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邻里安全与身体活动关系中的社会人口统计学调节因素。

Sociodemographic moderators of relations of neighborhood safety to physical activity.

作者信息

Carlson Jordan A, Bracy Nicole L, Sallis James F, Millstein Rachel A, Saelens Brian E, Kerr Jacqueline, Conway Terry L, Frank Lawrence D, Cain Kelli L, King Abby C

机构信息

1Department of Family and Preventive Medicine, University of California, San Diego, CA; 2Department of Pediatrics and Psychiatry, Seattle Children's Research Institute and University of Washington, Seattle, WA; 3Department of Community and Regional Planning, University of British Columbia, Vancouver BC, CANADA; and 4Department of Health Research and Policy, Stanford University, Stanford, CA.

出版信息

Med Sci Sports Exerc. 2014 Aug;46(8):1554-63. doi: 10.1249/MSS.0000000000000274.

Abstract

PURPOSE

This study aimed to investigate gender, race/ethnicity, education, and income as moderators of relations of perceived neighborhood crime, pedestrian, and traffic safety to physical activity.

METHODS

Participants were from two samples: adults (N = 2199, age = 25-65 yr) and older adults (N = 718, age = 66+ yr) from high- and low-walkable neighborhoods in the Washington, DC, and Seattle, Washington, areas. Neighborhood safety and transportation and leisure walking were assessed via survey, and moderate to vigorous physical activity was assessed using accelerometers. Sociodemographic moderators were investigated using interaction terms and follow-up within-group tests from mixed-effects regression models.

RESULTS

Overall direct effects of safety on physical activity were not found, with one exception. Seven interactions were found in each sample. Interactions were found for all physical activity outcomes, although total moderate to vigorous physical activity was involved in more interactions in adults than older adults. Half of the interactions revealed significant positive relations of pedestrian and traffic safety to physical activity in the more affluent/advantaged group (i.e., high education, high income, and non-Hispanic white) and null associations in the less affluent/advantaged group. Race/ethnicity was a moderator only in older adults. One-third of the interactions involved gender; half of these involved crime safety. Interactions involving crime safety showed nonsignificant positive trends in the more affluent/advantaged group and women and nonsignificant negative trends in the less affluent/advantaged group and men.

CONCLUSIONS

Sociodemographic moderators of neighborhood safety explained some of the variation in adults' and older adults' physical activity. Patterns suggested positive associations between safety and physical activity in participants with more affluent/advantaged sociodemographic characteristics, although some patterns were inconsistent, particularly for gender. More refined conceptualizations and measures of safety are needed to understand if and how these constructs influence physical activity.

摘要

目的

本研究旨在调查性别、种族/民族、教育程度和收入作为感知邻里犯罪、行人及交通安全与身体活动之间关系的调节因素。

方法

参与者来自两个样本:华盛顿特区和华盛顿州西雅图地区高步行便利性和低步行便利性社区的成年人(N = 2199,年龄 = 25 - 65岁)和老年人(N = 718,年龄 = 66岁及以上)。通过调查评估邻里安全、交通及休闲步行情况,使用加速度计评估中度至剧烈身体活动。使用交互项和混合效应回归模型的组内后续检验来研究社会人口学调节因素。

结果

总体而言,未发现安全对身体活动有直接影响,但有一个例外。在每个样本中发现了7个交互作用。在所有身体活动结果中均发现了交互作用,尽管成年人中涉及中度至剧烈身体活动总量的交互作用比老年人更多。一半的交互作用显示,在较富裕/优势群体(即高学历、高收入和非西班牙裔白人)中,行人及交通安全与身体活动之间存在显著正相关,而在较不富裕/优势群体中则无关联。种族/民族仅在老年人中是调节因素。三分之一的交互作用涉及性别;其中一半涉及犯罪安全。涉及犯罪安全的交互作用在较富裕/优势群体和女性中显示出不显著的正趋势,在较不富裕/优势群体和男性中显示出不显著的负趋势。

结论

邻里安全的社会人口学调节因素解释了成年人和老年人身体活动中的一些差异。模式表明,在具有更富裕/优势社会人口学特征的参与者中,安全与身体活动之间存在正相关,尽管有些模式不一致,特别是在性别方面。需要更精细的安全概念化和测量方法来了解这些因素是否以及如何影响身体活动。

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