MRC Epidemiology Unit, Centre for Diet and Activity Research (CEDAR), University of Cambridge School of Clinical Medicine, Cambridge, UK.
J Epidemiol Community Health. 2019 Jan;73(1):42-49. doi: 10.1136/jech-2018-210983. Epub 2018 Oct 3.
The use of private motor vehicles places a considerable burden on public health. Changes in workplace car parking policies may be effective in shifting behaviour. We use a natural experimental design to assess whether changes in policy were associated with differences in commute mode.
We used cohort data from participants working in Cambridge (2009-2012). Commuters reported their trips and travel modes to work over the last week, workplace car parking policy and socioeconomic, environmental and health characteristics. Changes in policy were defined between phases (1608 transition periods; 884 participants). Using generalised estimating equations, we estimated associations between changes in parking policy and the proportion of trips that (i) were exclusively by motor vehicle, (ii) involved walking or cycling and (iii) involved public transport at follow-up.
25.1% of trips were made by motor vehicle, 54.6% involved walking or cycling and 11.7% involved public transport. The introduction of free or paid workplace parking was associated with higher proportions of motor vehicle trips (11.4%, 95% CI (6.4 to 16.3)) and lower proportions involving walking or cycling (-13.3%, 95% CI (-20.2 to -6.4)) and public transport (-5.8%, 95% CI (-10.6 to -0.9)) compared with those with no workplace parking. Restrictive changes in policy were associated with shifts in the expected direction but these were not statistically significant.
Relaxation of parking policy was associated with higher proportions of trips made by motor vehicle. Further longitudinal and intervention research is required to assess generalisability of these findings.
私人机动车的使用给公共健康带来了相当大的负担。改变工作场所停车政策可能会有效地改变行为。我们使用自然实验设计来评估政策变化是否与通勤模式的差异有关。
我们使用了来自剑桥工作的参与者(2009-2012 年)的队列数据。通勤者报告了他们在上周的旅行和工作方式、工作场所停车政策以及社会经济、环境和健康特征。政策变化是在两个阶段之间定义的(1608 个过渡时期;884 名参与者)。使用广义估计方程,我们估计了停车政策变化与以下方面的比例之间的关联:(i)完全由机动车进行的旅行,(ii)涉及步行或骑自行车的旅行,以及(iii)在随访时涉及公共交通的旅行。
25.1%的旅行是由机动车完成的,54.6%涉及步行或骑自行车,11.7%涉及公共交通。免费或付费的工作场所停车的引入与机动车出行比例的增加(11.4%,95%置信区间(6.4 至 16.3))和涉及步行或骑自行车(-13.3%,95%置信区间(-20.2 至-6.4))和公共交通(-5.8%,95%置信区间(-10.6 至-0.9))的比例降低有关,而没有工作场所停车的比例则较低。政策的限制性变化与预期的方向变化有关,但没有统计学意义。
停车政策的放宽与机动车出行比例的增加有关。需要进一步进行纵向和干预研究,以评估这些发现的普遍性。