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Acceptability of a city-wide transport plan: A thematic analysis of written consultation responses
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-12-01 DOI: 10.1016/j.jth.2024.101956
Kate Garrott , Benjamin Hawkins , Jenna Panter
{"title":"Acceptability of a city-wide transport plan: A thematic analysis of written consultation responses","authors":"Kate Garrott ,&nbsp;Benjamin Hawkins ,&nbsp;Jenna Panter","doi":"10.1016/j.jth.2024.101956","DOIUrl":"10.1016/j.jth.2024.101956","url":null,"abstract":"<div><h3>Introduction</h3><div>Policy intervention to reduce car use is required for environmental and health benefits. Multi-component interventions with both positive (i.e. ‘carrot’) and negative (i.e. ‘stick’) strategies are effective in promoting modal shift, but ‘stick’ strategies are less acceptable and often abandoned before implementation. This study aims to understand the arguments surrounding policy acceptability for a multi-component transport plan including both carrot and stick strategies in Cambridge, UK.</div></div><div><h3>Methods</h3><div>A series of public consultations between 2017 and 2022 informed transport priorities and provided feedback on a range of proposals. The final public consultation sought views on detailed proposals to expand the bus network and invest in sustainable travel infrastructure funded by the implementation of a road user charge. Following the consultation, concessions were made to the plans and they were later abandoned due to a lack of political consensus. We downloaded and analysed written responses generated during the consultation to identify arguments influencing policy acceptance.</div></div><div><h3>Results</h3><div>From 115 included responses, we identified five themes: (1) support for the overall vision of the transport strategy; (2) mixed support on proposals (favouring carrots but not sticks); (3) concerns about consultation process; (4) concerns about deliverability of proposals; and (5) the effects of the scheme on transport, inequalities and economic growth.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that policy design and communication should focus on perceived effectiveness and equity and building trust among agencies ahead of policy proposals to support the effective implementation of travel policy solutions.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101956"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757211","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}
引用次数: 0
Does mental health influence commuters’ mode choice? A cross-sectional assessment from the Netherlands
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-12-01 DOI: 10.1016/j.jth.2024.101964
Jiakun Liu, Dick Ettema, Marco Helbich
{"title":"Does mental health influence commuters’ mode choice? A cross-sectional assessment from the Netherlands","authors":"Jiakun Liu,&nbsp;Dick Ettema,&nbsp;Marco Helbich","doi":"10.1016/j.jth.2024.101964","DOIUrl":"10.1016/j.jth.2024.101964","url":null,"abstract":"<div><h3>Background</h3><div>People's mental health may play a role in influencing their travel behaviors; however, few studies have quantified the association between mental health and commuting mode choice.</div></div><div><h3>Objective</h3><div>This study examined 1) how mental health is associated with commute mode choice and 2) whether gender differences exist.</div></div><div><h3>Data and methods</h3><div>We used cross-sectional data from a population-representative sample of 7,280 adults aged 18–65 from the Netherlands. We applied multilevel multinomial logit regression models to investigate the associations between commuting mode choice and self-perceived mental health controlled for multiple person-level and built environmental characteristics. We also assessed possible effect modification by gender.</div></div><div><h3>Results</h3><div>Our covariate-adjusted regression results based on the entire sample showed no compelling evidence for an association between self-perceived mental health and commute mode choice. While we found null associations between mental health and commute mode choice for women, stratified analyses showed that men with relatively poorer mental health were likelier to commute via bus/tram.</div></div><div><h3>Conclusion</h3><div>Our cross-sectional findings weakly support the notion that men's mental health may be related to commute mode choice and no such relationship was found for women. However, we advocate more research before ruling out the possibility of complex interactions between mental health and commuting behavior.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101964"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757212","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}
引用次数: 0
Understanding COVID-19 pandemic-related shifts in active commute patterns: Insights from employees of a Canadian university
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-28 DOI: 10.1016/j.jth.2024.101957
Megan Clemens , Patricia Collins , Eun-Young Lee
{"title":"Understanding COVID-19 pandemic-related shifts in active commute patterns: Insights from employees of a Canadian university","authors":"Megan Clemens ,&nbsp;Patricia Collins ,&nbsp;Eun-Young Lee","doi":"10.1016/j.jth.2024.101957","DOIUrl":"10.1016/j.jth.2024.101957","url":null,"abstract":"<div><h3>Introduction</h3><div>It is well established that the COVID-19 pandemic profoundly disrupted the commute patterns of people worldwide. Yet, little is known about how commuting by active transportation (AT) has shifted since COVID-19 restrictions lifted. This quasi-experimental study aimed to: 1) compare AT mode share pre-versus post-COVID-19 pandemic; and 2) identify key post-pandemic correlates of transport mode.</div></div><div><h3>Methods</h3><div>A survey of employees from a Canadian university was conducted annually from 2013 to 2017 and in 2022. There were 644 valid participants who completed at least one of the surveys pre-COVID-19 pandemic and in 2022. Participants were categorized as using AT, passive transportation (PT), or mixed transportation (MT) as their primary transport mode between home and workplace. The mode share of each transport type pre-versus post-COVID-19 was analyzed. Additionally, shifts in individual-level transportation modes and related sociodemographic correlates were evaluated.</div></div><div><h3>Results</h3><div>Compared to pre-COVID-19 pandemic, AT decreased from 27.0% to 23.4%; however, PT increased from 52.0% to 60.7% in the post-pandemic era. Household income, age, and sex/gender were key correlates of transport mode shifting. Only the lowest income group showed an increase in AT (18.8%–20.3%); all other groups showed no change or a decrease, with the greatest decline observed in those earning $90,000 to $119,999 (20.5%–13.5%). AT use decreased in all age groups under 50 years with the clearest change in the 20- to 29-year-old age range (24.3%–8.1%). Females/women used AT at half the rates of males/men, both pre- and post-COVID-19.</div></div><div><h3>Conclusions</h3><div>Queen's university's employees demonstrated changes in transport mode use due to the COVID-19 pandemic. The decline in AT coupled with an increase in PT shown in this sample emphasizes the importance of organizational- and/or municipal-level interventions to encourage transportation modes that are both sustainable and health-promoting in the post-pandemic era.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101957"},"PeriodicalIF":3.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748473","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}
引用次数: 0
Neighborhood facilities and physical self-efficacy of older adults: The mediating role of daily activity opportunities 邻里设施与老年人的身体自我效能感:日常活动机会的中介作用
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-26 DOI: 10.1016/j.jth.2024.101958
Yue Wei , Dongfeng Yang , Zhengying Liu
{"title":"Neighborhood facilities and physical self-efficacy of older adults: The mediating role of daily activity opportunities","authors":"Yue Wei ,&nbsp;Dongfeng Yang ,&nbsp;Zhengying Liu","doi":"10.1016/j.jth.2024.101958","DOIUrl":"10.1016/j.jth.2024.101958","url":null,"abstract":"<div><h3>Introduction</h3><div>The social and health benefits of physical self-efficacy have led to a strong interest in identifying neighborhood environment factors related to self-efficacy of older adults. However, little is known about the relationship between neighborhood facilities and physical self-efficacy. This study aims to investigate the structural relationships among neighborhood facilities, activity opportunities, and physical self-efficacy.</div></div><div><h3>Methods</h3><div>Data were collected through a survey of 788 older adults aged 60 and over living in Dalian, China; commercial, medical and recreational facilities were selected; the built environment characteristics were quantified in terms of location advantages, path patency, environmental comfort, suitability of design, travel convenience and environmental safety; and the relationships were assessed using path analyses.</div></div><div><h3>Results</h3><div>Daily activity perception was positively related to physical self-efficacy through daily activity participation. A greater presence of sidewalks around food markets and a larger residential area around clinics were associated with higher physical self-efficacy through increased the number of daily activity participation. More streetlights around drugstores and a higher density of main-road networks around gymnasiums were associated with more perceived opportunities for outdoor activities among older adults. The distance between an individual's house and the shopping mall was negatively related to daily activity opportunities and physical self-efficacy.</div></div><div><h3>Conclusions</h3><div>The findings demonstrated the mediating role of daily activity opportunities in the relationships between neighborhood facilities and physical self-efficacy. These findings have implications for the development of environmental optimization strategies of public service facilities to promote physical self-efficacy among older adults.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101958"},"PeriodicalIF":3.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697990","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
An exploratory study of the transportation modes associated with community participation among adults with serious mental illnesses 关于患有严重精神疾病的成年人参与社区活动的交通方式的探索性研究
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-24 DOI: 10.1016/j.jth.2024.101943
Gretchen Snethen , Eugene Brusilovskiy , Crystal Slanzi , Greg Townley , Beth Pfeiffer , Mark S. Salzer
{"title":"An exploratory study of the transportation modes associated with community participation among adults with serious mental illnesses","authors":"Gretchen Snethen ,&nbsp;Eugene Brusilovskiy ,&nbsp;Crystal Slanzi ,&nbsp;Greg Townley ,&nbsp;Beth Pfeiffer ,&nbsp;Mark S. Salzer","doi":"10.1016/j.jth.2024.101943","DOIUrl":"10.1016/j.jth.2024.101943","url":null,"abstract":"<div><h3>Purpose</h3><div>This study explores the relationship between different modes of transportation and community participation among individuals with serious mental illnesses.</div></div><div><h3>Methods</h3><div>This study reports on data from 283 individuals with serious mental illnesses recruited from community mental health centers in 15 states. Participants responded to self-report items about the types of transportation used and participation in the community. Data were analyzed using Classification and Regression Trees to determine which modes of transportation were predictive of community participation.</div></div><div><h3>Results</h3><div>Individuals with serious mental illnesses reported walking as the most frequently used form of transportation followed by using public transportation. Biking and driving one's own car, were the strongest predictors of amount and breadth of community participation. Walking was the only predictor of community participation sufficiency.</div></div><div><h3>Conclusions</h3><div>Lack of transportation is an often-cited barrier to community participation for individuals with mental illnesses. Independent modes of transportation (Biking, driving one's own car, and walking) appear to facilitate participation. Future research should develop and test interventions that aim to promote transportation access and usage in order to facilitate diverse participation in the community.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101943"},"PeriodicalIF":3.2,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697989","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
Unattended children in vehicles: Exploring risks, attitudes, and technology adoption among Australian parents/caregivers 车内无人照看的儿童:探究澳大利亚父母/照顾者的风险、态度和技术采用情况
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-23 DOI: 10.1016/j.jth.2024.101955
Sjaan Koppel , Jalaj Maheshwari , Emma Sartin
{"title":"Unattended children in vehicles: Exploring risks, attitudes, and technology adoption among Australian parents/caregivers","authors":"Sjaan Koppel ,&nbsp;Jalaj Maheshwari ,&nbsp;Emma Sartin","doi":"10.1016/j.jth.2024.101955","DOIUrl":"10.1016/j.jth.2024.101955","url":null,"abstract":"<div><h3>Introduction</h3><div>Leaving children unattended in motor vehicles presents significant risks, particularly in Australia's harsh climate. This study investigated the frequency, context, and demographic factors associated with parental practices involving children aged 12 years and younger being left unattended in vehicles.</div></div><div><h3>Method</h3><div>A survey was conducted with 1742 parents and caregivers (mean age = 36.2 years, SD = 5.6; 85.7% female) to examine their behaviours and attitudes regarding leaving children unattended in vehicles. The survey collected data on the frequency of this practice, the context in which it occurs, and the demographic characteristics of those who reported engaging in it.</div></div><div><h3>Results</h3><div>The findings revealed that either ‘never’ (38.0%) or ‘rarely’ (40.9%) left their child unattended. However, those who did leave their children unattended typically did so for short durations while running errands. The data showed that parents or caregivers who left their children unattended were more likely to be male, younger, have a lower education level, and have a lower annual income. Despite being aware of risks such as heatstroke and unauthorised access, these demographic factors correlated with a higher likelihood of engaging in this risky behaviour.</div></div><div><h3>Conclusion</h3><div>The study highlights the need for targeted educational campaigns and interventions that address specific demographic groups to enhance child safety. The findings support the development of parent/caregiver education programs and the implementation of technological solutions to prevent incidents of children being left unattended in vehicles. Tailored strategies are essential for reducing the risks associated with this practice in Australia, ultimately contributing to better child safety outcomes.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101955"},"PeriodicalIF":3.2,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697988","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}
引用次数: 0
Managing the road safety risks of last mile deliveries with telematics: Views among drivers and managers in the UK 利用远程信息处理技术管理最后一英里配送的道路安全风险:英国驾驶员和管理人员的观点
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-22 DOI: 10.1016/j.jth.2024.101954
Nicola Christie , Sarah O'Toole , Alice Holcombe , Niamh Bull , Shaun Helman
{"title":"Managing the road safety risks of last mile deliveries with telematics: Views among drivers and managers in the UK","authors":"Nicola Christie ,&nbsp;Sarah O'Toole ,&nbsp;Alice Holcombe ,&nbsp;Niamh Bull ,&nbsp;Shaun Helman","doi":"10.1016/j.jth.2024.101954","DOIUrl":"10.1016/j.jth.2024.101954","url":null,"abstract":"<div><h3>Background</h3><div>Parcel delivery drivers work under significant time pressures and admit to violating speed limits to get the job done. Telematics presents a promising avenue for mitigating these risks, yet its road safety impacts in the home delivery sector remains underexplored. This research explored the use of telematics to monitor speeding among home delivery drivers.</div></div><div><h3>Methods</h3><div>In-depth interviews were conducted with 20 fleet managers who used telematics and 39 delivery drivers, half using telematics. Template analysis was used to codify the data and verbatim quotes were used to illustrate themes.</div></div><div><h3>Results</h3><div>Managers emphasised the financial benefits derived from telematics, with safety considerations being secondary. Technology difficulties were also highlighted. Drivers who used telematics, still faced pressure to take risks to meet schedules, but believed telematics helped prevent speeding. Non-telematics users viewed telematics with scepticism.</div></div><div><h3>Conclusions</h3><div>Managers and drivers using telematics considered them a useful tool in managing road safety. Recommendations include making telematics easier to use, sharing data with drivers and using it to praise and reward safe driving. It is argued that work related road safety needs to be monitored nationally via in depth analysis of fatal and serious incidents involving delivery drivers.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101954"},"PeriodicalIF":3.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697987","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
Recognised cognitive biases: How far do they explain transport behaviour? 公认的认知偏差:它们能在多大程度上解释运输行为?
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-20 DOI: 10.1016/j.jth.2024.101941
Stephen John Watkins , Charles Musselwhite
{"title":"Recognised cognitive biases: How far do they explain transport behaviour?","authors":"Stephen John Watkins ,&nbsp;Charles Musselwhite","doi":"10.1016/j.jth.2024.101941","DOIUrl":"10.1016/j.jth.2024.101941","url":null,"abstract":"<div><div>Human beings think in a slow, careful and logical way for important and complex issues and a fast, intuitive way for most decisions. The logical mechanism takes too much effort for the myriad of daily decisions. For example, logical thinking can be combined only with walking slowly not quickly. Hence behavioural approaches that assume humans make decisions logically are contrary to the evidence. Intuitive thinking is open to perceptual errors called ‘cognitive biases’. Cognitive biases are common and wide spread. In this paper we review salient cognitive biases that effect decision-making around transport using Dror's eight sources of cognitive bias described in three categories: (i) case specific biases (to do with the data or knowledge itself); (ii) environment, culture and experience bias, (between the data and the person acting upon the data), and; (iii) bias originating from human nature, (the cognitive make-up of the human brain shared across all people, regardless of the specific case, data or knowledge or the specific person doing the analysis).</div><div>These influence people's transport behaviour and the decisions of policy makers and engineers. Of especial importance are <em>loss aversion</em> (valuing something you have about twice as highly as you would value it if you were considering acquiring it); various other biases favouring the status quo; and various errors of risk perception. We conclude by suggesting more education and training and multi sectoral and multidisciplinary working is needed to help develop awareness of bias and identifying susceptibility to bias and how to overcome them where possible.</div><div>This description is an expansion of a table contained in Health on the Move 3:the Reviews (Mindell and Watkins, 2024)</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101941"},"PeriodicalIF":3.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697995","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}
引用次数: 0
Impact assessment of local traffic interventions on disease burden: A case study on paediatric asthma incidence in two European cities 地方交通干预措施对疾病负担的影响评估:关于欧洲两个城市儿童哮喘发病率的案例研究
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-20 DOI: 10.1016/j.jth.2024.101953
Bram Vandeninden , Eva M. De Clercq , Brecht Devleesschauwer , Martina Otavova , Bruno Masquelier , Frans Fierens , Christel Faes , Catherine Bouland
{"title":"Impact assessment of local traffic interventions on disease burden: A case study on paediatric asthma incidence in two European cities","authors":"Bram Vandeninden ,&nbsp;Eva M. De Clercq ,&nbsp;Brecht Devleesschauwer ,&nbsp;Martina Otavova ,&nbsp;Bruno Masquelier ,&nbsp;Frans Fierens ,&nbsp;Christel Faes ,&nbsp;Catherine Bouland","doi":"10.1016/j.jth.2024.101953","DOIUrl":"10.1016/j.jth.2024.101953","url":null,"abstract":"<div><h3>Introduction</h3><div>Air pollution, particularly NO<sub>2</sub>, contributes to poor health, including paediatric asthma. This study estimated the reduction in NO<sub>2</sub> concentrations on annual car-free Sundays in two European cities, Brussels and Paris, which have extensive car-free zones (162 km<sup>2</sup> and 105 km<sup>2</sup>). We then conducted health impact modelling of paediatric asthma incidence using a hypothesized expansion of annual car-free Sundays to car-free daily zones.</div></div><div><h3>Problem statement</h3><div>Exposure to air pollution, particularly NO<sub>2</sub> exposure, contributes to negative health outcomes, including paediatric asthma. Local traffic interventions, such as car-free days, could offer a potential strategy to mitigate these effects.</div></div><div><h3>Methods</h3><div>We assessed NO<sub>2</sub> concentration reductions using various methods, including (1) direct calculations, (2) direct calculations adjusted for meteorological conditions, (3) random forest modelling, and (4) boosted regression tree modelling. To estimate the reduction in paediatric asthma incidence, we applied existing Exposure Response Functions (ERFs) derived from epidemiological studies. These ERFs were used to quantify the relationship between NO<sub>2</sub> exposure and asthma incidence by linking the estimated reductions in NO<sub>2</sub> concentrations from our models to changes in health outcomes under exposure scenarios similar to the hypothetical case of permanent car-free days.</div></div><div><h3>Results</h3><div>NO<sub>2</sub> concentrations were significantly lower on car-free Sundays, with reductions ranging from 63 to 83% in selected areas of Brussels and 27–56% in selected areas of Paris. The health impact modelling indicated a reduction in paediatric asthma incidence ranging from 15% [95% CI: 11–19%] in residential areas of Brussels to 34% [95% CI: 25–41%] in heavily trafficked areas in Brussels, and from 15% [95% CI: 10–19%] to 19% [95% CI: 13–24%] in Paris for the hypothesized counterfactual scenario of daily car-free zones.</div></div><div><h3>Conclusion</h3><div>Implementing car-free Sundays can strongly reduce NO<sub>2</sub> levels and result in lower paediatric asthma incidence if these local traffic intervention measures were to be expanded and implemented permanently.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"40 ","pages":"Article 101953"},"PeriodicalIF":3.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697980","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}
引用次数: 0
Exploring accessibility to medical facilities for older adults: Potential vs. Revealed accessibility 探讨老年人使用医疗设施的无障碍性:潜在无障碍与显性无障碍
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-19 DOI: 10.1016/j.jth.2024.101952
Zhuo Liu , Sichun Li , Long Cheng , Zhenjiang Shen , Frank Witlox
{"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}
引用次数: 0
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