Symbolic transport choice across national cultures: theoretical considerations for research design

A recently empirically isolated latent variable in transport choice is symbolism, which examines what people believe their transport choices say to others about them and how they are judged in a social context. Whilst it is well established that symbolism differs vertically across different socio-economic groups within a country, very little work has been done on how symbolism in transport may differ between similar individuals across nations as a function of national cultural values, and how this may manifest itself in transport choices. If significant differences were to be found then this could have impacts for transport policy formulation and transfer. This paper explores and discusses these issues and concludes that the initial goal of any research into symbolic transport choices across cultures is theoretical fertility, and this is best achieved by adopting Lakatosian research programmes, using theory-driven thematic analysis to develop theoretical models for testing

Culture and low-carbon energy transitions

How does culture influence low-carbon energy transitions? How can insights about cultural influences guide energy planners and policymakers trying to stimulate transitions, particularly at a time of rapid technological change? This Review examines the influence of culture on a selection of low-carbon technologies and behavioural practices that reflect different dimensions of sustainability. Based on a typology of low-carbon technology and behaviour, we explore the cultural dimensions of four specific cases: eco-driving, ridesharing, automated vehicles and whole-house retrofits. We conclude with recommendations for those seeking to analyse, understand, develop, demonstrate and deploy low-carbon innovations for sustainable energy transitions

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

Gauging differences in public transport symbolism across national cultures: implications for policy development and transfer

The use of different forms of public transport connotes different symbolic meanings across national cultures. This has relevance when encouraging the uptake of public transport in Asia's megacities such as Beijing or Chennai, where rapid deterioration in air quality has been partly attributed to a rapid increase in private motorised transport ownership and usage. Yet the social connotations of using public transport might not always be positive. Whilst metro systems may be seen as progressive and uniting, bus-based transit is still often seen as a ‘poor cousin’. This may present a significant impediment when encouraging a shift from private to public transport in cities where the national culture mandates visible differentiation between those of differing social status. This study uses deductive thematic analysis based upon symbolic permutations, to explore these concepts across two meta cultural clusters, each consisting of two sub clusters segmented by means of the Hofstede national culture indices: low power differential/individualistic (Anglo, Nordic), and high power differential/collectivist (Confucian, and South Asian). Using horizontal purposive sampling, sufficient differences are observed, as to the symbolism of the public transport modes across the groups, to justify an expansion of theory to the population of interest. The findings of the work should assist the promotion of sustainable transport in rapidly industrialising cities in the Global South, and international policy transfer across different geographies

Using thematic analysis to explore symbolism in transport choice across national cultures

Symbolism, what people believe a transport mode tells others about them within the context of a hierarchical society, has been shown to be a significant driver of transport choice. However, despite the common practice of transferring transport policies between nations, no research has focused on how a mode’s symbolic connotations vary across national cultures and how this may affect individual and group transport choices. This paper describes research which utilised two aspects of the Hofstede cross-cultural indices—power differential, and individualism versus collectivism—to develop and strengthen theory through qualitative deductive thematic analysis. Forty-eight interviewees from four Hofstede cultural clusters were sampled horizontally, across equivalent income, occupational and educational levels, to attempt to lessen socio-demographic distortions. Semi-structured interviews were then undertaken. Interview transcripts were analysed manually using previously derived symbolic transport thematic codes. The significant differences between the Hofstede groups in both the density of thematic coding, and the quotes offered, suggest symbolism may strongly influence the potential outcomes of transport policies transferred between nations possessing significantly different cultural attributes and imperatives. Given this the authors believe there is sound justification for further deductive and inductive analysis on the existing dataset, and the extension of the theory to a broader population within each cultural cluster

The symbolism of 'eco cars' across national cultures: Potential implications for policy formulation and transfer

Transport choices are not merely practical decisions but steeped in cultural and societal perceptions. Understanding these latent drivers of behaviour will allow countries to develop and import policies to more successfully promote sustainable transport. Transport symbolism – what people believe their ownership or use of a mode connotes to others about their societal position – has been shown to be one such, non-trivial, hidden motivator. In the case of hybrid and electric cars (‘eco cars’), studies have demonstrated how their symbolic value varies within a society among different social groups. As yet, however, there has been scant research into comparing how the symbolism of a mode varies across national cultures, horizontally, between individuals with similar socio-demographic characteristics. Through qualitative thematic analysis, this study utilises two of Hofstede’s cross-cultural indices – power differential and individualism versus collectivism – to develop and strengthen theory on how the differing symbolism of eco cars currently varies between four cultural clusters – Anglo, Nordic, Confucian and South Asian. It also deliberates how observed symbolic qualitative differences may influence an individual or group choice to procure eco cars. Finally, it discusses how policy development, transfer and marketing, within the context of eco cars, may need to be modified by national governments, in the Confucian and South Asian cultures, so as to encourage uptake and modal shift