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The association between objectively measured neighborhood features and walking in middle-aged adults

journal contribution
posted on 2011-03-01, 00:00 authored by Lee-Ann M Wilson, Billie Giles-Corti, Nicola W Burton, Katrina Giskes, Michele Haynes, Gavin Turrell
PURPOSE: Explore the role of the neighborhood environment in supporting walking. DESIGN: Cross-sectional study of 10,286 residents of 200 neighborhoods. Participants were selected using a stratified two-stage cluster design. Data were collected by mail survey (68.5% response rate). SETTING: Brisbane City Local Government Area, Australia, 2007. SUBJECTS: Brisbane residents aged 40 to 65 years. MEASURES: Environmental: street connectivity, residential density, hilliness, tree coverage, bikeways, and streetlights within a 1-km circular buffer from each resident's home; and network distance to nearest river or coast, public transport, shop, and park. Walking: minutes walked in the previous week: < 30 minutes, ≥ 30 to < 90 minutes, ≥ 90 to < 150 minutes, ≥ 150 to < 300 minutes, and ≥ 300 minutes. ANALYSIS: The association between each neighborhood characteristic and walking was examined using multilevel multinomial logistic regression, and the model parameters were estimated using Markov chain Monte Carlo simulation. RESULTS: After adjustment for individual factors, the likelihood of walking for more than 300 minutes (relative to < 30 minutes) was highest in areas with the most connectivity (odds ratio [OR] 5 1.93; 99% confidence intervals [CI], 1.32-2.80), greatest residential density (OR 5 1.47; 99% CI, 1.02-2.12), least tree coverage (OR 5 1.69; 99% CI, 1.13-2.51), most bikeways (OR 5 1.60; 99% CI, 1.16-2.21), and most streetlights (OR 5 1.50; 99% CI, 1.07-2.11). The likelihood of walking for more than 300 minutes was also higher among those who lived closest to a river or the coast (OR 5 2.06; 99% CI, 1.41-3.02). CONCLUSION: The likelihood of meeting (and exceeding) physical activity recommendations on the basis of walking was higher in neighborhoods with greater street connectivity and residential density, more streetlights and bikeways, closer proximity to waterways, and less tree coverage. Interventions targeting these neighborhood characteristics may lead to improved environmental quality as well as lower rates of overweight and obesity and associated chromic disease.

History

Journal

American journal of health promotion

Volume

25

Issue

4

Pagination

e12 - e21

Publisher

SAGE Publications

Location

London, Eng.

eISSN

2168-6602

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2011, American Journal of Health Promotion, Inc