Drewnowski, Adam; Aggarwal, Anju; Cook, Andrea; Stewart, Orion; Moudon, Anne Vernez. (2016). Geographic Disparities in Healthy Eating Index Scores (HEI-2005 and 2010) by Residential Property Values: Findings from Seattle Obesity Study (SOS). Preventive Medicine, 83, 46 – 55.
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Abstract
Background. Higher socioeconomic status (SES) has been linked with higher-quality diets. New GIS methods allow for geographic mapping of diet quality at a very granular level. Objective. To examine the geographic distribution of two measures of diet quality: Healthy Eating Index (HEI 2005 and HEI 2010) in relation to residential property values in Seattle-King County. Methods. The Seattle Obesity Study (SOS) collected data from a population-based sample of King County adults in 2008-09. Socio-demographic data were obtained by 20-min telephone survey. Dietary data were obtained from food frequency questionnaires (FFQs). Home addresses were geocoded to the tax parcel and residential property values were obtained from the King County tax assessor. Multivariable regression analyses using 1116 adults tested associations between SES variables and diet quality measured (HEI scores). Results. Residential property values, education, and incomes were associated with higher HEI scores in bivariate analyses. Property values were not collinear with either education or income. In adjusted multivariable models, education and residential property were better associated with HEI, compared to than income. Mapping of HEI-2005 and HEI-2010 at the census block level illustrated the geographic distribution of diet quality across Seattle-King County. Conclusion. The use of residential property values, an objective measure of SES, allowed for the first visual exploration of diet quality at high spatial resolution: the census block level. (C) 2015 Elsevier Inc. All rights reserved.
Keywords
Obesity Treatment; Prevention Of Obesity; Disease Mapping; Socioeconomics; Multivariate Analysis; Population Geography; Census; Diet; Housing; Nutrition Policy; Questionnaires; Research Funding; Socioeconomic Factors; Body Mass Index; Health Equity; Cross-sectional Method; Economics; Seattle (wash.); Washington (state); Diet Quality; Geographic Information Systems; Healthy Eating Index; Residential Property Values; Socio-economic Status; Local Food Environment; Vitamin-e Consumption; Socioeconomic Position; United-states; Social-class; Energy-density; Association; Indicators; Trends
Yocom, Ken P.; Andrews, Leann; Faghin, Nicole; Dyson, Karen; Leschine, Thomas; Nam, Jungho. (2016). Revitalizing Urban Waterfronts: Identifying Indicators For Human Well-being. Aims Environmental Science, 3(3), 456 – 473.
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Abstract
Waterfront cities worldwide have begun the process of regenerating and developing their formerly industrial waterfronts into land uses that reflect a post-industrial economic vision of mixed urban uses supporting a diverse economy and wide range of infrastructure. These revitalization projects require distinct planning and management tactics to determine project-defined successes inclusive of economic, ecological, and human well-being perspectives. While empirically developed templates for economic and ecological measures exist, the multi-dimensionality and subjective nature of human well-being is more difficult to assess. Through an extensive review of indicator frameworks and expert interviews, our research proposes an organizational, yet adaptable, human well-being indicators framework for the management and development of urban waterfront revitalization projects. We analyze the framework through the lens of two waterfront projects in the Puget Sound region of the United States and identify several key factors necessary to developing project-specific human well-being indicator frameworks for urban waterfront revitalization projects. These factors include: initially specify goals and objectives of a given project, acknowledge contextual conditions including prospective land uses and projected users, identify the stage of development or management to use appropriate indicators for that stage, and develop and utilize data sources that are at a similar scale to the size of the project.
Keywords
Quality-of-life; City Waterfront; Dimensions; Framework; Science; Policy; Urban Waterfront Revitalization; Human Well-being; Indicators; Design And Management
Chen, Peng; Shen, Qing; Childress, Suzanne. (2018). A GPS Data-based Analysis of Built Environment Influences on Bicyclist Route Preferences. International Journal Of Sustainable Transportation, 12(3), 218 – 231.
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Abstract
This study examines the effects of built environment features, including factors of land use and road network, on bicyclists' route preferences using the data from the city of Seattle. The bicycle routes are identified using a GPS dataset collected from a smartphone application named CycleTracks. The route choice set is generated using the labeling route approach, and the cost functions of route alternatives are based on principal component analyses. Then, two mixed logit models, focusing on random parameters and alternative-specific coefficients, respectively, are estimated to examine bicyclists' route choice. The major findings of this study are as follows: (1) the bicycle route choice involves the joint consideration of convenience, safety, and leisure; (2) most bicyclists prefer to cycle on shorter, flat, and well-planned bicycle facilities with slow road traffic; (3) some bicyclists prefer routes surrounded by mixed land use; (4) some bicyclists favor routes which are planted with street trees or installed with street lights; and (5) some bicyclists prefer routes along with city features. This analysis provides valuable insights into how well-planned land use and road network can facilitate efficient, safe, and enjoyable bicycling.
Keywords
Cyclists; Mobile Apps; Multiple Correspondence Analysis (statistics); Traffic Engineering; Cycling; Bicycle Route Choice; Built Environment; Labeling Routes; Mixed Logit Model; Principal Component Analysis; Smartphone GPS Data; Choice Sets; Safe Routes; Walking; Models; Health; Infrastructure; Facilities; California; Networks
Nnaji, Chukwuma; Gambatese, John; Lee, Hyun Woo. (2018). Work Zone Intrusion: Technology to Reduce Injuries & Fatalities. Professional Safety, 63(4), 36 – 41.
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Abstract
WZIAT was first introduced to work zones in 1995 following a Strategic Highway Research Program (SHRP)-sponsored study (Agent & Hibbs, 1996). Since the SHRP program, several WZIATs have been developed, evaluated by departments of transportation (DOTs) and implemented in work zones on many highway projects. [...]the researchers investigated the potential usefulness of WZIATs on reported fatal work zone intrusion cases. [...]the researchers identified and evaluated work zone fatality cases captured in the NIOSH Fatality Assessment and Control Evaluation (FACE) program to determine whether WZIATs could have prevented the reported fatalities. [...]construction and maintenance workers are provided additional reaction time if an intrusion occurs before the activity zone.
Keywords
Research; Fatalities; Highway Construction; Injury Prevention; Traffic Accidents & Safety; Automobile Safety; Roads & Highways; Transportation Planning; Electronic Mail Systems; Researchers; Intrusion; General Contractors; Occupational Health; Vehicles; Studies; Workers; Employees; Construction Industry; Traffic Control; United States--us; Canada; Kansas; Oregon
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
Lindell, Michael K.; Prater, Carla S.; House, Donald H. (2022). Cascadia Subduction Zone Residents’ Tsunami Evacuation Expectations. Geosciences (2076-3263), 12(5).
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Abstract
The U.S. Pacific Northwest coast must be prepared to evacuate immediately after a Cascadia Subduction Zone earthquake. This requires coastal residents to understand the tsunami threat, have accurate expectations about warning sources, engage in preimpact evacuation preparedness actions, and plan (and practice) their evacuation logistics, including an appropriate transportation mode, evacuation route, and destination. A survey of 221 residents in three communities identified areas in which many coastal residents have reached adequate levels of preparedness. Moreover, residents who are not adequately prepared are willing to improve their performance in most of the areas in which they fall short. However, many respondents expect to engage in time-consuming evacuation preparations before evacuating. Additionally, their estimates of evacuation travel time might be inaccurate because only 28-52% had practiced their evacuation routes. These results indicate that more coastal residents should prepare grab-and-go kits to speed their departure, as well as practice evacuation preparation and evacuation travel to test the accuracy of these evacuation time estimates. Overall, these results, together with recommendations for overcoming them, can guide CSZ emergency managers in methods of improving hazard awareness and education programs. In addition, these data can guide transportation engineers' evacuation analyses and evacuation plans.
Keywords
Subduction Zones; Tsunamis; Tsunami Warning Systems; Civilian Evacuation; Earthquake Zones; Transportation Engineering; Expectation (psychology); Residents; Cascadia Subduction Zone; Evacuation Preparedness; Evacuation Time Estimates; Tsunami; Natural Warning Signs; Coastal Communities; American-samoa; New-zealand; Earthquake; Behavior; Preparedness; Awareness; Japan; Washington; Earthquakes; Transportation; Evacuations & Rescues; Travel Time; Subduction; Surveying; Evacuation; Travel; Coasts; Emergency Warning Programs; Seismic Activity; Emergency Preparedness; Perceptions; Traveltime; Coastal Zone; Peers; Estimates; Logistics; Evacuation Routing; Subduction (geology); Households; United States--us; Pacific Northwest; Cascadia
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