Wen Li Ming, Orr Neil, Bindon Jeni, Rissel Chris
Health Promotion Unit, Central Sydney Area Health Service, Level 9 North, King George V Building, Missenden Road Camperdown NSW 2050, Australia.
Health Promot Int. 2005 Jun;20(2):123-33. doi: 10.1093/heapro/dah602. Epub 2005 Feb 18.
Promoting active transport is an increasingly important focus of recent health promotion initiatives addressing the major public health concerns of car dependence, decreased levels of physical activity and environmental health. Using active transport that relies less on the use of private cars and more on alternatives such as walking, cycling and public transport has the potential to increase population levels of physical activity and to improve the environment. Over 12 months, a combined social and individualized marketing campaign was delivered to a cohort of randomly selected health service employees (n = 68) working at a health care facility in inner-city Sydney, Australia. Pre- and post-intervention surveys measured changes in mode of transport, awareness of active transport and attitudes towards mode of transport. Following the intervention, we found there was a reduction in the proportion of participants who drove to work 5 days per week and a decrease in trips travelled by car on weekends. In addition, there was high awareness of the intervention amongst participants and their understanding of the concept of active transport improved from 17.6% at baseline to 94.1% at the follow-up survey (p < 0.01). There was also a significant shift in attitudes, which suggested increased positive regard for active transport. Our findings suggest that a combined social and individualized marketing campaign in the workplace setting can increase the use of active transport for the journey to work and trips on weekends. However, before these findings are widely applied, the intervention needs to be tested in a controlled study with a larger sample size.
促进主动出行正日益成为近期健康促进倡议的重要关注点，这些倡议旨在解决汽车依赖、身体活动水平下降和环境健康等重大公共卫生问题。使用较少依赖私家车、更多依靠步行、骑自行车和公共交通等替代方式的主动出行，有可能提高人群的身体活动水平并改善环境。在12个月的时间里，针对澳大利亚悉尼市中心一家医疗机构随机挑选的一组健康服务员工（n = 68）开展了一项社会与个性化相结合的营销活动。干预前后的调查测量了出行方式、对主动出行的认知以及对出行方式的态度的变化。干预后，我们发现每周5天开车上班的参与者比例有所下降，周末开车出行的次数也有所减少。此外，参与者对该干预的知晓度很高，他们对主动出行概念的理解从基线时的17.6%提高到随访调查时的94.1%（p < 0.01）。态度也发生了显著转变，这表明对主动出行的积极认可度有所提高。我们的研究结果表明，在工作场所开展社会与个性化相结合的营销活动，可以增加上班途中和周末出行时主动出行方式的使用。然而，在这些研究结果被广泛应用之前，需要在样本量更大的对照研究中对该干预措施进行测试。
