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Behavioral Response in the Immediate Aftermath of Shaking: Earthquakes in Christchurch and Wellington, New Zealand, and Hitachi, Japan

Jon, Ihnji; Lindell, Michael K.; Prater, Carla S.; Huang, Shih-kai; Wu, Hao-che; Johnston, David M.; Becker, Julia S.; Shiroshita, Hideyuki; Doyle, Emma E. H.; Potter, Sally H.; Mcclure, John; Lambie, Emily. (2016). Behavioral Response in the Immediate Aftermath of Shaking: Earthquakes in Christchurch and Wellington, New Zealand, and Hitachi, Japan. International Journal Of Environmental Research And Public Health, 13(11).

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Abstract

This study examines people's response actions in the first 30 min after shaking stopped following earthquakes in Christchurch and Wellington, New Zealand, and Hitachi, Japan. Data collected from 257 respondents in Christchurch, 332 respondents in Hitachi, and 204 respondents in Wellington revealed notable similarities in some response actions immediately after the shaking stopped. In all four events, people were most likely to contact family members and seek additional information about the situation. However, there were notable differences among events in the frequency of resuming previous activities. Actions taken in the first 30 mins were weakly related to: demographic variables, earthquake experience, contextual variables, and actions taken during the shaking, but were significantly related to perceived shaking intensity, risk perception and affective responses to the shaking, and damage/infrastructure disruption. These results have important implications for future research and practice because they identify promising avenues for emergency managers to communicate seismic risks and appropriate responses to risk area populations.

Keywords

Adjustment; Hazard; Model; Earthquakes; Post-impact Response Actions; Risk Perception

Comparing Travel Mode and Trip Chain Choices Between Holidays and Weekdays

Yang, Liya; Shen, Qing; Li, Zhibin. (2016). Comparing Travel Mode and Trip Chain Choices Between Holidays and Weekdays. Transportation Research Part A: Policy & Practice, 91, 273 – 285.

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Abstract

Choices of travel mode and trip chain as well as their interplays have long drawn the interests of researchers. However, few studies have examined the differences in the travel behaviors between holidays and weekdays. This paper compares the choice of travel mode and trip chain between holidays and weekdays tours using travel survey data from Beijing, China. Nested Logit (NL) models with alternative nesting structures are estimated to analyze the decision process of travelers. Results show that there are at least three differences between commuting-based tours on weekdays and non-commuting tours on holidays. First, the decision structures in weekday and holiday tours are opposite. In weekday tours people prefer to decide on trip chain pattern prior to choosing travel mode, whereas in holiday tours travel mode is chosen first. Second, holiday tours show stronger dependency on cars than weekday tours. Third, travelers on holidays are more sensitive to changes in tour time than to the changes in tour cost, while commuters on weekdays are more sensitive to tour cost. Findings are helpful for improving travel activity modeling and designing differential transportation system management strategies for weekdays and holidays. (C) 2016 Elsevier Ltd. All rights reserved.

Keywords

Choice Of Transportation; Transportation Management; Voyages & Travels; Travel Costs; Travel Time (traffic Engineering); Decision Structure; Nested Logit Model; Policy; Travel Behavior; Patterns; Behavior; Time

Understanding and Improving Arterial Roads to Support Public Health and Transportation Goals

McAndrews, Carolyn; Pollack, Keshia M.; Berrigan, David; Dannenberg, Andrew L.; Christopher, Ed J. (2017). Understanding and Improving Arterial Roads to Support Public Health and Transportation Goals. American Journal Of Public Health, 107(8), 1278 – 1282.

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Abstract

Arterials are types of roads designed to carry high volumes of motorized traffic. They are an integral part of transportation systems worldwide and exposure to them is ubiquitous, especially in urban areas. Arterials provide access to diverse commercial and cultural resources, which can positively influence community health by supporting social cohesion as well as economic and cultural opportunities. They can negatively influence health via safety issues, noise, air pollution, and lack of economic development. The aims of public health and transportation partially overlap; efforts to improve arterials can meet goals of both professions. Two trends in arterial design show promise. First, transportation professionals increasingly define the performance of arterials via metrics accounting for pedestrians, cyclists, transit riders, and nearby residents in addition to motor vehicle users. Second, applying traffic engineering and design can generate safety, air quality, and livability benefits, but we need evidence to support these interventions. We describe the importance of arterials (including exposures, health behaviors, effects on equity, and resulting health outcomes) and make the case For public health collaborations with the transportation sector.

Keywords

Arterial Roads; Public Health -- United States; Public Health -- Social Aspects; Road Construction; Transportation & Society; Health; Air Pollution; Social Cohesion; Influence; Physiological Effects Of Noise; Interprofessional Relations; Metropolitan Areas; Motor Vehicles; Public Health; Transportation; Low-birth-weight; Air-pollution; Land-use; Policy

Perceptions and Reactions to Tornado Warning Polygons: Would a Gradient Polygon Be Useful?

Jon, Ihnji; Huang, Shih-kai; Lindell, Michael K. (2018). Perceptions and Reactions to Tornado Warning Polygons: Would a Gradient Polygon Be Useful? International Journal Of Disaster Risk Reduction, 30, 132 – 144.

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Abstract

To better understand people's interpretations of National Weather Service's tornado warning polygons, 145 participants were shown 22 hypothetical scenarios in one of four displays-deterministic polygon, deterministic polygon + radar image, gradient polygon, and gradient polygon + radar image. Participants judged each polygon's numerical strike probability (p(s)) and reported the likelihood of taking seven different response actions. The deterministic polygon display produced p(s) that were highest at the polygon's centroid and declined in all directions from there. The deterministic polygon + radar display, the gradient polygon display, and the gradient polygon + radar display produced p(s) that were high at the polygon's centroid and also at its edge nearest the tornadic storm cell. Overall, p(s) values were negatively related to resuming normal activities, but positively correlated with expectations of resuming normal activities, seeking information from social sources, seeking shelter, and evacuating by car. These results replicate the finding that participants make more appropriate p(s) judgments when polygons are presented in their natural context of radar images than when the polygons are presented in isolation and that gradient displays appear to provide no appreciable benefit. The fact that p(s) judgments had moderately positive correlations with both sheltering (a generally appropriate response) and evacuation (a generally inappropriate response) provides experimental confirmation that people threatened by actual tornadoes are conflicted about which protective action to take.

Keywords

Protective Action; Uncertainty; Risk; Psychology; Casualties; Tornado Warning Polygons; Risk Perceptions; Protective Actions

Beyond the Bus Stop: Where Transit Users Walk

Eisenberg-Guyot, Jerzy; Moudon, Anne V.; Hurvitz, Philip M.; Mooney, Stephen J.; Whitlock, Kathryn B.; Saelens, Brian E. (2019). Beyond the Bus Stop: Where Transit Users Walk. Journal Of Transport & Health, 14.

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Abstract

Objectives: Extending the health benefits of public-transit investment requires understanding how transit use affects pedestrian activity, including pedestrian activity not directly temporally or spatially related to transit use. In this study, we identified where transit users walked on transit days compared with non-transit days within and beyond 400 m and 800 m buffers surrounding their home and work addresses. Methods: We used data collected from 2008 to 2013 in King County, Washington, from 221 non-physically-disabled adult transit users, who were equipped with an accelerometer, global positioning system (GPS), and travel diary. We assigned walking activity to the following buffer locations: less than and at least 400 m or 800 m from home, work, or home/work (the home and work buffers comprised the latter buffer). We used Poisson generalized estimating equations to estimate differences in minutes per day of total walking and minutes per day of non-transit-related walking on transit days compared with non-transit days in each location. Results: We found that durations of total walking and non-transit-related walking were greater on transit days than on non-transit days in all locations studied. When considering the home neighborhood in isolation, most of the greater duration of walking occurred beyond the home neighborhood at both 400 m and 800 m; results were similar when considering the work neighborhood in isolation. When considering the neighborhoods jointly (i.e., by using the home/work buffer), at 400 m, most of the greater duration of walking occurred beyond the home/work neighborhood. However, at 800 m, most of the greater duration of walking occurred within the home/work neighborhood. Conclusions: Transit days were associated with greater durations of total walking and non-transit related walking within and beyond the home and work neighborhoods. Accordingly, research, design, and policy strategies focused on transit use and pedestrian activity should consider locations outside the home and work neighborhoods, in addition to locations within them.

Keywords

Physical-activity; Public-transit; Accelerometer Data; Combining Gps; United-states; Travel; Transportation; Health; Time; Neighborhood

Measuring Delivery Route Cost Trade-Offs between Electric-Assist Cargo Bicycles and Delivery Trucks in Dense Urban Areas

Sheth, Manali; Butrina, Polina; Goodchild, Anne; McCormack, Edward. (2019). Measuring Delivery Route Cost Trade-Offs between Electric-Assist Cargo Bicycles and Delivery Trucks in Dense Urban Areas. European Transport Research Review, 11(1).

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Abstract

Introduction: Completing urban freight deliveries is increasingly a challenge in congested urban areas, particularly when delivery trucks are required to meet time windows. Depending on the route characteristics, Electric Assist (EA) cargo bicycles may serve as an economically viable alternative to delivery trucks. The purpose of this paper is to compare the delivery route cost trade-offs between box delivery trucks and EA cargo bicycles that have the same route and delivery characteristics, and to explore the question, under what conditions do EA cargo bikes perform at a lower cost than typical delivery trucks? Methods: The independent variables, constant variables, and assumptions used for the cost function comparison model were gathered through data collection and a literature review. A delivery route in Seattle was observed and used as the base case; the same route was then modelled using EA cargo bicycles. Four separate delivery scenarios were modeled to evaluate how the following independent route characteristics would impact delivery route cost - distance between a distribution center (DC) and a neighborhood, number of stops, distance between each stop, and number of parcels per stop. Results: The analysis shows that three of the four modeled route characteristics affect the cost trade-offs between delivery trucks and EA cargo bikes. EA cargo bikes are more cost effective than delivery trucks for deliveries in close proximity to the DC (less than 2 miles for the observed delivery route with 50 parcels per stop and less than 6 miles for the hypothetical delivery route with 10 parcels per stop) and at which there is a high density of residential units and low delivery volumes per stop. Conclusion: Delivery trucks are more cost effective for greater distances from the DC and for large volume deliveries to one stop.

Keywords

Transportation; Sustainable Transportation; Parcel Post; Tricycles; Warehouses; Metropolitan Areas; Cargo Bicycles; Cargo Bike; Delivery Modes; E-trike; Electric Assist Cargo Bicycle; Electric Tricycle; Green Transportation; Parcel Deliveries; Urban Deliveries; Urban Logistics

Rural Households’ Perceptions and Behavior Expectations in Response to Seismic Hazard in Sichuan, China

Hua, Chunlin; Huang, Shih-Kai; Lindell, Michael K.; Yu, Chin-Hsien. (2020). Rural Households’ Perceptions and Behavior Expectations in Response to Seismic Hazard in Sichuan, China. Safety Science, 125.

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Abstract

This study analyzed data from 663 rural households in the city of Jiangyou, Sichuan, China to examine the correlations of expectations of taking nine indoor seismic hazard response actions to a hypothetical earthquake with preparedness efforts, risk perceptions, and information reliance. The results indicate that respondents expect to rely on TV and local authorities as their principal sources of earthquake information. Respondents have greater expectations of infrastructure disruptions than property damage and casualties. In addition, they have greater expectations of taking some alternative actions, such as running outside of the building and helping others, than recommended in-place protective actions such as drop, cover, and hold. However, some erroneous actions, such as protecting property and ignoring the threat, are the least likely. Furthermore, regression analyses indicated that risk perceptions, together with some demographic characteristics and earthquake experience, are significant predictors of recommended in-place protective actions and helping others, whereas evacuation is related to higher risk perceptions. Unsurprisingly, respondents having previous seismic damage experience tend to be concerned about property protection and, similarly, those having fewer years of education are more likely to ignore the threat. This study also found that residents expect to rely on different channels to receive information before and after an earthquake. Nonetheless, respondents expect to engage in similar patterns of behavior during and after an earthquake. The results of this study indicate a need for greater dissemination of earthquake information in such rural areas to increase residents' risk perceptions and, in turn, understanding of appropriate emergency responses.

Keywords

Seismic Response; Risk Perception; Households; Sensory Perception; Property Damage; Sichuan Sheng (china); Information Reliance; Protective Actions; Risk Perceptions; Seismic Hazard; Climate-change; Hurricane Evacuation; Earthquake; Preparedness; Adjustment; Education; Injuries; Communication; Intentions

Use of Health Impact Assessments in the Housing Sector to Promote Health in the United States, 2002-2016

Bever, Emily; Arnold, Kimberly T.; Lindberg, Ruth; Dannenberg, Andrew L.; Morley, Rebecca; Breysse, Jill; Pollack Porter, Keshia M. (2021). Use of Health Impact Assessments in the Housing Sector to Promote Health in the United States, 2002-2016. Journal Of Housing And The Built Environment, 36(3), 1277 – 1297.

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Abstract

Housing affects health, yet health is seldom considered in housing decisions. Health impact assessment (HIA) is a tool that can improve housing-related policies, plans, programs, and projects by bringing together scientific data, health expertise, and stakeholder engagement to identify the potential health effects of proposed decisions. We systematically identified and reviewed HIAs of housing decisions in the United States, yielding 54 HIAs between 2002 and 2016. Two examined federal proposals; the others explored decisions in 20 states. A variety of organizations led the HIAs, including non-profits, public health departments, and academic institutions. The primary decision-makers each HIA sought to inform were housing, planning, and/or elected officials. Eighteen HIAs focused on housing policies, codes, design elements, and utilities in residential structures. The remaining 36 HIAs included housing as one element of broader community development and transportation planning decisions. HIA recommendations changed decisions in some cases, and the assessment process helped strengthen connections between public health and housing decision-makers. To illustrate key characteristics of housing HIAs, we purposefully selected three HIAs and described the decisions they informed in detail: off-campus student housing in Flagstaff, Arizona; a rental housing inspections program in Portland, Oregon; and revitalization plans for a major thoroughfare in a suburb of St. Louis, Missouri. With a few exceptions, federal, state, and local agencies in the U.S. are not required to consider the health impacts of housing decisions, such as where housing is sited, how it is designed and constructed, and policies for ensuring that it is affordable and safe. HIA has emerged as a tool for advocates, health and housing practitioners, and policymakers to fill this gap. However, few studies have examined whether HIAs do in fact change housing decisions, shift the way that decision-makers think, or ultimately shift determinants of health (e.g., housing affordability and quality). This review demonstrates that HIAs can facilitate the consideration of health during housing decision-making. Housing HIAs can also help decision-makers address commonly overlooked effects, such as changes to social cohesion, and improve civic participation by engaging communities in the decisionmaking process.

Keywords

0; Community Development; Decision-making; Healthy Housing; Health Impact Assessment; Housing Policy; Stakeholder Engagement; Health Promotion; Public Health; Exceptions; Impact Analysis; Nonprofit Organizations; Affordability; Suburban Areas; Profits; Housing; Policy Making; Transportation Planning; Decision Making; Rental Housing; Public Officials; Policies; Regeneration; Utilities; Social Cohesion; Inspections; Community Involvement; Decision Makers; Community Participation; United States--us

Professional Judgement in Clinical Practice (Part 1): Recovering Original, Moderate Evidence-Based Health Care

Mugerauer, Robert. (2021). Professional Judgement in Clinical Practice (Part 1): Recovering Original, Moderate Evidence-Based Health Care. Journal Of Evaluation In Clinical Practice, 27(3), 592 – 602.

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Abstract

Evidence-based medicine announced its entry as heralding a new paradigm in health care practices, but it has been widely criticized for lacking a coherent theoretical basis. This paper presents the first part of a three-article series examining the epistemological, practical, and ethical dimensions of strong EBM, as well as considering alternatives that promise potential solutions to chronic conceptual and practical problems. While the focus is on the details of the arguments and evidence in thoughtful debates over the last 30 years, it is worthwhile to keep in mind the overall trajectory of modern thought, because strong EBM continues discredited positivist positions, thus repeating its major assumptions and inadequacies, now transferred to the medical sphere and vocabulary. Part 1 of the series examines the development of strong EBM by clarifying and critiquing its somewhat discontinuous accounts of scientific knowledge and epistemology, evidence, the differences between statistical probability in regard to populations and understanding the health of individuals, and its claims for direct transfer of research findings to clinical settings-all of which raises more questions regarding its application to provider-patient decision making, pedagogy, and policy.

Keywords

Evidence-based Medicine; Theory Of Knowledge; Medical Ethics; Decision Making In Clinical Medicine; Policy Sciences; Clinical Practice; Epistemology; Ethics; Evidence; Evidence‚Äêbased Medicine; 2009 Cancer-control; Integrating Evidence; Decision-making; G. H.; Tonelli; Discourse; Knowledge; Ashcroft; Guyatt; Evidence‐ Based Medicine

Geographic Ecological Momentary Assessment Methods to Examine Spatio-temporal Exposures Associated with Marijuana Use Among Young Adults: A Pilot Study

Rhew, Isaac C.; Hurvitz, Philip M.; Lyles-riebli, Rose; Lee, Christine M. (2022). Geographic Ecological Momentary Assessment Methods to Examine Spatio-temporal Exposures Associated with Marijuana Use Among Young Adults: A Pilot Study. Spatial And Spatio-temporal Epidemiology, 41.

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Abstract

Background: This study demonstrates the use of geographic ecological momentary assessment (GEMA) methods among young adult marijuana users. Method: Participants were 14 current marijuana users ages 21-27 living in Greater Seattle, Washington. They completed brief surveys four times per day for 14 consecutive days, including measures of marijuana use and desire to use. They also carried a GPS data logger that tracked their spatial movements over time. Results: Participants completed 80.1% of possible EMA surveys. Using the GPS data, we calculated daily number of exposures to (i.e., within 100-m of) marijuana retail outlets (mean = 3.9 times per day; SD = 4.4) and time spent per day in high poverty census tracts (mean = 7.3 h per day in high poverty census tracts; SD = 5.1). Conclusions: GEMA may be a promising approach for studying the role spatio-temporal factors play in marijuana use and related factors.

Keywords

Geographic Ecological Momentary Assessment; Spatio-temporal Factors; Marijuana; Young Adults; Geographic Information System; Poverty; Substance Use; Alcohol; Tracking