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Demographic Influences on Sustainable Mobility Adoption in Rehabilitation
August 28, 2025
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Background: The integration of sustainable mobility within rehabilitation settings combines environmental and health-focused strategies to reduce the carbon footprint of healthcare and improve patient results. This approach addresses the need for environmentally friendly transport options, such as walking, cycling, public transport, and carpooling, within rehabilitation programs.
Aim(s) (including purpose setting): This study aimed to explore the influence of demographic factors - age, gender, and mobility restrictions on patients' willingness to adopt sustainable mobility options during rehabilitation.
Material and methods: A cross-sectional survey design was used, involving 85 participants undergoing rehabilitation. Data were collected using a structured electronic questionnaire, with demographic data and attitudes toward different sustainable transport methods. Statistical analyses included Chi-Square tests, ANOVA, Tukey’s HSD, t-tests, and Mann-Whitney U tests to identify significant demographic influences on mobility preferences.
Result: Younger participants (aged 18-30) and female participants demonstrated a higher willingness to use public transport compared to older age groups and male participants (ANOVA p = 0.008). Participants with mobility restrictions were less inclined toward active transport options, highlighting the need for customized support and accessible infrastructure.
Conclusions: Demographic factors significantly affect sustainable mobility preferences in rehabilitation, necessitating customized interventions to improve adoption. Programs should consider age, gender and mobility limitations to effectively promote sustainable transport. Addressing these factors can improve rehabilitation results and support broader environmental sustainability goals. Future research should investigate long-term impacts and the role of additional variables, such as socioeconomic status and infrastructure, in shaping mobility preferences.
Arsovski, D., Prodanovska-Stojchevska, V., Jovanovska, T., Filov, I., Jankulovska, A., & Petkovska, D. (2025). Demographic Influences on Sustainable Mobility Adoption in Rehabilitation. Surabaya Physical Medicine and Rehabilitation Journal, 7(2), 182–201. https://doi.org/10.20473/spmrj.v7i2.65019
Gallo, Mariano, and Mario Marinelli. "Sustainable Mobility: A Review of Possible Actions and Policies." Sustainability 12, no. 18 (2020): 7499. https://doi.org/10.3390/su12187499
Or, Z., & Seppänen, A.-V. (2024). The role of the health sector in tackling climate change: A narrative review. Health Policy, 143, 105053. https://doi.org/10.1016/j.healthpol.2024.105053
Jing, Qin-Lei, Han-Zhen Liu, Wei-Qing Yu, and Xu He. "The Impact of Public Transportation on Carbon Emissions—From the Perspective of Energy Consumption." Sustainability 14, no. 10 (2022): 6248. https://doi.org/10.3390/su14106248
Zhao, X., Hu, H., Yuan, H., & Chu, X. (2023). How does adoption of electric vehicles reduce carbon emissions? Evidence from China. Heliyon, 9(9), e20296. https://doi.org/10.1016/j.heliyon.2023.e20296
Papadakis, Dimitrios Minas, Andreas Savvides, Aimilios Michael, and Apostolos Michopoulos. "Advancing Sustainable Urban Mobility: Insights from Best Practices and Case Studies." Fuel Communications 20 (2024): 100125. https://doi.org/10.1016/j.jfueco.2024.100125
Nesmachnow, S., & Hipogrosso, S. (2024). Assessment of sustainable mobility initiatives developed in Montevideo, Uruguay. Urban Science, 8(2), 52. https://doi.org/10.3390/urbansci8020052
Maizlish, Neil, James Woodcock, Steven Co, Bart Ostro, Ana Fanai, and David Fairley. "Health Cobenefits and Transportation-Related Reductions in Greenhouse Gas Emissions in the San Francisco Bay Area." American Journal of Public Health 103, no. 4 (2013): 703-9. https://doi.org/10.2105/AJPH.2012.300939
Pinckard, K., Baskin, K. K., & Stanford, K. I. (2019). Effects of Exercise to Improve Cardiovascular Health. Frontiers in cardiovascular medicine, 6, 69. https://doi.org/10.3389/fcvm.2019.00069
Shilton, Trevor, Adrian Bauman, Barbara Beger, Anna Chalkley, Bruce Champagne, Michael Elings-Pers, Billie Giles-Corti, Shifalika Goenka, Margie Miller, Karen Milton, Adesola Oyeyemi, Rosemary Ross, James F. Sallis, Kathleen Armstrong-Walenczak, Jo Salmon, and Laura P. Whitsel. "More People, More Active, More Often for Heart Health - Taking Action on Physical Activity." Global Heart 19, no. 1 (2024): 42. https://doi.org/10.5334/gh.1308
Elsamani, Y., & Kajikawa, Y. (2024). Envisioning the future of mobility: A well-being-oriented approach. Sustainability, 16(18), 8114. https://doi.org/10.3390/su16188114
Ronen, Tammie, and Dorit Kerret. "Promoting Sustainable Wellbeing: Integrating Positive Psychology and Environmental Sustainability in Education." International Journal of Environmental Research and Public Health 17, no. 19 (2020): 6968. https://doi.org/10.3390/ijerph17196968
Shaban, M. M., Alanazi, M. A., Mohammed, H. H., Mohamed Amer, F. G., Elsayed, H. H., Zaky, M. E., Ramadan, O. M. E., Abdelgawad, M. E., & Shaban, M. (2024). Advancing sustainable healthcare: a concept analysis of eco-conscious nursing practices. BMC nursing, 23(1), 660. https://doi.org/10.1186/s12912-024-02197-0
Lippi, L., de Sire, A., Folli, A., Turco, A., Moalli, S., Ammendolia, A., Maconi, A., & Invernizzi, M. (2022). Environmental Factors in the Rehabilitation Framework: Role of the One Health Approach to Improve the Complex Management of Disability. International journal of environmental research and public health, 19(22), 15186. https://doi.org/10.3390/ijerph192215186
Fox, Mary, Caroline Zuidema, Benjamin Bauman, Timothy Burke, and Molly Sheehan. "Integrating Public Health into Climate Change Policy and Planning: State of Practice Update." International Journal of Environmental Research and Public Health 16, no. 18 (2019): 3232. https://doi.org/10.3390/ijerph16183232
Hariram, N. P., Mekha, K. B., Suganthan, V., & Sudhakar, K. (2023). Sustainalism: An integrated socio-economic-environmental model to address sustainable development and sustainability. Sustainability, 15(13), 10682. https://doi.org/10.3390/su151310682
Martin, Adam, Yevgeniy Goryakin, and Marc Suhrcke. "Does Active Commuting Improve Psychological Wellbeing? Longitudinal Evidence from Eighteen Waves of the British Household Panel Survey." Preventive Medicine 69 (2014): 48-53. https://doi.org/10.1016/j.ypmed.2014.08.023
Silva, B. V. F., Holm-Nielsen, J. B., Sadrizadeh, S., Teles, M. P. R., Kiani-Moghaddam, M., & Arabkoohsar, A. (2024). Sustainable, green, or smart? Pathways for energy-efficient healthcare buildings. Sustainable Cities and Society, 100, 105013. https://doi.org/10.1016/j.scs.2023.105013
Shibayama, T., & Laa, B. (2024). Sustainable mobility guarantee: Developing the concept from a transport planning perspective. Transport Policy, 155, 287–299. https://doi.org/10.1016/j.tranpol.2024.07.003
Marquart, Heike, and Julia Schuppan. "Promoting Sustainable Mobility: To What Extent Is ‘Health’ Considered by Mobility App Studies? A Review and a Conceptual Framework." Sustainability 14, no. 1 (2021): 47. https://doi.org/10.3390/su14010047.
Dėdelė, A., & Miškinytė, A. (2021). Promoting Sustainable Mobility: A Perspective from Car and Public Transport Users. International journal of environmental research and public health, 18(9), 4715. https://doi.org/10.3390/ijerph18094715
Vitetta, A. (2022). Sustainable mobility as a service: Framework and transport system models. Information, 13(7), 346. https://doi.org/10.3390/info13070346
Wikstrøm, R. D., & Røe, P. G. (2022). Sustainable mobility transitions in suburbia – Exploring (dis)connections between transport planning and daily mobility. Urban Research & Practice, 17(1), 72–95. https://doi.org/10.1080/17535069.2022.2119430
Copyright (c) 2025 Denis Arsovski, Viktorija Prodanovska-Stojchevska, Tanja Jovanovska, Izabela Filov, Angelka Jankulovska, Daniela Petkovska
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