Neighbourhood safety and leisure-time physical activity among Dutch adults: a multilevel perspective

International Journal of Behavioral Nutrition and Physical Activity

Anton E Kunst¹  Marleen Wingen³  Jolanda Maas²  Daniëlle Kramer¹ 

[1] Department of Public Health, Academic Medical Centre, University of Amsterdam, PO Box 22660, Amsterdam, 1100 DD, The Netherlands;Department of Public and Occupational Health, and the EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands;Department of Social and Spatial Statistics, Statistics Netherlands, Heerlen, the Netherlands

关键词: Environment;    Crime;    Safety;    Cycling;    Walking;    Physical activity;   

Others  :  810923
DOI  :  10.1186/1479-5868-10-11

 received in 2012-03-07, accepted in 2013-01-22,  发布年份 2013

【 摘 要 】

Background

Several neighbourhood elements have been found to be related to leisure-time walking and cycling. However, the association with neighbourhood safety remains unclear. This study aimed to assess the association of neighbourhood-level safety with leisure-time walking and cycling among Dutch adults.

Methods

Data were derived from the national health survey (POLS) 2006–2009, with valid data on 20046 respondents residing in 2127 neighbourhoods. Multilevel logistic regression models were used to examine the association between neighbourhood-level safety (general safety and specific safety components: physical disorder, social disorder, crime-related fear, traffic safety) and residents’ engagement in outdoor leisure-time walking and cycling for at least 30 minutes per week.

Results

An increase in neighbourhood safety (both general safety and each of the safety components) was significantly associated with an increase in leisure-time cycling participation. Associations were strongest for general safety and among older women. In the general population, neighbourhood safety was not significantly associated with leisure-time walking. However, among younger and older adult men and lower educated individuals, an increase in general safety was associated with a decrease in leisure-time walking participation.

Conclusions

In the Netherlands, neighbourhood safety appears to be related to leisure-time cycling but not to walking. Leisure-time cycling may best be encouraged by improving different safety components at once, rather than focusing on one safety aspect such as traffic safety. Special attention is needed for older women.

【 授权许可】

   
2013 Kramer et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J: An ecological approach to creating active living communities. Annu Rev Public Health 2006, 27:297-322.
• [2]Wendel-Vos W, Droomers M, Kremers S, Brug J, Lenthe van F: Potential environmental determinants of physical activity in adults: a systematic review. Obes Rev 2007, 8:425-440.
• [3]Saelens B, Handy SL: Built environment correlates of walking: a review. Med Sci Sports Exerc 2008, 40:550-566.
• [4]Giles-Corti B, Donovan RJ: Socioeconomic status differences in recreational physical activity levels and real and perceived access to a supportive physical environment. Prev Med 2002, 35:601-611.
• [5]Cao X, Handy SL, Mokhtarian PL: The influences of the built environment and residential self-selection on pedestrian behavior: evidence from Austin, TX. Transportation 2006, 33:1-20.
• [6]McGinn AP, Evenson KR, Herrin AH, Huston SL, Rodriguez DA: The association of perceived and objectively measured crime with physical activity: a cross-sectional analysis. J Phys Act Health 2008, 5:117-131.
• [7]Hallal PC, Reis RS, Parra DC, Hoehner C, Brownson RC, Simoes EJ: Association between perceived environmental attributes and physical activity among adults in Recife, Brazil. J Phys Act Health 2010, 7:213-222.
• [8]Kamphuis CBN, van Lenthe FJ, Giskes K, Huisman M, Brug J, Mackenbach JP: Socioeconomic differences in lack of recreational walking among older adults: the role of neighbourhood and individual factors. Int J Behav Nutr Phys Act 2009., 6 BioMed Central Full Text
• [9]Mendes de Leon CF, Cagney KA, Bienias JL, Barnes LL, Skarupski KA, Scherr PA, et al.: Neighbourhood social cohesion and disorder in relation to walking in community-dwelling older adults: a multilevel analysis. J Aging Health 2009, 21:155-171.
• [10]Gauvin L, Riva M, Barnett T, Richard L, Craig CL, Spivock M, et al.: Association between neighbourhood active living potential and walking. Am J Epidemiol 2007, 167:944-953.
• [11]Ball K, Timperio A, Salmon J, Giles-Corti B, Roberts R, Crawford D: Personal, social and environmental determinants of educational inequalities in walking: a multilevel study. J Epidemiol Comm Health 2007, 61:108-114.
• [12]Pikora T, Giles-Corti B, Knuiman MW, Bull FC, Jamrozik K, Donovan RJ: Neighbourhood environmental factors correlated with walking near home: using SPACES. Med Sci Sports Exerc 2006, 38:708-714.
• [13]van Lenthe FJ, Brug J, Mackenbach JP: Neighbourhood inequalities in physical inactivity: the role of neighbourhood attractiveness, proximity to local facilities and safety in the Netherlands. Soc Sci Med 2005, 60:763-775.
• [14]Inoue S, Ohya Y, Odagiri Y, Takamiya T, Ishii K, Kitabayashi M, et al.: Association between perceived neighbourhood environment and walking among adults in 4 cities in Japan. J Epidemiol 2010, 20:277-286.
• [15]Nagel CL, Carlson NE, Bosworth M, Michael YL: The relation between neighbourhood built environment and walking activity among older adults. Am J Epidemiol 2008, 168:461-468.
• [16]Cleland VJ, Timperio A, Crawford D: Are perceptions of the physical and social environment associated with mothers’ walking for leisure and for transport? A longitudinal study. Prev Med 2008, 47:188-193.
• [17]van Dyck D, Cardon G, Deforche B, Giles-Corti B, Sallis JF, Owen N, et al.: Environmental and psychosocial correlates of accelerometer-assessed and self-reported physical activity in Belgian adults. Int J Behav Med 2010, 18:235-245.
• [18]Shigematsu R, Sallis JF, Conway TL, Saelens BE, Frank LD, Cain KL, et al.: Age differences in the relation of perceived neighborhood environment and walking. Med Sci Sports Exerc 2009, 41:314-321.
• [19]McGinn AP, Evenson KR, Herrin AH, Huston SL, Rodriguez DA: Exploring associations between physical activity and perceived and objective measures of the built environment. J Urban Health 2007, 84:162-184.
• [20]de Bourdeaudhuij I, Teixeira PJ, Cardon G, Deforche B: Environmental and psychosocial correlated of physical activity in Portugese and Belgian adults. Public Health Nutr 2005, 8:886-895.
• [21]Foster C, Hillsdon M, Jones A, Grundy C, Wilkinson P, White M, et al.: Objective measures of the environment and physical activity – results of the environment and physical activity study in English adults. J Phys Act Health 2009, 6:70-80.
• [22]Foster S, Giles-Corti B: The built environment, neighbourhood crime and constrained physical activity: an exploration of inconsistent findings. Prev Med 2008, 47:241-251.
• [23]Bassett DR, Pucher J, Buehler R, Thompson DL, Crouter SE: Walking, cycling, and obesity rates in Europe, North America, and Australia. J Phys Act Health 2008, 5:795-814.
• [24]van Dijk J, van Kestern J, Smit P: Criminal victimization in international perspective: key findings from the 2004–2005 ICVS and EU ICS. Meppel: Boom juridical publishers; 2007.
• [25]Pucher J, Buehler R: Making cycling irresistible: lessons from the Netherlands, Denmark and Germany. Transp Rev 2008, 28:495-528.
• [26]Titze S, Stronegger WJ, Janschitz S, Oja P: Association of built -environment, social-environment and personal factors with bicycling as a mode of transportation among Austrian city dwellers. Prev Med 2008, 47:252-259.
• [27]de Geus B, de Bourdeaudhuij I, Jannes C, Meeusen R: Psychosocial and environmental factors associated with cycling for transport among a working population. Health Educ Res 2008, 23:697-708.
• [28]Kamphuis CBM, Giskes K, Kavanagh AM, Thornton LE, Thomas LR, van Lenthe FJ, et al.: Area variation in recreational cycling in Melbourne: a compositional or contextual effect? J Epidemiol Comm Health 2008, 62:890-898.
• [29]Wagenmakers R, Akker-Scheek I, Groothoff JW, Zijlstra W, Bulstra SK, Kootstra JWJ, et al.: Reliability and validity of the short questionnaire to assess health-enhancing physical activity (SQUASH) in patients after total hip arthroplasty. BMC Musculoskelet Disord 2008., 9 BioMed Central Full Text
• [30]Wendel-Vos GCW, Schuit AJ, Saris WHM, Kromhout D: Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 2003, 56:1163-1169.
• [31]Shephard RJ: Limits to the measurement of habitual physical activity by questionnaires. Br J Sports Med 2003, 37:197-206.
• [32]Gebel K, Bauman A, Owen N: Correlates of non-concordance between perceived and objective measures of walkability. Ann Behav Med 2009, 37:228-238.
• [33]Ball K, Cleland VJ, Timperio AF, Salmon J, Giles-Corti B, Crawford DA: Love thy neighbour? Associations of social capital and crime with physical activity amongst women. Soc Sci Med 2010, 71:807-814.
• [34]King WC, Belle SH, Brach JS, Simkin-Silverman LR, Soska T, Kriska AM: Objective measures of neighborhood environment and physical activity in older women. Am J Prev Med 2005, 28:461-469.
• [35]Shenessa ED, Liebhaber A, Ezeamama A: Perceived safety of area of residence and exercise: a pan-European study. Am J Epidemiol 2006, 163:1012-1017.
• [36]Statistics Netherlands: Bevolking en huishoudens: viercijferige postcode. [http://statline.cbs.nl/StatWeb/publication/default.aspx?DM=SLNL&PA=71899NED&D1=0%2c21%2c42%2c63-72&D2=a&HDR=T&STB=G1&VW=D webcite]
• [37]Humpel N, Owen N, Iverson D, Leslie E, Bauman A: Perceived environment attributes, residential location, and walking for particular purposes. Am J Prev Med 2004, 26:119-125.
• [38]Ross CE: Walking, exercising, and smoking: does neighbourhood matter? Soc Sci Med 2000, 51:265-274.