Examining the impacts of public transit on healthy aging through a natural experiment: study protocols and lessons learned from the Active El Paso project.

Examining the impacts of public transit on healthy aging through a natural experiment: study protocols and lessons learned from the Active El Paso project.
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通过自然实验检查公共交通对健康老龄化的影响:从活跃的埃尔帕索项目中吸取的研究协议和经验教训。

DOI:
10.3389/fpubh.2023.1132190
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发表时间:
2023
影响因子:
5.2
通讯作者:
Ory, Marcia G.
Ory, Marcia G.
中科院分区:
医学3区
文献类型:
--
作者:
Li, Wei;Lee, Chanam;Zhong, Sinan;Xu, Minjie;Towne Jr, Samuel D. D.;Zhu, Xuemei;Lee, Sungmin;Wang, Suojin;Aldrete, Rafael;Garcia, Eufemia B.;Whigham, Leah;Toney, Ashley M.;Ibarra, Jorge;Ory, Marcia G.

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本文描述了在德克萨斯州埃尔帕索进行的一项为期7年的自然实验研究的方案和经验,埃尔帕索是一个以拉丁裔/西班牙裔人口为主的边境城市。这项研究的重点是快速公交(BRT)如何影响身体活动,从而在减轻肥胖和影响健康老龄化的相关慢性疾病方面发挥作用。我们的协议描述了一项纵向和案例比较研究,将接触新BRT站点的居民与未接触BRT站点的居民进行了比较。本文还介绍了克服以下挑战的教训和经验:BRT开放延迟(主要干预措施)、COVID-19大流行、方法挑战、参与者招募和保留以及掠夺性调查对象。我们的跨学科方法在应对这些挑战方面发挥了关键作用。我们还提出并测试了多层次的干预策略,以减少交通使用的可修改障碍。我们对研究人员、从业人员和政策制定者最重要的启示是灵活和准备好适应新环境的重要性。未来的自然实验研究人员需要在一个越来越不稳定和不确定的世界中变得更加多才多艺。
This paper describes protocols and experiences from a seven-year natural-experiment study in El Paso, Texas, a border city of predominantly Latino/Hispanic population. The study focuses on how Bus Rapid Transit (BRT) impacts physical activity and thus plays a role in alleviating obesity and related chronic diseases that impact healthy aging. Our protocols describe a longitudinal and case-comparison study, which compared residents exposed to new BRT stations with those who were not. This paper also introduces lessons and experiences to overcome the following challenges: delays in the BRT opening (the main intervention), the COVID-19 pandemic, methodological challenges, participant recruitment and retention, and predatory survey takers. Our transdisciplinary approach was pivotal in addressing these challenges. We also proposed and tested multi-level intervention strategies to reduce modifiable barriers to transit use. Our most important takeaway for researchers, practitioners, and policy makers is the importance of being flexible and ready to adapt to new circumstances. Future natural-experiment researchers need to become more versatile in an increasingly volatile and uncertain world.
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