Equity of access to physical activity facilities in an English city

Equity of access to physical activity facilities in an English city
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DOI:
10.1016/j.ypmed.2007.11.005
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发表时间:
2008-04-01
影响因子:
5.1
通讯作者:
Hillsdon, Melvyn
Hillsdon, Melvyn
中科院分区:
医学2区
文献类型:
--
作者:
Panter, Jenna;Jones, Andy;Hillsdon, Melvyn

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目标。考察一个英国城市家庭收入、获得体育设施和健身房的机会以及体育活动之间的关系。2004年8月和9月在诺里奇市的六个社区进行了横断面地理研究。参与者是(n = 401)成年人,他们接受、完成并返回问卷。使用地理信息系统计算道路到设施的距离。至于除健身房以外的所有设施类型,住得最远的人的平均收入最低。与收入最低的人相比,最富裕的参与者与任何类型的设施的平均距离仅为0.5公里,与体育设施的距离为1公里,但与健身房的距离为900米(均p < 0.001)。总的来说,那些住得离健身设施较远的人报告说,他们的活动量较少,尽管他们并不倾向于报告说他们想多锻炼。低收入家庭的人更有可能采取低水平的活动,他们最不容易得到能让他们变得更活跃的负担得起的设施。如果英国政府要达到提高体育活动水平的目标,它可能需要考虑市场力量可能会如何造成设施供应的不公平分配。(C) 2007爱思唯尔公司版权所有。
Objective. To examine associations between household income, access to sports facilities and gyms, and physical activity in an English city.Method. A cross sectional geographical study was conducted in six neighbourhoods in the city of Norwich in August and September 2004. Participants were (n = 401) adults who received, completed, and returned questionnaires. Road distances to facilities were calculated using Geographical Information System.Results. For all facility types except gyms, mean income was lowest amongst those living farthest away. Compared to those with the lowest incomes, the most affluent participants lived on average just over 0.5 km closer to a facility of any type, 1 km closer to a sports facility but 900 m farther from a gym (all p < 0.001). In general, those living farther from facilities reported that they were less active although they did not tend to report a desire to exercise more.Conclusion. People in low income households, who are more likely to adopt low levels of activity, are least well served by affordable facilities that would enable them to become more active. If the British Government is to meet targets for improving levels of physical activity, it may need to consider how market forces might be creating an inequitable distribution of facility provision. (C) 2007 Elsevier Inc. All rights reserved.