Center for Inclusive Design and Innovation, Georgia Institute of Technology, Atlanta, GA, USA.
Campbell & Associates Consulting, Seattle, WA, USA.
Disabil Health J. 2022 Jan;15(1S):101209. doi: 10.1016/j.dhjo.2021.101209. Epub 2021 Aug 30.
Persons aging with mobility disability (PAwMD) experience transportation barriers, which can hinder their ability to fully participate in society. Despite a vast infrastructure of federal laws and programs designed to ensure access to transportation, PAwMD remain a transportation-disadvantaged population.
This paper presents detailed insights on transportation challenges experienced by PAwMD along with recent Federal programmatic initiatives designed to enhance access and mobility for transportation for older adults and people with disabilities. To identify policy gaps and opportunities to improve transportation services, we compared individual-level challenges from PAwMD to national survey data about barriers associated with delivering transportation services at state and local levels.
To assess individual-level transportation challenges, we conducted in-depth, structured interviews with sixty older adult participants with self-identified mobility disabilities for at least 10 years. We also conducted a content analysis of end-user transportation challenges and agency-level transportation coordination barriers to identify correspondences.
Participants reported challenges utilizing public and private modes of transportation, related to availability; accessibility; safety; advanced planning; as well as societal attitudes. Barriers to the availability, delivery, and coordination of access and mobility services are linked directly or indirectly to the PAwMD reports of experiencing a shortage of accessible transportation options.
Findings highlight the complexity of federal transportation policies and programmatic initiatives designed to support older adults and people with disabilities, which contribute to implementation barriers and transportation challenges. Results highlight the importance of integrating end-user and state and local provider input into transportation policy development and program implementation.
随着行动障碍而老化的人（PAwMD）经历交通障碍，这可能会阻碍他们充分参与社会的能力。尽管有大量旨在确保获得交通服务的联邦法律和计划基础设施，但 PAwMD 仍然是交通弱势群体。
本文详细介绍了 PAwMD 所经历的交通挑战，以及最近旨在增强老年人和残疾人士获得交通服务的联邦计划举措。为了确定改善交通服务的政策差距和机会，我们将 PAwMD 的个人层面挑战与有关州和地方各级提供交通服务的障碍的国家调查数据进行了比较。
为了评估个人层面的交通挑战，我们对 60 名年龄在 60 岁以上且自认为有至少 10 年行动障碍的成年人进行了深入的、结构化的访谈。我们还对最终用户交通挑战和机构级交通协调障碍进行了内容分析，以确定对应关系。
参与者报告了利用公共和私人交通方式的挑战，涉及可用性、可及性、安全性、提前规划以及社会态度。可用性、交付和协调访问和移动性服务的障碍直接或间接地与 PAwMD 报告的无障碍交通选择短缺有关。
研究结果突出了联邦交通政策和计划举措的复杂性，这些政策和计划举措旨在支持老年人和残疾人士，这导致了实施障碍和交通挑战。结果强调了将最终用户和州及地方提供者的投入纳入交通政策制定和计划实施的重要性。
