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Klomsten Andersen O, Gebremariam MK, Kaupang OB, Lien N, Kolle E. Built for movement: Neighborhoods and adolescent physical activity behaviors, and the moderating role of socioeconomic position and gender. Health Place 2024; 89:103313. [PMID: 39024998 DOI: 10.1016/j.healthplace.2024.103313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 07/03/2024] [Accepted: 07/04/2024] [Indexed: 07/20/2024]
Abstract
This study examined whether the built environment was associated with physical activity among adolescents in Oslo, Norway, and the role of socioeconomic position and gender as potential moderators of this association. We used data from 897 adolescents who participated in the TACKLE cross-sectional study conducted in 2020. Built environment features (recreational facilities, parks, forest, public transport, traffic calming devices, and schools) were assessed objectively using Geographical Information Systems. Physical activity data included device-measured moderate-to-vigorous physical activity, total physical activity, and self-reported active transportation to school. Using general linear models and logistic regression, we found that most built environment features were unrelated to the participants' device-measured physical activity. Longer distances to school and to traffic calming devices were associated with decreased likelihood of participants reporting active transportation to school. Our moderated regression analysis showed that adolescents with low socioeconomic backgrounds seemed less affected by longer distances to school compared with their high socioeconomic counterparts. Furthermore, boys appeared to be more sensitive to traffic safety relative to girls. Implementing traffic calming devices may enhance active transportation to school and improve traffic safety for Norwegian adolescents.
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Affiliation(s)
| | - Mekdes Kebede Gebremariam
- Department of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway
| | | | - Nanna Lien
- Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway
| | - Elin Kolle
- Department of Sports Sciences, Norwegian School of Sport Sciences, Norway
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Mayo X, Iglesias-Soler E, Liguori G, Copeland RJ, Clavel I, Del Villar F, Jimenez A. A modifiable factors-based model for detecting inactive individuals: are the European assessment tools fit for purpose? Eur J Public Health 2022; 32:894-899. [PMID: 36083204 DOI: 10.1093/eurpub/ckac116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The lack of systematic factors affecting physical inactivity (PIA) challenges policymakers to implement evidence-based solutions at a population level. The study utilizes the Eurobarometer to analyse PIA-modifiable variables. METHODS Special Eurobarometer 412 physical activity (PA) data were analysed (n = 18 336), including 40 variables along with the International PA Questionnaire. PIA was used as the dependent variable. Variables considered were alternatives to car, places, reasons and barriers to engaging in PA, memberships to clubs and categorical responses about the agreement extent with the area, provision of activities and local governance statements. Logistic regression was used to identify variables contributing to PIA. Beta values (β), standard errors, 95% confidence intervals, the exponentiation for odds ratio and Cox & Snell and Nagelkerke R2 were indicated. RESULTS The resulting model correctly identified 10.7% inactives and 96.9% of actives (R2 of Nagelkerke: 0.153). Variables contributing to the detection of PIA were (P ≤ 0.01): having a disability or an illness, not having friends to do sport with, lacking motivation or interest in and being afraid of injury risk. Additionally, totally agreeing, tend to agree and tend to disagree regarding the extent of local providers offering enough opportunities to be more active also contributed to the model. CONCLUSIONS The model reported a limited ability to detect modifiable factors affecting PIA, identifying a small percentage of inactive individuals correctly. New questions focused on understanding inactive behaviour are needed to support the European PA public health agenda.
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Affiliation(s)
- X Mayo
- Observatory of Healthy & Active Living of Spain Active Foundation, Centre for Sport Studies, King Juan Carlos University, Madrid, Spain
| | - E Iglesias-Soler
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain
| | - G Liguori
- University of Rhode Island, Kingston, RI, USA
| | - R J Copeland
- Advanced Wellbeing Research Centre, College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK.,The National Centre for Sport and Exercise Medicine, Sheffield, UK
| | - I Clavel
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain.,Galician Sport Foundation, Galician Government, Santiago, Spain
| | - F Del Villar
- Observatory of Healthy & Active Living of Spain Active Foundation, Centre for Sport Studies, King Juan Carlos University, Madrid, Spain
| | - A Jimenez
- Observatory of Healthy & Active Living of Spain Active Foundation, Centre for Sport Studies, King Juan Carlos University, Madrid, Spain.,GO fit LAB, Ingesport, Madrid, Spain
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Exposure to Public Open Spaces and Leisure-Time Physical Activity: An Analysis of Adults in Primary Health Care in Brazil. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148355. [PMID: 35886212 PMCID: PMC9322836 DOI: 10.3390/ijerph19148355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 06/25/2022] [Accepted: 07/01/2022] [Indexed: 02/01/2023]
Abstract
Public open spaces (POS) enable many leisure activities. However, few studies have evaluated how different exposures to POS with structured physical activities (PA) could affect the leisure-time PA (LTPA) of adults with chronic diseases. This study aimed to analyze the associations between different exposures to POS and LTPA in adults in primary health care in Brazil. In 2019, a cross-sectional study was conducted with a representative sample of 615 users of 15 Basic Health Units in São José dos Pinhais. The POS exposure was measured by the presence and distance (GIS), and the usage and frequency of usage were self-reported. The IPAQ identified walking and moderate-to-vigorous PA (MVPA). Data were analyzed with multilevel Poisson regression adjusted for the possible confounders (sex, age, economic level, chronic diseases). The prevalence of walking and MVPA ≥150 min/week was 12% and 14%, respectively. The usage of POS increased by 52% the likelihood of walking ≥10 min/week (PR: 1.52; 95%CI: 1.02–2.21), while usage ≥2 times/week increased by 2 times the likelihood of this outcome (PR: 2.01; 95%CI: 1.28–3.05). The usage of POS increased by 2.7 times the likelihood of MVPA ≥10 min/week (PR: 2.73; 95%CI: 1.86–3.97), and usage ≥2 times/week increased by 3.5 times the likelihood of this outcome (PR: 3.45; 95%CI: 2.14–5.42). Finally, the usage of POS increased by 3 times the likelihood of MVPA ≥150 min/week (PR: 3.03; 95%CI: 1.92–4.74), while usage ≥2 times/week increased by 3.8 times the likelihood of this outcome (PR: 3.81; 95%CI: 2.19–6.38). In conclusion, only the usage of POS is positively associated with walking and MVPA in the leisure time of adult primary health care users.
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Rodrigues EQ, Garcia LMT, Ribeiro EHC, Barrozo LV, Bernal RTI, Andrade DR, Barbosa JPDAS, Nunes APDOB, Fermino RC, Florindo AA. Use of an Elevated Avenue for Leisure-Time Physical Activity by Adults from Downtown São Paulo, Brazil. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095581. [PMID: 35564976 PMCID: PMC9106045 DOI: 10.3390/ijerph19095581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 04/24/2022] [Accepted: 04/26/2022] [Indexed: 12/10/2022]
Abstract
Leisure-time physical activity (LTPA) is associated with access and use of public open spaces. The President João Goulart Elevated Avenue, currently denominated Minhocão, is a facility for leisure activities that is open for people during the night and weekends. The aim of this study was to examine if the prevalence of LTPA among individuals living in the surroundings of Minhocão is different according to proximity to, and use of, the facility. We conducted a cross-sectional study with cluster sampling with people aged ≥18 years who lived in households up to 500 m, and between 501 m and 1500 m of Minhocão. The survey was conducted between December 2017 and March 2019 using an electronic questionnaire. We conducted a bivariate analysis and Poisson regression to examine possible differences in LTPA according to the proximity of residences and use of Minhocão. The analysis used post-stratification weights. A total of 12,030 telephone numbers of people were drawn (≤500 m = 6942; and >500 m to ≤1500 m = 5088). The final sample included 235 residents who returned the questionnaires. There was a higher prevalence of individuals engaging in at least 150 min per week of LTPA among users than non-users (Prevalence Ratio = 2.19, IC95% 1.66 to 2.90), independently of sex, age, education, the distance of houses to nearest accesses and number of barriers. The main five barriers related to the usage of the Minhocão were safety issues in and around the Minhocão, rainy weather, lack of vegetation, and lack of facilities. People who used the park had higher prevalence of all types of LTPA than non-users. The results can serve to inform government decision-making on the future of Minhocão.
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Affiliation(s)
- Eduardo Quieroti Rodrigues
- Postgraduate Program in Nutrition in Public Health, Department of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil; (J.P.d.A.S.B.); (A.A.F.)
- School of Arts, Sciences and Humanities, Research Group on Physical Activity Epidemiology, University of São Paulo, São Paulo 03828-000, Brazil; (L.M.T.G.); (E.H.C.R.); (D.R.A.); (A.P.d.O.B.N.)
- Correspondence: ; Tel.: +55-11-3091-8157
| | - Leandro Martin Totaro Garcia
- School of Arts, Sciences and Humanities, Research Group on Physical Activity Epidemiology, University of São Paulo, São Paulo 03828-000, Brazil; (L.M.T.G.); (E.H.C.R.); (D.R.A.); (A.P.d.O.B.N.)
- Centre for Public Health, Queen’s University Belfast, Belfast BT12 6BA, UK
| | - Evelyn Helena Corgosinho Ribeiro
- School of Arts, Sciences and Humanities, Research Group on Physical Activity Epidemiology, University of São Paulo, São Paulo 03828-000, Brazil; (L.M.T.G.); (E.H.C.R.); (D.R.A.); (A.P.d.O.B.N.)
| | - Ligia Vizeu Barrozo
- Department of Geography, School of Philosophy, Literature and Human Sciences, University of São Paulo, São Paulo 05508-080, Brazil;
| | | | - Douglas Roque Andrade
- School of Arts, Sciences and Humanities, Research Group on Physical Activity Epidemiology, University of São Paulo, São Paulo 03828-000, Brazil; (L.M.T.G.); (E.H.C.R.); (D.R.A.); (A.P.d.O.B.N.)
| | - João Paulo dos Anjos Souza Barbosa
- Postgraduate Program in Nutrition in Public Health, Department of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil; (J.P.d.A.S.B.); (A.A.F.)
- School of Arts, Sciences and Humanities, Research Group on Physical Activity Epidemiology, University of São Paulo, São Paulo 03828-000, Brazil; (L.M.T.G.); (E.H.C.R.); (D.R.A.); (A.P.d.O.B.N.)
| | - Ana Paula de Oliveira Barbosa Nunes
- School of Arts, Sciences and Humanities, Research Group on Physical Activity Epidemiology, University of São Paulo, São Paulo 03828-000, Brazil; (L.M.T.G.); (E.H.C.R.); (D.R.A.); (A.P.d.O.B.N.)
| | - Rogério César Fermino
- Research Group on Environment, Physical Activity, and Health, Postgraduate Program in Physical Education, Federal University of Technology—Paraná, Curitiba 80230-901, Brazil;
- Postgraduate Program in Physical Education, Federal University of Paraná, Curitiba 80060-000, Brazil
| | - Alex Antonio Florindo
- Postgraduate Program in Nutrition in Public Health, Department of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil; (J.P.d.A.S.B.); (A.A.F.)
- School of Arts, Sciences and Humanities, Research Group on Physical Activity Epidemiology, University of São Paulo, São Paulo 03828-000, Brazil; (L.M.T.G.); (E.H.C.R.); (D.R.A.); (A.P.d.O.B.N.)
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Menardo E, De Dominicis S, Pasini M. Exploring Perceived and Objective Measures of the Neighborhood Environment and Associations with Physical Activity among Adults: A Review and a Meta-Analytic Structural Equation Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:2575. [PMID: 35270267 PMCID: PMC8909183 DOI: 10.3390/ijerph19052575] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 02/17/2022] [Accepted: 02/21/2022] [Indexed: 12/30/2022]
Abstract
There is an urgent need to understand factors that promote physical activities (PA) because it is one of the modifiable risk factors for global mortality. None of the previous reviews considered both perceived and objective characteristics of the same environment. The first aim was to review the literature on studies investigating the relationship between PA behavior of adults and perceived and objective physical environment measures. The second aim was to verify the potential mediational role of the perceived measure in the relationship between the objective measure of the environment and PA using meta-analytic SEM. Only 15 studies reported a relationship between PA and both environmental measures. One of the most studied characteristics of the physical environment is the accessibility to recreational/PA facilities. Both objective and subjective measures of accessibility to PA facilities are associated with PA. Meta-SEM results suggest a significant effect of the objective accessibility to facilities on PA behavior (β = 0.15) and on the perceived measure (β = 0.10), but the indirect effect was not significant. No significant effect was found for the perceived measure on PA, suggesting that individuals' level of awareness about their environments may have played a role. This prompts a need to create awareness campaigns.
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Affiliation(s)
- Elisa Menardo
- Department of Human Sciences, University of Verona, 37129 Verona, Italy;
| | - Stefano De Dominicis
- Coaching Psychology Unit, Department of Nutrition, Exercise and Sports, University of Copenhagen, 2200 Copenhagen, Denmark;
| | - Margherita Pasini
- Department of Human Sciences, University of Verona, 37129 Verona, Italy;
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Andrade L, Geffin R, Maguire M, Rodriguez P, Castro G, Alkhatib A, Barengo NC. The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults. Front Public Health 2021; 9:660624. [PMID: 34900883 PMCID: PMC8654348 DOI: 10.3389/fpubh.2021.660624] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Accepted: 10/25/2021] [Indexed: 11/13/2022] Open
Abstract
Physical activity decreases the risk of long-term health consequences including cardiac diseases. According to the American Health Association (AHA), adults should perform at least 75 min of vigorous physical activity (PA) or 150 min of moderate PA per week to impact long-term health. Results of previous studies are varied and have yet to integrate perceived access to facilities with AHA PA guidelines. We investigated whether access to free or low-cost recreational facilities was associated with meeting the AHA PA guidelines. Methodology: This cross-sectional study utilized data extracted from the Family Life, Activity, Sun, Health, and Eating (FLASHE) database collected in 2017 (n = 1,750). The main exposure variable was access to free or low-cost recreational facilities. The main outcome variable was meeting the AHA guidelines of 150 min moderate PA or 75 min vigorous PA per week. Covariates included age, sex, level of education, overall health, BMI, ethnicity, hours of work per week, income, and time living at current address. Unadjusted and adjusted logistic regression analysis were used to calculate measures of odds ratio (OR) and corresponding 95% confidence interval (CI). Results: Of the 1,750 included participants, 61.7% (n = 1,079) reported to have access to recreational facilities. Of those with access to facilities, 69.9% met AHA PA guidelines while 30.4% did not. After adjusting for covariates, participants who reported access to recreational facilities were 42% more likely to meet AHA PA guidelines compared with participants who did not (adjusted OR 1.42; 95% CI 1.14-1.76). Secondary results suggest that healthier individuals were more likely to have met AHA PA guidelines. Conclusions: Having access to free or low-cost recreational facilities such as parks, walking trails, bike paths and courts was associated with meeting the AHA PA guidelines. Increasing prevalence and awareness of neighborhood recreational facilities could assist in access to these facilities and increase the ability of individuals to meet AHA PA guidelines. Future research should determine which types of recreational facilities impact physical activity strongest and discover methods of increasing their awareness.
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Affiliation(s)
- Larissa Andrade
- Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States
| | - Ryan Geffin
- Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States
| | - Mark Maguire
- Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States
| | - Pura Rodriguez
- Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States
| | - Grettel Castro
- Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States
| | - Ahmad Alkhatib
- School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom
| | - Noël C Barengo
- Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States.,Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland.,Department of Health Policy and Management, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, United States
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Associations of the Neighborhood Built Environment With Physical Activity Across Pregnancy. J Phys Act Health 2021; 18:541-547. [PMID: 33863851 DOI: 10.1123/jpah.2020-0510] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 01/29/2021] [Accepted: 02/01/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Several features of the neighborhood built environment have been shown to promote leisure-time physical activity (PA) in the general population, but few studies have examined its impact on PA during pregnancy. METHODS Data were extracted from 8362 Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be cohort participants (2010-2013). Residential address information was linked to 3 built environment characteristics: number of gyms and recreation areas within a 3-km radius of residence and census block level walkability. Self-reported leisure-time PA was measured in each trimester and dichotomized as meeting PA guidelines or not. Relative risks for cross-sectional associations between neighborhood characteristics and meeting PA guidelines were estimated using Poisson regression. RESULTS More gyms and recreation areas were each associated with a greater chance of meeting PA guidelines in models adjusted for sociodemographic characteristics and preexisting conditions. Associations were strongest in the third trimester where each doubling in counts of gyms and recreation areas was associated with 10% (95% confidence interval, 1.07-1.13) and 8% (95% confidence interval, 1.03-1.12), respectively, greater likelihood of meeting PA guidelines. Associations were similar though weaker for walkability. CONCLUSIONS Results from a large, multisite cohort suggest that these built environment characteristics have similar PA-promoting benefits in pregnant women as seen in more general populations.
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Kim YJ, Kang SW. Perceived Crowding and Risk Perception According to Leisure Activity Type during COVID-19 Using Spatial Proximity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:E457. [PMID: 33430042 PMCID: PMC7827604 DOI: 10.3390/ijerph18020457] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Revised: 01/05/2021] [Accepted: 01/06/2021] [Indexed: 12/23/2022]
Abstract
This study aimed to investigate the difference in people's perceived crowding and risk perception during leisure activities using the criteria of spatial proximity during the COVID-19 pandemic. COVID-19 is a viral respiratory tract disease that poses an increasing risk of infection through person-to-person transmission in a confined space or close proximity to an infected person. It is thus crucial to maintain a sufficiently safe distance from others during leisure activities. In this study, measures concerning leisure activity spaces and the current status of leisure activities were investigated. Data were gathered from a total of 1078 participants via an online survey conducted from 26 to 29 October 2020. Frequency analysis was performed to investigate the sample characteristics and exploratory factor analysis was performed to analyze the validity of the measurement tools. Results revealed that people's perceived crowding of leisure activity spaces directly influenced their participation in leisure activities. Regarding age, those in their 20s were more aware of congestion and their risk perception was higher than those in their 40s and 50s. It was found that people perceived cultural and artistic activities to be dangerous as they often take place as part of tourism and leisure activities and amidst crowds. However, their high-risk perception indirectly influenced their participation patterns, making it difficult to enjoy leisure activities. To lower the risk perception of leisure activity spaces, it was necessary to secure more safe distancing than current regulations require. Future research must conduct a longitudinal investigation by objectively stratifying the degree of perceived crowding.
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Affiliation(s)
| | - Seung-Woo Kang
- Department of Physical Education, Chung-Ang University, Seoul 06974, Korea;
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Zhou Y, Buck C, Maier W, von Lengerke T, Walter U, Dreier M. Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2694. [PMID: 32295200 PMCID: PMC7215411 DOI: 10.3390/ijerph17082694] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 04/10/2020] [Accepted: 04/13/2020] [Indexed: 01/06/2023]
Abstract
In recent years, built environmental characteristics have been linked to childhood overweight, but the results remain inconsistent across studies. The present study examines associations between several built environmental features and body weight status (BMI) z-score among a large sample of preschool children in the city of Hannover, Germany. Walkability (Index), green space availability, and playground availability related to preschool children's home environments were measured using data from OpenStreetMap (OSM). These built environment characteristics were linked to the data from the 2010-2014 school entry examinations in the Hannover city (n = 22,678), and analysed using multilevel linear regression models to examine associations between the built environment features and the BMI z-score of these children (4-8 years old). No significant associations of built environmental factors on children's BMI were detected, but the effect between green space availability and BMI was modified by the parental educational level. In children with lower compared to higher educated parents, a higher spatial availability of greenspace was significantly associated with reduced body weight. Future research should continue to monitor the disparities in diverse built environment features and how these are related to children's health.
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Affiliation(s)
- Yusheng Zhou
- Institute of Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, 30625 Hannover, Germany; (U.W.); (M.D.)
| | - Christoph Buck
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, 28359 Bremen, Germany;
| | - Werner Maier
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München—German Research Center for Environmental Health (GmbH), D-85764 Neuherberg, Germany;
| | - Thomas von Lengerke
- Department of Medical Psychology, Hannover Medical School, 30625 Hannover, Germany;
| | - Ulla Walter
- Institute of Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, 30625 Hannover, Germany; (U.W.); (M.D.)
| | - Maren Dreier
- Institute of Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, 30625 Hannover, Germany; (U.W.); (M.D.)
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Determinants of Residential Preferences Related to Built and Social Environments and Concordance between Neighborhood Characteristics and Preferences. J Urban Health 2020; 97:62-77. [PMID: 31773559 PMCID: PMC7010883 DOI: 10.1007/s11524-019-00397-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
We explored associations between residential preferences and sociodemographic characteristics, the concordance between current neighborhood characteristics and residential preferences, and heterogeneity in concordance by income and race/ethnicity. Data came from a cross-sectional phone and mail survey of 3668 residents of New York City, Baltimore, Chicago, Los Angeles, St. Paul, and Winston Salem in 2011-12. Scales characterized residential preferences and neighborhood characteristics. Stronger preferences were associated with being older, female, non-White/non-Hispanic, and lower education. There was significant positive but weak concordance between current neighborhood characteristics and residential preferences (after controlling sociodemographic characteristics). Concordance was stronger for persons with higher income and for Whites, suggesting that residential self-selection effects are strongest for populations that are more advantaged.
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11
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McCormack GR, Koohsari MJ, Oka K, Friedenreich CM, Blackstaffe A, Alaniz FU, Farkas B. Differences in transportation and leisure physical activity by neighborhood design controlling for residential choice. JOURNAL OF SPORT AND HEALTH SCIENCE 2019; 8:532-539. [PMID: 31720064 PMCID: PMC6834992 DOI: 10.1016/j.jshs.2019.05.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 03/15/2019] [Accepted: 03/22/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Cross-sectional studies provide useful insight about the associations between the built environment and physical activity (PA), particularly when reasons for neighborhood choice are considered. Our study analyzed the relationship between levels of weekly transportation and leisure PA among 3 neighborhood designs, statistically adjusting for sociodemographic characteristics and reasons for neighborhood choice. METHODS A stratified random sample of adults (age ≥20 years) living in Calgary (Canada) neighborhoods with different neighborhood designs (grid, warped-grid, and curvilinear) and socioeconomic status completed a self-administered questionnaire capturing PA, sociodemographic characteristics, and reasons for neighborhood choice (response rate = 10.1%; n = 1023). Generalized linear models estimated associations between neighborhood design and transportation and leisure PA outcomes (participation (any vs. none) and volume (metabolic equivalent: h/week)), adjusting for neighborhood socioeconomic status, sociodemographic characteristics (gender, age, ethnicity, education, household income, marital status, children, vehicle access, dog ownership, and injury), and reasons for neighborhood choice (e.g., proximity and quality of recreational and utilitarian destinations, proximity to work, highway access, aesthetics, and sense of community). RESULTS Overall, 854 participants had resided in their neighborhood for at least 12 months and provided complete data. Compared with those living in curvilinear neighborhoods, grid neighborhood participants had greater odds (p < 0.05) of participating in any transportation walking (odds ratio (OR) = 2.17), transportation and leisure cycling (OR = 2.39 and OR = 1.70), active transportation (OR = 2.16), and high-intensity leisure PA (≥6 metabolic equivalent; OR = 1.74), respectively. There were no neighborhood differences in the volume of any transportation or leisure PA undertaken. Adjustment for neighborhood selection had minimal impact on the statistical or practical importance of model estimates. CONCLUSION Neighborhood design is associated with PA patterns in adults, independent of reasons for neighborhood choice and sociodemographic factors.
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Affiliation(s)
- Gavin R. McCormack
- Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 4Z6, Canada
- School of Architecture, Planning and Landscape, University of Calgary, Calgary, Alberta, T2N 4N1, Canada
| | - Mohammad Javad Koohsari
- Faculty of Sport Sciences, Waseda University, Tokyo, 169-8050, Japan
- Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, VIC, 3004, Australia
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, 3000, Australia
| | - Koichiro Oka
- Faculty of Sport Sciences, Waseda University, Tokyo, 169-8050, Japan
| | - Christine M. Friedenreich
- Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 4Z6, Canada
- Department of Cancer Epidemiology and Prevention Research, CancerControl Alberta, Alberta Health Services, Calgary, Alberta, T2S 3C3, Canada
| | - Anita Blackstaffe
- Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 4Z6, Canada
| | - Francisco Uribe Alaniz
- School of Architecture, Planning and Landscape, University of Calgary, Calgary, Alberta, T2N 4N1, Canada
| | - Brenlea Farkas
- Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 4Z6, Canada
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Zang P, Lu Y, Ma J, Xie B, Wang R, Liu Y. Disentangling residential self-selection from impacts of built environment characteristics on travel behaviors for older adults. Soc Sci Med 2019; 238:112515. [DOI: 10.1016/j.socscimed.2019.112515] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 07/08/2019] [Accepted: 08/21/2019] [Indexed: 11/17/2022]
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Smith BJ, MacKenzie-Stewart R, Newton FJ, Haregu TN, Bauman A, Donovan RJ, Mahal A, Ewing MT, Newton JD. A longitudinal study examining uptake of new recreation infrastructure by inactive adults. Int J Behav Nutr Phys Act 2019; 16:59. [PMID: 31370855 PMCID: PMC6676615 DOI: 10.1186/s12966-019-0823-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Accepted: 07/22/2019] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND The built environment is reported to influence physical activity in populations, but longitudinal evidence about the impact of building new physical activity infrastructure is limited. This study aimed to prospectively investigate the uptake and usage of the newly established Peninsula Aquatic and Recreation Centre (PARC), a large multi-purpose recreation facility in Melbourne, Australia. METHODS Physically inactive adults (n = 549) from the City of Frankston were recruited before the opening of PARC and followed up 12 months later to measure frequency of attendance at the Centre, and the purposes and barriers to use. Multivariable methods were used to identity the demographic, cognitive and social predictors of attendance, and the relationship between PARC use and improvements in leisure-time physical activity. RESULTS Over 12 months 8.7% of the sampled residents used PARC once per month or more, 17.5% attended less than once per month, and 73.8% did not use the Centre. Lap swimming was the dominant purpose for attendance, and the major barriers were cost of transport and cost of entry. Independent predictors of usage were being female, having children, living within 5 km of the Centre, and expressing strong intentions for use prior to its opening. Use of PARC was not associated with progression to a higher level of total leisure-time physical activity. CONCLUSIONS While installation of multi-purpose aquatic and recreation facilities may be considered an investment towards physical activity in populations, regular use by inactive people is likely to be low. Strategies to reduce barriers, including cost and transport, and to motivate use should be trialled in order to improve the public health impacts of this form of infrastructure.
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Affiliation(s)
- Ben J. Smith
- School of Public Health, Level 6, The Charles Perkins Centre, University of Sydney, Sydney, New South Wales 2006 Australia
| | - Ruth MacKenzie-Stewart
- School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria 3004 Australia
| | - Fiona J. Newton
- Department of Marketing, Monash Business School, Monash University, McMahons Rd, Frankston, Victoria 3199 Australia
| | - Tilahun N. Haregu
- Melbourne School of Population and Global Health, University of Melbourne, 333 Exhibition St, Melbourne, Victoria 3004 Australia
| | - Adrian Bauman
- School of Public Health, Level 6, The Charles Perkins Centre, University of Sydney, Sydney, New South Wales 2006 Australia
| | - Robert J. Donovan
- School of Human Sciences, University of Western Australia, 35 Stirling Highway, Perth, Western Australia 6009 Australia
| | - Ajay Mahal
- Nossal Institute for Global Health, University of Melbourne, 333 Exhibition St, Melbourne, Victoria 3004 Australia
| | - Michael T. Ewing
- Faculty of Business and Law, Deakin University, 221 Burwood Hwy, Burwood, Victoria 3125 Australia
| | - Joshua D. Newton
- Faculty of Business and Law, Deakin University, 221 Burwood Hwy, Burwood, Victoria 3125 Australia
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Jia P, Lakerveld J, Wu J, Stein A, Root ED, Sabel CE, Vermeulen R, Remais JV, Chen X, Brownson RC, Amer S, Xiao Q, Wang L, Verschuren WMM, Wu T, Wang Y, James P. Top 10 Research Priorities in Spatial Lifecourse Epidemiology. ENVIRONMENTAL HEALTH PERSPECTIVES 2019; 127:74501. [PMID: 31271296 PMCID: PMC6791465 DOI: 10.1289/ehp4868] [Citation(s) in RCA: 62] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 06/07/2019] [Accepted: 06/14/2019] [Indexed: 05/21/2023]
Abstract
The International Initiative on Spatial Lifecourse Epidemiology (ISLE) convened its first International Symposium on Lifecourse Epidemiology and Spatial Science at the Lorentz Center in Leiden, Netherlands, 16–20 July 2018. Its aim was to further an emerging transdisciplinary field: Spatial Lifecourse Epidemiology. This field draws from a broad perspective of scientific disciplines including lifecourse epidemiology, environmental epidemiology, community health, spatial science, health geography, biostatistics, spatial statistics, environmental science, climate change, exposure science, health economics, evidence-based public health, and landscape ecology. The participants, spanning 30 institutions in 10 countries, sought to identify the key issues and research priorities in spatial lifecourse epidemiology. The results published here are a synthesis of the top 10 list that emerged out of the discussion by a panel of leading experts, reflecting a set of grand challenges for spatial lifecourse epidemiology in the coming years. https://doi.org/10.1289/EHP4868.
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Affiliation(s)
- Peng Jia
- GeoHealth Initiative, Department of Earth Observation Science, Faculty of Geo-information Science and Earth Observation (ITC), University of Twente, Enschede, Netherlands
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
| | - Jeroen Lakerveld
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, Netherlands
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands
- Global Geo Health Data Center, Utrecht University, Utrecht, Netherlands
| | - Jianguo Wu
- School of Life Sciences, Arizona State University, Tempe, Arizona, USA
- School of Sustainability and Julie A. Wrigley Global Institute of Sustainability, Arizona State University, Tempe, Arizona, USA
- Center for Human-Environment System Sustainability, State Key Laboratory of Earth Surface Processes and Resource Ecology, Beijing Normal University, Beijing, China
| | - Alfred Stein
- GeoHealth Initiative, Department of Earth Observation Science, Faculty of Geo-information Science and Earth Observation (ITC), University of Twente, Enschede, Netherlands
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
| | - Elisabeth D. Root
- Department of Geography, Ohio State University, Columbus, Ohio, USA
- Division of Epidemiology, Ohio State University, Columbus, Ohio, USA
| | - Clive E. Sabel
- Department of Environmental Science, Aarhus University, Aarhus, Denmark
- Big Data Center for Environment and Health, Aarhus University, Aarhus, Denmark
| | - Roel Vermeulen
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, Netherlands
| | - Justin V. Remais
- Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, Berkeley, California, USA
| | - Xi Chen
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
- Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut, USA
- Yale Climate Change and Health Initiative, New Haven, Connecticut, USA
| | - Ross C. Brownson
- Prevention Research Center in St. Louis, Brown School at Washington University in St. Louis, St. Louis, Missouri, USA
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, Missouri, USA
- Alvin J. Siteman Cancer Center, Barnes-Jewish Hospital and Washington University School of Medicine, Missouri, USA
| | - Sherif Amer
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
- Department of Urban and Regional Planning and Geo-information Management, ITC, University of Twente, Enschede, Netherlands
| | - Qian Xiao
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
- Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa, USA
- Department of Epidemiology, University of Iowa, Iowa City, Iowa, USA
| | - Limin Wang
- National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - W. M. Monique Verschuren
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands
- Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, Netherlands
| | - Tong Wu
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
- Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, China
| | - Youfa Wang
- International Initiative on Spatial Lifecourse Epidemiology (ISLE)
- Fisher Institute of Health and Well-Being, College of Health, Ball State University, Muncie, Indiana, USA
- Department of Nutrition and Health Sciences, College of Health, Ball State University, Muncie, Indiana, USA
- Global Health Institute; Department of Epidemiology and Biostatistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, Shaanxi, China
| | - Peter James
- Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA
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