这需要进一步调查。

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引用次数: 0

Developing a systems thinking-informed questionnaire for understanding decisions to drive tired or sleepy in young adults using Delphi consensus methodology 开发一个系统的思考知情问卷，以了解决策驱动疲劳或困倦的年轻人使用德尔菲共识方法

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-27 DOI: 10.1016/j.jth.2026.102268

Amy C. Reynolds , Kelly A. Loffler , Josh Fitton , Andrew Vakulin , Claire Dunbar , Kelly Sansom , Robert J. Adams

Introduction

Sleepiness is implicated in many road safety events for young adults, who are over-represented in road crashes. Yet, system-wide factors that contribute to young adults’ decisions to drive while tired or sleepy are poorly understood. Consequently, the common focus is on individual driver risk factors, rather than a more holistic systems understanding of the contributing influences, meaning we likely overlook key opportunities for intervention and advocacy. This study aimed to develop a novel questionnaire which considers system-wide contributors to decisions to drive tired or sleepy.

Methods

Drawing on existing literature, a preliminary set of questionnaire items was created and reviewed by twelve Australian experts in sleep science, road safety, and systems thinking. Questions were framed according to Rasmussen's Risk Management Framework to better understand systemic contributors, and we used a modified Delphi methodology with pre-specified targets to achieve consensus.

Results

Items were evaluated by all experts for both relevance and clarity using a 7-point Likert scale, with opportunities provided for qualitative feedback and the suggestion of additional items. The result was a 32-item questionnaire after two rounds, with Median scores of 6 and (‘moderately’ and ‘strongly’ agree) for all items in accordance with prespecified criteria.

Conclusions

Tools informed by systems thinking are essential for advancing research and policy, and expand our opportunities to collect system-level insights at scale. By moving beyond driver-centric questions, we can identify broader leverage points for intervention, better understand underlying systemic risk factors, and contribute to more effective strategies to reduce road crash risk in young adults.

嗜睡与许多年轻人的道路安全事件有关，他们在道路交通事故中所占比例过高。然而，导致年轻人在疲劳或困倦时驾车的全系统因素却知之甚少。因此，通常关注的是单个驱动因素的风险因素，而不是对促成影响的更全面的系统理解，这意味着我们可能忽略了干预和宣传的关键机会。本研究旨在开发一种新颖的问卷，该问卷考虑了系统范围内对疲劳或困倦驾驶决策的影响。方法根据现有文献，由12位澳大利亚睡眠科学、道路安全和系统思维方面的专家制作了一套初步的问卷。问题是根据Rasmussen的风险管理框架来构建的，以更好地理解系统贡献者，我们使用了带有预先指定目标的改进的德尔菲方法来达成共识。结果所有专家使用7分李克特量表对条目的相关性和清晰度进行评估，并提供定性反馈和建议附加条目的机会。两轮后的结果是一份包含32个项目的问卷，所有项目的中位数得分为6分（“中等”和“非常”同意），符合预先设定的标准。基于系统思维的工具对于推进研究和政策至关重要，并扩大了我们大规模收集系统级见解的机会。通过超越以驾驶员为中心的问题，我们可以确定更广泛的干预杠杆点，更好地了解潜在的系统性风险因素，并有助于制定更有效的策略来降低年轻人的道路交通事故风险。

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引用次数: 0

Streetscape intervention influencing the perception of traffic safety for active school travel 街景干预对学校主动出行交通安全感知的影响

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-22 DOI: 10.1016/j.jth.2026.102266

Dorji Wangzom, Marcus White, Jeni Paay

Introduction

Children's active commuting to school has been declining in Melbourne, Australia, and parental perception of traffic safety is a key factor influencing this. Although substantial research on active school travel exists, there is minimal implementable research evidence that can be used to improve parental perceptions of traffic safety and increase in the number of children walking to school.

Methods

To address this, a total of 329 carers/parents from Metropolitan Melbourne participated in an online survey through Facebook community groups. A mixed-method approach was used to investigate variations in perceptions of the safety of children walking to school, and the reasons for this. The study uses eight 3D streetscape simulation videos, located near a school, showing a single or a combination of interventions, which might make the street seem safer.

Results

Data analysis revealed a significant difference in the perception of traffic safety for most streetscape interventions examined. Many participants reported that streetscape elements influence traffic safety perception, whereas fewer than 20 % did not perceive this.

Conclusion

The findings show that microscale streetscape interventions influence parents’ traffic safety perception for their children to walk to school. Overall, the lateral distance separation of pedestrians from vehicular traffic was perceived as safer than tree buffers or speed reduction. While speed reduction significantly improves real safety, speed intervention, coupled with other interventions such as buffer or lateral distance, is perceived as much safer than a single speed intervention.

在澳大利亚墨尔本，儿童主动通勤上学的比例一直在下降，而家长对交通安全的认知是影响这一趋势的关键因素。尽管存在大量关于积极的学校旅行的研究，但很少有可实施的研究证据可用于提高家长对交通安全的认识并增加步行上学的儿童人数。为了解决这个问题，来自墨尔本大都会的329名护理人员/父母通过Facebook社区小组参与了一项在线调查。采用混合方法调查儿童步行上学的安全性认知差异及其原因。这项研究使用了八个3D街景模拟视频，位于一所学校附近，展示了单一或组合的干预措施，这可能会使街道看起来更安全。结果数据分析显示，大多数街道景观干预措施在交通安全感知方面存在显著差异。许多参与者报告街景因素影响交通安全感知，而不到20%的人没有意识到这一点。结论微尺度街景干预会影响家长对孩子步行上学的交通安全感知。总体而言，行人与车辆的横向距离隔离被认为比树木缓冲或减速更安全。虽然降低速度可以显著提高实际安全性，但速度干预，加上其他干预措施，如缓冲或横向距离，被认为比单一的速度干预更安全。

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引用次数: 0

Satisfaction with travel and its associated factors among university students 大学生旅游满意度及其相关因素研究

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-22 DOI: 10.1016/j.jth.2026.102261

Mohammad Paydar , Asal Kamani Fard

Introduction

Satisfaction with travel (SWT) has received less attention, particularly among university students, in the global south, which includes southern America and Chile. In Temuco, one of Chile's medium-sized southern cities, university students make up nearly one-sixth of the population. This study aims to investigate SWT and its related factors among university students in this city. In addition, these correlations were investigated according to each mode of transportation.

Methods

The data was collected from Temuco's six universities using quota sampling and multiple linear regressions.

Results

Although a majority of students use public transportation, they are far less satisfied with it than they are with their private cars and active travel. On the other hand, even though a small portion of university students use private vehicles, this mode of transportation contributes to the greatest SWT. In addition, higher income and the male population are linked to higher SWT. Less SWT by public transportation is also a result of more private vehicles in the household. Similarly, for all travel mode choices, distance was negatively correlated with SWT. Furthermore, a higher SWT for active travel trips is linked to perceived safety from motor vehicles. Moreover, companionship is linked to increase SWT for active travel trips. Finally, one of the research's novelties was the identification of a lifestyle type and a personal value called security that was linked to overall SWT.

Conclusions

The results could be used by this city's transportation and urban policymakers to improve SWT among university students.

旅游满意度（SWT）受到的关注较少，尤其是在南半球的大学生中，包括南美洲和智利。在智利南部中等城市之一的特木科，大学生几乎占人口的六分之一。本研究旨在调查该城市大学生的主观幸福感及其相关因素。此外，还根据不同的运输方式对这些相关性进行了研究。方法采用定额抽样和多元线性回归的方法，对特木科市6所高校进行调查。结果尽管大多数学生使用公共交通工具，但他们对公共交通的满意度远远低于私家车和主动出行。另一方面，尽管一小部分大学生使用私家车，但这种交通方式对SWT的贡献最大。此外，较高的收入和男性人口与较高的SWT有关。公共交通的SWT减少也是家庭私家车增多的结果。同样，对于所有的出行方式选择，距离与SWT呈负相关。此外，主动出行的较高SWT与机动车辆的感知安全性有关。此外，陪伴与积极旅行的SWT增加有关。最后，该研究的一个新颖之处是确定了一种生活方式类型和一种称为安全感的个人价值，这与整体SWT有关。结论研究结果可为北京市交通管理部门和城市政策制定者提供参考。

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引用次数: 0

Impact of opening new train stations on regional health expenditures per capita for middle-aged adults: A natural experiment of the Osaka-Higashi Line 开设新火车站对中年人区域人均卫生支出的影响：大阪-东线的自然实验

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-19 DOI: 10.1016/j.jth.2026.102264

Sayana Wakisaka , Kenta Arai , Taisuke Ichihara , Yuya Yamada , Haruka Kato

Introduction

The Japanese government has promoted the Compact Plus Network, which encourages people to live near train stations for health benefits. This study aimed to elucidate the impact of the opening of new train stations on the regional health expenditure per capita for medically treated middle-aged adults. The analysis provides insight into the characteristics of the stations that reduce the expenditure.

Materials and methods

This study employed a natural experiment design, utilizing the time difference in the opening period of the Osaka-Higashi Line. The Osaka-Higashi Line has a southern section that opened in 2008 and a northern section that opened in 2019. This study designated the four station areas surrounding the stations in the northern section, where a new station opened in 2019, as the exposure group. This analysis was conducted at two levels: the railway-line and individual station levels. The area surrounding the stations in the southern section was designated the covariate group. Our statistical analysis used the Causal-Impact algorithm on the medical dataset REZULT. This study analyzed 96-months before and after the opening of new stations.

Results

Our analysis sample has no significant changes in demographic characteristics before or after the stations’ opening. This study clarified that only the exposure groups (Shigino) reduced the cumulative health expenditure per capita by JPY 62,500.62 [95 %CI: −141218.67, 21306.54] over four years. However, the expenditure did not decrease in the exposure groups of the north section at the railway-line level, and JR-Awaji, Shirokitakōendōri, and JR-Noe stations at the individual station level.

Conclusion

New-station openings did not yield a significant overall line-level reduction in RHE over four years, but we observed station-level heterogeneity, with Shigino showing an estimated cumulative reduction (p = 0.06). Pre-opening higher RHE and stronger inter-network connectivity emerge as plausible moderators, suggesting targeted, station-screening approaches for health-informed rail planning.

日本政府推出了Compact Plus网络，鼓励人们住在火车站附近，以获得健康益处。摘要本研究旨在探讨新站开通对地区就医中年人人均卫生支出的影响。通过分析，我们可以深入了解减少支出的加油站的特点。材料与方法本研究采用自然实验设计，利用大阪-东线开通期间的时差。大阪-东线有2008年开通的南段和2019年开通的北段。本次研究将2019年新开通的北段车站周围的4个车站区域指定为暴露组。这一分析是在两个层面上进行的：铁路线和个别车站层面。南段站点周围的区域被指定为协变量组。我们的统计分析在医学数据集REZULT上使用了因果影响算法。本研究分析了新站开通前后的96个月。结果分析样本在车站开通前后人口统计学特征无明显变化。该研究澄清，只有暴露组（Shigino）在四年时间内人均累计卫生支出减少了62,500.62日元[95% CI:−141218.67,21306.54]。而北段暴露组在铁路线水平上，JR-Awaji站、Shirokitakōendōri站和JR-Noe站在单个站水平上，暴露组的支出没有减少。新车站的开通在4年内并没有显著降低RHE的总体水平，但我们观察到车站水平的异质性，Shigino显示出估计的累积降低（p = 0.06）。开放前更高的RHE和更强的网络间连通性成为合理的调节因素，为健康知情的铁路规划提供了有针对性的车站筛选方法。

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引用次数: 0

How are grocery shopping patterns related to individual diet quality, overall health and mental health? Evidence from four Canadian metropolises 杂货店购物模式与个人饮食质量、整体健康和心理健康有何关系？来自加拿大四个大都市的证据

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-18 DOI: 10.1016/j.jth.2026.102271

Chunjiang Li , Michael J. Widener , Yinhua Tao

Introduction

Grocery shopping is a modifiable factor influencing diet and health, yet most studies only considered single or independent attributes of shopping trips, neglecting their interrelated nature. Recent research has identified grocery shopping patterns based on a series of transportation-related characteristics, but their links to diet and health outcomes remain underexplored. This study aims to examine the associations of grocery shopping patterns identified using multidimensional measures of shopping trips with self-rated diet quality, overall health, and mental health, and moreover, tests if the associations between shopping patterns and health are mediated by diet quality.

Method

Data are from the 2021 Time Use & Food Habits Survey of Canadian adults living with children under 18 years in four Canadian census metropolitan areas, including Edmonton, Halifax, Vancouver, and Toronto. Structural equation modeling was applied to estimate the associations between shopping patterns, diet quality, and health.

Results

Compared to respondents classified as large store shoppers, respondents identified as accompanied shoppers and as frequent shoppers were directly associated with better self-rated diet quality and overall health, but their direct associations with mental health were not significant. They were also indirectly related to better overall and mental health, mediated via better diet quality, while the effect size of accompanied shoppers on mental health is relatively small. Regarding the total associations between shopping patterns and health, frequent shoppers were associated with better overall and mental health, while accompanied shoppers were only related to better overall health.

Conclusions

The results imply that grocery shopping patterns with combinations of certain attributes, including relatively high frequency, shopping less at large stores, non-driving travel, and organization in trip chaining, may be beneficial to diet quality and health among households with children. Therefore, interventions should focus on encouraging the combination of certain shopping attributes rather than independent attributes of shopping trips.

杂货店购物是影响饮食和健康的一个可变因素，然而大多数研究只考虑了购物旅行的单一或独立属性，忽视了它们之间的相互关联。最近的研究已经根据一系列与交通相关的特征确定了杂货购物模式，但它们与饮食和健康结果的联系仍未得到充分探讨。本研究旨在通过对购物行程与自评饮食质量、整体健康和心理健康的多维测量，检验购物模式与健康之间的关联，并检验饮食质量是否介导了购物模式与健康之间的关联。数据来自2021年加拿大时间使用和饮食习惯调查，调查对象是与18岁以下儿童一起生活的加拿大成年人，来自四个加拿大人口普查区，包括埃德蒙顿、哈利法克斯、温哥华和多伦多。应用结构方程模型来估计购物模式、饮食质量和健康之间的关系。结果与大型商店购物者相比，陪伴购物者和经常购物者的受访者与更好的自我评价饮食质量和整体健康直接相关，但他们与心理健康的直接关联并不显著。他们还通过更好的饮食质量间接与更好的整体和心理健康相关，而陪同购物者对心理健康的影响相对较小。关于购物模式和健康之间的总体联系，经常购物的人整体和心理健康状况更好，而陪伴购物的人只整体健康状况更好。结论具有较高的购物频率、较少在大型商店购物、非驾车旅行和有组织的连锁旅行等特征的食品杂货购物模式可能有利于有子女家庭的饮食质量和健康。因此，干预应侧重于鼓励某些购物属性的组合，而不是购物旅行的独立属性。

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引用次数: 0

Spatial patterns and determinants of children's school travel mode choice in México City: The link between escorting and active travel 墨西哥市儿童上学出行方式选择的空间格局及影响因素：陪读与主动出行的关系

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-17 DOI: 10.1016/j.jth.2026.102270

Dorian Antonio Bautista-Hernández

Introduction

Fostering active transportation in the children's school journey is a key objective of sustainable urban development. Few studies analyze the variety of trip arrangements (independent or escorted) in relation to travel modes, which also encompass a wide diversity of options. The developing world context offers a particular opportunity to study these aspects.

Methods

This paper analyzes the case of Mexico City using data from the 2017 Household Travel Survey on the individual, household, escorting, and built environment determinants of mode choice in children's travel to school across three levels: Kindergarten, Elementary, and Junior High Schools (JHS). This is a cross-sectional study that applies a discrete choice model.

Results

There is a distinctive geographical pattern specific to each mode. Overall, walking is the predominant mode of transportation, while independent travel using transit increases as children age and progress to higher educational levels. Different associations were found, but arguably the more relevant suggest that household socioeconomic category is relevant only in elementary school, while gender is more relevant in Junior High School, with the upper category and girls more prone to travel by PV and bike less. Other factors that increase PV include the high education level of the head of household and mixed land use. Factors that increased biking were being escorted by another family member, less sloped areas, and the density of bike lanes in JHS.

Conclusions

Better bike infrastructure and escorting programs tailored to local contexts must be applied to improve children's safe travel to school.

在孩子们的学校旅程中促进主动交通是可持续城市发展的一个关键目标。很少有研究分析各种旅行安排（独立或陪同）与旅行方式的关系，这也包含了广泛的选择。发展中国家的背景为研究这些方面提供了一个特别的机会。方法本文利用2017年墨西哥城家庭出行调查的数据分析了个体、家庭、陪同和建筑环境对儿童上学出行模式选择的决定因素，涉及幼儿园、小学和初中（JHS）三个层面。这是一个应用离散选择模型的横断面研究。结果每种模式都有其独特的地理格局。总的来说，步行是主要的交通方式，而随着儿童年龄的增长和教育水平的提高，使用交通工具的独立旅行也在增加。不同的关联被发现，但可以说更相关的表明家庭社会经济类别仅在小学相关，而性别在初中更相关，较高类别和女孩更倾向于乘PV和骑自行车旅行。增加PV的其他因素包括户主的高教育水平和混合土地利用。增加骑车的因素是由另一个家庭成员陪同，斜坡面积减少，以及JHS的自行车道密度。结论：必须采用更好的自行车基础设施和适合当地情况的护送方案，以改善儿童上学的安全。

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引用次数: 0

From streets to sleep: The impact of urban walkability on sleep health 从街头到睡眠：城市步行对睡眠健康的影响

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-15 DOI: 10.1016/j.jth.2026.102267

Yein Yoon , Yeinn Oh

This scoping review examines how urban walkability influences sleep health, aiming to uncover key trends, gaps, and actionable insights. Emerging evidence suggests that neighborhood environments, including walkability, may play a crucial role in shaping health behaviors. Although sleep is a critical precursor and outcome for both physical and mental health, its connection to urban walkability remains insufficiently understood. A total of 401 peer-reviewed articles published between 2016 and 2025 were identified from major electronic databases, with 13 studies included for review. The association between walkability and sleep health showed mixed findings, reflecting heterogeneity across study designs, populations, and measurement approaches. Notably, subjective perceptions of walkability were more consistently associated with sleep outcomes than objective spatial metrics. The discussion highlights methodological and conceptual pathways for advancing this field, emphasizing the need for integrated frameworks and rigorous causal designs. Promoting walkable urban environments may represent a promising and sustainable strategy to enhance sleep health.

这篇范围审查研究了城市步行如何影响睡眠健康，旨在揭示关键趋势、差距和可操作的见解。新出现的证据表明，社区环境，包括可步行性，可能在塑造健康行为方面起着至关重要的作用。尽管睡眠是身心健康的重要前兆和结果，但它与城市步行的关系仍未得到充分了解。2016年至2025年间发表的401篇同行评议文章从主要电子数据库中被识别出来，其中13项研究被纳入审查。步行能力与睡眠健康之间的关系显示出不同的结果，反映了研究设计、人群和测量方法的异质性。值得注意的是，与客观的空间指标相比，主观的可步行性感知与睡眠结果的关系更为一致。讨论强调了推进这一领域的方法和概念途径，强调需要综合框架和严格的因果设计。促进适宜步行的城市环境可能是一种有希望的、可持续的改善睡眠健康的策略。

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引用次数: 0

Travel burden and socioeconomic modifiers of the probability of early waitlisting among transplant referred end-stage kidney disease patients 移植转诊终末期肾病患者早期等候就诊概率的旅行负担和社会经济调节因素

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-15 DOI: 10.1016/j.jth.2025.102251

Steph Karpinski , Carey Colson , Adam G. Walker , Scott Sibbel , Will Maixner , Jeffrey Giullian , Michael O'Shea , Francesca Tentori , Steven M. Brunelli

引用次数: 0

Did good universal healthcare facilitate mobility during COVID-19?: From a moral hazard perspective 良好的全民医疗是否促进了COVID-19期间的人员流动？从道德风险的角度来看

IF 3.3 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2026-01-12 DOI: 10.1016/j.jth.2025.102231

Ki Woong Cho

Introduction

During the COVID-19 pandemic, countries worldwide implemented universal healthcare. Despite its critical linkages to the economy, academic research on people's mobility is still lacking. Nonetheless, ethical problems related to moral hazard in healthcare, it can have advantages. This study examined the impact of universal healthcare on mobility, including transportation and other mobility trends, from a moral hazard perspective, considering the inconclusive controversy regarding the moral hazard of universal healthcare.

Methods

Using panel data, this study conducted an analysis using a feasible generalized least squares (FGLS) model.

Results

Good universal healthcare coverage increased community mobility after controlling for vaccination and other variables. This study highlights the positive aspects of universal healthcare from a moral hazard perspective, which boosts mobility by relieving the burden and achieving public interest and welfare, rather than negative influences.

Conclusions and implications

This study supports the practical importance of universal healthcare in increasing mobility trends in transportation and various other areas, while maintaining productivity and welfare, and subsequently, the economy. Theoretically, moral hazard may present a certain degree of inefficiency, but it is not necessarily detrimental to increasing mobility. This implication can help balance the double-sided characteristics of moral hazard. This study emphasizes the importance of universal healthcare in maintaining mobility, transportation, and related policies against future contagious diseases.

在2019冠状病毒病大流行期间，世界各国实施了全民卫生保健。尽管它与经济有着至关重要的联系，但关于人们流动性的学术研究仍然缺乏。尽管如此，在涉及医疗道德风险的伦理问题上，它还是可以有优势的。本研究从道德风险的角度考察了全民医疗保健对流动性的影响，包括交通和其他流动性趋势，考虑到全民医疗保健的道德风险尚无定论。方法采用面板数据，采用可行广义最小二乘（FGLS）模型进行分析。结果在控制疫苗接种和其他变量后，良好的全民医疗保险增加了社区流动性。本研究从道德风险的角度强调了全民医疗的积极方面，通过减轻负担和实现公共利益和福利来促进流动性，而不是负面影响。结论和意义本研究支持全民医疗保健在提高交通和其他领域的流动性趋势，同时保持生产力和福利，进而维持经济方面的实际重要性。从理论上讲，道德风险可能会带来一定程度的效率低下，但它不一定不利于流动性的增加。这一含义有助于平衡道德风险的两面性。本研究强调全民保健在维持流动性、交通和相关政策以预防未来传染病方面的重要性。

{"title":"Did good universal healthcare facilitate mobility during COVID-19?: From a moral hazard perspective","authors":"Ki Woong Cho","doi":"10.1016/j.jth.2025.102231","DOIUrl":"10.1016/j.jth.2025.102231","url":null,"abstract":"<div><h3>Introduction</h3><div>During the COVID-19 pandemic, countries worldwide implemented universal healthcare. Despite its critical linkages to the economy, academic research on people's mobility is still lacking. Nonetheless, ethical problems related to moral hazard in healthcare, it can have advantages. This study examined the impact of universal healthcare on mobility, including transportation and other mobility trends, from a moral hazard perspective, considering the inconclusive controversy regarding the moral hazard of universal healthcare.</div></div><div><h3>Methods</h3><div>Using panel data, this study conducted an analysis using a feasible generalized least squares (FGLS) model.</div></div><div><h3>Results</h3><div>Good universal healthcare coverage increased community mobility after controlling for vaccination and other variables. This study highlights the positive aspects of universal healthcare from a moral hazard perspective, which boosts mobility by relieving the burden and achieving public interest and welfare, rather than negative influences.</div></div><div><h3>Conclusions and implications</h3><div>This study supports the practical importance of universal healthcare in increasing mobility trends in transportation and various other areas, while maintaining productivity and welfare, and subsequently, the economy. Theoretically, moral hazard may present a certain degree of inefficiency, but it is not necessarily detrimental to increasing mobility. This implication can help balance the double-sided characteristics of moral hazard. This study emphasizes the importance of universal healthcare in maintaining mobility, transportation, and related policies against future contagious diseases.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102231"},"PeriodicalIF":3.3,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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