D'Hooghe Suzannah, Inaç Yasemin, Deforche Benedicte, Van Dyck Delfien, de Ridder Karin, Vandevijvere Stefanie, Van de Weghe Nico, Dury Sarah
Sciensano, Department of Epidemiology and Public Health, Belgium.
Ghent University, Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, Belgium.
SSM Popul Health. 2023 Jul 8;23:101456. doi: 10.1016/j.ssmph.2023.101456. eCollection 2023 Sep.
Persons in socioeconomically disadvantaged situations (PSEDS) are generally less likely to engage in recreational walking (RW) compared to higher socioeconomic groups and are often more dependent on their local environment. Studies on RW have primarily focused on the role of the built environment for the general adult population and the older population in urban areas. The aim of this study is to qualitatively identify the perceived environmental factors affecting RW among PSEDS in peri-urban areas.
In two peri-urban municipalities in Belgium, walk-along interviews were conducted until data saturation with a purposeful convenience sampling of 38 PSEDS (25-65y/o) to identify local environmental factors affecting RW. A subsample of 22 participants joined a focus group ( = 4) to categorize the identified factors into environmental types (physical, sociocultural, political, and economic) of the Analysis Grid for Environments Linked to Obesity (ANGELO) framework. The interviews were transcribed and analyzed thematically using Maxqda 2022.0.
The information environment (dissemination, retrieving and understanding of information) was added to the ANGELO framework, highlighting the importance of digital literacy. Availability and accessibility of well-maintained walking surfaces, toilets, street lighting and seating options (physical environment), social support, dog-ownership, stigmatization, social isolation, and a sense of belonging (sociocultural environment) and indirect costs (economic environment) were identified as important environmental factors in RW among PSEDS. The identified political and economic factors are intertwined with the other environments.
Perceived environmental factors affect RW among PSEDS and peri-urban settings offer specific challenges. Local governments should incorporate citizen perception into decision-making processes to create supportive environments that have the potential to promote RW among PSEDS in a peri-urban setting.
与社会经济地位较高的群体相比，社会经济处于不利地位的人群（PSEDS）通常较少参与休闲步行（RW），并且往往更依赖于当地环境。关于休闲步行的研究主要集中在建成环境对城市地区一般成年人口和老年人口的作用。本研究的目的是定性识别影响城郊地区社会经济处于不利地位人群休闲步行的感知环境因素。
在比利时的两个城郊市镇，进行了边走边谈式访谈，对38名社会经济处于不利地位的人群（25 - 65岁）进行了有目的的便利抽样，直至数据饱和，以识别影响休闲步行的当地环境因素。22名参与者的子样本参加了焦点小组（共4个），将识别出的因素按照与肥胖相关环境分析网格（ANGELO）框架的环境类型（物理、社会文化、政治和经济）进行分类。访谈内容被转录，并使用Maxqda 2022.0进行主题分析。
信息环境（信息的传播、获取和理解）被添加到ANGELO框架中，突出了数字素养的重要性。维护良好的步行路面、厕所、路灯和座位选择的可用性和可达性（物理环境）、社会支持、养狗、污名化、社会孤立和归属感（社会文化环境）以及间接成本（经济环境）被确定为社会经济处于不利地位人群休闲步行中的重要环境因素。识别出的政治和经济因素与其他环境相互交织。
感知环境因素影响社会经济处于不利地位人群的休闲步行，城郊环境带来了特定挑战。地方政府应将公民的感知纳入决策过程，以创造支持性环境，有可能促进城郊地区社会经济处于不利地位人群的休闲步行。
