Introduction

People with disabilities experience particular transportation challenges that arise from socializing while in transit. Completing or anticipating transportation-related social tasks, like asking drivers, fellow passengers, family/friends/caregivers, or passers-by for help, can impact one's health by influencing feelings of self-efficacy, stress, and perceived social isolation. These feelings may, in turn, affect travel behavior, which also has implications for health. This qualitative study sheds light on the role of transportation-related social interaction in travel behavior and health among adults with disabilities.

Methods

32 in-depth interviews were conducted with adults with disabilities living in the San Francisco Bay Area.

Results

Respondents’ experiences interacting with others while using transportation influenced determinants of health including self-efficacy, stress, and perceived social isolation and connectedness. Findings from this study indicate that people with disabilities may change their travel behavior in response to these feelings. Individuals with low transportation self-efficacy or who have experienced stressful interactions may limit travel. This might pose a health risk by contributing to feelings of perceived isolation. Difficulties completing transportation-related social tasks and related health consequences may be especially pronounced among individuals who acquired disabilities relatively recently and/or in old age. Individuals with high transportation self-efficacy or who feel socially connected while traveling may travel more. This might promote health.

Conclusion

The social tasks associated with using transportation deserve more attention in literature on travel behavior and transportation planning, as they pose barriers to using transportation for some adults with disabilities and can affect travelers’ health. Offering travel training to people with acquired disabilities, and training drivers and educating riders about how to appropriately and effectively interact with passengers who require special assistance might improve transportation for, and associated health outcomes among, people with disabilities.

中文翻译：

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了解与交通有关的社会互动在旅行行为和健康中的作用：对成年残疾人的定性研究

介绍

残疾人在运输过程中会因社交而遇到特殊的交通挑战。要求驾驶员，同行乘客，家人/朋友/照料者或路人寻求帮助等完成或预期与交通有关的社会任务，可能会通过影响自我效能感，压力和感知到的社会孤立感来影响人的健康。这些感觉可能反过来影响旅行行为，也对健康产生影响。这项定性研究阐明了与交通有关的社会互动在残疾成年人旅行行为和健康中的作用。

方法

对居住在旧金山湾区的残疾成人进行了32次深度访谈。

结果

受访者在使用运输工具时与他人互动的经历影响着健康的决定因素，包括自我效能感，压力，感知到的社会孤立和联系。这项研究的结果表明，残疾人可能会根据这些感觉改变他们的旅行行为。运输自我效能低下或经历过压力互动的个人可能会限制旅行。通过助长被感知的孤立感，这可能构成健康风险。在相对较新和/或年纪较大的人中，完成与交通有关的社会任务和相关健康后果的困难尤其明显。具有较高的运输自我效能感的人或旅行时感到与社会有联系的人可能会旅行更多。

结论

与交通相关的社会任务在旅行行为和交通规划方面的文献中应引起更多关注，因为它们为某些残疾成年人提供了使用交通的障碍，并可能影响旅行者的健康。为残障人士提供旅行培训，并对驾驶员进行培训，并对骑手进行培训，使他们了解如何与需要特殊帮助的乘客进行适当和有效的互动，这可能会改善残疾人的交通运输以及相关的健康状况。