Sarmiento Olga L, Higuera-Mendieta Diana, Wilches-Mogollon Maria A, Guzman Luis A, Rodríguez Daniel A, Morales Ricardo, Méndez Daniela, Bedoya Claudia, Linares-Vásquez Mario, Arévalo Maria Isabel, Martínez-Herrera Eliana, Montes Felipe, Meisel Jose D, Useche Andrés F, García Elizabeth, Triana Camilo A, Medaglia Andrés L, Hessel Philipp, Arellana Julian, Moncada Carlos, King Abby C, Diez Roux Ana V
School of Medicine, Universidad de Los Andes, Bogotá, Colombia.
Department of Industrial Engineering, School of Engineering, Universidad de Los Andes, Bogotá, Colombia.
Front Public Health. 2020 Mar 10;8:64. doi: 10.3389/fpubh.2020.00064. eCollection 2020.
Cable cars provide urban mobility benefits for vulnerable populations. However, no evaluation has assessed cable cars' impact from a health perspective. TransMiCable in Bogotá, Colombia, provides a unique opportunity to (1) assess the effects of its implementation on the environmental and social determinants of health (microenvironment pollution, transport accessibility, physical environment, employment, social capital, and leisure time), physical activity, and health outcomes (health-related quality of life, respiratory diseases, and homicides); and (2) use citizen science methods to identify, prioritize, and communicate the most salient negative and positive features impacting health and quality of life in TransMiCable's area, as well as facilitate a consensus and advocacy-building change process among community members, policymakers, and academic researchers. TrUST (In Spanish: Transformaciones Urbanas y Salud: el caso de TransMiCable en Bogotá) is a quasi-experimental study using a mixed-methods approach. The intervention group includes adults from Ciudad Bolívar, the area of influence of TransMiCable. The control group includes adults from San Cristóbal, an area of future expansion for TransMiCable. A conceptual framework was developed through group-model building. Outcomes related to environmental and social determinants of health as well as health outcomes are assessed using questionnaires (health outcomes, physical activity, and perceptions), secondary data (crime and respiratory outcomes) use of portable devices (air pollution exposure and accelerometry), mobility tracking apps (for transport trajectories), and direct observation (parks). The Stanford Healthy Neighborhood Discovery Tool is being used to capture residents' perceptions of their physical and social environments as part of the citizen science component of the investigation. TrUST is innovative in its use of a mixed-methods, and interdisciplinary research approach, and in its systematic engagement of citizens and policymakers throughout the design and evaluation process. This study will help to understand better how to maximize health benefits and minimize unintended negative consequences of TransMiCable.
缆车为弱势群体提供了城市交通便利。然而，尚无评估从健康角度考察缆车的影响。哥伦比亚波哥大的TransMiCable缆车项目提供了一个独特的机会，来（1）评估其实施对健康的环境和社会决定因素（微环境污染、交通可达性、物理环境、就业、社会资本和休闲时间）、身体活动以及健康结果（与健康相关的生活质量、呼吸道疾病和杀人案件）的影响；以及（2）运用公民科学方法来识别、确定优先次序并传达影响TransMiCable区域健康和生活质量的最显著的负面和正面特征，同时促进社区成员、政策制定者和学术研究人员之间达成共识并推动倡导性变革进程。TrUST（西班牙语：Transformaciones Urbanas y Salud: el caso de TransMiCable en Bogotá，即“城市转型与健康：波哥大TransMiCable缆车项目案例”）是一项采用混合方法的准实验研究。干预组包括来自TransMiCable缆车项目影响区域玻利瓦尔城的成年人。对照组包括来自圣克里斯托瓦尔的成年人，圣克里斯托瓦尔是TransMiCable缆车项目未来的扩展区域。通过群组模型构建开发了一个概念框架。使用问卷（健康结果、身体活动和认知）、二手数据（犯罪和呼吸道结果）、便携式设备（空气污染暴露和加速度测量）、出行跟踪应用程序（用于交通轨迹）以及直接观察（公园）来评估与健康的环境和社会决定因素以及健康结果相关的指标。作为调查公民科学部分的一部分，正在使用斯坦福健康社区发现工具来获取居民对其物理和社会环境的认知。TrUST在采用混合方法和跨学科研究方法，以及在整个设计和评估过程中系统地让公民和政策制定者参与方面具有创新性。这项研究将有助于更好地理解如何最大化TransMiCable缆车项目的健康效益，并将意外的负面后果降至最低。
