Journal of Transport & Health最新文献

{"title":"Exploring accessibility to medical facilities for older adults: Potential vs. Revealed accessibility","authors":"Zhuo Liu ,&nbsp;Sichun Li ,&nbsp;Long Cheng ,&nbsp;Zhenjiang Shen ,&nbsp;Frank Witlox","doi":"10.1016/j.jth.2024.101952","DOIUrl":"10.1016/j.jth.2024.101952","url":null,"abstract":"<div><h3>Introduction</h3><div>The issue of population aging is increasingly prominent, presenting unprecedented challenges and pressures on urban medical resources. The equity and convenience of medical services for older adults have emerged as critical concerns for urban planners. While previous research on medical accessibility for older adults has yielded fruitful results, it has lacked a thorough analysis of the quantitative relationship between revealed and potential accessibility across urban spaces, as well as the influencing factors leading to the spatial heterogeneity of these two types of accessibility.</div></div><div><h3>Methods</h3><div>This study calculates the ratio of revealed to potential accessibility based on multi-source data, thereby identifying the allocation of medical resources in different sub-districts in Beijing. Furthermore, an extreme gradient boosting model is used to investigate the non-linear associations between the potential influencing factors and the ratio of revealed to potential accessibility.</div></div><div><h3>Results</h3><div>The results revealed a significant spatial disparity between potential accessibility and revealed accessibility and identified the threshold effects of influencing factors contributing to the accessibility ratio of revealed to potential accessibility. The density of bus stops, vehicle ownership, and density of roads are the top three among the influencing factors in terms of their relative importance in influencing the accessibility ratio.</div></div><div><h3>Conclusions</h3><div>The threshold effect should be considered when implementing planning adjustments, as simply increasing or decreasing the values of specific built environment variables may not result in a corresponding improvement in medical accessibility for older adults. With limited resources, enhancing the planning and construction of transportation infrastructure is more efficient in reducing the discrepancy between revealed accessibility and potential accessibility compared to other methods.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101952"},"PeriodicalIF":3.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697882","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}

{"title":"Association between the risk of aberrant driving behavior and sleep disorder indices: A pilot study involving urban taxi drivers","authors":"Peizheng Wang ,&nbsp;Zhihe Chen ,&nbsp;Wen-Te Liu ,&nbsp;Arnab Majumdar ,&nbsp;Cheng-Yu Tsai","doi":"10.1016/j.jth.2024.101942","DOIUrl":"10.1016/j.jth.2024.101942","url":null,"abstract":"<div><div>Aberrant driving behaviors (ADBs) may degrade road safety and pose significant dangers to both drivers and the public. Taxi drivers, who regularly work in complex urban environments for extended periods, are at a higher risk of ADBs. While many studies have focused on the development of ADBs, limited research has examined impacts of sleep-related factors. In this study, we investigated associations between the occurrence of ADBs and sleep-disordered indices. Thirty-one taxi drivers were recruited and monitored over four consecutive days and nights, with daytime driving behaviors tracked after nighttime sleep was assessed. The severity of obstructive sleep apnea (OSA) was measured using the apnea-hypopnea index (AHI) through hospital-based polysomnography, while sleep-disordered indices were recorded at home using wearable devices. Driving behavioral data were collected via navigation software. Statistical regression models were used to explore relationships between ADBs and sleep-disordered indices. Key findings include that drivers with severe OSA exhibited significantly higher ADB event frequencies per kilometer compared to those without severe OSA. Home-based sleep-disordered indices, such as higher cyclic variation of the heart rate index (CVHRI) and chest effort index (CEI), were significantly associated with an increased frequency of ADB events the following day, with respective beta coefficients of 0.062 and 0.111. These associations remained significant after adjusting for potential confounders. Our findings suggest a strong link between sleep-disordered indices and the occurrence of ADBs among taxi drivers, emphasizing the importance of addressing sleep health to reduce ADB risks.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101942"},"PeriodicalIF":3.2,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656142","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}

{"title":"Driver vehicle crashes and mental health challenges among commuter college students","authors":"Louis A. Merlin ,&nbsp;David A. Simpson ,&nbsp;Katherine Freeman ,&nbsp;Serena Hoermann ,&nbsp;John Renne","doi":"10.1016/j.jth.2024.101944","DOIUrl":"10.1016/j.jth.2024.101944","url":null,"abstract":"<div><h3>Introduction</h3><div>Previous research into the sociodemographic correlates of driver crashes has highlighted the variables of age, sex, and socioeconomic status, however, limited scholarship reports on the relationship between crashes and mental health.</div></div><div><h3>Methods</h3><div>As part of the baseline data obtained from a randomized controlled trial to study interventions to change commuter behavior, we gathered self-reported driver vehicle crashes from the past four months and self-reported mental health status over the past 30 days from a subset of commuter college students who drive.</div></div><div><h3>Results</h3><div>We found that the average number of mental health challenged days was 9.9 per month, and the rate of being in a driver crash within the past four months was 7.6%. We found that the number of days of mental health challenges was positively correlated with having been in a driver crash in the past four months in both bivariate and multivariate analyses.</div></div><div><h3>Conclusion</h3><div>We note that causality is feasible in both directions in this case, i.e., being in a crash could depress mental health, and having poor mental health may also increase the likelihood of being in a crash while driving, in a manner similar to distracted driving. This study supports previous research that struggles with mental health problems may have a relationship with the likelihood of being in a crash while driving.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101944"},"PeriodicalIF":3.2,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656201","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}

{"title":"The biosocial health of U.S. long haul truckers: Syndemics of the road","authors":"Merrill Singer","doi":"10.1016/j.jth.2024.101939","DOIUrl":"10.1016/j.jth.2024.101939","url":null,"abstract":"<div><h3>Introduction</h3><div>Due to daily and enduring economic and other pressures, poor working conditions, and a common pattern of behaviors and practices, long-haul truck driving is a physiologically stressful and both biologically and psychologically challenging job that is not conducive to healthy living or routine healthcare seeking. The work context of this occupation fits the definition of a “risk environment,” namely a space in which a variety of factors interact to increase the chances of harm occurring. While prior research on this population has tended to focus on one or two primary health conditions or separately review multiple health conditions as a consequence of specific trucker lifestyle and working conditions, newer models of health, like syndemic theory, consider synergistic interactions among comorbid diseases that are interconnected within a set of linked social determinants of health. This approach is concerned with assessing how intersecting living/working conditions promote the clustering and adverse interaction of diseases and other health factors.</div></div><div><h3>Methods</h3><div>This paper reviews identified bodies of literature that address: the nature of the work conditions of long haul truckdrivers and the factors responsible for these conditions, the health risks associated with the conditions, and the potential syndemic interactions of diseases that are frequent in this population and pathways of disease interaction. Because of the multiple literatures involved the paper does not employ a systematic review approach.</div></div><div><h3>Setting</h3><div>and Population: The paper focuses on long haul truck drivers--who may travel coast to coast remaining on the road for weeks and sometimes months at a time--in the U.S.</div></div><div><h3>Results</h3><div>A number of likely syndemics common among long haul truck drivers are identified and assessed. This review affirms that a syndemics approach is well suited to the challenge of better understanding and improving worker health. A syndemics lens pushes researchers to develop a comprehensive biosocial picture of health in a population and to consider biosocial and multi-disease interventions.</div></div><div><h3>Conclusion</h3><div>This paper employs a syndemics lens to review the key health risks of long haul truck drivers in the U.S., identify the factors increasing their behavioral and other health risks, and suggest likely synergistic health consequences in need of public health intervention. In light of the serious consequences of the health, social, and economic cost of syndemics of the road, there is a need for expanded attention to this issue in research, funding, and policy.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101939"},"PeriodicalIF":3.2,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656141","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}

{"title":"Examining healthcare access with physical vs. telehealth options: Promise and peril for socially vulnerable older adults","authors":"Gretchen Bella ,&nbsp;Elisa Borowski ,&nbsp;Amanda Stathopoulos","doi":"10.1016/j.jth.2024.101940","DOIUrl":"10.1016/j.jth.2024.101940","url":null,"abstract":"<div><h3>Introduction</h3><div>This paper seeks to understand barriers to healthcare access faced by socially vulnerable older adults in Chicago using qualitative analysis. As the U.S. population ages, ease of healthcare access by older adults grows in importance. Yet, current literature lacks an examination of pain points and coping strategies in accessing healthcare, specifically by socially vulnerable older adults. This is especially relevant as virtual telehealth access and transportation options that shape healthcare access evolve rapidly.</div></div><div><h3>Methods</h3><div>In this work, we conduct three listening sessions with 40 total participants to understand the lived experiences of Black and Latino older adults living in low-income areas of Chicago. Transcript data was analyzed using qualitative concept and emotion coding to identify vulnerabilities that older patients face in accessing care.</div></div><div><h3>Results</h3><div>This work highlights five key takeaways from the qualitative analysis: 1) technology struggles and prospects in accessing healthcare, 2) social resources for coping give rise to tension between dependence and autonomy, 3) system disconnects (medical-pharmacy-transportation) represent key pain points, 4) different means of accessing healthcare (traditional transportation vs. telehealth) are value and emotion ladened, 5) different means of observing lead to new methodological insights.</div></div><div><h3>Conclusion</h3><div>Overcoming healthcare access barriers for older adults ultimately requires analysis of specific interfaces between infrastructure, healthcare, and communications systems. Solutions should prioritize the autonomy of older adults by offering physical accessibility and customized technology. The three intervention policies recommended in this paper include: health kiosks implementation, digital access classes, and specialized training for transit drivers and medical staff.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101940"},"PeriodicalIF":3.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656198","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}

{"title":"Physical activity and muscle activity of riding electric scooters","authors":"Yi Wen ,&nbsp;Christopher R. Cherry ,&nbsp;David R. Bassett ,&nbsp;Tanner Thorsen ,&nbsp;Songning Zhang ,&nbsp;Joshua T. Weinhandl ,&nbsp;Candace E. Brakewood","doi":"10.1016/j.jth.2024.101936","DOIUrl":"10.1016/j.jth.2024.101936","url":null,"abstract":"<div><h3>Introduction</h3><div>Physical activity is an important consideration when it comes to evaluating the overall benefits of a particular mode of transportation. E-scooters are an increasingly popular form of micromobility but have generated concern over their impacts on active transportation modes. Although the transportation impacts of e-scooters have been widely studied, the physical activity impacts of these devices are uncertain. This study investigates physical activity and muscle activation from riding an e-scooter. We compare those outcomes to the two most common substituted modes, driving a car and walking.</div></div><div><h3>Methods</h3><div>In this study of 20 participants (age 21–41), the metabolic physical activity and muscle activity of riding an e-scooter were studied in a crossover experiment. We measure metabolic physical activity (METs) on a fixed course, that can be measured as a metabolic rate of energy expenditure, which is often described as MET-minutes (MET over a period of time). We measure muscle activity during a series of typical maneuvers. Driving and walking were also evaluated as a benchmark comparison.</div></div><div><h3>Results</h3><div>The results reveal that riding an e-scooter provides light-intensity physical activity (energy expenditure = 2.14 METs). This is a significantly greater level of energy expenditure than that measured when driving (MET = 1.42), but less than that measured when walking (MET = 3.12). Compared to level walking, e-scooter riding had higher muscle activation in arms and trunk muscles. E-scooter muscle activation was higher in all muscle groups than driving. Driving a car is a sedentary mode, e-scooters provide light physical activity, and walking provides moderate physical activity.</div></div><div><h3>Conclusions</h3><div>The physical activity benefits of riding an e-scooter are maximized when people use them to replace sedentary travel such as driving. However, when e-scooters are used to replace moderate-intensity activities such as walking, net transportation-related physical activity could be reduced.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101936"},"PeriodicalIF":3.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656203","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}

{"title":"Erratum to “Understanding the influence of new and emerging data forms on mobility behaviours and related health outcomes” [J. Transport Health 24 (2022) 101335]","authors":"","doi":"10.1016/j.jth.2024.101918","DOIUrl":"10.1016/j.jth.2024.101918","url":null,"abstract":"","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101918"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661601","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}

{"title":"Barriers to accessibility of urban roads by persons with disabilities: A review of the literature","authors":"Gloria Asiedu-Ampem ,&nbsp;A.K. Danso ,&nbsp;J. Ayarkwa ,&nbsp;D. Obeng-Atuah ,&nbsp;E.P. Tudzi ,&nbsp;A.E. Afful","doi":"10.1016/j.jth.2024.101935","DOIUrl":"10.1016/j.jth.2024.101935","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed at reviewing the body of literature on barriers that Persons with Disabilities (PWDs) face in accessing urban roads. Furthermore, the study identified the trend of research, current research themes, research hotspots, knowledge gaps and future research direction in this knowledge domain.</div></div><div><h3>Methods</h3><div>The study systematically retrieved a total of 64 publications, comprising of forty-four (44) articles selected for bibliometric review and an additional 20 relevant publications from the Google Scholar search. A total of 64 publications were used in the content analysis using Clarke and braun’s (2017) 6-step process for the thematic identification of the barriers.</div></div><div><h3>Findings/results</h3><div>Twenty-eight (28) barriers were identified from content analysis and subsequently grouped thematically under four (4) broad categories: Attitudinal-related barriers, Physical barriers, Policy and Programme-related barriers, and Information and Communications Technology-related barriers.</div></div><div><h3>Implications</h3><div>In practice, this study offers a readily available source of information that summarises the most recent findings in research on the accessibility of urban roads by PWDs. In addition, the themes emerging can be used as a sector-specific lens to spot barriers to accessing urban roads by PWDs. The interrelationships among these barriers highlight the need for policymakers to adopt a systematic approach in identifying the drivers/push factors that can promote an accessible pedestrian environment.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101935"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum regarding missing Declaration of Competing Interest Statements in previously published articles","authors":"","doi":"10.1016/j.jth.2024.101915","DOIUrl":"10.1016/j.jth.2024.101915","url":null,"abstract":"","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101915"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661599","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}

{"title":"Erratum regarding missing Declaration of Competing Interest statements in previously published articles","authors":"","doi":"10.1016/j.jth.2024.101911","DOIUrl":"10.1016/j.jth.2024.101911","url":null,"abstract":"","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101911"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661597","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}