Access to and availability of exercise facilities in Madrid: an equity perspective

International Journal of Health Geographics

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[1] 0000 0001 2163 3550, grid.1017.7, Centre for Urban Research, RMIT University, Melbourne, Australia;0000 0004 1937 0239, grid.7159.a, Management and Sports Training Research Group, School of Medicine and Health Sciences, University of Alcalá, 28871, Alcalá de Henares, Madrid, Spain;0000 0004 1937 0239, grid.7159.a, Social and Cardiovascular Epidemiology Research Group, School of Medicine and Health Sciences, University of Alcalá, 28871, Alcalá de Henares, Madrid, Spain;0000 0004 1937 0239, grid.7159.a, Social and Cardiovascular Epidemiology Research Group, School of Medicine and Health Sciences, University of Alcalá, 28871, Alcalá de Henares, Madrid, Spain;0000 0001 2171 9311, grid.21107.35, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;0000 0004 1937 0239, grid.7159.a, Social and Cardiovascular Epidemiology Research Group, School of Medicine and Health Sciences, University of Alcalá, 28871, Alcalá de Henares, Madrid, Spain;0000 0004 1937 0239, grid.7159.a, Management and Sports Training Research Group, School of Medicine and Health Sciences, University of Alcalá, 28871, Alcalá de Henares, Madrid, Spain;0000 0001 2163 3550, grid.1017.7, Centre for Urban Research, RMIT University, Melbourne, Australia;0000 0004 1937 0239, grid.7159.a, Social and Cardiovascular Epidemiology Research Group, School of Medicine and Health Sciences, University of Alcalá, 28871, Alcalá de Henares, Madrid, Spain;Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA;Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA;

关键词: Exercise;    Socio-economic status;    Exercise facilities;    Inequities;    Urban health;   

DOI  :  10.1186/s12942-019-0179-7

来源: publisher

【 摘 要 】

BackgroundIdentifying socioeconomic determinants that are associated with access to and availability of exercise facilities is fundamental to supporting physical activity engagement in urban populations, which in turn, may reduce health inequities. This study analysed the relationship between area-level socioeconomic status (SES) and access to, and availability of, exercise facilities in Madrid, Spain.MethodsArea-level SES was measured using a composite index based on seven sociodemographic indicators. Exercise facilities were geocoded using Google Maps and classified into four types: public, private, low-cost and sessional. Accessibility was operationalized as the street network distance to the nearest exercise facility from each of the 125,427 residential building entrances (i.e. portals) in Madrid. Availability was defined as the count of exercise facilities in a 1000 m street network buffer around each portal. We used a multilevel linear regression and a zero inflated Poisson regression analyses to assess the association between area-level SES and exercise facility accessibility and availability.ResultsLower SES areas had a lower average distance to the closest facility, especially for public and low-cost facilities. Higher SES areas had higher availability of exercise facilities, especially for private and seasonal facilities.ConclusionPublic and low-cost exercise facilities were more proximate in low SES areas, but the overall number of facilities was lower in these areas compared with higher SES areas. Increasing the number of exercise facilities in lower SES areas may be an intervention to improve health equity.

【 授权许可】

CC BY