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Perceived Built Environment Characteristics Associated With Walking and Cycling Across 355 Communities in 21 Countries Publisher



Boakye K1 ; Bovbjerg M2 ; Branscum A2 ; Matnasir N3 ; Bahonar A4 ; Barbarash O5 ; Yusuf R6 ; Lopezjaramillo P7 ; Seron P8 ; Rosengren A9, 10 ; Yeates K11 ; Chifamba J12 ; Alhabib KF13 ; Davletov K14 Show All Authors
Authors
  1. Boakye K1
  2. Bovbjerg M2
  3. Branscum A2
  4. Matnasir N3
  5. Bahonar A4
  6. Barbarash O5
  7. Yusuf R6
  8. Lopezjaramillo P7
  9. Seron P8
  10. Rosengren A9, 10
  11. Yeates K11
  12. Chifamba J12
  13. Alhabib KF13
  14. Davletov K14
  15. Keskinler MV15
  16. Diaz M16
  17. Kruger L17
  18. Li Y18
  19. Zhiguang L19
  20. Tse LA20
  21. Wielgosz A21
  22. Teo K22
  23. Erkin M23
  24. Rangarajan S22
  25. Lear S24
  26. Yusuf S22
  27. Hystad P2
Show Affiliations
Authors Affiliations
  1. 1. Department of Public Health & Health Services Administration, California State University, Chico, CA, United States
  2. 2. College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States
  3. 3. Primary Care Medicine Discipline, Faculty of Medicine, Universiti Teknologi MARA, Selangor, Sungai Buloh, 47000, Malaysia
  4. 4. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases” (NII KPSSZ), Russian Federation
  6. 6. School of Life Sciences, Independent University, Dhaka, Bangladesh
  7. 7. Masira Research Institute, Medical School, Universidad de Santander (UDES), Bucaramanga, Colombia
  8. 8. Facultad de Medicina, Universidad de La Frontera, Claro Solar 115, Temuco, Chile
  9. 9. Sahlgrenska Academy, University of Gothenburg, Sweden
  10. 10. Sahlgrenska University Hospital, VGR Region, Sweden
  11. 11. Department of Medicine, Queen's University, ON, Canada
  12. 12. Department of Biomedical Sciences, University of Zimbabwe, Harare, Zimbabwe
  13. 13. Department of Cardiac Sciences, King Fahad Cardiac Center, College of Medicine, King Saud Medical City, King Saud University, Saudi Arabia
  14. 14. Al-Farabi Kazakh National University, Health Research Institute, 71 Al-Farabi Avenu, Almaty, Kazakhstan
  15. 15. Istanbul Medeniyet University, Department of Internal Medicine, Kadikoy, Istanbul, 34722, Turkiye
  16. 16. Instituto Cardiovascular de Rosario, Orono 450, Rosario, Argentina
  17. 17. Africa Unit for Transdisciplinary Health Research, North-West University, North-West Province, Potchefstroom, South Africa
  18. 18. Medical Research & Biometrics Center, National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College & Chinese Academy of Medical Sciences, China
  19. 19. Drug Clinical Trial Institution, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
  20. 20. JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong
  21. 21. Department of Medicine, University of Ottawa, Ottawa, ON, Canada
  22. 22. Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Canada
  23. 23. Kyrgyz State Medical Academy, 92 Akhunbaev street, Bishkek, 720020, Kyrgyzstan
  24. 24. Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada

Source: Cities Published:2023


Abstract

Research examining built environment (BE) characteristics and walking/cycling behaviors has been conducted primarily in high-income countries and conclusions cannot be applied directly to low- and middle-income countries. We evaluated perceived BE characteristics and walking/cycling behaviors across 355 urban communities in 21 low-, middle-, and high- income countries using individual data for 39,908 adults in the Prospective Urban and Rural Epidemiology study. The 1-week long-form International Physical Activity Questionnaire was used to measure walking/cycling behaviors. Perceived BE characteristics were measured using the Neighborhood Environment Walkability Scale. Mixed effects logistic regression models examined associations between BE measures and walking for transport (≥150 min/wk), walking for leisure (≥150 min/wk), and any cycling for transport, controlling for individual, household, and community factors. Land-use mix diversity, land-use mix access, and street connectivity were associated with higher odds of walking for transport. Land-use mix diversity, land-use mix access, safety from traffic and safety from crime were associated with higher odds of walking for leisure. Land-use mix diversity, land-use mix access, and aesthetics were associated with higher odds of cycling. Differences in associations were observed by country-income status. Our findings can help guide policy makers globally to implement BE design to encourage walking and cycling behaviors. © 2022 Elsevier Ltd
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