Institute for Health and Society, Hanyang University, Seoul, Republic of Korea.
Department of Preventive Medicine, College of Medicine, Hanyang University, 222 Wangsimin-ro, Seongdong-gu, Seoul, 04763, Republic of Korea.
Int J Public Health. 2018 Dec;63(9):1109-1121. doi: 10.1007/s00038-018-1138-y. Epub 2018 Jun 30.
In the present study, the association between objectively measured built environments and physical activity (PA) was examined.
Data were obtained from the Korean Community Health Survey (KCHS). A total of 82,419 individuals living in 546 neighborhoods of Gyeonggi province were analyzed. Built environments were measured by geographic information systems (GIS) using Korean government databases. PA was assessed using the IPAQ-short form. Multilevel logistic regression was performed.
Living in a community with a short distance to parks was associated with a 42% increased odds of PA; living in a community with low population density was associated with a 21% decreased odds of PA. However, most variations in PA were attributed to individual factors. Additionally, gender-specific correlates associated with PA were observed.
Although the associations of individual factors with PA were stronger than of community factors, notably, built environments influenced most people in a community. Therefore, along with health education and service, policy makers and planners should consider more parks in less populated areas to create a supportive environment for PA.
本研究旨在探讨客观测量的建成环境与身体活动（PA）之间的关联。
数据来自韩国社区健康调查（KCHS）。共分析了居住在京畿道 546 个街区的 82419 个人。使用韩国政府数据库，通过地理信息系统（GIS）测量建成环境。使用 IPAQ-short 形式评估 PA。进行多水平逻辑回归。
居住在距离公园较近的社区与 PA 增加 42%的几率相关；居住在人口密度低的社区与 PA 减少 21%的几率相关。然而，PA 的大部分变化归因于个体因素。此外，还观察到与 PA 相关的性别特异性因素。
尽管个体因素与 PA 的关联强于社区因素，但值得注意的是，建成环境对社区中的大多数人都有影响。因此，政策制定者和规划者除了开展健康教育和服务外，还应考虑在人口较少的地区增加更多公园，为 PA 创造支持性环境。
