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Perceived neighborhood environmental attributes associated with walking and cycling for transport among adult residents of 17 cities in 12 countries : The IPEN study

Kerr, Jacqueline
Emond, Jennifer A.
Badland, Hannah
Reis, Rodrigo
Sarmiento, Olga
Carlson, Jordan
Sallis, James F.
Cerin, Ester
Cain, Kelli
Conway, Terry
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Abstract
Introduction Prevalence of walking and cycling for transport is low and varies greatly across countries. Few studies have examined neighborhood perceptions related to walking and cycling for transport in different countries. Therefore, it is challenging to prioritize appropriate built-environment interventions. Objectives The aim of this study was to examine the strength and shape of the relationship between adults’ neighborhood perceptions and walking and cycling for transport across diverse environments. Methods As part of the International Physical activity and Environment Network (IPEN) adult project, self-reported data were taken from 13,745 adults (18–65 years) living in physically and socially diverse neighborhoods in 17 cities across 12 countries. Neighborhood perceptions were measured using the Neighborhood Environment Walkability Scale, and walking and cycling for transport were measured using the International Physical Activity Questionnaire–Long Form. Generalized additive mixed models were used to model walking or cycling for transport during the last seven days with neighborhood perceptions. Interactions by city were explored. Results Walking-for-transport outcomes were significantly associated with perceived residential density, land use mix–access, street connectivity, aesthetics, and safety. Any cycling for transport was significantly related to perceived land use mix–access, street connectivity, infrastructure, aesthetics, safety, and perceived distance to destinations. Between-city differences existed for some attributes in relation to walking or cycling for transport. Conclusions Many perceived environmental attributes supported both cycling and walking; however, highly walkable environments may not support cycling for transport. People appear to walk for transport despite safety concerns. These findings can guide the implementation of global health strategies.
Keywords
Date
2016
Type
Journal article
Journal
Environmental Health Perspectives
Book
Volume
124
Issue
3
Page Range
290-298
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Open access
License
All rights reserved
File Access
Controlled
Notes
Diamond open access.