UTHealth Houston School of Public Health, Houston, TX, USA.
O'Donnell School of Public Health, The University of Texas Southwestern, Dallas, TX, USA.
J Phys Act Health. 2024 Jul 27;21(9):906-915. doi: 10.1123/jpah.2023-0575. Print 2024 Sep 1.
Little research on the association of neighborhood environment with physical activity in resource-poor communities has been done. This study assessed changes in perceptions of the neighborhood environment and the association between those perceptions and physical activity in Mexican Americans on the Texas-Mexico border in an area where there would be community efforts to enhance pedestrian and cycling infrastructure and programming.
We analyzed data from a population-based cohort of Mexican American individuals on the Texas-Mexico border. From 2008 to 2018, interviewer-administered questionnaires were used to collect perceptions of neighborhood environment and physical activity at baseline, 5- and 10-year follow-ups, and at other ancillary study visits, with an average of 3 data points per participant. We conducted multivariable longitudinal logistic regression analyses to assess if the changes in odds of positive perceptions of the neighborhood environment over the study years differed by physical activity patterns.
The sample (n = 1036) was mostly female (71%), born in Mexico (70%), and had no health insurance (69%). We saw improvements in the perceptions of several neighborhood environment attributes from 2008 to 2018, though we saw different longitudinal trajectories in these perceptions based on an individual's longitudinal physical activity patterns. By 2014-2018, we saw significantly higher positive perceptions of the neighborhood environment for those who consistently met physical activity guidelines compared with those who did not (adjusted rate ratio = 1.12, P = .049).
We found that perceptions of many neighborhood environment attributes improved between 2008 and 2018, and that overall positive perceptions were associated with consistently meeting physical activity guidelines over time.
在资源匮乏的社区中，很少有研究关注邻里环境与身体活动之间的关系。本研究评估了德克萨斯-墨西哥边境墨西哥裔美国人对邻里环境的看法的变化，以及这些看法与身体活动之间的关系，在该地区，社区将努力加强行人及自行车基础设施和项目。
我们分析了德克萨斯-墨西哥边境墨西哥裔美国人的一项基于人群的队列研究的数据。在 2008 年至 2018 年期间，使用访谈者管理的问卷收集了参与者在基线、5 年和 10 年随访以及其他辅助研究访问时对邻里环境和身体活动的看法，每个参与者平均有 3 个数据点。我们进行了多变量纵向逻辑回归分析，以评估在研究期间，对邻里环境的积极看法变化的几率是否因身体活动模式而异。
该样本（n=1036）主要为女性（71%），出生于墨西哥（70%），没有医疗保险（69%）。我们看到，尽管根据个人的纵向身体活动模式，对几个邻里环境属性的看法存在不同的纵向轨迹，但从 2008 年到 2018 年，这些看法有所改善。到 2014-2018 年，与那些不符合身体活动指南的人相比，那些始终符合身体活动指南的人对邻里环境的正面看法明显更高（调整后的比率比=1.12，P=0.049）。
我们发现，2008 年至 2018 年间，许多邻里环境属性的看法有所改善，并且总体上的积极看法与随着时间的推移始终符合身体活动指南有关。
