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

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Resumé

AbstractRationale 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.
OriginalsprogEngelsk
TidsskriftSocial Science & Medicine
Vol/bind211
Sider (fra-til)282-293
ISSN0277-9536
DOI
StatusUdgivet - aug. 2018

Emneord

  • Geographic information systems
  • Physical activity
  • Sociodemographic characteristics
  • Perceived neighbourhood attributes
  • Walkability
  • Parks
  • Public transport
  • Mediated moderation

Citer dette

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. I: Social Science & Medicine. 2018 ; Bind 211. s. 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 = "AbstractRationale 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, Physical activity, Sociodemographic characteristics, Perceived neighbourhood attributes, Walkability, Parks, Public transport, Mediated moderation, Geographic information systems, Mediated moderation, Parks, Perceived neighbourhood attributes, Physical activity, Public transport, Sociodemographic characteristics, Walkability, United States, Humans, Middle Aged, Male, Residence Characteristics/classification, Parks, Recreational/standards, China, Brazil, Adult, Female, Transportation/standards, Colombia, Epidemiologic Studies, Cross-Sectional Studies, Exercise/psychology, United Kingdom, New Zealand, Czech Republic, Belgium, Denmark, Environment Design, Mexico, Perception, Aged, Health Services Accessibility/standards",
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.}",
year = "2018",
month = "8",
doi = "10.1016/j.socscimed.2018.06.034",
language = "English",
volume = "211",
pages = "282--293",
journal = "Social Science & Medicine",
issn = "0277-9536",
publisher = "Pergamon Press",

}

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 & Medicine, bind 211, s. 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.

I: Social Science & Medicine, Bind 211, 08.2018, s. 282-293.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries: 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 - 2018/8

Y1 - 2018/8

N2 - AbstractRationale 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 - AbstractRationale 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 - Physical activity

KW - Sociodemographic characteristics

KW - Perceived neighbourhood attributes

KW - Walkability

KW - Parks

KW - Public transport

KW - Mediated moderation

KW - Geographic information systems

KW - Mediated moderation

KW - Parks

KW - Perceived neighbourhood attributes

KW - Physical activity

KW - Public transport

KW - Sociodemographic characteristics

KW - Walkability

KW - United States

KW - Humans

KW - Middle Aged

KW - Male

KW - Residence Characteristics/classification

KW - Parks, Recreational/standards

KW - China

KW - Brazil

KW - Adult

KW - Female

KW - Transportation/standards

KW - Colombia

KW - Epidemiologic Studies

KW - Cross-Sectional Studies

KW - Exercise/psychology

KW - United Kingdom

KW - New Zealand

KW - Czech Republic

KW - Belgium

KW - Denmark

KW - Environment Design

KW - Mexico

KW - Perception

KW - Aged

KW - Health Services Accessibility/standards

U2 - 10.1016/j.socscimed.2018.06.034

DO - 10.1016/j.socscimed.2018.06.034

M3 - Journal article

C2 - 29966823

VL - 211

SP - 282

EP - 293

JO - Social Science & Medicine

JF - Social Science & Medicine

SN - 0277-9536

ER -