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van Beek JFE, Malisoux L, Klein O, Bohn T, Tharrey M, Van Lenthe FJ, Beenackers MA, Dijst M, Perchoux C. Longitudinal study of changes in greenness exposure, physical activity and sedentary behavior in the ORISCAV-LUX cohort study. Int J Health Geogr 2024; 23:14. [PMID: 38773577 PMCID: PMC11110334 DOI: 10.1186/s12942-024-00374-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Accepted: 05/10/2024] [Indexed: 05/24/2024] Open
Abstract
BACKGROUND Greenness exposure has been associated with many health benefits, for example through the pathway of providing opportunities for physical activity (PA). Beside the limited body of longitudinal research, most studies overlook to what extent different types of greenness exposures may be associated with varying levels of PA and sedentary behavior (SB). In this study, we investigated associations of greenness characterized by density, diversity and vegetation type with self-reported PA and SB over a 9-year period, using data from the ORISCAV-LUX study (2007-2017, n = 628). METHODS The International Physical Activity Questionnaire (IPAQ) short form was used to collect PA and SB outcomes. PA was expressed as MET-minutes/week and log-transformed, and SB was expressed as sitting time in minutes/day. Geographic Information Systems (ArcGIS Pro, ArcMap) were used to collect the following exposure variables: Tree Cover Density (TCD), Soil-adjusted Vegetation Index (SAVI), and Green Land Use Mix (GLUM). The exposure variables were derived from publicly available sources using remote sensing and cartographic resources. Greenness exposure was calculated within 1000m street network buffers around participants' exact residential address. RESULTS Using Random Effects Within-Between (REWB) models, we found evidence of negative within-individual associations of TCD with PA (β = - 2.60, 95% CI - 4.75; - 0.44), and negative between-individual associations of GLUM and PA (β = - 2.02, 95% CI - 3.73; - 0.32). There was no evidence for significant associations between greenness exposure and SB. Significant interaction effects by sex were present for the associations between TCD and both PA and SB. Neighborhood socioeconomic status (NSES) did not modify the effect of greenness exposure on PA and SB in the 1000 m buffer. DISCUSSION Our results showed that the relationship between greenness exposure and PA depended on the type of greenness measure used, which stresses the need for the use of more diverse and complementary greenness measures in future research. Tree vegetation and greenness diversity, and changes therein, appeared to relate to PA, with distinct effects among men and women. Replication studies are needed to confirm the relevance of using different greenness measures to understand its' different associations with PA and SB.
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Affiliation(s)
- Juliette F E van Beek
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research, 11 Porte Des Sciences, 4366, Esch-Sur-Alzette, Luxembourg.
- Faculty of Humanities, Education and Social Sciences, Department of Geography and Spatial Planning, University of Luxembourg, 11 Porte Des Sciences, 4366, Esch-Sur-Alzette, Luxembourg.
| | - Laurent Malisoux
- Department of Precision Health, Luxembourg Institute of Health, 1A-B Rue Thomas Edison, 1445, Strassen, Luxembourg
| | - Olivier Klein
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research, 11 Porte Des Sciences, 4366, Esch-Sur-Alzette, Luxembourg
| | - Torsten Bohn
- Department of Precision Health, Luxembourg Institute of Health, 1A-B Rue Thomas Edison, 1445, Strassen, Luxembourg
| | - Marion Tharrey
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research, 11 Porte Des Sciences, 4366, Esch-Sur-Alzette, Luxembourg
- Department of Precision Health, Luxembourg Institute of Health, 1A-B Rue Thomas Edison, 1445, Strassen, Luxembourg
| | - Frank J Van Lenthe
- Department of Public Health, Erasmus MC, University Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands
| | - Mariëlle A Beenackers
- Department of Public Health, Erasmus MC, University Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands
| | - Martin Dijst
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research, 11 Porte Des Sciences, 4366, Esch-Sur-Alzette, Luxembourg
- University of Luxembourg, 2 Avenue de L'Universite, 4365, Esch-Sur-Alzette, Luxembourg
| | - Camille Perchoux
- Department of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research, 11 Porte Des Sciences, 4366, Esch-Sur-Alzette, Luxembourg
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Fry D, McIntire RK, Kondo MC. Understanding perceived park access and physical activity among older adults: A structural equation modeling approach. Health Place 2024; 88:103258. [PMID: 38759578 DOI: 10.1016/j.healthplace.2024.103258] [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: 10/05/2023] [Revised: 04/16/2024] [Accepted: 04/26/2024] [Indexed: 05/19/2024]
Abstract
Parks can provide a low-cost setting for safe physical activity, but older adults are underrepresented among park users in the United States. Using data from a population-representative survey in 2015 and 2018 among adults aged 60 years and older living in Philadelphia, we tested whether perceived access was a mechanism by which objectively-measured park access predicted self-reported physical activity. After controlling for individual-level factors and neighborhood characteristics, we found a statistically significant pathway from overall park area and within-park tree canopy to increased physical activity, mediated by perceived park access. These results highlight the importance of tree canopy for older adult park access and physical activity.
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Affiliation(s)
- Dustin Fry
- USDA Forest Service Northern Research Station, Philadelphia Field Station, 100 N 20th Street Ste 405, Philadelphia, PA, 19103, USA.
| | - Russell K McIntire
- Lehigh University College of Health, Department of Community and Population Health, USA
| | - Michelle C Kondo
- USDA Forest Service Northern Research Station, Philadelphia Field Station, 100 N 20th Street Ste 405, Philadelphia, PA, 19103, USA
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Rachele JN, Mavoa S, Sugiyama T, Kavanagh A, Giles-Corti B, Brown WJ, Inoue S, Amagasa S, Turrell G. Changes in neighbourhood walkability and body mass index: An analysis of residential mobility from a longitudinal multilevel study in Brisbane, Australia. Health Place 2024; 87:103245. [PMID: 38631216 DOI: 10.1016/j.healthplace.2024.103245] [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: 12/17/2023] [Revised: 04/02/2024] [Accepted: 04/02/2024] [Indexed: 04/19/2024]
Abstract
This study examined associations between changes in neighbourhood walkability and body mass index (BMI) among 1041 residents who relocated within Brisbane, Australia between 2007 and 2016 over five waves of the HABITAT study. Measures included spatially-derived neighbourhood walkability (dwelling density, street connectivity, and land use mix) and self-reported height and weight. No associations were found between any neighbourhood walkability characteristics and BMI. Examining these associations over the life course, and the impact of residential relocation in the younger years, remains a priority for future research.
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Affiliation(s)
- Jerome N Rachele
- College of Sport, Health and Engineering, Victoria University, Melbourne, Australia; Institute for Health and Sport, Victoria University, Melbourne, Australia.
| | - Suzanne Mavoa
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
| | - Takemi Sugiyama
- Centre for Urban Transitions, Swinburne University of Technology, Melbourne, Australia.
| | - Anne Kavanagh
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
| | | | - Wendy J Brown
- School of Human Movement and Nutrition Studies, University of Queensland, St Lucia, Australia.
| | - Shigeru Inoue
- Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan.
| | - Shiho Amagasa
- Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan; Graduate School of Public Health, Teikyo University, Tokyo, Japan.
| | - Gavin Turrell
- Centre for Urban Research, RMIT University, Melbourne, Australia.
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Spoelder M, Schoofs MCA, Raaphorst K, Lakerveld J, Wagtendonk A, Hartman YAW, van der Krabben E, Hopman MTE, Thijssen DHJ. A positive neighborhood walkability is associated with a higher magnitude of leisure walking in adults upon COVID-19 restrictions: a longitudinal cohort study. Int J Behav Nutr Phys Act 2023; 20:116. [PMID: 37752497 PMCID: PMC10521432 DOI: 10.1186/s12966-023-01512-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Accepted: 09/07/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND Previous cross-sectional and longitudinal observational studies revealed positive relationships between contextual built environment components and walking behavior. Due to severe restrictions during COVID-19 pandemic lockdowns, physical activity was primarily performed within the immediate living area. Using this unique opportunity, we evaluated whether built environment components were associated with the magnitude of change in walking activity in adults during COVID-19 restrictions. METHODS Data on self-reported demographic characteristics and walking behaviour were extracted from the prospective longitudinal Lifelines Cohort Study in the Netherlands of participants ≥ 18 years. For our analyses, we made use of the data acquired between 2014-2017 (n = 100,285). A fifth of the participants completed the questionnaires during COVID-19 restrictive policies in July 2021 (n = 20,806). Seven spatial components were calculated for a 500m and 1650m Euclidean buffer per postal code area in GIS: population density, retail and service destination density, land use mix, street connectivity, green space density, sidewalk density, and public transport stops. Additionally, the walkability index (WI) of these seven components was calculated. Using multivariable linear regression analyses, we analyzed the association between the WI (and separate components) and the change in leisure walking minutes/week. Included demographic variables were age, gender, BMI, education, net income, occupation status, household composition and the season in which the questionnaire was filled in. RESULTS The average leisure walking time strongly increased by 127 min/week upon COVID-19 restrictions. All seven spatial components of the WI were significantly associated with an increase in leisure walking time; a 10% higher score in the individual spatial component was associated with 5 to 8 more minutes of leisure walking/week. Green space density at the 500m Euclidean buffer and side-walk density at the 1650m Euclidean buffer were associated with the highest increase in leisure walking time/week. Subgroup analysis revealed that the built environment showed its strongest impact on leisure walking time in participants not engaging in leisure walking before the COVID-19 pandemic, compared to participants who already engaged in leisure walking before the COVID-19 pandemic. CONCLUSIONS These results provide strong evidence that the built environment, corrected for individual-level characteristics, directly links to changes observed in leisure walking time during COVID-19 restrictions. Since this relation was strongest in those who did not engage in leisure walking before the COVID-19 pandemic, our results encourage new perspectives in health promotion and urban planning.
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Affiliation(s)
- Marcia Spoelder
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Philips Van Leydenlaan 15, Nijmegen, 6525 EX, The Netherlands.
- Present affiliation: Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Geert Grooteplein Noord 21, Nijmegen, 6525 EZ, The Netherlands.
| | - Merle C A Schoofs
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Philips Van Leydenlaan 15, Nijmegen, 6525 EX, The Netherlands
| | - Kevin Raaphorst
- Department of Geography, Planning and Environment, Institute for Management Research, Radboud University, Nijmegen, The Netherlands
| | - Jeroen Lakerveld
- Amsterdam UMC, Department of Epidemiology and Data Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Boelelaan 1089a, Amsterdam, 1081HV, The Netherlands
- Amsterdam Public Health, Health Behaviours and Chronic Diseases, Amsterdam, The Netherlands
- Upstream Team, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Alfred Wagtendonk
- Amsterdam UMC, Department of Epidemiology and Data Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Boelelaan 1089a, Amsterdam, 1081HV, The Netherlands
- Amsterdam Public Health, Health Behaviours and Chronic Diseases, Amsterdam, The Netherlands
- Upstream Team, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Yvonne A W Hartman
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Philips Van Leydenlaan 15, Nijmegen, 6525 EX, The Netherlands
| | - Erwin van der Krabben
- Department of Geography, Planning and Environment, Institute for Management Research, Radboud University, Nijmegen, The Netherlands
| | - Maria T E Hopman
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Philips Van Leydenlaan 15, Nijmegen, 6525 EX, The Netherlands
| | - Dick H J Thijssen
- Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Philips Van Leydenlaan 15, Nijmegen, 6525 EX, The Netherlands
- Research Institute for Sports and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
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Clevenger KA, Berrigan D, Patel S, Saint-Maurice PF, Matthews CE. Relationship between neighborhood walkability and the prevalence, type, timing, and temporal characteristics of walking. Health Place 2023; 80:102983. [PMID: 36753820 DOI: 10.1016/j.healthplace.2023.102983] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 12/22/2022] [Accepted: 01/29/2023] [Indexed: 02/09/2023]
Abstract
We examined associations of neighborhood walkability with the prevalence, type, timing, and temporal characteristics of walking in a representative sample of United States adults. Adults (N = 2649) completed the ACT24 previous-day recall. Home address was linked to block-group National Walkability Index. Survey-adjusted Poisson and logistic regression examined the association of walkability with outcomes. Those who lived in more walkable neighborhoods were more likely to walk overall, for transport, or in the evening. In those who walked, higher walkability was associated with less morning but more evening walking. There were no associations of walkability with the frequency or duration of walking episodes.
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Affiliation(s)
- Kimberly A Clevenger
- Health Behaviors Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Dr, Rockville, MD, USA.
| | - David Berrigan
- Health Behaviors Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Dr, Rockville, MD, USA
| | - Shreya Patel
- Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Dr, Rockville, MD, USA
| | - Pedro F Saint-Maurice
- Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Dr, Rockville, MD, USA
| | - Charles E Matthews
- Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Dr, Rockville, MD, USA
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Kim EJ, Jin S. Walk Score and Neighborhood Walkability: A Case Study of Daegu, South Korea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4246. [PMID: 36901257 PMCID: PMC10001684 DOI: 10.3390/ijerph20054246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 02/25/2023] [Accepted: 02/25/2023] [Indexed: 06/18/2023]
Abstract
Walking is a popular physical activity that helps prevent obesity and cardiovascular diseases. The Walk Score, which measures neighborhood walkability, considers access to nine amenities using a geographic information system but does not deal with pedestrian perception. This study aims to (1) examine the correlation between access to each amenity, an individual component of the Walk Score, and perceived neighborhood walkability and (2) investigate the correlation with the perceived neighborhood walkability by adding variables of pedestrian perception to the existing Walk Score components. This study conducted a survey with 371 respondents in Daegu, South Korea, between 12 October and 8 November 2022. A multiple regression model was used to examine the correlations. The results showed no association between perceived neighborhood walkability and the individual component of the Walk Score. As variables of environmental perception, the fewer hills or stairs, the more alternative walking routes, the better separation between road and pedestrians, and the richer the green space, the more people perceived their neighborhood as walkable. This study found that the perception of the built environment had a more substantial influence on perceived neighborhood walkability than the accessibility to amenities. It proved that the Walk Score should include pedestrian perception and quantitative measurement.
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He Z, Jiang C. Aging in Place or Institutionalization? A Multiscale Analysis of Independent-Living Older Adults From Four Large Cities in China's Yangtze River Delta. Innov Aging 2023; 7:igad014. [PMID: 37007637 PMCID: PMC10053641 DOI: 10.1093/geroni/igad014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Indexed: 02/23/2023] Open
Abstract
Background and Objectives Aging in place (AIP) has been adopted as a key strategy to cope with the global public health challenge posed by population aging. The current study aimed to understand the association between older adult's AIP preference and various social and physical environmental factors at different scales. Research Design and Methods Following the ecological model of aging, this paper conducted a questionnaire survey of 827 independent-living older adults (60 years old and above) from four big cities in China's Yangtze River Delta region and employed a structural equation modeling method for analysis. Results Older adults from more developed cities exhibited a stronger preference for AIP than those from less developed cities. Individual characteristics, mental health, and physical health had a direct impact on AIP preference, whereas the effect of the community social environment was not significant. The perceived and objectively measured community-built environment indirectly affected AIP preference via mediation and chain effects. Discussion and Implications Complex paths affecting AIP preference were identified. At the city level, the social environment had a stronger influence than the physical environment on AIP, and the opposite pattern was observed at the community level. Mental health and physical health had opposite effects on AIP preference. Although physical health was negatively associated with AIP, age-friendly communities with compact, diverse, and accessible built environments have a positive impact on older adults' physical health and therefore should be promoted.
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Affiliation(s)
- Zhongyu He
- School of Architecture and Urban Planning, Nanjing University, Nanjing, China
| | - Cailing Jiang
- School of Architecture and Urban Planning, Nanjing University, Nanjing, China
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Villanueva K, Badland H, Alderton A, Higgs C, Turrell G, Goldfeld S. Examining the Contribution of the Neighborhood Built Environment to the Relationship Between Neighborhood Disadvantage and Early Childhood Development in 205,000 Australian Children. Acad Pediatr 2022; 23:631-645. [PMID: 36473648 DOI: 10.1016/j.acap.2022.11.014] [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: 09/28/2021] [Revised: 11/09/2022] [Accepted: 11/19/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE We examined associations between neighborhood built environment features and early childhood development (ECD), and tested the contribution of the built environment to associations between neighborhood disadvantage and ECD. METHODS Spatial neighborhood built environment measures were linked to participant addresses in the 2015 Australian Early Development Census (AEDC) for children ∼5 years old living in Australia's 21 most populous cities. The 2015 AEDC contains teacher-reported national data on five key child development domains for children in their first year of formal full-time schooling (approximately 5 years old). AEDC scores were classified as 'developmentally vulnerable' (≤10th centile). Using multilevel modeling, 44 built environment measures were tested with developmental vulnerability on at least one domain of the AEDC, adjusting for socioeconomic factors and neighborhood disadvantage. RESULTS The dataset consisted of 205,030 children; 89.2% living in major cities. In major cities, children with more early childhood education and care services (OR 0.997) and preschool services (OR 0.991) exceeding Australian standards, and access to healthier food outlets within 3200 m of their home (OR 0.999) had decreased odds of developmental vulnerability, controlling for socioeconomic factors and neighborhood disadvantage. Neighborhood disadvantage remained significantly associated with developmental vulnerability after adjustment for child/family variables and neighborhood built environment characteristics. CONCLUSIONS The neighborhood built environment had small effects on the neighborhood disadvantage-ECD relationship at the national level. Few built environment measures were associated with ECD. Small effects at the population level may have wide-ranging impacts; modifying the built environment at scale are promising levers for supporting good child outcomes.
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Affiliation(s)
- Karen Villanueva
- Centre for Urban Research (Karen Villanueva, Hannah Badland, Amanda Alderton, Carl Higgs, and Gavin Turrell), Royal Melbourne Institute of Technology (RMIT) University, Melbourne, Victoria, Australia; Murdoch Childrens Research Institute (Amanda Alderton and Sharon Goldfeld), Parkville, Victoria, Australia; Centre for Community Child Health (Sharon Goldfeld), Royal Children's Hospital, Parkville, Victoria, Australia.
| | - Hannah Badland
- Centre for Urban Research (Karen Villanueva, Hannah Badland, Amanda Alderton, Carl Higgs, and Gavin Turrell), Royal Melbourne Institute of Technology (RMIT) University, Melbourne, Victoria, Australia
| | - Amanda Alderton
- Centre for Urban Research (Karen Villanueva, Hannah Badland, Amanda Alderton, Carl Higgs, and Gavin Turrell), Royal Melbourne Institute of Technology (RMIT) University, Melbourne, Victoria, Australia; Murdoch Childrens Research Institute (Amanda Alderton and Sharon Goldfeld), Parkville, Victoria, Australia; Centre for Community Child Health (Sharon Goldfeld), Royal Children's Hospital, Parkville, Victoria, Australia
| | - Carl Higgs
- Centre for Urban Research (Karen Villanueva, Hannah Badland, Amanda Alderton, Carl Higgs, and Gavin Turrell), Royal Melbourne Institute of Technology (RMIT) University, Melbourne, Victoria, Australia
| | - Gavin Turrell
- Centre for Urban Research (Karen Villanueva, Hannah Badland, Amanda Alderton, Carl Higgs, and Gavin Turrell), Royal Melbourne Institute of Technology (RMIT) University, Melbourne, Victoria, Australia
| | - Sharon Goldfeld
- Murdoch Childrens Research Institute (Amanda Alderton and Sharon Goldfeld), Parkville, Victoria, Australia; Centre for Community Child Health (Sharon Goldfeld), Royal Children's Hospital, Parkville, Victoria, Australia
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Yin C, Wang X, Shao C, Ma J. Exploring the Relationship between Built Environment and Commuting Mode Choice: Longitudinal Evidence from China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192114149. [PMID: 36361027 PMCID: PMC9658268 DOI: 10.3390/ijerph192114149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 10/22/2022] [Accepted: 10/26/2022] [Indexed: 05/10/2023]
Abstract
The literature has offered much evidence regarding associations between the built environment (BE) and commuting behavior. However, most prior studies are conducted based on cross-sectional samples from developed countries, and little is known about the longitudinal link between BE and commuting behavior. Based on two rounds of survey data from China, this study examines relationships of BE with commuting mode choice from both cross-sectional and longitudinal perspectives. The effects of life-cycle events are considered within a unified framework. Results of the longitudinal examination of BE and commuting mode shift largely support the cross-sectional analysis. Specifically, promoting more balanced land use and improving residential density are important for car use reductions and active travel initiatives. Meanwhile, more balanced land use improves the probability of commuting by motorcycle and electric bike, but reduces the probability of commuting by public transit. This study also highlights the remarkable role played by life-cycle events in affecting commuting mode shifts.
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Affiliation(s)
- Chaoying Yin
- College of Automobile and Traffic Engineering, Nanjing Forestry University, Nanjing 210037, China
| | - Xiaoquan Wang
- College of Civil and Transportation Engineering, Hohai University, Nanjing 210098, China
- Correspondence:
| | - Chunfu Shao
- Key Laboratory of Transport Industry of Big Data Application Technologies for Comprehensive Transport, Beijing Jiaotong University, Beijing 100044, China
| | - Jianxiao Ma
- College of Automobile and Traffic Engineering, Nanjing Forestry University, Nanjing 210037, China
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Associations between neighborhood built environment, residential property values, and adult BMI change: The Seattle Obesity Study III. SSM Popul Health 2022; 19:101158. [PMID: 35813186 PMCID: PMC9260622 DOI: 10.1016/j.ssmph.2022.101158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 06/24/2022] [Accepted: 06/25/2022] [Indexed: 11/25/2022] Open
Abstract
Objective To examine associations between neighborhood built environment (BE) variables, residential property values, and longitudinal 1- and 2-year changes in body mass index (BMI). Methods The Seattle Obesity Study III was a prospective cohort study of adults with geocoded residential addresses, conducted in King, Pierce, and Yakima Counties in Washington State. Measured heights and weights were obtained at baseline (n = 879), year 1 (n = 727), and year 2 (n = 679). Tax parcel residential property values served as proxies for individual socioeconomic status. Residential unit and road intersection density were captured using Euclidean-based SmartMaps at 800 m buffers. Counts of supermarket (0 versus. 1+) and fast-food restaurant availability (0, 1–3, 4+) were measured using network based SmartMaps at 1600 m buffers. Density measures and residential property values were categorized into tertiles. Linear mixed-effects models tested whether baseline BE variables and property values were associated with differential changes in BMI at year 1 or year 2, adjusting for age, gender, race/ethnicity, education, home ownership, and county of residence. These associations were then tested for potential disparities by age group, gender, race/ethnicity, and education. Results Road intersection density, access to food sources, and residential property values were inversely associated with BMI at baseline. At year 1, participants in the 3rd tertile of density metrics and with 4+ fast-food restaurants nearby showed less BMI gain compared to those in the 1st tertile or with 0 restaurants. At year 2, higher residential property values were predictive of lower BMI gain. There was evidence of differential associations by age group, gender, and education but not race/ethnicity. Conclusion Inverse associations between BE metrics and residential property values at baseline demonstrated mixed associations with 1- and 2-year BMI change. More work is needed to understand how individual-level sociodemographic factors moderate associations between the BE, property values, and BMI change. Strong, inverse cross-sectional relationships between the built environment, residential property values (a proxy for individual socioeconomic status), and measured BMI were observed. Measures of the built environment and residential property values showed modest and inconsistent associations with 1- and 2-year BMI change. There was suggestive evidence that age may moderate the association between urban density and 1- and 2-year BMI change while education may moderate the association between residential property values and 2-year BMI change.
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Akinci ZS, Delclòs-Alió X, Vich G, Salvo D, Ibarluzea J, Miralles-Guasch C. How different are objective operationalizations of walkability for older adults compared to the general population? A systematic review. BMC Geriatr 2022; 22:673. [PMID: 35971086 PMCID: PMC9377138 DOI: 10.1186/s12877-022-03233-x] [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: 06/09/2022] [Indexed: 01/10/2023] Open
Abstract
Background Walking is an essential activity for everyone and for older adults in particular, given that it is the most accessible form of physical activity and one of the healthiest transportation modes. Understanding how walkability (the potential of the environment to enable and/or encourage walking) has been objectively measured and analyzed for older adults is critical to create more inclusive, healthy, and sustainable environments and to promote healthy aging. Despite the numerous reviews on physical activity among older adults and its relationship with the built environment, the literature still lacks comparison reviews focusing specifically on objective operationalizations of walkability for older adults vs. the general population. Methods We conducted a systematic review of 146 empirical studies that measured walkability objectively in relation to walking-related outcomes. We compared studies focused on older adults (n = 24) and the general population (n = 122). Content analysis included the characteristics of the study design, walkability measures, spatial extent, and associations found between walkability and walking-related outcomes. Results In both groups of publications, the majority of studies were conducted in the US, Canada, and Europe, and largely in high-income countries. They were mostly published in health-related journals and used cross-sectional designs, operationalized walkability by using indexes, employed self-reported measures for walking-related outcomes, and found positive associations between walkability and walking outcomes. However, we observed some differences among studies focusing on older adults. Compared to studies focusing on the general population, a larger proportion of studies on older adults was conducted in the Middle East and Asia, and they used longitudinal designs, mixed methods to measure walking-related outcomes, variables related with land-use characteristics, safety from traffic and crime, and greenery, and a larger proportion found positive, as well as no associations between walkability and walking-related outcomes. Conclusion Although there is a promising increase in interest in older adults-focused walkability studies in the last decade, there is still a need for more studies focusing on different settings, using wider spatial extents, longitudinal designs, objective or mixed methods to collect outcome data, and specific variables and/or specially created indexes for older adults and for settings. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-022-03233-x.
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Affiliation(s)
- Zeynep S Akinci
- Grup d'Estudis en Mobilitat, Transport i Territori (GEMOTT), Departament de Geografia, Universitat Autònoma de Barcelona, Edifici B, Campus de Bellaterra, 08193, Cerdanyola del Vallès, Barcelona, Spain.
| | - Xavier Delclòs-Alió
- Grup de Recerca en Anàlisi Territorial i Estudis Turístics (GRATET), Departament de Geografia, Universitat Rovira i Virgili, Vila-seca, Spain
| | - Guillem Vich
- Grup d'Estudis en Mobilitat, Transport i Territori (GEMOTT), Departament de Geografia, Universitat Autònoma de Barcelona, Edifici B, Campus de Bellaterra, 08193, Cerdanyola del Vallès, Barcelona, Spain.,ISGlobal (Barcelona Institute for Global Health), Doctor Aiguader, 88, 08003, Barcelona, Spain
| | - Deborah Salvo
- People, Health and Place Unit; Prevention Research Center in St. Louis; Brown School; Washington University in St Louis , St. Louis, Missouri, USA
| | - Jesús Ibarluzea
- Ministry of Health of the Basque Government, Sub-Directorate for Public Health and Addictions of Gipuzkoa, 20013, San Sebastian, Spain.,Faculty of Psychology of the University of the Basque Country, 20018, San Sebastian, Spain.,Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029, Madrid, Spain.,Biodonostia Health Research Institute, Environmental Epidemiology and Child Development Group, 20014, San Sebastian, Spain
| | - Carme Miralles-Guasch
- Grup d'Estudis en Mobilitat, Transport i Territori (GEMOTT), Departament de Geografia, Universitat Autònoma de Barcelona, Edifici B, Campus de Bellaterra, 08193, Cerdanyola del Vallès, Barcelona, Spain.,Institut de Ciència i Tecnologia Ambientals (ICTA), Universitat Autònoma de Barcelona - Edifici ICTA-ICP, Campus de Bellaterra, 08193, Cerdanyola del Vallès, Barcelona, Spain
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12
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Marquet O, Hirsch JA, Kerr J, Jankowska MM, Mitchell J, Hart JE, Laden F, Hipp JA, James P. GPS-based activity space exposure to greenness and walkability is associated with increased accelerometer-based physical activity. ENVIRONMENT INTERNATIONAL 2022; 165:107317. [PMID: 35660954 PMCID: PMC10187790 DOI: 10.1016/j.envint.2022.107317] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 04/30/2022] [Accepted: 05/19/2022] [Indexed: 05/05/2023]
Abstract
INTRODUCTION Built and natural environments may provide opportunities for physical activity. However, studies are limited by primarily using residential addresses to define exposure and self-report to measure physical activity. We quantified associations between global positioning systems (GPS)-based activity space measures of environmental exposure and accelerometer-based physical activity. METHODS Using a nationwide sample of working female adults (N = 354), we obtained seven days of GPS and accelerometry data. We created Daily Path Area activity spaces using GPS data and linked these activity spaces to spatial datasets on walkability (EPA Smart Location Database at the Census block group level) and greenness (satellite vegetation at 250 m resolution). We utilized generalized additive models to examine nonlinear associations between activity space exposures and accelerometer-derived physical activity outcomes adjusted for demographic characteristics, socioeconomic factors, and self-rated health. RESULTS Higher activity space walkability was associated with higher levels of moderate-vigorous physical activity, and higher activity space greenness was associated with greater numbers of steps per week. No strong relationships were observed for sedentary behavior or light physical activity. Highest levels of moderate-vigorous physical activity were observed for participants with both high walkability and high greenness in their activity spaces. CONCLUSION This study contributes evidence that higher levels of physical activity occur in environments with more dense, diverse, and well-connected built environments, and with higher amounts of vegetation. These data suggest that urban planners, landscape architects, and policy makers should implement and evaluate environmental interventions to encourage higher levels of physical activity.
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Affiliation(s)
- Oriol Marquet
- Institute of Environmental Science and Technology, Autonomous University of Barcelona, Spain.
| | - Jana A Hirsch
- Urban Health Collaborative, Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - Jacqueline Kerr
- Department of Family Medicine and Public Health, University of California San Diego, San Diego, CA, USA
| | - Marta M Jankowska
- Beckman Research Institute, Population Sciences, City of Hope, Duarte, CA, USA
| | - Jonathan Mitchell
- Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Jaime E Hart
- Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA, USA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
| | - Francine Laden
- Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA, USA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
| | - J Aaron Hipp
- Center for Geospatial Analytics, NC State University, USA; Department of Parks, Recreation, and Tourism Management, NC State University, USA
| | - Peter James
- Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA, USA; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA
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13
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Physical Activity and Food Environments in and around Schools: A Case Study in Regional North-West Tasmania. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19106238. [PMID: 35627775 PMCID: PMC9140536 DOI: 10.3390/ijerph19106238] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 05/18/2022] [Accepted: 05/19/2022] [Indexed: 02/04/2023]
Abstract
A better understanding of the physical activity (PA) infrastructure in schools, the walkability of neighborhoods close to schools, and the food environments around schools, particularly in rural, socioeconomically challenged areas such as the North-West (NW) of Tasmania, could be important in the wider effort to improve the health of school-age children. Accordingly, this research aimed to assess PA resources, walkability, and food environments in and around schools in three socioeconomically disadvantaged, regional/rural Local Government Areas (LGAs) of Tasmania, Australia. A census of schools (including assessment of the PA infrastructure quality within school grounds), a walkability assessment, and a census of food outlets surrounding schools (through geospatial mapping) were executed. Most of the schools in the study region had access to an oval, basketball/volleyball/netball court, and free-standing exercise equipment. In all instances (i.e., regardless of school type), the quality of the available infrastructure was substantially higher than the number of incivilities observed. Most schools also had good (i.e., within the first four deciles) walkability. Numerous food outlets were within the walking zones of all schools in the study region, with an abundance of food outlets that predominantly sold processed unhealthy food.
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14
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Lam TM, Wang Z, Vaartjes I, Karssenberg D, Ettema D, Helbich M, Timmermans EJ, Frank LD, den Braver NR, Wagtendonk AJ, Beulens JWJ, Lakerveld J. Development of an objectively measured walkability index for the Netherlands. Int J Behav Nutr Phys Act 2022; 19:50. [PMID: 35501815 PMCID: PMC9063284 DOI: 10.1186/s12966-022-01270-8] [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: 10/15/2021] [Accepted: 03/10/2022] [Indexed: 12/03/2022] Open
Abstract
Background Walkability indices have been developed and linked to behavioural and health outcomes elsewhere in the world, but not comprehensively for Europe. We aimed to 1) develop a theory-based and evidence-informed Dutch walkability index, 2) examine its cross-sectional associations with total and purpose-specific walking behaviours of adults across socioeconomic (SES) and urbanisation strata, 3) explore which walkability components drive these associations. Methods Components of the index included: population density, retail and service density, land use mix, street connectivity, green space, sidewalk density and public transport density. Each of the seven components was calculated for three Euclidean buffers: 150 m, 500 m and 1000 m around every 6-digit postal code location and for every administrative neighbourhood in GIS. Componential z-scores were averaged, and final indices normalized between 0 and 100. Data on self-reported demographic characteristics and walking behaviours of 16,055 adult respondents (aged 18–65) were extracted from the Dutch National Travel Survey 2017. Using Tobit regression modelling adjusted for individual- and household-level confounders, we assessed the associations between walkability and minutes walking in total, for non-discretionary and discretionary purposes. By assessing the attenuation in associations between partial indices and walking outcomes, we identified which of the seven components drive these associations. We also tested for effect modification by urbanization degree, SES, age and sex. Results In fully adjusted models, a 10% increase in walkability was associated with a maximum increase of 8.5 min of total walking per day (95%CI: 7.1–9.9). This association was consistent across buffer sizes and purposes of walking. Public transport density was driving the index’s association with walking outcomes. Stratified results showed that associations with minutes of non-discretionary walking were stronger in rural compared to very urban areas, in neighbourhoods with low SES compared to high SES, and in middle-aged (36–49 years) compared to young (18–35 years old) and older adults (50–65 years old). Conclusions The walkability index was cross-sectionally associated with Dutch adult’s walking behaviours, indicating its validity for further use in research. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-022-01270-8.
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Affiliation(s)
- Thao Minh Lam
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health research institute, Boelelaan 1089a, 1081HV, Amsterdam, Netherlands. .,Upstream Team, Vrije Universiteit, Amsterdam, Netherlands.
| | - Zhiyong Wang
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Princetonlaan 8a, 3584, Utrecht, CB, Netherlands
| | - Ilonca Vaartjes
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Global Geo Health Data Center, University Medical Center Utrecht & Utrecht University, Utrecht, Netherlands
| | - Derek Karssenberg
- Global Geo Health Data Center, University Medical Center Utrecht & Utrecht University, Utrecht, Netherlands.,Department of Physical Geography, Utrecht University, Princetonlaan 8a, 3584, Utrecht, CB, Netherlands
| | - Dick Ettema
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Princetonlaan 8a, 3584, Utrecht, CB, Netherlands
| | - Marco Helbich
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Princetonlaan 8a, 3584, Utrecht, CB, Netherlands
| | - Erik J Timmermans
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - Lawrence D Frank
- Department of Urban Studies and Planning, UC San Diego, La Jolla, San Diego, USA.,Urban Design 4 Health, Inc, Rochester, NY, USA
| | - Nicolette R den Braver
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health research institute, Boelelaan 1089a, 1081HV, Amsterdam, Netherlands.,Upstream Team, Vrije Universiteit, Amsterdam, Netherlands
| | - Alfred J Wagtendonk
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health research institute, Boelelaan 1089a, 1081HV, Amsterdam, Netherlands.,Upstream Team, Vrije Universiteit, Amsterdam, Netherlands
| | - Joline W J Beulens
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health research institute, Boelelaan 1089a, 1081HV, Amsterdam, Netherlands.,Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Upstream Team, Vrije Universiteit, Amsterdam, Netherlands
| | - Jeroen Lakerveld
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health research institute, Boelelaan 1089a, 1081HV, Amsterdam, Netherlands.,Upstream Team, Vrije Universiteit, Amsterdam, Netherlands
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15
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den Braver NR, Lakerveld J, Gozdyra P, van de Brug T, Moin JS, Fazli GS, Rutters F, Brug J, Moineddin R, Beulens JWJ, Booth GL. Development of a neighborhood drivability index and its association with transportation behavior in Toronto. ENVIRONMENT INTERNATIONAL 2022; 163:107182. [PMID: 35306254 DOI: 10.1016/j.envint.2022.107182] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 03/08/2022] [Accepted: 03/09/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Car driving is a form of passive transport that is associated with an increase in physical inactivity, obesity, air pollution and noise. Built environment characteristics may influence transport mode choice, but comprehensive indices for built environment characteristics that drive car use are still lacking, while such an index could provide tangible policy entry points. OBJECTIVE We developed and validated a neighbourhood drivability index, capturing combined dimensions of the neighbourhood environment in the City of Toronto, and investigated its association with transportation choices (car, public transit or active transport), overall, by trip length, and combined for residential neighbourhood and workplace drivability. METHODS We used exploratory factor analysis to derive distinct factors (clusters of one or more environmental characteristics) that reflect the degree of car dependency in each neighbourhood, drawing from candidate variables that capture density, diversity, design, destination accessibility, distance to transit, and demand management. Area-level factor scores were then combined into a single composite score, reflecting neighbourhood drivability. Negative binomial generalized estimating equations were used to test the association between driveability quintiles (Q) and primary travel mode (>50% of trips by car, public transit, or walking/cycling) in a population-based sample of 63,766 Toronto residents enrolled in the Transportation Tomorrow Survey (TTS) wave 2016, adjusting for individual and household characteristics, and accounting for clustering of respondents within households. RESULTS The drivability index consisted of three factors: Urban sprawl, pedestrian facilities and parking availability. Relative to those living in the least drivable neighbourhoods (Q1), those in high drivability areas (Q5) had a significantly higher rate of car travel (adjusted Risk Ratio (RR): 1.80, 95%CI: 1.77-1.88), and lower rate of public transit use (RR: 0.90, 95%CI: 0.85-0.94) and walking/cycling (RR: 0.22, 95%CI: 0.19-0.25). Associations were strongest for short trips (<3 km) (RR: 2.72, 95%CI: 2.48-2.92), and in analyses where both residential and workplace drivability was considered (RR for car use in high/high vs. low/low residential/workplace drivability: 2.18, 95%CI: 2.08-2.29). CONCLUSION This novel neighbourhood drivability index predicted whether local residents drive or use active modes of transportation and can be used to investigate the association between drivability, physical activity, and chronic disease risk.
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Affiliation(s)
- Nicolette R den Braver
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; Upstream Team, www.upstreamteam.nl, Amsterdam, the Netherlands.
| | - Jeroen Lakerveld
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Peter Gozdyra
- MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada; ICES, Toronto, Canada
| | - Tim van de Brug
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - John S Moin
- MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada
| | - Ghazal S Fazli
- MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada
| | - Femke Rutters
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Johannes Brug
- National Institute for Public Health and the Environment, Bilthoven, the Netherlands; Faculty of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, the Netherlands
| | - Rahim Moineddin
- ICES, Toronto, Canada; Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Joline W J Beulens
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; Upstream Team, www.upstreamteam.nl, Amsterdam, the Netherlands; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Gillian L Booth
- MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada; ICES, Toronto, Canada; Department of Medicine, University of Toronto, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Canada
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16
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Ecological Predictors of Older Adults' Participation and Retention in a Physical Activity Intervention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063190. [PMID: 35328876 PMCID: PMC8949961 DOI: 10.3390/ijerph19063190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 03/04/2022] [Accepted: 03/06/2022] [Indexed: 11/26/2022]
Abstract
Research is still lacking regarding the question as to how programs to promote healthy ageing should be organized in order to increase acceptance and thus effectiveness. For older adults, ecological factors, such as the physical distance to program sites, might predict participation and retention. Thus, the key aim of this analysis was to examine these factors in a physical activity intervention trial. Adults (N = 8299) aged 65 to 75 years were invited to participate and n = 589 participants were randomly assigned to one of two intervention groups with 10 weeks of physical activity home practice and exercise classes or a wait-list control group. Response, participation, and dropout data were compared regarding ecological, individual, and study-related variables. Kaplan–Meier curves and Cox regression models were used to determine predictors of dropout. In total, 405 participants completed the study. Weekly class attendance rates were examined regarding significant weather conditions and holiday periods. The highest rates of nonresponse were observed in districts with very high neighborhood levels of socioeconomic status. In this study, ecological factors did not appear to be significant predictors of dropout, whereas certain individual and study-related variables were predictive. Future studies should consider these factors during program planning to mobilize and keep subjects in the program.
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17
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Zang P, Qiu H, Xian F, Zhou X, Ma S, Zhao Y. Research on the Difference Between Recreational Walking and Transport Walking Among the Elderly in Mega Cities With Different Density Zones: The Case of Guangzhou City. Front Public Health 2021; 9:775103. [PMID: 34869188 PMCID: PMC8636145 DOI: 10.3389/fpubh.2021.775103] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 10/08/2021] [Indexed: 11/13/2022] Open
Abstract
Walking is the easiest method of physical activity for older people, and current research has demonstrated that the built environment is differently associated with recreational and transport walking. This study modelled the environmental characteristics of three different building density zones in Guangzhou city at low, medium, and high densities, and examined the differences in walking among older people in the three zones. The International Physical Activity Questionnaire (IPAQ) was used to investigate the recreational and transport walking time of older people aged 65 years and above for the past week, for a total of three density zones (N = 597) and was analysed as a dependent variable. Geographic Information Systems (GIS) was used to identify 300, 500, 800, and 1,000 m buffers and to assess differences between recreational and transport walking in terms of the built environment [e.g., land-use mix, street connectivity, Normalised Difference Vegetation Index (NDVI) data]. The data were processed and validated using the SPSS software to calculate Pearson's correlation models and stepwise regression models between recreation and transit walking and the built environment. The results found that land use mix and NDVI were positively correlated with transport walking in low-density areas and that transport walking was negatively correlated with roadway mediated centrality (BtE) and Point-of-Interest (PoI) density. Moreover, recreational walking in medium density areas was negatively correlated with self-rated health, road intersection density, and PoI density while positively correlated with educational attainment, population density, land use mix, street connectivity, PoIs density, and NDVI. Transport walking was negatively correlated with land-use mix, number of road crossings while positively correlated with commercial PoI density. Street connectivity, road intersection density, DNVI, and recreational walking in high-density areas showed negative correlations. Moreover, the built environment of older people in Guangzhou differed between recreational and transport walking at different densities. The richness of PoIs has different effects on different types of walking.
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Affiliation(s)
- Peng Zang
- Department of Architecture, Guangdong University of Technology, Guangzhou, China
| | - Hualong Qiu
- Department of Architecture, Guangdong University of Technology, Guangzhou, China
| | - Fei Xian
- Department of Architecture, Guangdong University of Technology, Guangzhou, China
| | - Xiang Zhou
- Department of Architecture, Guangdong University of Technology, Guangzhou, China
| | - Shifa Ma
- Department of Architecture, Guangdong University of Technology, Guangzhou, China
| | - Yabo Zhao
- Department of Architecture, Guangdong University of Technology, Guangzhou, China
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18
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van Holm EJ, Wyczalkowski CK, Dantzler PA. Neighborhood conditions and the initial outbreak of COVID-19: the case of Louisiana. J Public Health (Oxf) 2021; 43:219-224. [PMID: 32882031 PMCID: PMC7499711 DOI: 10.1093/pubmed/fdaa147] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 07/31/2020] [Accepted: 08/04/2020] [Indexed: 11/13/2022] Open
Abstract
The early outbreak of coronavirus disease-2019 (COVID)-19 became associated with various ‘hot spots’ in the USA, particularly in large cities. However, despite the widespread nature of the outbreak, much of what is known about the virus’ impact and clusters is understood either for individuals, or at the state level. This paper assesses the predictors of outbreaks at the neighborhood level. Using data from the Louisiana Department of Health, we use spatial regression models to analyze the case count through 3 May 2020 and its relationship to individual and geographic neighborhood characteristics at the census tract level. We find a particularly strong and large correlation between race and COVID-19 cases, robust to model specification and spatial autocorrelation. In addition, neighborhoods with lower rates of poverty and those with fewer residents over 70 have fewer cases. Policy makers should adjust testing strategies to better service the hardest hit populations, particularly minorities and the elderly. In addition, the results are greater evidence of the impact of systemic issues on health, which require a long-term strategy for redress.
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Affiliation(s)
- Eric Joseph van Holm
- Department of Political Science, University of New Orleans, New Orleans, LA 70148, USA
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19
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Hall CM, Ram Y. Weather and climate in the assessment of tourism-related walkability. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2021; 65:729-739. [PMID: 31691853 DOI: 10.1007/s00484-019-01801-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Revised: 07/12/2019] [Accepted: 09/05/2019] [Indexed: 06/10/2023]
Abstract
Walking is an important outdoor recreational and tourism activity, both in natural surroundings and in urban settings. Walkability is the extent to which the built environment promotes walking, and addresses issues such as comfort, connectivity, safety and aesthetic values. The paper explores a relatively overlooked domain of recreation- and tourism-related walkability: the extent to which weather and climatic conditions are incorporated into assessments of walkability and their influence on walking behaviour. Following a discussion of the assessment of walkability, the results of a scoping review of weather- and climate-related variables in walkability articles published up to June 2018 are presented. The review indicates there is little research on walkability from a tourist perspective, although there is substantial interest in walking for leisure and recreation. Four major themes were identified. The descriptive theme focuses on the general importance of weather and climate to walkability; the passive analyses the weather and climate conditions as barriers to, or as promoters of, walking; proactive studies refer to adapting to and managing weather, such as provision of shade or snow-clearing. The proactive perspective gains less attention than the passive analysis. Finally, statistical controlling was only employed by a minority of studies that adjusted their results to the impacts of weather conditions. The work concludes that the sub-field has been poorly served with respect to concept and variable definition and consistency of use mean that present knowledge is of limited scientific value. Strategies for future research are suggested.
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Affiliation(s)
- C Michael Hall
- Department of Management, Marketing and Entrepreneurship, University of Canterbury, Christchurch, New Zealand.
- Department of Geography, University of Oulu, Oulu, Finland.
- School of Business and Economics, Linneaus University, Kalmar, Sweden.
| | - Yael Ram
- Department of Tourism Studies, Ashkelon Academic College, Ben Zvi 12, 78211, Ashkelon, Israel
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20
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Wang Z, Ettema D, Helbich M. Objective environmental exposures correlate differently with recreational and transportation walking: A cross-sectional national study in the Netherlands. ENVIRONMENTAL RESEARCH 2021; 194:110591. [PMID: 33359675 DOI: 10.1016/j.envres.2020.110591] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 12/01/2020] [Accepted: 12/03/2020] [Indexed: 06/12/2023]
Abstract
Background Walking is a good and simple way to increase people's energy expenditure, but there is limited evidence whether the neighborhood environment correlates differently with recreational and transportation walking. AimTo investigate how recreational walking and transportation walking are associated with the natural and built environmental characteristics of the living environment in the Netherlands, and examine the differences in their associations between weekdays and weekends. Method and data We extracted the total duration of daily walking (in minutes per person) for recreation and transportation of adults aged 18 years and above from the Dutch National Travel Survey 2015-2017 (N = 65,785) and analyzed it as an outcome variable. Objective measures of the natural (i.e., normalized difference vegetation index (NDVI), blue space and meteorological conditions) and built environment (i.e., crossing density, land-use mix, and residential building density) around respondents' home addresses were determined for buffers with 300, 600, and 1000 m radii using a geographic information system. To assess associations between recreational and transportation walking and the environmental exposures separately, we fitted Tobit regression models to the walking data, adjusted for multiple confounders. ResultsOn weekdays, people living in areas with less NDVI, higher land-use mix, and higher crossing density were more likely to engage in transportation walking. Recreational walking was negatively associated with NDVI, blue space, crossing density, precipitation and daily average temperature. At weekends, land-use mix supports both recreational and transportation walking. A negative association appeared for NDVI and transportation walking. Daily average rainfall and temperature were inversely correlated with recreational walking. Sensitivity tests indicated that some associations depend on the buffer size. ConclusionsOur findings suggest that the built and natural environments are differently associated with people's recreational and transportation walking. We also found differences in the walking-environment associations between weekdays and weekends. Place-based policies to design walking-friendly neighborhoods may have different implications for different types of walking.
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Affiliation(s)
- Zhiyong Wang
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, 3584CB, Utrecht, the Netherlands.
| | - Dick Ettema
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, 3584CB, Utrecht, the Netherlands
| | - Marco Helbich
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, 3584CB, Utrecht, the Netherlands
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21
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Bigonnesse C, Chaudhury H. Ageing in place processes in the neighbourhood environment: a proposed conceptual framework from a capability approach. Eur J Ageing 2021; 19:63-74. [PMID: 35250420 PMCID: PMC8881541 DOI: 10.1007/s10433-020-00599-y] [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] [Accepted: 12/24/2020] [Indexed: 11/28/2022] Open
Abstract
The concept of "ageing in place" has become increasingly significant in the environmental gerontology literature. Despite its predominance, there have been limited efforts to offer a more comprehensive and nuanced conceptualization of this topic. Definitions found in the literature are often too simplistic and only partially capture the various aspects of older adults' experience while ageing in place. This paper presents a conceptual framework on ageing in place in the context of neighbourhood environment which aims to address this gap by proposing a multi-faceted understanding of ageing in place processes through the lenses of a capability approach, a more comprehensive definition of the concept, and related overarching principles. Building on predominant theories in environmental gerontology, this conceptual framework offers new insights into the interactions between "place" and the "ageing individual". It is meant to offer opportunities for discussion, to suggest new paths of inquiry, and to explore implications for policy and practice.
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Affiliation(s)
| | - Habib Chaudhury
- Department of Gerontology, Simon Fraser University, Vancouver, Canada
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22
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Ramakreshnan L, Aghamohammadi N, Fong CS, Sulaiman NM. A comprehensive bibliometrics of 'walkability' research landscape: visualization of the scientific progress and future prospects. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2021; 28:1357-1369. [PMID: 33094458 DOI: 10.1007/s11356-020-11305-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2019] [Accepted: 10/18/2020] [Indexed: 06/11/2023]
Abstract
This study quantitatively investigated the scientific progress of walkability research landscape and its future prospects using bibliometric indicators to highlight the research hotspots. The results accentuated multifaceted nature of walkability research landscape with a strong association towards public health disciplines. Keyword co-occurrence analysis emphasized that majority of the walkability studies centred on the interactions between walking and other three main factors such as built environment attributes, transportation and obesity. Based on the identified research hotspots, a brief state-of-the-art review of walkability studies was presented. Future prospects based on the unexplored research gaps within the hotspots were also discussed. High correlation (r = 0.99, p < 0.05) between annual publications and citation counts demonstrated the significance of walkability studies to the contemporary scientific community. Being one of the comprehensive studies to evaluate the historic trajectory of walkability research landscape, the findings were expected to accelerate a comprehensive understanding of the walkability research domain that will assist future research direction.
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Affiliation(s)
- Logaraj Ramakreshnan
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
- Institute for Advanced Studies, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Nasrin Aghamohammadi
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
| | - Chng Saun Fong
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
- Institute for Advanced Studies, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Nik Meriam Sulaiman
- Department of Chemical Engineering, Faculty of Engineering, University of Malaya, 50603, Kuala Lumpur, Malaysia
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23
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He H, Li T, Yu Y, Lin X. Associations Between Built Environment Characteristics and Walking in Older Adults in a High-Density City: A Study From a Chinese Megacity. Front Public Health 2020; 8:577140. [PMID: 33224919 PMCID: PMC7674396 DOI: 10.3389/fpubh.2020.577140] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Accepted: 10/02/2020] [Indexed: 12/20/2022] Open
Abstract
The built environment is an important factor affecting physical activity, especially walkability. Walkability is used to characterize the user friendliness of outdoor physical activity. However, studies on walkability and physical activity are mainly concentrated on low-density Western cities. Study on the walkability of high-density cities in Asia, especially with the elderly, is seriously lacking. And walkability is often used as a composite indicator. This study mainly re-examines the relationship between the common indicators of walkability (population density, street connectivity, land-use mix, and retail density), transport-related walking, and leisure-time walking with older adults in China's megacities. Twelve housing estates in Wuhan were selected for study areas. We explored the association between the walking activities of 1,161 elderly people (≥60 years old) and the indicators of walkability in their neighborhoods. Socio-demographic characteristics were controlled in the multilevel logistic regression models of the built environment walking associations. We found that there was no significant correlation between the four indicators of walkability and transport-related walking. Street connectivity is significantly positively correlated with the participants' leisure-time walking (OR = 1.499, 95% CI = 1.068~2.103), and there was no significant correlation between the other indicator of walkability and leisure-time walking. The results show that there was no statistical correlation between walkability and transport-related walking in the elderly, and only one indicator was related to leisure-time walking. It is extremely important to re-examine the characteristics of built environments and elderly walking activities in high-density cities. Only by implementing effective intervention strategies in different urban backgrounds can cities move toward a more active and healthier path.
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Affiliation(s)
- Hui He
- School of Architecture and Urban Planning, Huazhong University of Science and Technology, Wuhan, China
| | - Tingting Li
- School of Architecture and Urban Planning, Huazhong University of Science and Technology, Wuhan, China
| | - Yanwei Yu
- School of Architecture and Urban Planning, Huazhong University of Science and Technology, Wuhan, China
| | - Xiaowu Lin
- Xiamen Urban Planning & Design Institute, Xiamen, China
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24
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Supporting Children’s Independent Activities in Smart and Playable Public Places. SUSTAINABILITY 2020. [DOI: 10.3390/su12208352] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The global process of urbanization, and the modification of social interaction determined by the pandemic crisis, poses the issue of the place of vulnerable users and, in particular, children, within the contemporary city. This research aimed to elaborate a theoretical and methodological framework, based on the concepts of affordance and capability, for analyzing the potential of public spaces to enable and support children’s independent activities. This potential, or meaningful usefulness, is expressed by the Index of Meaningful Usefulness of public Urban Spaces (IUIS). The latter is calculated via the tool ‘Opportunities for Children in Urban Spaces’ (OCUS). This methodology is applied to the analysis of significant public spaces within the historic center of the city of Iglesias in Sardinia, Italy. The results reveal adequate usefulness of the selected spaces, while underlining criticalities related to intrinsic spatial and physical attributes. The application to the case study confirms the validity of the theoretical and methodological framework embodied in the OCUS tool for supporting urban design and planning by orienting place-shaping processes towards the acknowledgement of children’s needs.
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25
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Gebauer SC, Salas J, Scherrer J, Callahan LF. Which aspects of neighbourhood environment are most associated with meeting physical activity recommendations in American adults: an NHIS study. BMJ Open 2020; 10:e038473. [PMID: 32994249 PMCID: PMC7526292 DOI: 10.1136/bmjopen-2020-038473] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVES To investigate which perceived neighbourhood characteristics are most strongly linked with adequate physical activity (PA) in a nationally representative sample of adults in the USA. DESIGN Cross-sectional. SETTING USA via 2015 National Health Interview Survey Data. PARTICIPANTS A group of 28 697 non-institutionalised adults with complete data. PRIMARY OUTCOME MEASURES Meeting PA was defined as 150 min/week of moderate to vigorous activity. RESULTS The population had a mean age of 49.6 (±18.3) years and was 51.3% female and 66.2% non-Hispanic white. In adjusted, weighted analysis, places to walk and relax was mostly strongly associated with meeting PA recommendations (OR=1.40 (95% CI 1.27 to 1.54)). Other elements associated with meeting PA were presence of bus or transit stops to walk to and presence of movies, libraries or churches to walk to (OR=1.12 (95% CI 1.03 to 1.23) and OR=1.19 (95% CI 1.08 to 1.31), respectively). CONCLUSIONS In this analysis, the characteristic most strongly associated with PA was presence of places to walk and relax. Identifying communities that may lack amenities such as this, like a park, may help direct community investment to enhance structures that encourage activity.
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Affiliation(s)
- Sarah C Gebauer
- Department of Family and Community Medicine, Saint Louis University School of Medicine, Saint Louis, Missouri, USA
| | - Joanne Salas
- Department of Family and Community Medicine, Saint Louis University School of Medicine, Saint Louis, Missouri, USA
| | - Jeffrey Scherrer
- Department of Family and Community Medicine, Saint Louis University School of Medicine, Saint Louis, Missouri, USA
| | - Leigh F Callahan
- Departments of Medicine and Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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26
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Examining the Associations between Oases Soundscape Components and Walking Speed: Correlation or Causation? SUSTAINABILITY 2020. [DOI: 10.3390/su12114619] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
The feeling of calm and tranquillity provided by the oases of Algeria can disappear because of the outdated urbanization strategy which is based on the vehicle as a mode of transport. Walkability is one of the most adoptable sustainable strategies to reduce the negative mechanical transportation effects on the quality of life. This paper aimed to examine the correlation and the causation between oases soundscape components and walking speed. The methodology of this field study was based on an empirical approach at the urban settlements in three oases in Algeria. The correlation between walking speed and soundscape components was obtained through the use of the Spearman correlation test. A one-way ANOVA analysis was conducted to assess the effect of the soundscape components on walking speed. A post hoc Tukey test was adopted to explore the sound component that causes increased walking speed. In this study, no significant correlation was explored between the walking speed and the anthrophonical sounds. In contrast, the statistical analysis of the sound walks experience suggests a moderate and significant negative correlation between geophonical and biophonical sounds, with mean walking speed. The results showed that, the cause of the increase in the mean walking speed of the pedestrians is human sound. The findings suggest that further research is needed to focus on the long-term subjective investigation to explore the correlations and the effects between soundscape, walkability and walking speed.
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27
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Gebauer S, Schootman M, Xian H, Xaverius P. Neighborhood built and social environment and meeting physical activity recommendations among mid to older adults with joint pain. Prev Med Rep 2020; 18:101063. [PMID: 32140385 PMCID: PMC7044527 DOI: 10.1016/j.pmedr.2020.101063] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 01/30/2020] [Accepted: 02/08/2020] [Indexed: 11/26/2022] Open
Abstract
Arthritis is a leading cause of disability in the United States, with the most efficacious treatments being physical activity (PA). Arthritis patients are less likely to meet PA recommendations and the neighborhood environment may play a role. This study examines the effect of neighborhood walkability and social cohesion on PA among arthritis patients in a sample of US adults. This cross-sectional study used 2015 National Health Interview Survey data. Eligible participants were age ≥45 years, had arthritis, recent leg-joint pain and complete data. Walkability was based on 6 questions regarding amenities and destinations that promote walking. Social cohesion was based on 4 validated questions. Meeting PA was defined as 150 min/week. Chi-squared testing and logistic regression determined associations between neighborhood environment and PA, including interaction between social cohesion and walkability. The final unweighted sample included 3,826 participants with mean age 64.6 years (SE = 0.26), 61.8% female and 78.1% non-Hispanic White. In adjusted, weighted analysis, not, slightly, and moderately-walkable neighborhoods all had lower odds of meeting PA recommendations verses highly-walkable neighborhood (OR = 0.61[95% CI 0.41–0.92], OR = 0.65[95% CI 0.50–0.85], OR = 0.75[95% CI 0.59–0.97], respectively). Social cohesion was independently associated with decreased odds of meeting PA guidelines (p = 0.003). No interaction with walkability was found (p = 0.405). Less than a highly-walkable neighborhood and lower social cohesion were independently associated with decreased odds of meeting PA recommendations among adults with arthritis and recent joint pain. Since walking is one of the most effective treatments for arthritis, clinicians should be sensitive to barriers patients may perceive to walking.
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Affiliation(s)
- Sarah Gebauer
- Saint Louis University-School of Medicine, 1402 S Grand Blvd, St. Louis, MO 63104, United States.,Saint Louis University College for Public Health and Social Justice, 3545 Lafayette Ave, St. Louis, MO 63103, United States
| | - Mario Schootman
- Saint Louis University College for Public Health and Social Justice, 3545 Lafayette Ave, St. Louis, MO 63103, United States.,SSM Health, Center for Clinical Excellence, Department of Clinical Analytics and Insights, 10101 Woodfield Lane, St. Louis, MO 63132, United States
| | - Hong Xian
- Saint Louis University College for Public Health and Social Justice, 3545 Lafayette Ave, St. Louis, MO 63103, United States
| | - Pamela Xaverius
- Saint Louis University College for Public Health and Social Justice, 3545 Lafayette Ave, St. Louis, MO 63103, United States
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28
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Carroll SJ, Dale MJ, Taylor AW, Daniel M. Contributions of Multiple Built Environment Features to 10-Year Change in Body Mass Index and Waist Circumference in a South Australian Middle-Aged Cohort. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17030870. [PMID: 32019246 PMCID: PMC7038103 DOI: 10.3390/ijerph17030870] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Revised: 01/28/2020] [Accepted: 01/29/2020] [Indexed: 12/24/2022]
Abstract
Residential areas may shape health, yet few studies are longitudinal or concurrently test relationships between multiple residential features and health. This longitudinal study concurrently assessed the contributions of multiple environmental features to 10-year change in clinically measured body mass index (BMI) and waist circumference (WC). Longitudinal data for adults (18+ years of age, n = 2253) from the north-west of Adelaide, Australia were linked to built environment measures representing the physical activity and food environment (expressed for residence-based 1600 m road-network buffers) and area education. Associations were concurrently estimated using latent growth models. In models including all environmental exposure measures, area education was associated with change in BMI and WC (protective effects). Dwelling density was associated with worsening BMI and WC but also highly correlated with area education and moderately correlated with count of fast food outlets. Public open space (POS) area was associated with worsening WC. Intersection density, land use mix, greenness, and a retail food environment index were not associated with change in BMI or WC. This study found greater dwelling density and POS area exacerbated increases in BMI and WC. Greater area education was protective against worsening body size. Interventions should consider dwelling density and POS, and target areas with low SES.
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Affiliation(s)
- Suzanne J. Carroll
- Health Research Institute, University of Canberra, Bruce, ACT 2617, Australia; (M.J.D.); (M.D.)
- Correspondence: ; Tel.: +61-2-6201-2851
| | - Michael J. Dale
- Health Research Institute, University of Canberra, Bruce, ACT 2617, Australia; (M.J.D.); (M.D.)
| | - Anne W. Taylor
- Discipline of Medicine, The University of Adelaide, Adelaide, SA 5000, Australia;
| | - Mark Daniel
- Health Research Institute, University of Canberra, Bruce, ACT 2617, Australia; (M.J.D.); (M.D.)
- Department of Medicine, St. Vincent’s Hospital, The University of Melbourne, Fitzroy, VIC 3065, Australia
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29
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Neighborhood Walkability Is Not Associated with Adults' Sedentary Behavior in the Residential Setting: Evidence from Breda, The Netherlands. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16183487. [PMID: 31546781 PMCID: PMC6765963 DOI: 10.3390/ijerph16183487] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 09/17/2019] [Indexed: 01/15/2023]
Abstract
Sedentary behavior has negative health effects. It is assumed that the walkability of the living environment is related to the amount of time spent on sedentary behavior in the residential setting. However, evidence on such a relation is still scarce, and results are contradictory. Therefore, we examined to what extent residential neighborhood walkability is associated with a variety of sedentary behaviors that frequently occur in the residential setting among adults. We carried out a cross-sectional survey using the domain-specific sedentary behavior questionnaire among adults in Breda, the Netherlands. Respondents’ walkability of the living environment was assessed objectively by means of road network buffers. We employed gamma generalized linear regressions to assess correlations between multiple sedentary behaviors and neighborhood walkability. We found no significant associations between residential neighborhood walkability and sedentary behavior levels. The lack of correlations was consistent across buffer sizes. Our models showed that adults with a higher education, a job, and a driver’s license spent significantly less time on sedentary behaviors. Our findings suggest that person-level characteristics should be targeted when developing intervention strategies to counteract sedentary time, rather than intervening in the walkability of the residential living environment.
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30
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Browning MHEM, Rigolon A. Could nature help children rise out of poverty? Green space and future earnings from a cohort in ten U.S. cities. ENVIRONMENTAL RESEARCH 2019; 176:108449. [PMID: 31202477 DOI: 10.1016/j.envres.2019.04.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Revised: 04/15/2019] [Accepted: 04/17/2019] [Indexed: 05/05/2023]
Abstract
BACKGROUND Growing up in poverty is associated with poor health, and the American Dream of upward mobility is becoming an illusion for many low-income children. But nearby green space can support academic achievement, creativity, and emotional regulation, and these traits might help children rise out of poverty. OBJECTIVES To examine the relationship between recent incomes of children born into poverty in the ten largest U.S. cities and densities of residential green space during childhood. METHODS We calculate park proximity, park acreage, new park development, and NDVI greenness for 1980-1990 from Landsat and Trust for Public Land data. We obtain the 2014 income for children born between 1978 and 1982 into families in poverty from The Opportunity Atlas cohort, aggregated at the tract level (n = 5849). RESULTS Conditional autoregressive (CAR) models of tracts show statistically significant associations between income rank and above-average levels of greenness but not between income rank and park measures, adjusting for individual and neighborhood confounders and spatial autocorrelation. We estimate that, over a 30-year career, children growing up in tracts with the most vegetative cover will earn cumulatively $28,000 more than children growing up in tracts with the least cover, on average. Tracts with lower than average levels of precipitation, higher disadvantage, higher population density, or higher annual temperatures do not show beneficial effects of green space. CONCLUSIONS Greenness may be weakly associated with children rising out of poverty in wetter, cooler, less-dense, more advantaged census tracts.
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Affiliation(s)
- Matthew H E M Browning
- University of Illinois at Urbana-Champaign, Department of Recreation, Sport and Tourism, 1206 S 4th Street, Champaign, IL, 61820, USA.
| | - Alessandro Rigolon
- University of Illinois at Urbana-Champaign, Department of Recreation, Sport and Tourism, 1206 S 4th Street, Champaign, IL, 61820, USA
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31
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Bigonnesse C, Chaudhury H. The Landscape of “Aging in Place” in Gerontology Literature: Emergence, Theoretical Perspectives, and Influencing Factors. JOURNAL OF AGING AND ENVIRONMENT 2019. [DOI: 10.1080/02763893.2019.1638875] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
| | - Habib Chaudhury
- Department of Gerontology, Simon Fraser University, Vancouver, British Columbia, Canada
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32
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Higgs C, Badland H, Simons K, Knibbs LD, Giles-Corti B. The Urban Liveability Index: developing a policy-relevant urban liveability composite measure and evaluating associations with transport mode choice. Int J Health Geogr 2019; 18:14. [PMID: 31185987 PMCID: PMC6558748 DOI: 10.1186/s12942-019-0178-8] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 06/01/2019] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Designing healthy, liveable cities is a global priority. Current liveability indices are aggregated at the city-level, do not reflect spatial variation within cities, and are often not aligned to policy or health. OBJECTIVES To combine policy-relevant liveability indicators associated with health into a spatial Urban Liveability Index (ULI) and examine its association with adult travel behaviours. METHODS We developed methods to calculate spatial liveability indicators and the ULI for all residential addresses in Melbourne, Australia. Associations between the address-level ULI and adult travel behaviours from the 2012-2014 Victorian Integrated Survey of Travel and Activity (VISTA) (n = 12,323) were analysed using multilevel logistic regression. Sensitivity analyses to evaluate impact of methodological choices on distribution of liveability as assessed by the ULI and associations with travel mode choice were also conducted. RESULTS Liveability estimates were calculated for 1,550,641 residential addresses. ULI scores were positively associated with active transport behaviour: for each unit increase in the ULI score the estimated adjusted odds ratio (OR) for: walking increased by 12% (95% Credible Interval: 9%, 15%); cycling increased by 10% (4%, 17%); public transport increased by 15% (11%, 19%); and private vehicle transport decreased by 12% (- 9%, - 15%). CONCLUSIONS The ULI provides an evidence-informed and policy-relevant measure of urban liveability, that is significantly and approximately linearly associated with adult travel behaviours in the Melbourne context. The ULI can be used to evaluate progress towards implementing policies designed to achieve more liveable cities, identify spatial inequities, and examine relationships with health and wellbeing.
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Affiliation(s)
- Carl Higgs
- NHMRC Centre of Research Excellence in Healthy Liveable Communities, Centre for Urban Research, RMIT University, Room 12, Building 15, Level 3 RMIT University, 124 Latrobe St, Melbourne, VIC, Australia.
| | - Hannah Badland
- Centre for Urban Research, RMIT University, Melbourne, VIC, Australia
| | - Koen Simons
- NHMRC Centre of Research Excellence in Healthy Liveable Communities, Centre for Urban Research, RMIT University, Room 12, Building 15, Level 3 RMIT University, 124 Latrobe St, Melbourne, VIC, Australia.,Centre for Epidemiology and Biostatistics, University of Melbourne, Melbourne, VIC, Australia
| | - Luke D Knibbs
- School of Public Health, University of Queensland, Brisbane, QLD, Australia
| | - Billie Giles-Corti
- NHMRC Centre of Research Excellence in Healthy Liveable Communities, Centre for Urban Research, RMIT University, Room 12, Building 15, Level 3 RMIT University, 124 Latrobe St, Melbourne, VIC, Australia
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33
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Moudon AV, Huang R, Stewart OT, Cohen-Cline H, Noonan C, Hurvitz PM, Duncan GE. Probabilistic walking models using built environment and sociodemographic predictors. Popul Health Metr 2019; 17:7. [PMID: 31159824 PMCID: PMC6547573 DOI: 10.1186/s12963-019-0186-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2018] [Accepted: 05/08/2019] [Indexed: 11/10/2022] Open
Abstract
Background Individual sociodemographic and home neighborhood built environment (BE) factors influence the probability of engaging in health-enhancing levels of walking or moderate-to-vigorous physical activity (MVPA). Methods are needed to parsimoniously model the associations. Methods Participants included 2392 adults drawn from a community-based twin registry living in the Seattle region. Objective BE measures from four domains (regional context, neighborhood composition, destinations, transportation) were taken for neighborhood sizes of 833 and 1666 road network meters from home. Hosmer and Lemeshow’s methods served to fit logistic regression models of walking and MVPA outcomes using sociodemographic and BE predictors. Backward elimination identified variables included in final models, and comparison of receiver operating characteristic (ROC) curves determined model fit improvements. Results Built environment variables associated with physical activity were reduced from 86 to 5 or fewer. Sociodemographic and BE variables from all four BE domains were associated with activity outcomes but differed by activity type and neighborhood size. For the study population, ROC comparisons indicated that adding BE variables to a base model of sociodemographic factors did not improve the ability to predict walking or MVPA. Conclusions Using sociodemographic and built environment factors, the proposed approach can guide the estimation of activity prediction models for different activity types, neighborhood sizes, and discrete BE characteristics. Variables associated with walking and MVPA are population and neighborhood BE-specific. Electronic supplementary material The online version of this article (10.1186/s12963-019-0186-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Anne Vernez Moudon
- Architecture, Landscape Architecture, and Urban Design and Planning, University of Washington, 1107 NE 45th St, Suite 535, Box 354802, Seattle, WA, 98195, USA.
| | - Ruizhu Huang
- Texas Advanced Computing Center, University of Texas at Austin, Austin, USA
| | - Orion T Stewart
- Architecture, Landscape Architecture, and Urban Design and Planning, University of Washington, 1107 NE 45th St, Suite 535, Box 354802, Seattle, WA, 98195, USA.,Present Address: Institute for Population Health Improvement, University of California, Davis, 4800 2nd Avenue, Suite 2600, Sacramento, CA, 95817, USA
| | | | - Carolyn Noonan
- Initiative for Research and Education to Advance Community Health (IREACH), Washington State University, Seattle, WA, 98101, USA
| | - Philip M Hurvitz
- Department of Urban Design and Planning, University of Washington, Seattle, USA
| | - Glen E Duncan
- Elson S. Floyd College of Medicine, Department of Nutrition & Exercise Physiology, Washington State Twin Registry, Washington State University Health Sciences Spokane, Spokane, USA
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34
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Cleland C, Reis RS, Ferreira Hino AA, Hunter R, Fermino RC, Koller de Paiva H, Czestschuk B, Ellis G. Built environment correlates of physical activity and sedentary behaviour in older adults: A comparative review between high and low-middle income countries. Health Place 2019; 57:277-304. [PMID: 31132718 DOI: 10.1016/j.healthplace.2019.05.007] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 04/26/2019] [Accepted: 05/03/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Claire Cleland
- Queen's University Belfast, Centre for Public Health, Belfast, United Kingdom.
| | - Rodrigo Siqueira Reis
- Washington University in St. Louis, Brown School, Prevention Research Center, St. Louis, MO, United States of America; Pontificia Universidade Catolica Do Parana, Research Group in Physical Activity and Quality of Life, Curitiba, Parana, Brazil; Pontificia Universidade Catolica Do Parana, Graduate Program in Urban Management, Curitiba, Parana, Brazil.
| | - Adriano Akira Ferreira Hino
- Pontificia Universidade Catolica Do Parana, Research Group in Physical Activity and Quality of Life, Curitiba, Parana, Brazil; Federal University of Technology - Parana, Research Group in Environment, Physical Activity and Health, Post-Graduate Program in Physical Education, Curitiba, PR, Brazil.
| | - Ruth Hunter
- Queen's University Belfast, Centre for Public Health, Belfast, United Kingdom; Queen's University Belfast, UKCRC Centre of Excellence for Public Health, Belfast, United Kingdom.
| | - Rogério César Fermino
- Pontificia Universidade Catolica Do Parana, Research Group in Physical Activity and Quality of Life, Curitiba, Parana, Brazil; Federal University of Technology - Parana, Research Group in Environment, Physical Activity and Health, Post-Graduate Program in Physical Education, Curitiba, PR, Brazil.
| | - Hermes Koller de Paiva
- Pontificia Universidade Catolica Do Parana, Research Group in Physical Activity and Quality of Life, Curitiba, Parana, Brazil; Federal University of Parana, Post-Graduate Program in Physical Education, Curitiba, Parana, Brazil.
| | - Bruno Czestschuk
- Pontificia Universidade Catolica Do Parana, Research Group in Physical Activity and Quality of Life, Curitiba, Parana, Brazil; Federal University of Parana, Post-Graduate Program in Physical Education, Curitiba, Parana, Brazil.
| | - Geraint Ellis
- Queen's University Belfast, School of Natural and Built Environment, Belfast, United Kingdom.
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35
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Mavoa S, Bagheri N, Koohsari MJ, Kaczynski AT, Lamb KE, Oka K, O'Sullivan D, Witten K. How Do Neighbourhood Definitions Influence the Associations between Built Environment and Physical Activity? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16091501. [PMID: 31035336 PMCID: PMC6540146 DOI: 10.3390/ijerph16091501] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 04/18/2019] [Accepted: 04/19/2019] [Indexed: 11/16/2022]
Abstract
Researchers investigating relationships between the neighbourhood environment and health first need to decide on the spatial extent of the neighbourhood they are interested in. This decision is an important and ongoing methodological challenge since different methods of defining and delineating neighbourhood boundaries can produce different results. This paper explores this issue in the context of a New Zealand-based study of the relationship between the built environment and multiple measures of physical activity. Geographic information systems were used to measure three built environment attributes-dwelling density, street connectivity, and neighbourhood destination accessibility-using seven different neighbourhood definitions (three administrative unit boundaries, and 500, 800, 1000- and 1500-m road network buffers). The associations between the three built environment measures and five measures of physical activity (mean accelerometer counts per hour, percentage time in moderate-vigorous physical activity, self-reported walking for transport, self-reported walking for recreation and self-reported walking for all purposes) were modelled for each neighbourhood definition. The combination of the choice of neighbourhood definition, built environment measure, and physical activity measure determined whether evidence of an association was detected or not. Results demonstrated that, while there was no single ideal neighbourhood definition, the built environment was most consistently associated with a range of physical activity measures when the 800-m and 1000-m road network buffers were used. For the street connectivity and destination accessibility measures, associations with physical activity were less likely to be detected at smaller scales (less than 800 m). In line with some previous research, this study demonstrated that the choice of neighbourhood definition can influence whether or not an association between the built environment and adults' physical activity is detected or not. This study additionally highlighted the importance of the choice of built environment attribute and physical activity measures. While we identified the 800-m and 1000-m road network buffers as the neighbourhood definitions most consistently associated with a range of physical activity measures, it is important that researchers carefully consider the most appropriate type of neighbourhood definition and scale for the particular aim and participants, especially at smaller scales.
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Affiliation(s)
- Suzanne Mavoa
- SHORE and Whariki Research Centre, School of Public Health, Massey University, P.O. Box 6137, Auckland 1141, New Zealand.
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia.
| | - Nasser Bagheri
- The Visualisation and Decision Analytics (VIDEA) lab, Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, The Australian National University, Canberra, ACT 2601, Australia.
| | - Mohammad J Koohsari
- Faculty of Sport Sciences, Waseda University, Saitama 359-1192, Japan.
- Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
| | - Andrew T Kaczynski
- Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
| | - Karen E Lamb
- Murdoch Children's Research Institute, Melbourne, VIC 3052, Australia.
| | - Koichiro Oka
- Faculty of Sport Sciences, Waseda University, Saitama 359-1192, Japan.
| | - David O'Sullivan
- School of Geography, Environment and Earth Sciences, Victoria University, Wellington 6012, New Zealand.
| | - Karen Witten
- SHORE and Whariki Research Centre, School of Public Health, Massey University, P.O. Box 6137, Auckland 1141, New Zealand.
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36
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Walkability Assessment in a Rapidly Urbanizing City and Its Relationship with Residential Estate Value. SUSTAINABILITY 2019. [DOI: 10.3390/su11082205] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Walkability has increasingly been recognized as an important factor for sustainable urban development that, however, has seldom been investigated in rapid urbanizing cities, especially in the Asian context. This paper assessed walkability in Futian District in the central area of Shenzhen, which has undergone very rapid urbanization within a short period of time. Walkability was assessed for 2013 and 2018 using a walkability index adapted from Walk Score. It was compared with housing prices of 215 randomly selected residential buildings, to further explore the relationships between walkability and residential estate value, provided as one practical application of the assessment of walkability in urban management. Our results show that Futian District has low walkability level, although walkability has been generally improved from 2013 to 2018. A high spatial variation of walkability level within this area was observed in both years. Overall, there was a negative relationship between walkability and housing prices (significant only in 2018), which is inconsistent with studies elsewhere. The results suggest that the housing prices in Futian District are more strongly influenced by other factors rather than by walkability. In addition, the ability of the walkability model to explicitly delineate spatial variation of walkability level makes it a powerful tool to be applied in urban planning and management. Results of this study also have practical applications, which can be used as a reference for residents’ home selection and enable them to make informed decisions in selecting walkable neighborhoods with acceptable prices.
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37
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Mayne DJ, Morgan GG, Jalaludin BB, Bauman AE. Area-Level Walkability and the Geographic Distribution of High Body Mass in Sydney, Australia: A Spatial Analysis Using the 45 and Up Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16040664. [PMID: 30813499 PMCID: PMC6406292 DOI: 10.3390/ijerph16040664] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/16/2018] [Revised: 02/07/2019] [Accepted: 02/19/2019] [Indexed: 12/12/2022]
Abstract
Improving the walkability of built environments to promote healthy lifestyles and reduce high body mass is increasingly considered in regional development plans. Walkability indexes have the potential to inform, benchmark and monitor these plans if they are associated with variation in body mass outcomes at spatial scales used for health and urban planning. We assessed relationships between area-level walkability and prevalence and geographic variation in overweight and obesity using an Australian population-based cohort comprising 92,157 Sydney respondents to the 45 and Up Study baseline survey between January 2006 and April 2009. Individual-level data on overweight and obesity were aggregated to 2006 Australian postal areas and analysed as a function of area-level Sydney Walkability Index quartiles using conditional auto regression spatial models adjusted for demographic, social, economic, health and socioeconomic factors. Both overweight and obesity were highly clustered with higher-than-expected prevalence concentrated in the urban sprawl region of western Sydney, and lower-than-expected prevalence in central and eastern Sydney. In fully adjusted spatial models, prevalence of overweight and obesity was 6% and 11% lower in medium-high versus low, and 10% and 15% lower in high versus low walkability postcodes, respectively. Postal area walkability explained approximately 20% and 9% of the excess spatial variation in overweight and obesity that remained after accounting for other individual- and area-level factors. These findings provide support for the potential of area-level walkability indexes to inform, benchmark and monitor regional plans aimed at targeted approaches to reducing population-levels of high body mass through environmental interventions. Future research should consider potential confounding due to neighbourhood self-selection on area-level walkability relations.
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Affiliation(s)
- Darren J Mayne
- The University of Sydney, School of Public Health, Sydney, NSW 2006, Australia.
- Illawarra Shoalhaven Local Health District, Public Health Unit, Warrawong, NSW 2502, Australia.
- University of Wollongong, School of Medicine, Wollongong, NSW 2522, Australia.
- Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW 2522, Australia.
| | - Geoffrey G Morgan
- The University of Sydney, School of Public Health, Sydney, NSW 2006, Australia.
- The University of Sydney, University Centre for Rural Health, Rural Clinical School-Northern Rivers, Sydney, NSW 2006, Australia.
| | - Bin B Jalaludin
- Ingham Institute, University of New South Wales, Sydney, NSW 2052, Australia.
- Epidemiology, Healthy People and Places Unit, Population Health, South Western Sydney Local Health District, Liverpool, NSW 1871, Australia.
| | - Adrian E Bauman
- The University of Sydney, School of Public Health, Sydney, NSW 2006, Australia.
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38
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Walk Score ® and Its Associations with Older Adults' Health Behaviors and Outcomes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16040622. [PMID: 30791631 PMCID: PMC6406259 DOI: 10.3390/ijerph16040622] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 02/14/2019] [Accepted: 02/16/2019] [Indexed: 01/01/2023]
Abstract
This study aimed to investigate the associations between Walk Score® and lifestyle behaviors and health outcomes in older Taiwanese adults. A nationwide survey was conducted through telephone-based interviews with older adults (65 years and older) in Taiwan. Data on Walk Score®, lifestyle behaviors (physical activity, sedentary behavior, healthy eating behavior, alcohol use, and smoking status), health outcomes (overweight/obesity, hypertension, type 2 diabetes, and cardiovascular disease), and personal characteristics were obtained from 1052 respondents. A binary logistic regression adjusting for potential confounders was employed. None of the Walk Score® categories were related to the recommended levels of total physical activity. The categories "very walkable" and "walker's paradise" were positively related to total sedentary time and TV viewing among older adults. No significant associations were found between Walk Score® and other lifestyle health behaviors or health outcomes. While Walk Score® was not associated with recommended levels of physical activity, it was positively related to prolonged sedentary time in the context of a non-Western country. The different associations between the walk score and health lifestyle behaviors and health outcomes in different contexts should be noted.
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39
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Sugiyama T, Rachele JN, Gunn LD, Burton NW, Brown WJ, Turrell G. Land use proportion and walking: Application of isometric substitution analysis. Health Place 2019; 57:352-357. [PMID: 30600142 DOI: 10.1016/j.healthplace.2018.12.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 11/22/2018] [Accepted: 12/06/2018] [Indexed: 11/26/2022]
Abstract
Entropy measures of land use mix are a commonly used component of walkability. However, they present methodological challenges, and studies on their associations with walking have produced mixed findings. This study examined associations of the proportion of discrete land uses with walking, using isometric substitution models that take the complementary nature of land use proportions into account. Analysis of data collected from middle-aged adults living in Brisbane, Australia (n = 10,794) found that replacing residential or other land with commercial land was associated with higher levels of walking. The isometric substitution approach may explain the potential impact of land use changes on residents' walking.
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Affiliation(s)
- Takemi Sugiyama
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia; Centre for Urban Transitions, Swinburne University of Technology, Melbourne, Victoria, Australia.
| | - Jerome N Rachele
- Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
| | - Lucy D Gunn
- Centre for Urban Research, RMIT University, Melbourne, Victoria, Australia.
| | - Nicola W Burton
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.
| | - Wendy J Brown
- Centre for Research on Exercise, Physical Activity and Health, University of Queensland, Brisbane, Queensland, Australia.
| | - Gavin Turrell
- Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia; Centre for Urban Research, RMIT University, Melbourne, Victoria, Australia; Centre for Population Health Research, Deakin University, Melbourne, Victoria, Australia; School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.
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40
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Chandrabose M, Rachele JN, Gunn L, Kavanagh A, Owen N, Turrell G, Giles-Corti B, Sugiyama T. Built environment and cardio-metabolic health: systematic review and meta-analysis of longitudinal studies. Obes Rev 2019; 20:41-54. [PMID: 30253075 DOI: 10.1111/obr.12759] [Citation(s) in RCA: 130] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Revised: 07/26/2018] [Accepted: 07/26/2018] [Indexed: 02/03/2023]
Abstract
Built environment attributes may be related to cardio-metabolic diseases (e.g. type 2 diabetes, heart disease and stroke) and their risk factors, potentially by influencing residents' physical activity. However, existing literature reviews on the built environment and health for the most part focus on obesity as the outcome and rely on cross-sectional studies. This systematic review synthesized current evidence on longitudinal relationships between built environment attributes and cardio-metabolic health outcomes among adults and on the potential mediating role of physical inactivity. By searching eight databases for peer-reviewed journal articles published in the English language between January 2000 and July 2016, the review identified 36 articles. A meta-analysis method, weighted Z-test, was used to quantify the strength of evidence by incorporating the methodological quality of the studies. We found strong evidence for longitudinal relationships of walkability with obesity, type 2 diabetes and hypertension outcomes in the expected direction. There was strong evidence for the impact of urban sprawl on obesity outcomes. The evidence on potential mediation by physical activity was inconclusive. Further longitudinal studies are warranted to examine which specific built environment attributes influence residents' cardio-metabolic health outcomes and how physical inactivity may be involved in these relationships.
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Affiliation(s)
- M Chandrabose
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
| | - J N Rachele
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - L Gunn
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.,Centre for Urban Research, RMIT University, Melbourne, Victoria, Australia
| | - A Kavanagh
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - N Owen
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.,Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.,Centre for Urban Transitions, Swinburne University of Technology, Melbourne, Victoria, Australia.,School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.,Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.,Institute for Resilient Regions, University of Southern Queensland, Springfield, Queensland, Australia
| | - G Turrell
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.,Centre for Urban Research, RMIT University, Melbourne, Victoria, Australia.,School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia
| | - B Giles-Corti
- Centre for Urban Research, RMIT University, Melbourne, Victoria, Australia
| | - T Sugiyama
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia.,Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.,Centre for Urban Transitions, Swinburne University of Technology, Melbourne, Victoria, Australia
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41
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Molina-García J, García-Massó X, Estevan I, Queralt A. Built Environment, Psychosocial Factors and Active Commuting to School in Adolescents: Clustering a Self-Organizing Map Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 16:E83. [PMID: 30597975 PMCID: PMC6339221 DOI: 10.3390/ijerph16010083] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Revised: 12/17/2018] [Accepted: 12/23/2018] [Indexed: 01/08/2023]
Abstract
Although the built environment and certain psychosocial factors are related to adolescents' active commuting to and from school (ACS), their interrelationships have not been explored in depth. This study describes these interrelationships and behavioral profiles via a self-organizing map (SOM) analysis. The sample comprised 465 adolescents from the IPEN (International Physical Activity and the Environment Network) Adolescent study in Valencia, Spain. ACS, barriers to ACS, physical self-efficacy, social support and sociodemographics were measured by questionnaire. Street-network distance to school, net residential density and street intersection density were calculated from the Geographic Information System. The clustering of the SOM outcomes resulted in eight areas or clusters. The clusters which correspond to the lowest and highest ACS levels were then explored in depth. The lowest ACS levels presented interactions between the less supportive built environments (i.e., low levels of residential density and street connectivity in the neighborhood and greater distances to school) and unfavorable psychosocial variables (i.e., low values of physical self-efficacy and medium social support for ACS) and good access to private motorized transport at home. The adolescents with the lowest ACS values exhibited high ACS environment/safety and planning/psychosocial barrier values. Future interventions should be designed to encourage ACS and change multiple levels of influence, such as individual, psychosocial and environmental factors.
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Affiliation(s)
- Javier Molina-García
- Department of Teaching of Musical, Visual and Corporal Expression, University of Valencia, Avda. dels Tarongers, 4, 46022 Valencia, Spain.
- AFIPS research group, University of Valencia, 46022 Valencia, Spain.
| | - Xavier García-Massó
- Department of Teaching of Musical, Visual and Corporal Expression, University of Valencia, Avda. dels Tarongers, 4, 46022 Valencia, Spain.
- HUMAG research group, University of Valencia, 46010 Valencia, Spain.
| | - Isaac Estevan
- Department of Teaching of Musical, Visual and Corporal Expression, University of Valencia, Avda. dels Tarongers, 4, 46022 Valencia, Spain.
- AFIPS research group, University of Valencia, 46022 Valencia, Spain.
| | - Ana Queralt
- AFIPS research group, University of Valencia, 46022 Valencia, Spain.
- Department of Nursing, University of Valencia, Jaume Roig, s/n, 46010 Valencia, Spain.
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42
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Unpacking walkability indices and their inherent assumptions. Health Place 2018; 55:145-154. [PMID: 30580962 DOI: 10.1016/j.healthplace.2018.12.005] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Revised: 11/02/2018] [Accepted: 12/07/2018] [Indexed: 11/20/2022]
Abstract
Walkability indices are used to characterize the relationship between health and place. Indices make assumptions that affect analysis of the built environment and resulting walkability scores. This study compares three walkability indices created by health researchers focusing on the methods, variables, and walkability scores resulting from differences in definitions and methods. This paper deconstructs the walkability algorithms utilized by each index and rebuilds them in Vancouver, Canada. We find that neighbourhoods in the northern core closer to the downtown area have similar walkability scores across all three indices, while the outer peripheral neighbourhoods with moderate to low walkability have more variation in walkability scores across indices. Most walkability variables - residential density, street connectivity, and land-use - lack a rationale for inclusion, often assumed by researchers. Walkability indices used in health research prove to be incongruent with each other and misrepresentative of actual human behavior. We explore the impact of variable selection and methodologies on indices in the interest of more rigorous health research.
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43
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Ribeiro AI, Hoffimann E. Development of a Neighbourhood Walkability Index for Porto Metropolitan Area. How Strongly Is Walkability Associated with Walking for Transport? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15122767. [PMID: 30563290 PMCID: PMC6313616 DOI: 10.3390/ijerph15122767] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2018] [Revised: 12/04/2018] [Accepted: 12/05/2018] [Indexed: 11/25/2022]
Abstract
The creation of walkable communities constitutes a cost-effective health promotion strategy, as walking is an accessible and free intervention for increasing physical activity and health. In this cross-sectional ecological study, we developed a walkability index for the Porto Metropolitan Area and we validated it by assessing its association with walking for transportation. Neighborhood walkability was measured using a geographic information system and resulted from the weighted sum of residential density, street connectivity, and a destination-based entropy index. The index was categorized into quintiles of increasing walkability. Among the 1,112,555 individuals living in the study area, 28.1% resided in neighborhoods in the upper quintile of walkability and 15.8% resided in the least walkable neighborhoods. Adjusted regression models revealed that individuals residing in the most walkable neighborhoods are 81% more likely to report walking for transportation, compared with those from the least walkable neighborhoods (odds ratio: 1.81; 95% confidence intervals: 1.76–1.87). These results suggest that community design strategies to improve walkability may promote walking behavior.
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Affiliation(s)
- Ana Isabel Ribeiro
- EPIUnit-Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal.
- Department of Public Health, Forensic Sciences and Medical Education, University of Porto Medical School, 4200-319 Porto, Portugal.
| | - Elaine Hoffimann
- EPIUnit-Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal.
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44
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Mohan G, Nolan A, Lyons S. An investigation of the effect of accessibility to General Practitioner services on healthcare utilisation among older people. Soc Sci Med 2018; 220:254-263. [PMID: 30472518 DOI: 10.1016/j.socscimed.2018.11.028] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Revised: 10/24/2018] [Accepted: 11/15/2018] [Indexed: 11/26/2022]
Abstract
Equity in access to healthcare services is regarded as an important policy goal in the organisation of modern healthcare systems. Physical accessibility to healthcare services is recognised as a key component of access. Older people are more frequent and intensive users of healthcare, but reduced mobility and poorer access to transport may negatively influence patterns of utilisation. We investigate the extent to which supply-side factors in primary healthcare are associated with utilisation of General Practitioner (GP) services for over 50s in Ireland. We explore the effect of network distance on GP visits, and two novel access variables: an estimate of the number of addresses the nearest GP serves, and the number of providers within walking distance of a person's home. The results indicate that geographic accessibility to GP services does not in general explain differences in the utilisation of GP services in Ireland. However, we find that the effect of the number of GPs is significant for those who can exercise choice in selecting a GP, i.e., those without public health insurance. For these individuals, the number of GPs within walking distance exerts a positive and significant effect on the utilisation of GP services.
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Affiliation(s)
- Gretta Mohan
- Economic and Social Research Institute, Whitaker Square, Sir John Rogerson's Quay, Dublin 2, Dublin, Ireland; The Irish Longitudinal Study on Ageing, Lincoln Gate, Trinity College, Dublin, Ireland.
| | - Anne Nolan
- Economic and Social Research Institute, Whitaker Square, Sir John Rogerson's Quay, Dublin 2, Dublin, Ireland; The Irish Longitudinal Study on Ageing, Lincoln Gate, Trinity College, Dublin, Ireland.
| | - Seán Lyons
- Economic and Social Research Institute, Whitaker Square, Sir John Rogerson's Quay, Dublin 2, Dublin, Ireland.
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45
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Older Adults' Needs and Preferences for Open Space and Physical Activity in and Near Parks: A Systematic Review. J Aging Phys Act 2018; 26:682-696. [PMID: 29252072 DOI: 10.1123/japa.2016-0354] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Major gaps exist in the literature regarding the link between open space and physical activity promotion for older adults. This study conducted a systematic review on older adults, open space, and physical activity to identify their needs and preferences in and near parks. We identified 48 peer-reviewed journal articles. All articles focused on older adults but not necessarily exclusively. Most studies were descriptive and correlational. Findings suggest that older adults have specific open space and physical activity needs in and near parks that partly overlap with younger people. Framed by the biopsychosocial framework, open space and physical activity in and near parks can benefit older adults' physical health and psychologically well-being to stay socially engaged. Framed within the person-environment and life span perspectives, open space and physical activity in and near parks can facilitate an optimum fit between older adults and their environment as they continue to develop over time.
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46
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Jones SA, Li Q, Aiello AE, O'Rand AM, Evenson KR. Correlates of changes in walking during the retirement transition: The Multi-Ethnic Study of Atherosclerosis. Prev Med Rep 2018; 11:221-230. [PMID: 30210994 PMCID: PMC6129965 DOI: 10.1016/j.pmedr.2018.07.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 06/27/2018] [Accepted: 07/03/2018] [Indexed: 01/10/2023] Open
Abstract
Retirement from employment involves disruption in daily routines and has been associated with positive and negative changes in physical activity. Walking is the most common physical activity among older Americans. The factors that influence changes in walking after retirement are unknown. The study objective was to identify correlates of within-person change in recreational walking (for leisure) and transport walking (to get places) during the retirement transition among a multi-ethnic cohort of adults (N = 928) from six US communities. Correlates were measured at the individual (e.g., gender), interpersonal (e.g., social support), and community (e.g., density of walking destinations) levels at study exams between 2000 and 2012. Comparing pre- and post-retirement measures (average 4.5 years apart), 50% of participants increased recreational walking by 60 min or more per week, 31% decreased by 60 min or more per week, and 19% maintained their recreational walking. Forty-one percent of participants increased transport walking by 60 min or more per week, 40% decreased by 60 min or more per week, and 19% maintained their transport walking after retirement. Correlates differed for recreational and transport walking and for increases compared to decreases in walking. Self-rated health, chronic conditions, and perceptions of the neighborhood walking environment were associated with changes in both types of walking after retirement. Further, some correlates differed by gender and retirement age. Findings can inform the targeting of interventions to promote walking during the retirement transition.
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Affiliation(s)
- Sydney A. Jones
- Department of Epidemiology, University of North Carolina at Chapel Hill, 123 W. Franklin St., Suite 410, Building C, Chapel Hill, NC 27599, USA
| | - Quefeng Li
- Department of Biostatistics, University of North Carolina at Chapel Hill, 3101 McGavran-Greenberg Hall, CB#7420, Chapel Hill, NC 27599-7420, USA
| | - Allison E. Aiello
- Department of Epidemiology, University of North Carolina at Chapel Hill, 123 W. Franklin St., Suite 410, Building C, Chapel Hill, NC 27599, USA
| | - Angela M. O'Rand
- Department of Sociology, Duke University, 417 Chapel Dr. Box 90088, Durham, NC 27708-0088, USA
| | - Kelly R. Evenson
- Department of Epidemiology, University of North Carolina at Chapel Hill, 123 W. Franklin St., Suite 410, Building C, Chapel Hill, NC 27599, USA
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47
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Nathan A, Villanueva K, Rozek J, Davern M, Gunn L, Trapp G, Boulangé C, Christian H. The Role of the Built Environment on Health Across the Life Course: A Call for CollaborACTION. Am J Health Promot 2018; 32:1460-1468. [DOI: 10.1177/0890117118779463a] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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48
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Bigonnesse C, Mahmood A, Chaudhury H, Mortenson WB, Miller WC, Martin Ginis KA. The role of neighborhood physical environment on mobility and social participation among people using mobility assistive technology. DISABILITY & SOCIETY 2018; 33:866-893. [DOI: 10.1080/09687599.2018.1453783] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/19/2023]
Affiliation(s)
- Catherine Bigonnesse
- Department of Gerontology, Simon Fraser University (Harbour Centre), Vancouver, Canada
| | - Atiya Mahmood
- Department of Gerontology, Simon Fraser University (Harbour Centre), Vancouver, Canada
| | - Habib Chaudhury
- Department of Gerontology, Simon Fraser University (Harbour Centre), Vancouver, Canada
| | - W. Ben Mortenson
- Department of Occupational Science & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | - William C. Miller
- Department of Occupational Science & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | - Kathleen A. Martin Ginis
- School of Health and Exercises Sciences, Faculty of Health and Social Development, University of British Columbia, Kelowna, Canada
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49
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Bödeker M. Walking and Walkability in Pre-Set and Self-Defined Neighborhoods: A Mental Mapping Study in Older Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E1363. [PMID: 29958469 PMCID: PMC6068775 DOI: 10.3390/ijerph15071363] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 06/15/2018] [Accepted: 06/20/2018] [Indexed: 11/16/2022]
Abstract
Neighborhood walkability contributes to older adults’ walking. However, associations vary depending on the neighborhood definition applied as well as between objective and perceived walkability measures. Therefore, this study aimed to comparatively assess walkability indices for commonly used pedestrian network buffers and perceived neighborhood areas. A total of 97 adults aged ≥65 years answered a written physical activity questionnaire and 69 respondents participated in face-to-face interviews that involved mental mapping, i.e., to draw perceived neighborhood delineations on paper maps. Hierarchical regression analyses were used to compare the contribution of walkability indices for pre-set buffers and self-defined neighborhoods to older adults’ walking after adjusting for covariates. Results show that older adults’ self-defined neighborhoods are significantly larger, less home-centered, and more walkable than commonly used buffers. Furthermore, the variance accounted for in neighborhood walking increased from 35.9% to 40.4% (ΔR² = 0.046; p = 0.029), when the walkability index was calculated for self-defined neighborhoods rather than pre-set buffers. Therefore, the study supports that geometric differences between pre-set buffers and older adults’ spatial ideas of perceived neighborhoods have a significant influence on estimated walkability effects and that exposure areas should be matched with the spatial dimension of outcome variables in future research.
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Affiliation(s)
- Malte Bödeker
- Department of Prevention and Health Promotion, School of Public Health, Bielefeld University, Post Office Box 10 01 31, Bielefeld D-33501, Germany.
- Bavarian Health and Food Safety Authority, Institute of Public Health, Schweinauer Hauptstraße 80, Nuremberg D-90441, Germany.
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Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries: An analysis of moderators and perceptions as mediators. Soc Sci Med 2018; 211:282-293. [PMID: 29966823 DOI: 10.1016/j.socscimed.2018.06.034] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2018] [Revised: 06/12/2018] [Accepted: 06/24/2018] [Indexed: 01/21/2023]
Abstract
RATIONALE Residents of neighbourhoods with high destination accessibility (higher population density, more-interconnected streets, and better access to services, public transport and parks) are more physically active. Evidence on the factors that underlie these associations is sparse and inconsistent. OBJECTIVE We examined (1) five socio-demographic and four non-destination perceived neighbourhood attributes as moderators of the relationship between objectively-assessed destination accessibility and moderate-to-vigorous physical activity (MVPA); (2) perceived indicators of destination accessibility as mediators of those relationships; and, (3) the generalizability of findings across 14 cities. METHODS Data were from the International Physical Activity and Environment Network (IPEN) Adult study (N = 6822), which provided comparable objective and perceived environmental variables and accelerometer-based MVPA from 14 cities across 10 countries. Mediation and mediation moderation analyses were performed. RESULTS Objective net residential density, public transport density, and number of parks in the neighbourhood were consistently associated with MVPA across all examined socio-demographic groups and non-destination perceived neighbourhood characteristics. However, only the association between number of parks and MVPA was mediated by its conceptually-comparable perceived indicator. While the associations of objective intersection density and land use mix with MVPA were moderated by both gender and perceived pedestrian infrastructure/safety, only the latter moderating effects were mediated by the conceptually-comparable perceived indicators. Perceived neighbourhood safety and/or aesthetics moderated the associations of objective ratio of retail/civic land to total area and distance to nearest transport stop with MVPA. These associations were not mediated by the conceptually-comparable perceived indicators. CONCLUSION Densely populated neighbourhoods with access to public transport and parks have the potential to significantly and equitably contribute to adults' MVPA on a global scale. Perceived neighbourhood aesthetics, pedestrian-friendliness and safety can magnify the positive effects of mixed-use neighbourhoods on residents' MVPA by interacting with the perceived ease of access to a variety of destinations.
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