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Addressing Contributors to Obesity Using a Transit- Oriented Multilevel Intervention in a Border Town

Obesity (Silver Spring, Md.), 2022-11, Vol.30, p.194-194 [Peer Reviewed Journal]

Copyright Blackwell Publishing Ltd. Nov 2022 ;ISSN: 1930-7381 ;EISSN: 1930-739X

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  • Title:
    Addressing Contributors to Obesity Using a Transit- Oriented Multilevel Intervention in a Border Town
  • Author: Toney, Ashley ; Ramirez, Luis ; Zhong, Sinan ; Ibarra, Jorge ; Garcia-Aguirre, Juan ; Lee, Hanwool ; Towne, Samuel ; Ory, Marcia ; Lee, Chanam ; Lee, Wei ; Whigham, Leah
  • Subjects: Cost control ; Intervention ; Public health
  • Is Part Of: Obesity (Silver Spring, Md.), 2022-11, Vol.30, p.194-194
  • Description: Background: Low socioeconomic status, low physical activity, and chronic diseases such as obesity present public health challenges requiring community-based strategies. This is especially critical in areas with disproportionately high rates of these challenges, such as US-Mexico border communities. Public transit use, recognized as a low-cost, sustainable mode of transportation may serve as one sustainable health-promoting strategy. Given limited information about how, and to what extent, transit systems address these public health challenges, we evaluated the impact of transit-related changes on multiple outcomes (e.g., physical activity, access to health resources, usability) using a transit-oriented multilevel intervention (TOMI) framework. Methods: In an ongoing study, participants are engaging in 1 of 3 TOMI strategies 1) education (bus ride accompanied by staff to teach processes); 2) cost (free bus fare); or 3) access (free ride to bus stop) to assess possible changes in transit use. We present preliminary semi-structured interview data from the education arm focused on barriers and facilitators. Results: The perceived benefits of taking the bus were 1) cost savings for gas, 2) increased exercise, and 3) getting to know their neighborhood without having to focus on driving. Perceived barriers included: 1) longer time spent riding the bus (vs. time in a personal vehicle) and 2) general inconvenience. Most participants described wanting to take the bus more frequently after the intervention as they learned to use the app to buy tickets and identify closest stops and concluded that the walk to their stops is convenient and leisurely. Conclusions: Education strategies may help address modifiable barriers to transit use, with subsequent research determining if such interventions lead to increases in physical activity and access to resources that support health.
  • Publisher: Silver Spring: Blackwell Publishing Ltd
  • Language: English
  • Identifier: ISSN: 1930-7381
    EISSN: 1930-739X
  • Source: ProQuest Central
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