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.
| Original language | English |
|---|---|
| Pages (from-to) | 282-293 |
| Number of pages | 12 |
| Journal | Social Science and Medicine |
| Volume | 211 |
| DOIs | |
| Publication status | Published - 2018 |
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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. / Cerin, Ester; Conway, Terry L.; Adams, Marc A.; Barnett, Anthony; Cain, Kelli L.; Owen, Neville; Christiansen, Lars B.; van Dyck, Delfien; Mitáš, Josef; Sarmiento, Olga L.; Davey, Rachel C.; Reis, Rodrigo; Salvo, Deborah; Schofield, Grant; Sallis, James F.
In: Social Science and Medicine, Vol. 211, 2018, p. 282-293.Research output: Contribution to journal › Article
TY - JOUR
T1 - Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries
T2 - An analysis of moderators and perceptions as mediators
AU - Cerin, Ester
AU - Conway, Terry L.
AU - Adams, Marc A.
AU - Barnett, Anthony
AU - Cain, Kelli L.
AU - Owen, Neville
AU - Christiansen, Lars B.
AU - van Dyck, Delfien
AU - Mitáš, Josef
AU - Sarmiento, Olga L.
AU - Davey, Rachel C.
AU - Reis, Rodrigo
AU - Salvo, Deborah
AU - Schofield, Grant
AU - Sallis, James F.
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
KW - Geographic information systems
KW - Mediated moderation
KW - Parks
KW - Perceived neighbourhood attributes
KW - Physical activity
KW - Public transport
KW - Sociodemographic characteristics
KW - Walkability
UR - http://www.scopus.com/inward/record.url?scp=85049340637&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/objectivelyassessed-neighbourhood-destination-accessibility-physical-activity-adults-10-countries-an
U2 - 10.1016/j.socscimed.2018.06.034
DO - 10.1016/j.socscimed.2018.06.034
M3 - Article
VL - 211
SP - 282
EP - 293
JO - Social Science Medicine Social Science Medicine
JF - Social Science Medicine Social Science Medicine
SN - 0277-9536
ER -