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Christiansen LB, Klein-Wengel TT, Koch S, Høyer-Kruse J, Schipperijn J. Recreational walking and perceived environmental qualities: a national map-based survey in Denmark. Int J Health Geogr 2023; 22:21. [PMID: 37661258 PMCID: PMC10476396 DOI: 10.1186/s12942-023-00339-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 07/17/2023] [Indexed: 09/05/2023] Open
Abstract
BACKGROUND The aim of the study is to explore the diversity in recreational walking motives across groups with different sociodemographic characteristics, and to use a dynamic and person-centered approach to geographically assess recreational walking behavior, and preferences for place quality related to recreational walking. METHODS A total of 1838 adult respondents (age 15-90 years), who engage in recreational walking, participated in the map-based survey. We used the online platform Maptionnaire to collect georeferenced information on the respondents' home location, other start locations for walking trips, and point of interest on their trips. Distance between home location and other start locations as well as point of interest were computed using a Geographic Information System (GIS). Additional information on recreational walking behavior and motives were collected using the traditional questionnaire function in Maptionnaire. RESULTS The most prevalent motives for walking were mental well-being and physical health, together with enjoyment and experiences related to walking. Having a tertiary education was positively associated with mental well-being motive, experiences, and taking the dog and the children outside. Income was also positively associated with experiences and walking the dog together with enjoyment of walking and spending time with others. Using the map-based approach, we found that recreational walking often starts at a location away from home and is not limited to the nearest neighborhood. A total of 4598 points of interest were mapped, and the most frequently reported place qualities were greenery, water, wildlife, good views, and tranquility. CONCLUSION We used a dynamic and person-centered approach and thereby giving the respondents the opportunity to point to relevant locations for their walking behavior independently of their residential neighborhood. Recreational walking often starts away from home or is not limit to the nearest neighborhod. The median distance from home to the mapped points of interests was between 1.0 and 1.6 km for home-based trips and between 9.4 and 30.6 km for trips with other start locations. The most popular place quality related to the mapped points were greenery, water, wildlife, good views, and tranquility.
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Affiliation(s)
- Lars Breum Christiansen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
| | - Trine Top Klein-Wengel
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Sofie Koch
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Jens Høyer-Kruse
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Jasper Schipperijn
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
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D'Hooghe S, Inaç Y, Deforche B, Van Dyck D, de Ridder K, Vandevijvere S, Van de Weghe N, Dury S. The role of the perceived environment for recreational walking among adults in socioeconomically disadvantaged situations: A study using walk-along interviews. SSM Popul Health 2023; 23:101456. [PMID: 37501782 PMCID: PMC10368917 DOI: 10.1016/j.ssmph.2023.101456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 06/17/2023] [Accepted: 06/21/2023] [Indexed: 07/29/2023] Open
Abstract
Background Persons in socioeconomically disadvantaged situations (PSEDS) are generally less likely to engage in recreational walking (RW) compared to higher socioeconomic groups and are often more dependent on their local environment. Studies on RW have primarily focused on the role of the built environment for the general adult population and the older population in urban areas. The aim of this study is to qualitatively identify the perceived environmental factors affecting RW among PSEDS in peri-urban areas. Methods In two peri-urban municipalities in Belgium, walk-along interviews were conducted until data saturation with a purposeful convenience sampling of 38 PSEDS (25-65y/o) to identify local environmental factors affecting RW. A subsample of 22 participants joined a focus group (n = 4) to categorize the identified factors into environmental types (physical, sociocultural, political, and economic) of the Analysis Grid for Environments Linked to Obesity (ANGELO) framework. The interviews were transcribed and analyzed thematically using Maxqda 2022.0. Results The information environment (dissemination, retrieving and understanding of information) was added to the ANGELO framework, highlighting the importance of digital literacy. Availability and accessibility of well-maintained walking surfaces, toilets, street lighting and seating options (physical environment), social support, dog-ownership, stigmatization, social isolation, and a sense of belonging (sociocultural environment) and indirect costs (economic environment) were identified as important environmental factors in RW among PSEDS. The identified political and economic factors are intertwined with the other environments. Conclusions Perceived environmental factors affect RW among PSEDS and peri-urban settings offer specific challenges. Local governments should incorporate citizen perception into decision-making processes to create supportive environments that have the potential to promote RW among PSEDS in a peri-urban setting.
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Affiliation(s)
- Suzannah D'Hooghe
- Sciensano, Department of Epidemiology and Public Health, Belgium
- Ghent University, Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, Belgium
- Vrije Universiteit Brussel (VUB), Faculty of Psychology and Educational Sciences, Adult Educational Sciences, Belgium
- Society and Ageing Research Lab (SARLab), Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Yasemin Inaç
- Sciensano, Department of Epidemiology and Public Health, Belgium
- Vrije Universiteit Brussel (VUB), Faculty of Psychology and Educational Sciences, Adult Educational Sciences, Belgium
- Ghent University, Faculty of Sciences, Department of Geography, Belgium
- Society and Ageing Research Lab (SARLab), Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Benedicte Deforche
- Ghent University, Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, Belgium
- Vrije Universiteit Brussel (VUB), Faculty of Physical Education and Physiotherapy, Department of Movement and Sport Sciences, Belgium
| | - Delfien Van Dyck
- Ghent University, Faculty of Medicine and Health Sciences, Department of Movement and Sports Sciences, Belgium
| | - Karin de Ridder
- Sciensano, Department of Epidemiology and Public Health, Belgium
| | | | - Nico Van de Weghe
- Ghent University, Faculty of Sciences, Department of Geography, Belgium
| | - Sarah Dury
- Vrije Universiteit Brussel (VUB), Faculty of Psychology and Educational Sciences, Adult Educational Sciences, Belgium
- Society and Ageing Research Lab (SARLab), Vrije Universiteit Brussel (VUB), Brussels, Belgium
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Examining activity-friendly neighborhoods in the Norwegian context: green space and walkability in relation to physical activity and the moderating role of perceived safety. BMC Public Health 2023; 23:259. [PMID: 36747160 PMCID: PMC9903513 DOI: 10.1186/s12889-023-15170-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 01/26/2023] [Accepted: 01/31/2023] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Despite the well-known health benefits of regular physical activity, inactivity remains a major public health concern. Understanding how the built environment can encourage physical activity is therefore important to inform current policy strategies for creating activity-friendly neighborhoods. This study aimed to examine whether neighborhood walkability and greenness were associated with physical activity, and if perceived safety moderated any such relations, among adult citizens in Norway. METHODS This cross-sectional study included a sample of 5670 adults aged ≥ 18 years living in urban areas of Stavanger. Information on physical activity (PA) levels, perceived neighborhood safety, and socio-demography were obtained from questionnaire data collected in the Norwegian county public health survey of Rogaland. Geographic information systems were utilized to compute walkability, vegetation scores and proportion of green space within postcode areas, which subsequently were linked to the survey data. Hierarchical linear regression models were fitted to examine associations between walkability, amount of vegetation, proportion of green space and weekly minutes of PA, and to estimate main and interaction effects of perceived safety on these relationships. RESULTS The adults were on average physically active 148.3 min/week. The amount of green vegetation in the neighborhood was positively related to physical activity when adjusting for potential confounders. No such relations were observed for proportion of green space and walkability. Perceived neighborhood safety was significantly related to increased levels of physical activity, but no moderating role of perceived safety was observed. CONCLUSION Although our findings should be interpreted with caution, the results point towards the importance of policymakers, planners, and public health professionals to advocate for safe environments with green vegetation for physical activity in the neighborhood.
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Garcia L, Mendonça G, Benedetti TRB, Borges LJ, Streit IA, Christofoletti M, Silva-Júnior FLE, Papini CB, Binotto MA. Barriers and facilitators of domain-specific physical activity: a systematic review of reviews. BMC Public Health 2022; 22:1964. [PMID: 36289461 PMCID: PMC9598005 DOI: 10.1186/s12889-022-14385-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 10/18/2022] [Indexed: 12/02/2022] Open
Abstract
Background Knowing what facilitates and hinders physical activity behaviour across domains (leisure, travel, work or education, and household) is central for the development of actions for more active lifestyles. Thus, the aim of this systematic review of reviews was to summarize the evidence on barriers and facilitators of domain-specific physical activity. Methods We included systematic reviews with or without meta-analysis that investigated the association between modifiable barriers and facilitators and levels of domain-specific physical activity. Reviews published until September 2020 were retrieved from PubMed, ISI Web of Science, Scopus, Regional Library of Medicine (BIREME), and PsycNET, and from the reference list of selected articles. Each review was screened by two independent reviewers for eligibility. Data extracted from selected papers included methodological aspects (number of primary studies, study designs, and age groups); physical activity domains and barriers and facilitators investigated; and direction of association. For each pair of barrier/facilitator and domain-specific physical activity, we recorded the number of positive, negative, and null associations reported across reviews. Quality assessment of each systematic review was performed using the AMSTAR-2 tool. Results Forty-four systematic reviews were selected. The evidence base was largest for leisure-time followed by travel-related physical activity. A very small number of reviews included physical activity in work, educational and domestic settings. Across all physical activity domains, factors related to the built environment were more abundant in the reviews than intra and interpersonal factors. Very consistent positive associations were observed between a range of intrapersonal factors and leisure-time physical activity, as well as moderately consistent evidence of positive association for general social support and support from family members. Evidence of moderate consistency was found for the positive association between transport-related physical activity and positive beliefs about consequences, walkability, and existence of facilities that support active travel. Evidence on barriers and facilitators for physical activity at work, educational, and domestic settings was limited in volume and consistency. Conclusions Efforts and resources are required to diversify and strength the evidence base on barriers and facilitators of domain-specific physical activity, as it is still limited and biased towards the leisure domain and built environment factors. Trial registration PROSPERO CRD42020209710. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-14385-1.
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Affiliation(s)
- Leandro Garcia
- grid.4777.30000 0004 0374 7521Centre for Public Health, Queen’s University Belfast, Institute of Clinical Sciences, Royal Victoria Hospital, Belfast, BT12 6BA UK
| | - Gerfeson Mendonça
- grid.411179.b0000 0001 2154 120XFederal University of Alagoas, Maceió, Alagoas Brazil ,CESMAC University Centre, Maceió, Alagoas Brazil
| | - Tânia R. Bertoldo Benedetti
- grid.411237.20000 0001 2188 7235Department of Physical Education, Federal University of Santa Catarina, Florianópolis, Santa Catarina Brazil
| | - Lucélia Justino Borges
- grid.20736.300000 0001 1941 472XDepartment of Physical Education, Federal University of Paraná, Curitiba, Paraná Brazil
| | - Inês Amanda Streit
- grid.411181.c0000 0001 2221 0517Federal University of Amazonas, Manaus, Amazonas Brazil
| | - Marina Christofoletti
- grid.411237.20000 0001 2188 7235Department of Physical Education, Federal University of Santa Catarina, Florianópolis, Santa Catarina Brazil
| | | | - Camila Bosquiero Papini
- grid.411281.f0000 0004 0643 8003Department of Sports Science, Federal University of the Triângulo Mineiro, Uberaba, Minas Gerais Brazil
| | - Maria Angélica Binotto
- Department of Physical Education, State University of the Centro-Oeste, Irati, Paraná Brazil
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Zahnow R, Kimpton A, Corcoran J, Mielke G. Neighbourhood correlates of average population walking: using aggregated, anonymised mobile phone data to identify where people walk. Health Place 2022; 77:102892. [PMID: 35973356 DOI: 10.1016/j.healthplace.2022.102892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 07/04/2022] [Accepted: 08/07/2022] [Indexed: 11/19/2022]
Abstract
Understanding and monitoring socio-spatial patterns of population walking mobility can inform urban planning and geographically targeted health promotion strategies aimed at increasing population levels of physical activity. In this study we use aggregated, anonymous mobile phone mobility data to examine the association between neighbourhood physical and social characteristics and residents' weekly walking behaviour across 313 neighbourhoods in a large metropolitan region of Queensland, Australia. We find that residents in neighbourhoods that are highly fragmented by streets with speed limits above 50 kmph, residents in neighbourhoods with high retail density and those living is economically disadvantaged neighbourhoods walk fewer kilometres and minutes on average per week than their counterparts. These findings can inform urban planning policy on the minimum specifications required in newly developing neighbourhoods and provide targets for retro-fitting features into existing neighbourhoods.
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Affiliation(s)
- Renee Zahnow
- School of Social Sciences, The University of Queensland, Brisbane, 4072, Australia.
| | - Anthony Kimpton
- School of Earth and Environmental Sciences, The University of Queensland, Queensland, 4072, Australia.
| | - Jonathan Corcoran
- School of Earth and Environmental Sciences, The University of Queensland, Queensland, 4072, Australia.
| | - Gregore Mielke
- School of Public Health, The University of Queensland, Brisbane, 4072, Australia.
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Abstract
PURPOSE OF REVIEW The aim of this study was to provide psychiatrists with the knowledge, tools and guidance to support physical activity promotion in clinical practice. The review also aims to provide an up-to-date summary of the evidence regarding physical activity in the prevention and treatment of mental disorders in adults. RECENT FINDINGS There is emerging evidence demonstrating that physical activity can protect against incident anxiety and depression. There is robust evidence showing that physical activity is an effective adjunct treatment strategy for depressive disorders and anxiety and stress-related disorders, with emerging evidence for schizophrenia and bipolar disorders. Translation of this evidence into practice is in general ad hoc, and large physical health disparities for people with mental disorders persist. The reasons for this are multifactorial, and include the intersection of social, economic and personal barriers to physical activity. Evidence-based approaches include regular screening of physical activity levels, staff culture change within mental health services and established referral pathways. SUMMARY Translation of evidence regarding physical activity for mental health into routine programmes is critical. Efforts to move beyond solely targeting individual-level barriers to physical activity and address systemic barriers include lack of access to appropriate exercise services. This requires consideration of training needs, service structure and culture change.
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Compernolle S, Mertens L, Van Cauwenberg J, Maes I, Van Dyck D. The association between Geographic Information System-based neighborhood built environmental factors and accelerometer-derived light-intensity physical activity across the lifespan: a cross-sectional study. PeerJ 2022; 10:e13271. [PMID: 35419214 PMCID: PMC8997190 DOI: 10.7717/peerj.13271] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 03/23/2022] [Indexed: 01/13/2023] Open
Abstract
Background Evidence on associations between environmental factors and accelerometer-derived light-intensity physical activity (LPA) is scarce. The aim of this study was to examine associations between Geographic Information System (GIS)-based neighborhood built environmental factors and accelerometer-derived LPA, and to investigate the moderating effect of age group (adolescents, adults, older adults) on these associations. Methods Objective data were used from three similar observational studies conducted in Ghent (Belgium) between 2007 and 2015. Accelerometer data were collected from 1,652 participants during seven consecutive days, and GIS-based neighborhood built environmental factors (residential density, intersection density, park density, public transport density, entropy index) were calculated using sausage buffers of 500 m and 1,000 m around the home addresses of all participants. Linear mixed models were performed to estimate the associations. Results A small but significant negative association was observed between residential density (500 m buffer) and LPA in the total sample (B = -0.002; SE = 0.0001; p = 0.04), demonstrating that every increase of 1,000 dwellings per surface buffer was associated with a two minute decrease in LPA. Intersection density, park density, public transport density and entropy index were not related to LPA, and moderating effects of age group were absent. Conclusions The small association, in combination with other non-significant associations suggests that the neighborhood built environment, as classically measured in moderate-to-vigorous intensity physical activity research, is of limited importance for LPA. More research is needed to unravel how accelerometer-derived LPA is accumulated, and to gain insight into its determinants.
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Affiliation(s)
- Sofie Compernolle
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium,Research Foundation Flanders, Brussels, Belgium
| | - Lieze Mertens
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium,Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Jelle Van Cauwenberg
- Research Foundation Flanders, Brussels, Belgium,Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Iris Maes
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
| | - Delfien Van Dyck
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
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Understanding the Healthy Immigrant Effect in the Context of Mental Health Challenges: A Systematic Critical Review. J Immigr Minor Health 2021; 24:1564-1579. [PMID: 34807354 PMCID: PMC8606270 DOI: 10.1007/s10903-021-01313-5] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2021] [Indexed: 01/10/2023]
Abstract
The "Healthy Immigrant Effect" (HIE) suggests that immigrants have a health advantage over the domestic-born which vanishes with increased length of residency. Most HIE research focuses on physical health, with less attention given to mental health (MH). This systematic review of 58 MH studies examines whether there is a MH advantage among immigrants and explores changes in immigrants' MH, besides critically assessing the use of HIE theory. Inconsistent evidence was detected regarding the presence of MH advantage, whereas consistent, convincing evidence was revealed for a decline in immigrants' MH over years. Although the HIE theory can help reveal MH disparities, this theory alone does not explain the reasons for these disparities nor inform about potential avenues to improve immigrants' MH. A paradigm shift is needed to incorporate other potential theoretical concepts/frameworks, including the "Health Inequalities Action" framework, for a broader understanding of MH issues and to inform effective, culturally-sensitive interventions.
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Ozbilen B, Slagle KM, Akar G. Perceived risk of infection while traveling during the COVID-19 pandemic: Insights from Columbus, OH. TRANSPORTATION RESEARCH INTERDISCIPLINARY PERSPECTIVES 2021; 10:100326. [PMID: 33723530 PMCID: PMC7945884 DOI: 10.1016/j.trip.2021.100326] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 02/06/2021] [Accepted: 02/08/2021] [Indexed: 05/14/2023]
Abstract
The COVID-19 outbreak caused major disruptions on individuals' out-of-home activities. Worldwide mandates to slow down the spread of the disease resulted in significant reductions in travel. This study analyzes the changes in individuals' travel outcomes and their risk perceptions related to exposure and specific travel modes during the COVID-19 pandemic. We use data collected through an online survey with residents of Columbus, OH from April 30 to May 7, 2020. Employing multiple generalized estimating equations (GEEs) with a logit link function, we analyze the perceived risk of infection while traveling with different modes controlling for socio-demographics. The findings show that on average individuals are more likely to find shared modes (i.e., transit, ride-hailing, carsharing) riskier as compared to individual ones (i.e., walking, autos) when it comes to COVID-19 exposure. This study also suggests that the associations between perceptions related to exposure and various travel modes vary across groups with (1) different primary mode preferences (auto users vs non-auto users (e.g., transit users, bicyclists, etc.)), and (2) different socio-demographics. For example, auto users are more likely to find shared modes such as ride-hailing or transit riskier as compared to personal car. The conclusions present recommendations for future transportation policies in the post-COVID era. These include building upon the emerging positive perceptions towards non-motorized modes as an opportunity to promote sustainable transportation as well as formulating viable solutions to address the high-risk perceptions associated with transit.
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Affiliation(s)
- Basar Ozbilen
- City and Regional Planning, Knowlton School, The Ohio State University, United States
| | - Kristina M Slagle
- School of Environment and Natural Resources, The Ohio State University, United States
| | - Gulsah Akar
- City and Regional Planning, Knowlton School, The Ohio State University, United States
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Maes I, Van Dyck D, Van Cauwenberg J, Mertens L. Age-related differences in the associations of physical environmental factors and psychosocial factors with accelerometer-assessed physical activity. Health Place 2020; 67:102492. [PMID: 33316601 DOI: 10.1016/j.healthplace.2020.102492] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 11/27/2020] [Accepted: 11/30/2020] [Indexed: 01/05/2023]
Abstract
The aim of the current study was to examine age-related differences in the associations of physical environmental and psychosocial factors with accelerometer-assessed MVPA across three age groups (adolescents, adults, and older adults). Therefore, data from three studies with a comparable study protocol were combined. Results showed that both physical environmental factors and psychosocial factors were most strongly associated with MVPA in older adults. Consequently, health behavior interventions for older adults should focus on physical environmental factors as well as psychosocial factors. While adolescents and adults may benefit less from such interventions.
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Affiliation(s)
- Iris Maes
- Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, B-9000, Ghent, Belgium.
| | - Delfien Van Dyck
- Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, B-9000, Ghent, Belgium.
| | - Jelle Van Cauwenberg
- Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4k3, B-9000, Ghent, Belgium; Research Foundation Flanders (FWO), Egmontstraat 5, 1000, Brussels, Belgium.
| | - Lieze Mertens
- Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, B-9000, Ghent, Belgium; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4k3, B-9000, Ghent, Belgium; Research Foundation Flanders (FWO), Egmontstraat 5, 1000, Brussels, Belgium.
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