The Association between Walking and Perceived Environment in Chinese Community Residents: A Cross-Sectional Study

Abstract

BackgroundThe neighborhood environment, as a determinant of walking, has been assessed in several developed countries. However, few studies have investigated these associations in Chinese populations.ObjectiveTo examine the association between the perceived neighborhood environment and walking for recreation or transportation purposes among Chinese community residents.MethodsWe used a multi-stage stratified random sampling design to conduct a cross-sectional study of 1528 Chinese adults in Shanghai. Environmental and walking variables were assessed using a revised Abbreviated Neighborhood Environment Walkability Scale for Chinese subjects and a long version of International Physical Activity Questionnaire. Self-reported demographic variables including gender, age, employment status, and location of community were also collected. Multiple logistic regression analysis was applied to examine the association between the neighborhood environment and walking.ResultsBased on the results of IPAQ, 13.7% of the overall subjects were physical inactive, which was considered to be lowly active. For all participants, accessibility to services was significantly associated with walking for both recreation and transportation (odds ratio = 1.062, 95% confidence interval: 1.016, 1.110; odds ratio = 1.053; 95% confidence interval: 1.008, 1.100, respectively). In males, accessibility to services was significantly associated both with walking for recreation and walking for transportation. However, a significantly negative association was found between the neighborhood surroundings and walking for recreation. In contrast, females who perceived good traffic safety tended to walk for recreation. Data also revealed a difference between working and retired individuals. Among working participants, perceived environmental variables were not significantly associated with walking for recreation and transportation.ConclusionsThe association between neighborhood environment and walking varied depending on the reason for walking and the characteristics of the participants. Our findings suggest that interventions to promote walking in community residents should include improving the neighborhood environment, particularly accessibility to services such as building more stores, parks, and public transit facilities.

Using spatial measures to test a conceptual model of social infrastructure that supports health and wellbeing

“…All levels of government including federal, state and local, assist client needs including mobility, transport and travel time (Bigotte and Antunes 2007;Bisht et al 2010), and the ability to accommodate new clients, affordability and acceptability in terms of attitudes and preferences (Penchansky and Thomas 1981). Accessibility models also produce health co-benefits derived with increased physical activity associated with the availability of local community services and neighbourhood facilities (King et al 2003;Pikora et al 2006;Leslie and Cerin 2008;Frank et al 2010;Salvador, Reis, and Florindo, 2010;Jia et al 2014;Koohsari et al 2015).…”

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