Journal of Transport & Health最新文献

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The effect of trust in neighbourhood on parents' decision to drive their children to school: Insights from a hybrid choice model 邻里信任对家长决定送孩子上学的影响:混合选择模型的启示
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-01 DOI: 10.1016/j.jth.2024.101934
Azamsadat Hosseini Shoabjareh, Milad Ghasri
{"title":"The effect of trust in neighbourhood on parents' decision to drive their children to school: Insights from a hybrid choice model","authors":"Azamsadat Hosseini Shoabjareh,&nbsp;Milad Ghasri","doi":"10.1016/j.jth.2024.101934","DOIUrl":"10.1016/j.jth.2024.101934","url":null,"abstract":"<div><h3>Introduction</h3><div>The growing trend of children being driven to school has become a cause of concern in developed countries, with parents' perception of trust in neighbourhoods emerging as a key determinant. Previous research has mainly investigated the influence of either the mother's or the father's perception on children's school travel. While the contribution of each parent's perception to the final decision, and the factors affecting this contribution, remains unclear.</div></div><div><h3>Methods</h3><div>This study leverages data from the Longitudinal Study of Australian Children (LSAC) to examine the distinct roles of mothers' and fathers' perceptions of trust in the neighbourhood on their children's school travel mode. It proposes a hybrid choice model (HCM) to measure the contribution of each parent's perception as a function of their socio-economic status (SES) in the school travel mode decision.</div></div><div><h3>Results</h3><div>The results indicate that a higher parental perception of trust in the neighbourhood significantly reduces the likelihood of using private car to take children to school. The study also identifies several factors that influence parental perception of trust, highlighting differing impacts on mothers and fathers. Neighbourhood SES has a more pronounced positive impact on mothers’ perceptions of trust, whereas homeownership and urban residency exhibit stronger effects on fathers' perceptions. The analysis further delineates the contribution of individual parents to the overall parental perception of trust, demonstrating that higher levels of income decrease this contribution.</div></div><div><h3>Conclusion</h3><div>This study highlights the significant role of parental perception of neighbourhood trust in children's school travel mode, with both mothers' and fathers' perceptions playing crucial roles. Neighbourhood SES, homeownership, urban residence, and ethnic diversity shape parents' perceptions, with differing effects on mothers and fathers. Future policy initiatives should focus on fostering trust and social inclusion through community events, multicultural programs, and social activities to enhance neighbourhood cohesion and support sustainable school travel choices.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101934"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572385","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
Three pedestrian phasing with audible pedestrian signals configurations: Experience of blind or visually impaired persons in Quebec City (Canada) 三种行人相位与行人发声信号配置:加拿大魁北克市盲人或视障人士的体验
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-01 DOI: 10.1016/j.jth.2024.101938
François Routhier , Josiane Lettre , Caroline Pigeon , Valérie Martel , René Binet , Véronique Vézina , Olivier Collomb d'Eyrames , E. Owen Waygood , Mir Abolfazl Mostafavi , Ernesto Morales
{"title":"Three pedestrian phasing with audible pedestrian signals configurations: Experience of blind or visually impaired persons in Quebec City (Canada)","authors":"François Routhier ,&nbsp;Josiane Lettre ,&nbsp;Caroline Pigeon ,&nbsp;Valérie Martel ,&nbsp;René Binet ,&nbsp;Véronique Vézina ,&nbsp;Olivier Collomb d'Eyrames ,&nbsp;E. Owen Waygood ,&nbsp;Mir Abolfazl Mostafavi ,&nbsp;Ernesto Morales","doi":"10.1016/j.jth.2024.101938","DOIUrl":"10.1016/j.jth.2024.101938","url":null,"abstract":"<div><h3>Objective</h3><div>Audible pedestrian signals are strategically placed in some intersections to enhance safety, independence and accessibility for blind or visually impaired persons. This study appraised the sense and level of safety of blind or visually impaired persons with respect to three types of pedestrian phasing with audible pedestrian signals configurations that exist in Quebec City, Canada. These include: 1) exclusive phasing with non-directional audible pedestrian signals; 2) exclusive phasing with directional audible pedestrian signals; and 3) concurrent phasing with directional audible pedestrian signals.</div></div><div><h3>Methods</h3><div>Experiments with 18 participants were conducted at six crossing corridors that were carefully selected by members of an advisory committee that included diverse stakeholders. In addition to the three possible pedestrian phasing with audible pedestrian signals configurations, situations involving short and long crossing distances were included. Each corridor was crossed three times by each participant. For each crossing, participants' trajectories were objectively determined using a satellite positioning system which uses a relative positioning mode. Participants’ sense of safety was also questioned after each crossing using a visual analog scale.</div></div><div><h3>Results</h3><div>The results obtained do not allow for the identification of an ideal configuration or even a configuration to avoid based on the level of safety. However, findings suggest that the exclusive phasing with directional audible pedestrian signals configuration is perceived to be the safest option by the participants.</div></div><div><h3>Conclusion</h3><div>This study may have practical implications on the design of intersections (e.g., selection of a type of pedestrian phasing with audible pedestrian signal) and the training of blind or visually impaired pedestrians.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101938"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661594","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
Erratum regarding missing Declaration of Competing Interest Statements in previously published articles 关于以前发表的文章中缺少 "竞争利益声明 "的勘误
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-01 DOI: 10.1016/j.jth.2024.101914
{"title":"Erratum regarding missing Declaration of Competing Interest Statements in previously published articles","authors":"","doi":"10.1016/j.jth.2024.101914","DOIUrl":"10.1016/j.jth.2024.101914","url":null,"abstract":"","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101914"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661598","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
Erratum regarding missing Declaration of Competing Interest statements in previously published articles 关于以前发表的文章中缺少 "竞争利益声明 "的勘误
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-01 DOI: 10.1016/j.jth.2024.101900
{"title":"Erratum regarding missing Declaration of Competing Interest statements in previously published articles","authors":"","doi":"10.1016/j.jth.2024.101900","DOIUrl":"10.1016/j.jth.2024.101900","url":null,"abstract":"","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101900"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661596","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
Erratum regarding missing Declaration of Competing Interest statements in previously published articles 关于以前发表的文章中缺少 "竞争利益声明 "的勘误
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-11-01 DOI: 10.1016/j.jth.2024.101916
{"title":"Erratum regarding missing Declaration of Competing Interest statements in previously published articles","authors":"","doi":"10.1016/j.jth.2024.101916","DOIUrl":"10.1016/j.jth.2024.101916","url":null,"abstract":"","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101916"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661600","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
20mph speed limits and zones for better public health: Meta-narrative evidence synthesis 每小时 20 英里的速度限制和区域可改善公众健康:元叙事证据综述
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-10-29 DOI: 10.1016/j.jth.2024.101917
Carel-Peter L. van Erpecum , Anna Bornioli , Claire Cleland , Sarah Jones , Adrian Davis , Nicolette R. den Braver , Paul Pilkington
{"title":"20mph speed limits and zones for better public health: Meta-narrative evidence synthesis","authors":"Carel-Peter L. van Erpecum ,&nbsp;Anna Bornioli ,&nbsp;Claire Cleland ,&nbsp;Sarah Jones ,&nbsp;Adrian Davis ,&nbsp;Nicolette R. den Braver ,&nbsp;Paul Pilkington","doi":"10.1016/j.jth.2024.101917","DOIUrl":"10.1016/j.jth.2024.101917","url":null,"abstract":"<div><h3>Background</h3><div>Recently, twenty miles per hour (20mph/30kph) speed limit and zone interventions have been increasingly adopted in various European cities. These 20mph speed limits and zones do not only contribute to road safety but they may also be beneficial for public health outcomes such as active travel, physical activity, and air pollution. We aimed to provide an updated assessment of the evidence for potential health effects of 20mph speed limits and zones.</div></div><div><h3>Methods</h3><div>We searched four electronic databases MEDLINE, EMBASE, Web of Science and Transport Research Information Service and assessed the grey literature through keywords related to ‘20mph’ or ‘30kph’ and health outcomes.</div></div><div><h3>Results</h3><div>A total of 23 publications (13 academic and ten grey literature publications) were identified. Overall, 20mph speed limits and zones have clear effects on injuries, collisions, and casualties. The wider effects of 20mph speed limits and zones on public health outcomes such as active travel, physical activity, and air pollution need further evaluation. Several subgroup analyses suggested differential effects for age groups, gender, neighbourhood deprivation level, ethnic background, employment status, health status, and type of road user (e.g., cyclist). Additionally, methodological limitations of the evidence base were highlighted, including challenges regarding exposure and outcome measurement and description, and the difficulty of evaluating changes in public health variables over long follow-up periods when using natural experimental methods.</div></div><div><h3>Conclusions</h3><div>20mph speed limits and zones have the potential to improve road safety. Whilst the broader public health effects of 20mph remain poorly understood given difficulties in evaluating, the logic path through which 20mph speed limits and zones can benefit public health is clear. Future research should address this gap and consider the broader role that lower speed limits and zones can play in creating healthier cities.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101917"},"PeriodicalIF":3.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142540331","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 parental support for infrastructure and policy changes that encourage active travel among children 了解家长对鼓励儿童积极出行的基础设施和政策变革的支持情况
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-10-24 DOI: 10.1016/j.jth.2024.101932
Shannon Sahlqvist , Karen Lim , Venurs Loh , Jenny Veitch , Jo Salmon , Anna Timperio
{"title":"Understanding parental support for infrastructure and policy changes that encourage active travel among children","authors":"Shannon Sahlqvist ,&nbsp;Karen Lim ,&nbsp;Venurs Loh ,&nbsp;Jenny Veitch ,&nbsp;Jo Salmon ,&nbsp;Anna Timperio","doi":"10.1016/j.jth.2024.101932","DOIUrl":"10.1016/j.jth.2024.101932","url":null,"abstract":"<div><h3>Introduction</h3><div>Creating a safe environment for active travel is regarded as necessary to encourage greater uptake, particularly for children. Doing so, however, may be politically challenging due to perceived community opposition. This study explored parental support for active travel infrastructure and policy changes, and differences by socio-demographic characteristics and child travel characteristics.</div></div><div><h3>Methods</h3><div>Through an online survey, Victorian (Australia) parents (n = 917) of children in grades 3–6 reported their level of support for 11 policy and infrastructure initiatives, postcode (to determine area-level disadvantage and urbanicity), age, gender, highest level of education, household car ownership, child's active school travel, child's bike access, distance from home to school, and whether they spoke a language other than English at home and were born outside Australia (cultural and linguistic diversity (CaLD)). The proportion of parents indicating support for each initiative was calculated. Ordinal logistic regression examined differences in support by key characterises, with all socio-demographic and travel characteristics entered simultaneously.</div></div><div><h3>Results</h3><div>Almost all participants were female (88%), 20.3% lived in an area of most-disadvantage, 9.3% were CaLD and 32.4% had one or no household vehicle<strong>.</strong> Over 80% supported: additional road crossings around schools, more drop-off zones within walking distance of schools, wider footpaths allowing for a mix of users, and separated bike lanes. Initiatives that received the least support (less than 60%) related to changes in the roads around schools, including banning cars at drop-off and pick-up times and converting roads to shared streets or one-way traffic. Greater support for several key initiatives was found among respondents in areas of more disadvantage, who were CaLD, and who had one or no household vehicle.</div></div><div><h3>Conclusion</h3><div>Parents were supportive of the initiatives. The least supported initiatives were those that restricted car travel. These findings can inform future infrastructural changes to support active travel.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101932"},"PeriodicalIF":3.2,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535749","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
Decision-making optimization for post-disaster restoration of multimodal transport networks in terms of resilience 从抗灾能力角度优化灾后多式联运网络修复决策
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-10-19 DOI: 10.1016/j.jth.2024.101928
Sue Zhao , Mandi Jiang , Haibo Kuang , Min Wan
{"title":"Decision-making optimization for post-disaster restoration of multimodal transport networks in terms of resilience","authors":"Sue Zhao ,&nbsp;Mandi Jiang ,&nbsp;Haibo Kuang ,&nbsp;Min Wan","doi":"10.1016/j.jth.2024.101928","DOIUrl":"10.1016/j.jth.2024.101928","url":null,"abstract":"<div><h3>Introduction</h3><div>Public health emergencies can have a ripple effect on the resilience of multimodal transport network, which will lead to problems such as route disruptions or blockages, route selection change and information transmission delay spreading to the whole network, further hindering the transportation planning and operational efficiency of the network.</div></div><div><h3>Methods</h3><div>This study constructs a multimodal transport route optimization model under uncertainty with the objective of the sum of transportation cost, transshipment cost, penalty cost and carbon emission cost. To enhance the computational efficiency of the model, a novel invasive weed optimization with memory and encoding value clustering capabilities is proposed. In addition, by fusing the Q-learning algorithm in reinforcement learning with the novel invasive weed algorithm, the action-value function table obtained from the training facilitates the selection of optimal routes. Based on empirical data, explore the sensitivity analysis of node disruptions, time windows, and fuzzy demand on route decision-making under public health emergencies.</div></div><div><h3>Results</h3><div>The transport network is affected by public health emergencies, which makes the optimal route deviate from the expected goal, resulting in an increase in the total cost. The proportion of total cost is determined by the position of nodes in the network, with critical nodes suffering more losses than ordinary nodes. Reasonable setting of time windows and fuzzy demand intervals is an effective way to improve the resilience and transportation efficiency of multimodal transport network.</div></div><div><h3>Conclusions</h3><div>This study provides more applicable decision-making references for enterprises to prevent the risk of supply chain disruptions caused by public health emergencies.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101928"},"PeriodicalIF":3.2,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535748","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
Examining the health effects of public transport use on older adults: A systematic review 研究使用公共交通对老年人健康的影响:系统回顾
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-10-18 DOI: 10.1016/j.jth.2024.101931
Omer Dilian , Caroline Beckers , Frank Witlox , Nadav Davidovitch , Karel Martens
{"title":"Examining the health effects of public transport use on older adults: A systematic review","authors":"Omer Dilian ,&nbsp;Caroline Beckers ,&nbsp;Frank Witlox ,&nbsp;Nadav Davidovitch ,&nbsp;Karel Martens","doi":"10.1016/j.jth.2024.101931","DOIUrl":"10.1016/j.jth.2024.101931","url":null,"abstract":"<div><h3>Background and aim</h3><div>Public transport use has been linked to several health benefits in the general population and is crucial for older adults’ mobility, due to an age-related decline in physical and cognitive capacity and mobility, particularly the ability to use other modes of transport. The objective of this systematic review is to determine what is known about the physical and mental health outcomes of public transport use of older adults and to identify remaining gaps in the literature.</div></div><div><h3>Methods</h3><div>Five electronic databases were searched in April 2023, and then updated in January 2024: Pubmed, Scopus, Web of Science, Ageline and Transport Research International Documentation (TRID). Included were studies that were in English, contained a measure of public transport use as exposure, and any health outcome, including mental or physical health, physical or cognitive function, morbidity, or mortality, among people aged ≥60 years.</div></div><div><h3>Results</h3><div>Of a total of 2247 unique records that were screened, the full text of 20 was assessed for eligibility and 11 were identified as eligible. Citation search identified two additional studies, amounting to a total of 13 included studies. Significant health outcomes described in assessed studies were decreased obesity and depressive symptoms, and to a lesser extent increased gait speed and cognitive function.</div></div><div><h3>Conclusions</h3><div>Initial evidence suggests a positive impact of public transport use on obesity, depressive symptoms, gait and cognitive function, although available research was limited in context and methodology. Further research should focus on determining causality between public transport use and health, and be conducted in more diverse contexts. Transport and urban planners, as well as policymakers, should consider the implications of public transport on the health and independence of older adults.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101931"},"PeriodicalIF":3.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445200","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 evaluation and cost-benefit analysis of a nonemergency private transportation program for low-income adults in a rural setting 针对农村地区低收入成年人的非紧急私人交通计划的评估和成本效益分析
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2024-10-17 DOI: 10.1016/j.jth.2024.101929
Alice R. Richman , Abby J. Schwartz , Haiyong Liu , Mallary Scott , Weyling White , Caroline Doherty
{"title":"The evaluation and cost-benefit analysis of a nonemergency private transportation program for low-income adults in a rural setting","authors":"Alice R. Richman ,&nbsp;Abby J. Schwartz ,&nbsp;Haiyong Liu ,&nbsp;Mallary Scott ,&nbsp;Weyling White ,&nbsp;Caroline Doherty","doi":"10.1016/j.jth.2024.101929","DOIUrl":"10.1016/j.jth.2024.101929","url":null,"abstract":"<div><h3>Background</h3><div>Access to transportation can improve the health of communities. Since 2015, Project TRIP (Transporting Residents with Innovative Practices) has offered free nonemergency privately operated individualized transportation for low-income residents in rural eastern North Carolina. We sought to evaluate the impact of Project TRIP on health outcome and healthcare utilization measures and to conduct an economic evaluation of its cost benefit.</div></div><div><h3>Methods</h3><div>Key health outcome and healthcare utilization variables were compared across 101 Project TRIP users before and after TRIP participation via data obtained from electronic health records from 2017 to 2021. The cost-benefit analysis included a comparison of the costs of operating Project TRIP as compared to the savings of fewer hospital and emergency department admissions. Pre and post TRIP comparisons were analyzed on the following: A1C scores, no show/missed appointments, body weight, body mass index, and number of emergency room and hospital admissions.</div></div><div><h3>Results</h3><div>Over half (58%) of Project TRIP users were female with a mean age of 54. Most riders were Black (69%), either received Medicaid (32%) or Medicare (17%) or were uninsured (22%). All variables showed a decrease (improvement) post TRIP utilization. The average A1C level decreased by 0.52 post TRIP utilization (statistically significant at 10% level). The number of hospital admissions also decreased (statistically significant at 1% level) for TRIP users. Other key measures also improved for TRIP users but not at statistically significant levels. The estimated net savings of Project TRIP in hospital and emergency room visits alone after deducting operating costs in the past 5 years was $720,544.</div></div><div><h3>Conclusions</h3><div>This study found that access to a non-emergency medical transportation program was cost-effective in reducing emergency room and hospital expenditures. Project TRIP users demonstrated an improvement in health outcomes post TRIP utilization. Expanding model rural transit programs and policies are needed.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"39 ","pages":"Article 101929"},"PeriodicalIF":3.2,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445199","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
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