Journal of Transport & Health最新文献

{"title":"From streets to sleep: The impact of urban walkability on sleep health","authors":"Yein Yoon ,&nbsp;Yeinn Oh","doi":"10.1016/j.jth.2026.102267","DOIUrl":"10.1016/j.jth.2026.102267","url":null,"abstract":"<div><div>This scoping review examines how urban walkability influences sleep health, aiming to uncover key trends, gaps, and actionable insights. Emerging evidence suggests that neighborhood environments, including walkability, may play a crucial role in shaping health behaviors. Although sleep is a critical precursor and outcome for both physical and mental health, its connection to urban walkability remains insufficiently understood. A total of 401 peer-reviewed articles published between 2016 and 2025 were identified from major electronic databases, with 13 studies included for review. The association between walkability and sleep health showed mixed findings, reflecting heterogeneity across study designs, populations, and measurement approaches. Notably, subjective perceptions of walkability were more consistently associated with sleep outcomes than objective spatial metrics. The discussion highlights methodological and conceptual pathways for advancing this field, emphasizing the need for integrated frameworks and rigorous causal designs. Promoting walkable urban environments may represent a promising and sustainable strategy to enhance sleep health.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102267"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979512","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":"Spatial patterns and determinants of children's school travel mode choice in México City: The link between escorting and active travel","authors":"Dorian Antonio Bautista-Hernández","doi":"10.1016/j.jth.2026.102270","DOIUrl":"10.1016/j.jth.2026.102270","url":null,"abstract":"<div><h3>Introduction</h3><div>Fostering active transportation in the children's school journey is a key objective of sustainable urban development. Few studies analyze the variety of trip arrangements (independent or escorted) in relation to travel modes, which also encompass a wide diversity of options. The developing world context offers a particular opportunity to study these aspects.</div></div><div><h3>Methods</h3><div>This paper analyzes the case of Mexico City using data from the 2017 Household Travel Survey on the individual, household, escorting, and built environment determinants of mode choice in children's travel to school across three levels: Kindergarten, Elementary, and Junior High Schools (JHS). This is a cross-sectional study that applies a discrete choice model.</div></div><div><h3>Results</h3><div>There is a distinctive geographical pattern specific to each mode. Overall, walking is the predominant mode of transportation, while independent travel using transit increases as children age and progress to higher educational levels. Different associations were found, but arguably the more relevant suggest that household socioeconomic category is relevant only in elementary school, while gender is more relevant in Junior High School, with the upper category and girls more prone to travel by PV and bike less. Other factors that increase PV include the high education level of the head of household and mixed land use. Factors that increased biking were being escorted by another family member, less sloped areas, and the density of bike lanes in JHS.</div></div><div><h3>Conclusions</h3><div>Better bike infrastructure and escorting programs tailored to local contexts must be applied to improve children's safe travel to school.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102270"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038764","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 interplay of home and work neighbourhood environment characteristics and associations with active commuting","authors":"A. Biswas ,&nbsp;C. Chen ,&nbsp;J.J. Lang ,&nbsp;P.J. Villeneuve ,&nbsp;P.M. Smith ,&nbsp;S.A. Prince","doi":"10.1016/j.jth.2026.102278","DOIUrl":"10.1016/j.jth.2026.102278","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite its health benefits, the use of active commuting is rarely examined in relation to the co-occurring combinations of built and social environment features at home and work environments that reflect the home-to-work commute.</div></div><div><h3>Methods</h3><div>Self-reported mode of commute data from participants of the 2016 Canadian National Census (n = 2,077,405) was linked to environmental features (48,624 dissemination areas) (e.g., walkability, area marginalization). Hierarchical cluster analysis identified typologies/clusters of co-occurring features in urban areas of Canada, and these typologies were assigned to respondents’ home and work neighbourhood locations. Associations between co-occurring environmental clusters and commuting modes (walking or cycling, public transit, and motorized vehicle) were examined independently and combined for both home and work locations using multinomial regression.</div></div><div><h3>Results</h3><div>Four environmental clusters were identified, ordered by increasingly supportive walking and cycling infrastructure. Cluster 1 had fewer active commuting resources (bottom 30% mean scores for walkability, public transit, cycling), high greenness, and air quality (NO₂, PM_2.5) (top 33%) with moderate scores (between top/bottom 33%) for proportion living alone or unowned dwellings (residential instability) and material deprivation (low income, reduced basic needs access). Clusters 2 and 3 had moderate active commuting support and air quality but differed in residential instability (lower in cluster 2, higher in cluster 3). Cluster 4 had supportive active commuting environments, higher material deprivation, more older adults and non-working respondents, higher immigrant and visible minority concentrations, and residential instability. Multinomial regression models showed that compared to a cluster 1 home and work location, those in a cluster 3 environment had the most active commuters (adjusted Risk Difference, RD: 10.3 per 1000; 95% CI: 9.6, 11.0) and public transit users (RD: 185.6 per 1000; 95% CI: 178.1, 193.2). Combinations of cluster 3 and cluster 4, when examined at combined home and work locations, also resulted in more active commuters and public transit users. All other combinations resulted in fewer active commuters, and more public transit and motorized vehicle users.</div></div><div><h3>Conclusions</h3><div>Combinations of clusters 3 and 4 (environments with mid-high active commuting supports) at both home and work locations contributed to the highest levels of active commuting and public transit use and fewest motorized vehicle users relative to the least supportive typology. Findings highlight the importance of built environments at both home and work environments, even in deprived or unstable social contexts, in promoting active commuting.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102278"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188968","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":"How are grocery shopping patterns related to individual diet quality, overall health and mental health? Evidence from four Canadian metropolises","authors":"Chunjiang Li ,&nbsp;Michael J. Widener ,&nbsp;Yinhua Tao","doi":"10.1016/j.jth.2026.102271","DOIUrl":"10.1016/j.jth.2026.102271","url":null,"abstract":"<div><h3>Introduction</h3><div>Grocery shopping is a modifiable factor influencing diet and health, yet most studies only considered single or independent attributes of shopping trips, neglecting their interrelated nature. Recent research has identified grocery shopping patterns based on a series of transportation-related characteristics, but their links to diet and health outcomes remain underexplored. This study aims to examine the associations of grocery shopping patterns identified using multidimensional measures of shopping trips with self-rated diet quality, overall health, and mental health, and moreover, tests if the associations between shopping patterns and health are mediated by diet quality.</div></div><div><h3>Method</h3><div>Data are from the 2021 Time Use &amp; Food Habits Survey of Canadian adults living with children under 18 years in four Canadian census metropolitan areas, including Edmonton, Halifax, Vancouver, and Toronto. Structural equation modeling was applied to estimate the associations between shopping patterns, diet quality, and health.</div></div><div><h3>Results</h3><div>Compared to respondents classified as large store shoppers, respondents identified as accompanied shoppers and as frequent shoppers were directly associated with better self-rated diet quality and overall health, but their direct associations with mental health were not significant. They were also indirectly related to better overall and mental health, mediated via better diet quality, while the effect size of accompanied shoppers on mental health is relatively small. Regarding the total associations between shopping patterns and health, frequent shoppers were associated with better overall and mental health, while accompanied shoppers were only related to better overall health.</div></div><div><h3>Conclusions</h3><div>The results imply that grocery shopping patterns with combinations of certain attributes, including relatively high frequency, shopping less at large stores, non-driving travel, and organization in trip chaining, may be beneficial to diet quality and health among households with children. Therefore, interventions should focus on encouraging the combination of certain shopping attributes rather than independent attributes of shopping trips.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102271"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038761","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":"Impact of opening new train stations on regional health expenditures per capita for middle-aged adults: A natural experiment of the Osaka-Higashi Line","authors":"Sayana Wakisaka ,&nbsp;Kenta Arai ,&nbsp;Taisuke Ichihara ,&nbsp;Yuya Yamada ,&nbsp;Haruka Kato","doi":"10.1016/j.jth.2026.102264","DOIUrl":"10.1016/j.jth.2026.102264","url":null,"abstract":"<div><h3>Introduction</h3><div>The Japanese government has promoted the Compact Plus Network, which encourages people to live near train stations for health benefits. This study aimed to elucidate the impact of the opening of new train stations on the regional health expenditure per capita for medically treated middle-aged adults. The analysis provides insight into the characteristics of the stations that reduce the expenditure.</div></div><div><h3>Materials and methods</h3><div>This study employed a natural experiment design, utilizing the time difference in the opening period of the Osaka-Higashi Line. The Osaka-Higashi Line has a southern section that opened in 2008 and a northern section that opened in 2019. This study designated the four station areas surrounding the stations in the northern section, where a new station opened in 2019, as the exposure group. This analysis was conducted at two levels: the railway-line and individual station levels. The area surrounding the stations in the southern section was designated the covariate group. Our statistical analysis used the Causal-Impact algorithm on the medical dataset REZULT. This study analyzed 96-months before and after the opening of new stations.</div></div><div><h3>Results</h3><div>Our analysis sample has no significant changes in demographic characteristics before or after the stations’ opening. This study clarified that only the exposure groups (Shigino) reduced the cumulative health expenditure per capita by JPY 62,500.62 [95 %CI: −141218.67, 21306.54] over four years. However, the expenditure did not decrease in the exposure groups of the north section at the railway-line level, and JR-Awaji, Shirokitakōendōri, and JR-Noe stations at the individual station level.</div></div><div><h3>Conclusion</h3><div>New-station openings did not yield a significant overall line-level reduction in RHE over four years, but we observed station-level heterogeneity, with Shigino showing an estimated cumulative reduction (<em>p</em> = 0.06). Pre-opening higher RHE and stronger inter-network connectivity emerge as plausible moderators, suggesting targeted, station-screening approaches for health-informed rail planning.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102264"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038763","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":"Occupation type, home and work environments, and physical activity and sedentary behaviour","authors":"Binay Adhikari ,&nbsp;Andy Hong ,&nbsp;Emily Johnson ,&nbsp;Pat Fisher ,&nbsp;Lawrence D. Frank","doi":"10.1016/j.jth.2026.102269","DOIUrl":"10.1016/j.jth.2026.102269","url":null,"abstract":"<div><h3>Introduction</h3><div>Research to date on the relation between workplace environments and physical activity and sedentary behaviour is limited. Occupation may play an important role in affecting an individual's activity patterns at work, but evidence remains unclear. This study investigated the combined association of home and workplace walkability and occupation type on device-measured moderate-to-vigorous physical activity (MVPA) and sedentary behaviour.</div></div><div><h3>Methods</h3><div>We analyzed a sub-sample of 231 participants from the NEWPATH study, which surveyed households in the Region of Waterloo, Ontario, from May 2009 to May 2010. Participants provided their home and workplace postal codes. A stepwise regression analysis assessed the relationships between built environment characteristics, average daily moderate-to-vigorous physical activity (MVPA), occupation type, and sedentary behaviour. The models controlled for age, sex, and annual household income, examining both main effects and interactions between walkability and occupation types.</div></div><div><h3>Results</h3><div>Results indicate that walkability around the place of residence was a significant predictor of MVPA [β = 1.110; standard error (SE) = 0.505; p &lt; 0.05]. Workplace walkability had a differential association with MVPA based on occupation type. Professional, managerial, or technical occupation types showed a significant positive association with workplace walkability compared to other occupation types (β = 2.440; SE = 0.965; p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Enhancing workplace walkability in suburban areas may positively influence physical activity levels among employees, especially those in professional roles. These efforts could contribute to healthier lifestyles and reduce sedentary behaviour during the workday. Exploring environmental influences on physical activity could provide valuable insights for developing supportive interventions promoting active living in communities. However, alternative or tailored interventions may be needed to promote physical activity among individuals in other occupation types, which warrants further investigation.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102269"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078637","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":"Streetscape intervention influencing the perception of traffic safety for active school travel","authors":"Dorji Wangzom,&nbsp;Marcus White,&nbsp;Jeni Paay","doi":"10.1016/j.jth.2026.102266","DOIUrl":"10.1016/j.jth.2026.102266","url":null,"abstract":"<div><h3>Introduction</h3><div>Children's active commuting to school has been declining in Melbourne, Australia, and parental perception of traffic safety is a key factor influencing this. Although substantial research on active school travel exists, there is minimal implementable research evidence that can be used to improve parental perceptions of traffic safety and increase in the number of children walking to school.</div></div><div><h3>Methods</h3><div>To address this, a total of 329 carers/parents from Metropolitan Melbourne participated in an online survey through Facebook community groups. A mixed-method approach was used to investigate variations in perceptions of the safety of children walking to school, and the reasons for this. The study uses eight 3D streetscape simulation videos, located near a school, showing a single or a combination of interventions, which might make the street seem safer.</div></div><div><h3>Results</h3><div>Data analysis revealed a significant difference in the perception of traffic safety for most streetscape interventions examined. Many participants reported that streetscape elements influence traffic safety perception, whereas fewer than 20 % did not perceive this.</div></div><div><h3>Conclusion</h3><div>The findings show that microscale streetscape interventions influence parents’ traffic safety perception for their children to walk to school. Overall, the lateral distance separation of pedestrians from vehicular traffic was perceived as safer than tree buffers or speed reduction. While speed reduction significantly improves real safety, speed intervention, coupled with other interventions such as buffer or lateral distance, is perceived as much safer than a single speed intervention.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102266"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038760","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":"Individual gain, societal pain: When personal mobility solutions become public problems","authors":"Luis A. Guzman ,&nbsp;Victor A. Cantillo-Garcia ,&nbsp;Angie Criado ,&nbsp;Lauren Bisi ,&nbsp;Andrés I. Vecino-Ortiz ,&nbsp;Abdulgafoor M. Bachani","doi":"10.1016/j.jth.2025.102252","DOIUrl":"10.1016/j.jth.2025.102252","url":null,"abstract":"<div><h3>Introduction</h3><div>Rapid motorization in low- and middle-income countries has made motorcycles an increasingly popular yet high-risk mode of transport, posing significant public health and policy challenges. In Bogotá, Colombia, motorcyclists account for nearly half of all traffic-related fatalities, disproportionately affecting lower-income residents. This study investigates the behavioral, psychosocial, and structural determinants influencing motorcycle dependence.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 781 adult motorcycle riders, representative of Bogotá's motorcycling population. The survey captured data on travel behavior, road-safety experience, perceived injury risk, underlying motivations, and mobility satisfaction. A hybrid choice model was employed to assess the influence of sociodemographic characteristics, travel demand policies, risk propensity personality traits, and latent psychosocial constructs—based on the Theory of Planned Behavior—on the intention to use motorcycles. These constructs included instrumental and affective attitudes, perceived social norms, and perceived behavioral control.</div></div><div><h3>Results</h3><div>Affective attitudes—such as enjoyment and a sense of freedom—emerged as strong positive predictors of continued motorcycle use. In contrast, instrumental attitudes—emphasizing practicality and necessity—indicated a potential openness to mode shift if attractive alternatives were available. Policy simulations revealed that regulatory measures such as license plate-based circulation restrictions, increased taxation, and passenger bans significantly discouraged motorcycle use. Conversely, improvements in public transport showed limited influence due to persistent negative perceptions of its reliability and safety.</div></div><div><h3>Conclusions</h3><div>The findings highlight the need for comprehensive strategies that address both rational economic considerations and the psychosocial motivations behind motorcycle dependence. Effective interventions in rapidly motorizing cities must combine strong enforcement, improved public transport, economic incentives, and behavior change campaigns to reduce traffic injuries and promote healthier urban environments.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102252"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886344","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":"Satisfaction with travel and its associated factors among university students","authors":"Mohammad Paydar ,&nbsp;Asal Kamani Fard","doi":"10.1016/j.jth.2026.102261","DOIUrl":"10.1016/j.jth.2026.102261","url":null,"abstract":"<div><h3>Introduction</h3><div>Satisfaction with travel (SWT) has received less attention, particularly among university students, in the global south, which includes southern America and Chile. In Temuco, one of Chile's medium-sized southern cities, university students make up nearly one-sixth of the population. This study aims to investigate SWT and its related factors among university students in this city. In addition, these correlations were investigated according to each mode of transportation.</div></div><div><h3>Methods</h3><div>The data was collected from Temuco's six universities using quota sampling and multiple linear regressions.</div></div><div><h3>Results</h3><div>Although a majority of students use public transportation, they are far less satisfied with it than they are with their private cars and active travel. On the other hand, even though a small portion of university students use private vehicles, this mode of transportation contributes to the greatest SWT. In addition, higher income and the male population are linked to higher SWT. Less SWT by public transportation is also a result of more private vehicles in the household. Similarly, for all travel mode choices, distance was negatively correlated with SWT. Furthermore, a higher SWT for active travel trips is linked to perceived safety from motor vehicles. Moreover, companionship is linked to increase SWT for active travel trips. Finally, one of the research's novelties was the identification of a lifestyle type and a personal value called security that was linked to overall SWT.</div></div><div><h3>Conclusions</h3><div>The results could be used by this city's transportation and urban policymakers to improve SWT among university students.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102261"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038759","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":"Community factors associated with the prevalence of pedestrian barrier removal plans in U.S. municipalities","authors":"Yochai Eisenberg ,&nbsp;Sajad Askari","doi":"10.1016/j.jth.2026.102277","DOIUrl":"10.1016/j.jth.2026.102277","url":null,"abstract":"<div><h3>Introduction</h3><div>Safe and accessible pedestrian infrastructure is a necessity for supporting walking and wheeling among people with disabilities. Yet, progress towards improving accessibility is limited, as is the amount of walking and wheeling among people with disabilities. Furthermore, most communities lack a plan for removing pedestrian barriers known as an Americans with Disabilities Act (ADA) transition plan. Limited research has examined what community factors are associated with having a plan.</div></div><div><h3>Methods</h3><div>Using data from the 2021 Community-Based Policies and Environmental Supports for Healthy Eating and Active Living survey, this study investigates three objectives among a nationally representative sample of local governments: (1) estimate the national prevalence of ADA transition plans, (2) examine the relationship between socio-economic indicators and the odds of having such plans, and 3) explore the relationship between having a similar pedestrian safety focused plan and having an ADA transition plan. We ran descriptive analysis, bivariate, and multivariable statistical tests to examine associations with having a plan.</div></div><div><h3>Results</h3><div>Only 33.55% of municipalities reported having an ADA Transition Plan. Prevalence was lower in Northeast communities and municipalities with fewer than 2500 residents (non-urban areas). Communities with higher proportions of residents with disabilities had significantly greater odds of being in the process of plan development, but were not associated with having an adopted plan. The presence of pedestrian-oriented policies, such as Vision Zero and Complete Streets, was positively associated with the odds of having a plan. Poverty levels, median household income, and the percentage of residents with a bachelor's degree or higher were not associated with having an adopted plan.</div></div><div><h3>Conclusion</h3><div>Integrating ADA compliance within a broader, active mobility-focused planning framework could advance progress toward accessible pathways and support increased walking and wheeling among community members with and without disabilities. Smaller communities need additional support for ADA Transition Plan development and implementation.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102277"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189489","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}