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Care-in-motion: Rethinking walking, health and the planning of urban environments for new parents 运动中的护理:为新父母重新思考步行、健康和城市环境规划
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-12 DOI: 10.1016/j.jth.2026.102265
Mirjam Schindler , Eva Neely , Emma R. Power
Urban environments create possibilities and constraints for care, yet many cities have not been designed ‘care-fully’. As ‘super’ carers, parents rely on environments that support everyday caregiving, but their needs remain largely overlooked in urban research. During the transformative and vulnerable time of early parenthood, walking becomes a key mode of care-in-motion: an embodied, affective, and relational mobility practice that reshapes how parents engage with urban space. By exploring walking through this lens, we contribute to debates on how cities can better support everyday geographies of care. Larger-scale empirical research on walking as a reciprocal practice of care for new parents remains limited. This study addresses that gap using a national mixed-methods online survey of parents with young children in Aotearoa New Zealand. We present new parents' walking practices as a local, responsive, and relational form of care-in-motion—shaped by emotional, spatial, and socio-material conditions. Across two overarching themes we explore how (1) local walking acts as an emergent holistic health practice; and (2) how walking acts as a form of local care mobility for new parents. We expand existing notions of care infrastructures to include mundane micro-structures that interact in walking with young children, such as shaded footpaths, safe crossings, and engaging routes. This study offers empirical support for more inclusive, relational approaches to mobility justice, and proposes a parent-centred urbanism that values care-in-motion. In doing so, it reframes walkability as a mobility practice through which care, health, and connection are co-produced.
城市环境为护理创造了可能性和限制,但许多城市的设计并不“谨慎”。作为“超级”照顾者,父母依赖于支持日常照顾的环境,但在城市研究中,他们的需求在很大程度上被忽视了。在早期为人父母的变革和脆弱时期,步行成为运动中关怀的关键模式:一种具体化的、情感的、关系的移动实践,重塑了父母与城市空间的互动方式。通过探索这一视角,我们为城市如何更好地支持日常地理护理的辩论做出了贡献。对步行作为照顾新父母的互惠实践的大规模实证研究仍然有限。本研究通过对新西兰奥特罗阿有幼儿的父母进行全国性的混合方法在线调查,解决了这一差距。我们将新父母的步行实践作为一种局部的、反应性的、关系性的运动中护理形式——由情感、空间和社会物质条件塑造。跨越两个总体主题,我们探索如何(1)当地步行作为一种新兴的整体健康实践;(2)步行如何成为新父母的一种本地护理流动形式。我们扩展了现有的护理基础设施概念,包括与幼儿步行互动的平凡微观结构,如荫蔽的人行道、安全的十字路口和引人入胜的路线。本研究为更包容、更相关的流动性正义方法提供了实证支持,并提出了一种以父母为中心、重视运动中关怀的城市主义。在此过程中,它将步行性重新定义为一种移动性实践,通过这种实践,护理、健康和联系得以共同产生。
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引用次数: 0
“It's like my Legs”: Negotiating ageing and mobility in a motorcycle-dependent society “它就像我的腿”:在一个依赖摩托车的社会中协商老龄化和流动性
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-06 DOI: 10.1016/j.jth.2026.102263
Tsu-Jui Cheng, Yi-Chien Liu

Introduction

In rapidly ageing societies, ensuring inclusive and safe mobility for older adults is an urgent policy challenge, particularly in contexts where motorcycles remain essential for everyday travel. This study examines how older motorcycle riders in Tainan, Taiwan, navigate their mobility amid intensifying policy, infrastructural, and bodily constraints. While transport policy and media discourses often frame older riders as dangerous and in decline, this paper juxtaposes such symbolic representations with the lived practices of older adults who continue to ride out of necessity, habit, and autonomy.

Methods

Drawing on Social Practice Theory and Critical Discourse Analysis, the study analyses 92 government documents, 276 media reports, and 20 in-depth interviews with older adults across urban and suburban communities. This integrated approach reveals how discursive constructions and everyday practices interact to shape mobility in later life.

Results

Findings reveal a persistent disjuncture between institutional narratives that responsibilities ageing individuals for risk and the experiential realities of those managing mobility through embodied competence, localised heuristics, and emotional attachment to motorcycles. Voluntary withdrawal from riding is promoted as moral governance, yet often occurs in the absence of viable alternatives, especially in rural or transit-poor areas.

Conclusions

The analysis reveals this misalignment as a mobility gap – a space where symbolic governance replaces structural provision, and ageing becomes an object of regulation rather than care. By foregrounding mobility persistence over cessation, the study calls for more context-sensitive and justice-oriented approaches to ageing and transport policy. It contributes to emerging debates on mobility justice by showing how older riders are not passive risks to be managed, but skilled actors negotiating constrained environments with dignity and resolve.
在迅速老龄化的社会中,确保老年人的包容性和安全出行是一项紧迫的政策挑战,特别是在摩托车仍然是日常出行必需品的情况下。本研究探讨台湾台南地区的老年机车使用者,如何在政策、基础设施及身体限制的强化下,驾驭他们的机动性。虽然交通政策和媒体话语经常将老年骑手描述为危险的和衰落的,但本文将这种象征性的表现与老年人的生活实践并列,他们出于需要、习惯和自主而继续骑行。方法利用社会实践理论和批判性话语分析,研究分析了92份政府文件、276份媒体报道,并对城市和郊区社区的老年人进行了20次深度访谈。这种综合方法揭示了话语结构和日常实践如何相互作用,以塑造晚年生活的流动性。结果:研究结果表明,在制度叙事中,老年人对风险的责任与那些通过具体化能力、局部启发式和对摩托车的情感依恋来管理流动性的经验现实之间存在持续的脱节。自愿退出骑行被视为道德治理,但往往是在缺乏可行替代方案的情况下发生的,特别是在农村或交通贫困地区。分析表明,这种错位是一种流动性差距——在这个空间里,象征性的治理取代了结构性的规定,老龄化成为了监管的对象,而不是关心的对象。通过强调流动性的持久性而不是戒烟,该研究呼吁对老龄化和交通政策采取更具有背景敏感性和面向正义的方法。它通过展示老年乘客如何不是被动的需要管理的风险,而是以尊严和决心在受限的环境中谈判的熟练参与者,从而促进了关于流动性正义的新兴辩论。
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引用次数: 0
The intersection of driving and health: Toward a framework for healthy driving 驾驶与健康的交叉:迈向健康驾驶的框架
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-05 DOI: 10.1016/j.jth.2026.102260
Nafaa Jabeur , Hedi Haddad , Zied Bouyahia , Fatma Outay , Mahmoud Mastouri
<div><h3>Introduction</h3><div>This paper presents an investigation into health-conscious driving, a dimension that has received limited attention compared to traditional focuses on road safety and eco-efficiency. To address this gap, we introduce the concept of <em>healthy driving</em> as a complementary objective in Intelligent Transportation Systems (ITS), which emphasizes the physiological well-being of drivers and examines how driving behaviors and environmental conditions are associated with physiological load. In an observational on-road case study in Muscat (Oman) involving 33 drivers, our objective is to identify contexts in which physiological indicators cross clinically relevant thresholds or show marked individualized deviations. Such events are treated as associatioal signals of increased physiological strain rather then indicators of immediate or long-term health risks.</div></div><div><h3>Methods</h3><div>A dataset of real-world GPS trajectories and physiological parameters from a group of drivers employed by a governmental institution in Muscat, Oman, was collected over a 13-month period. Initially, 58 professional male drivers were enrolled. Based on pre-specified data-quality criteria, only 33 were retained for the study. Despite their uniform application, we acknowledge that these selection criteria may introduce bias toward participants with more complete or higher-quality recording. We used a multi-phase approach combining data exploration (including geospatial mapping), driver profiling (clustering), and predictive modeling (an attention-augmented LSTM) to estimate short-horizon abnormally high physiological states (heart rate, systolic Blood Pressure - BP) from driving behavioral (harsh acceleration and breaking) and road contextual (curvatures) information under group-aware cross-validation.</div></div><div><h3>Results</h3><div>Results show that short-horizon abnormal physiological states can be reliably inferred from driving behavior and road infrastructure features. Across cross-validated analyses, performance gains were observed under class-balanced optimization, with consistently strong discrimination for heart rate and systolic blood pressure. The findings suggest that routine exposure to specific road contexts is associated with measurable physiological load. These results are associational and hypothesis-generating. They underscore the need to redefine Intelligent Transportation Systems (ITS) to account for driver health outcomes. They furthermore advocate for the development of health-aware infrastructure, monitoring tools, and adaptive in-vehicle systems.</div></div><div><h3>Conclusions</h3><div>Our findings suggest the feasibility of health-aware analytics and outline the HEALD (Holistic Evaluation and Analytics for Livable Driving) framework, a modular roadmap for health-aware monitoring and early warning. HEALD includes a Driving Early Warning Score (DEWS) schema specifying risk banding and alert logic, with op
本文介绍了一项对健康意识驾驶的调查,与传统的道路安全和生态效率相比,这一维度受到了有限的关注。为了解决这一差距,我们引入了健康驾驶的概念,作为智能交通系统(ITS)的补充目标,它强调驾驶员的生理健康,并研究驾驶行为和环境条件如何与生理负荷相关。在马斯喀特(阿曼)的一项涉及33名驾驶员的观察性道路案例研究中,我们的目标是确定生理指标越过临床相关阈值或显示明显个体化偏差的情况。这些事件被视为生理压力增加的相关信号,而不是立即或长期健康风险的指标。方法收集了阿曼马斯喀特一家政府机构雇用的一组驾驶员在13个月期间的真实GPS轨迹和生理参数数据集。最初,有58名职业男性司机被招募。根据预先规定的数据质量标准,只有33名被保留用于研究。尽管他们的应用是统一的,但我们承认这些选择标准可能会对记录更完整或质量更高的参与者产生偏见。我们使用了一种结合数据探索(包括地理空间映射)、驾驶员分析(聚类)和预测建模(一种注意力增强LSTM)的多阶段方法,在群体意识交叉验证下,从驾驶行为(剧烈加速和刹车)和道路环境(曲率)信息中估计短期异常高的生理状态(心率、收缩压- BP)。结果从驾驶行为和道路基础设施特征可以可靠地推断出短视界异常生理状态。在交叉验证的分析中,在类别平衡优化下观察到性能的提高,心率和收缩压始终具有很强的区别。研究结果表明,常规暴露于特定道路环境与可测量的生理负荷有关。这些结果是相互关联的,并产生假设。他们强调需要重新定义智能交通系统(ITS),以考虑驾驶员的健康结果。他们还提倡发展健康意识基础设施、监测工具和自适应车载系统。结论研究结果表明了健康意识分析的可行性,并概述了健康意识监测和预警的模块化路线图HEALD (Holistic Evaluation and analytics for Livable Driving)框架。HEALD包括一个驾驶早期预警评分(DEWS)模式,该模式指定了风险分级和警报逻辑,并具有操作阈值,可进行前瞻性验证。考虑到男性样本,可穿戴传感器的精度限制,以及现场随机化的限制(例如,不可避免的交通和天气变化等),研究结果的解释应该谨慎。为了在HEALD路线图中提供主动的安全和福祉工具,我们未来的工作将集中在:(i)招募更广泛、性别平衡和地理多样化的驾驶员样本;(ii)对DEWS阈值进行前瞻性、预注册验证;(三)评估驾驶员指导、路线和速度调节干预措施。
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引用次数: 0
Effects of the visual environment on walking among older adults with visual impairment: A conceptual framework 视觉环境对老年视力障碍患者行走的影响:一个概念框架
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-04 DOI: 10.1016/j.jth.2025.102248
Huihui Zhou, Dake Wei

Introduction:

Global population aging has intensified the prevalence of visual impairment among older adults. Walking is a critical activity for maintaining overall health among older adults, yet visual impairment significantly compromises their walking. To enhance the walking safety of older adults with visual impairment, it is essential to address the current challenges, including fragmented environmental research and insufficient standards. While interdisciplinary collaboration and a systematic understanding of the interaction between environmental science and medicine are urgent required.

Methods:

This study proposes a preliminary conceptual framework of visual functional ability grounded in the World Health Organization’s definition of functional ability to demonstrate the holistic research landscape of visual environments affecting walking in older adults with visual impairment. Through a two-pronged approach that integrating literature evidence and VI demands-driven principles, employ the visual function as a bridge to establish the pathway of visual environment with walking among target population, this study presents a synthesis of diverse and disparate evidence among literature that establish a comprehensive understanding of these impacts.

Results:

The developed integrated causal diagram, grounded in extracted research findings, demonstrate the mechanisms linking environmental stimuli with individual characteristics of visual function to show their combined impact on walking. Acquiring the reliability and completeness of visual information is central to this process, facilitated by designs that focusing on feedforward visual mechanisms.These designs are driven by interventions tailored to five visual function demands of visual acuity, color vision, depth perception, contrast sensitivity and field of vision.

Conclusion:

The integrated causal diagram provides a foundation for empirical studies and offers actionable insights for age-friendly environments that support safe walking for older adults with visual impairment. While further empirical validation is required for real-world translation, a more nuanced exploration of the factors and associated outcomes remains necessary, like social and dynamic environmental factors, as well as the standardization of methodologies.
导读:全球人口老龄化加剧了老年人视力障碍的患病率。行走是老年人保持整体健康的一项重要活动,但视力障碍严重影响了他们的行走。为了提高有视力障碍的老年人的行走安全,必须解决当前的挑战,包括零散的环境研究和不充分的标准。同时,迫切需要跨学科的合作和对环境科学与医学之间相互作用的系统理解。方法:本研究以世界卫生组织对视觉功能能力的定义为基础,提出了一个视觉功能能力的初步概念框架,以展示视觉环境对老年视力障碍患者行走影响的整体研究格局。本研究通过结合文献证据和VI需求驱动原则的双管齐下的方法,以视觉功能为桥梁,建立目标人群中视觉环境与行走的途径,综合了文献中各种不同的证据,建立了对这些影响的全面理解。结果:基于提取的研究成果,建立了综合因果图,展示了环境刺激与视觉功能个体特征之间的联系机制,并展示了它们对行走的综合影响。获取视觉信息的可靠性和完整性是这一过程的核心,通过关注前馈视觉机制的设计来促进这一过程。这些设计是根据视觉敏锐度、色觉、深度知觉、对比敏感度和视野这五种视觉功能需求量身定制的。结论:综合因果关系图为实证研究提供了基础,并为老年人视力障碍安全行走的老年友好环境提供了可操作的见解。虽然现实世界的翻译需要进一步的实证验证,但对因素和相关结果的更细致的探索仍然是必要的,比如社会和动态环境因素,以及方法的标准化。
{"title":"Effects of the visual environment on walking among older adults with visual impairment: A conceptual framework","authors":"Huihui Zhou,&nbsp;Dake Wei","doi":"10.1016/j.jth.2025.102248","DOIUrl":"10.1016/j.jth.2025.102248","url":null,"abstract":"<div><h3>Introduction:</h3><div>Global population aging has intensified the prevalence of visual impairment among older adults. Walking is a critical activity for maintaining overall health among older adults, yet visual impairment significantly compromises their walking. To enhance the walking safety of older adults with visual impairment, it is essential to address the current challenges, including fragmented environmental research and insufficient standards. While interdisciplinary collaboration and a systematic understanding of the interaction between environmental science and medicine are urgent required.</div></div><div><h3>Methods:</h3><div>This study proposes a preliminary conceptual framework of visual functional ability grounded in the World Health Organization’s definition of functional ability to demonstrate the holistic research landscape of visual environments affecting walking in older adults with visual impairment. Through a two-pronged approach that integrating literature evidence and VI demands-driven principles, employ the visual function as a bridge to establish the pathway of visual environment with walking among target population, this study presents a synthesis of diverse and disparate evidence among literature that establish a comprehensive understanding of these impacts.</div></div><div><h3>Results:</h3><div>The developed integrated causal diagram, grounded in extracted research findings, demonstrate the mechanisms linking environmental stimuli with individual characteristics of visual function to show their combined impact on walking. Acquiring the reliability and completeness of visual information is central to this process, facilitated by designs that focusing on feedforward visual mechanisms.These designs are driven by interventions tailored to five visual function demands of visual acuity, color vision, depth perception, contrast sensitivity and field of vision.</div></div><div><h3>Conclusion:</h3><div>The integrated causal diagram provides a foundation for empirical studies and offers actionable insights for age-friendly environments that support safe walking for older adults with visual impairment. While further empirical validation is required for real-world translation, a more nuanced exploration of the factors and associated outcomes remains necessary, like social and dynamic environmental factors, as well as the standardization of methodologies.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102248"},"PeriodicalIF":3.3,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940164","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
Individual gain, societal pain: When personal mobility solutions become public problems 个人收益,社会痛苦:当个人出行解决方案成为公共问题时
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-02 DOI: 10.1016/j.jth.2025.102252
Luis A. Guzman , Victor A. Cantillo-Garcia , Angie Criado , Lauren Bisi , Andrés I. Vecino-Ortiz , Abdulgafoor M. Bachani

Introduction

Rapid motorization in low- and middle-income countries has made motorcycles an increasingly popular yet high-risk mode of transport, posing significant public health and policy challenges. In Bogotá, Colombia, motorcyclists account for nearly half of all traffic-related fatalities, disproportionately affecting lower-income residents. This study investigates the behavioral, psychosocial, and structural determinants influencing motorcycle dependence.

Methods

A cross-sectional survey was conducted with 781 adult motorcycle riders, representative of Bogotá's motorcycling population. The survey captured data on travel behavior, road-safety experience, perceived injury risk, underlying motivations, and mobility satisfaction. A hybrid choice model was employed to assess the influence of sociodemographic characteristics, travel demand policies, risk propensity personality traits, and latent psychosocial constructs—based on the Theory of Planned Behavior—on the intention to use motorcycles. These constructs included instrumental and affective attitudes, perceived social norms, and perceived behavioral control.

Results

Affective attitudes—such as enjoyment and a sense of freedom—emerged as strong positive predictors of continued motorcycle use. In contrast, instrumental attitudes—emphasizing practicality and necessity—indicated a potential openness to mode shift if attractive alternatives were available. Policy simulations revealed that regulatory measures such as license plate-based circulation restrictions, increased taxation, and passenger bans significantly discouraged motorcycle use. Conversely, improvements in public transport showed limited influence due to persistent negative perceptions of its reliability and safety.

Conclusions

The findings highlight the need for comprehensive strategies that address both rational economic considerations and the psychosocial motivations behind motorcycle dependence. Effective interventions in rapidly motorizing cities must combine strong enforcement, improved public transport, economic incentives, and behavior change campaigns to reduce traffic injuries and promote healthier urban environments.
低收入和中等收入国家的快速机动化使摩托车成为日益流行但高风险的交通方式,对公共卫生和政策构成重大挑战。在哥伦比亚的波哥大,摩托车手占所有交通相关死亡人数的近一半,对低收入居民的影响尤为严重。本研究探讨影响摩托车依赖的行为、社会心理和结构因素。方法对代表波哥大摩托车骑行人群的781名成年摩托车骑行者进行横断面调查。该调查收集了有关出行行为、道路安全体验、感知伤害风险、潜在动机和出行满意度的数据。基于计划行为理论,采用混合选择模型评估了社会人口学特征、出行需求政策、风险倾向、人格特征和潜在心理社会结构对摩托车使用意愿的影响。这些构念包括工具性和情感性态度、感知到的社会规范和感知到的行为控制。结果情感态度,如享受和自由感,成为持续使用摩托车的强烈积极预测因素。相反,强调实用性和必要性的工具性态度表明,如果有吸引人的替代方案可用,则可能对模式转变持开放态度。政策模拟显示,诸如基于牌照的流通限制、增加税收和乘客禁令等监管措施大大阻碍了摩托车的使用。相反,由于对公共交通的可靠性和安全性的持续负面看法,公共交通的改善影响有限。结论:研究结果强调需要制定综合策略,解决摩托车依赖背后的理性经济考虑和社会心理动机。在快速机动化的城市中,有效的干预措施必须结合强有力的执法、改善公共交通、经济激励和行为改变运动,以减少交通伤害,促进更健康的城市环境。
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引用次数: 0
Acceptance of an online cycling training for adults to master complex traffic situations 接受成人在线骑行训练,掌握复杂交通状况
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-23 DOI: 10.1016/j.jth.2025.102241
Nora Studer , Michael A. B. van Eggermond , Dorothea Schaffner , Lucy Johnson , Leah Knecht

Introduction

The promotion of cycling as a sustainable and healthy mode of transport is often hindered by safety concerns. Cycling safety is influenced by various factors, such as infrastructure, traffic conditions, and cycling skills. Online cycling training is a scalable method for improving safety skills, but its effectiveness is ultimately determined by users’ acceptance and usage intentions of the intervention.

Methods

This study uses a survey approach to investigate the usage and acceptance of an online cycling training intervention for adults, employing the Unified Theory of Acceptance and Use of Technology (UTAUT2) as theoretical framework. The training consisted of three modules designed to train cycling skills in seven traffic situations – such as recognizing priority, appropriate lateral position along parked cars, and recognizing blind spot situations. Out of 10,000 invitees, 1182 individuals completing module 1, and 708 individuals completing the entire training as well as answering to a survey to measure acceptance.

Results

Findings showed that frequent cyclists were significantly more likely to complete the entire training. Overall, acceptance ratings were generally high, with effort expectancy (ease of use) receiving the highest ratings, while the performance expectancy (perceived learning effect) was rated the lowest. Key factors associated with participants' intention to continue or participate anew in the training included hedonic motivation (fun), perceived learning benefits, price value (attractive prizes). Participants’ cycling frequency moderated these effects.

Conclusion

This study's results indicate that a considerable share of cyclists is willing to complete an online cycling training. To enhance its reach, the training should appeal to both intrinsic motivation (enjoyment, learning benefits) and extrinsic motivation (prizes). Additionally, targeted measures are recommended to effectively address infrequent cyclists.
作为一种可持续和健康的交通方式,骑自行车的推广常常受到安全问题的阻碍。骑行安全受到各种因素的影响,如基础设施、交通状况和骑行技能。在线自行车训练是一种可扩展的提高安全技能的方法,但其有效性最终取决于用户对干预的接受程度和使用意图。方法本研究采用调查法,以技术接受与使用统一理论(UTAUT2)为理论框架,调查成人在线自行车训练干预的使用和接受情况。该培训包括三个模块,旨在训练在七种交通情况下的骑行技能,例如识别优先级,停车时适当的横向位置,以及识别盲点情况。在10,000名受邀者中,1182人完成了模块1,708人完成了整个培训并回答了一项衡量接受度的调查。结果研究结果显示,经常骑车的人更有可能完成整个训练。总的来说,接受评级通常很高,努力预期(易于使用)获得最高评级,而性能预期(感知学习效果)被评为最低评级。与参与者继续或重新参加培训的意愿相关的关键因素包括享乐动机(乐趣)、感知到的学习益处、价格价值(有吸引力的奖品)。参与者骑自行车的频率缓和了这些影响。结论本研究结果表明,有相当比例的骑自行车者愿意完成在线自行车训练。为了扩大培训的范围,培训应同时吸引内在动机(享受、学习效益)和外在动机(奖励)。此外,建议采取有针对性的措施,有效解决不常骑车的问题。
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引用次数: 0
Towards a research agenda to better understand the role of walking for healthy ageing and wellbeing in African cities 制定一项研究议程,以更好地了解步行对非洲城市健康老龄化和福祉的作用
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-22 DOI: 10.1016/j.jth.2025.102250
Carlo Luiu , Charles Musselwhite
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引用次数: 0
Daytime visibility requirements of drivers for age-inclusive road markings 包括年龄的道路标志驾驶者的日间能见度要求
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-20 DOI: 10.1016/j.jth.2025.102243
Aolin Yu , Jiangbi Hu , Ronghua Wang , Qingxin Hu , Yanyan Guan , Teng Liu

Introduction

Older adults often experience visual decline that limits their ability to perceive road markings, reducing their driving confidence and safety. Ensuring adequate visual accessibility of road markings is critical for supporting safe and independent mobility among aging populations. This study explores the daytime visibility requirements of age-sensitive road markings to enhance inclusivity and safety for older road users.

Methods

A real-road driving experiment involved 40 participants across three age groups: young (22–44 years), middle-aged (45–59 years), and older adults (≥60 years). 24 marking configurations were evaluated, and 960 preview distance measurements were collected. A generalized linear model (GLM) was employed to analyze the effects of luminance contrast, width, color, driver age, and gender on daytime preview distance. Additionally, age-stratified asymptotic regression models were developed to capture the nonlinear relationship between luminance contrast and preview distance. Thresholds of luminance contrast for various marking widths and colors were identified.

Results

Luminance contrast, width, color, and driver age significantly influenced preview distance (p < 0.05), while gender showed no significant effect. Within the speed range of 60–100 km/h, older drivers required luminance contrast thresholds 1.34–2.36 times higher than younger and middle-aged drivers to achieve comparable visibility.

Conclusions

The findings highlight the importance of age-sensitive design in visual road infrastructure to ensure inclusive mobility. The identified thresholds provide quantitative guidance for the design and maintenance of age-sensitive pavement markings, contributing to the development of inclusive and age-friendly transport systems that promote safety, independence, and social inclusion for older adults.
老年人经常经历视力下降,这限制了他们识别道路标志的能力,降低了他们驾驶的信心和安全性。确保道路标志的充分视觉可达性对于支持老年人安全和独立的行动至关重要。本研究探讨了年龄敏感道路标志的日间能见度要求,以提高老年道路使用者的包容性和安全性。方法采用实际道路驾驶实验,40名受试者分为青年(22-44岁)、中年(45-59岁)和老年人(≥60岁)三个年龄组。评估了24种标记配置,并收集了960个预览距离测量值。采用广义线性模型(GLM)分析了亮度对比度、宽度、颜色、驾驶员年龄和性别对日间预览距离的影响。此外,建立了年龄分层渐近回归模型来捕捉亮度对比度和预览距离之间的非线性关系。确定了不同标记宽度和颜色的亮度对比阈值。结果肤色对比度、宽度、肤色、驾驶员年龄对预瞄距离有显著影响(p < 0.05),性别对预瞄距离无显著影响。在60-100公里/小时的速度范围内,老年驾驶员需要的亮度对比度阈值比年轻和中年驾驶员高1.34-2.36倍,才能达到相当的能见度。研究结果强调了在视觉道路基础设施中进行年龄敏感设计对于确保包容性交通的重要性。确定的阈值为年龄敏感路面标志的设计和维护提供了定量指导,有助于开发包容性和老年人友好型交通系统,促进老年人的安全、独立和社会包容。
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引用次数: 0
Balancing Convenience and Care: What role does transportation play in the tradeoff between in-person and virtual healthcare choices for caregivers? 平衡便利和护理:交通在护理人员面对面和虚拟医疗选择之间的权衡中扮演什么角色?
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-17 DOI: 10.1016/j.jth.2025.102240
Gretchen Bella , Amanda Stathopoulos

Introduction

The COVID-19 pandemic accelerated adoption of telehealth, yet its long-term role remains unclear given uncertainties in the healthcare landscape, especially for pediatric care. This study investigates how transportation-related burdens and caregiver stress influence decision-making between in-person and telehealth appointments for children.

Methods

Using data from a nationally representative, web-based stated choice experiment (n = 157 caregivers, 942 observations), we apply an Integrated Choice and Latent Variable (ICLV) model to capture drivers of healthcare access modality choice.

Results

Our findings reveal that a caregiver's real-world travel burdens – such as being solely responsible for a child's transportation – significantly increase the likelihood of choosing telehealth. In contrast, a strong latent preference for in-person care persists among some caregivers, even when telehealth offers more favorable appointment attributes.

Conclusions

The results of this study underscore the importance of considering telehealth access and caregiver context when designing pediatric healthcare systems. The findings have implications for both healthcare delivery providers and transportation planners.
2019冠状病毒病(COVID-19)大流行加速了远程医疗的普及,但鉴于医疗保健领域(尤其是儿科护理领域)的不确定性,远程医疗的长期作用尚不清楚。本研究探讨交通相关负担和照顾者压力如何影响儿童面对面和远程医疗预约之间的决策。方法使用来自全国代表性的基于网络的陈述选择实验(n = 157名护理人员,942项观察)的数据,我们应用综合选择和潜在变量(ICLV)模型来捕捉医疗保健获取模式选择的驱动因素。结果:我们的研究结果表明,照顾者在现实世界中的旅行负担——比如独自负责孩子的交通——大大增加了选择远程医疗的可能性。相比之下,即使远程医疗提供了更有利的预约属性,一些护理人员仍然存在对亲自护理的强烈潜在偏好。结论本研究的结果强调了在设计儿科医疗保健系统时考虑远程医疗访问和护理人员环境的重要性。研究结果对医疗服务提供者和交通规划者都有启示意义。
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引用次数: 0
Computer vision for extraction of environmental characteristics from street images: a scoping review of methods and applications 从街道图像中提取环境特征的计算机视觉:方法和应用的范围综述
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-17 DOI: 10.1016/j.jth.2025.102209
Kyriaki Kokka (Kelly) , Yuru Huang , Irena Itova , Carola Bibiane Schönlieb , Louise Foley , James Woodcock , Thomas Burgoine

Introduction

The built environment can influence diet, participation in physical activity, related non-communicable disease outcomes and mortality. Therefore, characteristics of the built environment have been the subject of much international public health research. However, in many contexts the ability to measure environmental exposure is limited by data availability. In-person street audits can provide detail but are costly at scale, while virtual, desk-based audits are also resource-intensive. Computer vision (CV), powered by deep learning, which can automatically extract data on environmental characteristics from street images, is a potentially powerful alternative. In this systematic scoping review, we explored the uses, models and performance of CV for the detection of environmental characteristics of potential relevance to diet and physical activity behaviours from street images.

Methods

Following an adapted version of Arksey and O'Malley's review process, we used eight diverse databases to identify 11,221 records. Eligible studies were published 2020–2023, reported in English and focused on CV models to identify objects relevant to diet or physical activity from street images. After title, abstract, and full-text screening, we included 106 studies in our review. We conducted a narrative synthesis of findings, supported by harvest plots.

Results

Most studies employed pre-trained, segmentation models such as DeepLabv3 and YOLO, based on Cityscapes and MS COCO benchmark datasets. Applications of CV have been concentrated in the United States and China, and in high income countries more generally. CV was used to detect data on 40 broader environmental characteristics relating to the built, natural, transport and food environments. Less than half of the studies we found reported model accuracy.

Conclusions

Our findings indicate the potential of CV in public health research. However, it is a concern that few studies have reported CV model performance. We provide some minimum reporting recommendations concerned with the use of CV to maintain trust and transparency in public health research.
建筑环境可以影响饮食、身体活动的参与、相关的非传染性疾病结局和死亡率。因此,建筑环境的特征一直是国际公共卫生研究的主题。然而,在许多情况下,测量环境暴露的能力受到数据可用性的限制。面对面的街头审计可以提供细节,但规模昂贵,而基于桌面的虚拟审计也需要大量资源。由深度学习驱动的计算机视觉(CV)可以自动从街道图像中提取环境特征数据,这是一个潜在的强大替代方案。在这篇系统的范围综述中,我们探讨了CV在从街道图像中检测与饮食和身体活动行为潜在相关的环境特征方面的用途、模型和性能。方法采用Arksey和O'Malley的审查过程,我们使用8个不同的数据库来识别11,221条记录。符合条件的研究发表于2020-2023年,以英语报告,并专注于CV模型,以从街头图像中识别与饮食或体育活动相关的对象。经过标题、摘要和全文筛选,我们在综述中纳入了106项研究。我们对调查结果进行了叙述性综合,并以收获情节为支撑。结果大多数研究采用预先训练的分割模型,如DeepLabv3和YOLO,基于cityscape和MS COCO基准数据集。CV的应用主要集中在美国和中国,在高收入国家更为普遍。CV用于检测与建筑、自然、运输和食品环境有关的40个更广泛的环境特征的数据。我们发现不到一半的研究报告了模型的准确性。结论本研究结果表明CV在公共卫生研究中的潜力。然而,令人担忧的是,很少有研究报道了CV模型的性能。我们提供了一些关于使用CV的最低报告建议,以保持公共卫生研究的信任和透明度。
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引用次数: 0
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Journal of Transport & Health
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