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  1. Home
  3. Partnering With Communities To Understand Social Determinants Of Health (sdoh) Impacts On Access To Shared Micromobility
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  3. Partnering With Communities To Understand Social Determinants Of Health (sdoh) Impacts On Access To Shared Micromobility

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Partnering with Communities to Understand Social Determinants of Health (SDoH) Impacts on Access to Shared

Elizabeth K McClain1, Kaitlynn Walker2, Ganesh Kumar2

  • 1Department of Medical Education, Arkansas College of Osteopathic Medicine, Fort Smith, AR 72916, USA.

International Journal of Environmental Research and Public Health
|November 27, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Community bike share use is hindered by access, safety, and maintenance issues, particularly in diverse, low-income areas. Addressing these barriers requires community-driven solutions and city policy changes for equitable transportation.

Keywords:
citizen science/Our Voicephotovoiceshared micromobilitysocial determinants of healthunderrepresented/vulnerable community

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Area of Science:

  • Public Health
  • Transportation Equity
  • Community-Based Participatory Research

Background:

  • Bike share programs aim to increase accessible and sustainable transportation options.
  • Understanding user experiences, especially within diverse and socioeconomically challenged communities, is crucial for program success.
  • Social Determinants of Health (SDoH) significantly influence transportation access and utilization.

Purpose of the Study:

  • To explore facilitators and barriers to community bike share use in a diverse, high-poverty urban setting.
  • To identify how Social Determinants of Health (SDoH) impact bike share accessibility for vulnerable populations.
  • To leverage community-based participatory action research (CBPAR) for actionable insights and policy recommendations.

Main Methods:

  • Utilized a community-based participatory action research (CBPAR) photovoice framework with the Stanford Our Voice (OV) Discovery Tool.
  • Conducted citizen science walks and focus groups with 27 diverse community members and osteopathic medical students.
  • Analyzed 322 photos and narrative comments to identify deductive and inductive themes related to bike share use.

Main Results:

  • Identified key barriers including challenges in access, maintenance, transit safety, comfort, and environmental factors.
  • Highlighted how these barriers disproportionately affect lower-income and historically underrepresented communities, exacerbating inequities.
  • Demonstrated the effectiveness of the OV tool in capturing geocoded photo evidence and narratives for targeted interventions.

Conclusions:

  • Community-driven photovoice research effectively identified critical barriers to bike share equity.
  • Addressing SDoH through infrastructure improvements and policy changes is essential for sustainable and inclusive bike share programs.
  • Engaging community voices in partnership with city decision-makers can drive meaningful change in transportation initiatives.