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The impact of transport, housing, and urban development interventions on older adults’ mobility: A systematic review of experimental and quasi-experimental studies 交通、住房和城市发展干预措施对老年人流动性的影响:对实验和准实验研究的系统回顾
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-01 DOI: 10.1016/j.jth.2024.101859
Thiago Hérick de Sá , Daniele Sudsataya , Andra Fry , Nazak Salehi , Aishwarya Katiki , Megan Mcleod , Greg Rathmell , Jon Cylus , Louise Lafortune , Tine Buffel , Patty Doran , Alana Officer , Huseyin Naci

Background

Age-friendly cities and communities aim to enhance and preserve the functional abilities of older adults. This systematic review assesses the impact of interventions in transportation, housing, and urban development on the mobility of older adults.

Methods

We systematically searched MEDLINE, Embase, CINAHL, Scopus, PsycINFO, and SocINDEX up to July 2022 to identify studies that evaluated the impact of transportation, housing, and urban development interventions on older adults' mobility. Only randomised controlled trials and quasi-experimental studies with control groups were included to establish a causal relationship between interventions and mobility outcomes.

Findings

We included a total of 15 studies, of which six were randomised controlled trials. Included studies were conducted in high-income settings and employed diverse metrics to assess mobility outcomes. Among housing interventions, three studies examined the impact of assistive technology within home environments for frail older adults. Two of these interventions maintained functional status without improvement, while the third showed a significant decline in outcomes, with the control group faring even worse. Public transport interventions, focused on enhancing mobility through educational initiatives and policy revisions, consistently produced positive outcomes. Interventions related to driving training for older adults, including in-class and on-road assessments, demonstrated beneficial effects. Results from studies evaluating urban design interventions were more varied, with some enhancing mobility by making public spaces more accessible for older adults and others yielding mixed results following infrastructure changes.

Interpretation

Interventions in the built environments of older adults, specifically targeting transportation, housing and urban development, have the potential to enhance mobility and related outcomes according to rigorously designed quantitative evaluations. Due to heterogeneity in how mobility is conceptualised in the literature, greater harmonisation in measurement of mobility would help us understand how the social and built environment contribute to maintaining and improving mobility in older adults.

Funding

World Health Organization.

背景对老年人友好的城市和社区旨在提高和保护老年人的功能能力。本系统综述评估了交通、住房和城市发展干预措施对老年人行动能力的影响。方法我们系统地检索了截至 2022 年 7 月的 MEDLINE、Embase、CINAHL、Scopus、PsycINFO 和 SocINDEX,以确定评估交通、住房和城市发展干预措施对老年人行动能力影响的研究。研究结果我们共纳入了 15 项研究,其中 6 项为随机对照试验。纳入的研究都是在高收入环境中进行的,并采用了不同的指标来评估流动性结果。在住房干预措施中,有三项研究考察了家庭环境中的辅助技术对体弱老年人的影响。其中两项干预措施维持了功能状态而没有改善,第三项干预措施的结果显示显著下降,对照组的情况更糟。公共交通干预措施的重点是通过教育举措和政策修订来提高流动性,这些措施始终产生积极的效果。与老年人驾驶培训有关的干预措施,包括课堂和道路评估,都显示出有益的效果。对城市设计干预措施进行评估的研究结果差异较大,一些研究通过使老年人更容易进入公共空间来提高流动性,而另一些研究则在改变基础设施后取得了好坏参半的结果。由于文献中对行动能力的概念不尽相同,加强对行动能力测量的协调将有助于我们了解社会和建筑环境如何有助于保持和提高老年人的行动能力。
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引用次数: 0
Identifying the potential for increasing cycling in Denmark: Factors associated with short-distance and long-distance commuter cycling 确定丹麦增加骑自行车出行的潜力:与短途和长途通勤自行车相关的因素
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-29 DOI: 10.1016/j.jth.2024.101870
Tanja Schmidt, Trine Top Klein-Wengel, Lars Breum Christiansen, Karsten Elmose-Østerlund, Jasper Schipperijn

Introduction

Increasing transportation cycling is an effective initiative toward better population health. The aim was to describe differences between less and more frequent cyclists, and to identify factors associated with transportation cycling for people with short and long distances to work or education.

Methods

The study is based on data from approximately 46,000 respondents from a Danish cross-sectional survey conducted in 2020. The survey included questions on active transportation, barriers, and social background. Descriptive statistics and logistic regression analysis were performed for two groups of less and more frequent cyclists: short distance (1–5 km) and long distance (6–15 km).

Results

Overall, 49.3% of those living within a short distance and 73.0% of those living within a long distance cycled two or fewer days a week to work or education. The odds of cycling more often were significantly higher for individuals aged 15–29, women, higher-educated people, students, people with Danish ethnicity, those with daily access to a bike, people living with children, and those in the municipality area. The odds of cycling more often were significantly lower for people who identified time, physical appearance, safety issues, capabilities, and a preference for car driving as barriers to more active transportation.

Conclusions

This study shows that there are geographical differences within Denmark that affect cycling Rates, despite the country being categorized as a cycling nation. People living in rural areas are less likely to cycle to work or education despite having the same commuting distances as people living in the cities. This is surprising and should be further investigated to identify potential infrastructural, cultural, or interpersonal factors that may promote more commuter cycling among people living in rural areas.

导言增加交通自行车的使用是改善人口健康的有效措施。本研究的目的是描述骑自行车较少的人和骑自行车较多的人之间的差异,并确定与上班或上学距离较短和较长的人骑自行车出行相关的因素。调查包括有关积极交通、障碍和社会背景的问题。结果总体而言,49.3%的短距离居民和 73.0%的长距离居民每周骑自行车上班或上学的天数分别为两天或两天以下。15-29岁、女性、受过高等教育的人、学生、丹麦裔、每天都能骑自行车的人、与孩子住在一起的人以及市辖区内的人更经常骑自行车的几率明显更高。对于那些认为时间、外貌、安全问题、能力和更喜欢开车是更积极交通的障碍的人来说,更经常骑自行车的几率要低得多。结论这项研究表明,尽管丹麦被归类为骑自行车的国家,但丹麦国内的地理差异影响了骑自行车的比率。尽管通勤距离与城市居民相同,但生活在农村地区的人骑自行车上班或上学的可能性较低。这一点令人惊讶,应进一步调查,以确定可能促进农村地区居民更多地骑车通勤的潜在基础设施、文化或人际因素。
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引用次数: 0
Feasibility of a school-based intervention to promote active school transportation – The school personnel's perspective 校本干预措施促进学校积极交通的可行性--学校工作人员的观点
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-28 DOI: 10.1016/j.jth.2024.101867
Eva Savolainen, Anna-Karin Lindqvist, Stina Rutberg

Background

There is a growing need to invest in interventions that promote physical activity, such as active school transportation. Ideally, these interventions should be school-based to reach as many children as possible. However, school personnel have a heavy workload, and interventions must be feasible and sustainable. This study aims to explore the feasibility of a school-based intervention from the school personnel's perspective and increase knowledge about what makes an intervention in a school context feasible.

Methods

A qualitative design was applied with individual interviews with 19 participants, including principals, teachers, project coordinators, one school nurse, and one operation manager. The data were analyzed with qualitative content analysis.

Results

The result were formulated into one main theme “Crossing the threshold – enter and you might feel at home” and three subthemes “Flexibility for integration in the school context”, “Sensing meaningfulness is essential for being worth the effort” and A supportive design to enhance enthusiasm”. These themes indicate that schools have a heavy workload and that there is a threshold for schools to invest time and effort into health promoting intervention. Flexibility, meaningfulness, and support were thus crucial elements for making an intervention in the school context feasible.

Conclusion

The results of this study outline a promising strategy to meet the needs of school personnel and can serve as a valuable guide for further research concerning school-based interventions aiming to promote health.

背景越来越需要投资于促进体育活动的干预措施,如积极的校车。理想情况下,这些干预措施应该以学校为基础,以惠及尽可能多的儿童。然而,学校工作人员的工作量繁重,而且干预措施必须可行且可持续。本研究旨在从学校工作人员的角度探讨校本干预措施的可行性,并进一步了解在学校环境中采取何种干预措施才是可行的。方法采用定性设计,对 19 名参与者进行个别访谈,包括校长、教师、项目协调员、一名校医和一名运营经理。结果将访谈结果归纳为一个主主题 "跨过门槛--走进去,你可能会有宾至如归的感觉 "和三个次主题 "灵活融入学校环境"、"感受有意义是值得付出努力的关键 "以及 "支持性设计提高热情"。这些主题表明,学校的工作量繁重,学校在投入时间和精力开展促进健康的干预活动方面存在门槛。因此,灵活性、有意义性和支持性是使学校干预措施可行的关键因素。 结论:本研究的结果为满足学校工作人员的需求勾勒出了一种有前途的策略,可以为进一步研究旨在促进健康的校本干预措施提供有价值的指导。
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引用次数: 0
Association between neighborhood built environment and resident leisure walking – A cross-sectional study in China 社区建筑环境与居民休闲步行的关系--中国的一项横断面研究
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-27 DOI: 10.1016/j.jth.2024.101864
Ke Peng , Yuying Chen , Lingyun Deng , Lu Wang , Anne Vernez Moudon

Introduction

Physical activity has a vital influence in promoting health and sustainable development of society and environment. Leisure walking, as a widely embraced low-cost physical activity, can effectively help reduce the prevalence of chronic diseases and enhance health. Improving the neighborhood built environment may affect the quality of leisure walking, as an activity that depends upon features of the built environment.

Methods

Using data from the 2015 China Health and Nutrition Survey, we obtained a sample of 1006 residents from 134 neighborhoods in nine provinces east of the Heihe-Tengchong Line in China. We used logit mixed-effect models and linear mixed-effect models to measure associations between neighborhood built environment characteristics and leisure walking durations within urban, suburban, county-seat, and rural neighborhoods. We differentiated between leisure walking on weekdays and weekends.

Results

Residents in rural neighborhoods that had dirt or paved roads had shorter leisure walking durations compared with residents in rural neighborhoods that had mainly gravel roads. Residents in urban neighborhoods that had gyms had shorter leisure walking durations compared with residents in urban neighborhoods for which the nearest gym was outside the neighborhood. The presence of parks did not show any significant association with leisure walking durations in any neighborhood type. The presence of bus stops was associated with greater leisure walking durations in county-seat neighborhoods, as were more restaurants in suburban neighborhoods.

Conclusion

Seemingly mundane built environment factors such as road pavement type appeared to be more closely associated with the duration of leisure walking than previously studied parks. Different built environment factors were associated with leisure walking duration within specific neighborhood types. Further research should focus on the characteristics of leisure walking behavior in various spatial contexts and during different time periods to continue to reveal the complex interactions between built environment factors and leisure walking.

导言体力活动对促进健康、社会和环境的可持续发展有着重要影响。休闲步行作为一种广为接受的低成本体育活动,能有效降低慢性病的发病率,增强体质。作为一项依赖于建筑环境特征的活动,改善社区建筑环境可能会影响休闲步行的质量。方法利用2015年中国健康与营养调查数据,我们获得了中国黑河-腾冲线以东9个省份134个社区的1006名居民样本。我们使用logit混合效应模型和线性混合效应模型来测量城市、郊区、县城和农村社区内的社区建筑环境特征与休闲步行时长之间的关联。我们对工作日和周末的闲暇步行时间进行了区分。结果与主要使用碎石路的农村社区居民相比,使用土路或铺设路面的农村社区居民的闲暇步行时间更短。与最近的健身房在社区外的城市社区居民相比,有健身房的城市社区居民的休闲步行时间更短。在任何社区类型中,公园的存在与休闲步行时间都没有明显的联系。结论与以前研究过的公园相比,道路路面类型等看似普通的建筑环境因素与休闲步行时间的关系似乎更为密切。在特定的社区类型中,不同的建筑环境因素与休闲步行的持续时间有关。进一步的研究应关注不同空间环境和不同时间段内休闲步行行为的特点,以继续揭示建筑环境因素与休闲步行之间复杂的相互作用。
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引用次数: 0
Causal mediation analysis of social and environmental factors in pathways from a metro intervention to eudaimonic wellbeing among older people 从地铁干预到老年人幸福感的路径中社会和环境因素的因果中介分析
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-26 DOI: 10.1016/j.jth.2024.101844
Yao Du, Guibo Sun

Background

This research aims to unravel the pathways linking transport with eudaimonic wellbeing among older people, considering the mediating role of social and environmental factors.

Methods

We focused on outcomes across six dimensions of eudaimonic wellbeing: self-acceptance, autonomy, positive relations with others, environmental mastery, purpose in life, and personal growth. Using a new metro line as a natural experiment, we collected cohort data of 449 older adults before and after the opening of a new metro line. The treatment group consisted of participants living within the 400-m buffer zones surrounding the new metro stations, while the control group consisted of those living in comparable station catchments. The mediators include social engagement and environmental perception. We first used difference-in-difference (DID) models to estimate the metro's direct influence on these eudaimonic elements. Causal mediation analyses were then conducted to delved into how the social and environmental factors mediated these effects.

Result

The new metro enhanced the treatment group's environmental mastery, life purpose, and self-acceptance (p < 0.05). These improvements were partly attributed to promoted social engagement and improved environmental perceptions triggered by the metro development (p < 0.05). Notably, the environmental perceptions demonstrated a stronger mediating effect than the social factors.

Discussion and conclusion

Transport interventions could effectively counteract the age-related eudaimonic decline. The enhancement of environmental perceptions played a key role in the effectiveness of the metro intervention. Our findings contribute to the understanding of casual mechanisms of transport and wellbeing which is vital for developing transport policies and projects that address the needs of an ageing population.

背景本研究旨在揭示交通与老年人幸福感之间的联系,同时考虑社会和环境因素的中介作用。方法我们重点关注幸福感六个方面的结果:自我接纳、自主性、与他人的积极关系、环境掌控、生活目标和个人成长。我们以一条新地铁线作为自然实验,收集了新地铁线开通前后 449 名老年人的队列数据。治疗组由居住在新地铁站周围 400 米缓冲区内的参与者组成,而对照组则由居住在类似地铁站范围内的参与者组成。中介因素包括社会参与和环境感知。我们首先使用差分(DID)模型来估算地铁对这些幸福感要素的直接影响。结果新地铁提高了治疗组对环境的掌控能力、生活目标和自我接纳(p < 0.05)。这些改善部分归因于地铁发展促进了社会参与和改善了环境感知(p < 0.05)。值得注意的是,环境感知比社会因素表现出更强的中介效应。环境感知的增强对地铁干预的有效性起到了关键作用。我们的研究结果有助于人们了解交通与幸福的偶然机制,这对于制定满足老龄人口需求的交通政策和项目至关重要。
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引用次数: 0
Using the hierarchy of active travel needs to examine associations between streetscape environments and older adults' active travel in China 利用积极出行需求层次来研究中国街景环境与老年人积极出行之间的关系
IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-24 DOI: 10.1016/j.jth.2024.101834
Yuqi Liu , Xiaoge Wang , Yuting Liu , Yiru Li , Xiaoyi Ma , An Jin , Cheng Song , Yao Yao

Background

Little is known about the extent to which the age-friendliness of streetscape built environments may influence older adults’ active travel (AT) patterns. Moreover, with the exception of street greenery, the non-linear and threshold effects of other characteristics of streetscape built environments have not been examined.

Methods

This study used data from the Third Guangzhou Official Household Travel Survey 2017 and Tencent Street View images. Using the Hurdle model and Generalized Additive Mixed Models (GAMMs), we examined the non-linear relationships between streetscape built environments and older adults’ AT patterns (i.e., frequency and duration). The models controlled for neighbourhood-level built environment attributes and individual-level characteristics.

Results

Pavement ratio and street obstacles had negative impacts on older adults' AT duration within a certain range, but outside this range, the negative associations no longer held. Street safety, greenery, and vitality were positively associated with older adults’ AT duration within a certain range. Street design exerted positive effects on the likelihood of AT. Age-friendly streetscape built environment attributes showed stronger relationships with the likelihood of AT among older adults aged 70–79, and larger impacts on AT duration for older adults aged 60–69. Notably, street greenery had positive impacts on both AT frequency and duration among older adults aged 80 and above.

Conclusions

The results showed significant non-linear associations between six streetscape built environment characteristics and older adults’ AT patterns. This study provides implications for building age-friendly streetscape built environments.

背景人们对街景建筑环境的适老性可能在多大程度上影响老年人的积极出行(AT)模式知之甚少。此外,除街道绿化外,街景建筑环境其他特征的非线性效应和阈值效应尚未被研究。使用 "飓风模型 "和 "广义加性混合模型"(GAMMs),我们研究了街景建筑环境与老年人自动交通模式(即频率和持续时间)之间的非线性关系。结果在一定范围内,路面比率和街道障碍物对老年人的步行障碍持续时间有负面影响,但在这一范围之外,负面影响就不再存在。在一定范围内,街道安全、绿化和活力与老年人的交通时间呈正相关。街道设计对进行户外活动的可能性产生了积极影响。对老年人友好的街景建筑环境属性与 70-79 岁老年人的行人路活动可能性有更密切的关系,对 60-69 岁老年人的行人路活动持续时间有更大的影响。值得注意的是,在 80 岁及以上的老年人中,街道绿化对行人使用公共交通的频率和持续时间都有积极影响。这项研究为建设老年友好型街景建筑环境提供了启示。
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引用次数: 0
Are early maladaptive schemas related to current driver behaviors? A study on previous toxic experiences and driving 早期的适应不良模式与当前的驾驶行为有关吗?关于以前的有毒经历与驾驶的研究
IF 3.2 3区 工程技术 Q1 Medicine Pub Date : 2024-06-22 DOI: 10.1016/j.jth.2024.101862
Gizem Fındık , Sema Erel , Bahar Öz

Introduction

Realizing the importance of driver behaviors in the context of road traffic safety, researchers investigated the factors that relate to driver behaviors. One of the most examined factors predicting driver behaviors is personality. In addition to personality characteristics, early maladaptive schemas (EMS) play a critical role in the way the individual thinks, feels, acts, and relates to others, which leads them to display the maladaptive behaviors to recreate the harmful conditions experienced in childhood. EMS are found to be associated with behavioral problems such as illicit drug use, aggressive and illegal behaviors, heavy alcohol use, risky sexual behaviors, violence towards parents and partners. The current work aims to examine the relationship between early maladaptive schemas and driver behaviors in traffic context after controlling the role of personality.

Method

Of the 294 participants, 141 were males, 151 were females, and 2 did not specify sex. Age range was 18–67 (M = 27.2, SD = 10.5). Participants filled out an online survey battery including a demographic information form, the Basic Personality Traits Inventory, the Dirty Dozen, the Young Schema Questionnaire 3 Short Form, and the Driver Behavior Questionnaire.

Results

According to the results of the correlation analysis, schema domains showed significant relationships with the driver behavior subscales for 17 out of 25 coefficients. Hierarchical regression analyses suggested that impaired autonomy was positively associated with errors and lapses, while it was negatively associated with positive behaviors. This relationship was found when demographic and personality variables were accounted for.

Conclusion

The current study is the first to exclusively investigate the relationship between EMS and driver behaviors. Relationship between impaired autonomy on one hand and errors and lapses on the other point out to the role of affective and cognitive processes that play a role in driving.

引言 由于认识到驾驶员行为在道路交通安全中的重要性,研究人员对与驾驶员行为相关的因素进行了调查。预测驾驶员行为的最主要因素之一是人格。除了个性特征外,早期适应不良图式(EMS)在个体的思维、感觉、行为和与他人的关系中起着至关重要的作用,它导致个体表现出适应不良行为,以重现童年时期所经历的有害状况。研究发现,EMS 与行为问题有关,如使用非法药物、攻击性和非法行为、大量饮酒、危险的性行为、对父母和伴侣的暴力行为。本研究旨在研究在控制人格因素后,早期适应不良图式与交通环境下驾驶行为之间的关系。年龄范围在 18-67 岁之间(M=27.2,SD=10.5)。参与者填写了一份在线调查表,其中包括一份人口统计学信息表、基本人格特质量表、"肮脏的一打"、Young Schema Questionnaire 3 Short Form和驾驶员行为问卷。结果根据相关分析的结果,在25个系数中,有17个系数显示模式域与驾驶员行为分量表有显著关系。层次回归分析表明,自主性受损与错误和失误呈正相关,而与积极行为呈负相关。在考虑人口统计学变量和人格变量的情况下,这种关系仍然存在。自主性受损与失误和失误之间的关系表明,情感和认知过程在驾驶中发挥着重要作用。
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引用次数: 0
Neighbourhood walkability and body mass index in children: Evidence from the Millennium Cohort Study in Wales 邻里步行能力与儿童体重指数:威尔士千年队列研究的证据
IF 3.2 3区 工程技术 Q1 Medicine Pub Date : 2024-06-21 DOI: 10.1016/j.jth.2024.101855
Theodora Pouliou , Rebecca Pedrick-Case , Rowena Bailey , Anna Rawlings , Amy Mizen , Jo Davies , Gareth Stratton , Ronan A. Lyons , Ben Beck , Hayley Christian , Richard Fry , Lucy J. Griffiths

Background

Overweight and obesity in children continues to increase. Yet, the role of active transport, namely walking, in mitigating these trends remains unclear. This study examined the cross-sectional association between walkability and children's Body Mass Index (BMI) and how this varies by socio-economic and lifestyle characteristics.

Methods

We analysed BMI for 14-year-old children living in Wales from the UK Millennium Cohort Study. Children were categorised as healthy weight, overweight or obese using the British 1990 cut-off points. Walkability was assessed using the Wales Active Living Environments (Wal-ALE) database, categorised as 1 (least walkable environments) to 5 (most walkable environments). We applied multinomial logistic regression analysis and adjusted for ethnicity, having a limiting longstanding illness, parental BMI, socio-economic circumstances, and lifestyle characteristics.

Results

Children were more likely to be obese if they lived in areas classed as more walkable in unadjusted analysis [Relative Risk Ratio (RRR) = 1.72 (95%CI = 1.15–2.58)] and following adjustment for ethnicity, limiting longstanding illness and parental BMI [RRR = 1.83 (95%CI = 1.12–3.00)]). Significant associations remained even after further adjustment for lifestyle characteristics and socio-economic circumstances [RRR = 1.76 (95%CI = 1.05–2.96)]. Further, children were more likely to be obese if their parents were overweight or obese and if they were living in poverty. Children were less likely to be obese if they spent 3 or more days per week in moderate-to-vigorous physical activity (MVPA) and if they ate breakfast every day vs. some days or never.

Conclusion

Findings demonstrate that walkable environments are not associated with lower rates of obesity in children, indicating that the relationship between the built environment and child health is complex and requires further study.

背景儿童超重和肥胖症持续增加。然而,积极的交通方式(即步行)在缓解这些趋势方面的作用仍不明确。本研究探讨了步行能力与儿童体重指数(BMI)之间的横截面关系,以及这种关系因社会经济和生活方式特征的不同而产生的差异。方法我们分析了英国千年队列研究中威尔士 14 岁儿童的体重指数。根据英国 1990 年的分界点,儿童被分为健康体重、超重或肥胖。步行能力采用威尔士积极生活环境(Wal-ALE)数据库进行评估,分为 1(最不适合步行的环境)至 5(最适合步行的环境)。我们采用了多项式逻辑回归分析,并对种族、患有长期局限性疾病、父母体重指数、社会经济状况和生活方式特征进行了调整。结果在未经调整的分析中[相对风险比 (RRR) = 1.72 (95%CI = 1.15-2.58)],以及在对种族、长期局限性疾病和父母体重指数进行调整后[相对风险比 = 1.83 (95%CI = 1.12-3.00)],居住在更适合步行地区的儿童更有可能肥胖。)即使在进一步调整生活方式特征和社会经济状况后,仍存在显著关联[RRR = 1.76 (95%CI = 1.05-2.96)]。此外,父母超重或肥胖以及生活贫困的儿童更容易肥胖。结论研究结果表明,适宜步行的环境与儿童肥胖率降低无关,这表明建筑环境与儿童健康之间的关系非常复杂,需要进一步研究。
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引用次数: 0
Tracing the path of cycling initiatives: Revisiting Lancaster's CDT program and unravelling current policies 追踪自行车行动的发展轨迹:重温兰卡斯特的 CDT 计划,解读现行政策
IF 3.2 3区 工程技术 Q1 Medicine Pub Date : 2024-06-21 DOI: 10.1016/j.jth.2024.101866
Demet Yesiltepe , Ruth Conroy Dalton , Christopher Boyko

Introduction

Active modes of transportation have gained significant prominence in many cities, with governments and public health organizations increasingly advocating for cycling. While policy and planning decisions are actively aimed at boosting cycling rates, their long-term impact remains somewhat uncertain. This study seeks to shed light on the enduring effects of policy and planning decisions on cycling and outlines potential steps for sustainable progress.

Methods

To achieve this, we have chosen Lancaster, UK, as our case study, with a specific focus on the UK Government-funded Cycling Demonstration Towns (CDTs) program that operated from 2005 to 2011. Our approach involves revisiting this program and the changes in the city through a multi-pronged methodology: conducting surveys with cyclists (n = 65), engaging in interviews with personnel from Lancaster City and Lancashire County Council (n = 3), and analyzing cyclist numbers at specific locations (n = 5).

Results

The findings of our study reveal the positive influence of the CDTs program on cycling rates and the perspectives of cyclists in Lancaster. However, after the program's completion, progress has been somewhat gradual, drawing attention to specific areas in need of improvement, particularly infrastructure and safety measures.

Conclusions

In conclusion, we delve into potential strategies for implementation, not only within Lancaster but also for other CDTs and cities aspiring to promote cycling initiatives. This underscores the effectiveness of such programs and decisions in the short-term while emphasizing the critical importance of sustained investments in infrastructure and maintenance for long-term impact.

导言:在许多城市,随着政府和公共卫生组织越来越多地倡导骑自行车出行,积极的交通方式已占据重要地位。虽然政策和规划决策都积极致力于提高自行车出行率,但其长期影响仍存在一定的不确定性。为了实现这一目标,我们选择了英国兰开斯特市作为案例研究对象,重点关注英国政府资助的自行车示范城镇(CDTs)项目,该项目于 2005 年至 2011 年期间实施。我们的研究方法包括通过多管齐下的方法重新审视该计划和该城市的变化:对骑车人进行调查(n = 65),与兰开斯特市和兰开郡议会的工作人员进行访谈(n = 3),分析特定地点的骑车人数量(n = 5)。结果我们的研究结果显示,CDTs 计划对兰开斯特的骑车率和骑车人的观点产生了积极影响。结论最后,我们深入探讨了不仅在兰开斯特,而且在其他 CDTs 和有志于推广自行车计划的城市中实施的潜在策略。这强调了此类计划和决策在短期内的有效性,同时也强调了对基础设施和维护进行持续投资以产生长期影响的重要性。
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引用次数: 0
Do parents support e-bike use among teenagers, and why? Evidence from Vietnam 父母是否支持青少年使用电动自行车?来自越南的证据
IF 3.6 3区 工程技术 Q1 Medicine Pub Date : 2024-06-19 DOI: 10.1016/j.jth.2024.101861
Minh Hieu Nguyen , Dorina Pojani , Duy Q. Nguyen-Phuoc , Thanh Chuong Nguyen , Thanh Tung Ha

Objectives

Habituating young generations to using green modes is critical to forming sustainable transportation development. However, we do not know what enables or deters e-bike use among teenagers in developing countries. This study, set in Ho Chi Minh City, Vietnam, seeks to answer two research questions: (1) how much do teenagers use e-bikes and why, and (2) how much do parents support further e-bike use among teenagers?

Methods

The current study relies on a survey of 832 parents of older teenagers (about half of whom use e-bikes). Exploratory factor analysis is applied to derive latent psychological variables before binary and ordinal logit regression models are estimated to explore the factors that affect teenagers’ actual use of e-bikes and their parents' support for e-bike use.

Results

The prevalence of e-bike use is 52%. Teenagers are more likely to use e-bikes, and be supported in this choice, when their parents believe that e-bikes are useful and safe. Parents care a great deal about their children's preferences around travel modes. A positive attitude towards e-bikes and an encouraging social circle lead to more e-bike use among teenagers and more parental support for e-bike use. Environmental awareness only predicts parental support for e-bikes use while perceived ease of use is positively associated with actual use by teens. Older teenagers are less likely to use e-bikes.

Conclusions

Our findings can assist government agencies in adopting appropriate policies to sustain the use of e-bikes among teenagers. More research is needed to validate the findings of this study in other settings. Future studies should employ longitudinal data from representative samples of teens and/or parents.

目标培养年轻一代使用绿色交通工具的习惯对于形成可持续的交通发展至关重要。然而,我们并不了解发展中国家青少年使用电动自行车的原因。本研究以越南胡志明市为背景,旨在回答两个研究问题:(1) 青少年使用电动自行车的程度和原因;(2) 家长对青少年进一步使用电动自行车的支持程度?在估计二元和序数对数回归模型以探讨影响青少年实际使用电动自行车及其父母对使用电动自行车的支持的因素之前,应用探索性因素分析得出潜在的心理变量。当父母认为电动自行车有用且安全时,青少年更有可能使用电动自行车,并在这一选择中得到支持。父母非常关心子女对出行方式的偏好。对电动自行车的积极态度和鼓励性的社交圈会让青少年更多地使用电动自行车,也会让父母更支持他们使用电动自行车。环境意识只能预测父母对电动自行车使用的支持程度,而感知到的易用性与青少年的实际使用呈正相关。结论我们的研究结果可以帮助政府机构采取适当的政策,使青少年持续使用电动自行车。要在其他环境中验证本研究的结果,还需要更多的研究。未来的研究应采用具有代表性的青少年和/或家长样本的纵向数据。
{"title":"Do parents support e-bike use among teenagers, and why? Evidence from Vietnam","authors":"Minh Hieu Nguyen ,&nbsp;Dorina Pojani ,&nbsp;Duy Q. Nguyen-Phuoc ,&nbsp;Thanh Chuong Nguyen ,&nbsp;Thanh Tung Ha","doi":"10.1016/j.jth.2024.101861","DOIUrl":"https://doi.org/10.1016/j.jth.2024.101861","url":null,"abstract":"<div><h3>Objectives</h3><p>Habituating young generations to using green modes is critical to forming sustainable transportation development. However, we do not know what enables or deters e-bike use among teenagers in developing countries. This study, set in Ho Chi Minh City, Vietnam, seeks to answer two research questions: (1) how much do teenagers use e-bikes and why, and (2) how much do parents support further e-bike use among teenagers?</p></div><div><h3>Methods</h3><p>The current study relies on a survey of 832 parents of older teenagers (about half of whom use e-bikes). Exploratory factor analysis is applied to derive latent psychological variables before binary and ordinal logit regression models are estimated to explore the factors that affect teenagers’ actual use of e-bikes and their parents' support for e-bike use.</p></div><div><h3>Results</h3><p>The prevalence of e-bike use is 52%. Teenagers are more likely to use e-bikes, and be supported in this choice, when their parents believe that e-bikes are useful and safe. Parents care a great deal about their children's preferences around travel modes. A positive attitude towards e-bikes and an encouraging social circle lead to more e-bike use among teenagers and more parental support for e-bike use. Environmental awareness only predicts parental support for e-bikes use while perceived ease of use is positively associated with actual use by teens. Older teenagers are less likely to use e-bikes.</p></div><div><h3>Conclusions</h3><p>Our findings can assist government agencies in adopting appropriate policies to sustain the use of e-bikes among teenagers. More research is needed to validate the findings of this study in other settings. Future studies should employ longitudinal data from representative samples of teens and/or parents.</p></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428703","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
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Journal of Transport & Health
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