@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2018;5(1):49-60
ISSN: 2383-2150 Journal of Education and Community Health 2018;5(1):49-60
Impacts of Urban Traffic and Transport on Social Determinants of Health from the Perspective of Residents and Key Informants in Sanandaj, Iran: A Qualitative Study
ARTICLE INFO
Article Type
Original ResearchAuthors
Nadrian Haidar (1,*)Taghdisi Mohammad Hossein (2)
Shojaeizadeh Davoud (3)
Nedjat Saharnaz (4)
(1,*) Social Determinants of Health Research Center, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
(2) Department of Health Education and Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran
(3) Department of Health , School of Health and Health Research Institute, Education and Promotion Tehran University of Medical Sciences, Tehran, Iran
(4) Department of Epidemiology, School of Health and Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Correspondence
Address: Social Determinants of Health Research Center, School of Health, Tabriz University of Medical Sciences, Tabriz, IranPhone: -
Fax: -
haidarnadrian@gmail.com
Article History
Received: June 14, 2017Accepted: April 27, 2018
ePublished: June 1, 2018
ABSTRACT
Aims
Traffic and transport, as a political and social phenomenon, play an important role in the quality and socioeconomic structure of a society. This phenomenon constitutes one of the foundations of modern urban life and social needs of populations. Regarding this, the present study was performed to investigate the impacts of urban traffic and transport on the social determinants of health (SDH) based on the viewpoints of urban residents and key informants in Sanandaj, Iran.
Materials & Methods This qualitative study was conducted on 22 urban residents and 8 key informants selected through purposive sampling technique. The data were analyzed through conventional content analysis approach. Data collection was conducted using four focus group discussions (FGDs) (including 22 residents) and eight in-depth interviews. MAXQDA10 was applied for the purpose of data management.
Findings The SDHs that were negatively affected by Sanandaj urban traffic and transport included socio-cultural (e.g., recreation and free times, daily work trends, safety of within-city commuting, tobacco use, and education) and environmental factors (e.g., vegetation, antiquities, noise pollution, urban aesthetic status, and environment, and soil, food, and water status).
Conclusion Urban traffic/transport stakeholders, health policy makers, and health professionals in Iran should pay much more attention to the impacts of urban traffic/transport plans on health and its determinants. It seems necessary to comprehensively assess urban traffic/transport on health status and its determinants in Iran.
Materials & Methods This qualitative study was conducted on 22 urban residents and 8 key informants selected through purposive sampling technique. The data were analyzed through conventional content analysis approach. Data collection was conducted using four focus group discussions (FGDs) (including 22 residents) and eight in-depth interviews. MAXQDA10 was applied for the purpose of data management.
Findings The SDHs that were negatively affected by Sanandaj urban traffic and transport included socio-cultural (e.g., recreation and free times, daily work trends, safety of within-city commuting, tobacco use, and education) and environmental factors (e.g., vegetation, antiquities, noise pollution, urban aesthetic status, and environment, and soil, food, and water status).
Conclusion Urban traffic/transport stakeholders, health policy makers, and health professionals in Iran should pay much more attention to the impacts of urban traffic/transport plans on health and its determinants. It seems necessary to comprehensively assess urban traffic/transport on health status and its determinants in Iran.
Keywords:
Health Impact Assessment,
Qualitative Study,
Social Determinants of Health,
Traffic,
Urban Transportation,
CITATION LINKS
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[36]Richardson EA, Mitchell R. Gender differences in relationships between urban green space and health in the United Kingdom. Soc Sci Med. 2010;71(3):568-75. PMID: 20621750 DOI: 10.1016/j.socscimed.2010.04.015
[37]Ulrich RS. View through a window may influence recovery from surgery. Science. 1984;224(4647):420-1. PMID: 6143402
[2]Jarvis D, Lai E, Luczynska C, Chinn S, Burney P. Prevalence of asthma and asthma-like symptoms in young adults living in three east Anglian towns. Br J Gen Pract. 1994;44(388):493-7. PMID: 7748645
[3]Wilkinson RG, Marmot M. Social determinants of health: the solid facts. 2nd ed. Geneva: World Health Organization; 2003.
[4]Frumkin H, Jackson R. Urban sprawl and public health. Public Health Rep. 2002;117:201-17. DOI: 10.1093/phr/117.3.201
[5]Frumkin H, Frank L, Jackson RJ. Urban sprawl and public health: designing,planning and building for healthy communities. Washington DC: Island Press; 2004.
[6]Jackson RJ. The impact of the builtenvironment on health: an emergingfield. Am J Public Health. 2003;93(9):1382-4. PMID: 12948946
[7]Smith G. Morris JN, Shaw M. The independent inquiry into inequalities in health: Is welcome, but its recommendations are too cautious and vague. BMJ. 1998;317(7171):1465-6. PMID: 9831567
[8]Dannenberg AL, Bhatia R, Cole BL, Heaton SK, Feldman JD, Rutt CD. Use of health impact assessment in the U.S. 27 case studies, 1999-2007. Am J Prev Med. 2008;34(3):241-56. PMID: 18312813 DOI: 10.1016/j.amepre.2007.11.015
[9]Schulz A, Northridge ME. Social determinants of health: implications for environmental health promotion. Health Edu Behav. 2004;31(4):455-71. PMID: 15296629 DOI: 10.1177/1090198104265598
[10]Eeastern Regional Health Auditory. A health impact assessment of traffic and transport in ballyfermot. Ireland: Eastern Regional Health Authority; 2004.
[11]Nadrian H, Taghdisi MH, Aghemiri M, Khazaee-Pool M, Shojaeizadeh D. Impacts of urban traffic jams on physical health of residents from the inhabitants ‘perspective in Sanandaj city (a qualitative study). Iran J Health Edu Health Promot. 2017;5(4):345-58. DOI: 10.30699/acadpub.ijhehp.5.4.345
[12]Joffe M, Mindell J. Health impact assessment. Occup Environ Med. 2005;62:907-12. DOI: 10.1136/oem.2004.014969
[13]Taebi A, Samani Majd S, Abtahi SM. Analyzing driving behavior: an information processing perspective. Psychol Train Stud. 2007;8(2):147-70. [Persain]
[14] Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;12(9):1277-88. PMID: 16204405 DOI: 10.1177/1049732305276687
[15]Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. Philadelphia: Lippincott Williams & Wilkins; 2011.
[16]Krippendroff K. Content analysis: an introduction to its methodology. Beverley Hills: Sage; 2004.
[17]Alizadeh H, Abdi MH, Rahimi KJ. Developing strategies for improving function of recreational areas: the case study of Deedgah Recreational Complex, Sanandaj. Quart Urban Stud. 2012;1(4):55-68. [Persian]
[18]Grout P, Cliff KS, Harman ML, Machin D. Cigarette smoking, road traffic accidents and seat belt usage. Public Health. 1983;97(2):95-101. PMID: 6856732
[19]Soori H, Eyni E, Mehmandar MR, Khosravi K. Evaluation of Iran’s new law of traffic violations investigations. Rahvar. 2013;9(17):75-89. [Persian]
[20]Coyle E, Huws D, Monaghan S, Roddy G, Seery B, Staats P, et al. Transport and health--a five-country perspective. Public Health. 2009;123(1):e21-3. PMID: 19135694 DOI: 10.1016/j.puhe.2008.10.023
[21]Rojas-Rueda D, De Nazelle A, Teixidó O, Nieuwenhuijsen MJ. Health impact assessment of increasing public transport and cycling use in Barcelona: a morbidity and burden of disease approach. Prevent Med. 2013;57(5):573-9. PMID: 23938465 DOI: 10.1016/j.ypmed.2013.07.021
[22]Shahani F. A case study on the impacts of vegetation on the level of lead absorbtion existed in Tehran air. Environmental Engineering Congress, Tehran, Iran; 2009.
[23]Villeneuve PJ, Jerrett M, Su JG, Burnett RT, Chen H, Wheeler AJ, et al. A cohort study relating urban green space with mortality in Ontario, Canada. Environ Res. 2012;115:51-8. PMID: 22483437 DOI: 10.1016/j.envres.2012.03.003
[24]Rezaei Mofrad M. Environmental considerations in controlling the role of acidic rains in the destruction of historical buidlings. First Conference on Air Pollution and Its Effects on Health, Tehran, Iran; 2005. [Persian]
[25]Salehi Nezami R. The impacts of noise pollutions on the museum objects. J Saadabad Cultural Historical. 2008; 16:12-7. [Persian]
[26]Samani MS, Taebi A, Afyuni M. Lead and cadmium pollution in urban roadside soil. J Environ Stud. 2007;33(43):1-10. [Persian]
[27]Turer DG. Heavy metal pollution of roadways from vehicular and non-vehicular sources: Cincinnati, Ohio and Corpus Christi, Texas. Ohio United States: University of Cincinnati; 2000.
[28]Chen TB, Zheng YM, Lei M, Huang ZC, Wu HT, Chen H, et al. Assessment of heavy metal pollution in surface soils of urban parks in Beijing, China. Chemosphere. 2005;60(4):542-51. PMID: 15950046 DOI: 10.1016/j.chemosphere.2004.12.072
[29]Carlosena A, Andrade JM, Prada D. Searching for heavy metals grouping roadside soils as a function of motorized traffic influence. Talanta. 1998;47(3):753-67. PMID: 18967380
[30]Falahi-Ardakani A. Contamination of environment with heavy metals emitted from automotives. Ecotoxicol Environ Saf. 1984;8(2):152-61. PMID: 6201332
[31]Duong TT, Lee BK. Determining contamination level of heavy metals in road dust from busy traffic areas with different characteristics. J Environ Manage. 2011;92(3):554-62. PMID: 20937547 DOI: 10.1016/j.jenvman.2010.09.010
[32]Laxen DP, Harrison RM. The highway as a source of water pollution: an appraisal with the heavy metal lead. Water Res. 1977;11(1):1-11. DOI: 10.1016/0043-1354(77)90175-0
[33]Sharma RK, Agrawal M, Marshall FM. Heavy metal (Cu, Zn, Cd and Pb) contamination of vegetables in urban India: a case study in Varanasi. Environ Pollut. 2008;154(2):254-63. PMID: 18031880 DOI: 10.1016/j.envpol.2007.10.010
[34]Sharma S, Prasad FM. Accumulation of lead and cadmium in soil and vegetable crops along major highways in Agra (India). J Chemistry. 2010;7(4):1174-83.
[35]Nabulo G, Oryem-Origa H, Diamond M. Assessment of lead, cadmium, and zinc contamination of roadside soils, surface films, and vegetables in Kampala City, Uganda. Environ Res. 2006;101(1):42-52. PMID: 16527265 DOI: 10.1016/j.envres.2005.12.016
[36]Richardson EA, Mitchell R. Gender differences in relationships between urban green space and health in the United Kingdom. Soc Sci Med. 2010;71(3):568-75. PMID: 20621750 DOI: 10.1016/j.socscimed.2010.04.015
[37]Ulrich RS. View through a window may influence recovery from surgery. Science. 1984;224(4647):420-1. PMID: 6143402