Prospective Cohort Study

2 1 The innovative transport systems and the CityMobil project 10 1.1 The research questions 10 2 The state of art in the field of automatic transport systems 12 2.1 Case studies and demand studies for innovative transport systems 12 3 The design and implementation of surveys 14 3.1 Definition of experimental design 14 3.2 Questionnaire design and delivery 16 3.3 First analyses on the collected sample 18 4 Calibration of Logit Multionomial demand models 21 4.1 Methodology 21 4.2 Calibration of the “full” model. 22 4.3 Calibration of the “final” model 24 4.4 The demand analysis through the final Multinomial Logit model 25 5 The analysis of interaction between the demand and socioeconomic attributes 31 5.1 Methodology 31 5.2 Application of Mixed Logit models to the demand 31 5.3 Analysis of the interactions between demand and socioeconomic attributes through Mixed Logit models 32 5.4 Mixed Logit model and interaction between age and the demand for the CTS 38 5.5 Demand analysis with Mixed Logit model 39 6 Final analyses and conclusions 45 6.1 Comparison between the results of the analyses 45 6.2 Conclusions 48 6.3 Answers to the research questions and future developments 52

The European commission

The detection of psychiatric illness by questionnaire

The methods and results of systematic reviews should be reported in sufficient detail to allow users to assess the trustworthiness and applicability of the review findings. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was developed to facilitate transparent and complete reporting of systematic reviews and has been updated (to PRISMA 2020) to reflect recent advances in systematic review methodology and terminology. Here, we present the explanation and elaboration paper for PRISMA 2020, where we explain why reporting of each item is recommended, present bullet points that detail the reporting recommendations, and present examples from published reviews. We hope that changes to the content and structure of PRISMA 2020 will facilitate uptake of the guideline and lead to more transparent, complete, and accurate reporting of systematic reviews.

https://www.bmj.com/content/bmj/372/bmj.n160.full.pdf

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews.

Problems with measuring socioeconomic status (SES)—frequently included in clinical and public health studies as a control variable and less frequently as the variable(s) of main interest—could affect research findings and conclusions, with implications for practice and policy.Wecritically examine standard SES measurement approaches, illustrating problems with examples from new analyses and the literature. For example, marked racial/ethnic differences in income at a given educational level and in wealth at a given income level raise questions about the socioeconomic comparability of individuals who are similar on education or income alone. Evidence also shows that conclusions about nonsocioeconomic causes of racial/ethnic differences in health may depend on the measure—eg, income, wealth, education, occupation, neighborhood socioeconomic characteristics, or past socioeconomic experiences—used to “control for SES,” suggesting that findings from studies that have measured limited aspects of SES should be reassessed. We recommend an outcome- and social group–specific approach to SES measurement that involves (1) considering plausible explanatory pathways and mechanisms, (2) measuring as much relevant socioeconomic information as possible, (3) specifying the particular socioeconomic factors measured (rather than SES overall), and (4) systematically considering how potentially important unmeasured socioeconomic factors may affect conclusions. Better SES measures are needed in data sources, but improvements could be made by using existing information more thoughtfully and acknowledging its limitations.

https://jamanetwork.com/journals/jama/articlepdf/202015/jsc50021.pdf

Socioeconomic status in health research: one size does not fit all.

Smoking prevalence is higher among disadvantaged groups, and disadvantaged smokers may face higher exposure to tobacco's harms. Uptake may also be higher among those with low socioeconomic status (SES), and quit attempts are less likely to be successful. Studies have suggested that this may be the result of reduced social support for quitting, low motivation to quit, stronger addiction to tobacco, increased likelihood of not completing courses of pharmacotherapy or behavioral support sessions, psychological differences such as lack of self-efficacy, and tobacco industry marketing. Evidence of interventions that work among lower socioeconomic groups is sparse. Raising the price of tobacco products appears to be the tobacco control intervention with the most potential to reduce health inequalities from tobacco. Targeted cessation programs and mass media interventions can also contribute to reducing inequalities. To tackle the high prevalence of smoking among disadvantaged groups, a combination of tobacco control measures is required, and these should be delivered in conjunction with wider attempts to address inequalities in health.

Socioeconomic status and smoking: a review

The aim of current transport policy in the UK and many other developed countries is to reduce reliance on private motor vehicle transport in order to promote public health and reduce environmental degradation. Despite the emphasis in these policies on the unhealthiness of private motor car use, epidemiological studies have consistently shown that car access is associated with longevity and better health. We examine this paradox using a postal survey of adults in the West of Scotland (n=2043, m=896, f=1147) to investigate the psychosocial benefits associated with private and public motor vehicle transport. Those with access to a car appear to gain more psychosocial benefits (mastery, self esteem, and feelings of autonomy, protection, and prestige) than public transport users from their habitual mode of transport. Being a car driver conferred more benefits than being a passenger, except for self esteem which was only associated with driving among men. Self-esteem was also associated with type of car among men but not women. This study suggests that if people are to be encouraged to reduce private motor vehicle use, policies need to take into account some of the psychosocial benefits people might derive from such use.

In the driving seat: psychosocial benefits from private motor vehicle transport compared to public transport

It has been said that people need the confidence, continuity and trust in the world which comprise ontological security in order to lead happy and fulfilled lives, and furthermore that ontological security can be attained more through owner occupied than rented housing. Ontological security, however, can be elusive both in a real sense and in empirical research terms. As part of a study of the relationships between housing tenure and health, we explored through in-depth interviews with 43 adults the extent to which home owners and social renters in the West of Scotland obtained psycho-social benefits from their homes. It is important to acknowledge the regional context of the study, in particular the residualised state of social rented housing in the UK and the problematic, post-industrial nature of the Scottish regional economy. Interviewees felt protected by their homes when they were in a low crime area which was more likely to be in an area of owner occupied housing. For some interviewees owner occupation provided less protection than social renting from the threat of losing the home because of the risk of repossession. Inhabiting a house rather than a flat could promote autonomy over the home, as could having skills or income to carry out repairs and maintenance. Owner occupation was thought to be more prestigious than social renting, but whether being prestigious was desirable was sometimes contested. Interviewees also talked about ontological security in terms of the home being a site of constancy but this runs counter to the restless tendency to move house in order to progress in society and move up the housing ladder.

Ontological Security and Psycho-Social Benefits from the Home: Qualitative Evidence on Issues of Tenure

This paper reviews the literatures on housing and ontological security and the meaning of the home in order to derive specific examples of the psycho-social benefits of the home which can be assessed through empirical research. A postal survey measuring these psycho-social benefits was distributed to a random sample of adults in eight local authority districts in West Central Scotland. From the responses to the survey, three factors were constructed relating to the home as a haven, as a locus of autonomy and as a source of status for the occupants. Multivariate analysis showed that housing tenure is less important as an influence upon the attainment of psycho-social benefits from the home than the neighbourhood context and the incidence of problems with the home. Further, those factors negatively associated with psycho-social benefits appear to be more important than those factors positively associated with such benefits. This suggests that future research should focus on the fact that what detracts from ...

'Beyond Four Walls'. The Psycho-social Benefits of Home: Evidence from West Central Scotland

Background Recent work in a number of countries has identified growing geographical inequalities in health between deprived and non-deprived neighbourhoods. The health gaps observed cannot be entirely explained by differences in the characteristics of individuals living in those neighbourhoods, which has led to a concerted international public health research effort to determine what contextual features of neighbourhoods matter. This article reports on access to potentially health-promoting community resources across all neighbourhoods in New Zealand. Prevailing international opinion is that access to community resources is worse in deprived neighbourhoods. Methods Geographical Information Systems were used to calculate geographical access to 16 types of community resources (including recreational amenities, and shopping, educational and health facilities) in 38,350 small census areas across the country. The distribution of these access measures by neighbourhood socioeconomic deprivation was determined. Results For 15 out of 16 measures of community resources, access was clearly better in more deprived neighbourhoods. For example, the travel time to large supermarkets was approximately 80% greater in the least deprived quintile of neighbourhoods compared with the most deprived quintile. Conclusions These results challenge the widely held, but largely untested, view that areas of high social disadvantage have poorer access to community resources. Poor locational access to community resources among deprived neighbourhoods in New Zealand does not appear to be an explanation of poorer health in these neighbourhoods. If anything, a pro-equity distribution of community resources may be preventing even wider disparities in neighbourhood inequalities in health.

/pdf/are-socially-disadvantaged-neighbourhoods-deprived-of-health-jtirdnfish.pdf

Rosemary Hiscock

Papers

Socioeconomic status and smoking: a review

In the driving seat: psychosocial benefits from private motor vehicle transport compared to public transport

Ontological Security and Psycho-Social Benefits from the Home: Qualitative Evidence on Issues of Tenure

'Beyond Four Walls'. The Psycho-social Benefits of Home: Evidence from West Central Scotland

Are socially disadvantaged neighbourhoods deprived of health-related community resources?