Journal of Transport & Health最新文献_第3页

Do environmental attitudes predict perceived active school travel barriers, facilitators, and motivations among youth? Evidence from a national Canadian survey 环境态度能否预测青少年认为的学校积极出行的障碍、促进因素和动机？来自加拿大全国调查的证据

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-16 DOI: 10.1016/j.jth.2024.101930

Adrian Buttazzoni , Julia Pham , Shiran Zhong , Kendra Nelson Ferguson , Jason Gilliland

Introduction

Active school travel (AST; e.g., cycling/walking to/from school) has many potential benefits, yet participation rates are low in many countries. Little is known regarding how the environmental attitudes of youth influence their beliefs and motivations regarding AST. This paper examines the relationships between pro-ecological and dominant social paradigm (DSP; e.g., belief in human exceptionalism) attitudes and the likelihood of reporting different perceived AST barriers, facilitators, and parental/guardian controls among youth, as well as how these attitudes impact different forms of motivation (i.e., external, introjected, identified, and intrinsic regulation) related to AST.

Methods

Logistic and linear regression analyses of a national-level online survey (n = 1193) of Canadian 8–14 year olds were conducted. Divergences were observed with respect to each analysis of perceived barriers, facilitators, and parental controls, as well as motivations for AST.

Results

Mixed findings were found regarding perceived barriers and facilitators; for example, differences were observed regarding the likelihood of perceiving road safety barriers with increases in pro-ecological perspectives being significantly more likely than increases in DSP views to report barriers such as ‘drivers speeding’. Consistent divergent trends were found regarding perceived parental controls and types of motivation for AST. For instance, environment-related parental controls like ‘allowed to cycle on main roads’, and motivations like external regulation, were significantly associated with increases in DSP beliefs but not in response to changes in pro-ecological perspectives.

Conclusions

Findings suggest that increases in pro-ecological attitudes tend to predict more perceived barriers to AST and greater intrinsic motivation to engage in AST—trends that are not mirrored in changes among DSP views. Future studies are encouraged to explore other environmental attitudes (e.g., consumption behavior, pollution reduction practices) to compare to our findings.

导言积极的校园出行（AST，例如骑自行车/步行上学/放学）有许多潜在的好处，但在许多国家，参与率却很低。关于青少年的环保态度如何影响他们对积极的校园出行的信念和动机，人们知之甚少。本文研究了支持生态和主导社会范式（DSP，如相信人类是例外）的态度与青少年报告他们认为的不同 AST 障碍、促进因素和父母/监护人控制的可能性之间的关系，以及这些态度如何影响与 AST 相关的不同形式的动机（即外部、内驱力、认同和内在调节）。方法对加拿大 8-14 岁青少年的全国在线调查（n = 1193）进行了逻辑和线性回归分析。结果在感知到的障碍和促进因素方面发现了不同的结果；例如，在感知到道路安全障碍的可能性方面发现了差异，在报告 "司机超速 "等障碍时，亲生态观点增加的可能性明显高于 DSP 观点增加的可能性。在感知到的家长控制和 AST 动机类型方面，发现了一致的不同趋势。例如，"允许在主干道上骑自行车 "等与环境相关的家长控制措施和外部监管等动机与 DSP 信念的增加显著相关，但与亲生态观点的变化无关。结论研究结果表明，亲生态态度的增加往往预示着参与 AST 的感知障碍更多和内在动机更强--这些趋势并不反映在 DSP 观点的变化中。我们鼓励未来的研究探索其他环境态度（如消费行为、减少污染的做法），以便与我们的研究结果进行比较。

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引用次数: 0

Associations between e-bike travel distance and changes in health 电动自行车出行距离与健康变化之间的关系

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-16 DOI: 10.1016/j.jth.2024.101925

Rodrigo Bini , Blake Collins , Jayden Hunter , Nicholas Hunter , Jenna McVicar , Brett Gordon , Michael Kingsley

Introduction

Electrically assisted bikes (E-bikes) have the potential to assist with the accumulation of moderate intensity physical activity but the relationship between volume of e-cycling and health has not been fully examined. The aim of this study was to explore the associations between distance travelled during a 4-week e-bike intervention and measures of health. A second aim was to explore individual responses to using e-bikes and the potential effects of weather on the volume of e-cycling.

Methods

Twenty-six sedentary adults were assessed before and after 4-weeks using a motion activated e-bike. Health (i.e., blood glucose and blood pressure), cardiorespiratory fitness and musculoskeletal fitness (i.e., lower body strength, power and flexibility) outcomes were obtained before and after the 4-weeks. Travel distance, total monthly rainfall, max and min temperatures (monthly averages) data were collected. Correlations between travel distance and health (body mass, blood glucose, systolic blood pressure, diastolic blood pressure), cardiorespiratory fitness (power output and heart rate (HR) during the Astrand Rhyming test, and predicted VO₂max) and musculoskeletal fitness (sit and reach distance, vertical jump height, wall squat time) were analysed. Magnitude of changes relative to baseline values were explored to identify individuals that could potentially benefit more from the intervention.

Results

An inverse relationship between travel distance was observed with changes in body mass (p = 0.02 and ρ = −0.46) and diastolic blood pressure (p = 0.02 and ρ = −0.44). Individuals with higher blood glucose and poorer vertical jump performance at baseline had better magnitude of change results after the 4-weeks e-cycling.

Conclusions

Associations between more travel with an e-bike and greater reductions in body mass and diastolic blood pressure were observed. E-cycling has the potential to assist those with poorer health outcomes, but it may need to be supplemented by additional forms of exercise to ensure adherence to the guidelines for physical activity.

导言电动助力自行车（E-bike）具有帮助积累中等强度体育锻炼的潜力，但电动自行车运动量与健康之间的关系尚未得到充分研究。本研究的目的是探讨在为期 4 周的电动自行车干预活动中骑行距离与健康指标之间的关系。方法对 26 名久坐不动的成年人在使用运动激活电动自行车 4 周前后的情况进行了评估。在 4 周前和 4 周后，对健康（即血糖和血压）、心肺功能和肌肉骨骼功能（即下半身力量、力量和柔韧性）进行了评估。此外，还收集了旅行距离、月总降雨量、最高和最低气温（月平均值）等数据。分析了旅行距离与健康（体重、血糖、收缩压、舒张压）、心肺功能（阿斯特兰韵律测试中的输出功率和心率以及预测的最大氧饱和度）和肌肉骨骼功能（坐姿和伸展距离、垂直跳跃高度、壁蹲时间）之间的相关性。结果发现，旅行距离与体重（p = 0.02，ρ = -0.46）和舒张压（p = 0.02，ρ = -0.44）的变化呈反比关系。基线血糖较高和纵跳成绩较差的人在骑电动自行车 4 周后的变化幅度较好。电动自行车有可能帮助那些健康状况较差的人，但可能需要辅以其他形式的锻炼，以确保遵守体育锻炼指南。

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引用次数: 0

How will physical activity change in an autonomous future? 在自主的未来，体育活动将如何变化？

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-13 DOI: 10.1016/j.jth.2024.101924

Leon Booth , Victoria Farrar , Jason Thompson , Rajith Vidanaarachchi , Branislava Godic , Julie Brown , Charles Karl , Simone Pettigrew

Introduction

Physical activity is beneficial to health, yet a substantial proportion of people do not meet minimum physical activity recommendations. The introduction of autonomous vehicles is likely to bring about changes that both promote and discourage people from being physically active. However, attempts to predict how autonomous vehicles will affect engagement in physical activity have yielded mixed results. The present study used a novel approach to better understand how people's lifestyles might be affected, and whether some people may be more vulnerable to increased inactivity.

Method

In total, 1078 respondents completed an online survey that included a vignette describing a future scenario where autonomous vehicles are in common use. Respondents reported their anticipated changes in exercise levels and associated reasons. Frequency analyses were conducted to examine predicted changes in physical activity and two generalised linear models were run to identify factors associated with predicted decreases and increases in exercise.

Results

Only minor changes in anticipated levels of physical activity were observed. However, younger people, those who were less active, and those who spent more time using cars and public transport, were more likely to expect they would be increasingly sedentary in the scenario. Less incidental exercise, widespread convenient delivery services, and increased access to door-to-door transport were cited as being the main reasons for anticipating being less active.

Conclusions

The introduction of autonomous vehicles and delivery services will need to be carefully managed to avoid reduced physical activity among certain groups. Proactively employing harm-reduction strategies is a potential means to foster active lifestyles in an autonomous future.

导言：体育锻炼有益健康，但有相当一部分人没有达到最低体育锻炼建议量。自动驾驶汽车的引入可能会带来一些变化，既能促进人们参加体育锻炼，也会阻碍人们参加体育锻炼。然而，试图预测自动驾驶汽车将如何影响人们参与体育锻炼的结果喜忧参半。本研究采用了一种新颖的方法，以更好地了解人们的生活方式可能会受到怎样的影响，以及某些人是否更容易受到不运动增加的影响。方法共有1078名受访者完成了一项在线调查，其中包括一个描述未来自动驾驶汽车普遍使用场景的小故事。受访者报告了他们预期的运动水平变化及相关原因。我们进行了频率分析，以检查体育锻炼的预期变化，并运行了两个广义线性模型，以确定与运动量的预期减少和增加相关的因素。然而，年轻人、活动量较少的人以及使用汽车和公共交通工具时间较长的人更有可能预计他们在情景中会越来越多地久坐。较少的偶然运动、便利的送货服务的普及以及更多的门到门交通被认为是预期活动量减少的主要原因。在自动驾驶的未来，积极采用减少伤害的策略是促进积极生活方式的一种潜在手段。

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引用次数: 0

Beyond the sirens: A scoping review on paramedic safety during response and transportation 警笛之外：应对和运送期间辅助医务人员安全的范围审查

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-09 DOI: 10.1016/j.jth.2024.101922

Lyle Brewster , John Rae , Sonja Maria , Donovan Jones

<div><h3>Background</h3><div>Paramedic safety during response and transportation is a critical issue in emergency medical services, with direct implications for both paramedic well-being and patient care. Ambulance crashes, which average 24.7 fatal incidents per year in the U.S., pose significant risks, with 40.2% of fatalities involving ambulance occupants, including paramedics. Despite its importance, there is limited research addressing the unique risks paramedics face in this phase of their work. This scoping review aims to fill this gap by systematically evaluating the current literature, identifying key findings, and providing recommendations for future research.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the JBI methodology, which involved a comprehensive search using three platforms: EBSCOhost (All databases), SCOPUS, and OVID. The search targeted articles published between 2000 and August 2024, focusing specifically on paramedic safety. The search terms included variations of paramedic, combined with keywords related to safety, danger, risks, and transport. Citations were imported in EndNote and reviewed by two authors. Articles primarily addressing patient safety and non-English publications were excluded. Thematic analysis was systematically performed using Braun & Clarke's method to manually extract and analyse key themes from the results.</div></div><div><h3>Results</h3><div>1354 publications were identified, with 1307 excluded due to lack of relevance or duplication. Forty-seven articles underwent further assessment, resulting in the exclusion of an additional twenty-four publications. Twenty-three articles met the final inclusion criteria. Thematic analysis revealed five core themes: (1) driver inattention and risky behaviours, (2) driver/pilot error, (3) seat belt use, (4) equipment and safety design, and (5) lights and sirens driving.</div></div><div><h3>Conclusions</h3><div>This review underscores the potential role of paramedic behaviours in contributing to safety risks during the transportation phase and that this is key among a multitude of other factors influencing injuries and fatalities in this context. Despite its significance, research addressing these behaviours and risk mitigation strategies remains scarce. Future research must centre on understanding paramedic behaviour and implementing measures to address these critical safety concerns.</div></div><div><h3>Practical applications</h3><div>The scoping review findings suggest actionable recommendations to enhance paramedic safety during transportation. Policy updates should mandate seat belt use, establish stricter guidelines for lights and sirens, and prioritize ambulance interior design for safety. This includes secure equipment storage, ergonomic seating, and advanced restraint systems. Additionally, training programmes should be enhanced to cover safe driving practices, risk management, and proper safety equipment use, while addres

背景救护人员在救护和运输过程中的安全是紧急医疗服务中的一个关键问题，对救护人员的健康和病人护理都有直接影响。在美国，救护车撞车事故每年平均造成 24.7 人死亡，其中 40.2% 的死亡事故涉及救护车乘员，包括辅助医务人员。尽管其重要性不言而喻，但针对护理人员在这一工作阶段所面临的独特风险的研究却十分有限。本范围界定综述旨在通过系统评估现有文献、确定主要发现并为未来研究提供建议来填补这一空白。方法采用 JBI 方法进行范围界定综述，包括使用三个平台进行全面搜索：EBSCOhost （所有数据库）、SCOPUS 和 OVID。检索对象为 2000 年至 2024 年 8 月间发表的文章，重点关注辅助医务人员的安全问题。检索词包括辅助医务人员的变体，以及与安全、危险、风险和运输相关的关键词。引文被导入 EndNote 并由两位作者进行审阅。排除了主要涉及患者安全的文章和非英文出版物。采用 Braun & Clarke 的方法系统地进行了主题分析，以人工方式从结果中提取并分析关键主题。结果共发现 1354 篇出版物，其中 1307 篇因缺乏相关性或重复而被排除。对 47 篇文章进行了进一步评估，结果又排除了 24 篇文章。有 23 篇文章符合最终纳入标准。专题分析揭示了五个核心主题：(1) 驾驶员注意力不集中和危险行为，(2) 驾驶员/飞行员失误，(3) 安全带使用，(4) 设备和安全设计，以及 (5) 灯光和警报器驾驶。尽管其重要性不言而喻，但针对这些行为和风险缓解策略的研究仍然很少。未来的研究必须以了解辅助医务人员的行为和实施措施为中心，以解决这些关键的安全问题。政策更新应强制要求使用安全带，为灯光和警报器制定更严格的指导方针，并优先考虑救护车内部的安全设计。这包括安全的设备存储、符合人体工程学的座椅和先进的约束系统。此外，还应加强培训计划，涵盖安全驾驶实践、风险管理和安全设备的正确使用，同时解决可能妨碍遵守安全协议的文化因素。这些建议旨在指导政策制定者、急救服务提供者和设备制造商提高辅助医务人员的安全性，最终为辅助医务人员和患者带来更好的健康结果。

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引用次数: 0

What do community bike shops mean to the community? Exploring the patrons' perspective 社区自行车店对社区意味着什么？探索顾客的观点

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-07 DOI: 10.1016/j.jth.2024.101926

Stan Yu , Carla Teixeira , Sarah Kostiuk

Background

A Community Bike Shop (CBS) is a local organization that aims to reduce accessibility barriers to bicycles in the community to support patrons' and the community's well being. There is very limited literature available to fully understand the impacts that CBSs have in their communities.

Purpose

Our study sought to explore the impact of CBSs from the perspective of patrons.

Methodology

A phenomenological approach was used to collect descriptive data from patrons through an online survey using open and closed survey questions. There were 12 CBS locations in Canada and the United States, and 155 patrons who participated in the survey. Data was analyzed to answer the research question using conductive analysis.

Results

Four common themes emerged as the impacts of CBS from the data, which were: a) improved access to bikes; b) community building; c) skill development; and d) confidence and empowerment.

Conclusion

CBSs impact appears to extend beyond the personal level as it provides a space and services that participates in reducing health inequities in their community.

背景社区自行车店（CBS）是一个地方性组织，旨在减少社区中的自行车使用障碍，以支持顾客和社区的福祉。我们的研究旨在从顾客的角度探讨社区自行车店的影响。研究方法我们采用了现象学方法，通过在线调查，使用开放式和封闭式调查问题，收集顾客的描述性数据。加拿大和美国共有 12 家社区图书馆，155 名读者参与了调查。通过对数据进行分析，使用传导分析法回答了研究问题。结果从数据中发现了四个共同的主题，即社区自行车中心的影响：a) 改善了自行车的使用；b) 社区建设；c) 技能发展；d) 自信和赋权。结论社区自行车中心的影响似乎超出了个人层面，因为它提供了一个空间和服务，参与减少社区中的健康不平等现象。

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引用次数: 0

EVs meet health: A complex-systems policy integration approach for electric vehicle adoption and its impact on respiratory and cardiovascular disease 电动汽车与健康：电动汽车的采用及其对呼吸系统和心血管疾病影响的复杂系统政策整合方法

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-05 DOI: 10.1016/j.jth.2024.101921

Arham Limoochi , Javier Rodriguez

The transition from gasoline-combustion to zero-emission vehicles represents one of the most ambitious public and private enterprises around the globe to mitigate air pollution and its subsequent effects on climate change. The present study uses the rapid transition in the state of California to analyze the connections between the increasing utilization of electric vehicles (EVs) and two critical health outcomes: Asthma and acute myocardial infarction (AMI) emergency department (ED) visits. We fit simultaneous quantile and interquartile-range regression models to health and sociodemographic data from the California Office of Health and Hazard Assessment and electric vehicles registration data, 2011–2017. Results show that changes in EV utilization, from 2011 to 2013 to 2015–2017, have larger and more favorable effects as asthma and AMI deteriorate across zip codes. Looking at zip codes located at the 75^th and 25^th percentiles of the change in the asthma- and AMI-related ED visits distribution, a 5-percentage points change in the EV-to-gasoline combustion utilization ratio is associated with a 25-percentage points

(p < . 01)

and 12.5-percentage points

(p < . 01)

decline in asthma- and AMI-related ED visits, respectively. Our findings also suggest that, should the U.S. meet the goals of Executive Order N-79-20 by 2035, we could observe about 37,000 fewer asthma-related ED visits (95% CI: 16,154–59,280) per year, with an overall possible annual savings of about $65.5 million dollars (95% CI: $29.1M – $106.7M), and a possible decline of about 19,292 AMI-related hospitalizations, with possible annual savings of about $425 million dollars (95% CI: $365M – $509M). Our findings are optimistic in that spillover effects from increasing EV utilization can reduce healthcare costs while improving population health. Research should point toward the development of public-private coalitional strategies to effectively bridge usually disparate sectors of the economy and policy-making like energy and health.

从汽油燃烧汽车向零排放汽车的过渡是全球公共和私营企业为减轻空气污染及其对气候变化的影响而采取的最雄心勃勃的行动之一。本研究利用加利福尼亚州的快速转型，分析了电动汽车（EV）使用率的增加与两个重要健康结果之间的联系：哮喘和急性心肌梗塞（AMI）急诊就诊率。我们将加利福尼亚州健康与危害评估办公室提供的健康和社会人口数据以及 2011-2017 年的电动汽车注册数据同时拟合为量化和四分位数范围间回归模型。结果显示，从 2011 年到 2013 年再到 2015-2017 年，电动汽车使用率的变化对各邮政编码的哮喘和急性心肌梗塞恶化产生了更大和更有利的影响。从位于哮喘和急性心肌梗死相关急诊就诊人数分布变化的第 75 百分位数和第 25 百分位数的邮政编码来看，电动汽车与汽油燃烧利用率每变化 5 个百分点，哮喘和急性心肌梗死相关急诊就诊人数就会分别下降 25 个百分点（p<.01）和 12.5 个百分点（p<.01）。我们的研究结果还表明，如果美国在 2035 年前实现 N-79-20 号行政令的目标，那么每年与哮喘相关的急诊就诊人数将减少约 37,000 人次（95% CI：16,154-59,280 人次），每年可节省约 6,550 万美元（95% CI：2,910 万美元-1.067 亿美元），与急性心肌梗死相关的住院人数将减少约 19,292 人次，每年可节省约 4.25 亿美元（95% CI：3.65 亿美元-5.09 亿美元）。我们的研究结果是乐观的，因为增加电动车使用率的溢出效应可以降低医疗成本，同时改善人口健康。研究应指向公私联合战略的发展，以有效连接通常不同的经济部门和政策制定部门，如能源和健康部门。

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引用次数: 0

Health enhancement through activity travel participation and physical activity intensity 通过旅行活动参与度和体育活动强度增进健康

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-04 DOI: 10.1016/j.jth.2024.101927

Mujahid Ali , Elżbieta Macioszek , Choon Wah Yuen

Introduction

Past studies investigate the impact of health parameters on activity and transport options. However, limited research has been done on how activity-travel participation influences health outcomes. Physical activity has the potential to improve health characteristics; however, its intensity (duration and frequency) and optimal mode are yet to be determined. Therefore, the current study aims to use physical activity intensity (PAI) as an intermediate variable to study the correlation among daily activities, transport mode choice, and health parameters to pursue sustainable transportation and improve health parameters.

Methods

In September 2013, a multidimensional three-week household survey was used to collect the data containing 191 households and 732 individuals representing 0.029% of the total population of Bandung, Indonesia. SPSS was used for the data normalization and descriptive analysis, whereas R was used for the multilevel regression and structural equation modeling (SEM). Four models were developed between endogenous, mediator, and exogenous variables.

Results

A significant correlation was found between daily activities, transport mode choice, and health parameters with exceptionally acceptable R² and p-values. The appraised results indicate that strenuous PAI is 2.1% and 0.3% positively correlates with physical health (PH) and social health (SH), showing that it mediates the correlation among transport-related daily activities and health parameters. High-income households are dependent on motorized transport which is 0.1% and 0.2% negatively associated with PH and SH. Whereas, active transport is 2.0% and 0.2% and public transport is 0.2% and 1.5% positively associated with PH and SH. Replacing short car trips with a sustainable transportation system enhances health parameters and reduces GHG emissions from the transportation sector.

Conclusion

The current study concluded that the association was mediated by transport-related PAI which enhances health parameters. Policymakers and practitioners promote transport-related physical activity which may help to enhance health parameters and provide a sustainable transportation system.

导言：以往的研究调查了健康参数对活动和交通选择的影响。然而，关于活动-交通参与如何影响健康结果的研究却十分有限。体育活动具有改善健康特征的潜力；然而，其强度（持续时间和频率）和最佳模式仍有待确定。因此，本研究旨在使用身体活动强度（PAI）作为中间变量，研究日常活动、交通方式选择和健康参数之间的相关性，以追求可持续交通和改善健康参数。方法2013 年 9 月，通过为期三周的多维度家庭调查收集了 191 个家庭和 732 名个人的数据，占印度尼西亚万隆总人口的 0.029%。数据归一化和描述性分析使用 SPSS，多层次回归和结构方程建模（SEM）使用 R。结果发现，日常活动、交通方式选择和健康参数之间存在显著相关性，R2 和 P 值均可接受。评估结果表明，剧烈 PAI 与身体健康（PH）和社会健康（SH）的正相关性分别为 2.1%和 0.3%，表明剧烈 PAI 在与交通相关的日常活动和健康参数之间起着中介作用。高收入家庭对机动化交通的依赖程度分别为 0.1%和 0.2%，与身体健康和社会健康呈负相关。而主动交通与 PH 和 SH 正相关的比例分别为 2.0% 和 0.2%，公共交通与 PH 和 SH 正相关的比例分别为 0.2% 和 1.5%。用可持续的交通系统取代短途自驾游可提高健康参数并减少交通部门的温室气体排放。政策制定者和从业人员应促进与交通相关的体育活动，这可能有助于提高健康指标并提供可持续的交通系统。

{"title":"Health enhancement through activity travel participation and physical activity intensity","authors":"Mujahid Ali , Elżbieta Macioszek , Choon Wah Yuen","doi":"10.1016/j.jth.2024.101927","DOIUrl":"10.1016/j.jth.2024.101927","url":null,"abstract":"<div><h3>Introduction</h3><div>Past studies investigate the impact of health parameters on activity and transport options. However, limited research has been done on how activity-travel participation influences health outcomes. Physical activity has the potential to improve health characteristics; however, its intensity (duration and frequency) and optimal mode are yet to be determined. Therefore, the current study aims to use physical activity intensity (PAI) as an intermediate variable to study the correlation among daily activities, transport mode choice, and health parameters to pursue sustainable transportation and improve health parameters.</div></div><div><h3>Methods</h3><div>In September 2013, a multidimensional three-week household survey was used to collect the data containing 191 households and 732 individuals representing 0.029% of the total population of Bandung, Indonesia. SPSS was used for the data normalization and descriptive analysis, whereas R was used for the multilevel regression and structural equation modeling (SEM). Four models were developed between endogenous, mediator, and exogenous variables.</div></div><div><h3>Results</h3><div>A significant correlation was found between daily activities, transport mode choice, and health parameters with exceptionally acceptable R<sup>2</sup> and p-values. The appraised results indicate that strenuous PAI is 2.1% and 0.3% positively correlates with physical health (PH) and social health (SH), showing that it mediates the correlation among transport-related daily activities and health parameters. High-income households are dependent on motorized transport which is 0.1% and 0.2% negatively associated with PH and SH. Whereas, active transport is 2.0% and 0.2% and public transport is 0.2% and 1.5% positively associated with PH and SH. Replacing short car trips with a sustainable transportation system enhances health parameters and reduces GHG emissions from the transportation sector.</div></div><div><h3>Conclusion</h3><div>The current study concluded that the association was mediated by transport-related PAI which enhances health parameters. Policymakers and practitioners promote transport-related physical activity which may help to enhance health parameters and provide a sustainable transportation system.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101927"},"PeriodicalIF":3.2,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417514","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

Changes in biopsychosocial factors based on transportation independence among older adults: A one-year study post-COVID-19 movement restrictions 基于老年人交通独立性的生物心理社会因素变化：COVID-19 运动限制后的一年研究

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-04 DOI: 10.1016/j.jth.2024.101920

Nurul Syuhada Mohd Rosnu , Pei Xian Ding , Patrick Wi Liam Seow , Wan Syafira Ishak , Mohd Harimi Abd Rahman , Charles Musselwhite , Suzana Shahar , Arimi Fitri Mat Ludin , Hui Min Khor , Devinder Kaur Ajit Singh

Introduction

The global COVID-19 pandemic prompted widespread lockdown measures, impacting transportation systems and specifically affecting the mobility of older adults, which could result in changes to their biophysical, psychological and social health, or better known as biopsychosocial health. However, limited information exists regarding the alterations in the biopsychosocial aspects of older adults during and after the COVID-19 movement restrictions, as well as their association. The objective of this study is to investigate the biopsychosocial dynamics associated with navigating transportation during and after the recovery phase of COVID-19 pandemic. Additionally, it aims to determine the association between transportation independence status and various biopsychosocial factors.

Methods

A sub-sample of 100 individuals aged 60 years and above (mean age ± SD: 68.4 ± 5.3), from earlier cross-sectional study were recruited in a one year follow up study. Face-to-face interviews were conducted by the same researcher from baseline to obtain older adults’ sociodemographic health status, anthropometric measurements, functional status, depressive symptoms, nutritional status, cognitive status, visual assessment, physical activity and physical performance and transportation independence. Bivariate logistic regression was performed to examine the association.

Results

While there were no significant changes in transportation independence among older adults during and after the COVID-19 movement restriction, there were noticeable increases in outdoor mobility and certain changes in biopsychosocial factors. Results revealed higher fat mass (Adj OR = 1.20, 95% CI: 1.03–1.41, p < 0.05), poorer performance in Timed up and Go (TUG) (Adj OR = 1.40, 95% CI: 1.03–1.88, p < 0.05) test, poorer Hand Grip Strength (HGS) (Adj OR = .85, 95% CI: .74–.98, p < 0.05) and changes in Instrumental Activities of Daily Living (IADL) (p < 0.05) are associated with restricted transportation in older adults.

Conclusion

The findings of this study highlight the importance of biopsychosocial health factors, such as body composition, physical performance, and function, which may be influenced by transportation independence among older adults.

导言 COVID-19 大流行在全球范围内引发了广泛的封锁措施，影响了交通系统，特别是影响了老年人的行动能力，这可能会导致他们的生物物理、心理和社会健康（或称为生物心理社会健康）发生变化。然而，关于 COVID-19 行动限制期间和之后老年人生物心理社会方面的变化及其关联的信息十分有限。本研究旨在调查 COVID-19 大流行恢复阶段期间和之后与交通导航相关的生物心理社会动态。方法在为期一年的随访研究中，从早期的横断面研究中招募了 100 名 60 岁及以上的个体（平均年龄 ± SD：68.4 ± 5.3）。由同一研究人员从基线开始进行面对面访谈，以了解老年人的社会人口健康状况、人体测量、功能状况、抑郁症状、营养状况、认知状况、视觉评估、体育活动和体能表现以及交通独立性。结果虽然在 COVID-19 运动限制期间和之后，老年人的交通独立性没有发生显著变化，但户外活动能力明显增加，生物心理社会因素也发生了某些变化。结果显示，老年人的脂肪含量更高（Adj OR = 1.20，95% CI：1.03-1.41，p < 0.05），在定时起跑（TUG）中表现较差（Adj OR = 1.40，95% CI：1.03-1.88, p < 0.05）测试、较差的手握力（HGS）（Adj OR = .85, 95% CI: .74-.98, p < 0.05）和日常生活工具性活动（IADL）的变化（p < 0.结论本研究的结果突出了生物心理社会健康因素的重要性，如身体成分、身体表现和功能，这些因素可能会影响老年人的交通独立性。

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引用次数: 0

Deciphering the character of public transport participation in subjective well-being: Evidence from Hangzhou, China 解读公共交通参与对主观幸福感的影响：来自中国杭州的证据

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-10-01 DOI: 10.1016/j.jth.2024.101923

Yinan Dong , Yilin Sun , Dianhai Wang , E. Owen D. Waygood

Introduction

Based on the mobility status and transport dilemmas within a megacity, this study explores the correlation between public transport participation (PTP) and subjective well-being (SWB), in terms of daily mobility, service quality evaluation, interchange experience, and future services.

Methods

Within the urban district of Hangzhou, an on-site questionnaire survey regarding subjective well-being obtained 3600 responses. Based on 37 factors, with subjective well-being as the target variable, a LightGBM model was constructed. The synergies of the explanatory factors were parsed and visualized.

Results

Metro usage in daily mobility was the most vital factor affecting subjective well-being. Knowledge and use of the metro system varied across generations, with individuals younger than 60 reporting better SWB from metro use. PT interchanges consuming more than 12 min result in a significant decrease in SWB. The effect of interchange satisfaction on SWB was mediated by time consumption of PT interchanges. Transport information inquiry was frequently sought yet performed poorly in accuracy. The concerns about the punctuality of buses amplified the negative effects on SWB. Positive preferences of respondents for future mobility services could consolidate their PT participation and SWB.

Conclusions

Simpler and more convenient access to the metro system, transport information inquiry methods with better accuracy, PT interchanges with shorter duration, and novel regulations and driving strategies for buses, could contribute to better subjective well-being across populations.

引言本研究基于特大城市的流动性现状和交通困境，从日常流动性、服务质量评价、换乘体验和未来服务等方面探讨了公共交通参与（PTP）与主观幸福感（SWB）之间的相关性。以 37 个因素为基础，以主观幸福感为目标变量，构建了 LightGBM 模型。结果地铁的日常使用是影响主观幸福感的最重要因素。不同年龄段的人对地铁系统的了解和使用情况各不相同，60 岁以下的人因使用地铁而获得更好的主观幸福感。换乘时间超过 12 分钟的公共交通换乘会显著降低主观幸福感。换乘满意度对 SWB 的影响受公共交通换乘时间消耗的影响。交通信息查询被频繁使用，但准确性较差。对公交车准点率的担忧放大了对 SWB 的负面影响。受访者对未来交通服务的积极偏好可以巩固他们对公共交通服务的参与度和 SWB。结论更简单便捷的地铁系统、更准确的交通信息查询方法、更短的公共交通换乘时间以及新的公共汽车法规和驾驶策略，都有助于提高不同人群的主观幸福感。

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引用次数: 0

Health in mobility planning: An assessment of how health is considered in Sustainable Urban Mobility Plans 交通规划中的健康问题：对可持续城市交通规划中如何考虑健康问题的评估

IF 3.2 3区工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Transport & Health

Pub Date : 2024-09-24 DOI: 10.1016/j.jth.2024.101919

Dena Kasraian , Hannah E. Murdock , Ahmadreza Faghih Imani , Yurong Yu , Audrey de Nazelle , Dominic Stead , Sonja Kahlmeier

Introduction

Urban mobility can detrimentally impact city dwellers' health and quality of life, e.g. through air pollution, noise and traffic injuries, but offers opportunities for health promotion, e.g., through active travel. While the health impacts of transport are well known, the extent to which health is considered in mobility plans is less obvious. The European Commission encourages cities to develop Sustainable Urban Mobility Plans (SUMPs) to improve residents’ quality of life. We assess how health is addressed in SUMPs by examining: i) key health and health equity terminology, ii) explicit transport pathways to health, iii) health targets and key performance indicators, and iv) the health-rationale of actions and measures.

Methods

Using a customised health dictionary, we perform a quantitative text analysis of SUMPs issued from 2006 to 2023 (n = 230) from 31 European countries listed on the European Local Transport Information Service (Eltis) City Database. We further validate this by an in-depth qualitative analysis of a purposive sub-sample (n = 13).

Results

The findings show that while the prominence of health in SUMPs seems to be increasing, the link between transport and equity, and social and mental wellbeing is not frequently discussed. Detailed targets and KPIs for several health pathways are scarce or missing, as are the health rationale and health outcomes for proposed measures. Overwhelmingly SUMPs’ health aspirations focus on minimising detrimental health impacts of transport, primarily from traffic injuries and to a lesser extent from air pollution. Health related concepts such as accessibility and active travel feature prominently but are not explicitly identified as an opportunity to enhance health.

Conclusion

Urban mobility planning across Europe seems to miss an opportunity to embrace mobility as a driver of health promotion.

导言城市交通会对城市居民的健康和生活质量造成不利影响，例如空气污染、噪音和交通伤害，但也为促进健康提供了机会，例如通过积极的出行方式。虽然交通对健康的影响众所周知，但在交通规划中对健康的考虑程度却不那么明显。欧盟委员会鼓励各城市制定可持续城市交通计划 (SUMP)，以提高居民的生活质量。我们通过研究以下内容来评估可持续城市交通规划中如何解决健康问题：i) 关键的健康和健康公平术语；ii) 明确的健康交通途径；iii) 健康目标和关键绩效指标；iv) 行动和措施的健康理由。方法我们使用定制的健康字典，对欧洲地方交通信息服务（Eltis）城市数据库中列出的 31 个欧洲国家从 2006 年至 2023 年发布的可持续城市交通规划（n = 230）进行定量文本分析。结果研究结果表明，虽然健康问题在 SUMPs 中的重要性似乎在不断增加，但交通与公平、社会和精神健康之间的联系并没有得到经常性的讨论。一些健康途径的详细目标和关键绩效指标很少或缺失，拟议措施的健康理由和健康结果也是如此。绝大多数 SUMPs 对健康的期望都集中在尽量减少交通对健康的不利影响，主要是交通伤害，其次是空气污染。欧洲的城市交通规划似乎错失了将交通作为促进健康的动力的机会。

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引用次数: 0