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城市缆车干预对生活质量的影响:在哥伦比亚波哥大进行的一项观察性、准实验性研究(TrUST)。

Effects of an urban cable car intervention on quality of life: an observational, quasi-experimental study in Bogotá, Colombia (TrUST).

作者信息

Baldovino-Chiquillo Laura, Sarmiento Olga L, Pasos Donny S, Palencia-Pérez Leonardo, O'Donovan Gary, Cantillo-Garcia Victor, Martínez Lina, Arellana Julian, Guzman Luis A

机构信息

School of Medicine, Universidad de los Andes, Bogotá, Colombia.

Fundación Santa Fe de Bogotá, Bogotá, Colombia.

出版信息

Lancet Reg Health Am. 2025 May 19;47:101126. doi: 10.1016/j.lana.2025.101126. eCollection 2025 Jul.

DOI:10.1016/j.lana.2025.101126
PMID:40486988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12145807/
Abstract

BACKGROUND

There is little evidence about the relationships between transport interventions and quality of life in low-income settlements in Global South cities. The aim was to assess the effects of the TransMiCable cable car intervention on quality of life in males and females in a low-income settlement in Bogotá, Colombia.

METHODS

The Urban Transformations and Health (TrUST) natural experiment was conducted between 2018 and 2020 in intervention and control neighbourhoods. Overall quality of life, general health, and specific domains of quality of life were assessed in adults before and after the implementation of the TransMiCable using the World Health Organization's quality of life brief questionnaire. Adjusted multilevel linear regression models were used to estimate the effects on outcomes.

FINDINGS

Before the inauguration of TransMiCable, 2052 participants (1289 [62.8%] females and 763 [37.2%] males; mean age 43.5 years [SD 17.7]) completed the questionnaire. Analyses included 825 participants in the intervention group (80% of the baseline sample) and 854 participants in the control group (84% of the baseline sample) who completed the follow-up. Among females in the intervention area, there was an increase in quality of life (adjusted β for the time-by-group interaction, intervention control: 5.81 points [95% CI: 2.47, 9.14]), and general health (adjusted β for the time-by-group interaction: 5.49 points [2.07, 8.92). Among males, quality of life and general health changes were not different in the intervention and control groups.

INTERPRETATION

Transport interventions, such as TransMiCable, could have meaningful impacts on the quality of life of women in low-income areas, promoting the achievement of sustainable development goals and improving well-being. A community-based, multisectoral approach is essential to designing integrated mobility policies that reflect the diverse needs of urban communities in the Global South.

FUNDING

Wellcome Trust (as part of the Urban Health in Latin America project); Bogotá Urban Planning Department; Ministry of Science, Technology, and Innovation of Colombia; Universidad de Los Andes; Fundación Santa Fe de Bogotá; and Universidad del Norte.

摘要

背景

关于全球南方城市低收入住区交通干预措施与生活质量之间的关系,几乎没有相关证据。目的是评估哥伦比亚波哥大一个低收入住区的TransMiCable缆车干预措施对男性和女性生活质量的影响。

方法

2018年至2020年期间,在干预社区和对照社区开展了城市转型与健康(TrUST)自然实验。在实施TransMiCable之前和之后,使用世界卫生组织生活质量简表对成年人的总体生活质量、一般健康状况以及生活质量的特定领域进行了评估。采用调整后的多水平线性回归模型来估计对结果的影响。

研究结果

在TransMiCable开通之前,2052名参与者(1289名[62.8%]女性和763名[37.2%]男性;平均年龄43.5岁[标准差17.7])完成了问卷调查。分析纳入了干预组的825名参与者(占基线样本的80%)和对照组的854名参与者(占基线样本的84%),他们完成了随访。在干预区域的女性中,生活质量有所提高(时间×组间交互作用的调整β值,干预组与对照组相比:5.81分[95%置信区间:2.

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Gender differences in the association of individual and contextual socioeconomic status with hypertension in 230 Latin American cities from the SALURBAL study: a multilevel analysis.SALURBAL 研究:230 个拉丁美洲城市个体和背景社会经济地位与高血压相关性的性别差异:一项多层次分析。
BMC Public Health. 2023 Aug 11;23(1):1532. doi: 10.1186/s12889-023-16480-3.
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Effects of an urban cable car intervention on physical activity: the TrUST natural experiment in Bogotá, Colombia.
城市缆车干预对身体活动的影响:哥伦比亚波哥大的 TrUST 自然实验。
Lancet Glob Health. 2023 Aug;11(8):e1290-e1300. doi: 10.1016/S2214-109X(23)00274-7.
4
Commuter's personal exposure to air pollutants after the implementation of a cable car for public transport: Results of the natural experiment TrUST.公共交通缆车实施后通勤者个人接触空气污染物的情况:自然实验TrUST的结果
Sci Total Environ. 2023 Mar 20;865:160880. doi: 10.1016/j.scitotenv.2022.160880. Epub 2022 Dec 11.
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