Kloss Rodrigo Fuentes, Lorca Jaime Cerda, Rivera Attilio Rigotti, Saldaña Belen Fierro, de Victo Eduardo Rossato, Ferrari Gerson
Departamento de Kinesiologia. Escuela de Ciencias de la Salud, Facultad de Medicina. , Pontificia Universidad Católica de Chile, Santiago, Chile.
Departamento de Salud Pública, Facultad de Medicina, Pontifica Universidad Católica de Chile, Santiago, Chile.
BMC Public Health. 2025 Mar 11;25(1):969. doi: 10.1186/s12889-025-22138-z.
Various indicators of neighborhood environmental perceptions are differently associated with physical activity (PA) domains, with notable variations by sex. However, few studies in Latin America have examined these associations across distinct PA domains. In this study, we analyzed the relationship between neighborhood environmental perceptions and PA in the domains of transportation and leisure among Chilean adults.
This cross-sectional analytical study included 770 participants from the 2014-2016 Latin American Nutrition and Health Survey (ELANS). Perceptions of land use diversity, access to land use, street connectivity, walking and cycling infrastructure, aesthetics, safety from crime, and neighborhood traffic were assessed using the Neighborhood Environment Walkability Scale-Abbreviated (NEWS-A) questionnaire. PA was measured with the International Physical Activity Questionnaire-Long Form (IPAQ-LF), focusing on the transportation and leisure-time domains. Logistic regression and multiple linear regression models were used for the analysis.
Logistic regression analysis in men showed no association between neighborhood characteristics and PA in the transportation or leisure-time domains. However, for women, greater perception of facilities for walking or cycling was inversely associated with transportation PA (OR: 0.62; 95%CI: 0.42;0.92). In the multiple linear regression analysis, higher perceived traffic safety was associated with greater PA (min/week) for both transportation (β: 0.098; 95%CI: 0.005;0.192) and leisure time (β: 0.160, 95%CI: 0.012;0.309). For men, higher scores for perceived access to land use were inversely associated with leisure-time PA (β: -0.150, 95%CI: -0.266;-0.034).
Different perceived neighborhood characteristics are associated with PA across various domains, with notable gender differences. A better perceived condition of traffic safety would promote urban population to engage in more transportation and leisure-time PA.
ClinicalTrials.Gov NCT02226627. Retrospectively registered on August 27, 2014.
ClinicalTrials.Gov NCT02226627. Retrospectively registered on August 27, 2014.
邻里环境感知的各种指标与身体活动（PA）领域的关联各不相同，且存在显著的性别差异。然而，拉丁美洲很少有研究考察这些关联在不同PA领域的情况。在本研究中，我们分析了智利成年人在交通和休闲领域的邻里环境感知与PA之间的关系。
这项横断面分析研究纳入了770名来自2014 - 2016年拉丁美洲营养与健康调查（ELANS）的参与者。使用邻里环境步行适宜性量表简版（NEWS - A）问卷评估对土地利用多样性、土地利用可达性、街道连通性、步行和自行车基础设施、美观性、犯罪安全性以及邻里交通的感知。PA通过国际体力活动问卷长版（IPAQ - LF）进行测量，重点关注交通和休闲时间领域。采用逻辑回归和多元线性回归模型进行分析。
男性的逻辑回归分析显示，邻里特征与交通或休闲时间领域的PA之间无关联。然而，对于女性而言，对步行或自行车设施的更高感知与交通PA呈负相关（比值比：0.62；95%置信区间：0.42；0.92）。在多元线性回归分析中，更高的交通安全感与交通（β：0.098；95%置信区间：0.005；0.192）和休闲时间（β：0.160，95%置信区间：0.012；0.309）的更多PA（分钟/周）相关。对于男性而言，更高的土地利用可达性感知得分与休闲时间PA呈负相关（β： - 0.150，95%置信区间： - 0.266； - 0.034）。
不同的邻里感知特征与不同领域的PA相关，存在显著的性别差异。更好的交通安全感会促使城市居民参与更多的交通和休闲时间PA。
ClinicalTrials.Gov NCT02226627。于2014年8月27日进行回顾性注册。
ClinicalTrials.Gov NCT02226627。于2014年8月27日进行回顾性注册。
