Active transportation increases adherence to activity recommendations.
ABSTRACT Levels of physical activity (PA) contribute to health status and outcomes directly and indirectly via the effects of PA on obesity and other risk factors. Much past surveillance has focused on leisure-time physical activity (LTPA), but this may bias estimates of prevalence. This study explores inclusion of non-leisure-time walking and bicycling (NLTWB) used for transportation on the prevalence of adherence to PA recommendations and the magnitude of apparent disparities in adherence for California adults.
Results of the 2001 California Health Interview Survey, a large (n = 55,151) telephone survey were analyzed in 2005 using tabulation and logistic regression.
Higher levels of LTPA were associated with youth, males, education, income, Pacific Islanders, and non-Hispanic (NH) whites. Inclusion of NLTWB reduced these differences for all five variables. The largest decreases in disparities in adherence occurred for race/ethnicity, education, and income, with decreases in adherence differences from approximately 18% to 7% for NH white vs Latino, approximately 27% to 16% for more than high school versus less than high school, and approximately 25% to 11% for more than 300% versus less than 100% of poverty level. Logistic regression comparing adherence gives similar results. For example, in respondents with more than high school education versus less than high school education (referent), the odds ratio changed from 2.23 (95% confidence interval [CI] = 2.0-2.4) to 1.7 (1.6-1.9) after the inclusion of NLTWB.
Assessment of PA in multiple domains is required to understand differences in total levels of PA for people with different incomes, education levels, and racial/ethnic backgrounds. Inclusion of NLTWB reduces but does not eliminate disparities in adherence to recommended levels of PA.
- SourceAvailable from: Billie Giles-Corti[Show abstract] [Hide abstract]
ABSTRACT: Residents of socioeconomically disadvantaged neighbourhoods are more likely to walk for transport than their counterparts in advantaged neighbourhoods; however, the reasons for higher rates of transport walking in poorer neighbourhoods remain unclear. We investigated this issue using data from the HABITAT study of physical activity among 11,037 mid-aged residents of 200 neighbourhoods in Brisbane, Australia. Using a five-step mediation analysis and multilevel regression, we found that higher levels of walking for transport in disadvantaged neighbourhoods was associated with living in a built environment more conducive to walking (i.e. greater street connectivity and land use mix) and residents of these neighbourhoods having more limited access to a motor vehicle. The health benefits that accrue to residents of disadvantaged neighbourhoods as a result of their higher levels of walking for transport might help offset the negative effects of less healthy behaviours (e.g. smoking, poor diet), thus serving to contain or reduce neighbourhood inequalities in chronic disease.Health & Place 11/2012; 19C:89-98. DOI:10.1016/j.healthplace.2012.10.008 · 2.44 Impact Factor
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ABSTRACT: To examine multiple measures of acculturation and their association with walking to school in a large population-based sample in San Diego, California. The sample consisted of predominantly Latino children and their parents (n=812) who participated in a study to maintain healthy weights from kindergarten through 2nd grade (2004-2007). Acculturation and walking/driving to and from school were assessed through parent-proxy surveys. Children of foreign-born child-parent dyads walked to school more frequently than their counterparts (F=7.71, df=5, 732, p<.001). Similarly, parents who reported living in the U.S. for less than or equal to 12 years reported more walking to school by their children compared with parents living in the U.S. for more than 12 years (F=10.82, df=4, 737, p<.001). Finally, English-speaking females walked to school more frequently than Spanish-speaking and bilingual females. This study explores Latino children's walking to and from school using four measures of acculturation. In this cross-sectional study, being less acculturated was associated with more walking to school among children living in South San Diego County.Preventive Medicine 02/2008; 47(3):313-8. DOI:10.1016/j.ypmed.2008.01.018 · 2.93 Impact Factor
Article: Distances People Walk for Transport[Show abstract] [Hide abstract]
ABSTRACT: We present detailed information on the distances people walk for transport purposes in Brisbane, Australia. The data is derived from the South East Queensland Travel Survey 2003-04 – Brisbane Statistical Division, a household travel survey providing information on the weekday travel of 10 931 respondents, weighted and expanded for a city population of 1 615 579 persons. The vast majority of non-motorised travel recorded was walking for transport, whether this comprised trips using the walking mode only, or whether it was walking made to and from public transport. We report the full distributions of the distances walked for transport from homes to other places, as well as the walk travel made between places other than homes. Single-mode walk trips are longer than the walk trip stages made to and from public transport, both in terms of distance and time. However, there are more than twice as many walk trip stages made to and from public transport. The median and 85th percentile distances people walk from home to all other places using the walk mode only are 780 m and 1.45 km respectively; from home to all public transport stops, 600 m and 1.30 km; and from public transport stops to end destinations, 470 m and 1.09 km. Yes Yes