Effects of Large-Scale Municipal Safe Routes to School Infrastructure on Student Active Travel and Physical Activity: Design, Methods, and Baseline Data of the Safe Travel Environment Evaluation in Texas Schools (STREETS) Natural Experiment.

Effects of Large-Scale Municipal Safe Routes to School Infrastructure on Student Active Travel and Physical Activity: Design, Methods, and Baseline Data of the Safe Travel Environment Evaluation in Texas Schools (STREETS) Natural Experiment.
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DOI:
10.3390/ijerph19031810
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发表时间:
2022-02-05
影响因子:
--
通讯作者:
Durand CP
Durand CP
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Hoelscher DM;Ganzar LA;Salvo D;Kohl HW 3rd;Pérez A;Brown HS;Bentley SS;Dooley EE;Emamian A;Durand CP

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过去对安全上学路线(SRTS)项目的评估范围相对较小,并且缺乏对身体活动的客观测量。2016年,美国德克萨斯州奥斯汀市的一项流动性债券拨款2750万美元用于基础设施改造,以促进主动通勤到学校(ACS)。德克萨斯州学校(街道)安全旅行环境评估研究旨在确定这些基础设施变化对健康的影响。本文的目的是描述STREETS研究的设计、方法和选择的基线结果。STREETS研究由两个设计组成:(1)连续横断面设计,评估ACS患病率的变化;(2)准实验、前瞻性队列设计,检查身体活动的变化。研究组之间的差异(Austin SRTS和比较)评估了学校人口统计、ACS和学校项目。在基线时,14.3%的学校旅行是由ACS进行的,研究组之间无显著差异。只有26%的学校实施了与acs相关的项目。在一些学校和社区层面的特征上,SRTS和比较学校之间存在一些显著差异。需要对地区学校和社区进行实质性的改变,以促进最佳的ACS。STREETS研究的纵向结果将对SRTS计划的最佳未来实施至关重要。
Past evaluations of Safe Routes to School (SRTS) programs have been relatively small in scope and have lacked objective measurements of physical activity. A 2016 Mobility Bond in Austin, Texas, USA, allocated USD 27.5 million for infrastructure changes to facilitate active commuting to schools (ACS). The Safe TRavel Environment Evaluation in Texas Schools (STREETS) study aims to determine the health effects of these infrastructure changes. The purpose of this paper is to describe the STREETS study design, methods, and selected baseline results. The STREETS study is comprised of two designs: (1) a serial cross-sectional design to assess changes in ACS prevalence, and (2) a quasi-experimental, prospective cohort to examine changes in physical activity. Differences between study arms (Austin SRTS and comparison) were assessed for school demographics, ACS, and school programs. At baseline, 14.3% of school trips were made by ACS, with non-significant differences between study arms. Only 26% of schools implemented ACS-related programs. Some significant differences across SRTS and comparison schools were identified for several school- and neighborhood-level characteristics. Substantial changes are needed across area schools and neighborhoods to promote optimum ACS. STREETS study longitudinal findings will be critical for informing optimal future implementations of SRTS programs.
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