Perceived neighborhood environment and physical activity in 11 countries: do associations differ by country?

Perceived neighborhood environment and physical activity in 11 countries: do associations differ by country?
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DOI:
10.1186/1479-5868-10-57
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发表时间:
2013-05-14
期刊:
The international journal of behavioral nutrition and physical activity
影响因子:
--
通讯作者:
Bauman AE
Bauman AE
中科院分区:
其他
文献类型:
--
作者:
Ding D;Adams MA;Sallis JF;Norman GJ;Hovell MF;Chambers CD;Hofstetter CR;Bowles HR;Hagströmer M;Craig CL;Gomez LF;De Bourdeaudhuij I;Macfarlane DJ;Ainsworth BE;Bergman P;Bull FC;Carr H;Klasson-Heggebo L;Inoue S;Murase N;Matsudo S;Matsudo V;McLean G;Sjöström M;Tomten H;Lefevre J;Volbekiene V;Bauman AE

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越来越多的经验证据支持邻里环境与身体活动之间的关联。然而,由于大多数研究是在一个国家,特别是西方国家进行的,因此国际环境中关联的普遍性尚不清楚。当前的研究探讨了邻里环境感知属性与身体活动之间的关联是否因国家/地区而异。使用可比较的方法和测量仪器对来自五大洲 11 个国家的人口代表性样本进行了调查。在逻辑回归模型中测试了邻里环境×国家的相互作用,并根据人口特征进行了调整,结果是满足身体活动建议。报告了特定国家的协会。显着的邻里环境属性×国家相互作用意味着各个邻里属性与满足体育活动建议的关联性在不同国家之间存在一些差异。在 11 个国家中,土地利用组合和人行道与体育活动的关联最为一致。公共交通、自行车设施和低成本娱乐设施的使用与身体活动存在一定的关联,但各国之间的一致性较差。在大多数国家,几乎没有证据支持居住密度和犯罪相关安全与体力活动之间的关联。有证据表明土地利用组合以及人行道的存在与身体活动之间的关联具有普遍性。其他社区特征与体育活动的关联往往因国家而异。未来的研究应包括对邻里环境的客观测量,比较各国报告的心理测量特性,并使用更好的特定模型来进一步了解各国关联的异同。
Increasing empirical evidence supports associations between neighborhood environments and physical activity. However, since most studies were conducted in a single country, particularly western countries, the generalizability of associations in an international setting is not well understood. The current study examined whether associations between perceived attributes of neighborhood environments and physical activity differed by country. Population representative samples from 11 countries on five continents were surveyed using comparable methodologies and measurement instruments. Neighborhood environment × country interactions were tested in logistic regression models with meeting physical activity recommendations as the outcome, adjusted for demographic characteristics. Country-specific associations were reported. Significant neighborhood environment attribute × country interactions implied some differences across countries in the association of each neighborhood attribute with meeting physical activity recommendations. Across the 11 countries, land-use mix and sidewalks had the most consistent associations with physical activity. Access to public transit, bicycle facilities, and low-cost recreation facilities had some associations with physical activity, but with less consistency across countries. There was little evidence supporting the associations of residential density and crime-related safety with physical activity in most countries. There is evidence of generalizability for the associations of land use mix, and presence of sidewalks with physical activity. Associations of other neighborhood characteristics with physical activity tended to differ by country. Future studies should include objective measures of neighborhood environments, compare psychometric properties of reports across countries, and use better specified models to further understand the similarities and differences in associations across countries.
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