Muni, Kennedy; Kobusingye, Olive; Mock, Charlie; Hughes, James P.; Hurvitz, Philip M.; Guthrie, Brandon. (2019). Motorcycle Taxi Programme is Associated with Reduced Risk of Road Traffic Crash among Motorcycle Taxi Drivers in Kampala, Uganda. International Journal Of Injury Control & Safety Promotion, 26(3), 294 – 301.
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Abstract
SafeBoda is a transportation company that provides road safety training and helmets to its motorcycle taxi drivers in Kampala. We sought to determine whether risk of road traffic crash (RTC) was lower in SafeBoda compared to regular (non-SafeBoda) motorcycle taxi drivers during a 6-month follow-up period. We collected participant demographic and behavioural data at baseline using computer-assisted personal interview, and occurrence of RTC every 2 months using text messaging and telephone interview from a cohort of 342 drivers. There were 85 crashes (31 in SafeBoda and 54 in regular drivers) during follow-up. Over the 6-month follow-up period, SafeBoda drivers were 39% less likely to be involved in a RTC than regular drivers after adjusting for age, possession of a driver's license, and education (RR: 0.61, 95% CI: 0.39-0.97, p = .04). These findings suggest that the SafeBoda programme results in safer driving and fewer RTCs among motorcycle taxi drivers in Kampala.
Keywords
Motorcyclists; Motorcycle Helmets; Text Messages; Telephone Interviewing; Motorcycles; Kampala (uganda); Uganda; Boda-boda; Crash; Injury; Road Safety; Injuries; Burden; Riders; Kenya; Traffic Accidents; Transportation; Risk Management; Crashes; Demographics; Transportation Safety; Short Message Service; Traffic; Traffic Accidents & Safety; Roads; Risk Reduction; Taxicabs; Protective Equipment; Drivers Licenses; Kampala Uganda
Jones-Smith, Jessica C.; Walkinshaw, Lina Pinero; Oddo, Vanessa M.; Knox, Melissa; Neuhouser, Marian L.; Hurvitz, Philip M.; Saelens, Brian E.; Chan, Nadine. (2020). Impact of a Sweetened Beverage Tax on Beverage Prices in Seattle, WA. Economics & Human Biology, 39.
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Abstract
Seattle's Sweetened Beverage Tax is an excise tax of 1.75 cents per ounce on sugar-sweetened beverages and is one of the highest beverage taxes in the U.S. This study examined the impact of Seattle's tax on the prices of beverages. We conducted audits of 407 retail food stores and eating places (quick service restaurants and coffee shops) before and 6 months after the tax was implemented in Seattle and in a comparison area. Ordinary least squares difference-in-differences models with store fixed effects were used to estimate the effect of the tax on prices, stratified by beverage type and store type. In secondary analyses, we assessed the effect of the tax on the price of non-taxed beverages and foods. Results from the adjusted difference-in-differences models indicated the tax was associated with an average increase of 1.58 cents per ounce among Seattle retailers, representing 90 % of the price of the tax. By store type, price increases were highest in smaller grocery stores and drug stores. By beverage type, price increases were highest for energy beverages and soda and lowest for bottled coffee and juice drinks. Prices of some nontaxed beverages also increased while the prices of select healthy foods generally did not. The sweetened beverage tax in Seattle is higher than beverage taxes in most other cities, and nearly the full cost of the tax is being passed through to consumers for many beverage types and stores types. (c) 2020 Published by Elsevier B.V.
Keywords
Soda Taxes; Food Policy; Health Policy; Beverage Taxes; Obesity
Altenberg Vaz, Nathan; Inanici, Mehlika. (2021). Syncing with the Sky: Daylight-Driven Circadian Lighting Design. Leukos, 17(3), 291 – 309.
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Abstract
The use of daylight in the built environment is often preferred to artificial light sources as its successful application can provide visual comfort and satisfaction along with the potential for significant energy savings. Exposure to daylight is also the primary source for stimulus that establishes a healthy day/night cycle in all living organisms. This is known as circadian rhythm. Newly discovered photoreceptors (intrinsically photosensitive retinal ganglion cells - ipRGC) within the mammalian eye, including humans, are specifically linked to the portion of the brain responsible for maintaining a healthy circadian rhythm. This discovery has led to a new subject area in the field of lighting design focused on controlling the spectrum of light that these photoreceptors are sensitive to. Currently, work in the field of circadian lighting design is concentrated on the use of artificial light sources for circadian stimulus. This is largely due to the advent of the widespread use of LED technology, which has proven that it can be a significant source of light that can delay or advance the circadian clock. The use of daylight to provide circadian stimulus has been a given in this field of design, however, there has not been very much research into how the built environment affects our ability to effectively receive this stimulus from daylight. In this research, the groundwork is established to start to create a set of guidelines to help architects and designers maximize the potential for daylight to provide circadian stimulus at the earliest stages of a project. This is accomplished through a series of lighting simulations that explore and test various architectural parameters that affect daylight-driven circadian lighting, with simultaneous consideration given to photopic lighting availability and visual comfort. The architectural parameters tested in this study included window head height, building orientation, shading devices, visual obstructions to the sky, and room depth. The results show that informed design decisions could maximize circadian potential in a given space, while achieving visually satisfactory luminous environments.
Keywords
Action Spectrum; Melanopsin; Environments; Sensitivity; Framework; Stimulus; Rod; Circadian Lighting; Daylight; Lighting Simulation; Alfa
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
Shim, Yukyung; Jeong, Jaemin; Jeong, Jaewook; Lee, Jaehyun; Kim, Yongwoo. (2022). Comparative Analysis of the National Fatality Rate in Construction Industry Using Time-series Approach and Equivalent Evaluation Conditions. International Journal Of Environmental Research And Public Health, 19(4).
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Abstract
Fatality rates such as fatalities per full-time equivalent workers are officially used to compare the risk level of the construction industry among various countries. However, each country evaluates the fatality rate using different conditions. This paper presents the comparison of fatality rates of various countries using conventional (national data) and pair (equivalent condition) methods through a time-series approach. The research was conducted in three stages. The risk level was evaluated in order in South Korea (1.54), Japan (0.84), Mexico (0.83), China (0.70), United Kingdom (0.15), and Singapore (0.13) in terms of national data. However, the risk level was re-evaluated in order in China (2.27), South Korea (2.05), Mexico (1.23), Singapore (0.98), Japan (0.80), and United Kingdom (0.47) in terms of equivalent conditions. The risk level of each can be changed when the fatality rate is compared under given equivalent conditions.
Keywords
Fatality Rate; Risk Level; Full-time Equivalent Workers; Equivalent Evaluation Conditions; Time-series Analysis; Occupational Accidents; United-states; Injuries; Korea; Work; Comparative Analysis; Equivalence; Manual Workers; Risk Levels; Construction Industry; Fatalities; Risk Assessment; Safety Management; Industrial Accidents; Environmental Protection; Time Series; Accident Investigations; United Kingdom--uk; South Korea; Mexico; United States--us; Singapore; China; Japan
Aggarwal, Anju; Cook, Andrea J.; Jiao, Junfeng; Seguin, Rebecca A.; Moudon, Anne Vernez; Hurvitz, Philip M.; Drewnowski, Adam. (2014). Access to Supermarkets and Fruit and Vegetable Consumption. American Journal Of Public Health, 104(5), 917 – 923.
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Abstract
Objectives. We examined whether supermarket choice, conceptualized as a proxy for underlying personal factors, would better predict access to supermarkets and fruit and vegetable consumption than mere physical proximity. Methods. The Seattle Obesity Study geocoded respondents' home addresses and locations of their primary supermarkets. Primary supermarkets were stratified into low, medium, and high cost according to the market basket cost of 100 foods. Data on fruit and vegetable consumption were obtained during telephone surveys. Linear regressions examined associations between physical proximity to primary supermarkets, supermarket choice, and fruit and vegetable consumption. Descriptive analyses examined whether supermarket choice outweighed physical proximity among lower-income and vulnerable groups. Results. Only one third of the respondents shopped at their nearest supermarket for their primary food supply. Those who shopped at low-cost supermarkets were more likely to travel beyond their nearest supermarket. Fruit and vegetable consumption was not associated with physical distance but, with supermarket choice, after adjusting for covariates. Conclusions. Mere physical distance may not be the most salient variable to reflect access to supermarkets, particularly among those who shop by car. Studies on food environments need to focus beyond neighborhood geographic boundaries to capture actual food shopping behaviors.
Keywords
Confidence Intervals; Correlation (statistics); Fruit; Geographic Information Systems; Ingestion; Multivariate Analysis; Population Geography; Questionnaires; Regression Analysis; Research Funding; Sales Personnel; Shopping; Travel; Vegetables; Predictive Validity; Cross-sectional Method; Statistical Models; Descriptive Statistics; Null Hypothesis; Washington (state); Local Food Environment; Diet Quality; Socioeconomic Position; Atherosclerosis Risk; Stores; Associations; Obesity; Adults; Availability; Communities
Stewart, Orion; Moudon, Anne Vernez; Claybrooke, Charlotte. (2014). Multistate Evaluation of Safe Routes to School Programs. American Journal Of Health Promotion, 28, S89 – S96.
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Abstract
Purpose. State Safe Routes to School (SRTS) programs provide competitive grants to local projects that support safe walking, bicycling, and other modes of active school travel (AST). This study assessed changes in rates of AST after implementation of SRTS projects at multiple sites across four states. Design. One-group pretest and posttest. Setting. Florida, Mississippi, Washington, and Wisconsin. Subjects. Convenience sample of 48 completed SRTS projects and 53 schools affected by a completed SRTS project. Intervention. State-funded SRTS project. Measures. AST was measured as the percentage of students walking, bicycling, or using any AST mode. SRTS project characteristics were measured at the project, school, and school neighborhood levels. Analysis. Paired-samples t-tests were used to assess changes in AST. Bivariate analysis was used to identify SRTS project characteristics associated with increases in AST. Data were analyzed separately at the project (n = 48) and school (n = 53) levels. Results. Statistically significant increases in AST were observed across projects in all four states. All AST modes increased from 12.9% to 17.6%; walking from 9.8% to 14.2%; and bicycling from 2.5% to 3.0%. Increases in rates of bicycling were negatively correlated with baseline rates of bicycling. Conclusion. State-funded SRTS projects are achieving one of the primary program goals of increasing rates of AST. They may be particularly effective at introducing bicycling to communities where it is rare. The evaluation framework introduced in this study can be used to continue tracking the effect of state SRTS programs as more projects are completed.
Keywords
Transportation Of School Children; Physical Activity Measurement; Health Promotion; Cycling; Walking; School Children -- United States; Bicycling; Children; Commuting; Health Focus: Fitness/physical Activity; Manuscript Format: Research; Outcome Measure: Behavioral; Prevention Research; Research Purpose: Program Evaluation; Schools; Setting: School; Strategy: Skill Building/behavior Change, Built Environment; Study Design: Quasi-experimental; Target Population Age: Youth; Target Population Circumstances: Geographic Location; Physical-activity; Mental-health; Travel; Association; Validity; Mode; Bus
Drewnowski, Adam; Aggarwal, Anju; Tang, Wesley; Hurvitz, Philip M.; Scully, Jason; Stewart, Orion; Moudon, Anne Vernez. (2016). Obesity, Diet Quality, Physical Activity, and the Built Environment: The Need for Behavioral Pathways. BMC Public Health, 16.
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Abstract
Background: The built environment ( BE) is said to influence local obesity rates. Few studies have explored causal pathways between home-neighborhood BE variables and health outcomes such as obesity. Such pathways are likely to involve both physical activity and diet. Methods: The Seattle Obesity Study ( SOS II) was a longitudinal cohort of 440 adult residents of King Co, WA. Home addresses were geocoded. Home-neighborhood BE measures were framed as counts and densities of food sources and physical activity locations. Tax parcel property values were obtained from County tax assessor. Healthy Eating Index ( HEI 2010) scores were constructed using data from food frequency questionnaires. Physical activity ( PA) was obtained by self-report. Weights and heights were measured at baseline and following 12 months' exposure. Multivariable regressions examined the associations among BE measures at baseline, health behaviors ( HEI-2010 and physical activity) at baseline, and health outcome both cross-sectionally and longitudinally. Results: None of the conventional neighborhood BE metrics were associated either with diet quality, or with meeting PA guidelines. Only higher property values did predict better diets and more physical activity. Better diets and more physical activity were associated with lower obesity prevalence at baseline and 12 mo, but did not predict weight change. Conclusion: Any links between the BE and health outcomes critically depend on establishing appropriate behavioral pathways. In this study, home-centric BE measures, were not related to physical activity or to diet. Further studies will need to consider a broader range of BE attributes that may be related to diets and health.
Keywords
Body-mass Index; Local Food Environment; Residential Property-values; Supermarket Accessibility; Park Proximity; Neighborhood Walkability; Vegetable Consumption; Atherosclerosis Risk; Restaurant Food; Associations; Built Environment; Physical Activity; Obesity; Diet Quality
Chaix, Basile; Duncan, Dustin; Vallee, Julie; Vernez-moudon, Anne; Benmarhnia, Tarik; Kestens, Yan. (2017). The Residential Effect Fallacy in Neighborhood and Health Studies Formal Definition, Empirical Identification, and Correction. Epidemiology, 28(6), 789 – 797.
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Abstract
Background: Because of confounding from the urban/rural and socioeconomic organizations of territories and resulting correlation between residential and nonresidential exposures, classically estimated residential neighborhood-outcome associations capture nonresidential environment effects, overestimating residential intervention effects. Our study diagnosed and corrected this residential effect fallacy bias applicable to a large fraction of neighborhood and health studies. Methods: Our empirical application investigated the effect that hypothetical interventions raising the residential number of services would have on the probability that a trip is walked. Using global positioning systems tracking and mobility surveys over 7 days (227 participants and 7440 trips), we employed a multilevel linear probability model to estimate the trip-level association between residential number of services and walking to derive a naive intervention effect estimate and a corrected model accounting for numbers of services at the residence, trip origin, and trip destination to determine a corrected intervention effect estimate (true effect conditional on assumptions). Results: There was a strong correlation in service densities between the residential neighborhood and nonresidential places. From the naive model, hypothetical interventions raising the residential number of services to 200, 500, and 1000 were associated with an increase by 0.020, 0.055, and 0.109 of the probability of walking in the intervention groups. Corrected estimates were of 0.007, 0.019, and 0.039. Thus, naive estimates were overestimated by multiplicative factors of 3.0, 2.9, and 2.8. Conclusions: Commonly estimated residential intervention-outcome associations substantially overestimate true effects. Our somewhat paradoxical conclusion is that to estimate residential effects, investigators critically need information on nonresidential places visited.
Keywords
Self-rated Health; Record Cohort; Physical-activity; Transportation Modes; Built Environment; Activity Spaces; Research Agenda; Risk-factors; Associations; Exposure
Chen, Peng; Sun, Feiyang; Wang, Zhenbo; Gao, Xu; Jiao, Junfeng; Tao, Zhimin. (2018). Built Environment Effects on Bike Crash Frequency and Risk in Beijing. Journal Of Safety Research, 64, 135 – 143.
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Abstract
Introduction: Building a safe biking environment is crucial to encouraging bicycle use. In developed areas with higher density and more mixed land use, the built environment factors that pose a crash risk may vary. This study investigates the connection between biking risk factors and the compact built environment, using data for Beijing. Method: In the context of China, this paper seeks to answer two research questions. First, what types of built environment factors are correlated with bike-automobile crash frequency and risk? Second, how do risk factors vary across different types of bikes? Poisson lognormal random effects models are employed to examine how land use and roadway design factors are associated with the bike-automobile crashes. Results: The main findings are: (1) bike-automobile crashes are more likely to occur in densely developed areas, which is characterized by higher population density, more mixed land use, denser roads and junctions, and more parking lots; (2) areas with greater ground transit are correlated with more bike-automobile crashes and higher risks of involving in collisions; (3) the percentages of wider streets show negative associations with bike crash frequency; (4) built environment factors cannot help explain factors contributing to motorcycle-automobile crashes. Practical Applications: In China's dense urban context, important policy implications for bicycle safety improvement drawn from this study include: prioritizing safety programs in urban centers, applying safety improvements to areas with more ground transit, placing bike-automobile crash countermeasures at road junctions, and improving bicycle safety on narrower streets. (C) 2018 National Safety Council and Elsevier Ltd. All rights
Keywords
Motorcycling Accidents; Built Environment; Motorcycling; Poisson Distribution; Safety; Beijing (china); Bike-automobile Crash; Frequency; Poisson Lognormal Random Effects Model; Risk; Signalized Intersections; Transportation Modes; Urban Intersections; Bicycle Crashes; Motor-vehicle; Riders; Infrastructure; China; Severity; Frequency Distribution; Risk Factors; Bicycles; Fatalities; Collisions; Traffic Accidents; Safety Programs; Urban Environments; Traffic Safety; Population Density; Crashes; Streets; Environmental Effects; Environmental Engineering; Roads; Land Use; Risk Analysis; Urban Areas; Road Design; Construction; Ecological Risk Assessment; Design Factors; Motorcycles; Urban Transportation; Studies; Safety Management; Beijing China