Journal of Transport & Health最新文献_第10页

Behavioral intentions towards ride-hailing services during the Pandemic: Using the health belief model and the moderating role of health norms and age 大流行期间乘车服务的行为意向：使用健康信念模型以及健康规范和年龄的调节作用

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

Journal of Transport & Health

Pub Date : 2025-08-26 DOI: 10.1016/j.jth.2025.102153

Amirhossein Baghestani, Sahand Heshami, Alireza Mahpour, Shayan Sadeghitabar, Rozhin Borhani

Introduction

Health-related crises, such as the COVID-19 pandemic, affect travel behavior, especially when personal health is considered. Health Belief Model (HBM), a psychological framework that explains health-related behavior based on perceived risks, benefits, and triggers for action (called "cues to action"), is used in this study to understand individuals' decisions about using ride-hailing services during such crises.

Method

Data was collected via an online questionnaire from 413 respondents in Tehran over four months. Descriptive analysis, factor analysis, and structural equation modeling were employed to analyze the data.

Results

It has been shown that people are more likely to use ride-hailing if they consider it to be safer or more convenient than other modes, and if they are encouraged by social cues or previous positive experiences. The perception of costs and fear of infection can, however, discourage users. Moreover, two moderating variables—health norms and age—were incorporated into the analysis. Participants were classified into high and low health norm groups based on their adherence levels, and into two age cohorts: individuals aged over 31 and those aged 30 or younger. The results revealed that the moderating effects of health norms and age varied across different structural paths, indicating distinct interaction patterns within the model.

Conclusion

These findings suggest that promoting ride-hailing during future health crises requires both reducing perceived risks (e.g., by advertising safety protocols) and enhancing social incentives (e.g., showcasing positive user experiences).

与健康相关的危机，如COVID-19大流行，会影响旅行行为，特别是在考虑到个人健康时。健康信念模型（HBM）是一个心理学框架，它根据感知到的风险、利益和行动触发器（称为“行动线索”）来解释与健康相关的行为，本研究使用该模型来理解个人在此类危机期间使用网约车服务的决定。数据通过在线问卷从德黑兰的413名受访者中收集，历时4个月。采用描述性分析、因子分析和结构方程模型对数据进行分析。结果研究表明，如果人们认为网约车比其他方式更安全或更方便，并且受到社会暗示或之前的积极经历的鼓励，他们更有可能使用网约车。然而，对成本的认识和对感染的恐惧可能会阻碍使用者。此外，两个调节变量-健康规范和年龄被纳入分析。参与者根据他们的坚持程度分为高健康标准组和低健康标准组，并分为两个年龄组：31岁以上的人和30岁以下的人。结果表明，健康规范和年龄的调节作用在不同的结构路径上存在差异，表明模型中存在不同的相互作用模式。这些发现表明，在未来的健康危机中推广网约车既需要降低感知风险（例如，通过宣传安全协议），也需要增强社会激励（例如，展示积极的用户体验）。

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引用次数: 0

Ride share service use among older adults: Findings from a nationally representative survey 老年人使用拼车服务：一项具有全国代表性的调查结果

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

Journal of Transport & Health

Pub Date : 2025-08-15 DOI: 10.1016/j.jth.2025.102152

Alycia Bayne, Alexa Siegfried, Lindsey Witt-Swanson

Introduction

Older adults' health, mobility, and independence is supported by safe and reliable transportation that connects them to health care, consumer needs, and activities. Ride share services are a promising transportation solution for older adults. Less is known about how often, where, and why older adults use ride share services.

Methods

Data were collected in May 2024 via a survey on ride share service use in a nationally representative sample of 1010 U.S. adults aged 50+. A descriptive analysis identified characteristics of older adults who have ever used a ride share service, including age, education, income, region, and metropolitan area. The analysis examined trip purpose, including health care appointments, trip frequency, service availability, and factors affecting use.

Results

Almost half of older adults (45.6 %) have used a ride share service, with most (92.8 %) reporting use monthly or less. Trip purposes included airport/travel (48.0 %), dining, recreation, and socializing (15.9 %), and health care (11.9 %). Geographic differences by region emerged: older adults residing in the Northeast were more likely to use ride share for health care. Those in the Mountain and Pacific regions were more likely to report access to ride share, as well as older adults who were younger, had higher levels of education, and lived in metropolitan areas. Key factors affecting use were convenience, safety, and affordability.

Conclusion

With nearly half of older adults using ride share services, additional research is needed to understand their preferences and satisfaction with these services to inform solutions that support their health, mobility, and independence.

老年人的健康、机动性和独立性是由安全可靠的交通工具支持的，这些交通工具将他们与医疗保健、消费需求和活动联系起来。拼车服务对老年人来说是一种很有前途的交通解决方案。老年人使用拼车服务的频率、地点和原因却鲜为人知。方法数据收集于2024年5月，通过对1010名50岁以上美国成年人的全国代表性样本进行拼车服务使用调查。一项描述性分析确定了曾经使用过拼车服务的老年人的特征，包括年龄、教育程度、收入、地区和大都市区。分析考察了旅行目的，包括医疗保健预约、旅行频率、服务可用性和影响使用的因素。几乎一半的老年人（45.6%）使用过拼车服务，其中大多数人（92.8%）每月使用一次或更少。旅行目的包括机场/旅行（48.0%）、餐饮、娱乐和社交（15.9%）以及医疗保健（11.9%）。不同地区的地理差异出现了：居住在东北部的老年人更有可能使用拼车服务来获得医疗保健。山区和太平洋地区的老年人更有可能使用拼车服务，年龄较小、受教育程度较高、居住在大都市地区的老年人也更有可能使用拼车服务。影响使用的关键因素是便利性、安全性和可负担性。近一半的老年人使用拼车服务，需要进一步的研究来了解他们的偏好和对这些服务的满意度，从而为支持他们的健康、机动性和独立性的解决方案提供信息。

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引用次数: 0

You’ll Never Walk Alone: Parental active escorting as an alternative to car travel to school 你永远不会独自行走：父母主动陪同作为开车上学的替代方案

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

Journal of Transport & Health

Pub Date : 2025-08-14 DOI: 10.1016/j.jth.2025.102147

Carole Turley Voulgaris , Anders Fjendbo Jensen , Gregory S. Macfarlane

Introduction:

Active travel can contribute to children meeting recommended levels of physical activity. Independent travel may also increase children’s mental and emotional health by increasing feelings of autonomy. The purpose of this study is to determine (1) what predicts households’ joint choice of mode and parental escorting for the journey to school, and (2) how the structure of this joint choice is best described.

Methods:

Using data from the 2009 and 2017 National Household Travel Surveys in the United States, we estimated several discrete choice models jointly predicting the choice of mode and escorting. We tested alternative model structures representing mode-escorting combinations as independent alternatives, nested alternatives, or cross-nested alternatives.

Results:

The cross-nested model structure best fits the data. The cross-nested model is consistent with the conception of escorted active travel as a compromise between motorized travel and unescorted active travel. Lower vehicle access, a later survey year, and the presence of a nonworking mother in the household are associated with lower utility of both motorized travel and unescorted active travel, relative to escorted active travel.

Conclusions:

While the physical activity benefits of active travel are available regardless of parental escorting, additional mental and emotional health benefits may come when travel is both active and independent. Since there is less substitution from motorized travel to unescorted active travel than to escorted active travel, we conclude with a call for strategies that not only facilitate active travel to school, but also enable children to safely travel independently of their parents.

导读：积极的旅行有助于儿童达到建议的身体活动水平。独立旅行也可以通过增加自主权来提高孩子的心理和情感健康。本研究的目的是确定(1)什么预测家庭共同选择的模式和父母陪同上学的旅程，以及(2)如何最好地描述这种共同选择的结构。方法：利用2009年和2017年美国全国家庭旅行调查的数据，我们估计了几个离散选择模型，这些模型共同预测了模式选择和陪同。我们测试了替代模型结构，将模式保护组合表示为独立替代、嵌套替代或交叉嵌套替代。结果：交叉嵌套模型结构与数据拟合最佳。交叉嵌套模型与护送主动出行的概念是一致的，它是机动出行和无护送主动出行之间的折衷。车辆较少、调查年份较晚以及家中母亲不工作与机动出行和无人陪同主动出行的效用较低相关。结论：尽管没有父母的陪伴，积极旅行对身体的好处是可以得到的，但当旅行既积极又独立时，心理和情感健康可能会得到额外的好处。由于从机动旅行到无人陪同的主动旅行的替代比有陪同的主动旅行少，因此我们呼吁制定策略，不仅促进主动旅行上学，而且使儿童能够安全地独立于父母旅行。

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引用次数: 0

Impacts of a community-wide infrastructural intervention on children's active school travel: A controlled before-after study 社区基础设施干预对儿童主动上学旅行的影响：一项前后对照研究

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

Journal of Transport & Health

Pub Date : 2025-08-14 DOI: 10.1016/j.jth.2025.102148

Melody Smith , Bert van der Werf , Karen Witten , Niamh O'Reilly , Jamie Hosking , Alex Macmillan , Hamish Mackie , Kimiora Raerino

Background

Active school travel (AST) is beneficial for children's physical, social, and mental well-being. However, AST is low globally, and Aotearoa New Zealand has one of the lowest rates of AST worldwide. Te Ara Mua – Future Streets (TAMFS) was a randomised controlled before-after study of neighbourhood-wide infrastructural changes to make it easier for residents to get around actively. The intervention was conducted in Ngā Hau Māngere, in Aotearoa New Zealand. This study examines the impact of TAMFS on children's AST over time.

Methods

Data for the current study were gathered from resident surveys, conducted at baseline (2014), early follow-up (2017), and long-term follow-ups (2021, 2023). The primary outcome for this study was the proportion of children using AST, analysed using mixed model logistic regression and difference-in-differences (DID) analysis. Coding of open-ended responses to the main reason for children's travel mode to school was also undertaken.

Results

AST rates declined in both intervention and control areas over time, with a significant drop in the intervention area immediately post-intervention (2017). By 2023, the difference between areas was minimal. Living close to school was the main reason for getting to school actively, while a mix of distance (longer), convenience, and safety concerns were key decisionmakers for parents of passive travellers.

Conclusion

While environmental changes are important, future interventions would benefit from considering broader contextual factors and integrating community engagement and programming to address barriers to AST and support shifts to active transport modes.

积极的学校旅行（AST）对儿童的身体、社会和心理健康有益。然而，AST在全球范围内较低，新西兰的Aotearoa是全球AST发病率最低的国家之一。the Ara Mua - Future Streets （TAMFS）是一项随机控制的前后研究，旨在研究社区范围内的基础设施变化，使居民更容易活跃地四处走动。干预措施在新西兰奥特罗阿的nghau Māngere进行。本研究考察了TAMFS对儿童AST的长期影响。方法本研究的数据收集自居民调查，分别在基线（2014年）、早期随访（2017年）和长期随访（2021年、2023年）进行。本研究的主要结局是使用AST的儿童比例，使用混合模型逻辑回归和差异中差（DID）分析进行分析。对儿童上学出行方式的主要原因进行开放式回答编码。结果随着时间的推移，干预区和对照组的ast发生率均有所下降，干预区在干预后立即出现显著下降（2017年）。到2023年，地区之间的差异微乎其微。住得离学校近是主动上学的主要原因，而距离（更长）、便利和安全问题是被动出行父母的主要决策因素。虽然环境变化很重要，但未来的干预措施将受益于考虑更广泛的背景因素，并整合社区参与和规划，以解决AST的障碍，并支持向主动运输模式的转变。

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引用次数: 0

Route choice to inform navigation system design and accessibility analysis for older pedestrians: a scoping review 路线选择为老年行人导航系统设计和可达性分析提供信息：范围审查

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

Journal of Transport & Health

Pub Date : 2025-08-12 DOI: 10.1016/j.jth.2025.102151

Nir Fulman , Johannes Huber , Armağan Teke Lloyd , Kathrin Foshag , Yulia Grinblat , Umut Türk , Sven Lautenbach , Jan Amcoff , Marina Toger , Johanna Jokinen , Alexander Zipf

Introduction

Routing systems can support older adults by helping them overcome barriers to walking, promoting independence and well-being. The paths generated by these systems also inform urban accessibility metrics, such as those used in 15-min-city planning. Yet current systems rarely reflect the preferences or constraints of older pedestrians. Empirical studies of route choice can help close this gap by revealing how people trade off different route attributes in real settings.

Methods

We conducted a scoping review, following PRISMA-ScR guidelines, of empirical studies analyzing pedestrian route choice among adults. The goal was to identify findings that could inform the design of more age-inclusive routing tools.

Results

Eleven studies met the inclusion criteria, eight of which focused exclusively on older adults. Despite varied contexts, three consistent themes emerged: (i) sidewalk quality and manageable gradients; (ii) aesthetic and sensory comfort, including greenery, low noise, and good lighting; and (iii) access to benches, transit, and everyday amenities. However, most studies relied on qualitative methods, limiting direct integration into routing algorithms.

Conclusions

Future work should prioritize hybrid qualitative-quantitative designs, large-scale sampling of routes, and fine-grained mapping of micro-barriers. Analyses should account for age, gender, and functional ability, and consider circular leisure walks as a distinct travel pattern. These directions can enhance the usability and equity of routing systems and urban planning frameworks.

路线系统可以帮助老年人克服行走障碍，促进他们的独立性和幸福感。这些系统生成的路径还为城市可达性指标提供信息，例如在15分钟城市规划中使用的指标。然而，目前的系统很少反映老年行人的偏好或限制。路线选择的实证研究可以通过揭示人们如何在现实环境中权衡不同的路线属性来帮助缩小这一差距。方法根据PRISMA-ScR指南，对成人步行路径选择的实证研究进行了范围综述。我们的目标是确定可以为设计更适合年龄的路由工具提供信息的发现。结果6项研究符合纳入标准，其中8项专门针对老年人。尽管背景不同，但三个一致的主题出现了：(i)人行道质量和可管理的坡度；（ii）美观和感官上的舒适，包括绿化、低噪音和良好的照明；（iii）长凳、交通和日常设施的使用。然而，大多数研究依赖于定性方法，限制了直接集成到路由算法中。结论未来的工作应优先考虑混合的定性和定量设计，大规模的路线采样和细粒度的微屏障制图。分析应考虑到年龄、性别和功能能力，并将循环休闲步行作为一种独特的旅行模式。这些方向可以提高路线系统和城市规划框架的可用性和公平性。

{"title":"Route choice to inform navigation system design and accessibility analysis for older pedestrians: a scoping review","authors":"Nir Fulman , Johannes Huber , Armağan Teke Lloyd , Kathrin Foshag , Yulia Grinblat , Umut Türk , Sven Lautenbach , Jan Amcoff , Marina Toger , Johanna Jokinen , Alexander Zipf","doi":"10.1016/j.jth.2025.102151","DOIUrl":"10.1016/j.jth.2025.102151","url":null,"abstract":"<div><h3>Introduction</h3><div>Routing systems can support older adults by helping them overcome barriers to walking, promoting independence and well-being. The paths generated by these systems also inform urban accessibility metrics, such as those used in 15-min-city planning. Yet current systems rarely reflect the preferences or constraints of older pedestrians. Empirical studies of route choice can help close this gap by revealing how people trade off different route attributes in real settings.</div></div><div><h3>Methods</h3><div>We conducted a scoping review, following PRISMA-ScR guidelines, of empirical studies analyzing pedestrian route choice among adults. The goal was to identify findings that could inform the design of more age-inclusive routing tools.</div></div><div><h3>Results</h3><div>Eleven studies met the inclusion criteria, eight of which focused exclusively on older adults. Despite varied contexts, three consistent themes emerged: (i) sidewalk quality and manageable gradients; (ii) aesthetic and sensory comfort, including greenery, low noise, and good lighting; and (iii) access to benches, transit, and everyday amenities. However, most studies relied on qualitative methods, limiting direct integration into routing algorithms.</div></div><div><h3>Conclusions</h3><div>Future work should prioritize hybrid qualitative-quantitative designs, large-scale sampling of routes, and fine-grained mapping of micro-barriers. Analyses should account for age, gender, and functional ability, and consider circular leisure walks as a distinct travel pattern. These directions can enhance the usability and equity of routing systems and urban planning frameworks.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102151"},"PeriodicalIF":3.3,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829033","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}

引用次数: 0

COVID-19 risk perceptions among public transportation drivers and users in Lebanon: A cross-sectional study 黎巴嫩公共交通司机和用户对COVID-19风险的认知：一项横断面研究

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

Journal of Transport & Health

Pub Date : 2025-08-11 DOI: 10.1016/j.jth.2025.102149

Mahmoud Salam, Wael El Chaar, Maha Mansour, Ali Al Hadi Assaf, Alaa Kamel, Abdul Rahman Itani, Zahra Shan Bader, Jennifer Khattar

Objectives

This study evaluates the perceived severity of and susceptibility to COVID-19 among public transportation drivers and users after lifting COVID-19 restrictions in Lebanon.

Study design

Cross-sectional study.

Methods

Data was collected through face-to-face survey questionnaires. Proportionate sampling method was used to recruit 854 public transportation drivers and users between August and October of 2024 from various Lebanese governorates (Beirut, Mount Lebanon, North, South and Beqaa). An Arabic anonymous questionnaire was used to measure participants' characteristics, COVID-19 risk perceptions, and users' preferences, guided by the Health Belief Model and Oliver's Expectation Disconfirmation theory. Descriptive statistics, Students' t-test, Mann Whitney test, and linear regression analyses were performed (statistical significance was set at P < 0.025).

Results

The perceived susceptibility to COVID-19 scores were significantly higher among public transportation users (3.3/5) compared to drivers (3.1/5), P = 0.015. Public transportation users felt at higher risk of getting COVID-19 while using vans/buses (51.5 %, n = 201) compared to taxi cabs (39.4 %, n = 155). They preferred if drivers disinfect their vehicles (76.5 %), preferred sharing a ride with others who wear a face mask (71.4 %), preferred if drivers wear masks (69.7 %), preferred if the transport vehicle had a protective shield (65.5 %), and preferred drivers who get vaccinated against COVID-19 (58.8 %). They disagreed that there is a need for a mandate to vaccinate drivers against COVID-19 (59.6 %). Public transportation users not having a health insurance, those who wear a face mask during a ride, and being unemployed reported higher perceived severity to or susceptibility toward COVID-19. Among drivers, being married, receiving COVID-19 vaccine, wearing a face mask, and performing physical activities were associated with higher perceived severity to or susceptibility towards COVID-19.

Conclusions

Findings in this study aid in persuading public transportation drivers to better comply with precautionary measures against COVID-19, thus promoting a safer public transportation system.

目的本研究评估黎巴嫩解除COVID-19限制后公共交通司机和用户对COVID-19的严重程度和易感性的感知。研究设计横断面研究。方法采用面对面问卷调查的方式收集资料。采用比例抽样方法，于2024年8月至10月从黎巴嫩各省份（贝鲁特、黎巴嫩山、北部、南部和贝卡）招募了854名公共交通司机和用户。采用阿拉伯语匿名问卷，在健康信念模型和奥利弗期望失证理论的指导下，测量参与者的特征、COVID-19风险感知和用户偏好。进行描述性统计、学生t检验、Mann Whitney检验和线性回归分析(P <为统计学显著性；0.025)。结果公共交通使用者（3.3/5）对COVID-19的感知易感性得分显著高于司机（3.1/5），P = 0.015。与乘坐出租车（39.4%,n = 155）相比，乘坐公共交通工具的人认为乘坐面包车/公交车感染新冠病毒的风险更高（51.5%,n = 201）。他们更喜欢司机对车辆进行消毒（76.5%），更喜欢与戴口罩的人共乘（71.4%），更喜欢司机戴口罩（69.7%），更喜欢运输车辆有防护盾（65.5%），更喜欢司机接种新冠病毒疫苗（58.8%）。他们不认为有必要强制要求司机接种COVID-19疫苗（59.6%）。没有健康保险的公共交通使用者、在乘车时戴口罩的人以及失业的人报告说，他们对COVID-19的严重程度或易感性更高。在司机中，已婚、接种COVID-19疫苗、戴口罩和进行体育活动与对COVID-19的严重程度或易感性较高相关。本研究的发现有助于说服公共交通司机更好地遵守COVID-19预防措施，从而促进更安全的公共交通系统。

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引用次数: 0

Understanding access to restaurants through personas: A latent class approach integrating preferences and travel behavior 通过人物角色了解去餐厅的途径：一种整合偏好和旅行行为的潜在类别方法

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

Journal of Transport & Health

Pub Date : 2025-08-11 DOI: 10.1016/j.jth.2025.102135

Kaitlyn Ng , Gouri Shankar Mishra , Cynthia Chen

Introduction:

Access to food plays a key role in one’s health and well-being. Past studies on food access have primarily focused on grocery stores. Eating out, however, consumes on average 5.1% of Americans’ disposable income. Eating out is also a key activity that serves multiple purposes: social occasions, opportunity for networking and simply refueling and relaxation. Because eating out combines activity and travel, it is important to understand how individuals’ restaurant preferences and travel behavior may be bundled together to form different personas and how each persona may be related to the built environment and socioeconomic demographics.

Methods:

This study uses data from the Puget Sound Regional Council 2017–2019 Household Travel Survey to perform Latent Class Analysis (LCA). LCA can uncover similar subpopulations, allowing for separation of demographics and behavior during the clustering process.

Results:

The study finds four personas: Convenient Eaters, Lunch Breakers, Restaurant Explorers and Fast Food Enthusiasts. Restaurant-related travel behavior is significantly impacted by the number of children in a household, vehicle access and age, though it is not constrained for those who live in a “food desert”. Differences in travel time, frequency of restaurant trips and meal time are observed between personas.

Conclusions:

The findings of this study suggest that interventions toward healthy eating could be tailored to the specific needs of each persona. Personas display specific preferences toward cuisine and affordability in addition to travel-based motivations. For example, Convenient Eaters, who consume a moderate amount of fast food, could be encouraged to choose healthier options near their home, work, or other often-frequented locations. Fast Food Enthusiasts who solely eat out at fast food and are lower-income could be supported by both educational programs and government subsidies. Overall, the approach used in this study could be adopted for interventions to curate personalized recommendations for healthier eating and sustainable travel behaviors.

导言：获得食物对一个人的健康和福祉起着关键作用。过去关于食物获取的研究主要集中在杂货店。然而，外出就餐平均消耗了美国人可支配收入的5.1%。外出就餐也是一项重要的活动，它有多种用途：社交场合、社交机会、简单地补充能量和放松。因为外出就餐结合了活动和旅行，了解个人的餐馆偏好和旅行行为如何捆绑在一起形成不同的角色，以及每个角色如何与建筑环境和社会经济人口统计相关，这一点很重要。方法：本研究使用普吉特海湾地区委员会2017-2019年家庭旅行调查的数据进行潜在类别分析（LCA）。LCA可以发现相似的子种群，允许在聚类过程中分离人口统计和行为。结果：研究发现了四种角色：方便食客、午餐破坏者、餐馆探索者和快餐爱好者。与餐馆相关的旅行行为受到家庭中子女数量、车辆进出和年龄的显著影响，但对于生活在“食物沙漠”中的人来说，这种影响并不受限制。不同的人物角色在出行时间、外出就餐频率和用餐时间上存在差异。结论：本研究的结果表明，健康饮食的干预措施可以根据每个人的具体需求进行调整。除了旅行动机外，人物角色还显示了对美食和经济能力的特定偏好。例如，方便食客，他们消费适量的快餐，可以鼓励他们选择更健康的选择，靠近他们的家，工作或其他经常光顾的地方。那些只在外面吃快餐的低收入爱好者可以得到教育项目和政府补贴的支持。总体而言，本研究中使用的方法可以用于干预措施，以策划个性化的健康饮食和可持续旅行行为建议。

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引用次数: 0

Community vulnerability influences traffic safety differently in urban, suburban, and rural areas 社区脆弱性对城市、郊区和农村地区交通安全的影响存在差异

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

Journal of Transport & Health

Pub Date : 2025-08-11 DOI: 10.1016/j.jth.2025.102146

Ansley Kasha, Brian C. Tefft, Rebecca Steinbach

Social vulnerability refers to the susceptibility of individuals or communities to harm and is influenced by various inequities related to resources, opportunities, and social conditions. This study aims to investigate the association of motor vehicle crash fatalities with community vulnerability and variations between urban, suburban, and rural areas. Negative binomial regression models were used to estimate cross-sectional associations of population-based motor vehicle crash fatality rates with the Centers for Disease Control and Prevention's Social Vulnerability Index (SVI) across all Census Tracts in the United States in 2018–2022. Associations were allowed to vary by area type. A decile increase in vulnerability was associated with 11% higher fatality rates in urban areas and 9% higher fatality rates in suburban areas (P < 0.001) but only a 1% higher fatality rate in rural areas (P = 0.08). When individual components of vulnerability were examined, fatality rates were most strongly associated with the racial and ethnic minority status theme of the SVI in urban areas but with the socioeconomic status theme in suburban areas and rural areas. Most dimensions of the vulnerability measure were associated more strongly with pedestrian fatalities than with total crash fatalities. Strategies to reduce roadway mortality should account for complex relationships between social vulnerability and geographic location. Future research examining these relationships may help develop interventions that go beyond improving traffic safety, such as addressing social and economic inequities.

社会脆弱性是指个人或社区对伤害的易感性，受到与资源、机会和社会条件有关的各种不平等的影响。本研究旨在探讨机动车碰撞死亡与社区脆弱性的关系，以及城市、郊区和农村地区之间的差异。使用负二项回归模型估计2018-2022年美国所有人口普查区基于人口的机动车碰撞死亡率与疾病控制和预防中心的社会脆弱性指数（SVI）的横断面关联。关联可以根据区域类型而变化。脆弱性每增加十分之一，城市地区死亡率增加11%，郊区死亡率增加9% (P <；0.001)，但农村地区的死亡率仅高出1% （P = 0.08）。当检查脆弱性的各个组成部分时，死亡率与城市地区SVI的种族和少数民族地位主题联系最为密切，但与郊区和农村地区的社会经济地位主题联系最为密切。脆弱性测量的大多数维度与行人死亡人数的关系比与总事故死亡人数的关系更强。降低道路死亡率的战略应考虑到社会脆弱性与地理位置之间的复杂关系。未来对这些关系的研究可能有助于制定超越改善交通安全的干预措施，例如解决社会和经济不平等问题。

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引用次数: 0

Towards a paramethodology: exploring equitable methods for interviewing participants with alternative communication requirements about their experiences of air travel 迈向参数方法学：探索公平的方法，对有其他沟通需求的参与者进行访谈，了解他们的航空旅行经历

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

Journal of Transport & Health

Pub Date : 2025-08-11 DOI: 10.1016/j.jth.2025.102150

Peter Jones , Lucy Budd , Stephen Ison

Despite being an established methodological approach for gaining in-depth data directly from consenting participants, conventional interview approaches, which rely on spoken interactions between researchers and interviewees, are not always appropriate for people with alternative communication requirements. The aim of this paper is to report on how semi-structured interviews were purposefully adapted to ensure that participants living with cerebral palsy, who primarily communicate through alternative, including non-verbal, means, were able to contribute their lived experiences of flying to a wider research project exploring accessible aviation. In so doing, the paper proposes a paramethodological approach to transport research in which interviewees ‘come alongside’ researchers to create more flexible, equitable and accessible methods and methodologies to ensure the experiences and expertise of all groups, including those often marginalised from mainstream transport research, are included.

尽管这是一种直接从同意的参与者那里获得深入数据的既定方法，但传统的访谈方法依赖于研究人员和受访者之间的口头互动，并不总是适合有其他沟通要求的人。本文的目的是报告如何有目的地调整半结构化访谈，以确保主要通过其他方式（包括非语言）进行交流的脑瘫患者能够为探索无障碍航空的更广泛研究项目贡献他们的飞行生活经验。在此过程中，本文提出了一种参数方法论方法来进行交通研究，在这种方法中，受访者“与”研究人员一起创造更灵活、公平和可访问的方法和方法，以确保包括那些经常被主流交通研究边缘化的群体在内的所有群体的经验和专业知识。

引用次数: 0

Adverse behavioural and health outcomes of bus driving occupation in emerging countries: An investigation from Hanoi, Vietnam 新兴国家公共汽车司机职业的不良行为和健康结果：来自越南河内的调查

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

Journal of Transport & Health

Pub Date : 2025-08-02 DOI: 10.1016/j.jth.2025.102145

Thanh Chuong Nguyen, Thanh Tung Ha, Minh Hieu Nguyen

Introduction

Driving a bus is described as a notoriously demanding, stressful, and dangerous job. Thus, many studies have been conducted to investigate the adverse outcomes of this occupation; however, they are separate in terms of methods, research models, and settings, with many inconsistent findings. In response to this gap, we aimed at investigating the influential factors of the four negative outcomes among bus drivers in a developing country, including (1) risky driving behaviours, (2) crash prevalence, (3) rude behaviours against passengers, and (4) alcohol use.

Methods

The utilized data were collected from 1020 bus drivers working on the 132 routes in Hanoi in three weeks of March 2024. Four models were estimated using multiple methods, including exploratory factor analysis, linear regression, and binary and ordinal logit regression.

Results

The results highlighted that the prominent predictors of the four adverse outcomes were working environment and enterprise management. Driving electric buses and having a higher educational level were negatively associated with three of four undesirable outcomes. Other variables (e.g., risk-taking attitude, over-commitment, and working time) had significant roles in predicting one or two outcomes. Being over 50 years old and non-urban bus routes exhibited a negative correlation with crash prevalence but a positive one with the prevalence of rude behaviours against passengers.

Conclusions

Bus enterprises should carefully evaluate the interventions they intend to formulate because of their different effects on health- and safety-related outcomes. The local government should be more responsible for enhancing the working environment for bus drivers (e.g., offering bus lanes and signal priority). At the same time, enterprises should improve their management by promoting a salary system, safety training, and company culture. Besides, bus companies should form tailored campaigns and solutions to safety issues based on demographics.

众所周知，开公交车是一项要求高、压力大、危险的工作。因此，已经进行了许多研究来调查这一职业的不良后果；然而，它们在方法、研究模型和设置方面是分开的，有许多不一致的发现。为了弥补这一差距，我们旨在调查一个发展中国家公交车司机四种负面结果的影响因素，包括(1)危险驾驶行为，(2)撞车发生率，(3)对乘客的粗鲁行为，以及(4)饮酒。方法对河内市132条公交线路的1020名公交司机于2024年3月3周内进行数据采集。采用探索性因子分析、线性回归、二元和有序logistic回归等多种方法对四个模型进行了估计。结果结果显示，工作环境和企业管理是影响四种不良后果的主要因素。驾驶电动公交车和拥有较高的教育水平与四种不良结果中的三种呈负相关。其他变量（例如，冒险态度、过度承诺和工作时间）在预测一个或两个结果中起着重要作用。年龄在50岁以上和非城市公交线路与车祸发生率呈负相关，但与对乘客的粗鲁行为发生率呈正相关。结论公共汽车企业应仔细评估他们打算制定的干预措施，因为它们对健康和安全相关结果的影响不同。地方政府应该更有责任改善公交司机的工作环境（例如，提供公交专用道和信号优先）。与此同时，企业应该通过推广薪酬制度、安全培训和企业文化来改善管理。此外，巴士公司应该根据人口统计数据制定量身定制的活动和安全问题解决方案。

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