Texas A&M University, College Station, TX, USA.
Indiana University School of Public Health-Bloomington, Bloomington, IN, USA.
Health Promot Pract. 2024 Mar;25(2):293-308. doi: 10.1177/15248399221133725. Epub 2022 Nov 11.
Promoting physical activity (PA) at the community level is a complex, multisector approach requiring researchers and practitioners to impact the individual, interpersonal, environment, and policy levels. One such strategy aiming to impact systems, policies, and environments is the Centers for Disease Control and Prevention's Activity Friendly Routes to Everyday Destinations (Routes to Destinations). This strategy specifically aims to connect pedestrian, bicycle, and public transportation systems with built environment and land use destinations. This article examines Black/African American transportation and land use experts' perspectives and concerns-across multiple mediums-around inequities that have discouraged PA among Black/African American persons specifically Routes to Destinations strategies. In March 2021, a multifaceted scoping review was conducted of peer-reviewed literature, gray literature, and social media authored by Black/African American transportation and land use experts focusing on policy, system, and environmental changes which promote or discourage equitable and inclusive access to physical activity. Themes from peer-reviewed and gray literature resources included: (1) Assessing Racism, Discrimination, and Segregation; (2) Addressing Equity and Inclusion Through Policy; (3) Community Engagement and Place-Based Interventions; (4) Infrastructure Changes; (5) Safety; and (6) Reporting Health Disparities. Twitter topic models suggested the main topics included elements of race/racism, equity, safety, infrastructure, and advancing social justice. Experts called for systemic and systematic change through new policies and implementation of existing policies as well as enhanced community inclusion in decision-making through ownership of policy and built environment change. Safety was discussed differently between peer-reviewed and gray literature and Twitter discussions indicating a publication bias.
在社区层面促进身体活动（PA）是一项复杂的、多部门的方法，需要研究人员和实践者在个人、人际、环境和政策层面上产生影响。旨在影响系统、政策和环境的策略之一是疾病控制与预防中心的“活动友好型日常目的地路线（Routes to Destinations）”。该策略旨在将行人、自行车和公共交通系统与建筑环境和土地利用目的地连接起来。本文通过多种媒介，探讨了非裔美国人群体的交通和土地使用专家对特定于 Routes to Destinations 策略的、阻碍非裔美国人身体活动的不平等现象的看法和关注。2021 年 3 月，对非裔美国人群体的交通和土地使用专家撰写的同行评议文献、灰色文献和社交媒体进行了多方面的范围综述，重点关注促进或阻碍公平和包容地获得身体活动的政策、系统和环境变化。同行评议和灰色文献资源中的主题包括：（1）评估种族主义、歧视和隔离；（2）通过政策解决公平和包容问题；（3）社区参与和基于地点的干预；（4）基础设施变化；（5）安全；（6）报告健康差异。Twitter 主题模型表明，主要主题包括种族/种族主义、公平、安全、基础设施和推进社会正义等元素。专家呼吁通过新政策和现有政策的实施以及通过对政策和建筑环境变化的所有权来增强社区参与决策，实现系统性和系统性变革。同行评议和灰色文献以及 Twitter 讨论对安全性的讨论方式不同，表明存在出版偏见。
