{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:20:49Z","timestamp":1787498449633,"version":"build-2736575974"},"reference-count":69,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T00:00:00Z","timestamp":1678233600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Natural Science Foundation of China","award":["52078071"],"award-info":[{"award-number":["52078071"]}]},{"name":"National Natural Science Foundation of China","award":["19BGL004"],"award-info":[{"award-number":["19BGL004"]}]},{"name":"National Social Science Foundation of China","award":["52078071"],"award-info":[{"award-number":["52078071"]}]},{"name":"National Social Science Foundation of China","award":["19BGL004"],"award-info":[{"award-number":["19BGL004"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>With the unprecedented growth of the elderly population in China, elderly-care facilities (ECFs) are in a fast expansion process. However, limited attention has been paid to the imbalance at the actual utilization level of ECFs. This research aims to reveal the spatial inequity of ECFs and to quantitatively examine the effect of accessibility and institutional service capacity on utilization. Taking Chongqing, China, as the study area, we measured the spatial accessibility of different travel modes by the Gaussian Two-Step Floating Catchment Area (G2SFCA) method and investigated distribution differences in spatial accessibility, service capacity, and utilization of ECFs by the Dagum Gini Coefficient and its decomposition. Then, the impact of spatial accessibility and service capacity on the utilization of regional ECFs was quantified by multiscale geographically weighted regression (MGWR). The study findings can be summarized as follows. (1) Walking accessibility has the most significant impact on the utilization of ECFs and shows geographic heterogeneity. Developing a pedestrian-oriented network of pathways is essential to enhance the utilization of ECFs. (2) Accessibility by driving and bus-riding does not correlate with regional ECFs utilization, and relevant studies cannot rely on them alone for assessing the equity of ECFs. (3) In the utilization of ECFs, since the inter-regional difference is more significant than the intra-regional difference, efforts to reduce the overall imbalance should be oriented toward inter-regional variation. The study\u2019s findings will assist national policymakers in developing EFCs to enhance health indicators and quality of life for older adults by prioritizing financing for shortage areas, coordinating ECFs services, and optimizing road systems.<\/jats:p>","DOI":"10.3390\/ijerph20064730","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T02:30:23Z","timestamp":1678242623000},"page":"4730","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Influences of Spatial Accessibility and Service Capacity on the Utilization of Elderly-Care Facilities: A Case Study of the Main Urban Area of Chongqing"],"prefix":"10.3390","volume":"20","author":[{"given":"Jinhui","family":"Ma","sequence":"first","affiliation":[{"name":"School of Architecture and Urban Planning, Chongqing University, Chongqing 400044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haijing","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Architecture and Urban Planning, Chongqing University, Chongqing 400044, China"},{"name":"Key Laboratory of New Technology for Construction of Cities in Mountain Area, Chongqing University, Chongqing 400044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daibin","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Economics, Guangxi Minzu University, Nanning 530008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/S0140-6736(14)61464-1","article-title":"Macroeconomic Implications of Population Ageing and Selected Policy Responses","volume":"385","author":"Bloom","year":"2015","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"101334","DOI":"10.1016\/j.jth.2022.101334","article-title":"Exploring the Temporal Variations in Accessibility to Health Services for Older Adults: A Case Study in Greater London","volume":"24","author":"Zhang","year":"2022","journal-title":"J. Transp. Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"104076","DOI":"10.1016\/j.scs.2022.104076","article-title":"From Service Capacity to Spatial Equity: Exploring a Multi-Stage Decision-Making Approach for Optimizing Elderly-Care Facility Distribution in the City Centre of Tianjin, China","volume":"85","author":"Cheng","year":"2022","journal-title":"Sustain. Cities Soc."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Liu, L., Lyu, H., Zhao, Y., and Zhou, D. (2022). An Improved Two-Step Floating Catchment Area (2SFCA) Method for Measuring Spatial Accessibility to Elderly Care Facilities in Xi\u2019an, China. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191811465"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/S0140-6736(14)61292-7","article-title":"Can China Age Healthily?","volume":"384","author":"Zhao","year":"2014","journal-title":"Lancet"},{"key":"ref_6","unstructured":"(2022, October 16). National Bureau of Statistics of China Key Data from the 7th National Census, Available online: http:\/\/www.stats.gov.cn\/tjsj\/zxfb\/202105\/t20210510_1817176.html."},{"key":"ref_7","unstructured":"(2022, October 16). China Development Research Foundation China Development Report. Available online: https:\/\/www.cdrf.org.cn\/llhyjcg\/5787.htm."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s42379-019-00027-4","article-title":"Four Decades of Studies on Population Aging in China","volume":"3","author":"Lu","year":"2019","journal-title":"Chin. Popul. Dev. Stud."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"102738","DOI":"10.1016\/j.healthplace.2021.102738","article-title":"Neighborhood Resources Associated with Frailty Trajectories over Time among Community-Dwelling Older Adults in China","volume":"74","author":"Liu","year":"2022","journal-title":"Health Place"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"119859","DOI":"10.1016\/j.techfore.2019.119859","article-title":"Study on the Spatial Configuration of Nursing Homes for the Elderly People in Shanghai: Based on Their Choice Preference","volume":"152","author":"Song","year":"2020","journal-title":"Technol. Forecast. Soc. Chang."},{"key":"ref_11","unstructured":"Ministry of Civil Affairs of the People\u2019s Republic of China (2022, October 16). The Historical Context of the 70 Year Development of Pension Ser-Vices in New China, Available online: https:\/\/mzzt.mca.gov.cn\/article\/zt_zl70n\/zhbd\/201909\/20190900020005.shtml."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/1476-072X-11-32","article-title":"Spatial Access to Residential Care Resources in Beijing, China","volume":"11","author":"Cheng","year":"2012","journal-title":"Int. J. Health Geogr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"100926","DOI":"10.1016\/j.jth.2020.100926","article-title":"Examining Geographical Accessibility to Multi-Tier Hospital Care Services for the Elderly: A Focus on Spatial Equity","volume":"19","author":"Cheng","year":"2020","journal-title":"J. Transp. Health"},{"key":"ref_14","unstructured":"Ministry of Civil Affairs of the People\u2019s Republic of China (2022, October 16). The 14th Five-Year Plan for the Development of the National Ageing Programme and the Elderly Service System, Available online: https:\/\/www.mca.gov.cn\/article\/xw\/mtbd\/202202\/20220200039833.shtml."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1080\/19427867.2019.1584694","article-title":"Assessment of Transport Equity to Central Business District (CBD) in Sydney, Australia","volume":"12","author":"Qi","year":"2020","journal-title":"Transp. Lett."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"102406","DOI":"10.1016\/j.healthplace.2020.102406","article-title":"Unequable Spatial Accessibility to Hospitals in Developing Megacities: New Evidence from Beijing","volume":"65","author":"Zhao","year":"2020","journal-title":"Health Place"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1003791","DOI":"10.3389\/fpubh.2022.1003791","article-title":"Spatially Varying Associations between the Built Environment and Older Adults\u2019 Propensity to Walk","volume":"10","author":"Yang","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"103123","DOI":"10.1016\/j.jtrangeo.2021.103123","article-title":"Public Transit Accessibility Approach to Understand the Equity for Public Healthcare Services: A Case Study of Greater Mumbai","volume":"94","author":"Sharma","year":"2021","journal-title":"J. Transp. Geogr."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"106373","DOI":"10.1016\/j.landusepol.2022.106373","article-title":"Geospatial Tools in the Analyses of Land Use in the Perspective of the Accessibility of Selected Educational Services in Poland","volume":"122","author":"Ogryzek","year":"2022","journal-title":"Land Use Policy"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"102553","DOI":"10.1016\/j.jtrangeo.2019.102553","article-title":"Measuring Access to Urban Centres in Rural Northeast Brazil: A Spatial Accessibility Poverty Index","volume":"82","author":"Benevenuto","year":"2020","journal-title":"J. Transp. Geogr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.trd.2019.09.012","article-title":"Public Transportation and the Spatial Inequality of Urban Park Accessibility: New Evidence from Hong Kong","volume":"76","author":"Chang","year":"2019","journal-title":"Transp. Res. Part D Transp. Environ."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"101984","DOI":"10.1016\/j.habitatint.2019.05.003","article-title":"Assessing Spatial Disparities of Accessibility to Community-Based Service Resources for Chinese Older Adults Based on Travel Behavior: A City-Wide Study of Nanjing, China","volume":"88","author":"Zhang","year":"2019","journal-title":"Habitat Int."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.healthplace.2004.02.003","article-title":"Assessing Spatial and Nonspatial Factors for Healthcare Access: Towards an Integrated Approach to Defining Health Professional Shortage Areas","volume":"11","author":"Wang","year":"2005","journal-title":"Health Place"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.puhe.2019.01.005","article-title":"Spatial Access to Health Care and Elderly Ambulatory Care Sensitive Hospitalizations","volume":"169","author":"Huang","year":"2019","journal-title":"Public Health"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Kim, Y., Byon, Y.-J., and Yeo, H. (2018). Enhancing Healthcare Accessibility Measurements Using GIS: A Case Study in Seoul, Korea (Vol 13, E0193013, 2018). PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0193013"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.healthplace.2015.11.007","article-title":"Multi-Modal Two-Step Floating Catchment Area Analysis of Primary Health Care Accessibility","volume":"38","author":"Langford","year":"2016","journal-title":"Health Place"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1111\/tgis.12096","article-title":"Integrating the Huff Model and Floating Catchment Area Methods to Analyze Spatial Access to Healthcare Services","volume":"18","author":"Luo","year":"2014","journal-title":"Trans. GIS"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1177\/1470594X14528653","article-title":"Justice and Gini Coefficients","volume":"14","author":"Everett","year":"2015","journal-title":"Politics Philos. Econ."},{"key":"ref_29","first-page":"384","article-title":"Equity Measures for the Identification of Public Transport Needs (Vol 3, Pg 745, 2020)","volume":"9","author":"Gori","year":"2021","journal-title":"Case Stud. Transp. Policy"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1016\/j.jtrangeo.2011.02.008","article-title":"Using Lorenz Curves to Assess Public Transport Equity","volume":"19","author":"Delbosc","year":"2011","journal-title":"J. Transp. Geogr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.landurbplan.2016.08.007","article-title":"An Assessment of Urban Park Access in Shanghai\u2014Implications for the Social Equity in Urban China","volume":"157","author":"Xiao","year":"2017","journal-title":"Landsc. Urban Plan."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.jtrangeo.2019.05.017","article-title":"Geo-Spatial Site Suitability Analysis for Development of Health Care Units in Rural India: Effects on Habitation Accessibility, Facility Utilization and Zonal Equity in Facility Distribution","volume":"78","author":"Mishra","year":"2019","journal-title":"J. Transp. Geogr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.jclepro.2018.10.065","article-title":"Examining Sustainability Indicators of Space Management in Elderly Facilities\u2014A Case Study in China","volume":"208","author":"Yuan","year":"2019","journal-title":"J. Clean. Prod."},{"key":"ref_34","unstructured":"(2022, October 21). Chongqing Bureau of Statistics Chongqing Statistical Yearbook, Available online: http:\/\/tjj.cq.gov.cn\/zwgk_233\/tjnj\/tjnj.html?url=http:\/\/tjj.cq.gov.cn\/zwgk_233\/tjnj\/2021\/indexch.htm."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"103541","DOI":"10.1016\/j.cities.2021.103541","article-title":"Analyzing Spatiotemporal Accessibility Patterns to Tertiary Healthcare Services by Integrating Total Travel Cost into an Improved E3SFCA Method in Changsha, China","volume":"122","author":"Xing","year":"2022","journal-title":"Cities"},{"key":"ref_36","unstructured":"(2022, October 22). Chongqing Civil Affairs Bureau Statistics on Elderly Care Facilities, Available online: http:\/\/mzj.cq.gov.cn\/bsfw\/wyc\/ylfwjgcx\/202111\/t20211122_10000233.html."},{"key":"ref_37","unstructured":"(2022, October 22). Ministry of Civil Affairs of China Classification and Evaluation of Aged Care Institutions, Available online: http:\/\/www.gov.cn\/xinwen\/2020-04\/28\/content_5507024.htm."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"100726","DOI":"10.1016\/j.srhc.2022.100726","article-title":"The Utilization of Maternal Health Services at Primary Healthcare Setting in Southeast Asian Countries: A Systematic Review of the Literature","volume":"32","author":"Herwansyah","year":"2022","journal-title":"Sex. Reprod. Healthc."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s10916-006-7400-5","article-title":"Comparing GIS-Based Methods of Measuring Spatial Accessibility to Health Services","volume":"30","author":"Yang","year":"2006","journal-title":"J. Med. Syst."},{"key":"ref_40","first-page":"129","article-title":"Spatial Accessibility Evaluation of Elderly Facilities in Shanghai Based on Gaussian Two-Step Moving Search Method","volume":"56","author":"Chen","year":"2020","journal-title":"Fudan J. Nat. Sci. Ed."},{"key":"ref_41","unstructured":"(2022, October 22). Standing Committee of the National People\u2019s Congress Road Traffic Safety Law of the People\u2019s Republic of China, Available online: https:\/\/flk.npc.gov.cn\/detail2.html?ZmY4MDgxODE3YWIyMzFlYjAxN2FiZDYxN2VmNzA1MTk%3D."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.2522\/ptj.20100018","article-title":"Walking Speed Threshold for Classifying Walking Independence in Hospitalized Older Adults","volume":"90","author":"Graham","year":"2010","journal-title":"Phys. Ther."},{"key":"ref_43","unstructured":"(2022, October 22). Chongqing Public Security Bureau Chongqing Road Traffic Safety Regulations, Available online: http:\/\/gaj.cq.gov.cn\/zwgk\/zfxxgkml\/zcwj\/dfxfg\/202101\/t20210121_8795190_wap.html."},{"key":"ref_44","unstructured":"(2022, October 22). Chongqing Urban and Rural Construction Committee Chongqing Metro Design Code, Available online: http:\/\/zfcxjw.cq.gov.cn\/zwxx_166\/gsgg\/201611\/t20161104_4216018.html."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Huang, X., Gong, P., and White, M. (2022). Study on Spatial Distribution Equilibrium of Elderly Care Facilities in Downtown Shanghai. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19137929"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/13658816.2011.574140","article-title":"Measuring Transit System Accessibility Using a Modified Two-Step Floating Catchment Technique","volume":"26","author":"Langford","year":"2012","journal-title":"Int. J. Geogr. Inf. Sci."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/j.1538-4632.1998.tb00396.x","article-title":"Space-Time and Integral Measures of Individual Accessibility: A Comparative Analysis Using a Point-Based Framework","volume":"30","author":"Kwan","year":"1998","journal-title":"Geogr. Anal."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1068\/b29120","article-title":"Measures of Spatial Accessibility to Health Care in a GIS Environment: Synthesis and a Case Study in the Chicago Region","volume":"30","author":"Luo","year":"2003","journal-title":"Environ. Plan. B Plan. Des."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.tranpol.2022.03.014","article-title":"Examining Equity in Accessibility to Multi-Tier Healthcare Services across Different Income Households Using Estimated Travel Time","volume":"121","author":"Jin","year":"2022","journal-title":"Transp. Policy"},{"key":"ref_50","unstructured":"Dagum, C. (1998). Income Inequality, Poverty, and Economic Welfare, Springer."},{"key":"ref_51","first-page":"431","article-title":"Geographically Weighted Regression","volume":"47","author":"Brunsdon","year":"1998","journal-title":"J. R. Stat. Soc. Ser. D Stat."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"109333","DOI":"10.1016\/j.ecolind.2022.109333","article-title":"Exploring the Spatial and Temporal Driving Mechanisms of Landscape Patterns on Habitat Quality in a City Undergoing Rapid Urbanization Based on GTWR and MGWR: The Case of Nanjing, China","volume":"143","author":"Hu","year":"2022","journal-title":"Ecol. Indic."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"100898","DOI":"10.1016\/j.jth.2020.100898","article-title":"The Role of Transportation in Older Adults\u2019 Use of and Satisfaction with Primary Care in China","volume":"18","author":"Li","year":"2020","journal-title":"J. Transp. Health"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"103099","DOI":"10.1016\/j.jtrangeo.2021.103099","article-title":"To Walk or Not to Walk? Examining Non-Linear Effects of Streetscape Greenery on Walking Propensity of Older Adults","volume":"94","author":"Yang","year":"2021","journal-title":"J. Transp. Geogr."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1123\/japa.2013-0151","article-title":"The Built Environment, Physical Activity, and Aging in the United States: A State of the Science Review","volume":"23","author":"Haselwandter","year":"2015","journal-title":"J. Aging Phys. Act."},{"key":"ref_56","first-page":"18","article-title":"Survey and Analysis of Elderly Travel in Chongqing","volume":"16","author":"Wang","year":"2016","journal-title":"Jiangsu Traffic Sci. Technol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"845648","DOI":"10.3389\/fpubh.2022.845648","article-title":"Older Adults\u2019 Access to and Satisfaction With Primary Hospitals Based on Spatial and Non-Spatial Analyses","volume":"10","author":"Yu","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.jth.2018.01.012","article-title":"Active Travel, Public Transportation Use, and Daily Transport among Older Adults: The Association of Built Environment","volume":"9","author":"Yang","year":"2018","journal-title":"J. Transp. Health"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Zhang, J., Han, P., Sun, Y., Zhao, J., and Yang, L. (2021). Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182413182"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1002\/atr.106","article-title":"Model of Personal Attitudes towards Transit Service Quality","volume":"45","author":"Habib","year":"2011","journal-title":"J. Adv. Transp."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Klicnik, I., and Dogra, S. (2019). Perspectives on Active Transportation in a Mid-Sized Age-Friendly City: \u201cYou Stay Home\u201d. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16244916"},{"key":"ref_62","first-page":"453","article-title":"Quality Indicators for the Care of Older Adults with Disabilities in Long-Term Care Facilities Based on Maslow\u2019s Hierarchy of Needs","volume":"9","author":"Zhang","year":"2022","journal-title":"Int. J. Nurs. Sci."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"14490","DOI":"10.3390\/ijerph121114490","article-title":"An Enhanced Variable Two-Step Floating Catchment Area Method for Measuring Spatial Accessibility to Residential Care Facilities in Nanjing","volume":"12","author":"Ni","year":"2015","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.healthplace.2013.08.008","article-title":"Measuring Spatial Accessibility to Healthcare for Populations with Multiple Transportation Modes","volume":"24","author":"Mao","year":"2013","journal-title":"Health Place"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1177\/0013916505277605","article-title":"Informal Social Support and Use of a Specialized Transportation System by Chronically Ill Older Adults","volume":"38","author":"Nasvadi","year":"2006","journal-title":"Environ. Behav."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"100994","DOI":"10.1016\/j.jth.2020.100994","article-title":"\u201cWe Want to Go, but There Are No Options\u201d: Exploring Barriers and Facilitators of Transportation among Diverse Older Adults","volume":"20","author":"Maleku","year":"2021","journal-title":"J. Transp. Health"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"04087","DOI":"10.7189\/jogh.12.04087","article-title":"Epidemiological Factors Affecting Outpatient Department Service Utilization and Hospitalization in Patients with Diabetes: A Time-Series Analysis from an Ethiopian Hospital between 2018 and 2021","volume":"12","author":"Benoni","year":"2022","journal-title":"J. Glob. Health"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.tranpol.2012.01.013","article-title":"Transport and Social Exclusion: Where Are We Now?","volume":"20","author":"Lucas","year":"2012","journal-title":"Transp. Policy"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1111\/jgs.13931","article-title":"Driving Cessation and Health Outcomes in Older Adults","volume":"64","author":"Chihuri","year":"2016","journal-title":"J. Am. Geriatr. Soc."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/6\/4730\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:50:27Z","timestamp":1760122227000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/6\/4730"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,8]]},"references-count":69,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["ijerph20064730"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20064730","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,8]]}}}