Relationship between walking levels and perceptions of the local neighbourhood environment

Relationship between walking levels and perceptions of the local neighbourhood environment
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DOI:
10.1136/adc.2006.100826
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发表时间:
2007-01-01
影响因子:
5.2
通讯作者:
Barrett, T.
Barrett, T.
中科院分区:
医学2区
文献类型:
--
作者:
Alton, D.;Adab, P.;Barrett, T.

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目的:探讨儿童步行出行频率、对当地环境的感知与儿童个人出行偏好之间的关系。设计:横断面问卷调查。地点:英国伯明翰6所小学,社会经济分类。研究对象:473名9-11岁儿童(回应率82%),其中250名(52.9%)男孩和160名(33.8%)少数民族儿童。结果:主要结果衡量指标是基于自我报告的过去一周步行频率的步行水平(高或低)。次要结果衡量标准包括儿童对当地环境的七个方面的看法和个人旅行偏好。结果:198名儿童(41.9%)被归类为高步行儿童,275名儿童(58.1%)被归类为低步行儿童。在调整了混杂因素后,高步行人群更有可能感觉到他们家周围的交通繁忙(优势比(OR)1.55,95%可信区间(CI)1.03至2.33)、不安全的街道(OR 1.88,95%CI 1.27至2.80)以及更健康的出行方式(OR 1.67,95%CI 2.56至1.08)。高位步行者不太可能担心陌生人(OR 0.66,95%CI 0.45至1.02),也不太可能报告附近没有公园或运动场(OR 0.66,95%CI 0.42至1.02)。少数民族儿童步行次数明显少于白人儿童(平均步行次数分别为16.8次和21.9次,p<0.001)。结论:儿童的某些环境知觉与步行水平有关。意识到这些可能有助于制定未来的干预措施,并使医疗保健专业人员能够通过提供针对具体病例的适当建议来鼓励步行。
Objective: To explore the relationship between frequency of walking trips, perceptions of the local environment and individual travel preferences in children.Design: Cross-sectional questionnaire-based study.Setting: Six primary schools in Birmingham, UK, range of socioeconomic classifications.Participants: 473 children aged 9 - 11 years (82% response rate), including 250 (52.9%) boys and 160 (33.8%) from ethnic minority populations.Outcome measures: The primary outcome measure was level of walking ( high or low) based on self-reported walking frequency in the past week. Secondary outcome measures included child perceptions of seven aspects of the local environment and individual travel preference. All outcomes were measured through questionnaires administered at school in the presence of a researcher.Results: 198 (41.9%) children were classified as high walkers and 275 (58.1%) as low walkers. After adjusting for confounding factors, high walkers were more likely to perceive heavy traffic surrounding their homes ( odds ratio ( OR) 1.55, 95% confidence interval (CI) 1.03 to 2.33), unsafe streets ( OR 1.88, 95% CI 1.27 to 2.80) and prefer healthier modes of travel ( OR 1.67, 95% CI 2.56 to 1.08). High walkers were less likely to worry about strangers ( OR 0.66, 95% CI 0.45 to 1.02) and less likely to report no parks or sports grounds nearby ( OR 0.66, 95% CI 0.42 to 1.02). Children from ethnic minority groups walked significantly less than white children ( mean number of walking trips 16.8 and 21.9, respectively, p < 0.001).Conclusions: Certain environmental perceptions are related to walking levels in children. Awareness of these may help in the development of future interventions, and also enable healthcare professionals to encourage walking by providing case-specific and appropriate advice.