TY - JOUR
T1 - Do Relationships Between Environmental Attributes and Recreational Walking Vary According to Area-Level Socioeconomic Status?
AU - Sugiyama, Takemi
AU - Howard, Natasha
AU - Paquet, Catherine
AU - COFFEE, Neil
AU - Taylor, Anne
AU - DANIEL, Mark
N1 - Funding Information:
The Spatial Epidemiology and Evaluation Research Group at the University of South Australia in collaboration with the South Australian Department of Health and Ageing conducted the Place and Metabolic Syndrome (PAMS) project under National Health and Medical Research Council (NHMRC) Project Grants (#631917, #570150). Catherine Paquet was funded by NHMRC Post-doctoral Training Research Fellowship (#570139). This manuscript has been reviewed for scientific content and consistency of data interpretation by Chief Investigators of the North West Adelaide Health Study. The authors are grateful for the interest and commitment of cohort participants, as well as the contributions of research support staff involved in recruitment and data collection.
Publisher Copyright:
© 2015, The New York Academy of Medicine.
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Residents of areas with lower socioeconomic status (SES) are known to be less physically active during leisure time. Neighborhood walkability has been shown to be related to recreational walking equally in low and high SES areas. This cross-sectional study tested whether associations of specific environmental attributes, measured objectively and subjectively, with walking for recreation were moderated by area-level SES. The data of the North West Adelaide Health Study collected in 2007 (n = 1500, mean age 57) were used. Self-reported walking frequency was the outcome of the study. Environmental exposure measures included objectively measured walkability components (residential density, intersection density, land use mix, and net retail area ratio) and perceived attributes (access to destinations, neighborhood esthetics, walking infrastructure, traffic/barriers, and crime safety). Participants’ suburbs were categorized into low and high SES areas using an indicator of socioeconomic disadvantage. Low SES areas had lower scores in residential density, neighborhood esthetics, walking infrastructure, traffic/barriers, and crime safety. Recreational walking was associated with residential density, access to destinations, esthetics, traffic/barriers, and crime safety. Effect modification was observed for two attributes (out of nine): residential density was associated with walking only in low SES areas, while walking infrastructure was associated with walking only in high SES areas. The associations of neighborhood environmental attributes with recreational walking were largely consistent across SES groups. However, low SES areas were disadvantaged in most perceived environmental attributes related to recreational walking. Improving such attributes in low SES neighborhoods may help close socioeconomic disparities in leisure time physical activity
AB - Residents of areas with lower socioeconomic status (SES) are known to be less physically active during leisure time. Neighborhood walkability has been shown to be related to recreational walking equally in low and high SES areas. This cross-sectional study tested whether associations of specific environmental attributes, measured objectively and subjectively, with walking for recreation were moderated by area-level SES. The data of the North West Adelaide Health Study collected in 2007 (n = 1500, mean age 57) were used. Self-reported walking frequency was the outcome of the study. Environmental exposure measures included objectively measured walkability components (residential density, intersection density, land use mix, and net retail area ratio) and perceived attributes (access to destinations, neighborhood esthetics, walking infrastructure, traffic/barriers, and crime safety). Participants’ suburbs were categorized into low and high SES areas using an indicator of socioeconomic disadvantage. Low SES areas had lower scores in residential density, neighborhood esthetics, walking infrastructure, traffic/barriers, and crime safety. Recreational walking was associated with residential density, access to destinations, esthetics, traffic/barriers, and crime safety. Effect modification was observed for two attributes (out of nine): residential density was associated with walking only in low SES areas, while walking infrastructure was associated with walking only in high SES areas. The associations of neighborhood environmental attributes with recreational walking were largely consistent across SES groups. However, low SES areas were disadvantaged in most perceived environmental attributes related to recreational walking. Improving such attributes in low SES neighborhoods may help close socioeconomic disparities in leisure time physical activity
KW - Effect modification
KW - Inequality
KW - Neighborhood environment
KW - Physical activity
KW - Walkability
KW - Cross-Sectional Studies
KW - Humans
KW - Middle Aged
KW - Residence Characteristics/statistics & numerical data
KW - Male
KW - Urban Health
KW - Health Behavior
KW - Socioeconomic Factors
KW - Walking
KW - Recreation
KW - Adult
KW - Environment
KW - Female
KW - Perception
KW - Aged
UR - http://www.scopus.com/inward/record.url?scp=84939939245&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/relationships-between-environmental-attributes-recreational-walking-vary-according-arealevel-socioec
U2 - 10.1007/s11524-014-9932-1
DO - 10.1007/s11524-014-9932-1
M3 - Article
C2 - 25604935
SN - 1099-3460
VL - 92
SP - 253
EP - 264
JO - Journal of Urban Health: Bulletin of the New York Academy of Medicine
JF - Journal of Urban Health: Bulletin of the New York Academy of Medicine
IS - 2
ER -