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Could strength of exposure to the residential neighbourhood modify associations between walkability and physical activity?
Ivory, Vivienne C; Blakely, Tony; Pearce, Jamie; Witten, Karen; Bagheri, Nasser; Badland, Hannah; Schofield, Grant.
Afiliación
  • Ivory VC; Health Inequalities Research Programme, Department of Public Health, University of Otago, Wellington, New Zealand. Electronic address: Vivienne.ivory@otago.ac.nz.
  • Blakely T; Health Inequalities Research Programme, Department of Public Health, University of Otago, Wellington, New Zealand. Electronic address: tony.blakely@otago.ac.nz.
  • Pearce J; Centre for Research on Environment, Society and Health, School of Geosciences, University of Edinburgh, Edinburgh, United Kingdom. Electronic address: jamie.pearce@ed.ac.uk.
  • Witten K; SHORE and Whariki Research Centre, School of Public Health, Massey University, Auckland, New Zealand. Electronic address: K.Witten@massey.ac.nz.
  • Bagheri N; Health Inequalities Research Programme, Department of Public Health, University of Otago, Wellington, New Zealand. Electronic address: nasser.bagheri@anu.edu.au.
  • Badland H; McCaughey VicHealth Centre for Community Wellbeing, The University of Melbourne, Melbourne, Victoria, Australia; Centre for Physical Activity and Nutrition, Auckland University of Technology, Auckland, New Zealand. Electronic address: hannah.badland@unimelb.edu.au.
  • Schofield G; Centre for Physical Activity and Nutrition, Auckland University of Technology, Auckland, New Zealand. Electronic address: grant.schofield@aut.ac.nz.
Soc Sci Med ; 147: 232-41, 2015 Dec.
Article en En | MEDLINE | ID: mdl-26599626
UNLABELLED: The importance of neighbourhoods for health and wellbeing may vary according to an individual's reliance on their local resources, but this assertion is rarely tested. We investigate whether greater neighbourhood 'exposure' through reliance on or engagement with the residential setting magnifies neighbourhood-health associations. METHODS: Three built environment characteristics (destination density, streetscape (attractiveness of built environment) and street connectivity) and two physical activity components (weekday and weekend accelerometer counts) were measured for 2033 residents living in 48 neighbourhoods within four New Zealand cities in 2009-2010, giving six different built environment-physical activity associations. Interactions for each built environment-physical activity association with four individual-level characteristics (acting as proxies for exposure: gender, working status, car access, and income) were assessed with multi-level regression models; a total of 24 'tests'. RESULTS: Of the 12 weekday built environment-physical activity tests, 5 interaction terms were significant (p < 0.05) in the expected direction (e.g. stronger streetscape-physical activity among those with restricted car access). For weekend tests, one association was statistically significant. No significant tests were contradictory. Pooled across the 12 weekday physical activity 'tests', a 1 standard deviation increase in the walkability of the built environment was associated with an overall 3.8% (95% CI: 3.6%-4.1%) greater increase in weekday physical activity across all the types of people we hypothesised to spend more time in their residential neighbourhood, and for weekend physical activity it was 4.2% (95% CI 3.9%-4.5%). CONCLUSIONS: Using multiple evaluation methods, interactions were in line with our hypothesis, with a stronger association seen for proxy exposure indicators (for example, restricted car access). Added to the wider evidence base, our study strengthens causal evidence of an effect of the built environment on physical activity, and highlights that health gains from improvements of the residential neighbourhood may be greater for some people.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Características de la Residencia / Salud Urbana / Caminata / Planificación Ambiental / Actividad Motora Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Soc Sci Med Año: 2015 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Características de la Residencia / Salud Urbana / Caminata / Planificación Ambiental / Actividad Motora Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Soc Sci Med Año: 2015 Tipo del documento: Article Pais de publicación: Reino Unido