Community Health Research Program, Hood Center for Children and Families, Dartmouth Medical School, One Medical Center Drive, Lebanon, NH 03756-0001, USA.
Am J Prev Med. 2011 Mar;40(3):312-9. doi: 10.1016/j.amepre.2010.11.008.
Most studies of active travel to school (ATS) have been conducted in urban or suburban areas and focused on young children. Little is known about ATS among rural adolescents.
To describe adolescent ATS in two predominantly rural states and determine if school neighborhood built environment characteristics (BECs) predict ATS after adjusting for school and individual characteristics.
Sixteen BECs were assessed through census data and onsite observations of 45 school neighborhoods in 2007. ATS and individual characteristics were assessed through telephone surveys with 1552 adolescents and their parents between 2007 and 2008. Active travelers were defined as those who walked/cycled to/from school ≥1 day/week. Hierarchic linear modeling was used for analysis, conducted in 2009.
Slightly less than half (n=735) of the sample lived within 3 miles of school, of whom 388 (52.8%) were active travelers. ATS frequency varied by season, ranging from a mean of 1.7 (SD=2.0) days/week in the winter to 3.7 (SD=1.6) in the spring. Adolescents who attended schools in highly dense residential neighborhoods with sidewalks were most likely to be active travelers. ATS frequency was greater in school neighborhoods with high residential and intersection densities, on-street parking, food outlets, and taller and continuous buildings with small setbacks.
The BECs that support safe travel may be necessary to allow for ATS, whereas ATS frequency among adolescents may be influenced by a wider variety of design characteristics. Additional strategies to promote ATS and physical activity are needed in rural areas because of long commuting distances for many students.
大多数关于积极上学出行(ATS)的研究都是在城市或郊区进行的,主要针对幼儿。对于农村青少年的 ATS 知之甚少。
描述两个以农村为主的州的青少年 ATS,并确定在调整学校和个人特征后,学校周边的建成环境特征(BEC)是否可以预测 ATS。
通过普查数据评估了 16 个 BEC,并于 2007 年对 45 个学校周边地区进行了现场观察。ATS 和个人特征通过电话调查进行评估,调查对象为 2007 年至 2008 年间的 1552 名青少年及其父母。积极出行者定义为每周至少有 1 天步行/骑车上下学的人。分析于 2009 年进行,采用层次线性模型。
样本中略少于一半(n=735)的人住在离学校 3 英里以内的地方,其中 388 人(52.8%)是积极出行者。ATS 频率因季节而异,从冬季平均每周 1.7 天(SD=2.0)到春季 3.7 天(SD=1.6)不等。居住在有步道的高密度住宅区的青少年最有可能成为积极出行者。ATS 频率在住宅和交叉口密度高、街边停车、食品店以及建筑较高且连续、后退较小的学校周边地区更高。
支持安全出行的 BEC 可能是 ATS 的必要条件,而青少年 ATS 频率可能受到更多设计特征的影响。由于许多学生通勤距离较长,因此需要在农村地区采取额外的策略来促进 ATS 和身体活动。