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Research Theme: Safety & Health & Wellbeing

Scholarship on supporting human safety, health and well-being, from the individual, to built environment industries, to the region

Let’s Be Clear-Health Impact Assessments or Assessing Health Impacts?

Kim, J., Dannenberg, A., Haigh, F., & Harris-Roxas, B. (2024). Let’s Be Clear—Health Impact Assessments or Assessing Health Impacts? Public Health Reviews, 45, 1607722-. https://doi.org/10.3389/phrs.2024.1607722

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Abstract

The article discusses the distinction between studies that assess health impacts and those that are specifically associated with health impact assessments (HIAs). It highlights the misuse of the term HIA in scholarly literature, where studies that evaluate health impacts are often labeled as HIAs. The authors emphasize that HIAs are intended to support decision-making and provide recommendations, rather than simply describing or evaluating health impacts. They suggest the need for better documentation of HIA recommendations and their impacts, as well as the development of reporting guidelines for academic HIA literature.

Keywords

decision making; health impact assessment; health risk assessment; policy recommendations; stakeholder engagement

Key performance indicators for hospital planning and construction: a systematic review and meta-analysis

Liu, W., Chan, A.P.C., Chan, M.W., Darko, A. and Oppong, G.D. (2024), “Key performance indicators for hospital planning and construction: a systematic review and meta-analysis”, Engineering, Construction and Architectural Management, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/ECAM-10-2023-1060

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Abstract

Purpose
The successful implementation of hospital projects (HPs) tends to confront sundry challenges in the planning and construction (P&C) phases due to their complexity and particularity. Employing key performance indicators (KPIs) facilitates the monitoring of HPs to advance their successful delivery. This study aims to comprehensively investigate the KPIs for hospital planning and construction (HPC).

Design/methodology/approach
The KPIs for HPC were identified through a systematic review. Then a comprehensive assessment of these KPIs was performed utilizing a meta-analysis method. In this process, basic statistical analysis, subgroup analysis, sensitive analysis and publication bias analysis were performed.

Findings
Results indicate that all 27 KPIs identified from the literature are significant for executing HPs in P&C phases. Also, some unconventional performance indicators are crucial for implementing HPs, such as “Project monitoring effectiveness” and “Industry innovation and synergy,” as their high significance is reflected in this study. Despite the fact that the findings of meta-analysis are more trustworthy than those of individual studies, a high heterogeneity still exists in the findings. It highlights the inherent uncertainty in the construction industry. Hence, this study applied subgroup analysis to explore the underlying factors causing the high level of heterogeneity and used sensitive analysis to assess the robustness of the findings.

Originality/value
There is no consensus among the prior studies on KPIs for HPC specifically and their degree of significance. Additionally, few reviews in this field have focused on the reliability of the results. This study comprehensively assesses the KPIs for HPC and explores the variability and robustness of the results, which provides a multi-dimensional perspective for practitioners and the research community to investigate the performance of HPs during the P&C stages.

Keywords

Key performance indicators; hospital projects; planning and construction; systematic review; meta-analysis; project monitoring effectiveness; industry innovation and synergy

Post-pandemic transit commute: Lessons from focus group discussions on the experience of essential workers during COVID-19

Ashour, L. A., Shen, Q., Moudon, A., Cai, M., Wang, Y., & Brown, M. (2024). Post-pandemic transit commute: Lessons from focus group discussions on the experience of essential workers during COVID-19. Journal of Transport Geography, 116. https://doi.org/10.1016/j.jtrangeo.2024.103832

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Abstract

Public transit services, which provide a critical lifeline for many essential workers, were severely interrupted during the COVID-19 pandemic. As institutions gradually return to normal in-person operations, it is critical to understand how the pandemic affected essential workers' commute and what it will take to ensure the effective recovery of transit ridership and enhance the long-term resiliency and equity of public transportation systems for those who need it the most. This study used focus group discussions with essential workers who were pre-pandemic transit riders to understand how the COVID-19 pandemic has impacted their commute perceptions, experiences, motives, and challenges and explore the potential changes in their travel behavior post-pandemic. We used NVivo 12 Pro to conduct a thematic analysis of the transcripted discussion data and examined patterns of commute mode change with respect to participants' attributes, including job type, home location, and gender. The results show that public transit had multiple reliability and frequency challenges during the pandemic, which resulted in most participants switching away from public transportation. With the increased availability of hybrid remote work and pandemic-related parking policies, driving emerged as a safer and more affordable commute mode for many pre-pandemic transit riders, rendering transit services less efficient for those who continued to rely on it. Planning for post-COVID resilient and reliable mobility requires a major rethinking of providing an efficient and effective transport system and a more fundamental approach to long-term public transport policy. To recover transit ridership, transit agencies need to ensure transit service availability and provide reliable transit information through smartphone apps. Similarly, transit agencies need to coordinate with other employers to provide free or heavily subsidized transit passes, to facilitate the recovery of transit demand effectively.

Keywords

Essential workers; Commute; Public transit; Focus group discussions; COVID-19 pandemic; Post-pandemic

Health and wellbeing impacts of housing converted from non-residential buildings: A mixed-methods exploratory study in London, UK

Pineo, H., Clifford, B., Eyre, M., & Aldridge, R. W. (2024). Health and wellbeing impacts of housing converted from non-residential buildings: A mixed-methods exploratory study in London, UK. Wellbeing, Space and Society, 6, 100192-. https://doi.org/10.1016/j.wss.2024.100192

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Abstract

Housing quality is a determinant of health, wellbeing and inequities. Since 2013, changes to Permitted Development Rights (PDR) allow conversions of non-residential buildings into housing without planning permission in England. We explored the potential health and wellbeing impacts of such ‘PDR housing’ through an online survey and semi-structured interviews in four London boroughs. We found an association between low wellbeing and lack of residential space and accommodation cooling options, fewer local amenities and lower perceived safety. Participants highlighted problems with windows and outdoor space. Poor quality PDR conversions may pose health and wellbeing risks that could be avoided through regulation and enforcement.

Keywords

Housing; Wellbeing; Health; Non-residential conversions; England; Socio-ecological; Adaptive reuse; Urban planning

Magdalena Haakenstad

Magdalena Haakenstad, Postdoctoral Scholar in Urban Planning for Health in the University of Washington Department of Urban Design and Planning in Seattle, Washington, USA. She is a cultural anthropologist interested in environmental health, means and strategies of political negotiation, visual communication in public space, and decolonizing methodologies. As a part of her research, she had an opportunity to work with historically marginalized communities in Mexico, the US and Slovakia on public art projects, storytelling, photo essays, and filmmaking to help amplify their voices. She holds a PhD in General Anthropology from Charles University in Prague, Czech Republic.

Association between property investments and crime on commercial and residential streets: Implications for maximizing public safety benefits

Walter, R. J., Acolin, A., & Tillyer, M. S. (2024). Association between property investments and crime on commercial and residential streets: Implications for maximizing public safety benefits. SSM – Population Health, 25, 101537–101537. https://doi.org/10.1016/j.ssmph.2023.101537.

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Abstract

Physical property investments enhance public safety in communities while alleviating the need for criminal justice system responses. Policy makers and local government officials must allocate scare resources for community and economic development activities. Understanding where physical property investments have the greatest crime reducing benefits can inform decision making to maximize economic, safety, and health outcomes. This study uses Spatial Durbin models with street segment and census tract by year fixed effects to examine the impact of physical property investments on changes in property and violent crime over an 11-year period (2008-2018) in six large U.S. cities. The units of analysis are commercial and residential street segments. Street segments are classified into low, medium, and high crime terciles defined by initial crime levels (2008-2010). Difference of coefficients tests identify significant differences in building permit effects across crime terciles. The findings reveal there is a significant negative relationship between physical property investments and changes in property and violent crime on commercial and residential street segments in all cities. Investments have the greatest public safety benefit where initial crime levels are the highest. The decrease in violent crime is larger on commercial street segments, while the decrease in property crime is larger on residential street segments. Targeting the highest crime street segments (i.e., 90th percentile) for property improvements will maximize public safety benefits.

Keywords

Violent and property crime; Public safety; Physical property investments

Allocating Safety Cost using in Construction Site

Kim, S., & Kim, Y. (2023). Allocating Safety Cost using in Construction Site. Tehnički Glasnik, 17(4), 594–597. https://doi.org/10.31803/tg-20230104151203

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Abstract

Environments, Health, and Safety (EHS) activities are strongly linked to the concept of sustainability in the current construction industry and consequently absorb more financial and managerial attention. One of major obstacles in EHS costing is that most EHS costs are buried in general overhead costs. Therefore, EHS costs lacks transparency, making it hard to allocate EHS costs to relevant construction projects. This paper present a recent study in which a method of activity-based costing (ABC) has been applied to safety costs at a contractor's home office. The list of safety activities, their cost drivers as well as their cost information on one of Korean general contractor is provided. The authors expect that the application of ABC will improve transparency in costing EHS costs as well as allocating EHS costs to projects.

Keywords

budget; safety accident; safety management; safety law

Examining commute mode choice of essential workers before and during the COVID-19 pandemic – A case study of the University of Washington

Cai, M., Shen, Q., Wang, Y., Brown, M., Ban, X., & Ashour, L. A. (2024). Examining commute mode choice of essential workers before and during the COVID-19 pandemic – A case study of the University of Washington. Case Studies on Transport Policy, 15, 101129-. https://doi.org/10.1016/j.cstp.2023.101129

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Abstract

During disruptive events and major crises such as the COVID-19 pandemic, essential workers, defined in this study as employees who must continue to make frequent commute trips, play a critical role in maintaining the basic function of society. It is therefore vital for transportation planners and policymakers to ensure that adequate mobility services are provided to meet the travel needs of this group of workers. To better understand essential workers' mobility barriers and inform future transportation policy, this research examines their pre-and during-pandemic commutes, as well as prospects on future commuting, using data from the Transportation Needs Assessment Survey conducted by the University of Washington in Seattle. The results show that, first, over 60% of pre-pandemic public transit riders switched to other modes, especially driving alone. In contrast, almost all the essential workers who drove alone, biked, or walked before the pandemic continued to do so during the pandemic. Second, the shift to driving alone was most pronounced among essential workers with high incomes, whereas public transit remained as a primary mode choice of lower-income groups. As travel distance increased, the probability of driving alone over public transit also went up, although the relationship was not linear. We did not find consistently significant associations between mode choice and other sociodemographic variables. Finally, our analysis indicated that most essential workers anticipated to return to their pre-pandemic commute frequency and mode choice when the pandemic is under control. Transportation planners and policymakers can facilitate mobility for essential workers through planning and policy innovations, especially during disruptive events and major crises.

Keywords

Essential workers; Transportation equity; Mode choice; Commuting; COVID-19

Other Spaces of Quarantine

Lozanovska, M., Pieris, A., Haghighi, F., Taylor, W. M., Hou, J., Smitheram, J., & Chee, L. (2020). Other Spaces of Quarantine. Fabrications : The Journal of the Society of Architectural Historians, Australia and New Zealand, 30(3), 416–429. https://doi.org/10.1080/10331867.2020.1857609

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