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At least 19 records

Correlating and Simulating Socio-Demographically Driven Residential End-Use Activity Schedules

Incorporating socio-demographic and behavioral considerations into decision-support tools is crucial for identifying gaps and addressing consumer needs to ensure reliable and affordable energy solutions. In energy simulation models, the correlation between socio-demographics and time-use behavior is not well-captured. Thus, we developed a large-scale simulation workflow to generate schedules for 10 residential activities across 24 population segments defined by age, income, and employment status. Using pre-pandemic 2015-2019 American Time Use Survey (ATUS) data, we used ANOVA to confirm the correlation between demographic factors and time use. We explored three k-modes clustering methods-backward, forward, and a new hybrid approach-to delineate the occupancy patterns based on demographics. Using the probability of cluster membership for each population segment and a time inhomogeneous Markov chain to generate activity transition probabilities for each cluster, we simulated 50,000 schedules per segment and validated them against the ATUS data. The hybrid method produced the most socio-demographically differentiated clusters while demonstrating comparable performance to other approaches, with an overall root mean square error of 0.12 for both weekday and weekend schedules. Thus, the hybrid method, where each cluster is dominated by certain demographic segments and occupancy patterns, offers more modeling versatility in terms of scenario analysis. The new workflow improves the socio demographic differentiation of energy consumption by considering differences in time use. This approach enables future research on demographically segmented time of use (TOU) energy consumption, including impacts of TOU utility bills and rate analysis, long-run marginal emissions, and energy retrofits.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Environmental and Socio-Demographic Determinants of Dengue Fever in Colombo City, Sri Lanka

Dengue fever has increased exponentially in Sri Lanka, from 24.4 cases per 100,000 in 2003 to 165.3 per 100,000 population in 2013. Although early warning systems using predictor models have been previously developed in other settings, it is important to develop such models in each local setting. Further, the ability of these models to be applicable at smaller geographic units will enhance current vector control and disease surveillance measures. The aim of this paper was to identify environmental and socio-economic status (SES) risk factors that may predict dengue fever at the Gram Niladhari Divisions (GND) level (smallest administrative unit) in Colombo city, Sri Lanka. These factors included landcover classes, amount of vegetation, population density, water access and neighborhood SES as determined by roof type. A geographically weighted regression (GWR) was used to develop the prediction model. A total 55 GND units covering an area of 37 sq km were investigated. We found that GND units with decreased vegetation, higher built-up area, higher population density and poor access to tap-water supply were associated with high risk of dengue; the pertinent GND units were concentrated in the center of the city. This is the first study in Sri Lanka to include both environmental and socio-demographic factors in prediction models for dengue fever. The methodology may be useful in enhancing ongoing dengue fever control measures in the country, and to be extended to other countries in the region that have an increasing incidence of dengue fever.

Tipre, Meghan↗

Family Life Cycle and Deforestation in Amazonia: Combining Remotely Sensed Information with Primary Data

This paper examines the relationships between the socio-demographic characteristics of small settlers in the Brazilian Amazon and the life cycle hypothesis in the process of deforestation. The analysis was conducted combining remote sensing and geographic data with primary data of 153 small settlers along the TransAmazon Highway. Regression analyses and spatial autocorrelation tests were conducted. The results from the empirical model indicate that socio-demographic characteristics of households as well as institutional and market factors, affect the land use decision. Although remotely sensed information is not very popular among Brazilian social scientists, these results confirm that they can be very useful for this kind of study. Furthermore, the research presented by this paper strongly indicates that family and socio-demographic data, as well as market data, may result in misspecification problems. The same applies to models that do not incorporate spatial analysis.

Caldas, M.↗

E-scooter safety: How attitudinal factors influence risky behavior among shared e-scooter riders

In recent years, e-scooter usage for short-distance trips has grown rapidly. This surge in e-scooter use, combined with the high exposure of e-scooter riders to accident risk, has sparked concerns regarding e-scooter safety. Despite some studies focusing on e-scooter safety, little is known about how attitudinal factors lead e-scooter riders to engage in risky riding behaviors. In this paper, we developed a survey-based empirical model to identify the attitudinal factors influencing engagement in risky behaviors among e-scooter users. We used survey data collected from 420 shared e-scooter users in Chicago in 2022. The survey showed that 47.7% of respondents had experienced at least one collision or fall-off while riding e-scooters. We employed the Partial Least Squares Structural Equation Model (PLS-SEM) to examine the relationships between latent attitudinal factors and risky behavior engagement. Moreover, we conducted Permutation Multi-group Analysis (PMGA) to assess the moderating effect of socio-demographic factors within the estimated model. The findings suggest that riders’ unsafe riding attitude and riding confidence are the most influential factors shaping their risky behavior engagement. In addition, accident experience, infrastructure suitability, perceived enjoyment, traffic risk perception, and operational risk perception are among the other significant predictors. Among socio-demographic factors, gender, age, education, and car use frequency significantly influence riders’ engagement in risky behaviors. The results highlight the importance of infrastructure suitability and accident experience in analyzing e-scooter users’ riding behavior. The developed model advances our understanding of factors contributing to e-scooter riders’ risky behavior engagement. The findings offer valuable insights for policymakers and e-scooter vendors aiming to mitigate e-scooter users’ accident risk. Specifically, we recommend three safety countermeasures: (1) safety training programs to encourage a safer attitude, (2) practice-based initiatives to enhance riding confidence, and (3) infrastructure improvements, especially the expansion of bike lanes.

E-scooter↗

Asthma and Air Quality in the Presence of Fires - A Foundation for Public Health Policy in Florida

Outdoor air quality and its associated impacts on respiratory problems in Florida are of public health significance. Air quality in Florida can be poor during the extended wildfire season, threatening persons with compromised respiratory systems each year. Studies have demonstrated that particulate matter, which is generally elevated in the vicinity of wildfires, is associated with increases in hospital admissions and occurrences of acute asthma exacerbations. However, few studies have examined the modifying effect of socio-demographic characteristics of cities or regional areas on the relationship between air quality and health outcomes. In an ongoing university/multi-agency project, asthma hospital/emergency room (patient) data are being used to create a health outcome indicator of human response to environmental air quality. Environmental data are derived from satellite measurements, with special attention being given to the effect of wildfires and prescribed burns on air quality. This presentation will focus on the environmental data sets particulate matter, location of fires, smoke plumes that are being collected and processed for linkage with health data. After this linkage has been performed, space-time models of asthma rates as a function of air quality data and socio-demographic variables will be developed and validated. The Florida Department of Health (FDOH) will work with county health department staff and representatives from the medical community to establish a protocol with triggers for issuing public health advisories/alerts based on the developed and validated health outcome indicators. From this effort, a science-based policy for issuing public health advisories/alerts for asthma relating to air quality will be developed, giving FDOH the ability to (1) predict, with stated levels of uncertainty, case load of hospital admissions based on air quality, (2) reduce asthma exacerbations by forewarning asthmatics to limit outside activities on poor air quality days, (3) apply management practices on the rates of hospital/emergency room visits for asthma, and (4) provide information that would help translate interventions into policy decisions, thereby reducing the economic burden and increasing well being of asthmatics. Further, the results of the study will be incorporated into Florida s Environmental Public Health Tracking (EPHT) program, which is part of the Centers for Disease Control and Prevention's (CDC's) EPHT network.

Crosson, William↗

The Compound Risk of Heat and COVID-19 in New York City: Riskscapes, Physical and Social Factors, and Interventions

Climate change is disrupting the fundamental conditions of human life and exacerbating existing inequity by placing further burdens on communities that are already vulnerable. Risk exposure varies by where people live and work. In this article, we examine the spatial overlap of the compound risks of COVID-19 and extreme heat in New York City. We assess the relationship between socio-demographic and natural, built and social environmental characteristics, and the spatial correspondence of COVID-19 daily case rates across three pandemic waves. We use these data to create a compound risk index combining heat, COVID-19, density and social vulnerability. Our findings demonstrate that the compound risk of COVID-19 and heat are public health and equity challenges. Heat and COVID-19 exposure are influenced by natural, built, and social environmental factors, including access to mitigation infrastructure. Socio-demographic characteristics are significant indicators of COVID-19 and heat exposure and of where compound vulnerability exists. Using GIS mapping, we illustrate how COVID-19 risk geographies change across the three waves of the pandemic and the particular impact of vaccinations before the onset of the third wave. We, then, use our compound risk index to assess heat interventions undertaken by the City, identify neighborhoods of both adequate and inadequate coverage and provide recommendations for future interventions.

COVID-19↗

Physical, socio-psychological, and behavioural determinants of household energy consumption in the UK

Determining which attitudes and behaviours predict household energy consumption can help accelerate the low-carbon energy transition. Conventional approaches in this domain are limited, often relying on survey methods that produce data on individuals’ motivations and self-reported activities without pairing these with actual energy consumption records, which are particularly hard to collect for large, nationally representative samples. This challenge precludes the development of empirical evidence on which attitudes and behaviours influence patterns of energy consumption, thus limiting the extent to which these can inform energy interventions or conservation programs. This study demonstrates a novel methodology for estimating energy consumption in the absence of actual energy records by using a large, publicly available data set of energy consumption in the UK. We develop a predictive model using the Smart Energy Research Laboratory (SERL) data portal (with records from nearly 13,000 UK households) and then use this model to predict energy consumption (both electric and gas) for a sample of 1,000 UK householders for which we separately collect over 200 variables relating to climate change attitudes and practices. Our approach uses a set of over 50 independent variables that are shared between the data sets, allowing us to train a model on the SERL data and use it to analyse the relationship between energy consumption and the opinions, motivations, and daily practices of survey respondents. Results show that electricity consumption is influenced by a broader range of factors compared to gas. Household energy use is best explained by physical dwelling characteristics, socio-demographic variables, and certain behavioural and attitudinal measures. Notably, pro-environmental attitudes, frugality, and conscientiousness correlate with lower energy use, while income and consumerism are linked to higher consumption. We discuss how these findings can inform efforts to decarbonise home energy use in the UK.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Multi‐Objective Urban Observational Strategies: A Risk‐Based Framework for Expanding Flood Sensor Networks

In coupled human and natural systems, developing an observation strategy which maximizes insight into both the natural system and the human system is a challenging multi-objective optimization problem. In this article, we describe the expansion of a flood risk observation system in Southeast Texas designed to improve our understanding of both physical and socioeconomic exposure to hydrological hazards at fine spatial scales, in the context of a structured hazard-exposure-vulnerability risk framework. We describe a new approach for assessing the spatial extent through which a flood sensor's observations can be assumed to be relevant, and estimate the population served within each sensor's area of information using downscaled socio-demographic data. As hydrological observations and modeling move to ever finer scale, assessing the information they contain in the context of both social and natural systems becomes increasingly important for developing actionable scientific insights.

54 ENVIRONMENTAL SCIENCES↗

Inequalities in global residential cooling energy use to 2050

Intersecting socio-demographic transformations and warming climates portend increasing worldwide heat exposures and health sequelae. Cooling adaptation via air conditioning (AC) is effective, but energy-intensive and constrained by household-level differences in income and adaptive capacity. Using statistical models trained on a large multi-country household survey dataset (n = 673,215), we project AC adoption and energy use to mid-century at fine spatial resolution worldwide. Globally, the share of households with residential AC could grow from 27% to 41% (range of scenarios assessed: 33-48%), implying up to a doubling of residential cooling electricity consumption, from 1220 to 1940 (scenarios range: 1590-2377) terawatt-hours yr. –1 , emitting between 590 and 1,365 million tons of carbon dioxide equivalent (MtCO 2 e). AC access and utilization will remain highly unequal within and across countries and income groups, with significant regressive impacts. Up to 4 billion people may lack air-conditioning in 2050. Our global gridded projections facilitate incorporation of AC’s vulnerability, health, and decarbonization effects into integrated assessments of climate change.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Synthesizing land use and demographic change in Southeast Asia’s smaller urbanized areas from 2000–2015

The majority of the human population now reside in urban areas today. The United Nations estimates that nearly half of all urban dwellers currently live in cities smaller than 500 000 persons and the majority of future urban growth will take place in Asia and Africa, likely in these smaller urban areas, not mega cities. Thus, understanding the factors that influence urban demographic trajectories in small urban areas is critical to address sustainable and equitable policy initiatives related to food security, changing climate hazard exposure, and economic opportunities. Here we focus on Southeast Asia—a region historically characterized by lower urban population proportions, yet with a rapidly shifting dynamic demographic—to examine correlates of demographic change among smaller cities. We combine two open-source satellite-informed datasets: GHS urban center database (2015) and age-sex gridded data from WorldPop to calculate socio-demographic characteristics to model drivers of change in annualized urban population growth from 2000–2015 for 505 urbanized places. We find a general pattern of decreasing dependency ratios as city-size increases for most urban areas in Southeast Asia. Higher rates of growth and more variation is observed for smaller cities—those with fewer than 300 000 persons, the lowest population limit for UN data on urbanization. When examining covariates of urban population growth, we find significant statistical associations of population change in smaller urbanized areas with climatic, economic, and land cover/land use variables, but with country-specific variations. Characterizing a continuum of urban population development in the context of changing environmental, economic and climate conditions has been an important sustainable development and equity issue for decades, but newer analysis of city-level drivers allows for systematic inquiry thus moving beyond total population counts for policy-relevant insight.

Southeast Asia synthesis↗

Evaluating algorithmic bias on biomarker classification of breast cancer pathology reports

Objectives: This work evaluated algorithmic bias in biomarkers classification using electronic pathology reports from female breast cancer cases. Bias was assessed across 5 subgroups: cancer registry, race, Hispanic ethnicity, age at diagnosis, and socioeconomic status. Materials and Methods: We utilized 594 875 electronic pathology reports from 178 121 tumors diagnosed in Kentucky, Louisiana, New Jersey, New Mexico, Seattle, and Utah to train 2 deep-learning algorithms to classify breast cancer patients using their biomarkers test results. We used balanced error rate (BER), demographic parity (DP), equalized odds (EOD), and equal opportunity (EOP) to assess bias. Results: We found differences in predictive accuracy between registries, with the highest accuracy in the registry that contributed the most data (Seattle Registry, BER ratios for all registries >1.25). BER showed no significant algorithmic bias in extracting biomarkers (estrogen receptor, progesterone receptor, human epidermal growth factor receptor 2) for race, Hispanic ethnicity, age at diagnosis, or socioeconomic subgroups (BER ratio <1.25). DP, EOD, and EOP all showed insignificant results. Discussion: We observed significant differences in BER by registry, but no significant bias using the DP, EOD, and EOP metrics for socio-demographic or racial categories. This highlights the importance of employing a diverse set of metrics for a comprehensive evaluation of model fairness. Conclusion: A thorough evaluation of algorithmic biases that may affect equality in clinical care is a critical step before deploying algorithms in the real world. We found little evidence of algorithmic bias in our biomarker classification tool. Artificial intelligence tools to expedite information extraction from clinical records could accelerate clinical trial matching and improve care.

60 APPLIED LIFE SCIENCES↗

CareWELL: Multimodal Region Representation Learning with Spatial Contexts for Urban Health

Rapid urbanization affects living environments by intensifying exposure to air pollution, heat, noise, and urban dynamics, which together contribute to uneven health outcomes across neighborhoods. For instance, cardiovascular, respiratory, and mental health conditions are each influenced by distinct exposures such as air pollution, extreme temperatures, or limited access to green space. These heterogeneous patterns require understanding the characteristics of geographic regions in order to explain why urban health risks vary across urban areas. Recent work in self-supervised region representation learning provides a promising way to model such characteristics from multimodal geospatial data. However, existing methods face two major limitations: (i) they often depend on non-public datasets, limiting reproducibility and applicability, and (ii) their generic pretraining objectives overlook health-relevant determinants, including temporal variability in environmental exposures and inequalities in social conditions. To address these gaps, we propose Context-Aware Region rEpresentation with Weather, Environment, and Location Learning (CareWELL). CareWELL leverages large language models to encode seasonal variability in weather, employs contrastive learning to align geo-coordinate and weather representations, and introduces a context-aware objective that integrates socio-demographic factors while preserving spatial correlations. We evaluate CareWELL by predicting six urban health outcomes in Manhattan, New York City, and demonstrate that CareWELL consistently outperforms state-of-the-art baselines as well as a traditional spatial computing method. These results suggest the importance of context-aware pretraining objectives for learning health-relevant region representations.

Namgung, Min [ORNL]↗

Multi-modal characterisation of early-stage, subclinical cardiac deterioration in patients with type 2 diabetes

Abstract Background Type 2 diabetes mellitus (T2DM) is a major risk factor for heart failure with preserved ejection fraction and cardiac arrhythmias. Precursors of these complications, such as diabetic cardiomyopathy, remain incompletely understood and underdiagnosed. Detection of early signs of cardiac deterioration in T2DM patients is critical for prevention. Our goal is to quantify T2DM-driven abnormalities in ECG and cardiac imaging biomarkers leading to cardiovascular disease. Methods We quantified ECG and cardiac magnetic resonance imaging biomarkers in two matched cohorts of 1781 UK Biobank participants, with and without T2DM, and no diagnosed cardiovascular disease at the time of assessment. We performed a pair-matched cross-sectional study to compare cardiac biomarkers in both cohorts, and examined the association between T2DM and these biomarkers. We built multivariate multiple linear regression models sequentially adjusted for socio-demographic, lifestyle, and clinical covariates. Results Participants with T2DM had a higher resting heart rate (66 vs. 61 beats per minute,p < 0.001), longer QTc interval (424 vs. 420ms,p < 0.001), reduced T wave amplitude (0.33 vs. 0.37mV,p < 0.001), lower stroke volume (72 vs. 78ml,p < 0.001) and thicker left ventricular wall (6.1 vs. 5.9mm,p < 0.001) despite a decreased Sokolow-Lyon index (19.1 vs. 20.2mm,p < 0.001). T2DM was independently associated with higher heart rate (beta = 3.11, 95% CI = [2.11,4.10],p < 0.001), lower stroke volume (beta = −4.11, 95% CI = [−6.03, −2.19],p < 0.001) and higher left ventricular wall thickness (beta = 0.133, 95% CI = [0.081,0.186],p < 0.001). Trends were consistent in subgroups of different sex, age and body mass index. Fewer significant differences were observed in participants of non-white ethnic background. QRS duration and Sokolow-Lyon index showed a positive association with the development of cardiovascular disease in cohorts with and without T2DM, respectively. A higher left ventricular mass and wall thickness were associated with cardiovascular outcomes in both groups. Conclusion T2DM prior to cardiovascular disease was linked with a higher heart rate, QTc prolongation, T wave amplitude reduction, as well as lower stroke volume and increased left ventricular wall thickness. Increased QRS duration and left ventricular wall thickness and mass were most strongly associated with future cardiovascular disease. Although subclinical, these changes may indicate the presence of autonomic dysfunction and diabetic cardiomyopathy. Graphical Abstract

Cardiovascular System & Cardiology↗

2013 New Mexico Mid-Region Travel Survey

The 2013 New Mexico Mid-Region Travel Survey assessed travel behavior patterns to update a travel demand model for the Albuquerque Metropolitan Planning Area, which consists of Bernalillo County, Valencia County, and southern Sandoval County. It includes the cities of Albuquerque, Rio Rancho, Los Lunas, and Belen as well as some tribal lands. The Mid-Region Council of Governments contracted with Westat to conduct the survey, which included the collection of socio-demographic data and a one-day (24-hour) period of household travel behavior collected during weekdays (Monday through Friday). The survey also included a random selection of a 20% subsample of households (1,023 participants) to take part in a wearable global positioning system, technology-based component of the study, which was used to assess the level of trip under-reporting from the self-reported component of the survey.

1Hz data↗

WiDS Livermore Datathon 2025

The WiDS Datathon 2025 requires participants to build a model to predict both an individual’s sex and their ADHD diagnosis using functional brain imaging data of children and adolescents and their socio-demographic, emotions, and parenting information. The task is to create a multi-outcome model to predict two target variables: 1) ADHD (1=yes or 0=no) and 2) female (1=yes or 0=no).

59 BASIC BIOLOGICAL SCIENCES↗

Initial Mobility Analysis for ORNL VA-EDH Synthetic Populations

Travel burdens are a major barrier to healthcare access among US Veteran patient populations, particularly those residing in rural areas. Spatial accessibility to points of care for US Veteran populations is commonly assessed in two ways. The first approach uses open data from the US Census to represent collective travel burdens, for example the distance between population-weighted census tract centroids and VHA points of care. The second approach uses restricted-access VHA patient data to measure travel costs (e.g., distance, time) for accessing points of care with respect to geolocated patient addresses and real or approximated transportation networks. While the advantage of the open data approach lies in its reproducibility, it has notable limitations in its tendency to infer individual travel behavior from aggregate population characteristics, a problem known as ecological fallacy. Conversely, while the patient data approach is able to account for individual travel behavior, its ability to account for localized access disparities (e.g., a neighborhood with exceptionally high transportation costs) and patient demographics is limited as protecting individual patient data requires their storage in closed systems with limited capacity for adequately modeling real-world travel patterns or for supplementing patient attributes. Additionally, the patient data approach cannot account for veterans who are not enrolled in the VHA system but who may be eligible for care. These challenges limit the ability to perform “what if” analyses on the effects of place-specific interventions on veteran populations with high access barriers to healthcare. To address these challenges, we explore the application of realistic synthetic populations to examine travel burdens and spatial accessibility issues among veteran patient populations. Synthetic populations provide a virtual, individually-resolved and cross-sectional representation of the veteran patient population that enables investigation of spatial access to points of care in ways in which aggregate data and patient data do not. First, synthetic populations allow one to directly assess how individuals access points of care, from synthesized residential locations to outpatient facilities on real-world transportation networks. Modeling access to points of care at the individual scale addresses the ecological fallacy problem associated with using aggregated census data to represent veteran populations and patterns of movement. Second, synthetic populations provide a means of completely representing an area’s veteran population using only publicly available, anonymized census microdata from the American Community Survey (ACS) to ensure the privacy of real-world individuals. Generating synthetic populations from the ACS also expands descriptive characteristics beyond what patient data typically offers to include socio-demographic, economic, housing, and mobility attributes. More detailed profiles of both VHA patient populations and veterans not enrolled in the VA system will provide a comprehensive picture of groups that may benefit from interventions or outreach. As an initial exercise for using synthetic populations to measure veteran travel burdens to VA care, we apply Oak Ridge National Laboratory’s (ORNL) UrbanPop capability to generate a series of synthetic VHA patient populations for 9 Veterans Integrated Services Networks (VISN) market areas in 9 Census Divisions across the continental United States, which are listed in Table 1. We use UrbanPop to produce synthetic populations for the VISN markets selected for each US Census Division, then assign VA outpatient clinic destinations to synthetic VHA patients based on travel about each VISN market’s road network. To demonstrate using the synthetic populations to evaluate healthcare travel burdens, we compare the time-based impedance between simulated home locations and VA outpatient clinics in each VISN market. We then perform validation exercises on the synthetic populations with respect to neighborhood (block group) demographic composition as well as patient mobility, comparing aggregate origin-destination statistics for the synthetic population to outpatient visits available in restricted patient data from the VA’s Corporate Data Warehouse (CDW) database.

97 MATHEMATICS AND COMPUTING↗

Global disease burden linked to diet high in red meat and colorectal cancer from 1990 to 2019 and its prediction up to 2030

Background Numerous studies have already identified an association between excessive consumption of red meat and colorectal cancer (CRC). However, there has been a lack of detailed understanding regarding the disease burden linked to diet high in red meat and CRC. Objective We aim to offer evidence-based guidance for developing effective strategies that can mitigate the elevated CRC burden in certain countries. Methods We used the data from the Global Burden of Disease (GBD) Study 2019 to evaluate global, regional, and national mortality rates and disability-adjusted Life years (DALYs) related to diet high in red meat. We also considered factors such as sex, age, the socio-demographic index (SDI), and evaluated the cross-national inequalities. Furthermore, we utilized DALYs data from 204 countries and regions to measure cross-country inequalities of CRC by calculating the slope index of inequality and concentration index as standard indicators of absolute and relative inequalities. Discussion The results show that globally, the age-standardized mortality rate (ASMR) and age-standardized disability adjusted life year rate (ASDR) related to CRC due to diet high in red meat have decreased, with estimated annual percent change (EAPCs) of −0.32% (95% CI −0.37 to −0.28) and-0.18% (95% CI −0.25 to −0.11). Notably, the burden was higher among males and the elderly. The slope index of inequality rose from 22.0 (95% CI 18.1 to 25.9) in 1990 to 32.9 (95% CI 28.3 to 37.5) in 2019 and the concentration index fell from 59.5 (95% CI 46.4 to 72.6) in 1990 to 48.9 (95% CI 34.6 to 63.1) in 2019. Also, according to our projections, global ASDR and ASMR might tend to increase up to 2030. Conclusion ASMR and ASDR for CRC associated with high red meat diets declined globally from 1990 to 2019, but the absolute number of cases is still rising, with men and the elderly being more affected. CRC associated with diets high in red meat exhibits significant income inequality, placing a disproportionate burden on wealthier countries. Moreover, according to our projections, ASMR and ASDR are likely to increase globally by 2030. In order to address this intractable disease problem, understanding changes in global and regional epidemiologic trends is critical for policy makers and others.

Yang, Xuesong↗

Meeting the Challenges of Modern Transit through the Integration of Traditional Transit, On-Demand Micro-Transit Services and Vehicle Automation - A Case Study in Chandler, Arizona

Current technology trends of vehicle automation, electrification and on-demand transit are providing new tools to develop effective public mobility services, yet need to be balanced with traditional modes to serve the spectrum of demand effectively and efficiently. Automated vehicle transportation network company (TNC) services, better known as 'Robotaxis' are beginning to proliferate and scale across the US, with Waymo as the lead commercial entity. Chandler, AZ was the first fully automated deployment of Waymo technology. Chandler was also one of the first municipalities in Arizona to roll out micro-transit service to its citizens in 2022. At present the Chandler Flex micro-transit program is beginning to partner with Waymo to augment micro-transit services during peak demands, another first in the nation. However, the mix of services in Chandler relies not only on new technology, but also on traditional modes including fixed route transit and para-transit services. These are blended and balanced such that both old and new modes are applied within the context in which each excel. This presentation will provide background on the Chandler, AZ public mobility services, and the performance metrics that govern their use and selection within the spectrum of development and population density as well as socio-demographics within Chandler. Additionally, the behavioral response of the use of unmanned, automated vehicles employed to augment micro-transit is novel, the first in the nation - and initial feedback from public transit constituents in Chandler will be shared.

24 POWER TRANSMISSION AND DISTRIBUTION↗