Wang, Yiyuan; Shen, Qing; Abu Ashour, Lamis; Dannenberg, Andrew L. (2022). Ensuring Equitable Transportation For The Disadvantaged: Paratransit Usage By Persons With Disabilities During The Covid-19 Pandemic. Transportation Research Part A: Policy & Practice, 159, 84 – 95.
View Publication
Abstract
Paratransit services developed under the Americans with Disabilities Act are a critical transportation means for persons with disabilities to meet their basic needs, but the COVID-19 pandemic posed an unprecedented challenge to service providers. To safeguard transportation equity, this study used complete records of service trips and riders obtained from the Access Transportation Program in the Seattle region for an empirical analysis aimed at answering two research questions. First, how did the ridership and trip purposes of paratransit change after the outbreak of COVID-19? Second, what factors explained the users' changing levels of service usage in response to the pandemic? Statistical methods, including a Hurdle model, were employed as the analytical tools. The results show that paratransit ridership dramatically decreased during 2020 with the most substantial reductions of working and non-essential personal trips, and that most of the remaining trips were for medical purposes. The results also indicate that riders' service usage during the pandemic was associated with their sociodemographic characteristics, disability conditions, and pre-pandemic travel demand. When controlling for other factors, riders who lived in neighborhoods with lower income and lower access to personal vehicles were more dependent on the service. Based on the empirical findings, we recommend that when developing plans for future disruptive events, public transit agencies should promptly implement safety measures, identify and prioritize neighborhoods that are most in need of mobility services, and actively pursue collaboration with other organizations for innovative service delivery options.
Keywords
Covid-19 Pandemic; Public Transit; People With Disabilities; Americans With Disabilities Act Of 1990; Public Transit Ridership; Paratransit Services; Seattle (wash.); Americans With Disabilities Act (ada); Hurdle Model; Paratransit; Transportation Equity; Mobility; Justice
Burpee, Heather; McDade, Erin. (2014). Comparative Analysis of Hospital Energy Use: Pacific Northwest and Scandinavia. Health Environments Research & Design Journal (HERD) (Vendome Group LLC), 8(1), 20 – 44.
View Publication
Abstract
OBJECTIVE: This study aimed to establish the potential for significant energy reduction in hospitals in the United States by providing evidence of Scandinavian operational precedents with high Interior Environmental Quality (IEQ) and substantially lower energy profiles than comparable U.S. facilities. These facilities set important precedents for design teams seeking operational examples for achieving aggressive energy and interior environmental quality goals. This examination of operational hospitals is intended to offer hospital owners, designers, and building managers a strong case and concrete framework for strategies to achieve exceptionally high performing buildings. BACKGROUND: Energy efficient hospitals have the potential to significantly impact the U.S.'s overall energy profile, and key stakeholders in the hospital industry need specific, operationally grounded precedents in order to successfully implement informed energy reduction strategies. This study is an outgrowth of previous research evaluating high quality, low energy hospitals that serve as examples for new high performance hospital design, construction, and operation. Through extensive interviews, numerous site visits, the development of case studies, and data collection, this team has established thorough qualitative and quantitative analyses of several contemporary hospitals in Scandinavia and the Pacific Northwest. Many Scandinavian hospitals demonstrate a low energy profile, and when analyzed in comparison with U.S. hospitals, such Scandinavian precedents help define the framework required to make significant changes in the U.S. hospital building industry. METHODS: Eight hospitals, four Scandinavian and four Pacific Northwest, were quantitatively compared using the Environmental Protection Agency's Portfolio Manager, allowing researchers to answer specific questions about the impact of energy source and architectural and mechanical strategies on energy efficiency in operational hospitals. RESULTS: Specific architectural, mechanical, and plant systems make these Scandinavian hospitals more energy efficient than their Pacific Northwest counterparts. More importantly, synergistic systems integration allows for their significant reductions in energy consumption. CONCLUSIONS: This quantitative comparison of operational Scandinavian and Pacific Northwest hospitals resulted in compelling evidence of the potential for deep energy savings in the U.S., and allowed researchers to outline specific strategies for achieving such reductions.
Keywords
Environmental Quality; Energy Consumption; Health Facility Design & Construction; Comparative Studies; Energy Consumption In Hospitals; Pacific Northwest; Scandinavia; Built Environment; Case Study; Design Process; Healthcare Facility Design; Hospital; Post Occupancy
Berrigan, David; Hipp, J. Aaron; Hurvitz, Philip M.; James, Peter; Jankowska, Marta M.; Kerr, Jacqueline; Laden, Francine; Leonard, Tammy; Mckinnon, Robin A.; Powell-wiley, Tiffany M.; Tarlov, Elizabeth; Zenk, Shannon N.; The Trec Spatial And Contextual Measures And Modeling Work Group. (2015). Geospatial and Contextual Approaches to Energy Balance and Health. Annals Of Gis, 21(2), 157 – 168.
View Publication
Abstract
In the past 15 years, a major research enterprise has emerged that is aimed at understanding associations between geographic and contextual features of the environment (especially the built environment) and elements of human energy balance, including diet, weight and physical activity. Here we highlight aspects of this research area with a particular focus on research and opportunities in the United States as an example. We address four main areas: (1) the importance of valid and comparable data concerning behaviour across geographies; (2) the ongoing need to identify and explore new environmental variables; (3) the challenge of identifying the causally relevant context; and (4) the pressing need for stronger study designs and analytical methods. Additionally, we discuss existing sources of geo-referenced health data which might be exploited by interdisciplinary research teams, personnel challenges and some aspects of funding for geospatial research by the US National Institutes of Health in the past decade, including funding for international collaboration and training opportunities. [ABSTRACT FROM AUTHOR]; Copyright of Annals of GIS is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Keywords
Bioenergetics; Geospatial Data; Contextual Analysis; Physical Activity; Obesity; Contextual; Energy Balance; Geospatial; Spatial
El-Anwar, Omar; Chen, Lei. (2016). Automated Community-Based Housing Response: Offering Temporary Housing Solutions Tailored to Displaced Populations Needs. Journal Of Computing In Civil Engineering, 30(6).
View Publication
Abstract
Following disasters, emergency management agencies are under immense pressure to make quick decisions regarding the provision of temporary housing, including their locations and types. Such decisions can significantly impact the socioeconomic recovery of displaced families and available budgets for other postdisaster activities. To address these challenges, a new holistic temporary housing planning framework is proposed to offer customized housing plans tailored to the specific social, economic, and psychological needs of displaced families while controlling expenditures. This paper presents the theoretical formulation and implementation details of the community-based housing response pool, which is a comprehensive framework that aims at (1)quantifying the specific needs and preferences of each displaced family, (2)evaluating the ability of housing alternatives to meet those needs, (3)computing temporary housing life cycle costs, and (4)optimizing housing decisions accordingly. The paper also presents an application example to demonstrate and evaluate the optimization model capabilities.
Keywords
Decision Making; Disasters; Emergency Management; Life Cycle Costing; Optimisation; Socio-economic Effects; Town And Country Planning; Automated Community-based Housing Response; Temporary Housing Solutions; Displaced Population Needs; Emergency Management Agencies; Temporary Housing Provision; Housing Locations; Housing Types; Socioeconomic Recovery; Displaced Families; Postdisaster Activity Budgets; Holistic Temporary Housing Planning Framework; Customized Housing Plans Tailored; Expenditure Control; Community-based Housing Response Pool; Housing Alternatives Ability Evaluation; Temporary Housing Life Cycle Cost Computing; Housing Decisions Optimization; Optimization Model Capabilities; Multiobjective Optimization; Maeviz-hazturk; Earthquake
Cowling, Krycia; Lindberg, Ruth; Dannenberg, Andrew L.; Neff, Roni A.; Pollack, Keshia M. (2017). Review of Health Impact Assessments Informing Agriculture, Food, and Nutrition Policies, Programs, and Projects in the United States. Journal Of Agriculture Food Systems And Community Development, 7(3), 139 – 157.
View Publication
Abstract
Policies, programs, and projects related to agriculture, food, and nutrition can significantly affect public health. Health impact assessment (HIA) is one tool that can be used to improve awareness of the health effects of decisions outside the health sector, and increasing the use of HIA for agriculture, food, and nutrition decisions presents an opportunity to improve public health. This study identifies and reviews all HIAs completed in the United States on agriculture, food, and nutrition topics. Studies were identified from HIA databases, an Internet search, and expert consultation. Key characteristics were extracted from each study: type of decision assessed, location, level of jurisdiction, lead organization, methods of analysis, and recommendations. Twenty-five eligible HIAs that were conducted between 2007 and 2016 address topics such as regulations on land use for agriculture; food and beverage taxes; and developing grocery stores in food deserts. These HIAs have predominantly supported policy, as opposed to program or project, decisions. Four case studies are presented to illustrate in detail the HIA process and the mechanisms through which HIA findings affected policy decisions. Among other influences, these four HIAs affected the language of legislation and provided guidance for federal regulations. These examples demonstrate several findings: appropriate timing is critical for findings to have an influence; diverse stakeholder involvement generates support for recommendations; and the clear communication of feasible recommendations is highly important. There is substantial scope to increase the use of HIA in the agriculture, food, and nutrition sectors. Challenges include the paucity of monitoring and evaluation of HIAs' effects on health outcomes, and the limited funding available to conduct HIAs. Opportunities include integrating HIAs and community food assessments, and more widely sharing HIA findings to inform related decisions in different jurisdictions and to increase support for additional HIAs that address the food system.
Keywords
Environments; Obesity; Health Impact Assessment; Policy; Food; Nutrition; Agriculture
Drewnowski, A.; Buszkiewicz, J.; Aggarwal, A.; Cook, A.; Moudon, A. V. (2018). A New Method to Visualize Obesity Prevalence in Seattle-King County at the Census Block Level. Obesity Science & Practice, 4(1), 14 – 19.
View Publication
Abstract
Objective The aim of this study is to map obesity prevalence in Seattle King County at the census block level. Methods Data for 1,632 adult men and women came from the Seattle Obesity Study I. Demographic, socioeconomic and anthropometric data were collected via telephone survey. Home addresses were geocoded, and tax parcel residential property values were obtained from the King County tax assessor. Multiple logistic regression tested associations between house prices and obesity rates. House prices aggregated to census blocks and split into deciles were used to generate obesity heat maps. Results Deciles of property values for Seattle Obesity Study participants corresponded to county-wide deciles. Low residential property values were associated with high obesity rates (odds ratio, OR: 0.36; 95% confidence interval, CI [0.25, 0.51] in tertile 3 vs. tertile 1), adjusting for age, gender, race, home ownership, education, and incomes. Heat maps of obesity by census block captured differences by geographic area. Conclusion Residential property values, an objective measure of individual and area socioeconomic status, are a useful tool for visualizing socioeconomic disparities in diet quality and health.
Keywords
Residential Property-values; Socioeconomic-status; Health; Environment; Adults; Census Block; Geographic Information Systems; Mapping Obesity; Ses Measures
Stewart, Orion T.; Moudon, Anne Vernez; Littman, Alyson J.; Seto, Edmund; Saelens, Brian E. (2018). Why Neighborhood Park Proximity Is Not Associated with Total Physical Activity. Health & Place, 52, 163 – 169.
View Publication
Abstract
This study explored how parks within the home neighborhood contribute to total physical activity (PA) by isolating park-related PA. Seattle-area adults (n = 634) were observed using time-matched accelerometer, Global Positioning System (GPS), and travel diary instruments. Of the average 42.3 min of daily total PA, only 11% was related to parks. Both home neighborhood park count and area were associated with park-based PA, but not with PA that occurred elsewhere, which comprised 89% of total PA. This study demonstrates clear benefits of neighborhood parks for contributing to park-based PA while helping explain why proximity to parks is rarely associated with overall PA.
Keywords
Physical Activity; Parks; Urban Planning; Environmental Health; Global Positioning System; Built Environment; Green Space; Recreation; Social Determinants Of Health; Health Research; Accelerometer Data; Self-selection; United-states; Public Parks; Older Women; Walking; Adults; Facilities
Scully, Jason Y.; Moudon, Anne Vernez; Hurvitz, Philip M.; Aggarwal, Anju; Drewnowski, Adam. (2019). A Time-Based Objective Measure of Exposure to the Food Environment. International Journal Of Environmental Research And Public Health, 16(7).
View Publication
Abstract
Exposure to food environments has mainly been limited to counting food outlets near participants' homes. This study considers food environment exposures in time and space using global positioning systems (GPS) records and fast food restaurants (FFRs) as the environment of interest. Data came from 412 participants (median participant age of 45) in the Seattle Obesity Study II who completed a survey, wore GPS receivers, and filled out travel logs for seven days. FFR locations were obtained from Public Health Seattle King County and geocoded. Exposure was conceptualized as contact between stressors (FFRs) and receptors (participants' mobility records from GPS data) using four proximities: 21 m, 100 m, 500 m, and 1/2 mile. Measures included count of proximal FFRs, time duration in proximity to 1 FFR, and time duration in proximity to FFRs weighted by FFR counts. Self-reported exposures (FFR visits) were excluded from these measures. Logistic regressions tested associations between one or more reported FFR visits and the three exposure measures at the four proximities. Time spent in proximity to an FFR was associated with significantly higher odds of FFR visits at all proximities. Weighted duration also showed positive associations with FFR visits at 21-m and 100-m proximities. FFR counts were not associated with FFR visits. Duration of exposure helps measure the relationship between the food environment, mobility patterns, and health behaviors. The stronger associations between exposure and outcome found at closer proximities (<100 m) need further research.
Keywords
Global Positioning Systems; Physical-activity; Health Research; Land-use; Neighborhood; Gps; Obesity; Tracking; Validity; Mobility; Fast Food; Spatio-temporal Exposure; Mobility Patterns; Selective Mobility Bias
Lee, Wonil; Migliaccio, Giovanni C.; Lin, Ken-Yu; Seto, Edmund Y. W. (2020). Workforce Development: Understanding Task-Level Job Demands-Resources, Burnout, and Performance in Unskilled Construction Workers. Safety Science, 123.
View Publication
Abstract
This study examines how task demands and personal resources affect unskilled construction worker productivity and safety performance. It extends the job demands-resources (JD-R) burnout model to show how job characteristics interact with burnout to influence performance. A modified model was designed to measure burnout, with exhaustion and disengagement among unskilled construction workers taken into consideration. An observational study was conducted in a laboratory environment to test the research hypotheses and assess the prediction accuracies of outcome constructs. Twenty-two subjects participated in multiple experiments designed to expose them to varying levels of task-demands and to record their personal resources as they performed common construction material-handling tasks. Specifically, both surveys and physiological measurements using wearable sensors were used to operationalize the model constructs. Moreover, partial least squares structural equation modeling was applied to analyze data collected at the task and individual levels. Exhaustion and disengagement exhibited different relationships with productivity and safety performance outcomes as measured by unit rate productivity and ergonomic behavior, respectively. Subjects with high burnout and high engagement showed high productivity but low safety performance. Thus, exhausted workers stand a greater chance of failing to comply with safety. As the sample and the task performed in the experiment do not cover the experience and trade of all construction workers, our findings are limited in their application to entry-level and unskilled workers, whose work is mainly manual material-handling tasks.
Keywords
Construction Workers; Structural Equation Modeling; Job Descriptions; Labor Productivity; Labor Supply; Burnout; Job Demand-resources Model; Partial Least Squares Structural Equation Modeling; Productivity; Safety; Wearable Sensors; Biomechanics; Construction Industry; Ergonomics; Occupational Health; Occupational Safety; Occupational Stress; Personnel; Statistical Analysis; Workforce Development; Understanding Task-level Job Demands-resources; Unskilled Construction Workers; Task Demands; Personal Resources; Unskilled Construction Worker Productivity; Job Demands-resources Burnout Model; Job Characteristics Interact; Exhaustion; Disengagement; Outcome Constructs; Varying Levels; Task-demands; Common Construction Material-handling Tasks; Physiological Measurements; Model Constructs; Individual Levels; Unit Rate Productivity; High Burnout; Low Safety Performance; Exhausted Workers; Entry-level; Unskilled Workers; Manual Material-handling Tasks; Heart-rate-variability; Labor Productivity Trends; Physiological Demands; Emotional Exhaustion; Safety Climate; Role Stress; Engagement; Fatigue; Workload; Task Analysis; Workforce; Level (quantity); Construction Materials; Personnel Management; Materials Handling; Multivariate Statistical Analysis
Besser, Lilah M.; Lovasi, Gina S.; Michael, Yvonne L.; Garg, Parveen; Hirsch, Jana A.; Siscovick, David; Hurvitz, Phil; Biggs, Mary L.; Galvin, James E.; Bartz, Traci M.; Longstreth, W. T. (2021). Associations between Neighborhood Greenspace and Brain Imaging Measures in Non-Demented Older Adults: The Cardiovascular Health Study. Social Psychiatry And Psychiatric Epidemiology, 56(9), 1575 – 1585.
View Publication
Abstract
Purpose Greater neighborhood greenspace has been associated with brain health, including better cognition and lower odds of Alzheimer's disease in older adults. We investigated associations between neighborhood greenspace and brain-based magnetic resonance imaging (MRI) measures and potential effect modification by sex or apolipoprotein E genotype (APOE), a risk factor for Alzheimer's disease. Methods We obtained a sample of non-demented participants 65 years or older (n = 1125) from the longitudinal, population-based Cardiovascular Health Study (CHS). Greenspace data were derived from the National Land Cover Dataset. Adjusted multivariable linear regression estimated associations between neighborhood greenspace five years prior to the MRI and left and right hippocampal volume and 10-point grades of ventricular size and burden of white matter hyperintensity. Interaction terms tested effect modification by APOE genotype and sex. CHS data (1989-1999) were obtained/analyzed in 2020. Results Participants were on average 79 years old [standard deviation (SD) = 4], 58% were female, and 11% were non-white race. Mean neighborhood greenspace was 38% (SD = 28%). Greater proportion of greenspace in the neighborhood five years before MRI was borderline associated with lower ventricle grade (estimate: - 0.30; 95% confidence interval: - 0.61, 0.00). We observed no associations between greenspace and the other MRI outcome measures and no evidence of effect modification by APOE genotype and sex. Conclusion This study suggests a possible association between greater greenspace and less ventricular enlargement, a measure reflecting global brain atrophy. If confirmed in other longitudinal cohort studies, interventions and policies to improve community greenspaces may help to maintain brain health in older age.
Keywords
Mild Cognitive Impairment; Ventricular Enlargement; Residential Greenness; Hippocampal Atrophy; Volume; Disease; Environment; Progression; Symptoms; Dementia; Neighborhood; Green Space; Mri; Brain Volume; Hippocampal; White Matter