Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries

An analysis of moderators and perceptions as mediators

Ester Cerin, Terry L. Conway, Marc A. Adams, Anthony Barnett, Kelli L. Cain, Neville Owen, Lars B. Christiansen, Delfien van Dyck, Josef Mitáš, Olga L. Sarmiento, Rachel C. Davey, Rodrigo Reis, Deborah Salvo, Grant Schofield, James F. Sallis

Research output: Contribution to journalArticle

6 Citations (Scopus)

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 languageEnglish
Pages (from-to)282-293
Number of pages12
JournalSocial Science and Medicine
Volume211
DOIs
Publication statusPublished - 2018

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moderator
Exercise
public transport
Esthetics
pedestrian
Safety
mediation
aesthetics
Demography
resident
residential density
Physical Activity
Accessibility
Mediator
population density
Population Density
land use
infrastructure
gender

Cite this

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. / Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries : An analysis of moderators and perceptions as mediators. In: Social Science and Medicine. 2018 ; Vol. 211. pp. 282-293.
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title = "Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries: An analysis of moderators and perceptions as mediators",
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.",
keywords = "Geographic information systems, Mediated moderation, Parks, Perceived neighbourhood attributes, Physical activity, Public transport, Sociodemographic characteristics, Walkability",
author = "Ester Cerin and Conway, {Terry L.} and Adams, {Marc A.} and Anthony Barnett and Cain, {Kelli L.} and Neville Owen and Christiansen, {Lars B.} and {van Dyck}, Delfien and Josef Mit{\'a}š and Sarmiento, {Olga L.} and Davey, {Rachel C.} and Rodrigo Reis and Deborah Salvo and Grant Schofield and Sallis, {James F.}",
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Cerin, E, Conway, TL, Adams, MA, Barnett, A, Cain, KL, Owen, N, Christiansen, LB, van Dyck, D, Mitáš, J, Sarmiento, OL, Davey, RC, Reis, R, Salvo, D, Schofield, G & Sallis, JF 2018, 'Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries: An analysis of moderators and perceptions as mediators', Social Science and Medicine, vol. 211, pp. 282-293. https://doi.org/10.1016/j.socscimed.2018.06.034

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 journalArticle

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

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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

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