Journal of Transport & Health最新文献

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Developing a systems thinking-informed questionnaire for understanding decisions to drive tired or sleepy in young adults using Delphi consensus methodology 开发一个系统的思考知情问卷,以了解决策驱动疲劳或困倦的年轻人使用德尔菲共识方法
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-01-27 DOI: 10.1016/j.jth.2026.102268
Amy C. Reynolds , Kelly A. Loffler , Josh Fitton , Andrew Vakulin , Claire Dunbar , Kelly Sansom , Robert J. Adams
{"title":"Developing a systems thinking-informed questionnaire for understanding decisions to drive tired or sleepy in young adults using Delphi consensus methodology","authors":"Amy C. Reynolds ,&nbsp;Kelly A. Loffler ,&nbsp;Josh Fitton ,&nbsp;Andrew Vakulin ,&nbsp;Claire Dunbar ,&nbsp;Kelly Sansom ,&nbsp;Robert J. Adams","doi":"10.1016/j.jth.2026.102268","DOIUrl":"10.1016/j.jth.2026.102268","url":null,"abstract":"<div><h3>Introduction</h3><div>Sleepiness is implicated in many road safety events for young adults, who are over-represented in road crashes. Yet, system-wide factors that contribute to young adults’ decisions to drive while tired or sleepy are poorly understood. Consequently, the common focus is on individual driver risk factors, rather than a more holistic systems understanding of the contributing influences, meaning we likely overlook key opportunities for intervention and advocacy. This study aimed to develop a novel questionnaire which considers system-wide contributors to decisions to drive tired or sleepy.</div></div><div><h3>Methods</h3><div>Drawing on existing literature, a preliminary set of questionnaire items was created and reviewed by twelve Australian experts in sleep science, road safety, and systems thinking. Questions were framed according to Rasmussen's Risk Management Framework to better understand systemic contributors, and we used a modified Delphi methodology with pre-specified targets to achieve consensus.</div></div><div><h3>Results</h3><div>Items were evaluated by all experts for both relevance and clarity using a 7-point Likert scale, with opportunities provided for qualitative feedback and the suggestion of additional items. The result was a 32-item questionnaire after two rounds, with Median scores of 6 and (‘moderately’ and ‘strongly’ agree) for all items in accordance with prespecified criteria.</div></div><div><h3>Conclusions</h3><div>Tools informed by systems thinking are essential for advancing research and policy, and expand our opportunities to collect system-level insights at scale. By moving beyond driver-centric questions, we can identify broader leverage points for intervention, better understand underlying systemic risk factors, and contribute to more effective strategies to reduce road crash risk in young adults.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102268"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078636","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
The intersection of driving and health: Toward a framework for healthy driving 驾驶与健康的交叉:迈向健康驾驶的框架
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-01-05 DOI: 10.1016/j.jth.2026.102260
Nafaa Jabeur , Hedi Haddad , Zied Bouyahia , Fatma Outay , Mahmoud Mastouri
{"title":"The intersection of driving and health: Toward a framework for healthy driving","authors":"Nafaa Jabeur ,&nbsp;Hedi Haddad ,&nbsp;Zied Bouyahia ,&nbsp;Fatma Outay ,&nbsp;Mahmoud Mastouri","doi":"10.1016/j.jth.2026.102260","DOIUrl":"10.1016/j.jth.2026.102260","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;This paper presents an investigation into health-conscious driving, a dimension that has received limited attention compared to traditional focuses on road safety and eco-efficiency. To address this gap, we introduce the concept of &lt;em&gt;healthy driving&lt;/em&gt; as a complementary objective in Intelligent Transportation Systems (ITS), which emphasizes the physiological well-being of drivers and examines how driving behaviors and environmental conditions are associated with physiological load. In an observational on-road case study in Muscat (Oman) involving 33 drivers, our objective is to identify contexts in which physiological indicators cross clinically relevant thresholds or show marked individualized deviations. Such events are treated as associatioal signals of increased physiological strain rather then indicators of immediate or long-term health risks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A dataset of real-world GPS trajectories and physiological parameters from a group of drivers employed by a governmental institution in Muscat, Oman, was collected over a 13-month period. Initially, 58 professional male drivers were enrolled. Based on pre-specified data-quality criteria, only 33 were retained for the study. Despite their uniform application, we acknowledge that these selection criteria may introduce bias toward participants with more complete or higher-quality recording. We used a multi-phase approach combining data exploration (including geospatial mapping), driver profiling (clustering), and predictive modeling (an attention-augmented LSTM) to estimate short-horizon abnormally high physiological states (heart rate, systolic Blood Pressure - BP) from driving behavioral (harsh acceleration and breaking) and road contextual (curvatures) information under group-aware cross-validation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Results show that short-horizon abnormal physiological states can be reliably inferred from driving behavior and road infrastructure features. Across cross-validated analyses, performance gains were observed under class-balanced optimization, with consistently strong discrimination for heart rate and systolic blood pressure. The findings suggest that routine exposure to specific road contexts is associated with measurable physiological load. These results are associational and hypothesis-generating. They underscore the need to redefine Intelligent Transportation Systems (ITS) to account for driver health outcomes. They furthermore advocate for the development of health-aware infrastructure, monitoring tools, and adaptive in-vehicle systems.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Our findings suggest the feasibility of health-aware analytics and outline the HEALD (Holistic Evaluation and Analytics for Livable Driving) framework, a modular roadmap for health-aware monitoring and early warning. HEALD includes a Driving Early Warning Score (DEWS) schema specifying risk banding and alert logic, with op","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102260"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940165","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
Effects of the visual environment on walking among older adults with visual impairment: A conceptual framework 视觉环境对老年视力障碍患者行走的影响:一个概念框架
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-01-04 DOI: 10.1016/j.jth.2025.102248
Huihui Zhou, Dake Wei
{"title":"Effects of the visual environment on walking among older adults with visual impairment: A conceptual framework","authors":"Huihui Zhou,&nbsp;Dake Wei","doi":"10.1016/j.jth.2025.102248","DOIUrl":"10.1016/j.jth.2025.102248","url":null,"abstract":"<div><h3>Introduction:</h3><div>Global population aging has intensified the prevalence of visual impairment among older adults. Walking is a critical activity for maintaining overall health among older adults, yet visual impairment significantly compromises their walking. To enhance the walking safety of older adults with visual impairment, it is essential to address the current challenges, including fragmented environmental research and insufficient standards. While interdisciplinary collaboration and a systematic understanding of the interaction between environmental science and medicine are urgent required.</div></div><div><h3>Methods:</h3><div>This study proposes a preliminary conceptual framework of visual functional ability grounded in the World Health Organization’s definition of functional ability to demonstrate the holistic research landscape of visual environments affecting walking in older adults with visual impairment. Through a two-pronged approach that integrating literature evidence and VI demands-driven principles, employ the visual function as a bridge to establish the pathway of visual environment with walking among target population, this study presents a synthesis of diverse and disparate evidence among literature that establish a comprehensive understanding of these impacts.</div></div><div><h3>Results:</h3><div>The developed integrated causal diagram, grounded in extracted research findings, demonstrate the mechanisms linking environmental stimuli with individual characteristics of visual function to show their combined impact on walking. Acquiring the reliability and completeness of visual information is central to this process, facilitated by designs that focusing on feedforward visual mechanisms.These designs are driven by interventions tailored to five visual function demands of visual acuity, color vision, depth perception, contrast sensitivity and field of vision.</div></div><div><h3>Conclusion:</h3><div>The integrated causal diagram provides a foundation for empirical studies and offers actionable insights for age-friendly environments that support safe walking for older adults with visual impairment. While further empirical validation is required for real-world translation, a more nuanced exploration of the factors and associated outcomes remains necessary, like social and dynamic environmental factors, as well as the standardization of methodologies.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102248"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940164","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
Did good universal healthcare facilitate mobility during COVID-19?: From a moral hazard perspective 良好的全民医疗是否促进了COVID-19期间的人员流动?从道德风险的角度来看
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-01-12 DOI: 10.1016/j.jth.2025.102231
Ki Woong Cho
{"title":"Did good universal healthcare facilitate mobility during COVID-19?: From a moral hazard perspective","authors":"Ki Woong Cho","doi":"10.1016/j.jth.2025.102231","DOIUrl":"10.1016/j.jth.2025.102231","url":null,"abstract":"<div><h3>Introduction</h3><div>During the COVID-19 pandemic, countries worldwide implemented universal healthcare. Despite its critical linkages to the economy, academic research on people's mobility is still lacking. Nonetheless, ethical problems related to moral hazard in healthcare, it can have advantages. This study examined the impact of universal healthcare on mobility, including transportation and other mobility trends, from a moral hazard perspective, considering the inconclusive controversy regarding the moral hazard of universal healthcare.</div></div><div><h3>Methods</h3><div>Using panel data, this study conducted an analysis using a feasible generalized least squares (FGLS) model.</div></div><div><h3>Results</h3><div>Good universal healthcare coverage increased community mobility after controlling for vaccination and other variables. This study highlights the positive aspects of universal healthcare from a moral hazard perspective, which boosts mobility by relieving the burden and achieving public interest and welfare, rather than negative influences.</div></div><div><h3>Conclusions and implications</h3><div>This study supports the practical importance of universal healthcare in increasing mobility trends in transportation and various other areas, while maintaining productivity and welfare, and subsequently, the economy. Theoretically, moral hazard may present a certain degree of inefficiency, but it is not necessarily detrimental to increasing mobility. This implication can help balance the double-sided characteristics of moral hazard. This study emphasizes the importance of universal healthcare in maintaining mobility, transportation, and related policies against future contagious diseases.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102231"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979510","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
Travel burden and socioeconomic modifiers of the probability of early waitlisting among transplant referred end-stage kidney disease patients 移植转诊终末期肾病患者早期等候就诊概率的旅行负担和社会经济调节因素
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-01-15 DOI: 10.1016/j.jth.2025.102251
Steph Karpinski , Carey Colson , Adam G. Walker , Scott Sibbel , Will Maixner , Jeffrey Giullian , Michael O'Shea , Francesca Tentori , Steven M. Brunelli
{"title":"Travel burden and socioeconomic modifiers of the probability of early waitlisting among transplant referred end-stage kidney disease patients","authors":"Steph Karpinski ,&nbsp;Carey Colson ,&nbsp;Adam G. Walker ,&nbsp;Scott Sibbel ,&nbsp;Will Maixner ,&nbsp;Jeffrey Giullian ,&nbsp;Michael O'Shea ,&nbsp;Francesca Tentori ,&nbsp;Steven M. Brunelli","doi":"10.1016/j.jth.2025.102251","DOIUrl":"10.1016/j.jth.2025.102251","url":null,"abstract":"","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102251"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979032","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
Informing health-oriented transport planning through aerial-based analysis of trip generation behaviour using aerial data 利用航空数据对出行行为进行基于空中的分析,为面向健康的交通规划提供信息
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jth.2026.102273
Let Hui Tan , Choon Wah Yuen , Rosilawati Binti Zainol , Ashita S. Pereira
{"title":"Informing health-oriented transport planning through aerial-based analysis of trip generation behaviour using aerial data","authors":"Let Hui Tan ,&nbsp;Choon Wah Yuen ,&nbsp;Rosilawati Binti Zainol ,&nbsp;Ashita S. Pereira","doi":"10.1016/j.jth.2026.102273","DOIUrl":"10.1016/j.jth.2026.102273","url":null,"abstract":"<div><div>Fast-food drive-thru services generate substantial vehicular activity that can lead to localised congestion, reduced walkability, and increased vehicle-pedestrian conflicts, especially in urban commercial settings. These patterns raise important public health concerns, including impaired pedestrian access, elevated exposure to vehicular emissions, and community severance. This study utilises high-resolution drone-based video analytics to examine trip generation and queuing dynamics at 17 fast-food drive-thru sites in urban commercial environments in Malaysia. Core indicators, such as waiting times, queue lengths, and peak-period flow rates, were captured and analysed using the Institute of Transportation Engineers (ITE) Trip Generation Manual, 11th Edition, alongside local planning standards. Heatmap visualisations revealed recurring spatial and temporal congestion patterns, enabling the identification of operational thresholds at which drive-thru activity transitions into unstable congestion regimes with exposure-relevant implications for surrounding mobility. Although the empirical findings reflect Malaysian urban and regulatory contexts, the proposed analytical framework and operational indicators are adaptable to other urban settings through local calibration. By offering an evidence-based approach to assess drive-thru congestion dynamics, this study supports health-oriented transport planning and access management decisions in diverse urban contexts.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102273"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188969","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
“It's like my Legs”: Negotiating ageing and mobility in a motorcycle-dependent society “它就像我的腿”:在一个依赖摩托车的社会中协商老龄化和流动性
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-01-06 DOI: 10.1016/j.jth.2026.102263
Tsu-Jui Cheng, Yi-Chien Liu
{"title":"“It's like my Legs”: Negotiating ageing and mobility in a motorcycle-dependent society","authors":"Tsu-Jui Cheng,&nbsp;Yi-Chien Liu","doi":"10.1016/j.jth.2026.102263","DOIUrl":"10.1016/j.jth.2026.102263","url":null,"abstract":"<div><h3>Introduction</h3><div>In rapidly ageing societies, ensuring inclusive and safe mobility for older adults is an urgent policy challenge, particularly in contexts where motorcycles remain essential for everyday travel. This study examines how older motorcycle riders in Tainan, Taiwan, navigate their mobility amid intensifying policy, infrastructural, and bodily constraints. While transport policy and media discourses often frame older riders as dangerous and in decline, this paper juxtaposes such symbolic representations with the lived practices of older adults who continue to ride out of necessity, habit, and autonomy.</div></div><div><h3>Methods</h3><div>Drawing on Social Practice Theory and Critical Discourse Analysis, the study analyses 92 government documents, 276 media reports, and 20 in-depth interviews with older adults across urban and suburban communities. This integrated approach reveals how discursive constructions and everyday practices interact to shape mobility in later life.</div></div><div><h3>Results</h3><div>Findings reveal a persistent disjuncture between institutional narratives that responsibilities ageing individuals for risk and the experiential realities of those managing mobility through embodied competence, localised heuristics, and emotional attachment to motorcycles. Voluntary withdrawal from riding is promoted as moral governance, yet often occurs in the absence of viable alternatives, especially in rural or transit-poor areas.</div></div><div><h3>Conclusions</h3><div>The analysis reveals this misalignment as a mobility gap – a space where symbolic governance replaces structural provision, and ageing becomes an object of regulation rather than care. By foregrounding mobility persistence over cessation, the study calls for more context-sensitive and justice-oriented approaches to ageing and transport policy. It contributes to emerging debates on mobility justice by showing how older riders are not passive risks to be managed, but skilled actors negotiating constrained environments with dignity and resolve.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102263"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940163","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
Updating the Driver Behaviour Questionnaire (DBQ): A new Spanish adaptation and validation 更新司机行为问卷(DBQ):一个新的西班牙适应和验证
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-02-11 DOI: 10.1016/j.jth.2026.102272
María T. Sánchez-López , Pablo Fernández-Berrocal , Mariaelena Tagliabue , Alberto Megías-Robles
{"title":"Updating the Driver Behaviour Questionnaire (DBQ): A new Spanish adaptation and validation","authors":"María T. Sánchez-López ,&nbsp;Pablo Fernández-Berrocal ,&nbsp;Mariaelena Tagliabue ,&nbsp;Alberto Megías-Robles","doi":"10.1016/j.jth.2026.102272","DOIUrl":"10.1016/j.jth.2026.102272","url":null,"abstract":"<div><h3>Introduction</h3><div>The Driver Behaviour Questionnaire (DBQ) is a widely adopted instrument for assessing aberrant driving behaviour across multiple countries and cultural contexts. Despite its widespread use, it has been rarely applied in Spanish-speaking populations. This study aimed to develop and validate an updated Spanish version of the DBQ through a large, gender- and age-balanced community sample. The instrument was revised, and new items addressing contemporary driving behaviours related to mobile phone use while driving were added.</div></div><div><h3>Method</h3><div>The sample consisted of 2292 Spanish drivers (53.2% men; mean age = 35.55 years; age range: 18-79 years).</div></div><div><h3>Results</h3><div>Confirmatory factor analysis of the updated DBQ, including the items on phone use behaviour, continued to support the adequacy of the original four-factor model. The four factors demonstrated satisfactory internal consistency and temporal stability. The questionnaire also showed good convergent validity, as evidenced by its associations with the Dula Dangerous Driving Index and the Driving Anger Expression Inventory. Differences in DBQ factors were observed according to gender, age, and cultural background.</div></div><div><h3>Conclusions and practical applications</h3><div>This updated Spanish version of the DBQ is a reliable and valid tool for assessing aberrant driving behaviour within the Spanish population, serving as a useful resource for analysing driving patterns and guiding the development of effective road safety policies and interventions.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102272"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188967","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
Alcohol use and driver behaviors: The moderating role of reinforcement sensitivity 饮酒与驾驶行为:强化敏感性的调节作用
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-02-04 DOI: 10.1016/j.jth.2026.102274
Buse Koluaçık , Aybala Sanem Öğürt , Burcu Tekeş , Pınar Bıçaksız
{"title":"Alcohol use and driver behaviors: The moderating role of reinforcement sensitivity","authors":"Buse Koluaçık ,&nbsp;Aybala Sanem Öğürt ,&nbsp;Burcu Tekeş ,&nbsp;Pınar Bıçaksız","doi":"10.1016/j.jth.2026.102274","DOIUrl":"10.1016/j.jth.2026.102274","url":null,"abstract":"<div><h3>Objective</h3><div>The relationship between alcohol use and driver behaviors has been frequently studied in the literature. However, a concept highly related to alcohol use, reinforcement sensitivity, did not receive enough attention with its link between alcohol use and driver behaviors. This study aimed to examine the moderating role of reinforcement sensitivity in the relationship between alcohol use and driver behaviors.</div></div><div><h3>Method</h3><div>A total of 288 (53.1 % females or 46.9 % males) Turkish participants who drink alcohol and drive motor vehicles actively participated in this research. The convenience sampling method was used in this research, and all data was collected through Qualtrics which is one of the online survey platforms.</div></div><div><h3>Results</h3><div>Moderation analyses were performed to test hypotheses. The results of the study showed that the relationship between alcohol use and driver behavior was moderated by drivers' reward responsiveness. Specifically, the relationship between habitual alcohol use and risky driving behaviors was significant and positive only among individuals with low reward responsiveness, whereas it was not significant among those with high reward responsiveness.</div></div><div><h3>Conclusions</h3><div>This study explored how alcohol use relates to driver behaviors, taking into account individual differences in the sensitivity of basic cognitive systems governing reward and punishment. The findings indicated that the link between alcohol consumption and driving behavior varies according to drivers’ reward responsiveness. In particular, the results suggest that BAS-Reward Responsiveness mitigates the positive association between alcohol use and risky driving behaviors.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102274"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188970","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
Estimating health benefits of a peri-urban railway: A quantitative health impact assessment focused on diabetes 估计城郊铁路的健康效益:以糖尿病为重点的定量健康影响评估
IF 3.3 3区 工程技术
Journal of Transport & Health Pub Date : 2026-05-01 Epub Date: 2026-02-03 DOI: 10.1016/j.jth.2026.102276
Soumya Mazumdar , Nicole Aiken , Aniruddha Banerjee , Andrew Golden , Chetan Tiwari , Fiona Haigh
{"title":"Estimating health benefits of a peri-urban railway: A quantitative health impact assessment focused on diabetes","authors":"Soumya Mazumdar ,&nbsp;Nicole Aiken ,&nbsp;Aniruddha Banerjee ,&nbsp;Andrew Golden ,&nbsp;Chetan Tiwari ,&nbsp;Fiona Haigh","doi":"10.1016/j.jth.2026.102276","DOIUrl":"10.1016/j.jth.2026.102276","url":null,"abstract":"<div><h3>Background and aims</h3><div>Transport is a significant determinant of health. This study investigates the potential health benefits of introducing a commuter railway line to a rapidly growing peri-urban area in South West Sydney. We focus on diabetes, a condition with high regional prevalence. The rationale is to assess how infrastructure development can influence public health outcomes, particularly in areas with low active transport rates and high car dependency.</div></div><div><h3>Methods</h3><div>A quantitative Health Impact Assessment (HIA) was conducted using the DYNAMO-HIA modelling tool. This tool utilises a partial micro-simulation multi-state model to estimate changes in disease burden and life expectancy. Two scenarios were simulated over an 11-year period (2019–2029): a baseline scenario with no intervention and an intervention scenario involving the introduction of a commuter rail line. The intervention was expected to increase walking and reduce diabetes burden. Data inputs included population demographics, walking prevalence, and diabetes incidence and mortality.</div></div><div><h3>Results</h3><div>The intervention scenario showed an annual reduction in diabetes incidence and prevalence of approximately 0.02%. Life expectancy increased by about one month, and a total of 222 Disability-Adjusted Life Years (DALYs) were gained due to reduced diabetes burden. Although these numbers may appear modest, they represent meaningful health gains for a small and rapidly growing community, underscoring the significant impact that even incremental improvements can achieve at this scale.</div></div><div><h3>Conclusion</h3><div>The study demonstrates the feasibility of applying predictive modelling tools in HIA for infrastructure planning. It highlights the importance of integrating health considerations into urban development, especially in peri-urban contexts. Although limited to one disease and intervention, the findings support evidence-based planning for healthier communities.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"48 ","pages":"Article 102276"},"PeriodicalIF":3.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188971","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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