Association between perceived access to public transport stops and physical activity among adults in Nanjing, Mainland China: A cross-sectional study

Zhiyong Wang, Yuyang Ma, Zhenzhen Qin, Qing Ye, Zhen Xu, Lingyun Han, Peng Jia, Fei Xu

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

Background: The public transport access, an important dimension of neighborhood built environments and usually defined as the access to public transport stops/stations (PTS), has been revealed to be associated with more participation in physical activity (PA) in western countries. The perceptions of such features could have additional benefits to healthy behaviors. However, such research is lacking in developing countries. This study aimed to explore the association between perceived PTS access and PA participation among urban adults in China.

Methods: A population-based cross-sectional survey conducted in Nanjing in 2017 was used, where 1,568 participants aged 35–74 were recruited from eight randomly selected urban neighborhoods under a multi-stage sampling strategy. The individual's PTS access and PA participation were self-reported using the Physical Activity Neighborhood Environment Scale and the International Physical Activity Questionnaire, respectively. Mixed-effect logistic regression models were used to estimate the association between perceived PTS access and PA participation.

Results: Among 1,551 participants who completed the survey, 84.7% of participants achieved the World Health Organization (WHO) recommended PA level. After adjusting for potential individual- and neighborhood-level confounders, participants who perceived a PTS within 10–15 min’ walking distance from their residence were 3.18 (95%CI = [1.74, 5.80]) times more likely to meet WHO recommended PA guidelines than their counterparts who did not perceive any PTS in their neighborhoods. This association also held true in either men (OR = 2.71, 95%CI = [1.07, 6.86]) or women (OR = 3.50, 95%CI = [1.59, 7.70]), separately.

Conclusions: Such findings will provide health practitioners and urban planners evidence-based insights on potential health effects of expanding and improving public transport systems, and on how to incorporate these effects into strategies of PA promotion and chronic disease prevention.
Original languageEnglish
Pages (from-to)12-18
Number of pages7
JournalJournal of Transport and Health
Volume13
Early online date13 Mar 2019
DOIs
Publication statusPublished - 1 Jun 2019

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public transport
cross-sectional study
China
Cross-Sectional Studies
Health
Exercise
participation
Developing countries
WHO
Logistics
Sampling
Logistic Models
Urban Health
urban planner
transport system
health
Developing Countries
Walking
Chronic Disease
promotion

Keywords

  • ITC-ISI-JOURNAL-ARTICLE

Cite this

@article{7074140b1ba5411e8669c8fdd6b10d84,
title = "Association between perceived access to public transport stops and physical activity among adults in Nanjing, Mainland China: A cross-sectional study",
abstract = "Background: The public transport access, an important dimension of neighborhood built environments and usually defined as the access to public transport stops/stations (PTS), has been revealed to be associated with more participation in physical activity (PA) in western countries. The perceptions of such features could have additional benefits to healthy behaviors. However, such research is lacking in developing countries. This study aimed to explore the association between perceived PTS access and PA participation among urban adults in China.Methods: A population-based cross-sectional survey conducted in Nanjing in 2017 was used, where 1,568 participants aged 35–74 were recruited from eight randomly selected urban neighborhoods under a multi-stage sampling strategy. The individual's PTS access and PA participation were self-reported using the Physical Activity Neighborhood Environment Scale and the International Physical Activity Questionnaire, respectively. Mixed-effect logistic regression models were used to estimate the association between perceived PTS access and PA participation.Results: Among 1,551 participants who completed the survey, 84.7{\%} of participants achieved the World Health Organization (WHO) recommended PA level. After adjusting for potential individual- and neighborhood-level confounders, participants who perceived a PTS within 10–15 min’ walking distance from their residence were 3.18 (95{\%}CI = [1.74, 5.80]) times more likely to meet WHO recommended PA guidelines than their counterparts who did not perceive any PTS in their neighborhoods. This association also held true in either men (OR = 2.71, 95{\%}CI = [1.07, 6.86]) or women (OR = 3.50, 95{\%}CI = [1.59, 7.70]), separately.Conclusions: Such findings will provide health practitioners and urban planners evidence-based insights on potential health effects of expanding and improving public transport systems, and on how to incorporate these effects into strategies of PA promotion and chronic disease prevention.",
keywords = "ITC-ISI-JOURNAL-ARTICLE",
author = "Zhiyong Wang and Yuyang Ma and Zhenzhen Qin and Qing Ye and Zhen Xu and Lingyun Han and Peng Jia and Fei Xu",
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Association between perceived access to public transport stops and physical activity among adults in Nanjing, Mainland China : A cross-sectional study. / Wang, Zhiyong; Ma, Yuyang; Qin, Zhenzhen; Ye, Qing; Xu, Zhen; Han, Lingyun; Jia, Peng; Xu, Fei .

In: Journal of Transport and Health, Vol. 13, 01.06.2019, p. 12-18.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Association between perceived access to public transport stops and physical activity among adults in Nanjing, Mainland China

T2 - A cross-sectional study

AU - Wang, Zhiyong

AU - Ma, Yuyang

AU - Qin, Zhenzhen

AU - Ye, Qing

AU - Xu, Zhen

AU - Han, Lingyun

AU - Jia, Peng

AU - Xu, Fei

PY - 2019/6/1

Y1 - 2019/6/1

N2 - Background: The public transport access, an important dimension of neighborhood built environments and usually defined as the access to public transport stops/stations (PTS), has been revealed to be associated with more participation in physical activity (PA) in western countries. The perceptions of such features could have additional benefits to healthy behaviors. However, such research is lacking in developing countries. This study aimed to explore the association between perceived PTS access and PA participation among urban adults in China.Methods: A population-based cross-sectional survey conducted in Nanjing in 2017 was used, where 1,568 participants aged 35–74 were recruited from eight randomly selected urban neighborhoods under a multi-stage sampling strategy. The individual's PTS access and PA participation were self-reported using the Physical Activity Neighborhood Environment Scale and the International Physical Activity Questionnaire, respectively. Mixed-effect logistic regression models were used to estimate the association between perceived PTS access and PA participation.Results: Among 1,551 participants who completed the survey, 84.7% of participants achieved the World Health Organization (WHO) recommended PA level. After adjusting for potential individual- and neighborhood-level confounders, participants who perceived a PTS within 10–15 min’ walking distance from their residence were 3.18 (95%CI = [1.74, 5.80]) times more likely to meet WHO recommended PA guidelines than their counterparts who did not perceive any PTS in their neighborhoods. This association also held true in either men (OR = 2.71, 95%CI = [1.07, 6.86]) or women (OR = 3.50, 95%CI = [1.59, 7.70]), separately.Conclusions: Such findings will provide health practitioners and urban planners evidence-based insights on potential health effects of expanding and improving public transport systems, and on how to incorporate these effects into strategies of PA promotion and chronic disease prevention.

AB - Background: The public transport access, an important dimension of neighborhood built environments and usually defined as the access to public transport stops/stations (PTS), has been revealed to be associated with more participation in physical activity (PA) in western countries. The perceptions of such features could have additional benefits to healthy behaviors. However, such research is lacking in developing countries. This study aimed to explore the association between perceived PTS access and PA participation among urban adults in China.Methods: A population-based cross-sectional survey conducted in Nanjing in 2017 was used, where 1,568 participants aged 35–74 were recruited from eight randomly selected urban neighborhoods under a multi-stage sampling strategy. The individual's PTS access and PA participation were self-reported using the Physical Activity Neighborhood Environment Scale and the International Physical Activity Questionnaire, respectively. Mixed-effect logistic regression models were used to estimate the association between perceived PTS access and PA participation.Results: Among 1,551 participants who completed the survey, 84.7% of participants achieved the World Health Organization (WHO) recommended PA level. After adjusting for potential individual- and neighborhood-level confounders, participants who perceived a PTS within 10–15 min’ walking distance from their residence were 3.18 (95%CI = [1.74, 5.80]) times more likely to meet WHO recommended PA guidelines than their counterparts who did not perceive any PTS in their neighborhoods. This association also held true in either men (OR = 2.71, 95%CI = [1.07, 6.86]) or women (OR = 3.50, 95%CI = [1.59, 7.70]), separately.Conclusions: Such findings will provide health practitioners and urban planners evidence-based insights on potential health effects of expanding and improving public transport systems, and on how to incorporate these effects into strategies of PA promotion and chronic disease prevention.

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