A GIS–AHP Framework for Spatial Assessment of Urban Stress Using Wearable Sensor Data: A Pilot Study in Kragujevac

Urban traffic environments can elevate physiological stress, yet most existing studies assess this indirectly through infrastructural or traffic-related proxies rather than direct physiological measurement. This pilot study proposes a geographic information system (GIS)–Analytical Hierarchy Process (AHP) framework that integrates wearable heart-rate sensing with spatial analysis to identify localized physiological activation patterns at urban intersections. The proposed framework is presented as a methodological proof-of-concept and is not yet validated as a decision-support tool; application to urban health assessment or smart-city planning would require testing on a substantially larger and independently sampled spatial dataset. Data were collected from ten participants across 118 repeated commuting passes by private automobile at six intersections in Kragujevac, Serbia. An AHP-weighted urban stress index combining heart rate, the traffic-intensity proxy, time of day, and acceleration events (CR = 0.0115) was computed and mapped using inverse-distance-weighted interpolation. A linear mixed-effects model showed a significant positive association between an ordinal, time-of-day-based traffic-intensity proxy and heart rate across the 118 passes (8.90 bpm per ordinal unit, p < 0.001); because this proxy is derived from time-of-day categories, the association is best interpreted as an exploratory time-of-day–heart-rate relationship rather than a validated causal effect of traffic, and a sensitivity analysis confirmed that the same three intersections ranked highest across alternative weighting scenarios. The results indicate a consistent spatial relationship between intersections associated with higher traffic-intensity proxy values and elevated physiological activation. Although based on a limited pilot-scale dataset, the proposed framework demonstrates the feasibility of combining wearable physiological sensing with GIS–AHP spatial analysis and offers a methodological proof-of-concept for smart-city and urban-health research in medium-sized cities, pending validation on larger, independently sampled spatial datasets.