Publications by authors named "Ralph Buehler"

Introduction: Shared dockless electric scooters (e-scooters) are a popular shared mobility service providing an accessible last-mile transportation option in urban and campus environments. However, city and campus stakeholders may hesitate to introduce these scooters due to safety concerns. While prior e-scooter safety studies have collected injury data from hospitals or riding data under controlled or naturalistic conditions, these datasets are limited and did not identify risk factors associated with e-scooter riding safety.

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Active transportation (AT) is widely viewed as an important target for increasing participation in aerobic physical activity and improving health, while simultaneously addressing pollution and climate change through reductions in motor vehicular emissions. In recent years, progress in increasing AT has stalled in some countries and, furthermore, the coronavirus (COVID-19) pandemic has created new AT opportunities while also exposing the barriers and health inequities related to AT for some populations. This paper describes the results of the December 2019 Conference on Health and Active Transportation (CHAT) which brought together leaders from the transportation and health disciplines.

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Background: Walking and bicycling are health-promoting and environmentally friendly alternatives to the automobile. Previous studies that explore correlates of active travel and the built environment are for a single metropolitan statistical area (MSA) and results often vary among MSAs.

Objectives: Our goal was to model the relationship between the built environment and active travel for 20 MSAs spanning the continental United States.

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Purpose Of Review: While many levels of government recognize that walking and cycling (active travel) are critical to healthy cities, a continued challenge is to identify and prioritize strategies that will increase walking and cycling for transportation. We review evidence on policies that can increase active travel.

Recent Findings: The reviews included here conclude that policies related to active travel may operate at various levels of the socio-ecological framework, including society, cities, routes or individuals.

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Objectives: To examine changes in pedestrian and cyclist fatalities per capita (1990-2014) and per kilometer (2000-2010) in selected high-income countries, and in fatalities and serious injuries per kilometer by age in the United States and Germany (2001-2009).

Methods: We used Organisation for Economic Cooperation and Development data to estimate 5-year annual averages of per-capita fatalities relative to the 1990-1994 average. To control for exposure, we divided fatalities and serious injuries by kilometers of walking or cycling per year for countries with comparable data from national household travel surveys.

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Background: Travel surveys in Europe and the U.S. show large differences in the proportion of walking and cycling trips without considering implications for physical activity.

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Objectives: To assess changes in walking and cycling in the United States between 2001 and 2009.

Methods: The 2001 and 2009 National Household Travel Surveys were used to compute the frequency, duration, and distance of walking and cycling per capita. The population-weighted person and trip files were merged to calculate the prevalence of any walking and cycling and of walking and cycling at least 30 minutes per day.

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Objectives: We sought to determine the magnitude, direction, and statistical significance of the relationship between active travel and rates of physical activity, obesity, and diabetes.

Methods: We examined aggregate cross-sectional health and travel data for 14 countries, all 50 US states, and 47 of the 50 largest US cities through graphical, correlation, and bivariate regression analysis on the country, state, and city levels.

Results: At all 3 geographic levels, we found statistically significant negative relationships between active travel and self-reported obesity.

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Purpose: This study was designed to examine the relationship between active transportation (defined as the percentage of trips taken by walking, bicycling, and public transit) and obesity rates (BMI > or = 30 kg . m-2) in different countries.

Methods: National surveys of travel behavior and health indicators in Europe, North America, and Australia were used in this study; the surveys were conducted in 1994 to 2006.

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