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Subiza-Pérez M, García-Baquero G, Bereziartua A, Ibarluzea J. Objective and subjective accounts of urban exposures for epidemiological research on mental health. Measurement and analysis. J Epidemiol Community Health 2024:jech-2023-220669. [PMID: 39084696 DOI: 10.1136/jech-2023-220669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 07/03/2024] [Indexed: 08/02/2024]
Abstract
The interest in the impact of urban environmental exposures (UrbEEs) on mental health has greatly increased in the last two decades. Researchers have tended to measure said exposures either via objective measurement procedures (eg, air pollution campaigns and geographic information systems computations) or by self-reported techniques such as the use of scales and questionnaires. It has been suggested that studying both the objective features of the environments and people's perceptions are key to understand environmental determinants of health and might be needed to tailor effective interventions. However, there is little guidance on how to approach this matter, the comparability between objective and subjective accounts of UrbEEs and, more importantly, suitable statistical procedures to deal with the practicalities of this kind of data. In this essay, we aim to build the case for the joint use of both sets of variables in epidemiological studies and propose socioecological models as a valid theoretical framework to accommodate these. In the methodological sphere, we will also review current literature to select examples of (un)appropriate subjective accounts of urban exposures and propose a series of statistical procedures to estimate the total, direct and indirect effects of UrbEEs on mental health and the potential associations between objective and subjective UrbEEs accounts.
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Affiliation(s)
- Mikel Subiza-Pérez
- Department of Clinical and Health Psychology and Research Methods, University of the Basque Country UPV/EHU, Leioa, Spain
- Bradford Institute for Health Research, Bradford, UK
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Group of Environmental Epidemiology and Child Development, Biogipuzkoa Health Research Institute, San Sebastian, Spain
| | - Gonzalo García-Baquero
- Group of Environmental Epidemiology and Child Development, Biogipuzkoa Health Research Institute, San Sebastian, Spain
- Faculty of Biology, University of Salamanca, Salamanca, Castilla y León, Spain
| | - Ainhoa Bereziartua
- Department of Preventive Medicine and Public Health, University of the Basque Country UPV/EHU, Leioa, Spain
| | - Jesús Ibarluzea
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Group of Environmental Epidemiology and Child Development, Biogipuzkoa Health Research Institute, San Sebastian, Spain
- Basque Government Department of Health, San Sebastian, Spain
- Faculty of Psychology, University of the Basque Country UPV/EHU, San Sebastian, Spain
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2
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Renninger D, Reimers AK, Marzi I, Beck F, Krieger C, Demetriou Y. How do adolescents experience the decision-making process on travel mode choice? Health Promot Int 2023; 38:daad147. [PMID: 37966159 DOI: 10.1093/heapro/daad147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023] Open
Abstract
Active travel can contribute to multiple health benefits in youth. Previous research has identified several factors influencing travel behavior. This study investigates how adolescents process these factors during their decision-making process on travel mode choice. Semi-structured interviews were conducted with 13 adolescents (11-14 years) and analysed using deductive-inductive thematic analysis. Four themes were generated from which the decision-making process on mode choice was conceptualized according to adolescents. The step-by-step process in which travel mode options were gradually reduced, was dependent on the context (Theme 1), the perceived availability of travel mode choice options, which was influenced by factors beyond the individual's perceived control (Theme 2), and on adolescents' pros/cons assessment to identify the most convenient option. Adolescents' habitually used travel mode influenced the decision at several stages throughout the process (Theme 4). To promote healthy travel behaviors, interventions should consider contextual circumstances, balance between enabling autonomous choices and promoting advantages of active travel modes, address individual travel modes and include practices that foster conscious processing of decision-making.
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Affiliation(s)
- Denise Renninger
- Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 60, 80992 Munich, Germany
| | - Anne K Reimers
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Isabel Marzi
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Franziska Beck
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Claus Krieger
- Department of Languages and Aesthetic Disciplines Education, Universität Hamburg, 20146 Hamburg, Germany
| | - Yolanda Demetriou
- Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 60, 80992 Munich, Germany
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Scrivano L, Tessari A, Marcora SM, Manners DN. Active mobility and mental health: A scoping review towards a healthier world. Glob Ment Health (Camb) 2023; 11:e1. [PMID: 38390252 PMCID: PMC10882204 DOI: 10.1017/gmh.2023.74] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 10/16/2023] [Accepted: 11/05/2023] [Indexed: 02/24/2024] Open
Abstract
Research has proven that engaging in active mobility (AM), namely walking and cycling for transportation, significantly enhances physical activity levels, leading to better physical health. It is still unclear whether AM could also offer any mental health benefits. This scoping review aims to provide a comprehensive understanding of the current knowledge on the relationship between AM and mental health, given its crucial role in public health. The authors searched online databases to isolate primary studies written in English involving an adult sample (16 or over). AM was the exposure factor. Many mental health elements were included as outcomes (depression, anxiety, self-esteem, self-efficacy, stress, psychological and subjective well-being, resilience, loneliness and social support, quality of life, mood, life satisfaction and sleep). The results were organised in a narrative summary per each outcome selected, graphical syntheses and an overview of gaps to be further examined. The authors identified a total of 55 papers as relevant. The results show inconsistency in study designs, definition and operationalisation of the variables, approach and methodologies used. A cross-sectional design was the dominant choice, primarily examining data from national public health surveys. Nonetheless, there has been improvement in outcomes of interests, initially mainly the quality of life and affect. Lately, authors have focused on a broader range of mental health-related factors (such as travel satisfaction). The experimental studies showed promising mental health improvements in those who used active modes more than those who used motorised vehicles. It creates a rationale for further research towards implementing a unified theoretical and methodological framework to study the link between AM and mental health. The ultimate goal is to generate solid conclusions that could support building societies and cities through public health promotion and sustainable strategies, like walking and cycling as a means of transport.
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Affiliation(s)
- Luana Scrivano
- Department of Sciences for the Quality of Life, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Alessia Tessari
- Department of Psychology "Renzo Canestrari", Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Samuele M Marcora
- Department of Sciences for the Quality of Life, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - David N Manners
- Department of Sciences for the Quality of Life, Alma Mater Studiorum, University of Bologna, Bologna, Italy
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Duren M, Corrigan B, Ehsani J, Kennedy RD, Pollack Porter K. Individual and environmental bicycling determinants during a pandemic. JOURNAL OF TRANSPORT & HEALTH 2023; 31:101632. [PMID: 37304835 PMCID: PMC10247188 DOI: 10.1016/j.jth.2023.101632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 05/13/2023] [Accepted: 05/24/2023] [Indexed: 06/13/2023]
Abstract
Introduction Research has identified many factors associated with bicycling, but little is known on their relative influence for an individual's decision to bicycle or what led to the surge in bicycling during the COVID-19 pandemic in the U.S. Methods Our research leverages a sample of 6735 U.S. adults to identify key predictors and their relative influence on both increased bicycling during the pandemic and on whether an individual commutes by bicycle. LASSO regression models identified a reduced set of predictors for the outcomes of interest from 55 determinants included in the modeling. Results We find individual and environmental factors have a role in explaining the shift towards bicycling-with key differences in predictors for increased overall cycling during the pandemic compared to bicycle commuting. Conclusions Our findings add to the evidence base that policies can impact bicycling behavior. Specifically, increasing e-bike accessibility and limiting residential streets to local traffic are two policies that show promise for encouraging bicycling.
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Affiliation(s)
- Michelle Duren
- Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, United States
| | - Bryce Corrigan
- Johns Hopkins Krieger School of Arts and Sciences, 3400 N Charles St, Baltimore, MD, 21218, United States
| | - Johnathon Ehsani
- Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, United States
| | - Ryan David Kennedy
- Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, United States
| | - Keshia Pollack Porter
- Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, United States
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5
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Corr C, Murphy N, Lambe B. Beyond the big city: using a systems approach to cultivate a cycling culture in small cities and towns in Ireland. Front Sports Act Living 2023; 5:1127592. [PMID: 37377845 PMCID: PMC10291318 DOI: 10.3389/fspor.2023.1127592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 05/25/2023] [Indexed: 06/29/2023] Open
Abstract
Urban mobility and how people move in our towns and cities is garnering more attention, as solutions are sought to multiple challenges faced by residents; health and physical inactivity, climate change, air quality, urbanisation and accessibility. Traditional, siloed approaches limit impact and collaborative, systems approaches hold promise. However, systems approaches often remain theoretical and few practical applications of their added value have been demonstrated. This study illustrates how a systems approach can be used to underpin the development of a 9-step process to generate solutions for action on active mobility. The development of a systems map and a theory of change framework are key outputs of this 9-step process. The purpose of this paper is to describe how a systems map was developed in an Irish town utilising broad stakeholder engagement to map the variables that influence cycling in the town and to identify the leverage points for transformational interventions.
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Affiliation(s)
- Caitriona Corr
- Centre for Health Behaviour Research, Department of Sport and Exercise Science, South East Technological University, Waterford, Ireland
| | - Niamh Murphy
- Centre for Health Behaviour Research, Department of Sport and Exercise Science, South East Technological University, Waterford, Ireland
| | - Barry Lambe
- Centre for Health Behaviour Research, Department of Sport and Exercise Science, South East Technological University, Waterford, Ireland
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Lunetto M, Castro O, Gericke C, Hale J. Barriers and enablers to local active travel during COVID-19: A case study of Streetspace interventions in two London boroughs. Wellcome Open Res 2023; 8:177. [PMID: 37663794 PMCID: PMC10468679 DOI: 10.12688/wellcomeopenres.19164.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2023] [Indexed: 09/05/2023] Open
Abstract
Background: During the coronavirus disease 2019 (COVID-19) pandemic, UK local authorities increased emergency active travel interventions. This study aimed to understand what aspects of temporary Streetspace for London schemes represent barriers or enablers to walking and cycling for short local journeys. Methods: Focusing on two Inner London boroughs, we conducted 21 semi-structured stakeholder interviews and sampled 885 public comments about Streetspace schemes. We triangulated the data in a thematic analysis to identify barriers and enablers, which were categorised using the Capability, Opportunity, Motivation, Behaviour (COM-B) model. Results: Opportunity and motivation factors were reflected in the barriers (accessibility and integration of the schemes; controversy, dissatisfaction, and doubt) and enablers (new routes and spaces; sustainability and health beliefs) and mixed themes (changes to traffic and appeal of the area; feelings of safety). Capability was not reflected in the main themes. Conclusions: Although aspects of Streetspace schemes were seen to enable active travel, our findings suggest that additional processes to address the acceptability, fairness, and unintended consequences of emergency interventions will be important to their long-term success for health and sustainability.
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Affiliation(s)
- Maria Lunetto
- Centre for Behaviour Change, University College London, London, England, WC1E 6AE, UK
| | - Oscar Castro
- Centre for Behaviour Change, University College London, London, England, WC1E 6AE, UK
- Future Health Technologies, Singapore-ETH Centre, Campus for Research Excellence And Technological Enterprise, National University of Singapore University Town, 138602, Singapore
| | - Chiara Gericke
- Centre for Behaviour Change, University College London, London, England, WC1E 6AE, UK
| | - Joanna Hale
- Centre for Behaviour Change, University College London, London, England, WC1E 6AE, UK
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Pawluk De-Toledo K, O’Hern S, Koppel S. A social-ecological model of working from home during COVID-19. TRANSPORTATION 2023:1-28. [PMID: 36811037 PMCID: PMC9935241 DOI: 10.1007/s11116-022-10331-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Working from Home (WFH) is emerging as a critical measure for reducing transport demand. Indeed, the COVID-19 pandemic has revealed that trip avoidance measures, especially WFH, could help address Sustainable Development Goal 11.2 (creating sustainable transport systems in cities) by decreasing commuter trips by private motor vehicles. This study aimed to explore and identify the attributes that supported WFH during the pandemic and construct a Social-Ecological Model (SEM) of WFH within the context of travel behaviour. We conducted in-depth interviews with 19 stakeholders from Melbourne, Australia and found that WFH during COVID-19 has fundamentally changed commuter travel behaviour. There was a consensus among participants that a hybrid-work model will emerge post-COVID-19 (e.g., working three days in the office and two days at home). We identified 21 attributes that influenced WFH and mapped these attributes across the five traditional SEM levels (intrapersonal, interpersonal, institutional, community and public policy). In addition, we proposed a sixth higher-order level: "global", to reflect the worldwide phenomena of COVID-19 and computer programs that also supported WFH. We found that WFH attributes were concentrated at the intrapersonal (individual) and institutional (workplace) levels. Indeed, workplaces are key to supporting WFH in the long-term. Whereby, workplace provision of laptops, office equipment, internet connection and flexible work policies enable WFH, and unsupportive organisational cultures and managers are potential barriers to WFH. This SEM of WFH benefits both researchers and practitioners by providing guidance of the key attributes required to sustain WFH behaviours post-COVID-19.
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Affiliation(s)
- Katherine Pawluk De-Toledo
- BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, 3800 Clayton, Australia
| | - Steve O’Hern
- Transport Research Centre VERNE, Tampere University, 33014 Tampere, Finland
| | - Sjaan Koppel
- Monash University Accident Research Centre, Monash University, 3800 Clayton, Australia
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8
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Yang X, Orjuela JP, McCoy E, Vich G, Anaya-Boig E, Avila-Palencia I, Brand C, Carrasco-Turigas G, Dons E, Gerike R, Götschi T, Nieuwenhuijsen M, Panis LI, Standaert A, de Nazelle A. The impact of black carbon (BC) on mode-specific galvanic skin response (GSR) as a measure of stress in urban environments. ENVIRONMENTAL RESEARCH 2022; 214:114083. [PMID: 35995220 DOI: 10.1016/j.envres.2022.114083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 08/04/2022] [Accepted: 08/05/2022] [Indexed: 06/15/2023]
Abstract
Previous research has shown that walking and cycling could help alleviate stress in cities, however there is poor knowledge on how specific microenvironmental conditions encountered during daily journeys may lead to varying degrees of stress experienced at that moment. We use objectively measured data and a robust causal inference framework to address this gap. Using a Bayesian Doubly Robust (BDR) approach, we find that black carbon exposure statistically significantly increases stress, as measured by Galvanic Skin Response (GSR), while cycling and while walking. Augmented Outcome Regression (AOR) models indicate that greenspace exposure and the presence of walking or cycling infrastructure could reduce stress. None of these effects are statistically significant for people in motorized transport. These findings add to a growing evidence-base on health benefits of policies aimed at decreasing air pollution, improving active travel infrastructure and increasing greenspace in cities.
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Affiliation(s)
- Xiuleng Yang
- Department of Mathematics, Imperial College London, London, United Kingdom
| | - Juan Pablo Orjuela
- Transport Studies Unit (TSU), School of Geography and the Environment, University of Oxford, United Kingdom
| | - Emma McCoy
- Department of Mathematics, Imperial College London, London, United Kingdom
| | - Guillem Vich
- Institute for Global Health (ISGlobal), Barcelona, Spain
| | - Esther Anaya-Boig
- Centre for Environmental Policy, Imperial College London, London, United Kingdom
| | | | - Christian Brand
- Transport Studies Unit (TSU), School of Geography and the Environment, University of Oxford, United Kingdom; Environmental Change Institute, University of Oxford, Oxford, United Kingdom
| | - Glòria Carrasco-Turigas
- Institute for Global Health (ISGlobal), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Evi Dons
- Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium; Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Regine Gerike
- TU Dresden, Institute of Transport Planning and Road Traffic, Germany
| | - Thomas Götschi
- School of Planning, Public Policy & Management (PPPM), University of Oregon, Eugene, USA
| | - Mark Nieuwenhuijsen
- Institute for Global Health (ISGlobal), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Luc Int Panis
- Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium; Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Arnout Standaert
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Audrey de Nazelle
- Centre for Environmental Policy, Imperial College London, London, United Kingdom; MRC-PHE Centre for Environment and Health, Imperial College London, United Kingdom.
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Hosking J, Braubach M, Buss D, Khayesi M, Filho VP, de Sá TH. Towards a global framework for transport, health and health equity. ENVIRONMENT INTERNATIONAL 2022; 169:107472. [PMID: 36116365 DOI: 10.1016/j.envint.2022.107472] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 07/11/2022] [Accepted: 08/11/2022] [Indexed: 06/15/2023]
Abstract
This study derives a generalised global framework for transport, health and health equity, based on a synthesis of 94 urban transport and health frameworks. The framework emphasises factors related to health equity, which are generally ignored in existing conceptual frameworks on the relationship between transport and health. While some factors such as travel behaviour were included in most reviewed frameworks, climate change and other macro-level factors were included in less than a quarter of frameworks, and health equity was included in less than 10%. We developed a framework that includes key framework components identified by a scoping review, as well as addressing important gaps. This framework can be utilized to inform work on transport, health and health equity by different agencies such as the World Health Organization. It can be used to guide health sector engagement with transport issues to lead to healthier and more equitable transport decision-making globally.
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Affiliation(s)
- Jamie Hosking
- Waipapa Taumata Rau/The University of Auckland, Private Bag 92019, Tāmaki Makaurau, Auckland 1142, New Zealand
| | - Matthias Braubach
- WHO European Centre for Environment and Health, UN Campus, Platz der Vereinten Nationen 1, 53113 Bonn, Germany
| | - Daniel Buss
- Pan American Health Organization/World Health Organization, 525 23rd Street NW, Washington, DC 20037, United States
| | | | - Victor Pavarino Filho
- NPC Segurança Viária e Mobilidade Sustentável, UT Determinantes da Saúde, Doençs Crônicas não Transmissíves e Saúde Mental, OPAS/OMS |Setor de Embaixadas Norte, Lote 19, CEP 70.800-400 Brasília, DF, Brazil
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10
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Cusack M. Individual, social, and environmental factors associated with active transportation commuting during the COVID-19 pandemic. JOURNAL OF TRANSPORT & HEALTH 2021; 22:101089. [PMID: 34513591 PMCID: PMC8423621 DOI: 10.1016/j.jth.2021.101089] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 04/06/2021] [Accepted: 05/13/2021] [Indexed: 05/06/2023]
Abstract
OBJECTIVE Physical inactivity is a major public health concern. Though active transportation through bicycling and walking can increase physical activity and thereby positively affect health, factors that influence people's decisions to commute using active transportation modes remain underexplored and often fail to capture equity-related barriers. Increases in active transportation during the COVID-19 pandemic call for a better understanding of these influences. This study examines the commute mode choices of essential workers in Philadelphia, Pennsylvania, USA to explore the extent to which active transportation to work is explained by individual, social, and environmental factors and whether active transportation choices reflect inequalities. METHODS Drawing on the theory of planned behavior and the social-ecological model, this study utilizes data from an online survey (N = 213) completed between June and August 2020. Bivariate analyses compare respondents who commuted using active transportation modes to those who did not using chi-square and ANOVA tests. A series of logistic regression models using forward stepwise selection, controlling for demographic characteristics and commute distance, identify salient individual, social, and environmental factors associated with active transportation. RESULTS Nearly half of respondents changed their commute mode during the pandemic, most often to limit exposure to COVID-19. The full model, accounting for 54% of variation in active transportation commuting, indicated significantly lower odds of active transportation use among non-white (Odds Ratio [OR]: 0.155) respondents and those who reported time constraints (OR: 0.450), concerns about safety from traffic (OR: 0.482), and greater satisfaction with community support for bicycling and pedestrian issues (OR: 0.551) and significantly higher odds among those who reported safety concerns around germs (OR: 1.580). CONCLUSIONS Structural and social investments that make bicycling and walking safer commuting alternatives during COVID-19 could protect essential works and contribute to sustained behavior change. Community engagement is essential for implementation efforts.
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Affiliation(s)
- Meagan Cusack
- University of Pennsylvania School of Social Policy & Practice, 3701 Locust Walk, Philadelphia, PA, 19104, USA
- U.S. Department of Veterans Affairs Center for Health Equity Research & Promotion, 4100 Chester Avenue, Suite 202, Philadelphia, PA, 19104, USA
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11
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A qualitative exploration of the mechanisms, pathways and public health outcomes of a city centre 20mph speed limit intervention: The case of Belfast, United Kingdom. Health Place 2021; 70:102627. [PMID: 34298311 DOI: 10.1016/j.healthplace.2021.102627] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 06/08/2021] [Accepted: 07/08/2021] [Indexed: 11/23/2022]
Abstract
Twenty miles per hour (mph) speed limits can impact the health of the public (e.g., road safety, active travel). However, a better understanding of how individuals experience 20mph limits is required, to ensure interventions are cognisant of perceptions and potential un/intended outcomes. Focus groups (n = 9, 60 participants) to explore the Belfast 20mph intervention highlighted divergent perspectives and experiences including: 12 mechanisms (e.g., limited awareness), 15 pathways (e.g., reduced driving speed→improved liveability) and 10 public health outcomes (e.g., increased cyclist safety). Future interventions should consider un/intended outcomes and implement strategies to enhance effectiveness and mitigate harms (e.g., through training, enforcement).
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12
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Promoting Sustainable Mobility: A Perspective from Car and Public Transport Users. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094715. [PMID: 33925183 PMCID: PMC8125091 DOI: 10.3390/ijerph18094715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 04/23/2021] [Accepted: 04/27/2021] [Indexed: 12/01/2022]
Abstract
Sustainable mobility is becoming a key factor in improving the quality of life of the residents and increasing physical activity (PA) levels. The current situation of sustainable mobility and its analysis is a first step in understanding the factors that would encourage residents to discover and choose alternative modes of travel. The present study examined the factors that encourage the choice of active modes of travel among urban adult population. Walking and cycling were analyzed as the most sustainable forms of urban mobility from the perspective of car and public transport (PT) users. Total of 902 subjects aged 18 years or older were analyzed in the study to assess commuting habits in Kaunas city, Lithuania. The majority (61.1%) of the respondents used a passenger vehicle, 28.2% used PT, and only 13.5% used active modes of travel. The results showed that safer pedestrian crossings, and comfortable paths were the most significant factors that encourage walking. A wider cycling network, and bicycle safety were the most important incentives for the promotion of cycling. Our findings show that the main factors encouraging walking and cycling among car and PT users are similar, however, the individual characteristics that determine the choice of these factors vary significantly.
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13
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Sommar JN, Schantz P, Strömgren M, Forsberg B. Potential for reduced premature mortality by current and increased bicycle commuting: a health impact assessment using registry data on home and work addresses in Stockholm, Sweden. BMJ Open Sport Exerc Med 2021; 7:e000980. [PMID: 33537153 PMCID: PMC7849870 DOI: 10.1136/bmjsem-2020-000980] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2021] [Indexed: 11/20/2022] Open
Abstract
Objectives The study aims to make use of individual data to estimate the impact on premature mortality due to both existing commuter bicycling and the potential impact due to increased physical activity through shifting transport mode from car commuting to bicycling. Methods Using registry data on home and work addresses for the population of Stockholm County the shortest bicycling route on a network of bicycle paths and roads was retrieved. Travel survey data were used to establish current modes of commuting. The relation between duration of bicycling and distance bicycled within the general population in 2015 was established as a basis for identifying individuals that currently drive a car to work but were estimated to have the physical capacity to bicycle to work within 30 min. Within this mode-shift scenario from car-to-bike the duration of bicycling per week was estimated, both among current and potential bicycle commuters. The health impact assessment (HIA) on mortality due to bicycle commuting physical activity was estimated using the same relative risk as within the WHO Health Economic Assessment Tool. Results The current number of bicycle commuters were 53 000, and the scenario estimated an additional 111 000. Their mean bicycle distances were 4.5 and 3.4 km, respectively. On average these respective amounts of physical activity reduced the yearly mortality by 16% and 12%, resulting in 11.3 and 16.2 fewer preterm deaths per year. Conclusion The HIA of transferring commuting by car to bicycle estimated large health benefits due to increased physical activity.
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Affiliation(s)
- Johan Nilsson Sommar
- Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umea University, Umea, Sweden
| | - Peter Schantz
- The Research Unit for Movement, Health and Environment, The Swedish School of Sport and Health Sciences, GIH, Stockholm, Sweden
| | | | - Bertil Forsberg
- Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umea University, Umea, Sweden
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Zougheibe R, Xia JC, Dewan A, Gudes O, Norman R. Children's outdoor active mobility behaviour and neighbourhood safety: a systematic review in measurement methods and future research directions. Int J Health Geogr 2021; 20:2. [PMID: 33413433 PMCID: PMC7792091 DOI: 10.1186/s12942-020-00254-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 12/17/2020] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Numerous studies have examined the association between safety and primary school-aged children's forms of active mobility. However, variations in studies' measurement methods and the elements addressed have contributed to inconsistencies in research outcomes, which may be forming a barrier to advancing researchers' knowledge about this field. To assess where current research stands, we have synthesised the methodological measures in studies that examined the effects of neighbourhood safety exposure (perceived and measured) on children's outdoor active mobility behaviour and used this analysis to propose future research directions. METHOD A systematic search of the literature in six electronic databases was conducted using pre-defined eligibility criteria and was concluded in July 2020. Two reviewers screened the literature abstracts to determine the studies' inclusion, and two reviewers independently conducted a methodological quality assessment to rate the included studies. RESULTS Twenty-five peer-reviewed studies met the inclusion criteria. Active mobility behaviour and health characteristics were measured objectively in 12 out of the 25 studies and were reported in another 13 studies. Twenty-one studies overlooked spatiotemporal dimensions in their analyses and outputs. Delineations of children's neighbourhoods varied within 10 studies' objective measures, and the 15 studies that opted for subjective measures. Safety perceptions obtained in 22 studies were mostly static and primarily collected via parents, and dissimilarities in actual safety measurement methods were present in 6 studies. The identified schematic constraints in studies' measurement methods assisted in outlining a three-dimensional relationship between 'what' (determinants), 'where' (spatial) and 'when' (time) within a methodological conceptual framework. CONCLUSIONS The absence of standardised measurement methods among relevant studies may have led to the current diversity in findings regarding active mobility, spatial (locality) and temporal (time) characteristics, the neighbourhood, and the representation of safety. Ignorance of the existing gaps and heterogeneity in measures may impact the reliability of evidence and poses a limitation when synthesising findings, which could result in serious biases for policymakers. Given the increasing interest in children's health studies, we suggested alternatives in the design and method of measures that may guide future evidence-based research for policymakers who aim to improve children's active mobility and safety.
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Affiliation(s)
- Roula Zougheibe
- School of Earth and Planetary Sciences, Curtin University, Kent Street, Perth, WA, 6102, Australia.
| | - Jianhong Cecilia Xia
- School of Earth and Planetary Sciences, Curtin University, Kent Street, Perth, WA, 6102, Australia
| | - Ashraf Dewan
- School of Earth and Planetary Sciences, Curtin University, Kent Street, Perth, WA, 6102, Australia
| | - Ori Gudes
- School of Public Health and Community Medicine, UNSW Medicine, Sydney, NSW, Australia
| | - Richard Norman
- School of Public Health, Curtin University, Perth, WA, Australia
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Wang J, Zhai X, Luo Q. How COVID-19 Impacts Chinese Travelers’ Mobility Decision-Making Processes: A Bayesian Network Model. INFORMATION AND COMMUNICATION TECHNOLOGIES IN TOURISM 2021 2021. [PMCID: PMC7798073 DOI: 10.1007/978-3-030-65785-7_53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
The outbreak of the COVID-19 pandemic has a multi-faceted impact on the mobility of travelers. Current research has not yet explained the internal mechanisms of travelers’ mobility changes during the pandemic. The Bayesian network is considered to be an effective method to describe the causality between the factors and output of a system. Thus, this paper established a Bayesian network model to analyze the impact of COVID-19 on Chinese travelers’ mobility decision–making processes. The model for the traveler mobility decision-making process is built on both a qualitative and quantitative analysis of travelers’ self-narration articles. Results show that official information, traffic information, family structure, and social interaction networks are the key factors affecting Chinese travelers’ mobility.
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Bourne JE, Cooper AR, Kelly P, Kinnear FJ, England C, Leary S, Page A. The impact of e-cycling on travel behaviour: A scoping review. JOURNAL OF TRANSPORT & HEALTH 2020; 19:100910. [PMID: 32904492 PMCID: PMC7456196 DOI: 10.1016/j.jth.2020.100910] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2019] [Revised: 06/23/2020] [Accepted: 07/08/2020] [Indexed: 05/10/2023]
Abstract
INTRODUCTION Electrically assisted bicycles (e-bikes) have become increasingly popular in the past decade. This review aimed to scope the literature to identify what is known about the frequency and duration of e-bike use, their impact on travel behaviour, the purposes for which e-bikes are used and factors associated with e-bike use. In addition, the review aimed to identify gaps in the literature and highlight future research priorities. METHODS A scoping review of published and unpublished literature in any language. Relevant articles were identified through searching six databases, two grey literature platforms and reference lists. Searches were conducted until August 2019. Data were extracted using a standardised extraction form and descriptive and narrative results are provided. RESULTS Seventy-six studies met the inclusion criteria. The volume of research has increased since 2017 and primarily examines personal e-bike use, as opposed to e-bike share/rental schemes or organizational e-bike initiatives. The use of e-bikes increased the frequency and duration of cycling compared to conventional cycling and may help overcome barriers associated with conventional cycling. The uptake in e-cycling largely substitutes for conventional cycling or private car journeys, though the degree of substitution depends on the primary transport mode prior to e-bike acquisition. E-bikes are primarily used for utilitarian reasons, though older adults also engage in recreational e-cycling. Research priorities include quantitatively examining e-bike use, their impact on overall transport behaviour and identifying determinants of e-cycling to inform intervention and policy. CONCLUSIONS This review suggests that the personal use of e-bikes is associated with a reduction in motorized vehicle use, which has potential positive impacts on the environment and health. The impacts of e-bike share schemes and workplace initiatives are less well understood. Evidence describing the purposes for which e-bikes are used, and the factors associated with usage, are useful to inform e-cycling promotion policy.
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Affiliation(s)
- Jessica E Bourne
- Centre for Exercise, Nutrition and Health Sciences, School of Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK
- NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK
| | - Ashley R Cooper
- Centre for Exercise, Nutrition and Health Sciences, School of Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK
- NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK
| | - Paul Kelly
- Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, UK
| | - Fiona J Kinnear
- NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK
| | - Clare England
- Centre for Exercise, Nutrition and Health Sciences, School of Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK
- NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK
| | - Sam Leary
- NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK
| | - Angie Page
- Centre for Exercise, Nutrition and Health Sciences, School of Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK
- NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK
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Impact of the Built Environment Measured at Multiple Levels on Nonmotorized Travel Behavior: An Ecological Approach to a Florida Case Study. SUSTAINABILITY 2020. [DOI: 10.3390/su12218837] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Research continues to reveal the benefits of nonmotorized travel modes such as walking and bicycling. Therefore, identification of the factors that nurture these activities is essential in developing sustainable urban planning policies and designs. Among those factors are the built environment characteristics of the place of residence. To date, research on the role of the built environment in nonmotorized travel has focused on neighborhood-level factors. However, people do not stay within their neighborhoods; they live and work at a regional scale and travel to various destinations and distances each day. Nonetheless, little is known about the impact of built environment factors at larger spatial scales on nonmotorized travel behavior. Guided by the principles of the ecological model of behavior, this study investigates the role of the built environment at hierarchical spatial scales in nonmotorized travel behavior. Multilevel Structural Equation Models have been developed to comprehensively examine the complex links between the built environment and individuals’ nonmotorized travel. Findings indicate that built environment factors at multiple spatial scales can influence nonmotorized travel behavior. Thus, to promote walking and bicycling, more effective policies are those that include multilevel built environment and land use interventions and consider the overall physical form of urban areas.
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Branion-Calles M, Götschi T, Nelson T, Anaya-Boig E, Avila-Palencia I, Castro A, Cole-Hunter T, de Nazelle A, Dons E, Gaupp-Berghausen M, Gerike R, Int Panis L, Kahlmeier S, Nieuwenhuijsen M, Rojas-Rueda D, Winters M. Cyclist crash rates and risk factors in a prospective cohort in seven European cities. ACCIDENT; ANALYSIS AND PREVENTION 2020; 141:105540. [PMID: 32304868 DOI: 10.1016/j.aap.2020.105540] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Revised: 01/21/2020] [Accepted: 04/01/2020] [Indexed: 05/26/2023]
Abstract
Increased cycling uptake can improve population health, but barriers include real and perceived risks. Crash risk factors are important to understand in order to improve safety and increase cycling uptake. Many studies of cycling crash risk are based on combining diverse sources of crash and exposure data, such as police databases (crashes) and travel surveys (exposure), based on shared geography and time. When conflating crash and exposure data from different sources, the risk factors that can be quantified are only those variables common to both datasets, which tend to be limited to geography (e.g. countries, provinces, municipalities) and a few general road user characteristics (e.g. gender and age strata). The Physical Activity through Sustainable Transport Approaches (PASTA) project was a prospective cohort study that collected both crash and exposure data from seven European cities (Antwerp, Barcelona, London, Örebro, Rome, Vienna and Zürich). The goal of this research was to use data from the PASTA project to quantify exposure-adjusted crash rates and model adjusted crash risk factors, including detailed sociodemographic characteristics, attitudes about transportation, neighbourhood built environment features and location by city. We used negative binomial regression to model the influence of risk factors independent of exposure. Of the 4,180 cyclists, 10.2 % reported 535 crashes. We found that overall crash rates were 6.7 times higher in London, the city with the highest crash rate, relative to Örebro, the city with the lowest rate. Differences in overall crash rates between cities are driven largely by crashes that did not require medical treatment and that involved motor-vehicles. In a parsimonious crash risk model, we found higher crash risks for less frequent cyclists, men, those who perceive cycling to not be well regarded in their neighbourhood, and those who live in areas of very high building density. Longitudinal collection of crash and exposure data can provide important insights into individual differences in crash risk. Substantial differences in crash risks between cities, neighbourhoods and population groups suggest there is great potential for improvement in cycling safety.
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Affiliation(s)
- Michael Branion-Calles
- Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Centre for Hip Health and Mobility, Vancouver, Canada.
| | - Thomas Götschi
- School of Planning, Public Policy and Management, College of Design, University of Oregon, Eugene, USA
| | - Trisalyn Nelson
- School of Geographical Sciences and Urban Planning, Arizona State University, Tempe, USA
| | - Esther Anaya-Boig
- Centre for Environmental Policy, Imperial College London, London, United Kingdom
| | - Ione Avila-Palencia
- ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, USA
| | - Alberto Castro
- Epidemiology, Biostatistics and Prevention Institute, University of Zürich, Zürich, Switzerland
| | - Tom Cole-Hunter
- Centre for Air Pollution, Energy, and Health Research (CAR), University of New South Wales, Sydney, Australia; International Laboratory for Air Quality and Health, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; Science and Engineering Faculty, Queensland University of Technology, Brisbane, Australia
| | - Audrey de Nazelle
- Centre for Environmental Policy, Imperial College London, London, United Kingdom
| | - Evi Dons
- Flemish Institute for Technological Research (VITO), Mol, Belgium; Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium
| | - Mailin Gaupp-Berghausen
- Department of Spatial, Landscape, and Infrastructure Sciences, University of Natural Resources and Life Sciences, Vienna, Austria
| | - Regine Gerike
- Institute of Transport Planning and Road Traffic, Dresden University of Technology, Dresden, Germany
| | - Luc Int Panis
- Flemish Institute for Technological Research (VITO), Mol, Belgium; Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, Belgium
| | - Sonja Kahlmeier
- Department of Health, Swiss Distance University of Applied Science FFHS, Regensdorf/Zürich, Switzerland
| | - Mark Nieuwenhuijsen
- ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - David Rojas-Rueda
- ISGlobal, Barcelona, Spain; Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, USA
| | - Meghan Winters
- Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Centre for Hip Health and Mobility, Vancouver, Canada
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Gascon M, Götschi T, de Nazelle A, Gracia E, Ambròs A, Márquez S, Marquet O, Avila-Palencia I, Brand C, Iacorossi F, Raser E, Gaupp-Berghausen M, Dons E, Laeremans M, Kahlmeier S, Sánchez J, Gerike R, Anaya-Boig E, Panis LI, Nieuwenhuijsen M. Correlates of Walking for Travel in Seven European Cities: The PASTA Project. ENVIRONMENTAL HEALTH PERSPECTIVES 2019; 127:97003. [PMID: 31532248 PMCID: PMC6792377 DOI: 10.1289/ehp4603] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
BACKGROUND Although walking for travel can help in reaching the daily recommended levels of physical activity, we know relatively little about the correlates of walking for travel in the European context. OBJECTIVE Within the framework of the European Physical Activity through Sustainable Transport Approaches (PASTA) project, we aimed to explore the correlates of walking for travel in European cities. METHODS The same protocol was applied in seven European cities. Using a web-based questionnaire, we collected information on total minutes of walking per week, individual characteristics, mobility behavior, and attitude (N=7,875). Characteristics of the built environment (the home and the work/study addresses) were determined with geographic information system (GIS)-based techniques. We conducted negative binomial regression analyses, including city as a random effect. Factor and principal component analyses were also conducted to define profiles of the different variables of interest. RESULTS Living in high-density residential areas with richness of facilities and density of public transport stations was associated with increased walking for travel, whereas the same characteristics at the work/study area were less strongly associated with the outcome when the residential and work/study environments were entered in the model jointly. A walk-friendly social environment was associated with walking for travel. All three factors describing different opinions about walking (ranging from good to bad) were associated with increased minutes of walking per week, although the importance given to certain criteria to choose a mode of transport provided different results according to the criteria. DISCUSSION The present study supports findings from previous research regarding the role of the built environment in the promotion of walking for travel and provides new findings to help in achieving sustainable, healthy, livable, and walkable cities. https://doi.org/10.1289/EHP4603.
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Affiliation(s)
- Mireia Gascon
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Thomas Götschi
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Audrey de Nazelle
- Centre for Environmental Policy, Imperial College London, London, United Kingdom
| | - Esther Gracia
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Albert Ambròs
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Sandra Márquez
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Oriol Marquet
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Ione Avila-Palencia
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Christian Brand
- Transport Studies Unit, University of Oxford, Oxford, United Kingdom
| | | | - Elisabeth Raser
- Institute for Transport Studies, University of Natural Resources and Life Sciences, Vienna, Austria
| | - Mailin Gaupp-Berghausen
- Institute for Transport Studies, University of Natural Resources and Life Sciences, Vienna, Austria
| | - Evi Dons
- Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Michelle Laeremans
- Flemish Institute for Technological Research (VITO), Mol, Belgium
- Transportation Research Institute, Hasselt University, Hasselt, Belgium
| | - Sonja Kahlmeier
- Physical Activity and Health Unit, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Julian Sánchez
- Centre for Environmental Policy, Imperial College London, London, United Kingdom
| | - Regine Gerike
- Institute of Transport Planning and Road Traffic, Technische Universität (TU) Dresden, Dresden, Germany
| | - Esther Anaya-Boig
- Centre for Environmental Policy, Imperial College London, London, United Kingdom
| | - Luc Int Panis
- Flemish Institute for Technological Research (VITO), Mol, Belgium
- School for Mobility, Hasselt University, Hasselt, Belgium
| | - Mark Nieuwenhuijsen
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
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Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary care. BJGP Open 2019; 3:bjgpopen18X101638. [PMID: 31366669 PMCID: PMC6662872 DOI: 10.3399/bjgpopen18x101638] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Accepted: 02/11/2019] [Indexed: 12/24/2022] Open
Abstract
Background Physical activity (PA) is important in the management of type 2 diabetes (T2DM), however many people find it difficult to implement and/or sustain in the self-management of the condition. Electrically assisted cycling (e-cycling) may be viewed as a means of self-management in which effort is invested to balance the interplay of lifestyle factors and disease progression. Aim To explore engagement with an e-cycling intervention conducted with adults with T2DM. Design & setting Prospective qualitative interview study with adults in central Bristol (UK) and surrounding suburbs, in the context of the self-management of T2DM in primary care. Method Interviews were conducted with 20 individuals with T2DM (42–70 years, 11 male, 9 female) prior to their participation in a 20-week e-cycling intervention. Post-intervention interviews were conducted with 18 participants (11 male, 7 female). Interviews were transcribed verbatim and inductive thematic analysis was undertaken. Results Participants were aware that PA contributed to the management of their diabetes. Engagement with e-cycling was viewed as both an acceptable and a social lifestyle intervention. Furthermore, participants were unhappy with the volume of medication used to manage their diabetes and e-cycling fostered autonomy in the management of T2DM. GPs and practice nurses were regarded as an important source of reliable information, and were considered to be best placed to talk about interventions to increase PA. Conclusion E-cycling is viewed as an acceptable form of PA to aid the self-management of T2DM. E-cycling may support people with T2DM to reduce their medication intake and in turn foster greater autonomy in managing the condition. The findings have implications for the role of primary care health professionals in supporting both patients and significant others in adoption of e-cycling.
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Aittasalo M, Tiilikainen J, Tokola K, Suni J, Sievänen H, Vähä-Ypyä H, Vasankari T, Seimelä T, Metsäpuro P, Foster C, Titze S. Socio-Ecological Natural Experiment with Randomized Controlled Trial to Promote Active Commuting to Work: Process Evaluation, Behavioral Impacts, and Changes in the Use and Quality of Walking and Cycling Paths. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16091661. [PMID: 31086071 PMCID: PMC6540220 DOI: 10.3390/ijerph16091661] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 05/08/2019] [Accepted: 05/09/2019] [Indexed: 11/16/2022]
Abstract
Active commuting to work (ACW) has beneficial effects on health, traffic, and climate. However, more robust evidence is needed on how to promote ACW. This paper reports the findings of a multilevel natural experiment with a randomized controlled trial in 16 Finnish workplaces. In Phase 1, 11 workplaces (1823 employees) from Area 1 were exposed to environmental improvements in walking and cycling paths. In Phase 2, five more workplaces (826 employees) were recruited from Area 2 and all workplaces were randomized into experimental group (EXP) promoting ACW with social and behavioral strategies and comparison group (COM) participating only in data collection. Process and impact evaluation with questionnaires, travel diaries, accelerometers, traffic calculations, and auditing were conducted. Statistics included Wilcoxon Signed Ranks Test, Mann-Whitney U-test, and after-before differences with 95% confidence intervals (95% CI). After Phase 1, positive change was seen in the self-reported number of days, which the employees intended to cycle part of their journey to work in the following week (p = 0.001). After Phase 2, intervention effect was observed in the proportion of employees, who reported willingness to increase walking (8.7%; 95% CI 1.8 to 15.6) and cycling (5.5%; 2.2 to 8.8) and opportunity to cycle part of their journey to work (5.9%; 2.1 to 9.7). To conclude, the intervention facilitated employees’ motivation for ACW, which is the first step towards behavior change.
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Affiliation(s)
- Minna Aittasalo
- UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland.
| | - Johanna Tiilikainen
- UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland.
| | - Kari Tokola
- UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland.
| | - Jaana Suni
- UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland.
| | - Harri Sievänen
- UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland.
| | - Henri Vähä-Ypyä
- UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland.
| | - Tommi Vasankari
- UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland.
| | - Timo Seimelä
- Department of Transport and Streets, City of Tampere, Frenckellinaukio 2, PL 487, 33101 Tampere, Finland.
| | - Pasi Metsäpuro
- Department of Mobility and Transport, WSP Finland Ltd., Kelloportinkatu 1 D, 33100 Tampere, Finland.
| | - Charlie Foster
- Centre for Exercise Nutrition and Health Sciences, School for Policy Studies, Faculty of Social Sciences and Law, University of Bristol, 8 Priory Road, Bristol BS81TZ, UK.
| | - Sylvia Titze
- Institute of Sport Science, University of Graz, Mozartgasse 14, 8010 Graz, Austria.
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Iwińska K, Blicharska M, Pierotti L, Tainio M, de Nazelle A. Cycling in Warsaw, Poland - Perceived enablers and barriers according to cyclists and non-cyclists. TRANSPORTATION RESEARCH. PART A, POLICY AND PRACTICE 2018; 113:291-301. [PMID: 30008521 PMCID: PMC6039858 DOI: 10.1016/j.tra.2018.04.014] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Revised: 01/31/2018] [Accepted: 04/18/2018] [Indexed: 06/08/2023]
Abstract
Cycling in urban environments provides many benefits to people. However, planning of cycling infrastructures in large cities faces numerous challenges and requires better understanding of both the factors enabling cycling as well as barriers to it, determined by particular local context. While there is a growing body of research that tackle the bike transport related questions in Western Europe and the USA, there is relatively little research on that in Central Eastern Europe (CEE), in post-communist countries. In this study we used qualitative and quantitative methods to explore urban cyclists and non-cyclists opinions about the cycling, the perceived problems and obstacles, and perception of the on-going changes in bicycle transportation system in Warsaw, Poland. Although many people see potential advantages of cycling, it is mostly perceived as a leisure time activity. Those who do utilitarian cycling are more acutely aware of the benefits, such as rapidity and flexibility of this mean of transport. The main perceived barriers are linked to lack of good cycling infrastructure in the city, the feeling of insecurity linked to the behaviour of drivers, and to maintenance during winter. In conclusion, our research highlights both the opportunities and challenges linked to the development of improved cycle transportation system, suggesting the need for a range of policies, from the infrastructure improvements and comprehensive planning of the whole transportation system, to improving the driving culture that would support feeling of security of the cyclists.
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Affiliation(s)
| | - Malgorzata Blicharska
- Natural Resources and Sustainable Development, Department of Earth Sciences, Uppsala University, Villavägen 16, 75 236 Uppsala, Sweden
| | - Livia Pierotti
- Centre for Environmental Policy, Imperial College London, 13 G7 Princes Gardens, London SW7 1NA, UK
| | - Marko Tainio
- UKCRC Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
- Systems Research Institute, Polish Academy of Sciences, ul. Newelska 6, 01-447 Warsaw, Poland
| | - Audrey de Nazelle
- Centre for Environmental Policy, Imperial College London, 13 G7 Princes Gardens, London SW7 1NA, UK
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Monzon A, Bayart C. Workshop Synthesis: Web-based surveys, new insight to address main challenges. ACTA ACUST UNITED AC 2018. [DOI: 10.1016/j.trpro.2018.10.030] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Socio-Ecological Intervention to Promote Active Commuting to Work: Protocol and Baseline Findings of a Cluster Randomized Controlled Trial in Finland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017. [PMCID: PMC5664758 DOI: 10.3390/ijerph14101257] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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