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  1. Barriers to effective implementation of end-of-life vehicle management in Indonesia
    Sitinjak C, Simic V, Ismail R, Bacanin N, Musselwhite C
    Environ Sci Pollut Res Int, 2023 Aug;30(37):87286-87299.
    PMID: 37422560 DOI: 10.1007/s11356-023-28554-1
    Effective end-of-life vehicle (ELV) management is crucial for minimizing the environmental and health impacts of Indonesia's growing automotive industry. However, proper ELV management has received limited attention. To bridge this gap, we conducted a qualitative study to identify barriers to effective ELV management in Indonesia's automotive sector. Through in-depth interviews with key stakeholders and a strengths, weaknesses, opportunities, and threats analysis, we identified internal and external factors influencing ELV management. Our findings reveal major barriers, including inadequate government regulation and enforcement, insufficient infrastructure and technology, low education and awareness, and a lack of financial incentives. We also identified internal factors such as limited infrastructure, inadequate strategic planning, and challenges in waste management and cost collection methods. Based on these findings, we recommend a comprehensive and integrated approach to ELV management involving enhanced coordination among government, industry, and stakeholders. The government should enforce regulations and provide financial incentives to encourage proper ELV management practices. Industry players should invest in technology and infrastructure to support effective ELV treatment. By addressing these barriers and implementing our recommendations, policymakers can develop sustainable ELV management policies and decisions in Indonesia's fast-paced automotive sector. Our study contributes valuable insights to guide the development of effective strategies for ELV management and sustainability in Indonesia.
  2. Fulltext Associations between biopsychosocial factors and transportation patterns of older adults residing in Klang Valley, Malaysia
    Mohd Rosnu NS, Ishak WS, Abd Rahman MH, Shahar S, Musselwhite C, Mat Ludin AF, et al.
    Front Public Health, 2023;11:1153822.
    PMID: 37275505 DOI: 10.3389/fpubh.2023.1153822
    INTRODUCTION: Aging is associated with physiological changes in multiple systems in the body and may impact the transportation choices of older adults. In this study, we examine the associations between biopsychosocial factors and the transportation choices of Malaysian older adults.

    METHODS: One hundred and nineteen (119) older adults, aged 60 and above, living in Klang Valley, Malaysia were recruited for this cross-sectional study. Participants were interviewed face-to-face to obtain sociodemographic data, health status (whether there were and, if yes, the number of comorbidities), outdoor mobility and transportation patterns, Instrumental Activity Daily Living (IADL) status and cognitive function. Participants' physical performance (dominant handgrip strength, 10-m walk, and timed up and go tests), hearing threshold (pure tone audiometry), and vision function (visual acuity, contrast sensitivity) were measured. Transportation patterns of older adults were categorized into three groups, that is, flexible (using public transport and/or private vehicles), using only private vehicles and restricted (relying on others or walking).

    RESULTS: Further information is needed to enable such older adults as older women, those with comorbidities and poorer functional status to access transportation, especially to meet their health care needs.

    DISCUSSION: The majority (51%) of participants were in the 'using only private vehicles' group, followed by the 'flexibles' (25%) and the 'restricted' (24%). Factors significantly associated with the restricted transportation group were: (a) being female (AdjOR 15.39, 95% CI 0.86-23.39, p c) having higher number of comorbidities (AdjOR 14.01, 95% CI 0.20-13.21, p = 0.007); and (d) being dependent in IADL (AdjOR 13.48, 95% CI 0.51-1.78, p = 0.002).

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