Individual- and area-level disparities in access to the road network, subway system and a public bicycle share program on the Island of Montreal, Canada.

نویسندگان

  • Daniel Fuller
  • Lise Gauvin
  • Yan Kestens
چکیده

BACKGROUND Few studies have examined potential disparities in access to transportation infrastructures, an important determinant of population health. PURPOSE To examine individual- and area-level disparities in access to the road network, public transportation system, and a public bicycle share program in Montreal, Canada. METHODS Examining associations between sociodemographic variables and access to the road network, public transportation system, and a public bicycle share program, 6,495 adult respondents (mean age, 48.7 years; 59.0 % female) nested in 33 areas were included in a multilevel analysis. RESULTS Individuals with lower incomes lived significantly closer to public transportation and the bicycle share program. At the area level, the interaction between low-education and low-income neighborhoods showed that these areas were significantly closer to public transportation and the bicycle share program controlling for individual and urbanicity variables. CONCLUSIONS More deprived areas of the Island of Montreal have better access to transportation infrastructure than less-deprived areas.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review

Background While responsible innovation in health (RIH) suggests that health innovations could be purposefully designed to better support health systems, little is known about the system-level challenges that it should address. The goal of this paper is thus to document what is known about health systems’ demand for innovations.   Methods We searched 8 databases to perfo...

متن کامل

Providing Value to New Health Technology: The Early Contribution of Entrepreneurs, Investors, and Regulatory Agencies

Background New technologies constitute an important cost-driver in healthcare, but the dynamics that lead to their emergence remains poorly understood from a health policy standpoint. The goal of this paper is to clarify how entrepreneurs, investors, and regulatory agencies influence the value of emerging health technologies.   Methods Our 5-year qualitative research program examined the proces...

متن کامل

The Health System Impact Fellowship: Perspectives From the Program Leads; Comment on “CIHR Health System Impact Fellows: Reflections on ‘Driving Change’ Within the Health System”

As the Canadian Institutes of Health Research (CIHR) leads in designing and implementing the new Health System Impact (HSI) Fellowship program, we congratulate Sim et al for their thoughtful contribution to the nascent literature on embedded research, and for advancing our own learning about the HSI Fellowship experience. In our commentary, we describe the HSI Fellowship and its key components,...

متن کامل

Availability and Accessibility Assessment of Public Transit System in Jaipur City

Majority of the million plus cities in India are facing serious problems of traffic congestion and pollution due to the unprecedented and rapid pace of urbanization in last decade. City planners are providing solution to these twin problems by developing Mass Rapid Transit System including Metro and BRT in many Indian Metropolitan cities. The availability of transit network and pedestrian acces...

متن کامل

Governing Collaborative Healthcare Improvement: Lessons From an Atlantic Canadian Case

The Atlantic Healthcare Collaboration for Innovation and Improvement in Chronic Disease (AHC) Quality Improvement Collaborative (QIC) in Eastern Canada provided an approach to spur system-level reform across multiple health systems for patients and families living with chronic disease. Developed and led by senior executives with a unique governance approach and involving clinical front-line tea...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Annals of behavioral medicine : a publication of the Society of Behavioral Medicine

دوره 45 Suppl 1  شماره 

صفحات  -

تاریخ انتشار 2013