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主动出行方面与收入相关的差异是否与物理环境特征相关?一种多层次生态方法。

Are income-related differences in active travel associated with physical environmental characteristics? A multi-level ecological approach.

作者信息

Rind Esther, Shortt Niamh, Mitchell Richard, Richardson Elizabeth A, Pearce Jamie

机构信息

Centre for Research on Environment, Society and Health (CRESH), Institute of Geography, School of GeoSciences, University of Edinburgh, Edinburgh, UK.

Centre for Research on Environment, Society and Health (CRESH), Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

出版信息

Int J Behav Nutr Phys Act. 2015 Jun 5;12:73. doi: 10.1186/s12966-015-0217-1.

Abstract

BACKGROUND

Rates of active travel vary by socio-economic position, with higher rates generally observed among less affluent populations. Aspects of both social and built environments have been shown to affect active travel, but little research has explored the influence of physical environmental characteristics, and less has examined whether physical environment affects socio-economic inequality in active travel. This study explored income-related differences in active travel in relation to multiple physical environmental characteristics including air pollution, climate and levels of green space, in urban areas across England. We hypothesised that any gradient in the relationship between income and active travel would be least pronounced in the least physically environmentally-deprived areas where higher income populations may be more likely to choose active transport as a means of travel.

METHODS

Adults aged 16+ living in urban areas (n = 20,146) were selected from the 2002 and 2003 waves of the UK National Travel Survey. The mode of all short non-recreational trips undertaken by the sample was identified (n = 205,673). Three-level binary logistic regression models were used to explore how associations between the trip being active (by bike/walking) and three income groups, varied by level of multiple physical environmental deprivation.

RESULTS

Likelihood of making an active trip among the lowest income group appeared unaffected by physical environmental deprivation; 15.4% of their non-recreational trips were active in both the least and most environmentally-deprived areas. The income-related gradient in making active trips remained steep in the least environmentally-deprived areas because those in the highest income groups were markedly less likely to choose active travel when physical environment was 'good', compared to those on the lowest incomes (OR = 0.44, 95% CI = 0.22 to 0.89).

CONCLUSIONS

The socio-economic gradient in active travel seems independent of physical environmental characteristics. Whilst more affluent populations enjoy advantages on some health outcomes, they will still benefit from increasing their levels of physical activity through active travel. Benefits of active travel to the whole community would include reduced vehicle emissions, reduced carbon consumption, the preservation or enhancement of infrastructure and the presentation of a 'normalised' behaviour.

摘要

背景

主动出行率因社会经济地位而异,一般在较贫困人群中观察到更高的比率。社会环境和建成环境的各个方面都已被证明会影响主动出行,但很少有研究探讨物理环境特征的影响,更少有人研究物理环境是否会影响主动出行中的社会经济不平等。本研究探讨了英格兰各城市地区与多种物理环境特征(包括空气污染、气候和绿地水平)相关的主动出行中与收入相关的差异。我们假设,在物理环境剥夺程度最低的地区,收入与主动出行之间关系的任何梯度都将最不明显,在这些地区,高收入人群可能更有可能选择主动交通作为出行方式。

方法

从2002年和2003年英国国家出行调查的各波数据中选取居住在城市地区的16岁及以上成年人(n = 20146)。确定了样本进行的所有短途非休闲出行的方式(n = 205673)。使用三级二元逻辑回归模型来探讨主动出行(骑自行车/步行)与三个收入组之间的关联如何因多种物理环境剥夺水平而异。

结果

最低收入组进行主动出行的可能性似乎不受物理环境剥夺的影响;在环境剥夺程度最低和最高的地区,他们15.4%的非休闲出行都是主动出行。在环境剥夺程度最低的地区,主动出行中与收入相关的梯度仍然很大,因为与最低收入人群相比,在物理环境“良好”时,最高收入组的人群选择主动出行的可能性明显更低(比值比 = 0.44,95%置信区间 = 0.22至0.89)。

结论

主动出行中的社会经济梯度似乎与物理环境特征无关。虽然较富裕人群在某些健康结果方面享有优势,但他们仍将受益于通过主动出行增加身体活动水平。主动出行对整个社区的好处将包括减少车辆排放、降低碳消耗、保护或改善基础设施以及呈现一种“常态化”行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fde/4461897/e0ae72d1b1e8/12966_2015_217_Fig1_HTML.jpg

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