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COVID-19 risk perceptions among public transportation drivers and users in Lebanon: A cross-sectional study 黎巴嫩公共交通司机和用户对COVID-19风险的认知:一项横断面研究
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-11 DOI: 10.1016/j.jth.2025.102149
Mahmoud Salam, Wael El Chaar, Maha Mansour, Ali Al Hadi Assaf, Alaa Kamel, Abdul Rahman Itani, Zahra Shan Bader, Jennifer Khattar

Objectives

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

Study design

Cross-sectional study.

Methods

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

Results

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

Conclusions

Findings in this study aid in persuading public transportation drivers to better comply with precautionary measures against COVID-19, thus promoting a safer public transportation system.
目的本研究评估黎巴嫩解除COVID-19限制后公共交通司机和用户对COVID-19的严重程度和易感性的感知。研究设计横断面研究。方法采用面对面问卷调查的方式收集资料。采用比例抽样方法,于2024年8月至10月从黎巴嫩各省份(贝鲁特、黎巴嫩山、北部、南部和贝卡)招募了854名公共交通司机和用户。采用阿拉伯语匿名问卷,在健康信念模型和奥利弗期望失证理论的指导下,测量参与者的特征、COVID-19风险感知和用户偏好。进行描述性统计、学生t检验、Mann Whitney检验和线性回归分析(P <为统计学显著性;0.025)。结果公共交通使用者(3.3/5)对COVID-19的感知易感性得分显著高于司机(3.1/5),P = 0.015。与乘坐出租车(39.4%,n = 155)相比,乘坐公共交通工具的人认为乘坐面包车/公交车感染新冠病毒的风险更高(51.5%,n = 201)。他们更喜欢司机对车辆进行消毒(76.5%),更喜欢与戴口罩的人共乘(71.4%),更喜欢司机戴口罩(69.7%),更喜欢运输车辆有防护盾(65.5%),更喜欢司机接种新冠病毒疫苗(58.8%)。他们不认为有必要强制要求司机接种COVID-19疫苗(59.6%)。没有健康保险的公共交通使用者、在乘车时戴口罩的人以及失业的人报告说,他们对COVID-19的严重程度或易感性更高。在司机中,已婚、接种COVID-19疫苗、戴口罩和进行体育活动与对COVID-19的严重程度或易感性较高相关。本研究的发现有助于说服公共交通司机更好地遵守COVID-19预防措施,从而促进更安全的公共交通系统。
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引用次数: 0
Understanding access to restaurants through personas: A latent class approach integrating preferences and travel behavior 通过人物角色了解去餐厅的途径:一种整合偏好和旅行行为的潜在类别方法
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-11 DOI: 10.1016/j.jth.2025.102135
Kaitlyn Ng , Gouri Shankar Mishra , Cynthia Chen

Introduction:

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

Methods:

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

Results:

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

Conclusions:

The findings of this study suggest that interventions toward healthy eating could be tailored to the specific needs of each persona. Personas display specific preferences toward cuisine and affordability in addition to travel-based motivations. For example, Convenient Eaters, who consume a moderate amount of fast food, could be encouraged to choose healthier options near their home, work, or other often-frequented locations. Fast Food Enthusiasts who solely eat out at fast food and are lower-income could be supported by both educational programs and government subsidies. Overall, the approach used in this study could be adopted for interventions to curate personalized recommendations for healthier eating and sustainable travel behaviors.
导言:获得食物对一个人的健康和福祉起着关键作用。过去关于食物获取的研究主要集中在杂货店。然而,外出就餐平均消耗了美国人可支配收入的5.1%。外出就餐也是一项重要的活动,它有多种用途:社交场合、社交机会、简单地补充能量和放松。因为外出就餐结合了活动和旅行,了解个人的餐馆偏好和旅行行为如何捆绑在一起形成不同的角色,以及每个角色如何与建筑环境和社会经济人口统计相关,这一点很重要。方法:本研究使用普吉特海湾地区委员会2017-2019年家庭旅行调查的数据进行潜在类别分析(LCA)。LCA可以发现相似的子种群,允许在聚类过程中分离人口统计和行为。结果:研究发现了四种角色:方便食客、午餐破坏者、餐馆探索者和快餐爱好者。与餐馆相关的旅行行为受到家庭中子女数量、车辆进出和年龄的显著影响,但对于生活在“食物沙漠”中的人来说,这种影响并不受限制。不同的人物角色在出行时间、外出就餐频率和用餐时间上存在差异。结论:本研究的结果表明,健康饮食的干预措施可以根据每个人的具体需求进行调整。除了旅行动机外,人物角色还显示了对美食和经济能力的特定偏好。例如,方便食客,他们消费适量的快餐,可以鼓励他们选择更健康的选择,靠近他们的家,工作或其他经常光顾的地方。那些只在外面吃快餐的低收入爱好者可以得到教育项目和政府补贴的支持。总体而言,本研究中使用的方法可以用于干预措施,以策划个性化的健康饮食和可持续旅行行为建议。
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引用次数: 0
Community vulnerability influences traffic safety differently in urban, suburban, and rural areas 社区脆弱性对城市、郊区和农村地区交通安全的影响存在差异
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-11 DOI: 10.1016/j.jth.2025.102146
Ansley Kasha, Brian C. Tefft, Rebecca Steinbach
Social vulnerability refers to the susceptibility of individuals or communities to harm and is influenced by various inequities related to resources, opportunities, and social conditions. This study aims to investigate the association of motor vehicle crash fatalities with community vulnerability and variations between urban, suburban, and rural areas. Negative binomial regression models were used to estimate cross-sectional associations of population-based motor vehicle crash fatality rates with the Centers for Disease Control and Prevention's Social Vulnerability Index (SVI) across all Census Tracts in the United States in 2018–2022. Associations were allowed to vary by area type. A decile increase in vulnerability was associated with 11% higher fatality rates in urban areas and 9% higher fatality rates in suburban areas (P < 0.001) but only a 1% higher fatality rate in rural areas (P = 0.08). When individual components of vulnerability were examined, fatality rates were most strongly associated with the racial and ethnic minority status theme of the SVI in urban areas but with the socioeconomic status theme in suburban areas and rural areas. Most dimensions of the vulnerability measure were associated more strongly with pedestrian fatalities than with total crash fatalities. Strategies to reduce roadway mortality should account for complex relationships between social vulnerability and geographic location. Future research examining these relationships may help develop interventions that go beyond improving traffic safety, such as addressing social and economic inequities.
社会脆弱性是指个人或社区对伤害的易感性,受到与资源、机会和社会条件有关的各种不平等的影响。本研究旨在探讨机动车碰撞死亡与社区脆弱性的关系,以及城市、郊区和农村地区之间的差异。使用负二项回归模型估计2018-2022年美国所有人口普查区基于人口的机动车碰撞死亡率与疾病控制和预防中心的社会脆弱性指数(SVI)的横断面关联。关联可以根据区域类型而变化。脆弱性每增加十分之一,城市地区死亡率增加11%,郊区死亡率增加9% (P <;0.001),但农村地区的死亡率仅高出1% (P = 0.08)。当检查脆弱性的各个组成部分时,死亡率与城市地区SVI的种族和少数民族地位主题联系最为密切,但与郊区和农村地区的社会经济地位主题联系最为密切。脆弱性测量的大多数维度与行人死亡人数的关系比与总事故死亡人数的关系更强。降低道路死亡率的战略应考虑到社会脆弱性与地理位置之间的复杂关系。未来对这些关系的研究可能有助于制定超越改善交通安全的干预措施,例如解决社会和经济不平等问题。
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引用次数: 0
Towards a paramethodology: exploring equitable methods for interviewing participants with alternative communication requirements about their experiences of air travel 迈向参数方法学:探索公平的方法,对有其他沟通需求的参与者进行访谈,了解他们的航空旅行经历
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-11 DOI: 10.1016/j.jth.2025.102150
Peter Jones , Lucy Budd , Stephen Ison
Despite being an established methodological approach for gaining in-depth data directly from consenting participants, conventional interview approaches, which rely on spoken interactions between researchers and interviewees, are not always appropriate for people with alternative communication requirements. The aim of this paper is to report on how semi-structured interviews were purposefully adapted to ensure that participants living with cerebral palsy, who primarily communicate through alternative, including non-verbal, means, were able to contribute their lived experiences of flying to a wider research project exploring accessible aviation. In so doing, the paper proposes a paramethodological approach to transport research in which interviewees ‘come alongside’ researchers to create more flexible, equitable and accessible methods and methodologies to ensure the experiences and expertise of all groups, including those often marginalised from mainstream transport research, are included.
尽管这是一种直接从同意的参与者那里获得深入数据的既定方法,但传统的访谈方法依赖于研究人员和受访者之间的口头互动,并不总是适合有其他沟通要求的人。本文的目的是报告如何有目的地调整半结构化访谈,以确保主要通过其他方式(包括非语言)进行交流的脑瘫患者能够为探索无障碍航空的更广泛研究项目贡献他们的飞行生活经验。在此过程中,本文提出了一种参数方法论方法来进行交通研究,在这种方法中,受访者“与”研究人员一起创造更灵活、公平和可访问的方法和方法,以确保包括那些经常被主流交通研究边缘化的群体在内的所有群体的经验和专业知识。
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引用次数: 0
Adverse behavioural and health outcomes of bus driving occupation in emerging countries: An investigation from Hanoi, Vietnam 新兴国家公共汽车司机职业的不良行为和健康结果:来自越南河内的调查
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-02 DOI: 10.1016/j.jth.2025.102145
Thanh Chuong Nguyen, Thanh Tung Ha, Minh Hieu Nguyen

Introduction

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

Methods

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

Results

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

Conclusions

Bus enterprises should carefully evaluate the interventions they intend to formulate because of their different effects on health- and safety-related outcomes. The local government should be more responsible for enhancing the working environment for bus drivers (e.g., offering bus lanes and signal priority). At the same time, enterprises should improve their management by promoting a salary system, safety training, and company culture. Besides, bus companies should form tailored campaigns and solutions to safety issues based on demographics.
众所周知,开公交车是一项要求高、压力大、危险的工作。因此,已经进行了许多研究来调查这一职业的不良后果;然而,它们在方法、研究模型和设置方面是分开的,有许多不一致的发现。为了弥补这一差距,我们旨在调查一个发展中国家公交车司机四种负面结果的影响因素,包括(1)危险驾驶行为,(2)撞车发生率,(3)对乘客的粗鲁行为,以及(4)饮酒。方法对河内市132条公交线路的1020名公交司机于2024年3月3周内进行数据采集。采用探索性因子分析、线性回归、二元和有序logistic回归等多种方法对四个模型进行了估计。结果结果显示,工作环境和企业管理是影响四种不良后果的主要因素。驾驶电动公交车和拥有较高的教育水平与四种不良结果中的三种呈负相关。其他变量(例如,冒险态度、过度承诺和工作时间)在预测一个或两个结果中起着重要作用。年龄在50岁以上和非城市公交线路与车祸发生率呈负相关,但与对乘客的粗鲁行为发生率呈正相关。结论公共汽车企业应仔细评估他们打算制定的干预措施,因为它们对健康和安全相关结果的影响不同。地方政府应该更有责任改善公交司机的工作环境(例如,提供公交专用道和信号优先)。与此同时,企业应该通过推广薪酬制度、安全培训和企业文化来改善管理。此外,巴士公司应该根据人口统计数据制定量身定制的活动和安全问题解决方案。
{"title":"Adverse behavioural and health outcomes of bus driving occupation in emerging countries: An investigation from Hanoi, Vietnam","authors":"Thanh Chuong Nguyen,&nbsp;Thanh Tung Ha,&nbsp;Minh Hieu Nguyen","doi":"10.1016/j.jth.2025.102145","DOIUrl":"10.1016/j.jth.2025.102145","url":null,"abstract":"<div><h3>Introduction</h3><div>Driving a bus is described as a notoriously demanding, stressful, and dangerous job. Thus, many studies have been conducted to investigate the adverse outcomes of this occupation; however, they are separate in terms of methods, research models, and settings, with many inconsistent findings. In response to this gap, we aimed at investigating the influential factors of the four negative outcomes among bus drivers in a developing country, including (1) risky driving behaviours, (2) crash prevalence, (3) rude behaviours against passengers, and (4) alcohol use.</div></div><div><h3>Methods</h3><div>The utilized data were collected from 1020 bus drivers working on the 132 routes in Hanoi in three weeks of March 2024. Four models were estimated using multiple methods, including exploratory factor analysis, linear regression, and binary and ordinal logit regression.</div></div><div><h3>Results</h3><div>The results highlighted that the prominent predictors of the four adverse outcomes were working environment and enterprise management. Driving electric buses and having a higher educational level were negatively associated with three of four undesirable outcomes. Other variables (e.g., risk-taking attitude, over-commitment, and working time) had significant roles in predicting one or two outcomes. Being over 50 years old and non-urban bus routes exhibited a negative correlation with crash prevalence but a positive one with the prevalence of rude behaviours against passengers.</div></div><div><h3>Conclusions</h3><div>Bus enterprises should carefully evaluate the interventions they intend to formulate because of their different effects on health- and safety-related outcomes. The local government should be more responsible for enhancing the working environment for bus drivers (e.g., offering bus lanes and signal priority). At the same time, enterprises should improve their management by promoting a salary system, safety training, and company culture. Besides, bus companies should form tailored campaigns and solutions to safety issues based on demographics.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102145"},"PeriodicalIF":3.3,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763792","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
Investigating the associations of commuting behavior, perception, satisfaction, and subjective well-being: An analytical framework from the perspective of commuters' preferences and tolerance toward commuting time 通勤行为、感知、满意度与主观幸福感的关系研究:基于通勤者对通勤时间的偏好和容忍的分析框架
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-02 DOI: 10.1016/j.jth.2025.102140
Jiankun Yang , Mingwei He , Min He , Lixiang Peng

Introduction

Although commuting behavior and subjective well-being (SWB) have been widely shown to be statistically correlated, the complex relationships among commuting time dissonance and commuting modes, experiences, and SWB remain empirically unclear. From the perspective of commuters' preferences and tolerance toward commuting time, this study aims to reveal the associations of commuting time dissonance, perceptions, satisfaction, and SWB across commuting modes.

Methods

This study redefines the levels of commuting time dissonance based on the extent to which individuals' actual commuting time deviates from their ideal and tolerable reference points. An analytical framework linking modes→dissonance→perceptions→satisfaction to SWB was developed. We obtained a sample of 356 urban commuters from different industries in Kunming, China, using stratified sampling in 2023. Finally, a path analysis model was used to identify the pathways of association between these subjective and objective commute variables and SWB.

Results

First, commuting time dissonance was negatively related to multidimensional commute experiences. Actual commute time activated tolerance threshold (severe dissonance), increasing the likelihood of perceived commuting fatigue, stress, and pain while reducing commute satisfaction. Second, these negative experiences exerted significant adverse mediating roles between severe dissonance and SWB. Specifically, high levels of perceived commute pain and low levels of commute satisfaction further reduced SWB. Third, commuting time dissonance mediated the relationships between commuting modes and both perceptions and satisfaction. Specifically, active commuters exhibited significantly lower probabilities of severe commute time dissonance but higher likelihoods of commute time consonance (actual commute time alignment with ideal reference point). This dual advantage indirectly reduced negative commute perception and enhanced commute satisfaction.

Conclusion

To achieve synergistic policy objectives in active travel promotion, commute experience optimization, and well-being enhancement, evidence-based planning of urban commuting zones should incorporate residents' ideal and tolerable commute time thresholds.
虽然通勤行为和主观幸福感(SWB)已被广泛证明具有统计学上的相关性,但通勤时间失调与通勤方式、通勤体验和主观幸福感之间的复杂关系尚不清楚。本研究旨在从通勤者对通勤时间的偏好和容忍角度,揭示不同通勤方式下通勤时间失调、感知、满意度和幸福感之间的关系。方法本研究基于个人实际通勤时间偏离其理想和可容忍参考点的程度,重新定义通勤时间失调的水平。建立了模式→失调→感知→满意度与主观幸福感的关系分析框架。本文采用分层抽样方法,于2023年对中国昆明不同行业的356名城市通勤者进行了抽样调查。最后,利用路径分析模型确定了主客观通勤变量与主观幸福感之间的关联路径。结果第一,通勤时间失调与多维通勤体验呈负相关。实际通勤时间激活耐受阈值(严重失调),增加感知通勤疲劳、压力和疼痛的可能性,同时降低通勤满意度。第二,这些负面体验在严重失调与主观幸福感之间发挥了显著的负向中介作用。具体来说,高水平的通勤痛苦和低水平的通勤满意度进一步降低了幸福感。第三,通勤时间失调在通勤方式与感知和满意度之间起中介作用。具体而言,积极通勤者表现出严重通勤时间不协调的可能性显著降低,但通勤时间协调的可能性更高(实际通勤时间与理想参考点一致)。这种双重优势间接减少了通勤负面感知,提高了通勤满意度。结论城市通勤区循证规划应结合居民理想通勤时间阈值和可容忍通勤时间阈值,以实现促进主动出行、优化通勤体验和提升幸福感的协同政策目标。
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引用次数: 0
Standardised neuropsychological test correlates of driving performance in mild cognitive impairment and dementia: A systematic review and meta-analysis 标准化神经心理测试与轻度认知障碍和痴呆驾驶表现的相关性:系统回顾和荟萃分析
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-02 DOI: 10.1016/j.jth.2025.102141
K.B. Stefanidis , T. Mieran , M.J. Summers

Aims/objectives

As the ageing population increases, and hence emergence of age-related diseases such as dementia, there is an urgent need to identify sensitive measures of reduced cognitive fitness to drive. Such knowledge can assist health practitioners to effectively triage those older adults requiring a formal fitness to drive assessment. Extending on previous work in healthy older adults, the present study synthesised evidence on the relationship between standardised neuropsychological test measures and driving performance among older adults with mild cognitive impairment and dementia.

Methods

Following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, this review focused on studies examining the relationship between standardised neuropsychological test measures and driving performance metrics (e.g., on-road test, driving simulator) in older adults aged 60 years and over with cognitive impairments (mild cognitive impairment or dementia).

Results/discussion

A total of 7 studies were eligible for review, resulting in the analysis of 14 standardised neuropsychological measures. Due to insufficient data, only one meta-analysis could be performed, with the remaining data being analysed qualitatively. Based on the limited evidence available, measures of attention, processing speed and global cognition, were found to correlate with driving performance, generally exhibiting moderate-to-large effects. Future research utilising standardised neuropsychological test measures in assessing the relationship between cognitive function and driving in MCI/dementia, is warranted.
随着老龄化人口的增加,老年相关疾病如痴呆的出现,迫切需要确定驾驶认知能力下降的敏感措施。这样的知识可以帮助健康从业者有效地分流那些老年人需要一个正式的健身驱动评估。在先前对健康老年人的研究基础上,本研究综合了标准化神经心理测试措施与轻度认知障碍和痴呆老年人驾驶表现之间关系的证据。方法遵循系统评价和荟萃分析(PRISMA)指南的首选报告项目,本综述重点研究了60岁及以上有认知障碍(轻度认知障碍或痴呆)的老年人的标准化神经心理测试措施与驾驶性能指标(如道路测试、驾驶模拟器)之间的关系。结果/讨论共有7项研究符合评价标准,对14项标准化神经心理学测量进行了分析。由于数据不足,只能进行一项meta分析,其余数据进行定性分析。基于有限的证据,我们发现注意力、处理速度和整体认知与驾驶表现相关,通常表现出中等到较大的影响。未来的研究将利用标准化的神经心理学测试来评估认知功能和MCI/痴呆患者驾驶之间的关系。
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引用次数: 0
A review of the effectiveness of interventions in improving uptake of active travel in women in wales 对改善威尔士妇女积极旅行的干预措施的有效性的审查
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-07-31 DOI: 10.1016/j.jth.2025.102136
Leona M. Batten , Sarah J. Jones

Introduction

Active travel is positively linked to overall health, but is only used for around 2% of UK journeys and is lower in women than men. An increase in active travel by women will improve equality of health benefits with men, reduce emissions, and may also improve uptake of active travel in children. Identifying interventions which increase uptake of active travel in women is therefore of interest to policy makers.

Methods

A literature review using systematic methods was carried out to identify effective interventions for increasing active travel by women.

Results

Seven studies were identified, four reviewed individual or community interventions, and three reviewed environmental interventions. Overall, evidence was of weak quality with variable outcomes. Bike-to-work days appeared to result in long-term modal change in female first-timers compared to male, but men were still more likely to cycle overall. Infrastructure changes, particularly segregated bicycle lanes, improved active travel uptake, but usually to a lesser extent in women than men.

Conclusion

Overall, this review found that infrastructure improvements and a cultural shift towards active travel is needed to improve uptake in women, however data are limited by short follow-up periods. It identified a need for more consistency in data collection and reporting, as well as an improved breakdown of outcomes by sociodemographic characteristics, to identify which interventions work in which population subgroups.
主动旅行与整体健康呈正相关,但在英国只有约2%的旅行使用这种方式,而且女性的比例低于男性。妇女积极旅行的增加将改善与男子平等的健康福利,减少排放,还可能改善儿童积极旅行的情况。因此,确定增加妇女积极旅行的干预措施是决策者感兴趣的。方法采用系统的方法进行文献综述,以确定有效的干预措施,以增加妇女的积极旅游。结果共确定了7项研究,4项综述了个人或社区干预措施,3项综述了环境干预措施。总体而言,证据质量较差,结果不一。与男性相比,首次骑车上班的女性似乎会产生长期的模式变化,但总体而言,男性仍更有可能骑车上班。基础设施的改变,特别是隔离的自行车道,提高了主动出行的接受度,但女性的程度通常低于男性。总的来说,本综述发现,需要改善基础设施和向积极旅行的文化转变,以提高女性的吸收,然而,由于随访时间短,数据有限。它确定需要在数据收集和报告方面更加一致,并改进按社会人口特征对结果的分类,以确定哪些干预措施对哪些人口亚群体有效。
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引用次数: 0
Neighborhood environment and older adults’ mental wellbeing and cognition: mediating role of activity variety 邻里环境与老年人心理健康与认知:活动多样性的中介作用
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-07-31 DOI: 10.1016/j.jth.2025.102144
Yafei Yue , Dongfeng Yang , Neville Owen , Shiwen Zhou , Delfien Van Dyck

Introduction

Neighborhood built and social environment attributes can be associated with older adults’ mental health, but underlying mechanisms that may explain these associations remain unclear.

Methods

We examined the contribution of variety of leisure-time physical activities (PA), leisure-time sedentary activities (SA), and transport-related PA in mediating the relation of built and social environment characteristics with mental wellbeing and cognition in older adults. Data from 879 respondents aged 60 or older in Dalian, China were used, and a Structural Equation Model (SEM) approach was used. Built environment characteristics were measured objectively. Social environment characteristics, variety of three types of activities, mental wellbeing, and cognition were self-reported.

Results

In the SEM, variety of leisure-time PA mediated the positive associations of access to recreation services and street furniture with mental wellbeing, and the negative associations of physical barriers with mental wellbeing. The variety of leisure-time SA was identified as a significant mediator of the positive associations of access to restaurants and social environment characteristics with cognition. The variety of transport-related PA was not a significant mediator.

Conclusion

These findings suggest that environmental and policy initiatives to improve older adults’ mental health could comprehensively consider multifaceted environments and activities, and optimize specific built and social environment characteristics that support diverse leisure-time activities for older adults. This new empirical evidence identifies ways for urban planning and neighborhood design to better promote the mental health of older adults.
社区建设和社会环境属性可能与老年人的心理健康有关,但可能解释这些联系的潜在机制尚不清楚。方法研究了休闲时间体力活动(PA)、休闲时间久坐活动(SA)和交通相关的PA在老年人建筑环境和社会环境特征与心理健康和认知之间的中介关系中的作用。数据来自中国大连879名60岁或以上的受访者,并使用结构方程模型(SEM)方法。客观地测量了建筑环境特征。社会环境特征、三种类型活动的多样性、心理健康和认知是自我报告的。结果在SEM中,休闲时间PA的多样性介导了游憩服务和街道设施获取与心理健康的正相关,以及物理障碍与心理健康的负相关。休闲时间SA的变化是餐馆进入和社会环境特征与认知的正相关的显著中介。转运相关PA的多样性不是一个显著的中介。结论改善老年人心理健康的环境和政策措施可以综合考虑多方面的环境和活动,优化特定的建筑和社会环境特征,支持老年人多样化的休闲活动。这一新的经验证据为城市规划和社区设计指明了更好地促进老年人心理健康的途径。
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引用次数: 0
Mental health service use after minor to moderate motor vehicle crash injury: A systematic review 轻中度机动车碰撞伤后心理健康服务的使用:系统回顾
IF 3.3 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-07-29 DOI: 10.1016/j.jth.2025.102143
Simone Yu , Preeti Maharjan , Daniel Griffiths , Nigel Armfield , Shannon Gray , Alex Collie

Background

Mental health symptoms are commonly experienced after sustaining an injury in a motor vehicle crash (MVC). Around 80% of MVCs are classified as minor to moderate (e.g., whiplash, sprains, strains), yet around half experience mental health impairments one-year post-injury. The prevalence, frequency, and determinants of mental health service use after these injuries are unclear.

Methods

A systematic literature review was conducted. Searches for primary studies reporting the prevalence of mental health practitioner interactions or medicines use after minor to moderate MVC injury were conducted in six databases (CINHAL, MEDLINE, Embase, Scopus, Web of Science, and PsycINFO). The primary outcome is the period prevalence of mental health service use. Secondary outcomes were determinants and patterns of service use. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Tool. Findings from eligible studies were reported in subgroups of mental health service type, injury severity, and follow-up period.

Results

From 4087 identified records, 12 studies were included. Prevalence of service use varied from 0.5% to 83% over time periods from <12 weeks to 106 months. Most studies (n = 9) included data from cohorts with mixed injury types. Studies were largely (11/12) retrospective cohort studies conducted in Victoria, Australia, with a single register-based cohort study in Sweden. Five studies reported psychological therapies, four examined medication use, and three included a mix. Determinants of mental health service use included female sex, seeking common law compensation, and soft tissue injury. Frequency was reported by eight studies, timing to first service was reported by one, and duration of care was reported by one.

Conclusions

Prevalence increased with longer follow-up periods and was higher for psychological therapies than medications. However, estimates varied substantially due to differing outcome definitions, study designs, and cohort characteristics. Improvements in recording and reporting of mental health service use will lead to enhanced understanding of mental health service use, supporting more effective service planning and delivery, and ultimately contributing to better health outcomes after MVC injury.
背景:在机动车碰撞(MVC)中受伤后,通常会出现精神健康症状。大约80%的mvc被归类为轻微至中度(例如,鞭打、扭伤、拉伤),但大约一半的人在受伤一年后会出现精神健康障碍。这些伤害后使用精神卫生服务的患病率、频率和决定因素尚不清楚。方法进行系统的文献复习。在六个数据库(CINHAL、MEDLINE、Embase、Scopus、Web of Science和PsycINFO)中搜索报告轻中度MVC损伤后精神卫生从业人员互动或药物使用流行率的初步研究。主要结果是心理健康服务使用的流行程度。次要结果是服务使用的决定因素和模式。使用乔安娜布里格斯研究所关键评估工具评估研究质量。根据心理健康服务类型、损伤严重程度和随访时间的亚组报告了符合条件的研究结果。结果从4087份确定的记录中,纳入了12项研究。在12周到106个月的时间段内,服务使用率从0.5%到83%不等。大多数研究(n = 9)的数据来自混合损伤类型的队列。研究主要是(11/12)在澳大利亚维多利亚州进行的回顾性队列研究,在瑞典进行了一项基于登记册的队列研究。五项研究报告了心理治疗,四项研究调查了药物使用,三项研究包括混合治疗。使用精神卫生服务的决定因素包括女性、寻求普通法赔偿和软组织损伤。8项研究报告了频率,1项研究报告了首次服务的时间,1项研究报告了护理的持续时间。结论随着随访时间的延长,心理治疗的患病率明显高于药物治疗。然而,由于不同的结果定义、研究设计和队列特征,估计差异很大。改进对精神卫生服务使用情况的记录和报告将增进对精神卫生服务使用情况的了解,支持更有效地规划和提供服务,并最终有助于改善MVC损伤后的健康结果。
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引用次数: 0
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Journal of Transport & Health
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