ORCID Profile
0000-0003-0102-0225
Current Organisation
RMIT University
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In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Public Health and Health Services | Community Child Health | Transport Planning | Urban And Regional Planning | Community Planning | Health Promotion | Public Policy | Urban and Regional Planning | Policy and Administration | Epidemiology | Preventive Medicine | Health Promotion | Sustainable Development | Urban Design |
Behaviour and Health | Child Health | School/Institution Community and Environment | Public Health (excl. Specific Population Health) not elsewhere classified | Preventive Medicine | Public health not elsewhere classified | Studies in human society | Social Class and Inequalities | Behaviour and health | Environmentally Sustainable Transport not elsewhere classified
Publisher: Informa UK Limited
Date: 18-07-2017
Publisher: Springer Science and Business Media LLC
Date: 12-2014
Publisher: Springer Science and Business Media LLC
Date: 16-02-2016
Publisher: Elsevier BV
Date: 05-2010
DOI: 10.1016/J.SOCSCIMED.2010.01.021
Abstract: The aim of this study is to examine the association between sense of community, walking, and neighborhood design characteristics. The current study is based on a sub-s le of participants (n=609) from the US Atlanta SMARTRAQ study who completed a telephone survey capturing physical activity patterns, neighborhood perceptions, and social interactions. Objective measures of neighborhood form were also computed. Univariate and multivariate models (General Linear Models (GLM)) were used to examine the association between sense of community (SofC) and aspects of the built environment, physical activity, and neighborhood perceptions. In multivariate models the impact on SofC was examined with progressive adjustment for demographics characteristics followed by walking behavior, neighborhood design features, neighborhood perceptions and time spent traveling in a car. After adjustment, SofC was positively associated with leisurely walking (days/week), home ownership, seeing neighbors when walking and the presence of interesting sites. SofC was also associated with higher commercial floor space to land area ratios (FAR) - a proxy for walkable site design that captures the degree to which retail destinations are set back from the street, the amount of surface parking, and urban design of an area. Conversely the presence of more mixed use and perceptions of steep hills were inversely associated with SofC. SofC is enhanced by living in areas that encourage leisurely walking, hence it is associated with living in neighbourhoods with lower levels of land use mix, but higher levels of commercial FAR. Our results suggest that in terms of SofC, the presence of commercial destinations may inhibit social interaction among local residents unless urban design is used to create convivial pedestrian-friendly commercial areas, e.g., providing street frontage, rather than flat surface parking. This finding has policy implications and warrants further investigation.
Publisher: Springer Science and Business Media LLC
Date: 18-02-2015
Publisher: Elsevier BV
Date: 2012
DOI: 10.1016/J.HEALTHPLACE.2011.09.010
Abstract: There is growing recognition that partnerships with policy-makers and practitioners are critical, if active living research has any chance of being translated into policy and practice. These partnerships provide researchers insight into policy-relevant research questions create an appetite for the research findings amongst policy-makers and help create 'ch ions' for the research who can assist in advocating for the findings to be translated. Drawing on experience, this commentary describes partnerships that have worked in Australia, and reflects on lessons that have contributed to success.
Publisher: Elsevier BV
Date: 08-2016
Abstract: To investigate the effect of sibling age, gender and dog ownership on children's independent mobility and how this varies according to the destination visited. Parents reported whether their child had an older sibling if the child and older sibling were of the same gender the number of older siblings if they owned a dog and whether their child was allowed to independently travel to school, friends' or family house, park/oval/sporting field and local shop. Data were analysed for 181 children aged 8-15 years. The strongest significant sibling effect for independently mobility to school, local shop and ≥3 destinations was for having an older sibling of the same gender (p≤0.05). For independent mobility to a friend's house and park, the strongest significant sibling effect was for having one older sibling (p≤0.05). Dog ownership was associated with increased odds of being independently mobile to ≥3 destinations (OR=2.43 95%CI=1.03-5.74). Parents may be more likely to grant children licence to travel to local places if they are accompanied by an older sibling or the family dog. Understanding the effects of siblings and dog ownership on children's independent mobility will assist in identifying strategies through which independent mobility can be encouraged.
Publisher: Elsevier BV
Date: 11-2010
DOI: 10.1016/J.HEALTHPLACE.2010.07.007
Abstract: This study explored the relationship between neighbourhood design and residents' fear of crime in new suburban housing developments. Self-report and objective data were collected as part of the RESIDential Environments (RESIDE) Project. A neighbourhood form index based on the planning and land-use characteristics that draw people into public space, facilitate pedestrian movement and ensure the presence of 'territorial guardians' was developed for each participant (n=1059) from objective environmental data. With each additional index attribute, the odds of being fearful reduced (trend test p value=0.001), and this persisted even after progressive adjustment for demographics, victimisation, collective efficacy and perceived problems. The findings support the notion that a more walkable neighbourhood is also a place, where residents feel safer, and provides further evidence endorsing a shift away from low density, curvilinear suburban developments towards more walkable communities with access to shops, parks and transit.
Publisher: Human Kinetics
Date: 2014
Abstract: This study explored in idual, social, and built environmental attributes in and outside of the retirement village setting and associations with various active living outcomes including objectively measured physical activity, specific walking behaviors, and social participation. Residents in Perth, Australia ( N = 323), were surveyed on environmental perceptions of the village and surrounding neighborhood, self-reported physical activity, and demographic characteristics and wore accelerometers. Managers ( N = 32) were surveyed on village characteristics, and objective neighborhood measures were generated in a Geographic Information System (GIS). Results indicated that built- and social-environmental attributes within and outside of retirement villages were associated with active living among residents however, salient attributes varied depending on the specific outcome considered. Findings suggest that locating villages close to destinations is important for walking and that locating them close to previous and familiar neighborhoods is important for social participation. Further understanding and consideration into retirement village designs that promote both walking and social participation are needed.
Publisher: Unpublished
Date: 2014
Publisher: Oxford University Press (OUP)
Date: 02-2004
DOI: 10.1093/HER/CYG003
Publisher: SAGE Publications
Date: 04-12-2012
Abstract: Few studies have specifically investigated fear of crime as a deterrent to walking. This study tested the hypothesis that fear would inhibit residents from walking in their local neighborhoods. Homeowners ( n = 1,044) in Perth, Western Australia, reported their fear of crime, neighborhood problems and walking, and objective environmental measures were generated for each participant’s neighborhood. Multivariate logistic regression models examined the association between fear and walking, with progressive adjustment for other correlates. Fear was associated with lower odds of transport walking (OR = 0.79, p = .034) however, car access was ubiquitous so fearful participants could avoid walking. A similar association between fear and recreational walking attenuated after controlling for other neighborhood factors. Findings suggest that the capacity for fear to deter recreational walkers is not fixed, and that a supportive environment can lessen its impact. Community initiatives that encourage social interaction between residents and improve neighborhood aesthetics may increase levels of recreational walking.
Publisher: Springer Science and Business Media LLC
Date: 21-06-2012
Publisher: Oxford University Press (OUP)
Date: 10-2003
DOI: 10.1093/HER/CYF039
Abstract: Research has shown that the media over-estimates smoking rates and often associates smoking with favorable attributes or situations. Given that the media plays a large role in influencing youth culture, portrayal of smoking in the media is of concern. In order to explore young people's perceptions of smoking imagery in the media, 16 focus groups were conducted with 117 school students. Participants were asked to rate smoking images selected from audio-visual and print media, and to discuss their perceptions of these images. The results showed that young people perceived smoking in these media selections to be normal and acceptable. They identified with the stress-relieving and social aspects of smoking, despite being well aware of the harmful health effects. Its acceptability as part of a 'cool' image was also noted. Positive images of smoking in the media have the potential to down-play the serious health consequences of smoking by portraying it in a way that young people interpret as a normal part of everyday life. They may also encourage a more neutral or tolerant attitude towards smoking among young people and therefore act to counteract other health promotion efforts to reduce teenage smoking.
Publisher: Human Kinetics
Date: 2013
DOI: 10.1123/JPAH.10.1.5
Abstract: Self-selection—whether in iduals inclined to walk more seek to live in walkable environments—must be accounted for when studying built environment influences on walking. The way neighborhoods are marketed to future residents has the potential to sway residential location choice, and may consequently affect measures of self-selection related to location preferences. We assessed how walking opportunities are promoted to potential buyers, by examining walkability attributes in marketing materials for housing developments. A content analysis of marketing materials for 32 new housing developments in Perth, Australia was undertaken, to assess how walking was promoted in the text and pictures. Housing developments designed to be pedestrian-friendly (LDs) were compared with conventional developments (CDs). Compared with CDs, LD marketing materials had significantly more references to ‘public transport,’ ‘small home sites,’ ‘walkable parks/open space,’ ‘ease of cycling,’ ‘safe environment,’ and ‘boardwalks.’ Other walk-ability attributes approached significance. Findings suggest the way neighborhoods are marketed may contribute to self-reported reasons for choosing particular neighborhoods, especially when attributes are not present at the time of purchase. The marketing of housing developments may be an important factor to consider when measuring self-selection, and its influence on the built environment and walking relationship.
Publisher: Elsevier BV
Date: 12-2016
Publisher: Wiley
Date: 03-02-2015
DOI: 10.1111/JPC.12822
Publisher: Oxford University Press (OUP)
Date: 15-04-2002
Abstract: "Kidskin" was a 5-year (1995-1999), school-based intervention trial among first-grade children in Perth, Western Australia. It aimed to assess whether a sun-protection intervention could protect against nevus development on the trunk, face, and arms. Included were a control group, a "moderate intervention" group, and a "high intervention" group. Control schools taught the standard health curriculum, while intervention schools received a specially designed sun-protection curriculum over 4 years. The high intervention group also received program materials over summer vacations when sun exposure was likely to be highest and were offered low-cost sun-protective swimwear. After adjustment for baseline nevus counts and potential confounding, nevus counts on all body sites were slightly lower in both intervention groups relative to the control group at follow-up, although the differences were not statistically significant and the high intervention was no more protective. Children in the moderate and high intervention groups, respectively, had fewer nevi on the back (6%, 95% confidence interval (CI): 0, 12 4%, 95% CI: -3, 11), chest (boys) (5%, 95% CI: -4, 13 3%, 95% CI: -8, 14), face (11%, 95% CI: 0, 21 9%, 95% CI: -6, 21), and arms (8%, 95% CI: -1, 17 3%, 95% CI: -10, 14).
Publisher: Elsevier BV
Date: 03-2012
DOI: 10.1016/J.HEALTHPLACE.2011.09.019
Abstract: This study explored children's activity spaces. In 2007, children aged 10-12 years (n=1480) completed a survey and mapping activity, and wore a pedometer for seven days. Their parents completed a survey (n=1314). Over half traveled <25% of their 'neighborhood', defined as 800 m and 1600 m network buffers. More local destinations (boys β=-0.022 girls β=-0.013) and parent report of living on a busy road (girls β=-0.43) were associated with smaller activity spaces whereas being independently mobile resulted in larger (girls β=0.28) ones. Traditionally defined neighborhoods may not reflect children's movements. Freedom, fewer local destinations and traffic safety may be important for increasing spatial ranges.
Publisher: Elsevier BV
Date: 03-2011
DOI: 10.1016/J.HEALTHPLACE.2010.12.011
Abstract: The impact of neighborhood walkability (based on street connectivity and traffic exposure) within 2 km of public primary schools on children regularly walking to school was examined. The most (n=13) and least walkable (n=12) schools were selected using a school-specific 'walkability' index and a cross sectional study undertaken of Year 5, 6 and 7 children (n=1480) and consenting parents (n=1332). After adjustment, regularly walking to school was higher in children attending schools in high walkable neighborhoods (i.e, high street connectivity and low traffic volume) (Odds ratio (OR) 3.63 95% Confidence Interval (CI) 2.01-6.56), and less likely in neighborhoods with high connectivity but high traffic volume (OR 0.32 95% CI 0.22-0.47). Connected street networks provide direct routes to school but when designed for heavy traffic, the potential for children to walk to school is reduced. This highlights the importance of carefully considering school siting and, particularly, street design in school neighborhoods.
Publisher: Springer Science and Business Media LLC
Date: 2006
Publisher: Elsevier BV
Date: 02-2005
DOI: 10.1016/J.AMEPRE.2004.10.018
Abstract: Well-designed public open space (POS) that encourages physical activity is a community asset that could potentially contribute to the health of local residents. In 1995-1996, two studies were conducted-an environmental audit of POS over 2 acres (n =516) within a 408-km2 area of metropolitan Perth, Western Australia and personal interviews with 1803 adults (aged 18 to 59 years) (52.9% response rate). The association between access to POS and physical activity was examined using three accessibility models that progressively adjusted for distance to POS, and its attractiveness and size. In 2002, an observational study examined the influence of attractiveness on the use of POS by observing users of three pairs of high- and low-quality (based on attractiveness) POS matched for size and location. Overall, 28.8% of respondents reported using POS for physical activity. The likelihood of using POS increased with increasing levels of access, but the effect was greater in the model that adjusted for distance, attractiveness, and size. After adjustment, those with very good access to large, attractive POS were 50% more likely to achieve high levels of walking (odds ratio, 1.50 95% confidence level, 1.06-2.13). The observational study showed that after matching POS for size and location, 70% of POS users observed visited attractive POS. Access to attractive, large POS is associated with higher levels of walking. To increase walking, thoughtful design (and redesign) of POS is required that creates large, attractive POS with facilities that encourage active use by multiple users (e.g., walkers, sports participants, picnickers).
Publisher: Elsevier BV
Date: 2014
DOI: 10.1016/J.HEALTHPLACE.2013.10.005
Abstract: We explored the impact of neighborhood walkability on young adults, early-middle adults, middle-aged adults, and older adults' walking across different neighborhood buffers. Participants completed the Western Australian Health and Wellbeing Surveillance System Survey (2003-2009) and were allocated a neighborhood walkability score at 200m, 400m, 800m, and 1600m around their home. We found little difference in strength of associations across neighborhood size buffers for all life stages. We conclude that neighborhood walkability supports more walking regardless of adult life stage and is relevant for small (e.g., 200m) and larger (e.g., 1600m) neighborhood buffers.
Publisher: Informa UK Limited
Date: 04-05-2022
Publisher: Informa UK Limited
Date: 2008
DOI: 10.1080/17477160802113225
Abstract: We examined associations between density of and proximity to fast food outlets and body weight in a s le of children (137 aged 8-9 years and 243 aged 13-15 years) and their parents (322 fathers and 362 mothers). Children's measured and parents' self-reported heights and weights were used to calculate body mass index (BMI). Locations of major fast food outlets were geocoded. Bivariate linear regression analyses examined associations between the presence of any fast food outlet within a 2 km buffer around participants' homes, fast food outlet density within the 2 km buffer, and distance to the nearest outlet and BMI. Each independent variable was also entered into separate bivariate logistic regression analyses to predict the odds of being overweight or obese. Among older children, those with at least one outlet within 2 km had lower BMI z-scores. The further that fathers lived from an outlet, the higher their BMI. Among 13-15-year-old girls and their fathers, the likelihood of overweight/obesity was reduced by 80% and 50%, respectively, if they had at least one fast food outlet within 2 km of their home. Among older girls, the likelihood of being overweight/obese was reduced by 14% with each additional outlet within 2 km. Fathers' odds of being overweight/obese increased by 13% for each additional kilometre to the nearest outlet. While consumption of fast food has been shown to be associated with obesity, this study provides little support for the concept that exposure to fast food outlets in the local neighbourhood increases risk of obesity.
Publisher: Elsevier BV
Date: 10-2013
DOI: 10.1016/J.YPMED.2013.06.015
Abstract: To examine the uptake of cycling for recreation and transport, and relate these behaviors to in idual, social, and environmental exposures over time. Data were drawn from 909 adults in Time 2 (T2) (2005-2006) and Time 3 (T3) (2007-2008) of the RESIDE study (Australia). Demographics, perceptions of self-efficacy and social support related to cycling, neighborhood environment perceptions, and objective measures of the neighborhood were measured at T2. These were compared with uptake of cycling for recreation and transport at T3. At T3, 54 (5.9%) had taken up cycling for recreation and 44 (4.8%) for transport. Positive perceptions of self-efficacy at T2 were consistently positively associated with the uptake of cycling for either purpose at T3. Respondents living in higher walkable neighborhoods (OR=1.63 95% CI=1.02-2.62) or with higher objectively measured street connectivity (OR=1.80 95% CI=1.05-3.07) were more likely to start cycling for recreation when compared with their reference groups. No significant relationships existed between objective measures of the neighborhood and uptake of cycling for transport. Interventions focusing on enhancing self-efficacy and generating social support will likely positively influence both cycling for recreation and transport and providing infrastructure that creates physically supportive neighborhoods may increase cycling levels.
Publisher: SAGE Publications
Date: 2014
DOI: 10.4278/AJHP.130503-QUAN-226
Abstract: Evaluate the implementation of a government planning policy (Liveable Neighbourhoods Guidelines) and its impacts on residents' walking behaviors. Cross-sectional study of participants from the RESIDential Environments project (RESIDE). Nineteen “liveable” and 17 “conventionally designed” housing developments across Perth, Western Australia. Five hundred ninety-four participants from RESIDE who resided in 36 housing developments. Developed in geographic information systems to assess the on-ground implementation of 43 policy requirements. Policy compliance was defined as the degree to which construction of the developments adhered to the standards outlined. Walking behaviors were measured using the Neighborhood Physical Activity Questionnaire. K-means cluster analyses identified groups of homogeneous developments with respect to policy implementation. Logistic regression with generalized estimating equations estimated the odds ratios (ORs) and 95% confidence intervals (95% CIs) for the likelihood of undertaking any and ≥ 60 minutes of transport and recreational walking associated with (1) policy compliance and (2) different clusters of developments. There were few significant differences in on-ground outcomes between the two development types. Despite incomplete implementation, the odds of walking for transport increased with overall levels of policy compliance (OR= 1.53, 95% CI 1.13–2.08) and compliance with the community design (OR = 1.3, 95% CI 1.13–1.42), movement network (OR = 2.49, 95% CI 1.38–4.50), and lot layout elements (OR = 1.26, 95% CI 1.06–1.50). Consistent with the aims of the policy, residents in walkable (i.e., liveable) neighborhoods may be more physically active.
Publisher: American Association for Cancer Research (AACR)
Date: 04-2005
DOI: 10.1158/1055-9965.EPI-04-0531
Abstract: Because nevi share risk factors with melanoma and are strong risk factors for melanoma, they are suitable biomarkers for evaluating sun protection programs. Kidskin was a trial of a school-based sun protection program in Western Australia that included high and moderate intervention groups and a control group. Schools were assigned nonrandomly to groups. The primary outcome was number of nevi on the back. Nevi were counted at baseline, after 4 years intervention and again 2 years later. Linear growth models, allowing for correlated data within schools and children were fitted to the data. The primary analysis included 639 control children, 414 in the moderate and 355 in the high intervention group. Compared with the control group, the relative increase in number of nevi on the back was 0.89 (95% confidence interval, 0.81-0.99) for the high intervention group and 0.94 (95% confidence interval, 0.86-1.04) for the moderate group (P = 0.09). In subgroup analyses of nevi on the back, the association was stronger in boys (P & 0.001) than in girls (P = 0.7), although the test for interaction was not significant (P = 0.11). For the chest, examined in boys, the associations were similar to that for nevi on the back in boys. Associations were weak for nevi on the face and arms (P = 0.2) for this site, there was weak evidence of heterogeneity by sex. Overall, there was weak evidence that the Kidskin intervention reduced the number of new nevi over a 6-year period, but there was stronger evidence of an effect on the trunk in boys.
Publisher: Wiley
Date: 03-1990
DOI: 10.1111/J.1360-0443.1990.TB00654.X
Abstract: The summer alcohol consumption of women living in metropolitan Perth was measured using both a retrospective and prospective diary. Overall, 1356 women fully completed both the retrospective and prospective alcohol consumption diaries. The prospective diary yielded a significantly higher level (9%) of consumption (p less than 0.00001) compared with the retrospective diary. Although there was no significant difference in the percentage of women drinking at harmful levels (greater than 280 g absolute alcohol per week) between the two diary methods, there did appear to be an important percentage difference (1.9% versus 2.8%) suggesting that the prospective diary did detect a larger percentage of women at risk. This would be both practically and statistically significant in large populations. The heavier the drinker the greater the variability in reported consumption between the two diary weeks. However, it is interesting to note that the direction of the variation depended on which diary was used as the base for classifying women as different types of drinkers. Women who drank at hazardous (140-280 g per week) or harmful (greater than 280 g) levels during the retrospective diary week reported a lower level of consumption during the prospective diary week. Conversely women who drank at hazardous or harmful levels during the prospective diary week reported a lower level of consumption during the retrospective diary week. Possible explanations for these findings are explored and methodological considerations for future studies are discussed.
Publisher: Springer Science and Business Media LLC
Date: 2011
Publisher: Elsevier BV
Date: 07-2011
DOI: 10.1016/J.YPMED.2011.05.004
Abstract: To examine the in idual, behavioral, social and built environment correlates of body mass index (BMI) in an Australian adult population. Using data from 2003 to 2005 on 1151 participants in the RESIDential Environments project (RESIDE), Perth, Western Australia, linear regression was used to construct multivariate models to examine the variance in BMI explained by significant socio-demographic, environmental and health behavior variables. Both self-report and GIS-derived measures of the built environment were examined. Age, gender, hours of work, total physical activity, sedentary leisure time and dietary fat were all associated with BMI (p≤0.05). BMI was not associated with any objective measures of the built environment or social capital, social cohesion or dog ownership but was independently associated with one perceived environment measure (perceived safety from crime). Overall, 3.3% of the variance in BMI was explained by socio-demographic factors, a further 2.7% by health behaviors and a further 1.5% by perceived environment factors. Whilst evidence mounts of built environment correlates to physical activity, the demonstrated translation of these effects on BMI remain more elusive. Nevertheless, built environment factors that constrain physical activity warrant further exploration.
Publisher: National Institute for Health and Care Research
Date: 09-2020
DOI: 10.3310/PHR08120
Abstract: Low physical activity is widespread and poses a serious public health challenge both globally and in the UK. The need to increase population levels of physical activity is recognised in current health policy recommendations. There is considerable interest in whether or not the built environment influences health behaviours, particularly physical activity levels, but longitudinal evidence is limited. The effect of moving into East Village (the former London 2012 Olympic and Paralympic Games Athletes’ Village, repurposed on active design principles) on the levels of physical activity and adiposity, as well as other health-related and well-being outcomes among adults, was examined. The Examining Neighbourhood Activities in Built Environments in London (ENABLE London) study was a longitudinal cohort study based on a natural experiment. East Village, London, UK. A cohort of 1278 adults (aged ≥ 16 years) and 219 children seeking to move into social, intermediate and market-rent East Village accommodation were recruited in 2013–15 and followed up after 2 years. The East Village neighbourhood, the former London 2012 Olympic and Paralympic Games Athletes’ Village, is a purpose-built, mixed-use residential development specifically designed to encourage healthy active living by improving walkability and access to public transport. Change in objectively measured daily steps from baseline to follow-up. Change in environmental exposures associated with physical activity was assessed using Geographic Information System-derived measures. In idual objective measures of physical activity using accelerometry, body mass index and bioelectrical impedance (per cent of fat mass) were obtained, as were perceptions of change in crime and quality of the built environment. We examined changes in levels of physical activity and adiposity using multilevel models adjusting for sex, age group, ethnic group, housing sector (fixed effects) and baseline household (random effect), comparing the change in those who moved to East Village (intervention group) with the change in those who did not move to East Village (control group). Effects of housing sector (i.e. social, intermediate/affordable, market-rent) as an effect modifier were also examined. Qualitative work was carried out to provide contextual information about the perceived effects of moving to East Village. A total of 877 adults (69%) were followed up after 2 years (mean 24 months, range 19–34 months, postponed from 1 year owing to the delayed opening of East Village), of whom 50% had moved to East Village insufficient numbers of children moved to East Village to be considered further. In adults, moving to East Village was associated with only a small, non-significant, increase in mean daily steps (154 steps, 95% confidence interval –231 to 539 steps), more so in the intermediate sector (433 steps, 95% confidence interval –175 to 1042 steps) than in the social and market-rent sectors (although differences between housing sectors were not statistically significant), despite sizeable improvements in walkability, access to public transport and neighbourhood perceptions of crime and quality of the built environment. There were no appreciable effects on time spent in moderate to vigorous physical activity or sedentary time, body mass index or percentage fat mass, either overall or by housing sector. Qualitative findings indicated that, although participants enjoyed their new homes, certain design features might actually serve to reduce levels of activity. Despite strong evidence of large positive changes in neighbourhood perceptions and walkability, there was only weak evidence that moving to East Village was associated with increased physical activity. There was no evidence of an effect on markers of adiposity. Hence, improving the physical activity environment on its own may not be sufficient to increase population physical activity or other health behaviours. This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research Vol. 8, No. 12. See the NIHR Journals Library website for further project information. This research was also supported by project grants from the Medical Research Council National Prevention Research Initiative (MR/J000345/1).
Publisher: American Society of Civil Engineers (ASCE)
Date: 06-2016
Publisher: Springer Science and Business Media LLC
Date: 24-11-2016
Publisher: Brill
Date: 2007
Abstract: Companion animals (pets) exemplify the affinities possible between humans and nonhuman animals. Evidence documenting a ersity of emotional, physical, and therapeutic benefits of pet guardianship (ownership) substantiates sentimental anecdotes from pet owners. Although the literature focuses primarily on the "one to one" benefits accruing from interactions with pets, this paper explores the potential role of pets as facilitators of social interactions and sense of community. The paper uses triangulation to synthesize findings from qualitative and quantitative research undertaken in three Western Australian suburbs. The qualitative data derive from 12 focus groups and quantitative data, from a survey of 339 residents. In both qualitative and quantitative research, pet ownership positively associated with social interactions, favor exchanges, civic engagement, perceptions of neighborhood friendliness, and sense of community. Pets appeared to ameliorate some determinants of mental health such as loneliness. Findings suggest pets have a ripple effect extending beyond their guardians (owners) to non-pet owners and the broader community. Given the high rates of pet residency in neighborhoods, there is merit in further considering the nexus between pets and community health and well being.
Publisher: CSIRO Publishing
Date: 2002
DOI: 10.1071/HE02205
Publisher: Brazilian Society of Physical Activity and Health
Date: 30-06-2013
Publisher: Elsevier BV
Date: 2018
DOI: 10.1016/J.HEALTHPLACE.2017.10.004
Abstract: Food purchasing decisions are made within the context of the range of options available, yet most epidemiological studies focus upon single outlet types. Ratios of fast food outlets to supermarkets and green grocers were linked to addresses of 15,229 adults in the 45 and Up Study at baseline (2006-2008) and follow-up (2009-2010). Compared to having no fast food outlet but having healthy food outlets within 3.2km from home, multilevel growth curves revealed that relative exposure>25% fast food outlets were associated with 0.36-1.19kg/m
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 08-2014
Publisher: Elsevier BV
Date: 2008
DOI: 10.1016/J.YPMED.2007.08.004
Abstract: One important characteristic in physical activity research into the built environment is network connectivity, usually calculated using street networks. However, a true pedestrian network may have very different connectivity than a street network. This study, conducted in 2004, examines the difference in walkability analyses when street networks versus pedestrian networks are used for four metropolitan suburbs in Perth, Western Australia. A street network of Perth was used to represent the current standard of data for walkability analyses. Aerial photography from 2003 was used to create a pedestrian network, which incorporated pedestrian footpaths into the street network. The street and pedestrian networks were compared using three measures of connectivity: Pedsheds, link node ratio and pedestrian route directness. A comparison of the results using street versus pedestrian networks showed very different outcomes for conventional neighbourhood designs. Connectivity measures for conventional neighbourhoods improved up to 120% with the addition of pedestrian networks, although traditional neighbourhoods still had slightly better connectivity values overall. The true pedestrian network increases the connectivity of a neighbourhood and may have significant impact on these measures, especially in neighbourhoods with conventional street designs. It is critical that future studies incorporate pedestrian networks into their analyses.
Publisher: Elsevier BV
Date: 2008
DOI: 10.1016/J.YPMED.2007.08.002
Abstract: To describe the design and baseline results of an evaluation of the Western Australian government's pedestrian-friendly sub ision design code (Liveable Neighborhood (LN) Guidelines). Baseline results (2003-2005) from a longitudinal study of people (n=1813) moving into new housing developments: 18 Liveable, 11 Hybrid and 45 Conventional (i.e., LDs, HDs and CDs respectively) are presented including usual recreational and transport-related walking undertaken within and outside the neighborhood, and 7-day pedometer steps. At baseline, more participants walked for recreation and transport within the neighborhood (52.6% 36.1% respectively), than outside the neighborhood (17.7% 13.2% respectively). Notably, only 20% of average total duration of walking (128.4 min/week (SD159.8)) was transport related and within the neighborhood. There were few differences between the groups' demographic, psychosocial and perceived neighborhood environmental characteristics, pedometer steps, or the type, amount and location of self-reported walking (p>0.05). However, asked what factors influenced their choice of housing development, more participants moving into LDs reported aspects of their new neighborhood's walkability as important (p<0.05). The baseline results underscore the desirability of incorporating behavior and context-specific measures and value of longitudinal designs to enable changes in behavior, attitudes, and urban form to be monitored, while adjusting for baseline residential location preferences.
Publisher: Elsevier BV
Date: 06-2017
Publisher: Elsevier BV
Date: 06-2014
DOI: 10.1016/J.YPMED.2014.03.003
Abstract: Interest is growing in promoting utility cycling (i.e., for transport) as a means of incorporating daily physical activity (PA) into people's lives, but little is known about correlates of utility cycling. Our primary aim was to examine cross-sectional relationships between socio-economic characteristics, neighborhood environment perceptions and psychological disposition with utility cycling (with or without additional recreational cycling). A secondary aim was to compare these relationships with those for recreation-only cycling. Baseline survey data (2007) from 10,233 participants in HABITAT, a multilevel longitudinal study of PA, sedentary behavior, and health in Brisbane adults aged 40-65years, were analyzed using multinomial regression modeling. Greater income, habitual PA, and positive beliefs about PA were associated with utility and recreation-only cycling (p<0.05). Always having vehicle access and not in the labor force were associated with recreation-only cycling (p<0.05). Some or no vehicle access, part-time employment, and perceived environmental factors (little crime, few cul-de-sacs, nearby transport and recreational destinations) were associated with utility cycling (p<0.05). Our findings suggest differences in associations between socio-economic, neighborhood perceptions and psychological factors and utility and recreation-only cycling in Brisbane residents aged 40-65years. Tailored approaches appear to be required to promote utility and recreational cycling.
Publisher: Elsevier BV
Date: 09-2012
DOI: 10.1016/J.HEALTHPLACE.2012.04.014
Abstract: We investigated the association between objectively-assessed neighborhood walkability and local walking among adults. Two independent random cross-sectional s les of Calgary (Canada) residents were recruited. Neighborhood-based walking, attitude towards walking, neighborhood self-selection, and socio-demographic characteristics were captured. Built environmental attributes underwent a two-staged cluster analysis which identified three neighborhood types (HW: high walkable MW: medium walkable LW: low walkable). Adjusting for all other characteristics, MW (OR 1.40, p < 0.05) and HW (OR 1.34, approached p < 0.05) neighborhood residents were more likely than LW neighborhood residents to participate in neighborhood-based transportation walking. HW neighborhood residents spent 30-min/wk more on neighborhood-based transportation walking than both LW and MW neighborhood residents. MW neighborhood residents spent 14-min/wk more on neighborhood-based recreational walking than LW neighborhood residents. Neighborhoods with a highly connected pedestrian network, large mix of businesses, high population density, high access to sidewalks and pathways, and many bus stops support local walking.
Publisher: Elsevier BV
Date: 2008
DOI: 10.1016/J.YPMED.2007.01.013
Abstract: The presence and mix of destinations is an important aspect of the built environment that may encourage or discourage physical activity. This study examined the association between the proximity and mix of neighbourhood destinations and physical activity. Secondary analysis was undertaken on physical activity data from Western Australian adults (n=1394). These data were linked with geographical information systems (GIS) data including the presence and the mix of destinations located within 400 and 1500 m from respondents' homes. Associations with walking for transport and recreation and vigorous physical activity were examined. Access to post boxes, bus stops, convenience stores, newsagencies, shopping malls, and transit stations within 400 m (OR 1.63-5.00) and schools, transit stations, newsagencies, convenience stores and shopping malls within 1500 m (OR 1.75-2.38) was associated with participation in regular transport-related walking. A dose-response relationship between the mix of destinations and walking for transport was also found. Each additional destination within 400 and 1500 m resulted in an additional 12 and 11 min/fortnight spent walking for transport, respectively. Proximity and mix of destinations appears strongly associated with walking for transport, but not walking for recreation or vigorous activity. Increasing the ersity of destinations may contribute to adults doing more transport-related walking and achieving recommended levels of physical activity.
Publisher: Center for Transportation Studies
Date: 02-11-2018
Abstract: By 2050, it is estimated that around 6.3 billion people will live in cities (United Nations Population Fund, 2011). Indeed, nearly 70% of humanity will live in cities, representing a unique moment in time in human history. As we hurtle towards this uncertain future, land use, transport, and infrastructure decision-making has never been more important: in the next two decades—and on our watch—the decisions made by the students and professionals taught, advised, and mentored by academics across multiple disciplines—including land use and transport academics—will profoundly impact the sustainability of cities and the health and wellbeing of their residents.
Publisher: Oxford University Press (OUP)
Date: 1995
Publisher: Environmental Health Perspectives
Date: 21-05-2018
DOI: 10.1289/EHP2080
Publisher: Elsevier BV
Date: 05-2015
DOI: 10.1016/J.HEALTHPLACE.2015.02.009
Abstract: Public open spaces such as parks and green spaces are key built environment elements within neighbourhoods for encouraging a variety of physical activity behaviours. Over the past decade, there has been a burgeoning number of active living research studies examining the influence of public open space on physical activity. However, the evidence shows mixed associations between different aspects of public open space (e.g., proximity, size, quality) and physical activity. These inconsistencies hinder the development of specific evidence-based guidelines for urban designers and policy-makers for (re)designing public open space to encourage physical activity. This paper aims to move this research agenda forward, by identifying key conceptual and methodological issues that may contribute to inconsistencies in research examining relations between public open space and physical activity.
Publisher: Springer Science and Business Media LLC
Date: 25-01-2018
Publisher: Wiley
Date: 30-09-2016
DOI: 10.1111/DAR.12341
Abstract: Reducing access to alcohol is an important and cost-effective strategy for decreasing alcohol consumption and associated harm. Yet this is a less common approach to alcohol control in Australia. The aim of this research was to ascertain which alcohol outlet density spatial measures were related to long-term health outcomes, and the extent to which this differs for those living in more or less disadvantaged neighbourhoods. Existing Australian state-level spatial alcohol policies were reviewed. No appropriate spatial policies were identified therefore, the literature was used to identify potential alcohol-related spatial measures. Spatial measures of alcohol outlet density were generated in a geographical information system and linked with health survey data drawn from 3141 adults living in metropolitan Melbourne. Logistic regression analysis was used to examine associations between alcohol outlet density measures, self-rated health and area-level disadvantage. Twelve spatial measures of alcohol outlet density were generated. Alcohol outlet density and self-rated health associations varied by area-level disadvantage. For those living in more disadvantaged areas, not having off-licenses available within 800 m, or on-licenses available within 400 m were protective of self-rated health. Local alcohol outlet density may have a more detrimental effect on self-rated health for those living in more disadvantaged neighbourhoods, compared with those living in more advantaged areas. There is a need for spatial alcohol policies to help reduce alcohol-related harm. This research proposes a set of spatial measures to generate a more consistent understanding of alcohol availability in Australia. [Badland H, Mavoa S, Livingston M, David S, Giles-Corti B. Testing spatial measures of alcohol outlet density with self-rated health in the Australian context: Implications for policy and practice. Drug Alcohol Rev 2016 :298-306].
Publisher: Springer Science and Business Media LLC
Date: 05-03-2009
Publisher: Elsevier BV
Date: 05-2006
Publisher: Human Kinetics
Date: 07-2014
Abstract: Associations between access to environments and levels of physical activity (PA) among adolescents have been established however the influence of neighborhood design barriers (eg, major roads) on these relationships is less understood. In 2006, adolescents (n = 1304) in rural Western Australia completed the Up4it Physical Activity Survey measuring frequency and duration of organized and nonorganized physical activity by season. Geographic Information Systems (GIS) were used to objectively measure distance to nearest park and beach and busy road barriers en route to these destinations. Proximity to parks and beaches was associated with use of these environments for PA among adolescents, but this relationship attenuated after adjustment for presence of a major road. Park and beach use was positively associated with achieving recommended levels of PA. Paradoxically, proximity to these environments was not associated with achieving recommended levels of PA. Results suggest access to parks and beaches is necessary but may be insufficient to achieve recommended levels of PA. These relationships varied by season. Strategies should be put in place to encourage use of proximate supportive environments. Planning neighborhoods to reduce barriers to access and interventions to overcome seasonal variations in behavior may improve participation levels among adolescents.
Publisher: Cambridge University Press (CUP)
Date: 07-09-2017
DOI: 10.1017/S1368980017002336
Abstract: To investigate dietary intake, BMI and supermarket access at varying geographic scales and transport modes across areas of socio-economic disadvantage, and to evaluate the implementation of an urban planning policy that provides guidance on spatial access to supermarkets. Cross-sectional study used generalised estimating equations to investigate associations between supermarket density and proximity, vegetable and fruit intake and BMI at five geographic scales representing distances people travel to purchase food by varying transport modes. A stratified analysis by area-level disadvantage was conducted to detect optimal distances to supermarkets across socio-economic areas. Spatial distribution of supermarket and transport access was analysed using a geographic information system. Melbourne, Australia. Adults ( n 3128) from twelve local government areas (LGA) across Melbourne. Supermarket access was protective of BMI for participants in high disadvantaged areas within 800 m ( P =0·040) and 1000 m ( P =0·032) road network buffers around the household but not for participants in less disadvantaged areas. In urban growth area LGA, only 26 % of dwellings were within 1 km of a supermarket, far less than 80–90 % of dwellings suggested in the local urban planning policy. Low public transport access compounded disadvantage. Rapid urbanisation is a global health challenge linked to increases in dietary risk factors and BMI. Our findings highlight the importance of identifying the most appropriate geographic scale to inform urban planning policy for optimal health outcomes across socio-economic strata. Urban planning policy implementation in disadvantaged areas within cities has potential for reducing health inequities.
Publisher: Elsevier BV
Date: 06-2020
DOI: 10.1016/J.HEALTHPOL.2019.03.001
Abstract: In 2016, the World Health Organization declared that 'Health is one of the most effective markers of any city's successful sustainable development' (World Health Organisation, 2016). With estimates that around 6.7 billion people will live in cities by 2050, 21
Publisher: Springer Science and Business Media LLC
Date: 12-2009
DOI: 10.2165/11319620-000000000-00000
Abstract: In the post-World War II era, there have been dramatic changes to the environment that appear to be having a detrimental impact on the lifestyles and incidental physical activities of young people. These changes are not trivial and have the potential to influence not only physical health, but also mental health and child development. However, the evidence of the impact of the built environment on physical activity to date is inconsistent. This review examines the evidence on the association between the built environment and walking for transport as well as physical activity generally, with a focus on methodological issues that may explain inconsistencies in the literature to date. It appears that many studies fail to measure behaviour-specific environmental correlates, and insufficient attention is being given to differences according to the age of study participants. Higher levels of out-of-school-hours physical activity and walking appear to be significantly associated with higher levels of urban density and neighbourhoods with mixed-use planning, especially for older children and adolescents. Proximate recreational facilities also appear to predict young people's level of physical activity. However, there are inconsistencies in the literature involving studies with younger children. Independent mobility increases with age. For younger children, the impact of the built environment is influenced by the decision-making of parents as the gatekeepers of their behaviour. Cross-cultural differences may also be present and are worthy of greater exploration. As children develop and are given more independent mobility, it appears that the way neighbourhoods are designed - particularly in terms of proximity and connectivity to local destinations, including schools and shopping centres, and the presence of footpaths - becomes a determinant of whether children are able, and are permitted by their parents, to walk and use destinations locally. If older children and adolescents are to enjoy health and developmental benefits of independent mobility, a key priority must be in reducing exposure to traffic and in increasing surveillance on streets (i.e. 'eyes-on-the-street') through neighbourhood and building design, by encouraging others to walk locally, and by discouraging motor vehicle use in favour of walking and cycling. Parents need to be assured that the rights and safety of pedestrians (and cyclists) - particularly child pedestrians and cyclists - are paramount if we are to turn around our 'child-free streets', now so prevalent in contemporary Australian and US cities. There remains a need for more age- and sex-specific research using behaviour- and context-specific measures, with a view to building a more consistent evidence base to inform future environmental interventions.
Publisher: Figshare
Date: 2016
Publisher: Elsevier BV
Date: 02-2014
Publisher: MDPI AG
Date: 16-05-2019
Abstract: Disadvantaged communities tend to have poorer early childhood development outcomes. Access to safe, secure, and stable housing is a well-known social determinant of health but there is a need to examine key features of neighbourhood housing that reduce early childhood development inequities. The 2012 Australian Early Development Census (AEDC), a population-wide measure of early childhood development, and the Australian Bureau of Statistics Socio-economic Index for Areas Index of Relative Socio-economic Disadvantage were used to select fourteen disadvantaged local communities in five Australian states and territories based on those performing better (off-diagonal), or as expected (on-diagonal) on the AEDC relative to their socio-economic profile. Between 2015–2017, qualitative and quantitative housing data were collected in the local communities. In total, 87 interviews with stakeholders, 30 focus groups with local service providers and parents, and Australian Census dwelling information were analysed. A comparative case study approach was used to examine differences in housing characteristics (e.g., public housing, density, affordability, and tenure) between disadvantaged local communities performing ‘better than expected’ and ‘as expected’ on early childhood development. Perceived better housing affordability, objectively measured housing tenure (ownership) and perceived and objectively measured lower-density public housing were housing characteristics that emerged as points of difference for disadvantaged local communities where children had relatively better early childhood development outcomes. These characteristics are potential modifiable and policy sensitive housing levers for reducing early childhood development inequities.
Publisher: Springer Science and Business Media LLC
Date: 20-02-2014
Publisher: Elsevier BV
Date: 09-2008
DOI: 10.1016/J.YPMED.2008.03.017
Abstract: Personal safety is commonly cited in qualitative research as a barrier to local walking, yet the relationship between safety and constrained physical activity has received mixed support in quantitative studies. This paper reviews the quantitative evidence to date, seeking to explain the inconsistencies, and offers recommendations for future research. A social-ecological framework was adopted to explore the evidence linking crime-related safety, and factors that influence real and perceived safety, with constrained physical activity. Perceived safety tends to affect the physical activity of groups already known to exhibit greater anxiety about crime and some elements of the built environment that influence safety appear to constrain physical activity. However the evidence is somewhat inconsistent, and this may be partly attributed to measurement limitations. Many studies employ generic safety measures that make implicit references to crime or use composite variables that lack specificity. Physical activity outcomes also require consideration, as only activities occurring locally outdoors are likely to be affected by neighborhood crime. Further research is required to tease out associations between real and perceived crime-related safety and physical activity, ideally employing behaviour and crime-specific measures, and addressing the moderating role of the social and built environments.
Publisher: Elsevier BV
Date: 08-1999
DOI: 10.1111/J.1467-842X.1999.TB01283.X
Abstract: This study investigated the level of implementation of and adherence to smoke-free policies in two major sporting venues in Perth. Smoking status and attitude toward the smoke-free policies in the venues were determined in a random s le of spectators as they entered each venue. An observational study of randomly selected non-smoking seated areas in each venue was conducted on the same day to determine compliance with smoke-free policies. A butt-count was conducted to validate these observations. There was a high level of both awareness and agreement with the smoke-free policies, however, this level of agreement was higher in non-smokers than smokers. The results of the observational study and the butt-count indicated that the policies were implemented and there was a high level of adherence with the smoke-free policy at both venues. The results provide further evidence that smoke-free policies in sporting venues are both supported and adhered to by spectators. The implementation of the smoke-free policies at venues is highly effective in protecting non-smokers from the effects of environmental tobacco smoke.
Publisher: Elsevier BV
Date: 10-2014
DOI: 10.1016/J.YPMED.2014.08.002
Abstract: Dog ownership is positively associated with children's physical activity. It is plausible that dog-facilitated activity rather than dog ownership per se encourages children's physical activity behaviors. We examined relationships between dog walking and children's physical activity, and outdoor play and independent mobility. Cross-sectional survey data from the 2007 Perth (Western Australia) TRavel, Environment, and Kids (TREK) project were analyzed for 727 10-12 year olds with a family dog. Weekly minutes of overall physical activity and walking, local walking and outdoor play were collected from children and parents. Children's weekly pedometer steps were measured. Independent mobility was determined by active independent travel to 15 local destinations. Overall, 55% of children walked their dog. After adjustment, more dog walkers than non-dog walkers walked in the neighborhood (75% vs. 47%), played in the street (60% vs. 45%) and played in the yard (91% vs. 84%) (all p ≤ 0.05). Dog walkers were more independently mobile than non-dog walkers (p ≤ 0.001). Dog walking status was not associated with overall physical activity, walking, or pedometer steps (p>0.05). Dog-facilitated play and physical activity can be an effective strategy for increasing children's physical activity. Dog walking may provide a readily accessible and safe option for improving levels of independent mobility.
Publisher: Elsevier BV
Date: 02-2008
DOI: 10.1016/J.YPMED.2007.08.015
Abstract: To identify factors associated with owners not walking with their dog. Dog owners (n=629) taking part in the RESIDE study, Perth, Western Australia completed a self-administered questionnaire in 2005-06 that included items about the dog, dog-owner relationship, dog walking and intrapersonal and environmental factors associated with dog walking. Physical activity data were also collected using NPAQ. Overall, 23% of dog owners did not walk with their dog. More dog walkers achieved 150 min of physical activity/week than owners who did not walk with their dog (72% vs. 44%, p<0.001). Not walking with a dog was significantly more likely in owners who did not perceive that their dog provided motivation (OR 9.60, 95% CI: 4.37, 21.08) or social support (OR 10.84, 95% CI: 5.15, 22.80) to walk, independent of other well-known correlates of physical activity. There would be a significant impact on community physical activity levels if owners who do not walk with their dog could be persuaded to begin dog walking. Understanding the factors that discourage or facilitate owners to walk with their dog will assist in tailoring interventions designed to encourage both the uptake and maintenance of regular dog walking.
Publisher: Elsevier BV
Date: 05-2011
Publisher: Elsevier BV
Date: 11-2022
DOI: 10.1016/J.HEALTHPLACE.2022.102899
Abstract: Spatial and area-level socioeconomic variation in urban liveability (access to social infrastructure, public transport, open space, healthy food choices, local employment, street connectivity, dwelling density, and housing affordability) was examined and mapped across 39,967 residential statistical areas in Australia's metropolitan (n = 7) and largest regional cities (n = 14). Urban liveability varied spatially, with inner-city areas more liveable than outer suburbs. Disadvantaged areas in larger metropolitan cities were less liveable than advantaged areas, but this pattern was reversed in smaller cities. Local data could inform policies to redress inequities, including those designed to avoid disadvantage being suburbanised as cities grow and gentrify.
Publisher: Informa UK Limited
Date: 04-2010
DOI: 10.1080/02640411003671212
Abstract: Our understanding of the relationship between physical activity and health is constantly evolving. Therefore, the British Association of Sport and Exercise Sciences convened a panel of experts to review the literature and produce guidelines that health professionals might use. In the ABC of Physical Activity for Health, A is for All healthy adults, B is for Beginners, and C is for Conditioned in iduals. All healthy adults aged 18-65 years should aim to take part in at least 150 min of moderate-intensity aerobic activity each week, or at least 75 min of vigorous-intensity aerobic activity per week, or equivalent combinations of moderate- and vigorous-intensity activities. Moderate-intensity activities are those in which heart rate and breathing are raised, but it is possible to speak comfortably. Vigorous-intensity activities are those in which heart rate is higher, breathing is heavier, and conversation is harder. Aerobic activities should be undertaken in bouts of at least 10 min and, ideally, should be performed on five or more days a week. All healthy adults should also perform muscle-strengthening activities on two or more days a week. Weight training, circuit classes, yoga, and other muscle-strengthening activities offer additional health benefits and may help older adults to maintain physical independence. Beginners should work steadily towards meeting the physical activity levels recommended for all healthy adults. Even small increases in activity will bring some health benefits in the early stages and it is important to set achievable goals that provide success, build confidence, and increase motivation. For ex le, a beginner might be asked to walk an extra 10 min every other day for several weeks to slowly reach the recommended levels of activity for all healthy adults. It is also critical that beginners find activities they enjoy and gain support in becoming more active from family and friends. Conditioned in iduals who have met the physical activity levels recommended for all healthy adults for at least 6 months may obtain additional health benefits by engaging in 300 min or more of moderate-intensity aerobic activity per week, or 150 min or more of vigorous-intensity aerobic activity each week, or equivalent combinations of moderate- and vigorous-intensity aerobic activities. Adults who find it difficult to maintain a normal weight and adults with increased risk of cardiovascular disease or type 2 diabetes may in particular benefit from going beyond the levels of activity recommended for all healthy adults and gradually progressing towards meeting the recommendations for conditioned in iduals. Physical activity is beneficial to health with or without weight loss, but adults who find it difficult to maintain a normal weight should probably be encouraged to reduce energy intake and minimize time spent in sedentary behaviours to prevent further weight gain. Children and young people aged 5-16 years should accumulate at least 60 min of moderate-to-vigorous-intensity aerobic activity per day, including vigorous-intensity aerobic activities that improve bone density and muscle strength.
Publisher: Springer Science and Business Media LLC
Date: 2001
Abstract: This paper presents the results of the evaluation of measured suntan and parent-reported sun exposure in participating children after 2 years of the Kidskin study, a 5-year school-based sun protection intervention undertaken in Perth, Western Australia (1995-1999). The study involves three groups: a control, a "moderate", and a "high" intervention group. Participants were 5 or 6 years of age at the beginning of the study. Control schools received the standard Health Education curriculum, while intervention schools received a multicomponent intervention including a specially designed curriculum. Children in the high intervention group also received program materials over the summer vacation and were offered sun-protective swimwear at low cost. At the end of the second summer, suntan was measured and parents completed a questionnaire about their child's sun-related behavior. Children in the intervention groups--especially the high group--were less tanned at the end of the summer this effect was greater for the back than for the forearms. These children were also reported to have received less sun exposure and made greater use of sun protection measures. Intensive school-based interventions can reduce tanning and reported sun exposure in children.
Publisher: Elsevier BV
Date: 06-2016
Publisher: BMJ
Date: 03-12-2009
Abstract: The built environment and physical activity agenda provides a unique opportunity for public health, physical activity and planning researchers to be front and centre of a movement aimed at creating healthier and more sustainable environments. However, in order to optimise environments that encourage physical activity across the life course, researchers in this field need to think beyond their "square" -that is, the target group, setting and physical activity behaviour with which they work. We suggest that researchers working in this field need a better understanding of systems theory to appreciate that a change to one part of a complex system can positively and negatively influence other parts of the system. An understanding of systems theory would help minimise unintended negative consequences to other population subgroups or to other types of physical activity from the implementation of our research findings. In this way, a more comprehensive set of research, practice and programme-related activities may emerge, which will advance physical activity research and practice, and improve population health across the life course.
Publisher: Figshare
Date: 2017
Publisher: Springer International Publishing
Date: 2017
Publisher: Oxford University Press (OUP)
Date: 19-02-2011
DOI: 10.1007/S12160-011-9260-6
Abstract: Little is known about neighbourhood environments and children's sedentary behaviour outside school hours. This study aims to examine the associations between public open spaces (POS), parent perceptions of the neighbourhood and children's sedentary behaviours. Parents reported their child's television viewing and computer/electronic game time and their perceptions of the physical and social neighbourhood. Children's sedentary time was objectively assessed. The closest POS was audited. Cross-sectionally, living near a POS with a water feature and greater parental satisfaction with POS quality were negatively associated with computer/e-games greater POS area was negatively associated with TV viewing. Longitudinally, living in a cul-de-sac and greater satisfaction with POS quality were negatively associated with computer/e-games and TV viewing, respectively. A walking path in the POS was positively associated with computer/e-games. Neighbourhood features appear to positively and negatively influence children's sedentary behaviours, highlighting the complexity of urban planning on behaviour. Further age- and context-specific studies are required.
Publisher: Elsevier BV
Date: 04-2018
Publisher: Elsevier BV
Date: 12-2008
DOI: 10.1016/J.HEALTHPLACE.2007.11.002
Abstract: This study examined the relations between neighbourhood socio-economic status and features of public open spaces (POS) hypothesised to influence children's physical activity. Data were from the first follow-up of the Children Living in Active Neighbourhoods (CLAN) Study, which involved 540 families of 5-6 and 10-12-year-old children in Melbourne, Australia. The Socio-Economic Index for Areas Index (SEIFA) of Relative Socio-economic Advantage/Disadvantage was used to assign a socioeconomic index score to each child's neighbourhood, based on postcode. Participant addresses were geocoded using a Geographic Information System. The Open Space 2002 spatial data set was used to identify all POS within an 800 m radius of each participant's home. The features of each of these POS (1497) were audited. Variability of POS features was examined across quintiles of neighbourhood SEIFA. Compared with POS in lower socioeconomic neighbourhoods, POS in the highest socioeconomic neighbourhoods had more amenities (e.g. picnic tables and drink fountains) and were more likely to have trees that provided shade, a water feature (e.g. pond, creek), walking and cycling paths, lighting, signage regarding dog access and signage restricting other activities. There were no differences across neighbourhoods in the number of playgrounds or the number of recreation facilities (e.g. number of sports catered for on courts and ovals, the presence of other facilities such as athletics tracks, skateboarding facility and swimming pool). This study suggests that POS in high socioeconomic neighbourhoods possess more features that are likely to promote physical activity amongst children.
Publisher: Elsevier BV
Date: 08-1997
DOI: 10.1111/J.1467-842X.1997.TB01717.X
Abstract: Concerted efforts to create health-promoting sport, racing and arts venues have become possible since the advent of health promotion foundations in four of Australia's eight states and territories. Large numbers of Australians attend sport, racing and arts venues in pursuit of leisure activities. There is evidence that sport and racing participants and spectators, and certain subgroups of the arts community, have adverse risk-factor profiles that make them an ideal target for health promotion interventions. Through the use of sponsorship, health promotion foundations 'purchase' health-promoting policies in sport, racing and arts settings-policies that have the potential to become institutionalised once sponsorship dollars are depleted. This paper discusses the policies 'purchased' by the foundations and outlines a comprehensive surveillance and evaluation system developed for the Western Australian Health Promotion Foundation. The system monitors the implementation of health-promoting environments at the micro level (sponsorship project) intermediate level (sponsored group) and macro level (community). The article concludes by outlining some of the lessons learned in Western Australia. These provide the basis for development of best practice in working with sport, racing and arts groups, and other sectors outside health, to create health-promoting environments.
Publisher: CRC Press
Date: 22-02-2012
DOI: 10.1201/B11718-16
Publisher: Figshare
Date: 2016
Publisher: Springer Science and Business Media LLC
Date: 22-04-2016
Publisher: Oxford University Press
Date: 02-2018
DOI: 10.1093/MED/9780198725916.003.0042
Abstract: Regular participation in physical activity is known to promote good health, prevent disease, and enhance well-being. Physical activity promotion requires a whole-of-government approach, not simply efforts of the health sectors. This chapter first provides a brief overview of non-communicable disease trends and the importance of physical activity in reducing the risks of these diseases. It then considers the association between access to public open space (land reserved for the provision of green space and natural environments that is freely accessible and intended for active or passive recreation) and physical activity patterns across the life course. The extent to which policy can be used to increase access to public open space is then discussed before some concluding comments about the important role played by planners, urban designers, and landscape architects in creating active living friendly environments, and researchers in addressing policy-relevant research priorities that could help move the agenda forward.
Publisher: Springer Science and Business Media LLC
Date: 08-03-2019
Publisher: Springer Science and Business Media LLC
Date: 19-06-2013
Publisher: Elsevier BV
Date: 04-1997
DOI: 10.1111/J.1467-842X.1997.TB01672.X
Abstract: The purpose of this study was to compare response distributions in health surveys for two interview modes: face-to-face household interviews and telephone interviews. There were two s les of the Perth metropolitan general population aged 16 to 69 years: a face-to-face household s le (n = 1000) and a telephone s le (n = 222). The s les were generated by probability-based methods commonly used by commercial market research organisations. The surveys occurred in August-September 1992 as part of a larger statewide survey component of a three-year evaluation of the Western Australian Health Promotion Foundation. Respondents were drawn from a two-stage cluster s le based on private dwellings for personal interviews, and from randomly selected listed and unlisted private numbers for telephone interviews. Although the s les did not differ significantly on a number of variables, the telephone s le was significantly higher in residential social status there was significantly lower reporting of smoking and lower unsafe alcohol consumption in the telephone s le: significantly higher proportions of the telephone s le were in Prochaska's 'action' stage of change for several health behaviours and there was significantly greater recall of health messages in the telephone s le. Health researchers should treat comparisons between different survey modes with caution, and should be aware that c aign evaluations using telephone surveys and household surveys may yield substantially different results.
Publisher: Springer Science and Business Media LLC
Date: 07-05-2015
Publisher: BMJ
Date: 03-2017
Publisher: Elsevier BV
Date: 02-2018
Abstract: The World Health Organization calls upon local government worldwide to play a greater role in improving public health by improving the social determinants of health. This research aimed to determine how local governments in Victoria, Australia, conceptualised their organisational efficacy to address public health with reference to their statutory obligations. Sixteen in-depth interviews were conducted with Victorian local government health planners. Thematic analysis was used to determine the importance of state health priorities and the perceived organisational efficacy of local government to address health via social determinants. While there were disparities between state and local priorities for health, local government believes it can make an important contribution to improving health through 'upstream' approaches. Victorian local government has strongly adopted the socio-ecological model of health and is aware of the important role that its erse policy and program areas play in creating healthy communities. The Victorian State Government's priorities, which adopted a more 'downstream' approach, were less influential. Implications for public health: State governments' priority settings should be responsive to local governments' unique local knowledge of health priorities. There is value in legislating a social determinants role for local government, provided it is supported by state and national government policies that facilitate public health.
Publisher: Human Kinetics
Date: 2004
DOI: 10.1123/JPAH.1.1.45
Abstract: The influence of participating in vigorous-intensity physical activity and associated compensatory declines in other types of physical activity in the general population has not been studied well hence, it is unknown if participation in recommended levels of vigorous-intensity physical activity influence the likelihood of participating in recommended levels of moderate-intensity physical activity. Face-to-face interviews were conducted on healthy adults ( n = 1803), 18 to 59 years of age, recruited from the top and lower quintiles of socioeconomic status within Perth, Western Australia. Data on television watching, vigorous-intensity activity, moderate-intensity activity, and walking for recreation and transport were used in the analysis. Logistic regression was used to determine whether participation in recommended levels of vigorous-intensity activity predicted participation in recommended levels of other types of physical activity and television watching. After controlling for age, gender, education, and social advantage, participating in recommended levels of vigorous-intensity physical activity (≥90 min/week) was not found to be associated with walking for transport (≥150 min/week) but was found to be significantly associated (OR = 1.38, 95%CI = 1.04–1.82) with recommended levels of recreational walking (≥150 min/week). Participation in recommended levels of vigorous-intensity physical activity was associated with a reduced likelihood of watching television more than 10 hours per/week (OR = 0.71, 95%CI = 0.57–0.89). In those who participate in recommended levels of vigorous-intensity physical activity, there appears to be no compensatory response in other moderate-intensity activities. Given the added health benefits associated with vigorous-intensity activity, concurrent promotion of moderate and vigorous-intensity physical activity guidelines is warranted, with no evidence that participation in vigorous-intensity activity will negatively influence participation in recommended levels of moderate-intensity activity.
Publisher: Figshare
Date: 2017
Publisher: SAGE Publications
Date: 11-10-2011
Abstract: Background. Efforts to increase the prevalence of children’s active school transport require evidence to inform the development of comprehensive interventions. This study used a multilevel ecological framework to investigate in idual, social, and environmental factors associated with walking to and from school among elementary school-aged children, stratified by gender. Method. Boys aged 10 to 13 years ( n = 617) and girls aged 9 to 13 years ( n = 681) attending 25 Australian primary schools located in high or low walkable neighborhoods completed a 1-week travel diary and a parent/child questionnaire on travel habits and attitudes. Results. Boys were more likely (odds ratio [OR] = 3.37 p .05) to walk if their school neighborhood had high connectivity and low traffic and less likely to walk if they had to cross a busy road (OR = 0.49 p .05). For girls, confidence in their ability to walk to or from school without an adult (OR = 2.03), school encouragement (OR = 2.43), scheduling commitments (OR = 0.41), and parent-perceived convenience of driving (OR = 0.24) were significantly associated ( p .05) with walking. Irrespective of gender and proximity to school, child-perceived convenience of walking (boys OR = 2.17 and girls OR = 1.84) and preference to walk to school (child perceived, boys OR = 5.57, girls OR = 1.84 and parent perceived, boys OR = 2.82, girls OR = 1.90) were consistently associated ( p .05) with walking to and from school. Conclusion. Although there are gender differences in factors influencing children walking to and from school, proximity to school, the safety of the route, and family time constraints are consistent correlates. These need to be addressed if more children are to be encouraged to walk to and from school.
Publisher: Elsevier BV
Date: 10-1970
DOI: 10.1016/J.YPMED.2014.07.041
Abstract: This study investigated the cost-effectiveness of installing sidewalks to increase levels of transport-walking. Secondary analysis using logistic regression established the association of sidewalks with transport-walking using two transport-walking thresholds of 150 and 60 min/week using Western Australian data (n=1394) from 1995 to 2000. Minimum, moderate and maximum interventions were defined, associated respectively with one sidewalk, at least one sidewalk and sidewalks on both sides of the street. Costs, average and incremental cost-effectiveness ratios were calculated for each intervention and expressed as 'the cost per person who walks for transport for more than 150 min/week (60 min/week) after the installation of new sidewalks'. A sensitivity analysis examined the robustness of the incremental cost-effectiveness ratios to varying model inputs. Costs are in 2012 Australian dollars. A positive relationship was found between the presence of sidewalks and transport-walking for both transport-walking thresholds of 150 and 60 min/week. The minimum intervention was found to be the most cost-effective at $2330 erson and $674 erson for the 150 and 60 min/week transport-walking thresholds respectively. Increasing the proportion of people transport-walking and increasing population density by 50% improved the cost-effectiveness of installing side-walks to $346 erson. To increase levels of transport-walking, retrofitting streets with one sidewalk is most cost-effective.
Publisher: Human Kinetics
Date: 03-2014
Abstract: The objective of this study was to develop a multidomain model to identify key characteristics of the primary school environment associated with children’s physical activity (PA) during class-time. Accelerometers were used to calculate time spent in moderate-to-vigorous physical activity during class-time (CMVPA) of 408 sixth-grade children (mean ± SD age 11.1 ± 0.43 years) attending 27 metropolitan primary schools in Perth Western Australia. Child and staff self-report instruments and a school physical environment scan administered by the research team were used to collect data about children and the class and school environments. Hierarchical modeling identified key variables associated with CMVPA. The final multilevel model explained 49% of CMVPA. A physically active physical education (PE) coordinator, fitness sessions incorporated into PE sessions and either a trained PE specialist, classroom teacher or nobody coordinating PE in the school, rather than the deputy principal, were associated with higher CMVPA. The amount of grassed area per student and sporting apparatus on grass were also associated with higher CMVPA. These results highlight the relevance of the school’s sociocultural, policy and physical environments in supporting class-based PA. Interventions testing optimization of the school physical, sociocultural and policy environments to support physical activity are warranted.
Publisher: Wiley
Date: 14-03-2011
Publisher: Informa UK Limited
Date: 02-2012
Publisher: Springer Science and Business Media LLC
Date: 31-03-2014
Publisher: Elsevier BV
Date: 09-2013
DOI: 10.1016/J.YPMED.2013.05.015
Abstract: This study examined prospective relationships of green space attributes with adults initiating or maintaining recreational walking. Postal surveys were completed by 1036 adults living in Adelaide, Australia, at baseline (two time points in 2003-04) and follow-up (2007-08). Initiating or maintaining recreational walking was determined using self-reported walking frequency. Green space attributes examined were perceived presence, quality, proximity, and the objectively measured area (total and largest) and number of green spaces within a 1.6 km buffer drawn from the center of each study neighborhood. Multilevel regression analyses examined the odds of initiating or maintaining walking separately for each green space attribute. At baseline, participants were categorized into non-regular (n = 395), regular (n = 286), and irregular walkers (n = 313). Among non-regular walkers, 30% had initiated walking, while 70% of regular walkers had maintained walking at follow-up. No green space attributes were associated with initiating walking. However, positive perceptions of the presence of and proximity to green spaces and the total and largest areas of green space were significantly associated with a higher likelihood of walking maintenance over four years. Neighborhood green spaces may not assist adults to initiate walking, but their presence and proximity may facilitate them to maintain recreational walking over time.
Publisher: Springer Science and Business Media LLC
Date: 29-07-2016
Publisher: Elsevier BV
Date: 09-2011
DOI: 10.1016/J.HEALTHPLACE.2011.06.003
Abstract: This study examines the relationship between weather conditions and overall and domain-specific physical activity in adults living in a city with a temperate, stable climate. Objective and self-reported physical activity levels were measured in 1754 adults participating in RESIDE, a longitudinal study undertaken in Perth, Australia. Steps per week and self-reported minutes of domain-specific physical activity were compared with date-st ed weather data. Weather conditions were relatively constant across all seasons, showing little impact on physical activity behaviour. Variation in weather conditions had modest explanatory power (<6%) for predicting overall and domain-specific physical activity engagement in this s le. Weather variations observed in this study were of insufficient magnitude to impact on physical activity levels. This has implications for study designs and exploration of other factors associated with physical activity in these settings.
Publisher: Informa UK Limited
Date: 29-04-2019
Publisher: Elsevier BV
Date: 05-2018
Publisher: Elsevier BV
Date: 2006
DOI: 10.1016/J.YPMED.2005.11.002
Abstract: Recognition that early sun exposure is an important risk factor for cutaneous melanoma in white populations has led to efforts to reduce children's sun exposure. 'Kidskin' was a non-randomized, school-based sun protection intervention trial in Perth, Western Australia (1995-1999). Its aim was to determine the extent to which such a program could reduce children's sun exposure. Kidskin involved 1614 children assigned to one of three groups: a Control, a 'Moderate' and a 'High' intervention group of 14, 11 and 8 schools respectively. The unit of assignment was the school. Control schools received the standard health education curriculum, while intervention schools received a multi-component intervention including a specially designed curriculum. The High intervention group received additional components. Outcomes included parent reported sun-related behaviors and objectively measured suntan at the end of summer vacation. These outcomes were observed every 2 years. Statistical analyses allowed for correlations between students within schools. Kidskin initially had favorable effects on reported sun exposure and measured suntan. However, at the end of the 4-year program, and again 2 years later, little evidence of a favorable effect remained. The benefits of childhood sun protection interventions may not last beyond the life of the program.
Publisher: Figshare
Date: 2018
Publisher: Springer Science and Business Media LLC
Date: 25-12-2014
Publisher: Springer Science and Business Media LLC
Date: 2013
Publisher: Informa UK Limited
Date: 02-01-2018
Publisher: Springer Science and Business Media LLC
Date: 2013
Publisher: Elsevier BV
Date: 03-2016
DOI: 10.1016/J.HEALTHPLACE.2016.01.002
Abstract: This study examined whether the association of psychological distress with area-level socio-economic status (SES) was moderated by the area and attractiveness of local green space. As expected, the odds of higher psychological distress was higher in residents in lower SES areas than those in higher SES areas. However, our results were inconclusive with regard to the moderating role of green space in the relationship between psychological distress and SES. Further investigations incorporating safety and maintenance features of green space and street-level greenery are warranted.
Publisher: Springer Science and Business Media LLC
Date: 2011
Publisher: Elsevier BV
Date: 02-2015
Publisher: Elsevier BV
Date: 04-2001
DOI: 10.1111/J.1753-6405.2001.TB01837.X
Abstract: This paper discusses some of the inherent methodological limitations of gathering data via direct observation using local parks as a case study. Direct observation was carried out in five parks on seven non-consecutive days in 1998 and on matched days in 1999. Information recorded for each person included the time of park entry and exit, gender, age group, and activity/ies undertaken while in the park. METHODOLOGICAL CONSIDERATIONS: The location of the observation point, observer reliability, recording and accuracy of data, and specific issues related to outdoor observation areas should all be considered when designing a study incorporating direct observation as a data collection method. Direct observation can provide valuable information. However, pilot testing is essential for minimising potential problems associated with this method and optimising data quality. The issues discussed in this paper provide a useful guide for other researchers undertaking direct observation in outdoor environments.
Publisher: Human Kinetics
Date: 02-2023
Abstract: Background : The development of policies that promote and enable physical activity (PA) is a global health priority. Laws are an important policy instrument that can enable enduring beneficial outcomes for in iduals, organizations, and environments through multiple mechanisms. This article presents a systematic process for mapping laws relevant to PA, which can be used to understand the role of laws as a powerful PA policy lever. Methods : Building on methods used in public health law research, we developed a protocol for scientific mapping of laws influencing the built environment for PA in Australia. The MonQcle online legal research platform was used for data coding, analysis, and presentation. Results : We describe the 10 key stages of legal mapping that we applied to examine state and territory laws that influence walking and cycling in Australia. Conclusions : Law is a neglected element of policy research for PA. There is a need for accessible legal data to drive the design, investment, and implementation of legal interventions to improve population PA. Legal mapping is a first step toward evaluation of such laws for PA. This paper provides a practical case study and guidance for the 10 stages in legal mapping of laws that influence the built environment for PA.
Publisher: Elsevier BV
Date: 12-2017
Publisher: SAGE Publications
Date: 26-05-2015
Abstract: The neighborhood influences on walking are well recognized, yet less is known about how the environment impacts sedentary behaviors. This study used a social-ecological model to examine the correlates of sitting time, independent of walking behavior. Objective built environment measures and self-reported community participation were examined for associations with sitting time for 1,179 residents in Perth, Western Australia. Neighborhood built environment and social factors were significantly associated with women’s sitting time only. In particular, the presence of community infrastructure was negatively associated with women’s weekday sitting (relative reduction = 0.951 p = .037), but statistical significance weakened after accounting for community participation (relative reduction = 0.951 p = .057). Community participation was independently associated with both women’s weekday and weekend sitting (both p .001). More walkable neighborhoods may help limit women’s sitting time by providing better access to community infrastructure, as local venues may afford additional opportunities for social interaction and participation.
Publisher: MDPI AG
Date: 02-07-2018
Publisher: Figshare
Date: 2018
Publisher: CSIRO Publishing
Date: 2008
DOI: 10.1071/HE08118
Abstract: This qualitative research explored the relationship between dog ownership and dog-related, social environmental and physical environmental factors associated with walking with a dog. Seven focus groups with dog owners (n=51) were conducted. A pre-determined discussion guide was used and transcripts were analysed as group data, using content analysis to identify common themes. Many of the physical environmental barriers and facilitators that influenced dog owners to walk were similar to those found in the literature for general walking. However, a number of key motivators for walking, specific to dog owners, were identified. Dog owners reported that their dog was a strong source of motivation, companionship and social support that encouraged them to walk with their dog. The availability and accessibility of public open space (POS) for dogs and the provision of dog-related infrastructure within POS were also important environmental factors that affected whether owners walked with their dog. Results from this qualitative study were used to develop the Dogs and Physical Activity (DAPA) tool which is now being used to measure the walking behaviour of dog owners.
Publisher: Oxford University Press (OUP)
Date: 1993
Publisher: Elsevier BV
Date: 11-2008
DOI: 10.1016/J.YPMED.2008.07.015
Abstract: To examine associations between features of public open spaces, and children's physical activity. 163 children aged 8-9 years and 334 adolescents aged 13-15 years from Melbourne, Australia participated in 2004. A Geographic Information System was used to identify all public open spaces (POS) within 800 m of participants' homes and their closest POS. The features of all POS identified were audited in 2004/5. Accelerometers measured moderate-to-vigorous physical activity (MVPA) after school and on weekends. Linear regression analyses examined associations between features of the closest POS and participants' MVPA. Most participants had a POS within 800 m of their home. The presence of playgrounds was positively associated with younger boys' weekend MVPA (B=24.9 min/day p< or =0.05), and lighting along paths was inversely associated with weekend MVPA (B=-54.9 min/day p< or =0.05). The number of recreational facilities was inversely associated with younger girls' MVPA after school (B=-2.6 min/day p< or =0.05) and on the weekend (B=-8.7 min/day p< or =0.05). The presence of trees providing shade (5.8 min/day, p< or =0.01) and signage regarding dogs (B=6.8 min/day, p< or =0.05) were positively associated with adolescent girls' MVPA after school. Certain features of POS were associated with participants' MVPA, although mixed associations were evident. Further research is required to clarify these complex relationships.
Publisher: SAGE Publications
Date: 05-1998
DOI: 10.4278/0890-1171-12.5.325
Abstract: The study examines associations of five healthy workplace attributes with trade unionism and nine other industrial and sociodemographic factors. The aims were to illustrate the measurement of workplace health promotion indicators in Western Australia and to identify associations leading to a better understanding of determinants of the healthy workplace. Personal and telephone cross-sectional surveys were performed using population-based s ling frames. The overall response rate was 72%. Workplaces in Western Australia. Random s les of household respondents aged 16 to 69 years in 1992 (n = 1310) and 1994 (n = 1113). Measures of association between healthy workplace attributes and trade unionism were adjusted for workplace location, size, sector, and industrial classification. Trade unionism was strongly associated with healthy catering practices (adjusted OR 2.05 95% CI 1.30 to 3.23), sun protection practices (2.66 1.69 to 4.17), disability access (1.47 1.10 to 1.95), and worksite health promotion programs (2.56 2.07 to 3.17). A weak and nonsignificant association was observed with restrictive smoking policies (1.21 .95 to 1.55). Generally, healthy workplace attributes were reported less often by respondents working in rural locations, in the private sector, and at small worksites. There was no consistent relationship with sociodemographic factors, including an index of social disadvantage, but members of blue-collar occupations experienced a low prevalence of restrictive smoking policies. The study raises the hypothesis, but cannot confirm, that trade unions could provide a means for employees to pursue the creation of a health-promoting workplace. Small business represents an excellent target for health promotion activities.
Publisher: Springer Science and Business Media LLC
Date: 13-06-2014
Publisher: Oxford University Press (OUP)
Date: 1995
DOI: 10.1093/IJE/24.1.165
Abstract: Analysis of socioeconomic status (SES), defined on the basis of geographical area, will always be subject to misclassification of in iduals. We studied the relationship between SES and selected health-related measures when SES was defined firstly on the basis of postcode and secondly on the basis of the smaller spatial area of collector's district (CD). A Census population of 1.4 million was used to investigate the misclassification of in iduals to SES group using postcode as opposed to CD. A field survey of 1000 respondents and a mortality register of 1756 deaths were used to compare the relationship between SES and certain outcome variables, when SES group was assigned using postcode and CD. Misclassification probability matrices were used to try to adjust the postcode-based results to approximate CD-based results. The Census data showed that nearly 50% of residents were misclassified into SES groups by the postcode-based system compared with a CD-based system. In comparing the most socially disadvantaged group with the least disadvantaged group, the postcode analysis underestimated the absolute effects of SES by 58% for the increased prevalence of smoking, by 19% for the reduced prevalence of participation in junior sporting clubs and by 13% for the increased mortality rate at ages 0-64 years. Adjustment of postcode-based results using misclassification matrices proved fruitless due to differential misclassification and technical difficulties. Misclassification of in iduals to SES groups on the basis of postcode has caused an underestimation of the true relationship between SES and health-related measures. A reduction of this misclassification by using smaller spatial areas, such as CD or census enumeration districts, will provide improved validity in estimating the true relationship.
Publisher: Hindawi Limited
Date: 02-09-2012
DOI: 10.1155/2012/507503
Abstract: While neighbourhood differences in social capital have been mapped, few empirical studies have considered the nexus between specific physical characteristics of communities and social capital. In this study we hypothesised that social capital would be positively associated with a more walkable street network design, but inversely associated with negative experiences and perceptions of neighbourhood environments. Data was gathered through a random cross-sectional telephone survey of adults ( n = 339 ) from three suburbs with differing street network design. Although there was some relationship between street network layout and social capital, this was not always as hypothesised by previous studies. Perceived incivilities, lower levels of trust and support were among factors that may have countered some of the positive influences of a walkable street network design on social capital. Overall, our findings suggest that the built environment may influence neighbourhood social capital at both a real and perceived level. While the actual presence and type of facilities, neighbourhood design and walkability may impact on social capital formation and maintenance, so too can perceptions of the physical and social environment. Understanding the complex intertwining of physical neighbourhood features, perceptions and social dynamics is relevant to growing public policy interest in strengthening social capital for enhanced community wellbeing.
Publisher: Springer Science and Business Media LLC
Date: 30-10-2016
Publisher: Elsevier BV
Date: 03-2009
DOI: 10.1016/J.AMEPRE.2008.10.011
Abstract: Little is known about what happens to active commuting as children get older, and less is known about influences on changes in this behavior. This study examined predictors of increases in children's and adolescents' active commuting (walking or cycling) to/from school over a 2-year period. Participants were initially recruited and assessed in 2001. Follow-up data were collected in 2004 and 2006 and analyzed in 2008. Participants were 121 children (aged 9.1+/-0.34 years in 2004) and 188 adolescents (aged 14.5+/-0.65 years in 2004) from Melbourne, Australia. Parents and adolescents reported their perceptions of in idual-level factors and of the neighborhood social and physical environment. Weekly active commuting (walking or cycling) to/from school, ranging from 0 to 10 trips/week was also proxy- or self-reported at the initial measurement and again 2 years later. Logistic regression analyses examined predictors of increases in active commuting over time. Children whose parents knew many people in their neighborhood were more likely to increase their active commuting (OR=2.6 CI=1.2, 5.9 p=0.02) compared with other children. Adolescents whose parents perceived there to be insufficient traffic lights and pedestrian crossings in their neighborhood were less likely to increase their active commuting over 2 years (OR=0.4 CI=0.2, 0.8 p=0.01), whereas adolescents of parents who were satisfied with the number of pedestrian crossings were more likely to increase their active commuting (OR=2.4 CI=1.1, 5.4 p=0.03) compared with other adolescents. Social factors and physical environmental characteristics were the most important predictors of active commuting in children and adolescents, respectively.
Publisher: Wiley
Date: 1990
DOI: 10.1080/09595239000185041
Abstract: A survey of women aged 18-64 living in Perth in February 1987 showed that a prospective alcohol consumption diary measured a higher level of consumption (9.3%) than did a retrospective alcohol consumption diary. According to the National Health and Medical Research Council (NH&MRC) guidelines for safe and responsible drinking, 11.2% of women drank alcohol at hazardous levels (14+ drinks per week). Although on an overall weekly basis there was no significant association between age and consumption level, drinking patterns varied on a daily basis according to age. The current study may provide a conservative estimate of the percentage of women at risk. The reasons for this underestimation and the implications are discussed, together with the need to develop health promotion messages based on drinking patterns.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2012
Publisher: Elsevier BV
Date: 10-2017
Publisher: Elsevier BV
Date: 11-2015
DOI: 10.1016/J.HEALTHPLACE.2015.10.004
Abstract: This study examined associations between objective environmental attributes and, separately, transport (TC) and recreational cycling (RC). Environmental attributes were more strongly associated with TC than RC. Distances to areas with the best bicycle infrastructure and urban amenities may be key environmental attributes influencing TC but not RC. Government investments in bicycle infrastructure within inner Brisbane appear to have resulted in more TC than in outer areas and to appeal to residents of both the most and least disadvantaged neighbourhoods. Extending this infrastructure to residents living in disadvantaged and advantaged neighbourhoods outside the CBD could expand TC participation.
Publisher: The Sax Institute
Date: 2007
DOI: 10.1071/NB07027
Abstract: There is growing interest in the impact of community design on the health of residents. In 1998, the Western Australian Government began a trial of new sub ision design codes (i.e. Liveable Neighbourhoods Community Design Code) aimed at creating pedestrian-friendly neighbourhoods to increase walking, cycling and public transport use. The trial provided a unique opportunity for a natural experiment to evaluate the impact of a government planning policy on residents. Nevertheless, evaluations of this kind present a number of methodological challenges in obtaining the highest quality evidence possible. This paper describes the RESIDential Environment Project's study design and discusses how various methodological challenges were overcome.
Publisher: SAGE Publications
Date: 03-2002
Abstract: Sponsorship is a rapidly growing tool in both commercial and social marketing areas, in Australia and overseas. Australian health promotion foundations distribute substantial funds to arts, sports, and racing organizations for the opportunity to have these organizations' events sponsored by health promoting organizations. However, in spite of substantial commercial and health expenditures, there has been little published systematic evaluation of sponsorship. Recent years have seen far more attention to this area. This article presents the results of a study designed to evaluate sponsorship effectiveness in terms of its two main communication objectives: brand awareness and brand attitude. Two health and four commercial sponsorships were evaluated at two major sporting events. Overall, the data suggest that sponsorship can influence both brand awareness and brand attitude, and that the health sponsorships had more impact than the commercial sponsors studied. These and other data confirm the potential usefulness for greater use of sponsorship in social marketing c aigns.
Publisher: Elsevier BV
Date: 11-2015
DOI: 10.1016/J.HEALTHPLACE.2015.10.005
Abstract: Planning policy makers are requesting clearer guidance on the key design features required to build neighbourhoods that promote active living. Using a backwards stepwise elimination procedure (logistic regression with generalised estimating equations adjusting for demographic characteristics, self-selection factors, stage of construction and scale of development) this study identified specific design features (n=16) from an operational planning policy ("Liveable Neighbourhoods") that showed the strongest associations with walking behaviours (measured using the Neighbourhood Physical Activity Questionnaire). The interacting effects of design features on walking behaviours were also investigated. The urban design features identified were grouped into the "building blocks of a Liveable Neighbourhood", reflecting the scale, importance and sequencing of the design and implementation phases required to create walkable, pedestrian friendly developments.
Publisher: Elsevier BV
Date: 12-2013
Publisher: Oxford University Press (OUP)
Date: 1996
DOI: 10.1093/HER/11.2.187
Publisher: Human Kinetics
Date: 2010
Abstract: Modifying the built environment is increasingly recommended as a means of increasing physical activity, but there is currently little evidence from intervention studies to support this approach. From a discussion of 3 natural experiments in this area (RESIDE, iConnect, and Commuting and Health in Cambridge), several common lessons emerged. First, researchers should anticipate delays in the implementation of interventions that are outside their control, and research funders need to exercise a degree of flexibility to accommodate changing research timetables. Second, new built environments develop and evolve over time, and so do their effects on human behavior. Study designs and exposure measures should take account of this, and long term outcomes should be measured wherever possible to allow for potential sleeper, snowball, or threshold effects emerging over time. Third, it may be difficult to identify suitable control areas for a conventional parallel-group intervention–control design, and it may be necessary to draw on other study designs to provide a counterfactual comparison. Fourth, the effort and cost required to recruit, retain and obtain repeated measurements from participants over a period of years should not be underestimated. Finally, comprehensive process evaluation measures may be required to assess the level and quality of interventions.
Publisher: CSIRO Publishing
Date: 2006
DOI: 10.1071/HE06043
Abstract: The 10,000 steps per day message has become popular, yet few studies have examined correlates associated with achieving this behaviour target. This paper examines demographic and in idual factors associated with adults achieving 10,000 steps/day. Participants in a state-wide, cross-sectional physical activity survey were invited to take part in a pedometer study (n=603, 45% response rate). A pedometer was worn for one week and daily steps recorded in a diary. Participants providing four or more days of pedometer data (n=428) were dichotomised based on achievement of > or =10,000 steps/day. Men performed significantly more daily steps than women on average (10,079+/-3,848 and 9,169+/-3,800, p=0.01). In males, those less likely to achieve > or =10,000 steps/day were > or =60 years of age (OR=0.21) and overweight (i.e. body mass index > or =25kgm2) (OR=0.40), while men who regularly walked in the workplace (OR=1.44), who did vigorous activity at work (OR= 3.75), or who were employed in a blue-collar occupation (OR=4.45) were more likely to report reaching this target. In women, being overweight (OR=0.55) was negatively associated with achieving > or =10,000 steps/day, while participating in > or =150 minutes of leisure-time physical activity/week (OR=2.26) was positively associated with reaching this target. Workplace physical activity and working in blue-collar occupations contributes to the achievement of 10,000 steps/day in males. People who achieve current national physical activity guidelines also achieve 10,000 steps/day. Older adults and those overweight are less likely to achieve this behaviour target.
Publisher: SAGE Publications
Date: 06-2001
DOI: 10.1177/109019810102800308
Abstract: To facilitate the banning of tobacco industry sponsorship, Australian health promotion foundations were established to provide health sponsorship to sport, arts, and racing organizations. Health sponsorship dollars procure health sponsorship benefits such as naming rights, signage, personal endorsement of a (health) product by a performer or player, and structural controls such as smoke-free policies. Data are presented from surveys and observations of spectators attending events sponsored by the West Australian Health Promotion Foundation (Healthway) and surveys of Healthway-sponsored organizations and the community. The results demonstrate that by using health sponsorship, Healthway increased the prevalence of smoke-free policies in recreational settings, and there was growing support for these policies. There was evidence of good compliance with smoke-free policies, thus reducing exposure to environmental tobacco smoke. The introduction of smoke-free policies in recreational settings has involved working collaboratively with sectors outside of health, taking an incremental approach to change, and gaining the support of stakeholders by communicating evaluation results.
Publisher: BMJ
Date: 10-2016
Publisher: Human Kinetics
Date: 05-2009
DOI: 10.1123/JPAH.6.3.367
Abstract: Capturing neighborhood-specific physical activity is necessary to advance understanding of the relations between neighborhood walkability and physical activity. This study examined the test–retest reliability of previously developed items (from the Neighborhood Physical Activity Questionnaire) for capturing setting-specific physical activity among Canadian adults. Randomly s led adults (N = 117) participated in 2 telephone interviews 2 to 5 days apart. Respondents were asked a series of items capturing frequency and duration of transportation-related walking, recreational walking, and moderate- and vigorous-intensity physical activity undertaken inside and outside the neighborhood in a usual week. The test–test reliability of reported physical activity levels were then examined using intraclass and Spearman’s rank correlations, kappa coefficients, and overall agreement. Participation, frequency, and the duration of transportation-related and recreational walking and vigorous-intensity physical activity inside and outside the neighborhood showed moderate to excellent test–retest reliability. Moderate reliability was found for moderate-intensity physical activity undertaken inside ( k = .48 ICC frequency = .38 ICC duration = .39) and outside ( k = .51 ICC frequency = .79 ICC duration = .31) the neighborhood. Neighborhood-specific physical activity items administered by telephone interview are reliable and are therefore appropriate for use in future studies examining neighborhood walk-ability and physical activity.
Publisher: Elsevier BV
Date: 12-2012
Publisher: Elsevier BV
Date: 2017
DOI: 10.1016/J.HEALTHPLACE.2016.11.003
Abstract: Adequate and affordable housing is a major social determinant of health yet no work has attempted to conceptually map and spatially test area-level measures of housing with selected health and wellbeing outcomes. Sourcing data from 7,753 adults from Melbourne, Australia, we tested associations between area-level measures of housing density, tenure, and affordability with in idual-level measures of neighbourhood safety, community satisfaction, and self-rated health. Compared with the reference groups, the odds of: feeling unsafe was higher for residents living in areas with less affordable housing community dissatisfaction was ~30% higher in those living in areas with >36% residential properties assigned as rentals, and was significantly higher in the least affordable areas (OR =1.57). Compared with the reference groups, as dwelling density, proportion of rental properties, and housing unaffordability increased, the odds of reporting poorer self-rated health increased however these associations did not always reach statistical significance. This work highlights the benefits of evidenced-based planning spatial measures to support health and wellbeing.
Publisher: Informa UK Limited
Date: 05-09-2022
Publisher: Human Kinetics
Date: 2018
Abstract: Background: There is growing urgency for higher quality evidence to inform policy. This study developed geographic information system spatial measures based on land use and transport policies currently used in selected Australian states to assess which, if any, of these measures were associated with walking for transport. Methods: Overall, 6901 participants from 570 neighborhoods in Brisbane, Australia, were included. Participants reported their minutes of walking for transport in the previous week. After a review of state-level land use and transport policies relevant to walking for transport across Australia, 7 geographic information system measures were developed and tested based on 9 relevant policies. Data were analyzed using multilevel multinomial logistic regression. Results: Greater levels of walking for transport were associated with more highly connected street networks, the presence of public transport stops, and having at least 2 public transport services per hour. Conversely, neighborhoods with shorter cul-de-sac lengths had lower levels of walking for transport. There was no evidence of associations between walking for transport and street block lengths less than 240 m or traffic volumes. Conclusions: These findings highlight the need for urban design and transport policies developed by governments to be assessed for their impact on transport-related physical activity.
Publisher: BMJ
Date: 04-08-2015
Abstract: Understanding how different socioeconomic indicators are associated with transport modes provide insight into which interventions might contribute to reducing socioeconomic inequalities in health. The purpose of this study was to examine associations between neighbourhood-level socioeconomic disadvantage, in idual-level socioeconomic position (SEP), and usual transport mode. This investigation included 11,036 residents from 200 neighbourhoods in Brisbane, Australia. Respondents self-reported their usual transport mode (car or motorbike, public transport, walking or cycling). Indicators for in idual-level SEP were education, occupation and household income and neighbourhood disadvantage was measured using a census-derived index. Data were analysed using multilevel multinomial logistic regression. High SEP respondents and residents of the most advantaged neighbourhoods who used a private motor vehicle as their usual form of transport was the reference category. Compared with driving a motor vehicle, the odds of using public transport were higher for white collar employees (OR 1.68, 95% CrI 1.41-2.01), members of lower income households (OR 1.71 95% CrI 1.25-2.30) and residents of more disadvantaged neighbourhoods (OR 1.93, 95% CrI 1.46-2.54) and lower for respondents with a certificate-level education (OR 0.60, 95% CrI 0.49-0.74) and blue collar workers (OR 0.63, 95% CrI 0.50-0.81). The odds of walking for transport were higher for the least educated (OR 1.58, 95% CrI 1.18-2.11), those not in the labour force (OR 1.94, 95% CrI 1.38-2.72), members of lower income households (OR 2.10, 95% CrI 1.23-3.64) and residents of more disadvantaged neighbourhoods (OR 2.73, 95% CrI 1.46-5.24). The odds of cycling were lower among less educated groups (OR 0.31, 95% CrI 0.19-0.48). The relationships between socioeconomic characteristics and transport modes are complex, and provide challenges for those attempting to encourage active forms of transportation. Further work is required exploring the in idual-level and neighbourhood-level mechanisms behind choice of transport mode, and what factors might influence in iduals from different socioeconomic backgrounds to change to more active transport modes.
Publisher: Oxford University Press (OUP)
Date: 06-1998
DOI: 10.1093/HER/13.2.285
Abstract: The purpose of this study was to assess the test-retest reliability of a scale measuring Prochaska's stages of change. Although structured questionnaire items are being increasingly used to segment target audiences according to Prochaska and DiClemente's stages of change, we could find only one report in the literature assessing the reliability of such scales. The unreliability of single-item or algorithm questionnaire scales might be why a number of studies show only minimal differences on some variables between in iduals in different stages of change. A survey of the Perth metropolitan general population aged 16-69 years (N = 2629) was completed in August-September 1992 as part of a 3 year evaluation of the Western Australian Health Promotion Foundation. The consistency of respondents' responses was assessed across two questions measuring stages of change for the behaviours quitting smoking (n = 404), reducing alcohol consumption (n = 57) and doing more exercise (n = 704). Given the immediacy of the test-retest situation, the reliability results are moderately encouraging: kappa = 0.72, 0.73 and 0.52 for quitting smoking, reducing alcohol and doing more exercise, respectively. Health researchers should be aware of the probable moderate level of reliability if using the type of scale assessed in this study, when interpreting differences between in iduals in different stages. In practice, several questionnaire items for classification purposes should be used so that internal reliability measures can be calculated. It is recommended that research be undertaken to devise more reliable scales for stages of change for the various health behaviours. It is noted that the attitude literature with respect to context and time specific intentions could be helpful in devising such scales.
Publisher: Elsevier BV
Date: 03-2014
DOI: 10.1016/J.HEALTHPLACE.2013.11.006
Abstract: Declines in children's independent mobility are commonly attributed to parents' fear of strangers, yet few empirical studies have investigated this relationship. We examined: (1) the impact of parents' fear of strangers on children's independent mobility and (2) whether informal social control (i.e., parents' confidence that other residents would look out for local children) mitigated any association. Gender stratified logistic regression models tested these associations for 10-12 year-olds and their parents (n=1231) in Perth, Australia. For girls, parental fear of strangers was associated with lower odds of independent mobility (OR=0.71, p=0.002), and informal social control and other social and built environment variables had little attenuating influence. This pattern was consistent for boys however odds ratios were lower and statistical significance weaker. Initiatives that target parental fears combined with interventions that normalise children's walking may help increase independent mobility.
Publisher: Elsevier BV
Date: 05-2012
DOI: 10.1016/J.SOCSCIMED.2012.01.032
Abstract: Mental health is a public health priority globally. Public Open Space (POS) may enhance mental health by facilitating contact with nature and the development of supportive relationships. Despite growing interest in the influence of the built environment on mental health, associations between POS attributes and mental health remain relatively unexplored. In particular, few studies have examined the relative effects of the quantity and quality of POS within a neighbourhood on mental health. Guided by a social-ecological framework, this study investigated the relationship between POS attributes (i.e., quantity and quality) and better mental health (i.e., low risk of psychological distress) in residents of new housing developments in the Perth metropolitan area, Western Australia. The extent to which relationships between POS attributes and mental health were confounded by psychosocial factors (e.g., social support, sense of community) and frequent use of POS was also explored. Data were obtained from a cross-sectional survey (n = 911), a POS audit, and Geographical Information Systems, and was analysed using logistic regression. Approximately 80% of survey participants were at low risk of psychological distress. Residents of neighbourhoods with high quality POS had higher odds of low psychosocial distress than residents of neighbourhoods with low quality POS. This appeared to be irrespective of whether or not they used POS. However, the quantity of neighbourhood POS was not associated with low psychological distress. From a mental health perspective, POS quality within a neighbourhood appears to be more important than POS quantity. This finding has policy implications and warrants further investigation.
Publisher: Springer Science and Business Media LLC
Date: 27-05-2019
DOI: 10.1007/S40572-019-00236-6
Abstract: A compelling body of research demonstrates associations between urban design and health, but this research is often not reflected in urban policies. This article reviews the literature on the science and practice of translating health research into urban policy and planning. Two Australian case studies demonstrate how policy frameworks can help guide evidence-based planning for healthy urban environments. To influence city planning, health researchers need to undertake policy-relevant research and understand policymaking processes. Policy frameworks can assist researchers to tailor research evidence and research translation strategies to the political and policymaking context. Strong links between urban policymakers and health researchers can help bridge the knowledge-policy ide. Policy frameworks can help researchers to identify and capitalise on windows of opportunity for evidence-based policy change. Doing so increases the likelihood of public health evidence informing urban policies that will create healthy liveable cities.
Publisher: Wiley
Date: 07-2017
DOI: 10.1071/HE15098
Publisher: SAGE Publications
Date: 11-2000
DOI: 10.4278/0890-1171-15.2.126
Abstract: In Australia, a tobacco tax provides funding for Healthway, the Western Australian Health Promotion Foundation. Healthway provides sponsorships for the arts and racing and sporting events to replace funds previously provided by tobacco companies. These sponsorships provide visibility for Healthway and positive health messages. Normally, Healthway staff attends these events to help promote health messages. To reduce Healthway staff time spent helping event organizers promote health messages, Healthway developed a sponsor kit of promotional materials which communicate health messages without requiring Healthway staff to attend events. Recognition, awareness, comprehension, and acceptance of health messages was comparable at events that featured Healthway staff versus the sponsor kits, but the average cost of the sponsorship kits was only 40% of the cost when Healthway staff was featured.
Publisher: Elsevier BV
Date: 06-2016
Publisher: Elsevier BV
Date: 06-2014
DOI: 10.1016/J.SOCSCIMED.2014.04.003
Abstract: It has long been recognised that urban form impacts on health outcomes and their determinants. There is growing interest in creating indicators of liveability to measure progress towards achieving a wide range of policy outcomes, including enhanced health and wellbeing, and reduced inequalities. This review aimed to: 1) bring together the concepts of urban 'liveability' and social determinants of health 2) synthesise the various liveability indicators developed to date and 3) assess their quality using a health and wellbeing lens. Between 2011 and 2013, the research team reviewed 114 international academic and policy documents, as well as reports related to urban liveability. Overall, 233 indicators were found. Of these, 61 indicators were regarded as promising, 57 indicators needed further development, and 115 indicators were not useful for our purposes. Eleven domains of liveability were identified that likely contribute to health and wellbeing through the social determinants of health. These were: crime and safety education employment and income health and social services housing leisure and culture local food and other goods natural environment public open space transport and social cohesion and local democracy. Many of the indicators came from Australian sources however most remain relevant from a 'global north' perspective. Although many indicators were identified, there was inconsistency in how these domains were measured. Few have been validated to assess their association with health and wellbeing outcomes, and little information was provided for how they should be applied to guide urban policy and practice. There is a substantial opportunity to further develop these measures to create a series of robust and evidence-based liveability indices, which could be linked with existing health and wellbeing data to better inform urban planning policies within Australia and beyond.
Publisher: Elsevier BV
Date: 2006
DOI: 10.1016/J.AMEPRE.2005.08.047
Abstract: Active commuting to school may be an important opportunity for children to accumulate adequate physical activity for improved cardiovascular risk factors, enhanced bone health, and psychosocial well-being. The purpose of this study was to examine personal, family, social, and environmental correlates of active commuting to school among children. Cross-sectional study of 235 children aged 5 to 6 years and 677 children aged 10 to 12 years from 19 elementary schools in Melbourne, Australia. Self-administered questionnaires were completed by parents, and the older children. The shortest possible routes to school were examined using a geographic information system. Among both age groups, negative correlates of active commuting to school included parental perception of few other children in the neighborhood and no lights or crossings for their child to use, and an objectively assessed busy road barrier en route to school. In younger children, an objectively assessed steep incline en route to school was negatively associated with walking or cycling to school. Good connectivity en route to school was negatively associated with walking or cycling to school among older children. Among both age groups, children were more likely to actively commute to school if their route was <800 meters. There were no associations with perceived energy levels or enjoyment of physical activity, weight status, or family factors. For children, creating child-friendly communities and providing skills to safely negotiate the environment may be important. Environmental correlates of active transport in children and adults may differ and warrant further investigation.
Publisher: Oxford University Press (OUP)
Date: 04-1999
DOI: 10.1093/HER/14.2.167
Abstract: Evaluation of health promotion interventions aimed at behavioural or environmental change involves assessing change that occurs as a result of the program. Direct observational methods can be used for this purpose and this paper describes three such methods that we pilot tested for use in a 5-year intervention study aimed at reducing sun exposure in primary school children. (1) Monitoring 'No hat, no play' policies. This method involved video taping children in selected school play areas during lunch time and analysing the content of the videos to assess the proportion of children wearing various types of hats. (2) Assessing shade provision in the playground. This method involved taking aerial photographs of each school and using them to estimate the proportion of shade in play areas available to children at lunchtime. (3) Shade use. This involved children wearing polysulphone film badges to measure the amount of UV-B exposure they received during one lunch period, relative to the total possible dose registered on index badges. Each method was implemented successfully, and we demonstrated that the video and aerial photography methods produced highly reproducible results and that all three methods were feasible. These three methods will be used in our intervention study to assess longitudinal change in schools' sun-protection policy and practice.
Publisher: Center for Transportation Studies
Date: 10-10-2018
Abstract: Walkability indices can guide planning and policy for more sustainable and liveble cities. Land-use mix is an important component of walkability that can be measured in a number of ways. Many land-use mix measures require fine-scaled land-use data that are not always available, especially when analyzing walkability across larger geographic extents. This study investigated the feasibility of calculating a national walkability index in Australia, using metropolitan Melbourne as a case study. The study focused on the dual challenges of selecting an appropriate measure of land-use mix and identifying an appropriate land-use data source. We calculated an entropy land-use mix measure with three different Australian land-use datasets. Our comparison of the resulting land-use mix measures highlighted the differences in the land-use datasets and led to our conclusion that none of the three land-use datasets was appropriate for use in a national land-use mix measure. Therefore, we also developed two new exploratory “intensity” measures of land use — daily living and local living — that were able to be calculated nationally with readily available data. Modelled associations with transport walking and comparisons with the entropy land-use mix measures indicate that these new measures were appropriate for assessing national land use in a national walkability index.
Publisher: Figshare
Date: 2016
Publisher: Figshare
Date: 2018
Publisher: Elsevier BV
Date: 03-2008
DOI: 10.1016/J.HEALTHPLACE.2007.04.004
Abstract: This study explored the relationship between social capital and aspects of the built environment, focusing in particular on the walkability of suburbs as determined by street network design and the mix of land uses. We measured social capital and feelings of personal safety in 335 residents of three suburbs in metropolitan Perth, WA, and collected objective and perceived data on the built environment. After adjustment for demographic factors, the built environment was found to have a significant but small effect on social capital and feelings of safety, particularly in relation to the number and perceived adequacy of destinations. A high level of neighbourhood upkeep was associated with both higher social capital and feelings of safety.
Publisher: Springer Science and Business Media LLC
Date: 2006
Publisher: Taylor & Francis
Date: 2016
DOI: 10.5167/UZH-111548
Publisher: Elsevier BV
Date: 04-2003
DOI: 10.1016/S0277-9536(02)00163-6
Abstract: The focus for interventions and research on physical activity has moved away from vigorous activity to moderate-intensity activities, such as walking. In addition, a social ecological approach to physical activity research and practice is recommended. This approach considers the influence of the environment and policies on physical activity. Although there is limited empirical published evidence related to the features of the physical environment that influence physical activity, urban planning and transport agencies have developed policies and strategies that have the potential to influence whether people walk or cycle in their neighbourhood. This paper presents the development of a framework of the potential environmental influences on walking and cycling based on published evidence and policy literature, interviews with experts and a Delphi study. The framework includes four features: functional, safety, aesthetic and destination as well as the hypothesised factors that contribute to each of these features of the environment. In addition, the Delphi experts determined the perceived relative importance of these factors. Based on these factors, a data collection tool will be developed and the frameworks will be tested through the collection of environmental information on neighbourhoods, where data on the walking and cycling patterns have been collected previously. Identifying the environmental factors that influence walking and cycling will allow the inclusion of a public health perspective as well as those of urban planning and transport in the design of built environments.
Publisher: Figshare
Date: 2018
Publisher: Informa UK Limited
Date: 03-12-2014
Publisher: Elsevier BV
Date: 2014
Publisher: Springer Science and Business Media LLC
Date: 2011
Publisher: Informa UK Limited
Date: 14-07-2006
Publisher: Wiley
Date: 12-2014
DOI: 10.1071/HE14050
Publisher: Oxford University Press (OUP)
Date: 1996
DOI: 10.1093/IJE/25.3.687
Abstract: Malignant melanoma is an aggressive tumor with a tendency to metastasize early and with an increasing incidence worldwide. Although in early stage, melanoma is well treatable by excision, the chances of cure and thus the survival rate decrease dramatically after metastatic spread. Conventional treatment options for advanced disease include surgical resection of metastases, chemotherapy, radiation, targeted therapy and immunotherapy. Today, targeted kinase inhibitors and immune checkpoint blockers have for the most part replaced less effective chemotherapies. Magnetic nanoparticles as novel agents for theranostic purposes have great potential in the treatment of metastatic melanoma. In the present review, we provide a brief overview of treatment options for malignant melanoma with different magnetic nanocarriers for theranostics. We also discuss current efforts of designing magnetic particles for combined, multimodal therapies (e.g., chemotherapy, immunotherapy) for malignant melanoma.
Publisher: Springer Science and Business Media LLC
Date: 31-10-2011
DOI: 10.1007/S12529-010-9127-4
Abstract: Despite the well-known benefits of physical activity (PA) on overall health, the majority of the adult population does not engage in sufficient PA. To develop effective interventions to increase PA, it is necessary to understand the most important PA correlates and to investigate whether correlates are similar in different population subgroups. This study examined associations between physical environmental perceptions and self-reported and objectively assessed PA in Belgian adults. Moreover, associations between psychosocial factors and PA, and the moderating effects of sociodemographic factors were investigated. A s le of 1,200 Belgian adults (20-65 years 47.9% males) completed a survey measuring sociodemographic variables and psychosocial correlates, the Neighborhood Environmental Walkability Scale and the long-version International Physical Activity Questionnaire. They wore an accelerometer for 7 days. Perceiving neighborhoods to be high walkable (high residential density, high land use mix access, and high land use mix ersity) and recreation facilities to be convenient, and the availability of home PA equipment were the most consistent physical environmental correlates of PA. The strongest psychosocial correlates were social support from friends and family and self-efficacy. The psychosocial associations were most consistent for self-reported leisure-time PA and less clear for self-reported active transportation and accelerometer-assessed PA. Few significant sociodemographic moderators were found. Both physical environmental and psychosocial factors were associated with PA in adults, with psychosocial factors being important especially for leisure-time PA. Correlates of PA were similar regardless of gender, age, or socio-economic status, so interventions to change these factors could have population-wide effects.
Publisher: Elsevier BV
Date: 2015
Publisher: BMJ
Date: 06-1997
DOI: 10.1136/TC.6.2.115
Abstract: To evaluate the replacement of Western Australian tobacco sponsorship with health promotion sponsorship by the Western Australian Health Promotion Foundation (known as "Healthway"), following the Tobacco Control Act 1990. Process measures of performance were collected from 25 tobacco replacement projects (sponsorship by Healthway of sport, racing, and arts groups previously supported by tobacco companies) and 727 other health sponsorship projects, that is, new sponsorship provided by Healthway to these groups. Cross-sectional survey data were obtained from 917 respondents at tobacco replacement and 2352 at other sponsorship venues. Sport, racing, and arts venues sponsored by the Western Australian Health Promotion Foundation (Healthway) in 1991-95. Population reach, occasions of media publicity, healthy structural changes, cognitive/attitudinal impact of health messages, and the prevalence of five health-risk behaviours. Tobacco replacement and other sponsorship projects achieved comparable performance in publicity for health messages and in healthy structural change, but replacement projects achieved a fourfold higher level of direct population reach for a given amount of funding. Structural change towards a smoke-free environment occurred more often in tobacco replacement projects and a permanent smoke-free policy was achieved in 47% of projects, compared with 15% in other sponsorship projects. The prevalence ratio of current smoking at tobacco replacement venues was 1.86 (95% confidence interval 1.62 to 2.04) relative to other sponsorship venues. There was evidence of higher cognitive resistance to health messages at venues previously sponsored by tobacco companies. A comprehensive ban on tobacco sponsorship linked to health promotion activities funded by tobacco tax delivers potential public health benefits that exceed those achieved by prohibition of tobacco sponsorship alone. Tobacco replacement venues offer opportunities for environmental modification, promotion of anti-smoking messages, and targeting groups that are hard to reach.
Publisher: Elsevier BV
Date: 05-2014
DOI: 10.1016/J.YPMED.2014.02.011
Abstract: To examine the influence of fear of crime on walking for participants in a longitudinal study of residents in new suburbs. Participants (n=485) in Perth, Australia, completed a questionnaire about three years after moving to their neighbourhood (2007-2008), and again four years later (2011-2012). Measures included fear of crime, neighbourhood perceptions and walking (min/week). Objective environmental measures were generated for each participant's neighbourhood, defined as the 1600 m road network distance from home, at each time-point. Linear regression models examined the impact of changes in fear of crime on changes in walking, with progressive adjustment for other changes in the built environment, neighbourhood perceptions and demographics. An increase in fear of crime was associated with a decrease in residents' walking inside the local neighbourhood. For each increase in fear of crime (i.e., one level on a five-point Likert scale) total walking decreased by 22 min/week (p=0.002), recreational walking by 13 min/week (p=0.031) and transport walking by 7 min/week (p=0.064). This study provides longitudinal evidence that changes in residents' fear of crime influence their walking behaviours. Interventions that reduce fear of crime are likely to increase walking and produce public health gains.
Publisher: Elsevier BV
Date: 11-2013
DOI: 10.1016/J.SOCSCIMED.2013.08.010
Abstract: A growing body of evidence has reiterated the negative impacts that crime and perceptions of insecurity can have on the health and wellbeing of local residents. Strategies that reduce residents' perceived crime risk may contribute to improved health outcomes however interventions require a better understanding of the neighbourhood influences on residents perceptions of crime and safety. We examined the impact of changes in the objective built environment following relocation on changes in residents' perceived crime risk for participants in a longitudinal study of people moving to new neighbourhoods in Perth, Western Australia (n = 1159). They completed a questionnaire before moving to their new neighbourhood, and again 36 months after relocation. In idual-level objective environmental measures were generated at both time points using Geographic Information Systems, focussing on the characteristics that comprise a 'walkable neighbourhood'. Linear regression models examined the influence of objective environmental changes between the two environments on perceived crime risk, with progressive adjustment for other change variables (i.e., perceptions of the physical and social environment, reported crime). We found that increases in the proportion of land allocated to shopping/retail land-uses increased residents' perceived crime risk (β = 11.875, p = 0.001), and this relationship remained constant, despite controlling for other influences on perceived crime risk (β = 9.140, p = 0.004). The findings highlight an important paradox: that the neighbourhood characteristics known to enhance one outcome, such as walking, may negatively impact another. In this instance, the 'strangers' that retail destinations attract to a neighbourhood may be interpreted by locals as a threat to safety. Thus, in areas with more retail destinations, it is vital that other environmental strategies be employed to balance any negative effects that retail may have on residents' perceptions of crime risk (e.g., minimising incivilities, improved lighting and aesthetics).
Publisher: Oxford University Press (OUP)
Date: 29-09-2017
DOI: 10.1093/IJE/DYW055
Publisher: Elsevier BV
Date: 12-2001
DOI: 10.1111/J.1467-842X.2001.TB00326.X
Abstract: The process and outcome of developing National Physical Activity Guidelines for Australians is described. The guidelines provide a means of incorporating new data on physical activity into public health education.
Publisher: SAGE Publications
Date: 03-2011
DOI: 10.4278/AJHP.090421-QUAN-144
Abstract: Explore the role of the neighborhood environment in supporting walking. Cross-sectional study of 10,286 residents of 200 neighborhoods. Participants were selected using a stratified two-stage cluster design. Data were collected by mail survey (68.5% response rate). Brisbane City Local Government Area, Australia, 2007. Brisbane residents aged 40 to 65 years. Environmental: street connectivity, residential density, hilliness, tree coverage, bikeways, and streetlights within a 1-km circular buffer from each resident's home and network distance to nearest river or coast, public transport, shop, and park. Walking: minutes walked in the previous week: minutes, ≥30 to minutes, ≥90 to minutes, ≥150 to minutes, and ≥300 minutes. The association between each neighborhood characteristic and walking was examined using multilevel multinomial logistic regression, and the model parameters were estimated using Markov chain Monte Carlo simulation. After adjustment for in idual factors, the likelihood of walking for more than 300 minutes (relative to minutes) was highest in areas with the most connectivity (odds ratio [OR] = 1.93 99% confidence intervals [CI], 1.32–2.80), greatest residential density (OR = 1.47 99% CI, 1.02–2.12), least tree coverage (OR = 1.69 99% CI, 1.13–2.51), most bikeways (OR = 1.60 99% CI, 1.16–2.21), and most streetlights (OR = 1.50 99% CI, 1.07–2.11). The likelihood of walking for more than 300 minutes was also higher among those who lived closest to a river or the coast (OR = 2.06 99% CI, 1.41–3.02). The likelihood of meeting (and exceeding) physical activity recommendations on the basis of walking was higher in neighborhoods with greater street connectivity and residential density, more streetlights and bikeways, closer proximity to waterways, and less tree coverage. Interventions targeting these neighborhood characteristics may lead to improved environmental quality as well as lower rates of overweight and obesity and associated chromic disease. (Am J Health Promot 2011 [4]:e12–e21.)
Publisher: Elsevier BV
Date: 03-2013
Publisher: Elsevier BV
Date: 03-2017
Publisher: SAGE Publications
Date: 24-04-2013
Abstract: Associations between access to local destinations and children’s independent mobility (IM) were examined. In 2007, 10- to 12-year-olds ( n = 1,480) and their parents ( n = 1,314) completed a survey. Children marked on a map the destinations they walked or cycled to ( n = 1,132), and the availability of local destinations was assessed using Geographic Information Systems. More independently mobile children traveled to local destinations than other children. The odds of IM more than halved in both boys and girls whose parents reported living on a busy road (boys, OR = 0.48 girls, OR = 0.36) and in boys who lived near shopping centers (OR = 0.18) or community services (OR = 0.25). Conversely, the odds of IM more than doubled in girls living in neighborhoods with well-connected low-traffic streets (OR = 2.32) and increased in boys with access to local recreational (OR = 1.67) and retail (OR = 1.42) destinations. Creating safe and accessible places and routes may facilitate children’s IM, partly by shaping parent’s and children’s feelings of safety while enhancing their confidence in the child’s ability to use active modes without an adult.
Publisher: Springer Science and Business Media LLC
Date: 21-09-2018
Publisher: Springer Science and Business Media LLC
Date: 10-2016
Publisher: Elsevier BV
Date: 06-2001
DOI: 10.1111/J.1467-842X.2001.TB00571.X
Abstract: To evaluate a Western Australian mouthguard promotion c aign, launched at the start of the 1997/98 junior rugby union and junior basketball seasons, aimed at increasing mouthguard usage at competition and training. A quasi-experimental field design was used to assess the impact of the mouthguard c aign on behavioural change. Observational data were collected pre- and post-c aign on mouthguard usage by players present at a rugby and basketball competition event and at a training session. Junior Australian Rules Football players were used as a control group. Pre-post observational surveys showed a significantly greater increase in mouthguard usage in competition games among rugby union (77% to 84%) and basketball players (23% to 43%) compared with the control group (72% to 73%). All codes showed a post-c aign increase in mouthguard usage at training, but the intervention codes' increases were greater than the control's increase (rugby union: 29% to 40% basketball: 11% to 36% football: 34% to 40%). The c aign had a significant and substantial effect on behaviour and provides evidence of the benefits of leveraging a sponsorship to modify the behaviour of the target group. This c aign provides a model for promoting mouthguard usage in other sports among junior players.
Publisher: Human Kinetics
Date: 2008
Abstract: This study aimed to develop a reliable instrument, the Dogs and Physical Activity (DAPA) tool, for measuring important attributes and scales relating to the dog-walking behavior of dog owners. Items measuring dog-specific in idual, social environmental, physical environmental, and policy-related factors that affect dog owners’ walking with their dogs were assessed for test–retest reliability. Factor analysis was undertaken to demonstrate that the collection of test items had underlying constructs consistent with the theoretical framework. DAPA-tool items had test–retest reliability scores .7, indicating a high level of stability. Distinct general and dog-specific constructs of subscales measuring dog-supportive features of parks, barriers to dog walking, and behavioral beliefs about the outcomes of regular dog walking were demonstrated through factor analysis. The DAPA tool is the first comprehensive, reliable tool for measuring important attributes and scales relating to dog owners’ physical activity and the context-specific factors that affect owners’ walking with their dogs.
Publisher: Elsevier BV
Date: 07-1999
Publisher: Oxford University Press (OUP)
Date: 11-08-2014
DOI: 10.1093/AJE/KWU171
Abstract: The purpose of the present analysis was to use longitudinal data collected over 7 years (from 4 surveys) in the Residential Environments (RESIDE) Study (Perth, Australia, 2003-2012) to more carefully examine the relationship of neighborhood walkability and destination accessibility with walking for transportation that has been seen in many cross-sectional studies. We compared effect estimates from 3 types of logistic regression models: 2 that utilize all available data (a population marginal model and a subject-level mixed model) and a third subject-level conditional model that exclusively uses within-person longitudinal evidence. The results support the evidence that neighborhood walkability (especially land-use mix and street connectivity), local access to public transit stops, and variety in the types of local destinations are important determinants of walking for transportation. The similarity of subject-level effect estimates from logistic mixed models and those from conditional logistic models indicates that there is little or no bias from uncontrolled time-constant residential preference (self-selection) factors however, confounding by uncontrolled time-varying factors, such as health status, remains a possibility. These findings provide policy makers and urban planners with further evidence that certain features of the built environment may be important in the design of neighborhoods to increase walking for transportation and meet the health needs of residents.
Publisher: Oxford University Press (OUP)
Date: 11-08-2014
DOI: 10.1093/AJE/KWU172
Publisher: Elsevier BV
Date: 10-2012
DOI: 10.1111/J.1753-6405.2012.00914.X
Abstract: The objective of this study was to identify school environmental characteristics associated with moderate to vigorous physical activity during school recess, including morning and lunch breaks. Accelerometry data, child-level characteristics and school physical activity, policy and socio-cultural data were collected from 408 sixth grade children (mean age 11 years) attending 27 metropolitan primary schools in Perth, Western Australia. Hierarchical modelling identified key characteristics associated with children's recess moderate to vigorous physical activity (RMVPA). Nearly 40% of variability in children's RMVPA was explained by school environment and in idual characteristics identified in this study. Children's higher daily RMVPA was associated with newer schools, schools with a higher number of grassed surfaces per child and fewer shaded grassed surfaces, and the physical education coordinator meeting Australian physical activity guidelines. Characteristics of the school physical and social environments are strongly correlated with children's MPVA during recess. The school environment is an ideal target for maximising children's physical activity during recess. Future research could examine the impact of modifying these environmental characteristics on children's school physical activity.
Publisher: American Public Health Association
Date: 07-2013
Abstract: Objectives. We examined whether people moving into a housing development designed according to a state government livable neighborhoods sub ision code engage in more walking than do people who move to other types of developments. Methods. In a natural experiment of 1813 people building homes in 73 new housing developments in Perth, Western Australia, we surveyed participants before and then 12 and 36 months after moving. We measured self-reported walking using the Neighborhood Physical Activity Questionnaire and collected perceptions of the environment and self-selection factors. We calculated objective measures of the built environment using a Geographic Information System. Results. After relocation, participants in livable versus conventional developments had greater street connectivity, residential density, land use mix, and access to destinations and more positive perceptions of their neighborhood (all P .05). However, there were no significant differences in walking over time by type of development (P .05). Conclusions. Implementation of the Livable Neighborhoods Guidelines produced more supportive environments however, the level of intervention was insufficient to encourage more walking. Evaluations of new urban planning policies need to incorporate longer term follow-up to allow time for new neighborhoods to develop.
Publisher: Elsevier BV
Date: 03-2011
Publisher: MDPI AG
Date: 10-07-2019
Abstract: The translation of research into tangible health benefits via changes to urban planning policy and practice is a key intended outcome of academic active-living research endeavours. Conversely, policy-makers and planners identify the need for policy-specific evidence to ensure policy decisions and practices are informed and validated by rigorously established evidence. In practice, however, these two aspirations rarely meet and a research-translation gap remains. The RESIDE project is a unique longitudinal natural experiment designed to evaluate the health impacts of the ‘Liveable Neighbourhoods’ planning policy, which was introduced by the Western Australian Government to create more walkable suburbs. This commentary provides an overview and discussion of the policy-specific study methodologies undertaken to quantitatively assess the implementation of the policy and assess its active living and health impacts. It outlines the key research-translation successes and impact of the findings on the Liveable Neighbourhoods policy and discusses lessons learnt from the RESIDE project to inform future natural experiments of policy evaluation.
Publisher: Springer International Publishing
Date: 14-07-2018
Publisher: Elsevier BV
Date: 10-2000
DOI: 10.1111/J.1467-842X.2000.TB00497.X
Abstract: To evaluate a school-based intervention in terms of reducing children's sun exposure and improving their use of sun protection measures. 'Kidskin' is a five-year, school-based intervention study in Perth, Western Australia, of a cohort of children who were five or six years old in 1995. The study involves three groups: control, 'moderate' and 'high' intervention. Children in the control schools received the standard health curriculum those in the intervention schools received a multicomponent intervention, including a specially designed curriculum. Children in the high intervention group also received program materials over the summer holidays and were offered sun-protective swimwear at a low cost. After two years, parents completed a questionnaire about their child's sun-related behavior. Children in the intervention groups--especially the 'high' group--were reported to have had less sun exposure. This involved covering the back more often, spending more time in the shade when outdoors and wearing a style of swimsuit that covered the trunk. There was also evidence that children in the intervention groups spent less time outdoors in the middle of the day. There was little difference between groups in the wearing of hats or sunscreen. Our school-based intervention improved children's sun protection, but had little effect on specific behaviours that have already been vigorously promoted. School-based prevention c aigns would benefit from focusing on sun protection using clothing and shade, and reducing sun exposure in the middle of the day. There may be little potential to improve hat and sunscreen use.
Publisher: Brazilian Society of Physical Activity and Health
Date: 2016
Publisher: American Society of Civil Engineers (ASCE)
Date: 12-2014
Publisher: Springer Science and Business Media LLC
Date: 2008
Publisher: Institution of Engineering and Technology
Date: 02-2017
DOI: 10.1049/PBTR006E_CH6
Publisher: Springer Science and Business Media LLC
Date: 17-01-2017
Publisher: Human Kinetics
Date: 2015
Abstract: Relationships between context-specific measures of the physical and social environment and children’s independent mobility to neighborhood destination types were examined. Parents in RESIDE’s fourth survey reported whether their child (8–15 years n = 181) was allowed to travel without an adult to school, friend’s house, park and local shop. Objective physical environment measures were matched to each of these destinations. Social environment measures included neighborhood perceptions and items specific to local independent mobility. Independent mobility to local destinations ranged from 30% to 48%. Independent mobility to a local park was less likely as the distance to the closest park (small and large size) increased and less likely with additional school grounds ( P .05). Independent mobility to school was less likely as the distance to the closest large park increased and if the neighborhood was perceived as unsafe ( P .05). Independent mobility to a park or shops decreased if parenting social norms were unsupportive of children’s local independent movement ( P .05). Independent mobility appears dependent upon the specific destination being visited and the impact of neighborhood features varies according to the destination examined. Findings highlight the importance of access to different types and sizes of urban green space for children’s independent mobility to parks.
Publisher: Elsevier BV
Date: 08-2003
DOI: 10.1111/J.1467-842X.2003.TB00422.X
Abstract: To determine the test-retest reliability of items measuring habitual incidental physical activity, incidental physical activity behaviour and sedentary behaviours. Eighty-four subjects aged 18-65 years were interviewed from randomly selected households within metropolitan and rural Western Australia. Subjects were administered the interview on two separate occasions 10 days apart. Subjects were asked about habitual incidental physical activity (i.e. bouts performed for 10 minutes or less) performed during the week and on weekends. Intraclass correlations performed for items measuring incidental physical activity were generally found to be low to moderate. The frequency of incidental physical activity was more reliably recalled than the average duration spent on short trips (ICC 0.582 to 0.872 compared with 273 to 0.551). Kappa coefficients for habitual incidental physical activity behaviour items were observed to have moderate-to-high (0.478 to 0.939) agreement between administrations. Sedentary behaviours overall showed high test-retest reliability (ICC 0.646 to 0.925). These findings demonstrate that adults can reliably recall the frequency, but not the duration, of habitual incidental physical activity. Thus, the frequency measured by these items could be used to determine the effectiveness of current Australian physical activity guidelines and possibly identify shifts in incidental physical activity behaviour over time. Measurement of physical activity in all domains including incidental physical activity is required to determine the effectiveness of current guidelines and implemented health promotion interventions.
Publisher: Human Kinetics
Date: 09-2013
Abstract: The built and social environments may contribute to physical activity motivations and behavior. We examined the extent to which the Theory of Planned Behavior (TPB) mediated the association between neighborhood walkability and walking. Two random cross-sectional s les (n = 4422 adults) completed telephone interviews capturing walking-related TPB variables (perceived behavioral control (PBC), attitudes, subjective norm, intention). Of those, 2006 completed a self-administered questionnaire capturing walkability, social support (friends, family, dog ownership), and neighborhood-based transportation (NTW) and recreational walking (NRW). The likelihood of undertaking 1) any vs. none and 2) sufficient vs. insufficient levels (≥150 vs. minutes/week) of NTW and NWR, in relation to walkability, social support, and TPB was estimated. Any and sufficient NTW were associated with access to services, connectivity, residential density, not owning a dog (any NTW only), and friend and family support. Any and sufficient NRW were associated with neighborhood aesthetics (any NRW only), dog ownership, and friend and family support. PBC partially mediated the association between access to services and NTW (any and sufficient), while experiential attitudes partially mediated the association between neighborhood aesthetics and any NRW. Interventions that increase positive perceptions of the built environment may motivate adults to undertake more walking.
Publisher: BMJ
Date: 08-2019
DOI: 10.1136/BMJOPEN-2019-029220
Abstract: The rapid increase in apartment construction in Australia has raised concerns about the impacts of poorly designed and located buildings on resident health and well-being. While apartment design policies exist, their content varies across jurisdictions and evidence on their impact on health and well-being is lacking. This cross-sectional observational study (2017–2021) aims to generate empirical evidence to guide policy decisions on apartment development and help to create healthy, equitable higher-density communities. Objectives include to benchmark the implementation of health-promoting apartment design requirements and to identify associations between requirements and resident health and well-being outcomes. Eligible buildings in three Australian cities with different apartment design guidelines will be stratified by area disadvantage and randomly selected (~n=99). Building architects, developers and local governments will be approached to provide endorsed development plans from which apartment and building design features will be extracted. Additional data collection includes a resident survey (~n=1000) to assess environmental stressors and health and well-being impacts and outcomes, and geographic information systems measures of the neighbourhood. The study has 85% power to detect a difference of 0.5 SD in the primary outcome of mental well-being (Warwick-Edinburgh Mental Well-being Scale) at a 5% level of significance. Analyses will compare policy compliance and health-promoting design features between cities and area disadvantage groups. Regression models will test whether higher policy compliance (overall and by design theme) is associated with better health and well-being, and the relative contribution of the neighbourhood context. Human Research Ethics Committees of RMIT University (CHEAN B 21146-10/17) and the University of Western Australia (RA/4/1/8735) approved the study protocol. In addition to academic publications, the collaboration will develop specific health-promoting indicators to embed into the monitoring of apartment design policy implementation and impact, and co-design research dissemination materials to facilitate uptake by decision makers.
Publisher: BMJ
Date: 02-2007
Publisher: SAGE Publications
Date: 04-10-2013
Abstract: Background. Internationally, over the last four decades large-scale mass media c aigns have been delivered to promote physical activity and its associated health benefits. In 2002-2005, the first Western Australian statewide adult physical activity c aign Find Thirty. It’s Not a Big Exercise was launched. In 2007, a new iteration of the c aign was proposed with new objectives, executions, and tag line Find Thirty every day ® . Purpose. This article reports on the population-level effects of the Find Thirty every day ® c aign from 2008 to 2010, with a focus on changes in awareness, intention, and physical activity. Methods. Evaluation of the c aign involved pre- and posttest serial cross-sectional surveys. Baseline data were collected in May 2008, and subsequent surveys in 2009 and 2010. S les sizes were as follows: baseline ( n = 972), first follow-up ( n = 938), and second follow-up ( n = 937). Data were derived from self-reported responses to a random-s le computer-assisted telephone interview. Results. Total awareness increased from 30.4% at baseline to 48.5% at second follow-up. Total awareness was higher in women and low socioeconomic status adults. Intention was 21.0%, double that reported at baseline. There were positive significant changes from baseline to first follow-up across all four categories: walking, moderate, vigorous, and total physical activity. There also were positive significant changes for self-reported walking from baseline to second follow-up. Conclusion. Find Thirty every day ® resulted in an increase in awareness, intention, walking, vigorous intensity, and total level of physical activity in priority target groups. C aign effects should be further examined by subgroups to identify the most receptive population segments.
Publisher: Elsevier BV
Date: 04-2019
Publisher: BMJ
Date: 04-10-2007
Publisher: Oxford University Press (OUP)
Date: 1996
Publisher: SAGE Publications
Date: 17-07-2012
Abstract: Housing options, such as retirement villages, that promote and encourage healthy behaviors are needed to accommodate the growing older adult population. To examine how environmental perceptions relate to walking, residents of retirement villages in Perth, Australia, were s led, and associations between a wide range of village and neighborhood environmental attributes and walking leisurely, briskly, and for transport were examined. Perceived village features associated with walking included aesthetics (odds ratio [OR] = 1.72), personal safety (OR = 0.43), and services and facilities (OR = 0.80), whereas neighborhood attributes included fewer physical barriers (OR = 1.37) and proximate destinations (OR = 1.93). Findings suggest that locating retirement villages in neighborhoods with many local destinations may encourage more walking than providing many services and facilities within villages. Indeed, safe villages rich with amenities were shown to be related to less walking in residents. These findings have implications for the location, design, and layout of retirement villages.
Publisher: Informa UK Limited
Date: 06-07-2020
Publisher: Elsevier BV
Date: 07-2013
DOI: 10.1016/J.HEALTHPLACE.2013.03.006
Abstract: This work establishes whether neighborhood disadvantage lifies the impact of socioeconomic position (SEP) on a graded measure of self-rated health (SRH). SRH data were taken from 10,932 adults recruited across 200 Brisbane neighborhoods. After adjusting for demographics, those who lived in the most disadvantaged neighborhoods were more likely to report poor SRH than those living in the least disadvantaged neighborhoods (OR=2.67). Those with the lowest SEP and lived in the most advantaged neighborhoods had a similar probability of reporting excellent SRH as those with the highest SEP living in the most disadvantaged neighborhoods. This work highlights the importance of examining SEP and neighborhood-level disadvantage simultaneously when planning communities.
Publisher: Springer Science and Business Media LLC
Date: 11-10-2021
DOI: 10.1038/S42949-021-00039-5
Abstract: Recognition is increasing globally that urban planning interventions to improve neighbourhood liveability enable healthy sustainable lifestyles and assist in the prevention and management of chronic disease. We present the spatial urban liveability index (ULI) as a tool to inform localised interventions that would create healthier, more sustainable cities and examine its associations with cardiometabolic and wellbeing-related health outcomes. The ULI and associated indicators were calculated for Melbourne address points and spatially linked with health outcomes for participants from the 2014 Victorian Population Health Survey. Residing in higher liveability areas was found to be positively associated with a more physically active lifestyle and negatively associated with BMI—more so than for a comparable walkability index. Although walkable neighbourhoods underpin a liveable city, areas with erse ‘community, culture and leisure’ destinations displayed strongest beneficial associations with cardiometabolic health outcomes, suggesting that access to erse local destinations may encourage more active sustainable living.
Publisher: Informa UK Limited
Date: 20-02-2015
Publisher: Elsevier BV
Date: 04-2015
Abstract: Victorian local governments are required to develop Municipal Public Health and Wellbeing Plans that incorporate state-level health planning priorities and address the social determinants of health. This paper describes a novel method for evaluating councils' performance against these requirements. Deductive content analysis was used to categorise all actions in 14 local government MPHWPs against Victorian state priorities as well as against social determinants of health policy areas. More than 1,000 actions were identified. However, fewer than half directly addressed a state priority, with many actions addressing policy areas known to be broader determinants of health. In particular, there was a marked focus on leisure and culture, and on building social cohesion through changes to living and working conditions. Councils are working beyond state priorities and there was a clear emphasis on addressing the erse upstream 'causes of the causes' of health, rather than health promotion behaviour change programs. The approach for data analysis and presentation provides a useful method for rapid appraisal of health and wellbeing actions relative to councils', and the State's, responsibility and efficacy in public health.
Publisher: Figshare
Date: 2018
Publisher: Springer Science and Business Media LLC
Date: 02-06-2023
DOI: 10.1038/S42949-023-00107-Y
Abstract: The COVID-19 pandemic has disrupted lives and the economy, reminding the global community of the devastating health and economic impacts of uncontrolled infectious disease. It has affected how and where people live, work, shop, and play, and exposed our cities’ vulnerabilities, leading to calls for a health lens to be applied in designing, approving, and evaluating city plans. Socioeconomic, spatial and health inequities have been lified, particularly for those living in inadequate or poorly designed housing, neighbourhoods, and cities. Hence, city mayors have committed to ‘build back better’ with all daily living amenities within a 15-min walking or cycling trip. Designed well, these cities have the potential to be healthier, more sustainable, equitable, and resilient. Yet their delivery requires a rethink of city planning. Drawing on lessons from the COVID-19 pandemic, we argue that to reduce the risk of future pandemics, we must mitigate climate change, limit urban expansion, and use nature-based solutions to protect natural habitats and bio ersity. We then explore how healthy, sustainable, and resilient 15-minute cities could be planned to reduce emissions and ensure our cities are more resilient in the event of future crises. Given that higher density housing underpins the success of 15-minute cities, we also examine how to create more resilient housing stock, through well-implemented health-supportive apartment design standards. Finally, we argue that to achieve all this, cross-sector leadership and investment will be vital.
Publisher: Elsevier BV
Date: 12-2002
Abstract: Spatial access to recreational facilities and perceptions of the neighborhood environment and physical activity levels were examined by the socioeconomic status of area of residence (SES). A cross-sectional survey of adults (18-59 years) (n = 1,803) stratified by SES using a geographic-based index was conducted. Respondents in low SES areas had superior spatial access to many recreational facilities, but were less likely to use them compared with those living in high SES areas. They were more likely to perceive that they had access to sidewalks and shops, but also perceived that their neighborhood was busier with traffic, less attractive, and less supportive of walking. After adjustment, respondents living in low SES areas were 36% less likely to undertake vigorous activity. While they were more likely to walk for transport, this was not statistically significant (OR, 1.27 95% CI, 0.98-1.64), nor were other SES differences in walking for recreation and walking as recommended. Modifiable environmental factors were associated with walking and vigorous activity, especially perceived access to sidewalks and neighborhood attractiveness. Spatial access to attractive, public open space was associated with walking. Creating supportive environments--particularly sidewalks in attractive neighborhoods--has the potential to increase walking and vigorous activity.
Publisher: Figshare
Date: 2018
Publisher: Elsevier BV
Date: 06-2008
Publisher: BMJ
Date: 2013
Publisher: Elsevier BV
Date: 04-2009
DOI: 10.1016/J.AMEPRE.2009.01.008
Abstract: Much progress has been made in the past 5 to 10 years in measuring and understanding the impact of the food and physical activity environments on behavioral outcomes. Nevertheless, this research is in its infancy. A work group was convened to identify current evidence gaps and barriers in food and physical activity environments and policy research measures, and develop recommendations to guide future directions for measurement and methodologic research efforts. A nominal group process was used to determine six priority areas for food and physical activity environments and policy measures to move the field forward by 2015, including: (1) identify relevant factors in the food and physical activity environments to measure, including those most amenable to change (2) improve understanding of mechanisms for relationships between the environment and physical activity, diet, and obesity (3) develop simplified measures that are sensitive to change, valid for different population groups and settings, and responsive to changing trends (4) evaluate natural experiments to improve understanding of food and physical activity environments and their impact on behaviors and weight (5) establish surveillance systems to predict and track change over time and (6) develop standards for adopting effective health-promoting changes to the food and physical activity environments. The recommendations emanating from the work group highlight actions required to advance policy-relevant research related to food and physical activity environments.
Publisher: Elsevier BV
Date: 06-2015
Publisher: Oxford University Press (OUP)
Date: 19-01-2013
DOI: 10.1007/S12160-012-9429-7
Abstract: Mass media c aigns are widely used in Australia and elsewhere to promote physical activity among adults. Neighbourhood walkability is consistently shown to be associated with walking and total activity. C aigns may have different effects on in iduals living in high and low walkable neighbourhoods. The purpose of this study is to compare pre- and post-c aign cognitive and behavioural impacts of the Heart Foundation's Find Thirty every day® c aign, in respondents living in high and lower walkable neighbourhoods. Pre- and post-c aign cross-sectional survey data were linked with objectively measured neighbourhood walkability. Cognitive and behavioural impacts were assessed using logistic regression stratified by walkability. Cognitive impacts were significantly higher post-c aign and consistently higher in respondents in high compared with lower walkable neighbourhoods. Post c aign sufficient activity was significantly higher and transport walking significantly lower, but only in residents of lower walkable areas. Cognitive impacts of mass media physical activity c aigns may be enhanced by living in a more walkable neighbourhood.
Publisher: Elsevier BV
Date: 10-2002
DOI: 10.1016/S0749-3797(02)00498-1
Abstract: The physical environment plays an important role in influencing participation in physical activity, although which factors of the physical environment have the greatest effect on patterns of activity remain to be determined. We describe the development of a comprehensive instrument to measure the physical environmental factors that may influence walking and cycling in local neighborhoods and report on its reliability. Following consultation with experts from a variety of fields and a literature search, we developed a Systematic Pedestrian and Cycling Environmental Scan (SPACES) instrument and used it to collect data over a total of 1987 kilometers of roads in metropolitan Perth, Western Australia. The audit instrument is available from the first author on request. Additional environmental information was collected using desktop methods and geographic information systems (GIS) technology. We assessed inter- and intra-rater reliability of the instrument among the 16 observers who collected the data. The observers reported that the audit instrument was easy to use. Both inter- and intra-rater reliability of the environmental scan instrument were generally high. Our instrument provides a reliable, practical, and easy-to-use method for collecting detailed "street-level" data on physical environmental factors that are potential influences on walking in local neighborhoods.
Publisher: Figshare
Date: 2017
Publisher: Elsevier BV
Date: 07-2021
Publisher: Springer Science and Business Media LLC
Date: 12-2017
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 2010
Publisher: Springer Science and Business Media LLC
Date: 04-07-2015
Publisher: Elsevier BV
Date: 08-2010
DOI: 10.1016/J.SOCSCIMED.2010.04.041
Abstract: Using a multilevel study design, this study examined the associations between social characteristics of in iduals and neighbourhoods and physical activity among women. Women (n = 1405) recruited from 45 Melbourne (Australia) neighbourhoods of varying socioeconomic disadvantage provided data on social factors and leisure-time: physical activity walking and walking in one's own neighbourhood. In idual level social factors were number of neighbours known and social participation. Neighbourhood-level social characteristics (interpersonal trust, norms of reciprocity, social cohesion) were derived by aggregating survey data on these constructs within neighbourhoods. Objective data on crimes within neighbourhoods were obtained from Victoria Police. In bivariable regression models, all social variables at both the in idual and neighbourhood level were positively associated with odds of physical activity, walking, and walking in one's own neighbourhood. Associations with in idual social participation (associated with all three physical activity variables) and neighbourhood interpersonal trust (associated with overall physical activity only) remained significant in multivariable models. Neither neighbourhood crime against the person nor incivilities were associated with any form of physical activity. These results demonstrate that women who participated in local groups or events and, less consistently, women living in neighbourhoods where residents trusted one another, were more likely to participate in leisure-time physical activity. While redressing macro-level social and economic policies that contribute to neighbourhood inequalities remains a priority, public health initiatives aimed at promoting physical activity could consider focusing on fostering social interactions targeting both in iduals and communities. Further investigation of causal mechanisms underlying these associations is required.
Publisher: SAGE Publications
Date: 05-06-2019
Abstract: Interrelationships between neighborhood walkability, area disadvantage, and crime may contribute to the inconsistent associations between crime and walking. We examined associations between crime and walking, and tested for differences by neighborhood disadvantage while addressing these additional complexities. Participants ( n = 6,680) from 200 neighborhoods spanning the most and least disadvantaged in Brisbane, Australia, completed a questionnaire and objective measures were generated for the in idual-level 1,000-m neighborhood. Multilevel models examined associations between crime (perceived and objective) and walking (recreational and transport), and interactions tested for differences by neighborhood disadvantage. High perceived crime was associated with reduced odds of transport walking, whereas high objective crime was associated with increased odds of transport walking. Patterns did not differ by neighborhood disadvantage. In disadvantaged neighborhoods, the “negative” criminogenic attributes were insufficient to outweigh the “positive” walkability attributes, producing similar walking patterns to advantaged neighborhoods where residents were dislocated from local destinations but buffered from crime.
Publisher: Informa UK Limited
Date: 19-12-2015
Publisher: Springer Science and Business Media LLC
Date: 30-03-2010
DOI: 10.1038/IJO.2010.57
Abstract: To determine the independent contributions of family and neighbourhood environments to changes in youth physical activity and body mass index (BMI) z-score over 5 years. In 2001, 2004 and 2006, 301 children (10-12 years at baseline) had their height and weight measured (BMI was converted to z-scores using Centers for Disease Control and Prevention reference charts see rowthcharts) and moderate-to-vigorous physical activity (MVPA) assessed using accelerometers. In 2001, parents reported on the home environment (social support, role modelling, rules and restrictions, physical environment) and perceived neighbourhood environment (local traffic, road safety, sporting venues, public transport), and Geographic Information Systems were used to map features of the neighbourhood environment (destinations, road connectivity, traffic exposure). Generalized estimating equations were used to predict average BMI z-score and MVPA over time from baseline home and perceived and objective neighbourhood environment factors. Among boys, maternal education and heavy traffic were inversely associated, and sibling physical activity, maternal role modelling of MVPA and the presence of dead-end roads were positively associated with MVPA. Having unmarried parents, maternal MVPA role modelling and number of home sedentary items were positively associated with BMI z-score among boys. Among girls, having siblings, paternal MVPA role modelling, physical activity rules and parental physical activity co-participation were positively associated with MVPA. Having unmarried parents and maternal sedentary behaviour role modelling were positively associated, and number of sedentary behaviour rules and physical activity items were inversely associated with BMI z-score among girls. The home environment seems more important than the neighbourhood environment in influencing children's physical activity and BMI z-score over 5 years. Physical activity and weight gain programmes among youth should focus on parental role modelling, rules around sedentary and active pursuits, and parental support for physical activity. Intervention studies to investigate these strategies are warranted.
Publisher: Springer Science and Business Media LLC
Date: 2008
Publisher: Elsevier BV
Date: 06-2012
DOI: 10.1016/J.AMEPRE.2012.02.021
Abstract: To successfully stimulate cycling, it is necessary to understand the factors that facilitate or inhibit cycling. Little is known about how changes in the neighborhood environment are related to changes in cycling behavior. This study aimed to identify environmental determinants of the uptake of cycling after relocation. The RESIDential Environment Project (RESIDE) is a longitudinal natural experiment of people moving into new housing developments in Perth (Western Australia). Self-reported usual transport and recreational cycling behavior, as well as self-reported and objective built environmental factors were measured before and after residential relocation. Participants who did not usually cycle at baseline in 2003-2004 were included in the study. Logistic regression models were used to relate changes in built environmental determinants to the probability of taking up cycling after relocation (2005-2006). Analyses were carried out in 2010-2011. At baseline, 90% (n=1289) of the participants did not cycle for transport and 86% (n=1232) did not cycle for recreation. After relocation, 5% of the noncyclists took up transport-related cycling, and 7% took up recreational cycling. After full adjustment, the uptake of transport-related cycling was determined by an increase in objective residential density (OR=1.54, 95% CI=1.04, 2.26) and self-reported better access to parks (OR=2.60, 95% CI=1.58, 4.27) and other recreation destinations (OR=1.57, 95% CI=1.12, 2.22). Commencing recreational cycling mostly was determined by an increase in objective street connectivity (OR=1.20, 95% CI=1.06, 1.35). Changes in the built environment may support the uptake of cycling among formerly noncycling adults.
Publisher: Springer Science and Business Media LLC
Date: 03-02-2016
Publisher: American Public Health Association
Date: 09-2010
Abstract: Objectives. We examined associations of attractiveness, size, and proximity of multiple neighborhood open spaces (NOSs) with recreational walking. Methods. Adults participating in the Residential Environments (RESIDE) study (n = 1366) in Perth, Australia, reported time spent engaging in recreational walking within their neighborhoods. Park audit data and geographic information systems were used to identify the most attractive, largest, and nearest NOS within a 1.6-km radius from each participant's residential location. Regression analysis was used to examine attributes (attractiveness, size, and proximity) of these open spaces and their associations with participants’ recreational walking. Results. Shorter distance to attractive open spaces was associated with doing any recreational walking, but adults with larger attractive open spaces within 1.6 km of their home were more likely to walk 150 minutes or more in a week. Conclusions. For adults, the presence of a large, high-quality park within walking distance of one's home may be more important in promoting sufficient amounts of walking for health benefits than is the presence of an open space within a shorter distance.
Publisher: Springer Science and Business Media LLC
Date: 20-02-2019
Publisher: Elsevier BV
Date: 2013
DOI: 10.1016/J.HEALTHPLACE.2012.10.008
Abstract: Residents of socioeconomically disadvantaged neighbourhoods are more likely to walk for transport than their counterparts in advantaged neighbourhoods however, the reasons for higher rates of transport walking in poorer neighbourhoods remain unclear. We investigated this issue using data from the HABITAT study of physical activity among 11,037 mid-aged residents of 200 neighbourhoods in Brisbane, Australia. Using a five-step mediation analysis and multilevel regression, we found that higher levels of walking for transport in disadvantaged neighbourhoods was associated with living in a built environment more conducive to walking (i.e. greater street connectivity and land use mix) and residents of these neighbourhoods having more limited access to a motor vehicle. The health benefits that accrue to residents of disadvantaged neighbourhoods as a result of their higher levels of walking for transport might help offset the negative effects of less healthy behaviours (e.g. smoking, poor diet), thus serving to contain or reduce neighbourhood inequalities in chronic disease.
Publisher: Figshare
Date: 2018
Publisher: Elsevier BV
Date: 06-2015
Publisher: Emerald
Date: 12-2003
Publisher: Springer Science and Business Media LLC
Date: 13-04-2018
Publisher: SAGE Publications
Date: 1997
DOI: 10.4278/0890-1171-11.3.169
Abstract: The study examines the association of involvement in sports and arts with five health risk factors. The aims were to evaluate the argument that promotion of sports alone will achieve health objectives and to assess the suitability of sports and arts populations as targets for health promotion sponsorship. Personal and telephone cross-sectional surveys were performed in Western Australia in 1992 ( N = 2629) and 1994 (N = 2031). Sports and arts venues in Western Australia. Random s les of household respondents aged 16 to 69 years. Measures of association between risk factors and involvement in sports and the arts were adjusted for sex, age, residence, income, and other types of sports/arts involvement. Spectators attending sports events, who were not members of organized sports clubs, were more likely to possess three or more risk factors than nonparticipants (OR = 1.43 95% CI 1.20–1.70). They were more likely to report cigarette smoking, unsafe alcohol drinking, and poor sun protection practices. Sports club members had a similar profile of risk factors, except that their prevalence of smoking was reduced and they were much less likely to report inadequate physical exercise. The most elevated risk factor in sports populations was unsafe alcohol drinking (OR = 1.81 in club members, 1.88 in spectators, and 2.25 in spectators who were also members). Arts populations were less likely than average to report elevated risk factors, especially in the case of members of arts organizations who also attended arts events (for three or more risk factors, OR = 0.59 95% CI .45–.75). However, the majority of arts respondents had at least two risk factors. Levels of inadequate exercise in arts populations were the same as those in sports populations. The promotion of sports alone is unlikely to achieve health objectives. Highest priority in the use of health promotion sponsorship funds should be given to the populations attending sports events and involved as members of sports clubs. Investment in arts sponsorship is warranted, but at a lower level than health sponsorship of sports.
Publisher: Elsevier BV
Date: 03-2007
DOI: 10.1016/J.HEALTHPLACE.2006.01.003
Abstract: This review examines the association between dog ownership and adult physical activity levels. While there is evidence to suggest that dog ownership produces considerable health benefit and provides an important form of social support that encourages dog owners to walk, there is limited evidence on the physical environmental and policy-related factors that affect dog owners walking with their dog. With the high level of dog ownership in many industrialized countries, further exploration of the relationship between dog ownership and physical activity levels may be important for preventing declining levels of physical activity and the associated detrimental health effects.
Publisher: American Public Health Association
Date: 02-2007
Abstract: Objectives. We investigated whether the Kidskin sun protection intervention increased children’s body mass index by reducing the time spent outdoors at midday. Methods. The Kidskin sun protection intervention involved 1614 Australian school children assigned to 1 of 3 groups: a control group, a moderate-intervention group, or a high-intervention group. Schools in the control group received the standard health curriculum and schools in the intervention groups received a multicomponent intervention. Outcomes included time spent outdoors and nevus development (a marker of melanoma risk). Height and weight were measured at 3 time points. Body mass index was transformed into age- and gender-specific z scores z scores at each age were modeled simultaneously. Time spent outdoors at ages 10 and 12 years was analyzed using a linear mixed effects modeling. Results. The proportion of children who were overweight or obese increased with age. The moderate-intervention and control groups had a minimal increase in z score over time, and the z score for the high-intervention group decreased over time. There were no differences among groups with respect to total time outdoors at any age. Conclusions. It is possible to reduce the time children spend outdoors when ultraviolet radiation is high without producing an unfavorable effect on the children’s body mass index.
Publisher: Oxford University Press (OUP)
Date: 18-07-2006
Abstract: Facilitating community action is a key goal of health promotion. This paper describes a public health advocacy framework. It then presents a case study of its application for planning community action by a community alliance concerned about increased heavy traffic on roads through a small regional city in the South West region of Western Australia. The case study illustrates defining the public health problem, the solution and the target for action and the implementation of a comprehensive range of strategies including a media advocacy strategy to attract public attention, to reframe media messages, and to provide a policy alternative to government and industry. The c aign was evaluated in terms of process and outcomes, and was successful in putting pressure on key stakeholders and achieving the alliance's two main goals. The case study demonstrates the value of a well-planned c aign and including public health advocacy in public health practice, as an important strategy to facilitate the creation of healthy environments through healthy public policy.
Publisher: Figshare
Date: 2018
Publisher: MDPI AG
Date: 23-05-2017
Publisher: BioMed Central
Date: 2011
DOI: 10.11575/PRISM/33626
Publisher: Figshare
Date: 2018
Publisher: Environmental Health Perspectives
Date: 24-07-2017
DOI: 10.1289/EHP823
Publisher: SAGE Publications
Date: 20-06-2011
Abstract: Schools are an ideal setting in which to involve children in research. Yet for investigators wishing to work in these settings, there are few method papers providing insights into working efficiently in this setting. The aim of this paper is to describe the five strategies used to increase response rates, data quality and quantity in the TRansport Environment and Kids (TREK) project. The TREK project examined the association between neighbourhood urban design and active transport in Grade 5–7 school children ( n = 1480) attending 25 primary schools in metropolitan Perth, Western Australia during 2007. Children completed several survey components during school time (i.e. questionnaire, mapping activity, travel diary and anthropometric measurements) and at home (i.e. pedometer study, parent questionnaire). Overall, 69.4% of schools and 56.6% of children agreed to participate in the study and, of these, 89.9% returned a completed travel diary, 97.8% returned their pedometer and 88.8% of parents returned their questionnaire. These return rates are superior to similar studies. Five strategies appeared important: (1) building positive relationships with key school personnel (2) child-centred approaches to survey development (3) comprehensive classroom management techniques to standardize and optimize group sessions (4) extensive follow-up procedures for collecting survey items and (5) a specially designed data management/monitoring system. Sharing methodological approaches for obtaining high-quality data will ensure research opportunities within schools are maximized. These methodological issues have implications for planning, budgeting and implementing future research.
Publisher: Bristol University Press
Date: 08-2017
DOI: 10.1332/174426416X14655655062000
Abstract: Victorian local governments (LGs) are required to develop evidence-based Municipal Public Health and Wellbeing Plans (MPHWPs) that improve health and wellbeing. This study evaluated the implementation of this requirement across 79 LGs. Evidence in 116 documents was categorised by source, issue, and policy specificity. Over 11,000 evidence-occurrences from 200 sources were recorded. More evidence on social determinants was identified than on epidemiology or health behaviours. Most (96%) evidence was descriptive and only 4% supported MPHWP actions. The results suggest the community is an important source of novel interventions, and proposes three related reasons for the dearth of intervention level evidence.
Publisher: Informa UK Limited
Date: 2009
Publisher: Cambridge University Press (CUP)
Date: 20-11-2013
DOI: 10.1017/S136898001300311X
Abstract: Due to rising rates of obesity globally, the present study aimed to examine differences in overweight and underweight prevalence in Western Australian schoolchildren in 2008 compared with 2003. Cross-sectional study at two time points using two-stage stratified s ling, primary and secondary schools in both metropolitan and non-metropolitan Western Australia s le selected was representative of the State's population figures. Seventeen primary and thirteen secondary (2008) and nineteen primary and seventeen secondary (2003) schools. Government and non-government funded schools in metropolitan and non-metropolitan (regional/rural) Western Australia were recruited. Height and weight were measured for 1708 (961 primary and 747 secondary) students in 2008 and 1694 (876 primary and 817 secondary) students in 2003. Overweight and obesity prevalence in primary students was similar in 2008 (22·9 %) to 2003 (23·2 % P 0·05). In secondary girls overweight and obesity prevalence dropped from 23·1 % (2003) to 15·9 % (2008 P = 0·002). Secondary boys showed a slight decrease in overweight and obesity prevalence however, this was not statistically significant ( P = 0·102). Higher proportions of underweight in primary girls were observed in 2008 (9·9 %) compared with 2003 (4·2 % P 0·001) and in secondary girls in 2008 (9·4 %) compared with 2003 (5·5 % P 0·001). Prevalence of overweight and obesity in Western Australian primary students was stable however, it declined in secondary students. Both primary and secondary girls showed an increase in underweight prevalence. Public health interventions are needed for the high percentage of youth still overweight, whereas the observed increase in underweight girls warrants attention and further investigation.
Publisher: Springer Science and Business Media LLC
Date: 15-08-2013
Publisher: BMJ
Date: 09-2016
Publisher: American Public Health Association
Date: 2008
Abstract: We examined the influence of dog ownership on physical activity, independent of demographic, intrapersonal, and perceived environmental factors, in a cross-sectional survey of 1813 adults. Although only 23% of the dog owners walked their dogs 5 or more times per week, the adjusted odds of achieving sufficient physical activity and walking were 57% to 77% higher among dog owners compared with those not owning dogs (P .05). Dog ownership was independently associated with physical activity and walking. Actively encouraging more dog walking may increase community physical activity levels.
Publisher: Elsevier BV
Date: 03-2014
Publisher: The Sax Institute
Date: 11-2014
DOI: 10.17061/PHRP2511405
Abstract: Liveable communities create the conditions to optimise health and wellbeing outcomes in residents by influencing various social determinants of health - for ex le, neighbourhood walkability and access to public transport, public open space, local amenities, and social and community facilities. This study will develop national liveability indicators that are (a) aligned with state and federal urban policy, (b) developed using national data (where available), (c) standard and consistent over time, (d) suitable for monitoring progress towards creating more liveable, equitable and sustainable communities, (e) validated against selected noncommunicable disease risk behaviours and/or health outcomes, and (f) practical for measuring local, national and federal built environment interventions. Protocol. Over two years, the National Liveability Study, funded through The Australian Prevention Partnership Centre (TAPPC), will develop and validate a national set of spatially derived built environment liveability indicators related to noncommunicable disease risk behaviours and/or health outcomes, informed by a review of relevant policies in selected Australian state and territory governments. To create national indicators, we will compare measures developed using national data with finer-grained state-level data, which have been validated against a range of outcomes. Finally, we will explore the creation of a national database of built environment spatial indicators. A national advisory group comprising stakeholders in state and federal government, federal nongovernment organisations and state-based technical working groups located in the ACT, Victoria, NSW, Queensland and WA has been established a policy analysis is under way and work programs are being prepared. This project seeks to build the capacity for built environment and health systems research by developing national indicators to monitor progress towards creating healthy and liveable communities. This ambition requires multisector engagement and an interdisciplinary research team.
Publisher: The Sax Institute
Date: 2010
DOI: 10.1071/NB10027
Publisher: Elsevier BV
Date: 09-2008
DOI: 10.1016/J.YPMED.2008.03.005
Abstract: To compare pedometer steps of university students who used public transport and private motor vehicles to travel to and or from The University of Western Australia (UWA). 103 undergraduate students in 2006 recruited by e-mail and snowballing wore a pedometer for five consecutive university days, and completed a travel and physical activity diary. Compared with private motor vehicle users, public transport users performed more daily steps (11443 vs. 10242 steps/day, p=0.04) After adjusting for gender, age group and average daily minutes of self-reported leisure-time physical activity, the odds of achieving 10,000 steps/day was higher in public transport users compared with private motor vehicle users (OR 3.55 95% CI 1.34-9.38, p=0.01). Walking associated with public transport use appeared to contribute to university students achieving higher levels of daily steps. Encouraging public transport use could help increase and maintain community physical activity levels.
Publisher: BMJ
Date: 19-10-2010
Abstract: To examine seasonal variations in self-reported physical activity among an urban population of Calgarian adults. Telephone surveys were conducted with two independent random cross-sectional s les of adults in summer and autumn 2007 (n=2199) and in winter and spring 2008 (n=2223). Participation and duration of walking for recreation (WR), walking for transportation (WT), moderate (MODPA) and vigorous physical activity (VIGPA) undertaken in a usual week were captured. Seasonal comparisons of participation related to these activities and sufficient MODPA (≥210 min/week) and VIGPA (≥90 min/week) physical activity were examined using logistic regression. Compared with winter, participation in WR was significantly (p<0.05) more likely in summer (OR 1.42), autumn (OR 1.35) and spring (OR 1.40), WT was more likely in autumn (OR 1.27), and MODPA was more likely in summer (OR 1.42). Achievement of sufficient MODPA was significantly more likely in summer (OR 1.80), autumn (OR 1.31) and spring (OR 1.24). Although there was no seasonal variation in sufficient VIGPA overall, variations in seasonal pattern among sub-populations were observed. Sex- and age-specific seasonal patterns in physical activity were also found. Measuring physical activity throughout the year, rather than at one time point, would more accurately monitor physical activity and assist in developing seasonally appropriate physical activity interventions. Moreover, in countries that experience extreme weather conditions, creating physical activity-friendly environments that help overcome these conditions might contribute to year-long physical activity participation.
Publisher: SAGE Publications
Date: 06-1997
DOI: 10.1177/109019819702400302
Abstract: A survey of children aged 8 to 14 years attending a three-day football clinic was undertaken to examine the relative impact of different sponsorship strategies used to promote health messages. It was found that promotional clothing worn by role models was an effective method for promoting a specific health message (i.e., "Smoking? No Way!"). Personal endorsement of the health message by an external role model and, to a lesser extent, personal endorsement by clinic leaders and promotional clothing worn by clinic leaders and external role models were also effective in promoting a general health message (i.e., "Don't smoke"). The implications for health sponsorship and the promotion of commercial products to children are discussed.
Publisher: Springer Science and Business Media LLC
Date: 19-02-2010
Abstract: Although neighbourhood environments are often blamed for contributing to rising levels of obesity, current evidence is based predominantly on cross-sectional s les. This study examined associations between objectively-measured environmental characteristics of neighbourhoods and adiposity cross-sectionally and longitudinally over three years in children and their female carers. Longitudinal study of 140 5-6 year-old and 269 10-12 year-old children and their female carers (n = 369). At baseline (2001) and follow-up (2004), height and weight were measured among children and self-reported among female carers, and were used to compute BMI z-scores and BMI, respectively. A Geographic Information System determined access to destinations (public open spaces, sports options, walking/cycling tracks), road connectivity (density of cul-de-sacs and intersections, proportion of 4-way intersections, length of 'access' paths (overpasses, access lanes, throughways between buildings)) and traffic exposure (length of 'busy' and 'local' roads) within 800 m and 2 km of home. Univariate and multivariable linear regression analyses examined associations between environmental characteristics and BMI/BMI z-scores at baseline and change in BMI/BMI z-scores over the three years. Cross-sectionally, BMI z-score was inversely associated with length (km) of access paths within 800 m (b = -0.50) and 2 km (b = -0.16) among younger and number of sport/recreation public open spaces (b = -0.14) and length (km) of 'access' paths (b = -0.94) within 800 m and length of local roads within 2 km (b = -0.01) among older children. Among female carers, BMI was associated with length (km) of walking/cycling tracks (b = 0.17) and busy roads (b = -0.34) within 800 m. Longitudinally, the proportion of intersections that were 4-way (b = -0.01) within 800 m of home was negatively associated with change in BMI z-score among younger children, while length (km) of access paths (b = 0.18) within 800 m was significant among older children. Among female carers, options for aerobics/fitness and swimming within 2 km were associated with change in BMI (B = -0.42). A small number of neighbourhood environment features were associated with adiposity outcomes. These differed by age group and neighbourhood scale (800 m and 2 km) and were inconsistent between cross-sectional and longitudinal findings. However, the results suggest that improvements to road connectivity and slowing traffic and provision of facilities for leisure activities popular among women may support obesity prevention efforts.
Publisher: Informa UK Limited
Date: 06-2011
DOI: 10.1080/02701367.2011.10599743
Abstract: The purpose of this study was to establish sex-specific criterion-referenced standards for pedometer-determined physical activity related to body mass index (BMI)-defined weight status among youth. We analyzed data from 7-16-year-old boys (n = 338) and girls (n = 337) and used pedometer-assessed physical activity and anthropometric data to derive average steps/day and BMI. Sex-specific criterion-referenced standards for steps/day relating to healthy weight and overweight/obese were determined using the contrasting groups method. Healthy weight children took more steps/day than overweight or obese (boys: 14,413 vs. 12,088, and girls: 12,562 vs. 10,114, respectively p < .001). The optimal BMI-referenced cut-point emerging flom our s le was 16,000 steps/day for both boys and girls. Our results and those reported elsewhere suggest that youth take insufficient pedometer-determined steps/day to avoid becoming overweight.
Publisher: Elsevier BV
Date: 09-2013
Publisher: Oxford University Press (OUP)
Date: 15-07-1999
DOI: 10.1093/OXFORDJOURNALS.AJE.A009976
Abstract: The Kidskin Study is a 5-year intervention study (1995-1999) involving 1,776 5- and 6-year-old children attending 33 primary schools in Perth, Western Australia. The aim of the study is to design, implement, and evaluate an intervention to reduce sun exposure in young children. There are three study groups: a control group, a "moderate intervention" group, and a "high intervention" group. The control schools receive the standard Western Australian health education curriculum, while the moderate and high intervention schools receive a specially designed curricular intervention. In addition, children in the high intervention group receive program materials over the summer holidays, when exposure is likely to be highest, and are offered sun-protective swimwear at low cost. The main outcome measure is the number of nevi on the back. Other outcomes include nevi on the chest (boys only), face, and arms, levels of suntanning, degree of freckling, and sun-related behaviors. At baseline, the three groups were similar with respect to nevi and freckling after adjustment for observer and month of observation. Sun exposure was slightly higher in the high intervention group. The groups were also similar with respect to most potential confounders, although they differed with respect to Southern European ethnicity and parental education.
Publisher: SAGE Publications
Date: 08-08-2012
Abstract: This exploratory enquiry employs qualitative methods to advance knowledge and understanding of physical environmental attributes related to active living among residents of Australian retirement villages. Six focus groups ( n = 51 residents) were held and participants described how their current, and subsequently ideal, retirement village and neighborhood supported active lifestyles. Thematic analysis revealed three key environmental factors associated with active living: a positive social environment within the village services and facilities provided in the village and wider neighborhood and the presence of suitable pedestrian infrastructure. The unique discovery that environmental factors of both the retirement village and the surrounding neighborhood were associated with residents’ active living raises many questions for study. Findings informed the development of a survey instrument, and further understanding in this area has the potential to contribute to the design and siting practices of senior housing complexes within neighborhoods.
Publisher: Human Kinetics
Date: 07-2010
DOI: 10.1123/JPAH.7.4.423
Abstract: This study investigated the relationship between in idual and neighborhood environmental factors and cycling for transport and for recreation among adults living in Perth, Western Australia. Baseline cross-sectional data from 1813 participants (40.5% male age range 18 to 78 years) in the RESIDential Environment (RESIDE) project were analyzed. The questionnaire included information on cycling behavior and on cycling-specific in idual, social environmental, and neighborhood environmental attributes. Cycling for transport and recreation were dichotomized as whether or not in iduals cycled in a usual week. Among the in idual factors, positive attitudes toward cycling and perceived behavioral control increased the odds of cycling for transport and for recreation. Among the neighborhood environmental attributes, leafy and attractive neighborhoods, access to bicycle/walking paths, the presence of traffic slowing devices and having many 4-way street intersections were positively associated with cycling for transport. Many alternative routes in the local area increased the odds of cycling for recreation. Effective strategies for increasing cycling (particularly cycling for transport) may include incorporating supportive environments such as creating leafy and attractive neighborhood surroundings, low traffic speed, and increased street connectivity, in addition to c aigns aimed at strengthening positive attitudes and confidence to cycle.
Publisher: Oxford University Press (OUP)
Date: 1995
Abstract: The paper is concerned with the use of epidemiological methods to measure the rates at which different strata of a defined population participate in community health promotion projects. The specific aim was to estimate the incidence rates of participation in projects sponsored by the Western Australian Health Promotion Foundation (Healthway), separately for sociodemographic and health-related behavioural subgroups. Data were drawn from Healthway sponsorship projects in 1992. Each sport, arts and racing project was associated with promotion of a health message and creation of a health promoting environment. The study used a two-stage s ling design. Thirteen of 57 large sponsorship projects and 30 of 129 small projects were selected. In the second stage, respondents were randomly surveyed from among project participants. A total of 4060 respondents aged > or = 10 years was s led from the 43 selected projects. Population-based incident participants were estimated and were related to person-years at risk. The total participation rate was 4.01 per person-year. The rate was very high at ages 10-14 years and thereafter declined with increasing age. Compared with the least socially disadvantaged 25% of population, the participation rate fell by around one-third in the medium and high disadvantage groups, but exceeded the baseline by a ratio of 1.85 (95% confidence interval: 1.57-2.18) in the most disadvantaged 10% of population. The effect was most pronounced at ages 10-19 years. Participation was higher in those who smoked, drank alcohol unsafely, reported sunburn and reported low consumption of fruit and vegetables. However, participation was reduced in people who were sedentary. Epidemiological methods can be used to evaluate the distribution of participation of a population in community health promotion projects. The Western Australian Health Promotion Foundation has been successful in reaching disadvantaged youth.
Publisher: BioMed Central
Date: 2012
DOI: 10.11575/PRISM/33636
Publisher: American Public Health Association
Date: 09-2003
Abstract: Objectives. This study sought to examine in idual, social environmental, and physical environmental correlates of walking. Methods. A cross-sectional survey was conducted among healthy workers and homemakers residing in metropolitan Perth, Western Australia. Results. Most respondents walked for transport or recreation, but only 17.2% did a sufficient amount of walking to accrue health benefits. After adjustment, the relative influences of in idual, social environmental, and physical environmental factors were found to be almost equally important. Conclusions. Although walking is popular, few people do enough walking to benefit their health. Those who walk as well as engage in other physical activities appear more likely to achieve recommended levels of activity. Promoting walking may require a comprehensive strategy.
Publisher: Elsevier BV
Date: 09-2010
Publisher: SAGE Publications
Date: 18-10-2015
Abstract: The traditional view of translating research to policy is reframed as a complex multidirectional interaction based on international case studies presented at the 2015 Active Living Research conference. The United Kingdom developed a process for reviewing and synthesizing evidence to inform policy, but policy makers were often ahead of the guidance. In Australia, translation of research to policy has been facilitated by brokering the relationship between researchers and policy makers. The best ex le of dissemination of the evidence for physical activity promotion into a national program comes from Brazil, but implementation has been markedly influenced by community and political factors. In Mexico, “physical activity policy” is being implemented at scale but without much research and with leadership from sectors other than public health. A more flexible understanding of the complex interplay between research and policy will increase the probability that the best available evidence will influence policy and that policy with the potential to increase physical activity will be evaluated.
Publisher: Elsevier BV
Date: 2013
DOI: 10.1016/J.SOCSCIMED.2012.10.016
Abstract: The design of urban environments has the potential to enhance the health and well-being of residents by impacting social determinants of health including access to public transport, green space and local amenities. Commencing in 2003, RESIDE is a longitudinal natural experiment examining the impact of urban planning on active living in metropolitan Perth, Western Australia. Participants building homes in new housing developments were surveyed before relocation (n = 1813 34·6% recruitment rate) and approximately 12 months later (n = 1437). Changes in perceived and objective neighbourhood characteristics associated with walking following relocation were examined, adjusted for changes in demographic, intrapersonal, interpersonal and baseline reasons for residential location choice. Self-reported walking was measured using the Neighbourhood Physical Activity Questionnaire. Following relocation, transport-related walking declined overall (p < 0.001) and recreational walking increased (p < 0.001): access to transport- and recreational destinations changed in similar directions. However, in those with increased access to destinations, transport-related walking increased by 5.8 min/week for each type of transport-related destination that increased (p = 0.045) and recreational walking by 17.6 min/week for each type of recreational destination that increased (p = 0.070). The association between the built environment and recreational walking was partially mediated by changes in perceived neighbourhood attractiveness: when changes in 'enjoyment' and 'attitude' towards local walking were removed from the multivariate model, recreational walking returned to 20.1 min/week (p = 0.040) for each type of recreational destination that increased. This study provides longitudinal evidence that both transport and recreational-walking behaviours respond to changes in the availability and ersity of local transport- and recreational destinations, and demonstrates the potential of local infrastructure to support health-enhancing behaviours. As neighbourhoods evolve, longer-term follow-up is required to fully capture changes that occur, and the impact on residents. The potential for using policies, incentives and infrastructure levies to enable the early introduction of recreational and transport-related facilities into new housing developments warrants further investigation.
Publisher: SAGE Publications
Date: 04-04-2015
Abstract: Background. Few studies use comprehensive ecological approaches considering multilevel factors to understand correlates of healthy (and unhealthy) dietary intake. The aim of this study was to examine the association between in idual, social, and environmental factors on composite measures of healthy and unhealthy dietary intake in adults. Method. Participants ( n = 565) of the Australian RESIDential Environments (RESIDE) project self-reported dietary intake, home food availability, and behavioral and perceived social and physical environmental influences on food choices. A geographic information system measured proximity of supermarkets from each participant’s home. “Healthy” and “unhealthy” eating scores were computed based on adherence to dietary guidelines. Univariate and multivariate models were constructed using linear regression. Results. After full adjustment, “healthy” eating (mean = 6.25, standard deviation [ SD] = 1.95) was significantly associated with having confidence to prepare healthy meals (β = 0.34 95% confidence interval [CI] = [0.13, 0.55]) having more healthy (β = 0.13 95% CI = [0.09-0.16]) and fewer unhealthy (β = −0.04 95% CI = [−0.06, −0.02]) foods available at home and having a supermarket within 800 meters of home (β = 1.39 95% CI = [0.37, 2.404]). “Unhealthy” eating (mean = 3.53, SD = 2.06) was associated with being male (β = 0.39 95% CI = [0.02, 0.75]), frequently eating takeaway (β = 0.33 95% CI = [0.21, 0.46]) and cafe or restaurant meals (β = 0.20 95% CI = [0.06, 0.33]) and having fewer healthy (β = −0.07 95% CI = [−0.10, −0.03]) and more unhealthy (β = 0.09 95% CI = [0.07, 0.10]) foods available within the home. Conclusion. Initiatives to improve adherence to dietary guidelines and reduce the consumption of unhealthy foods needs to be multifaceted addressing in idual factors and access to healthy food choices in both the home and neighborhood food environment. Ensuring proximity to local supermarkets, particularly in new suburban developments, appears to be an important strategy for facilitating healthy eating.
Publisher: Elsevier BV
Date: 09-2017
Publisher: BMJ
Date: 08-2018
DOI: 10.1136/BMJOPEN-2017-021257
Abstract: The neighbourhood environment is increasingly shown to be an important correlate of health. We assessed associations between housing tenure, neighbourhood perceptions, sociodemographic factors and levels of physical activity (PA) and adiposity among adults seeking housing in East Village (formerly London 2012 Olympic/Paralympic Games Athletes’ Village). Cross-sectional analysis of adults seeking social, intermediate and market-rent housing in East Village. 1278 participants took part in the study (58% female). Complete data on adiposity (body mass index (BMI) and fat mass %) were available for 1240 participants (97%) of these, a subset of 1107 participants (89%) met the inclusion criteria for analyses of accelerometer-based measurements of PA. We examined associations between housing sector sought, neighbourhood perceptions (covariates) and PA and adiposity (dependent variables) adjusted for household clustering, sex, age group, ethnic group and limiting long-standing illness. Participants seeking social housing had the fewest daily steps (8304, 95% CI 7959 to 8648) and highest BMI (26.0 kg/m 2 , 95% CI 25.5kg/m 2 to 26.5 kg/m 2 ) compared with those seeking intermediate (daily steps 9417, 95% CI 9106 to 9731 BMI 24.8 kg/m 2 , 95% CI 24.4 kg/m 2 to 25.2 kg/m 2 ) or market-rent housing (daily steps 9313, 95% CI 8858 to 9768 BMI 24.6 kg/m 2 , 95% CI 24.0 kg/m 2 to 25.2 kg/m 2 ). Those seeking social housing had lower levels of PA (by 19%–42%) at weekends versus weekdays, compared with other housing groups. Positive perceptions of neighbourhood quality were associated with higher steps and lower BMI, with differences between social and intermediate groups reduced by ~10% following adjustment, equivalent to a reduction of 111 for steps and 0.5 kg/m 2 for BMI. The social housing group undertook less PA than other housing sectors, with weekend PA offering the greatest scope for increasing PA and tackling adiposity in this group. Perceptions of neighbourhood quality were associated with PA and adiposity and reduced differences in steps and BMI between housing sectors. Interventions to encourage PA at weekends and improve neighbourhood quality, especially among the most disadvantaged, may provide scope to reduce inequalities in health behaviour.
Publisher: Wiley
Date: 30-07-2013
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 10-2018
Publisher: Elsevier BV
Date: 12-2012
DOI: 10.1016/J.AMEPRE.2012.08.022
Abstract: Current physical activity levels of youth are alarmingly low. One way to promote higher levels of physical activity to youth is through school-based government policies. The current review examines evaluation of school-based physical activity policies for youth over the past 10 years. Articles included met the following criteria: was an original research study published in an academic journal in English examined or was related to physical activity behavior applied to a youth population in a school setting highlighted a law, bill, or policy reflective of physical activity based on government initiatives and involved an evaluation. After searching five databases in January 2011, a total of 13 articles were selected for inclusion. All policies came from the U.S. seven studies highlighted the federal Child Nutrition and Women, Infants, and Children Reauthorization Act of 2004 whereas the other six studies highlighted state-level policies dealing with safe routes to schools, physical activity-only initiatives, or physical activity as well as other initiatives. Eight articles evaluated policy implementation, three examined policy implementation and impact, and two articles considered only policy impact. This evaluation of the impact of policies on school-based physical activity indicates that such policies can affect health outcomes, specifically by increasing levels of physical activity. This study highlights the value of policy reform and calls attention to the need for independent evaluation of such policies.
Publisher: Human Kinetics
Date: 08-2011
DOI: 10.1123/JPAH.8.6.829
Abstract: Further development of high quality measures of neighborhood perceptions will require extensions and refinements to our existing approaches to reliability assessment. This study examined the test-retest reliability of perceptions of the neighborhood environment by socioeconomic status (SES). Test and retest surveys were conducted using a mail survey method with persons aged 40 to 65 years (n = 222, 78.2% response rate). SES was measured using the respondent’s education level and the socioeconomic characteristics of their neighborhood of residence. Reliability was assessed using intraclass correlations (ICC) estimated with random coefficient models. Overall, the 27 items had moderate-to-substantial reliability (ICC = 0.41−0.74). Few statistically significant differences were found in ICC between the education groups or neighborhoods, although the ICCs were significantly larger among the low SES for items that measured perceptions of neighborhood greenery, interesting things to see, litter, traffic volume and speed, crime, and rowdy youth on the streets. For the majority of the items, poor reliability and subsequent exposure misclassification is no more or less likely among low educated respondents and residents of disadvantaged neighborhoods. Estimates of the association between neighborhood perceptions and physical activity therefore are likely to be similarly precise irrespective of the respondent’s socioeconomic background.
Publisher: Elsevier BV
Date: 2016
DOI: 10.1016/J.ACAP.2015.09.006
Abstract: Healthy child development is determined by a combination of physical, social, family, in idual, and environmental factors. Thus far, the majority of child development research has focused on the influence of in idual, family, and school environments and has largely ignored the neighborhood context despite the increasing policy interest. Yet given that neighborhoods are the locations where children spend large periods of time outside of home and school, it is plausible the physical design of neighborhoods (built environment), including access to local amenities, can affect child development. The relatively few studies exploring this relationship support associations between child development and neighborhood destinations, green spaces, interaction with nature, traffic exposure, and housing density. These studies emphasize the need to more deeply understand how child development outcomes might be influenced by the neighborhood built environment. Pursuing this research space is well aligned with the current global movements on livable and child-friendly cities. It has direct public policy impact by informing planning policies across a range of sectors (urban design and planning, transport, public health, and pediatrics) to implement place-based interventions and initiatives that target children's health and development at the community level. We argue for the importance of exploring the effect of the neighborhood built environment on child development as a crucial first step toward informing urban design principles to help reduce developmental vulnerability in children and to set optimal child development trajectories early.
Publisher: BMJ
Date: 24-01-2018
Abstract: Few studies have examined the causal relationship between transport mode and body mass index (BMI). We examined between-person differences and within-person changes in BMI by transport mode over four time points between 2007 and 2013. Data were from the How Areas in Brisbane Influence HealTh and AcTivity project, a population-representative study of persons aged 40–65 in 2007 (baseline) residing in 200 neighbourhoods in Brisbane, Australia. The analytic s le comprised 9931 respondents who reported on their main transport for all travel purposes (work-related and non-work-related). Transport mode was measured as private motor vehicle (PMV), public transport, walking and cycling. Self-reported height and weight were used to derive BMI. Sex-specific analyses were conducted using multilevel hybrid regression before and after adjustment for time-varying and time-invariant confounders. Independent of transport mode and after adjustment for confounders, average BMI increased significantly and linearly across the four time points for both men and women. Men and women who walked or cycled had a significantly lower BMI than their counterparts who used a PMV. BMI was nearly always lower during the time men and women walked or cycled than when they used a PMV however, few statistically significant differences were observed. For women, BMI was significantly higher during the time they used public transport than when using a PMV. The findings suggest a causal association between transport mode and BMI and support calls from health authorities to promote walking and cycling for transport as a way of incorporating physical activity into everyday life to reduce the risk of chronic disease.
Publisher: Elsevier BV
Date: 03-2018
Publisher: Figshare
Date: 2018
Publisher: Springer Science and Business Media LLC
Date: 2012
Publisher: Elsevier BV
Date: 11-2016
DOI: 10.1016/J.SOCSCIMED.2016.09.004
Abstract: Fear of crime is implicated as a risk factor for poorer mental health, yet few studies have explored whether there is a causal relationship between fear of crime and health, or tested the direction of the relationship. Does, for ex le, heightened fear of crime lead to poorer mental health, or could poorer mental health exacerbate fear of crime? RESIDE participants in Perth, Australia, completed a questionnaire three years after moving to their neighbourhood (2007-2008, n = 1230), and again four years later (2011-2012, n = 531). The impact of fear of crime on psychological distress (Kessler-6) was examined in SAS using the Proc Mixed procedure (marginal repeated measures model with unrestricted variance pattern). Models controlled for demographics and time, and progressively adjusted for avoidance behaviours (i.e., walking, community participation, social cohesion). This approach was repeated with psychological distress as the independent variable and fear of crime as the outcome. For each increase in one standard deviation (SD) in fear of crime, psychological distress increased by 0.680 (p = 0.0001), however in the reversed models, for each one SD increase in psychological distress, fear of crime increased by 0.152 (p = 0.0001). To help explain these results, temporal order models examined whether baseline values predicted follow-up values. There was a significant association between psychological distress (at baseline) and fear of crime (at follow-up), but no association between fear of crime (at baseline) and psychological distress (at follow-up). The findings suggest a bi-directional relationship exists between fear of crime and mental health, however it appears that higher psychological distress over time leads to higher fear of crime, rather than the reverse. Furthermore, the pathway connecting fear of crime and mental health appears to be direct, rather than via constrained social and physical activities.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 06-08-2019
Abstract: Population densities of many cities are increasing rapidly, with the potential for impacts on cardiovascular health. This longitudinal study examined the potential impact of population‐density increases in urban areas (urban densification) on cardiovascular risk markers among Australian adults. Data were from the Australian Diabetes, Obesity and Lifestyle Study, in which adult participants’ cardiovascular risk markers were collected in 3 waves (in 1999–2000, 2004–2005, and 2011–2012). We included 2354 participants with a mean age of 51 years at baseline who did not change their residence during the study period. Outcomes were 12‐year changes in waist circumference, weight, systolic and diastolic blood pressure, fasting and 2‐hour postload plasma glucose, high‐density lipoprotein cholesterol, and triglycerides. The exposure was neighborhood population densification, defined as 12‐year change in population density within a 1‐km radius buffer around the participant’s home. Multilevel linear growth models, adjusting for potential confounders, were used to examine the relationships. Each 1% annual increase in population density was related with smaller increases in waist circumference (b=−0.043 cm/y 95% CI, −0.065 to −0.021 [ P .001]), weight (b=−0.019 kg/y 95% CI, −0.039 to 0.001 [ P =0.07]), and high‐density lipoprotein cholesterol (b=−0.035 mg/ dL per year 95% CI , −0.067 to −0.002 [ P =0.04]), and greater increases in diastolic blood pressure (b=0.032 mm Hg/y 95% CI , −0.004 to 0.069 [ P =0.08]). Our findings suggest that, at least in the context of Australia, urban densification may be protective against obesity risk but may have adverse effects on blood lipids and blood pressure. Further research is needed to understand the mechanisms through which urban densification influences cardiovascular health.
Publisher: Elsevier BV
Date: 08-2019
Publisher: Elsevier BV
Date: 02-2016
DOI: 10.1016/J.ANNEPIDEM.2015.11.008
Abstract: This study examines associations between neighborhood socioeconomic disadvantage and self-reported type 2 diabetes and heart disease, occurring separately and concurrently at a single time point (comorbidity). This study included 11,035 residents from 200 neighborhoods in Brisbane, Australia. Respondents self-reported type 2 diabetes and heart disease as long-term health conditions. Neighborhood socioeconomic disadvantage was measured using a census-derived composite index. In idual socioeconomic position was measured using education, occupation, and household income. Data were analyzed using multilevel multinomial mixed-effects logistic regression using Markov chain Monte Carlo simulation. Compared with the most advantaged neighborhoods, residents of the most-disadvantaged neighborhoods were more likely to report type 2 diabetes (odds ratio [OR] = 2.21, 95% credible interval [CrI] = 1.55-3.15), heart disease (OR = 1.72, 95% CrI = 1.25-2.38), and comorbidity (OR = 4.38, 95% CrI = 2.27-8.66). This relationship attenuated after adjustment for in idual-level socioeconomic position, but remained statistically significant for type 2 diabetes (OR = 1.81, 95% CrI = 1.15-2.83) and comorbidity (OR = 3.00, 95% CrI = 1.49-6.13). Studies of neighborhood disadvantage that fail to include in idual-level socioeconomic measures may inflate associations. Establishing why residents of disadvantaged neighborhoods are more likely to experience the co-occurrence of heart disease and type 2 diabetes independent of their in idual socioeconomic position warrants further investigation.
Publisher: Elsevier BV
Date: 04-2004
DOI: 10.1016/S1440-2440(04)80282-2
Abstract: The physical environment has the potential to influence the physical behaviours of large numbers of people hence creating supportive environments has the potential to increase physical activity (PA). During the last decade, there has been growing interest in how the physical environment shapes PA behaviour. This area of research is important given that levels of PA participation are declining globally. Literature was reviewed that examined the association between physical environmental attributes and PA behaviours. The environmental attributes were grouped into four categories based on a conceptual framework of environmental factors that might influence PA and included functionality, safety, aesthetics and destinations. Positive associations were found between both perceived and objectively measured environmental factors and PA behaviour. The availability, accessibility and convenience of destinations and facilities, as well as the general functionality of the neighbourhood (eg, the presence of sidewalks, traffic conditions) and aesthetics were positively associated with various levels of PA. The review highlights the need for future studies: to examine behaviour-specific environmental attributes, to collect objectively-measured environmental data and to include both objective and perceived environmental data in the same studies, and to adopt prospective study designs to allow causal relationships to be established.
Publisher: Springer Science and Business Media LLC
Date: 16-05-2015
Publisher: SAGE Publications
Date: 28-07-2016
Abstract: With not much to do in their neighborhood, youth may spend more time in the home engaged in screen-based activities. Screen time data from 2,790 youth in the Western Australian Health and Wellbeing Survey were linked to objectively measured count of types of neighborhood “services,” “convenience goods,” “public open space,” and “youth-related” destinations. On average, youth accrued 801 mean min/week screen time and had access to seven different types of neighborhood destinations. A larger number of different types of neighborhood “youth-related,” “service,” and “total” destinations were associated with less screen time (all p ≤ .05). A significant gender interaction was observed. Girls with access to ≥12 youth-related destinations had 109 fewer mean min/week screen time, compared with girls with 0 to 3 youth-related destinations. Providing alternatives to screen use by ensuring access to a variety of neighborhood places for structured and unstructured activities may be an important strategy for decreasing youth screen time.
Publisher: Elsevier BV
Date: 05-2013
DOI: 10.1016/J.JSAMS.2012.06.011
Abstract: We evaluated the accuracy of the Accusplit AH120 pedometer (built-in memory) for recording step counts of children during treadmill walking against (1) observer counted steps and (2) concurrently measured steps using the previously validated Yamax Digiwalker SW-700 pedometer. This was a cross-sectional validation study performed under controlled settings. Forty five 9-12-year-olds walked on treadmills at speeds of 42, 66 and 90m/min to simulate slow, moderate and fast walking wearing Accusplit and Yamax pedometers concurrently on their right hip. Observer counted steps were captured by video camera and manually counted. Absolute value of percent error was calculated for each comparison. Bland-Altman plots were constructed to show the distribution of the in idual (criterion-comparison) scores around zero. Both pedometers under-recorded observer counted steps at all three walk speeds. Absolute value of percent error was highest at the slowest walk speed (Accusplit=46.9% Yamax=44.1%) and lowest at the fastest walk speed (Accusplit=8.6% Yamax=8.9%). Bland-Altman plots showed high agreement between the pedometers for all three walk speeds. Using pedometers with built-in memory capabilities eliminates the need for children to manually log step counts daily, potentially improving data accuracy and completeness. Step counts from the Accusplit (built-in memory) and Yamax (widely used) pedometers were comparable across all speeds, but their level of accuracy was dependent on walking pace. Pedometers should be used with caution in children as they significantly undercount steps, and this error is greatest at slower walk speeds.
Publisher: Springer Science and Business Media LLC
Date: 2012
Publisher: SAGE Publications
Date: 30-09-2020
Abstract: There is growing concern that the built forms resulting from conventional suburban design may be adversely affecting the social well-being, sense of community, and psychological health of its residents. This study tested the premise that suburban neighborhood developments ( n = 36) designed in accordance with a New Urbanist inspired planning policy in Perth, Western Australia, improved residents’ ( n = 644) sense of community and mental health. Findings revealed that with each 10% increase in policy compliance, residents odds of experiencing high sense of community increased by 21% ( OR = 1.21, 95% CI = [1.04, 1.41]) and low psychological distress increased by 14% ( OR = 1.14, 95% CI = [1.01, 1.28]). These results add empirical input to the debate surrounding the rhetoric and purported social goals and benefits of the New Urbanism, indicating that implementation of its neo-traditionalist neighborhood design principles may help create the conditions for positive neighborhood sense of community and mental health.
Publisher: Elsevier BV
Date: 02-2002
DOI: 10.1111/J.1467-842X.2002.TB00270.X
Abstract: To evaluate the practicality and validity of using infra-red beam counters (IRBCs) to measure walking path use and overall park use. Direct observation was carried out simultaneously with IRBC data collection in five parks on seven non-consecutive days during February-March in 1998 and on matched days in 1999. A second validation study was undertaken in one park in October 1999. The IRBC over-estimated the observed number of people using walking paths by 14% to 78%. When assessed by path volume, the difference between the IRBC and observer ranged from 10% under-estimation to 16% over-estimation. In a more rigorous evaluation of path volume the IRBC under-estimated the observed count by 20%. The extent to which the IRBC equated with the number of observed park users varied from 69% under-estimation to no difference. IRBCs are not appropriate for measuring the number of people engaging in physical activity in parks. IRBCs cannot replace direct observation for the collection of valid data on physical activity participation in parks. Further research is needed to determine settings in which electronic devices such as IRBCs may provide valid data on physical activity participation.
Publisher: Elsevier BV
Date: 12-2016
Publisher: Wiley
Date: 12-2014
DOI: 10.1071/HE14036
Publisher: Figshare
Date: 2017
Publisher: Elsevier BV
Date: 09-2016
DOI: 10.1016/J.SOCSCIMED.2015.04.013
Abstract: New urbanism advocates for the design of the compact, pedestrian-friendly, mixed-use developments thought to promote walking. New urbanist proponents also claim their developments incur other social and wellbeing benefits, including enhanced safety from crime however there is limited empirical evidence supporting this. We tested the premise that new urbanism inhibits crime by examining the relationship between compliance with a planning policy based on new urbanism and: (1) residents' reports of victimisation and (2) objective crime measures. RESIDE Participants (n = 603) who had lived in their new developments for 36 months completed a questionnaire that included items on their experiences of victimisation. Detailed measures quantifying the degree to which these developments (n = 36) complied with the policy requirements were generated in Geographic Information Systems. Logistic regression examined the associations between policy compliance and self-report victimisation, and negative binomial log-linear models examined area-level associations between compliance and objective crime. For each 10% increase in overall policy compliance, the odds of being a victim reduced by 40% (OR = 0.60, CI = 0.53-0.67, p = 0.000). Findings for the in idual policy 'elements' were consistent with this: for each 10% increment in compliance with the community design, movement network, lot layout and public parkland elements, the odds of victimisation reduced by approximately 6% (p = 0.264), 51% (p = 0.001), 15% (p = 0.000) and 22% (p = 0.001) respectively. However, while policy compliance correlated with lower odds of self-report victimisation among residents, the associations between compliance and development-wide (objective) crime were positive but non-significant. The results indicate that planning policies based on new urbanism may indeed deliver other social and wellbeing benefits for residents, however they also hint that the design of an 'objectively' safe place may differ from the design of a 'subjectively' safe space.
Publisher: Elsevier BV
Date: 03-2016
DOI: 10.1016/J.HEALTHPLACE.2015.12.009
Abstract: The street network underpins the walkability of local neighborhoods. We examined whether two street network measures (intersection density and street integration from space syntax) were independently associated with walking for transport (WT) and, to what extent the relationship of street integration with WT may be explained by the presence of destinations. In 2003-2004, adults living in Adelaide, Australia (n=2544) reported their past-week WT frequency and perceived distances to 16 destination types. Marginal models via generalized estimating equations tested mediation effects. Both intersection density and street integration were significantly associated with WT, after adjusting for each other. Perceived destination availability explained 42% of the association of street integration with WT this may be because of an association between street integration and local destination availability - an important element of neighborhood walkability. The use of space syntax concepts and methods has the potential to provide novel insights into built-environment influences on walking.
Publisher: Informa UK Limited
Date: 07-04-2022
Publisher: Elsevier BV
Date: 03-2018
Publisher: Elsevier BV
Date: 06-2017
Publisher: SAGE Publications
Date: 07-12-2011
Abstract: Both children and adults benefit from living in communities and neighborhoods that are rich in social capital. However, the research literature is relatively silent with respect to the influence that children may play as catalysts for the formation and maintenance of community or family stocks of social capital. This article investigates whether having dependent children living at home play a role in forging adult connections, community involvement, and social capital in a suburban context. The qualitative data were derived from 12 focus groups and the quantitative data from a survey of 339 residents in three Western Australian suburbs. Overall, the quantitative results found that social capital, neighborhood cohesion, and community participation were all significantly higher among respondents with dependent children living at home. The results have implications for urban design and community infrastructure, including the extent to which the built environment caters for children and fosters social connectedness among parents, families, and the broader community.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 04-2006
Publisher: Elsevier BV
Date: 06-2006
DOI: 10.1016/J.YPMED.2006.01.019
Abstract: The RESIDential Environment project (RESIDE) is a longitudinal study evaluating the impact of a new residential design code on walking. To develop a reliable measure of walking--undertaken within and outside the neighborhood--and overall physical activity. A test-retest reliability study was undertaken (n = 82, mean age 39 years). The instrument was based on the International Physical Activity Questionnaire (IPAQ-short version) and Active Australia Survey. It measured usual frequency and duration of (1) recreational- and transport-related walking within and outside the neighborhood and (2) other vigorous and moderate physical activities. Reliability of recall of whether participants had walked within (k = 0.84) and outside (0.73) the neighborhood was acceptable. Similarly, recall of frequency and duration of transport and recreational-related walking within the neighborhood was excellent (ICC > or = 0.82), as was recall of transport-related walking trips outside the neighborhood (ICC > or = 0.84). Reliability for duration of recreational walking outside the neighborhood was fair to good (ICC = 0.55). The reliability of indices of total physical activity based on MET min/week (ICC = 0.82) and MET min/week dichotomized to 'sufficient' physical activity for health (kappa = 0.67) were both acceptable. The Neighborhood Physical Activity Questionnaire (NPAQ) is sufficiently reliable for studies examining environmental correlates of walking within the neighborhood.
Publisher: Informa UK Limited
Date: 10-12-2014
Publisher: Elsevier BV
Date: 2018
DOI: 10.1016/J.YPMED.2017.11.009
Abstract: The built environment has a significant influence on population levels of physical activity (PA) and therefore health. However, PA-related health benefits are seldom considered in transport and urban planning (i.e. built environment interventions) cost-benefit analysis. Cost-benefit analysis implies that the benefits of any initiative are valued in monetary terms to make them commensurable with costs. This leads to the need for monetised values of the health benefits of PA. The aim of this study was to explore a method for the incorporation of monetised PA-related health benefits in cost-benefit analysis of built environment interventions. Firstly, we estimated the change in population level of PA attributable to a change in the built environment due to the intervention. Then, changes in population levels of PA were translated into monetary values. For the first step we used estimates from the literature for the association of built environment features with physical activity outcomes. For the second step we used the multi-cohort proportional multi-state life table model to predict changes in health-adjusted life years and health care costs as a function of changes in PA. Finally, we monetised health-adjusted life years using the value of a statistical life year. Future research could adapt these methods to assess the health and economic impacts of specific urban development scenarios by working in collaboration with urban planners.
Publisher: Elsevier BV
Date: 09-2005
DOI: 10.1016/J.SOCSCIMED.2005.01.017
Abstract: There is growing interest across a range of disciplines in the relationship between pets and health, with a range of therapeutic, physiological, psychological and psychosocial benefits now documented. While much of the literature has focused on the in idual benefits of pet ownership, this study considered the potential health benefits that might accrue to the broader community, as encapsulated in the construct of social capital. A random survey of 339 adult residents from Perth, Western Australia were selected from three suburbs and interviewed by telephone. Pet ownership was found to be positively associated with some forms of social contact and interaction, and with perceptions of neighbourhood friendliness. After adjustment for demographic variables, pet owners scored higher on social capital and civic engagement scales. The results suggest that pet ownership provides potential opportunities for interactions between neighbours and that further research in this area is warranted. Social capital is another potential mechanism by which pets exert an influence on human health.
Publisher: Elsevier BV
Date: 08-2002
DOI: 10.1016/S0749-3797(02)00473-7
Abstract: Although many studies have attempted to identify mediators and moderators of changes in physical activity involvement, the literature is inconclusive regarding which variable(s) relate to physical activity behavior change. The Cooper 2001 Conference series dedicated a session to discussing measurement and statistical methods that could contribute to advancing this research agenda. This article focuses on four such methodologic approaches: qualitative psychometric latent-variable, structural equation modeling and multilevel modeling. The article presents a brief overview of these methods and discusses potential advantages and limitations of using them.
Publisher: Informa UK Limited
Date: 08-12-2018
Publisher: Informa UK Limited
Date: 06-12-2021
Publisher: Routledge
Date: 23-04-2010
Publisher: Elsevier BV
Date: 03-2010
DOI: 10.1016/J.ANNEPIDEM.2009.11.004
Abstract: To examine the association between neighborhood disadvantage and physical activity (PA). We use data from the HABITAT multilevel longitudinal study of PA among middle-aged (40-65 years) men and women (N = 11,037, 68.5% response rate) living in 200 neighborhoods in Brisbane, Australia. PA was measured using three questions from the Active Australia Survey (general walking, moderate, and vigorous activity), one indicator of total activity, and two questions about walking and cycling for transport. The PA measures were operationalized by using multiple categories based on time and estimated energy expenditure that were interpretable with reference to the latest PA recommendations. The association between neighborhood disadvantage and PA was examined with the use of multilevel multinomial logistic regression and Markov chain Monte Carlo simulation. The contribution of neighborhood disadvantage to between-neighborhood variation in PA was assessed using the 80% interval odds ratio. After adjustment for sex, age, living arrangement, education, occupation, and household income, reported participation in all measures and levels of PA varied significantly across Brisbane's neighborhoods, and neighborhood disadvantage accounted for some of this variation. Residents of advantaged neighborhoods reported significantly higher levels of total activity, general walking, moderate, and vigorous activity however, they were less likely to walk for transport. There was no statistically significant association between neighborhood disadvantage and cycling for transport. In terms of total PA, residents of advantaged neighborhoods were more likely to exceed PA recommendations. Neighborhoods may exert a contextual effect on the likelihood of residents participating in PA. The greater propensity of residents in advantaged neighborhoods to do high levels of total PA may contribute to lower rates of cardiovascular disease and obesity in these areas.
Publisher: Springer Science and Business Media LLC
Date: 2011
Publisher: Figshare
Date: 2018
Publisher: Elsevier BV
Date: 12-2016
Publisher: Elsevier BV
Date: 12-2016
Publisher: Wiley
Date: 04-2014
DOI: 10.1071/HE13072
Publisher: Elsevier BV
Date: 10-2006
DOI: 10.1016/J.JSAMS.2006.06.021
Abstract: In the last decade, interest in the impact of the built environment on physical activity has grown. Policies and community and neighbourhood infrastructure provide opportunities to be active, and facilitate incidental physical activity, such as walking for transport or use of stairs. Theoretical ecological models provide a basis for physical activity research and practice, focussing attention on multiple levels of influence on behaviour (i.e., in idual, social-environmental and physical environmental). However, few studies have quantified the relative contribution of these correlates on behaviour, leaving policy-makers and practitioners wondering about where to target their efforts: people or places? This paper draws on theory, evidence to date and case studies to argue that comprehensive interventions targeting both people and places are required to increase physical activity. The joint influence of place and people is discussed in the context of data showing that the likelihood of walking at recommended levels is nearly eight times higher (OR 7.84 95% CI 4.41-13.91) in people with both a supportive environment and positive cognitions compared with those low on both. To increase physical activity requires multi-sector partnerships and comprehensive long-term multi-pronged interventions that include short-, medium- and long-term strategies aimed at bringing about cultural shifts favouring physical activity over sedentary alternatives, and the creation of a supportive built environment. The health sector can contribute by implementing public education programs, workforce development, building the evidence-base and advocating for change. However, to improve policies and infrastructure in places the commitment of sectors outside of health is critical.
Publisher: BMJ
Date: 24-04-2020
Abstract: Neighbourhood characteristics may affect mental health and well-being, but longitudinal evidence is limited. We examined the effect of relocating to East Village (the former London 2012 Olympic Athletes’ Village), repurposed to encourage healthy active living, on mental health and well-being. 1278 adults seeking different housing tenures in East village were recruited and examined during 2013–2015. 877 (69%) were followed-up after 2 years 50% had moved to East Village. Analysis examined change in objective measures of the built environment, neighbourhood perceptions (scored from low to high quality −12 to 12, safety −10 to 10 units), self-reported mental health (depression and anxiety) and well-being (life satisfaction, life being worthwhile and happiness) among East Village participants compared with controls who did not move to East Village. Follow-up measures were regressed on baseline for each outcome with group status as a binary variable, adjusted for age, sex, ethnicity, housing tenure and household clustering (random effect). Participants who moved to East Village lived closer to their nearest park (528 m, 95% CI 482 to 575 m), in more walkable areas, and had better access to public transport, compared with controls. Living in East Village was associated with marked improvements in neighbourhood perceptions (quality 5.0, 95% CI 4.5 to 5.4 units safety 3.4, 95% CI 2.9 to 3.9 units), but there was no overall effect on mental health and well-being outcomes. Despite large improvements in the built environment, there was no evidence that moving to East Village improved mental health and well-being. Changes in the built environment alone are insufficient to improve mental health and well-being.
Publisher: Elsevier BV
Date: 06-2002
DOI: 10.1016/S0277-9536(01)00150-2
Abstract: Environmental determinants of health are receiving growing attention in the literature, although there is little empirical research in this area. The Study on Environmental and In idual Determinants of Physical Activity (known as the SEID project) was a social ecological project that examined the relative influence of in idual, social environmental and physical environmental determinants of recreational physical activity. It involved a community survey of 1803 healthy workers and home-makers aged 18-59 years living in a 408 km2 area of metropolitan Perth, Western Australia. Physical environmental determinants were mainly conceptualised as spatial access to popular recreational facilities. Overall, 59% of respondents exercised as recommended. Recreational facilities located near home were used by more respondents than facilities located elsewhere. The most frequently used facilities were informal: the streets (45.6%) public open space (28.8%) and the beach (22.7%). The physical environment's directs the influence on exercising as recommended was found to be secondary to in idual and social environmental determinants. Nevertheless, accessible facilities determined whether or not they were used and in this way, support and enhance the achievement of recommended levels of physical activity behaviour by providing opportunities. The results suggest that access to a supportive physical environment is necessary, but may be insufficient to increase recommended levels of physical activity in the community. Complementary strategies are required that aim to influence in idual and social environmental factors. Given the popularity of walking in the community, it is recommended that greater emphasis be placed on creating streetscapes that enhance walking for recreation and transport.
Publisher: Wiley
Date: 13-12-2012
DOI: 10.1111/J.2047-6310.2012.00113.X
Abstract: Dog ownership is a catalyst for physical activity in adults. Given 50-70% of Australian households with children have a dog, dog-facilitated physical activity may be an effective way to increase physical activity and decrease child obesity. We hypothesized that children with a family dog walk more, are more physically active and are more likely to achieve recommended levels of weekly physical activity compared with children who do not have a dog. Cross-sectional data from the Western Australian TRravel, Environment, and Kids project (TREK) were analyzed for 1218 children aged 10-12 years. In idual and environment factors, child physical activity, walking, screen use, sedentary behaviour and dog ownership status was collected from child and parent questionnaires. Children's height and weight were measured. Approximately 60% of children had a family dog. Dog ownership was associated with, on average, 29 more minutes of walking and 142 more minutes of physical activity per week (P ≤ 0.01). After adjustment, children with a dog were 49% more likely to achieve the recommended level of weekly physical activity (420 min) and 32% more likely to have walked in their neighbourhood in the last week, compared with non-dog owners (P ≤ 0.05). These relationships varied by gender. Dog ownership was not associated with screen use or weight status. Dog ownership was associated with walking and physical activity, but not screen use or weight status. Within dog-owning families, the promotion of walking and active play with a dog may be a strategy to increase children's physical activity.
Publisher: Springer Science and Business Media LLC
Date: 26-07-2014
Publisher: Elsevier BV
Date: 05-2015
DOI: 10.1016/J.HEALTHPLACE.2015.01.005
Abstract: This review examines evidence of the association between the neighborhood built environment, green spaces and outdoor home area, and early (0-7 years) child health and development. There was evidence that the presence of child relevant neighborhood destinations and services were positively associated with early child development domains of physical health and wellbeing and social competence. Parents׳ perceptions of neighborhood safety were positively associated with children׳s social-emotional development and general health. Population representative studies using objective measures of the built environment and valid measures of early child development are warranted to understand the impact of the built environment on early child health and development.
Publisher: Wiley
Date: 16-09-2013
DOI: 10.1111/AJAG.12055
Abstract: Physical activity (PA) patterns of retirement village residents were investigated using self-report and objective measures. Residents (n = 323) from retirement villages in Perth, Australia, were surveyed on PA behaviour and various demographic, residency, health-related and mobility factors. Most participants wore accelerometers for 7 days. Retirement village managers (n = 32) were surveyed on village descriptive characteristics, including the provision of amenities and facilities. Logistic regression models examined village and resident characteristics associated with PA. Based on objective measurement, only 27.1% of participants were sufficiently active (n = 288). Walking was one of the most popular PA modes. Few village characteristics were associated with PA however, villages located in more walkable neighbourhoods increased participants' odds of transport walking. Travelling outside the village daily also increased PA odds. Most residents were insufficiently active to gain health benefits. Considering in idual and environmental factors, within the retirement village and neighbourhood settings, and associations with PA, warrants attention.
Publisher: BMJ
Date: 10-01-2014
DOI: 10.1136/BJSPORTS-2013-093107
Abstract: The time that children and adults spend sedentary-put simply, doing too much sitting as distinct from doing too little physical activity-has recently been proposed as a population-wide, ubiquitous influence on health outcomes. It has been argued that sedentary time is likely to be additional to the risks associated with insufficient moderate-to-vigorous physical activity. New evidence identifies relationships of too much sitting with overweight and obesity, type 2 diabetes, cardiovascular disease, some cancers and other adverse health outcomes. There is a need for a broader base of evidence on the likely health benefits of changing the relevant sedentary behaviours, particularly gathering evidence on underlying mechanisms and dose-response relationships. However, as remains the case for physical activity, there is a research agenda to be pursued in order to identify the potentially modifiable environmental and social determinants of sedentary behaviour. Such evidence is required so as to understand what might need to be changed in order to influence sedentary behaviours and to work towards population-wide impacts on prolonged sitting time. In this context, the research agenda needs to focus particularly on what can inform broad, evidence-based environmental and policy initiatives. We consider what has been learned from research on relationships of environmental and social attributes and physical activity provide an overview of recent-emerging evidence on relationships of environmental attributes with sedentary behaviour argue for the importance of conducting international comparative studies and addressing life-stage issues and socioeconomic inequalities and we propose a conceptual model within which this research agenda may be addressed.
Publisher: Human Kinetics
Date: 2007
DOI: 10.1123/JPAH.4.1.39
Abstract: This study examines the relationships between the availability and use of recreational destinations and physical activity. Analysis included n = 1355 respondents. Associations between the density of free and pay-for-use recreational destinations, demographics, and use of free and pay-for-use recreational destinations within the neighborhood were examined, followed by associations with sufficient moderate and vigorous physical activity using generalized estimating equations. The likelihood of using a local pay recreational destination increased for each additional local pay facility (OR 1.51, 95% CI 1.32 to 1.73) and was lower for those with motor vehicle access (OR 0.51, 95% CI 0.26 to 0.99). The likelihood of using a local free destination increased for each additional local free facility (OR 1.12, 95% CI 1.02 to 1.20) and was higher among women (OR 1.64, 95% CI 1.11 to 2.44). Destination use was associated with both moderate and vigorous-intensity physical activity. Increasing the density of neighborhood recreational destinations is associated with the use of facilities and participation in sufficient levels of physical activity.
Publisher: American Public Health Association
Date: 12-2015
Abstract: Objectives. We examined associations between specific public open space (POS) attributes and recreational walking to local POS. Methods. Between October 2004 and December 2006, 1465 adults of the RESIDential Environments Project, conducted in Perth, Australia, reported whether they walk to a POS for recreation. For each participant, we identified all open spaces larger than 0.8 hectares within 1.6 kilometers from home. On the basis of field audit data, we created 3 scores (presence, count, size-weighted presence) for 19 specific open space attributes. Results. With logistic regression analyses, we found that walking to a POS was associated with the presence of gardens, grassed areas, walking paths, water features, wildlife, amenities, dog-related facilities, and off-leash areas for dogs. It was also associated with the highest number of these attributes in a single open space, but not with the total number of attributes in all POSs within 1.6 kilometers of home. Conclusions. Building 1 high-quality local park may be more effective in promoting recreational walking than is providing many average-quality parks.
Publisher: Springer Science and Business Media LLC
Date: 22-01-2015
DOI: 10.1057/JPHP.2014.53
Abstract: Global concerns about rising levels of chronic disease make timely translation of research into policy and practice a priority. There is a need to tackle common risk factors: tobacco use, unhealthy diets, physical inactivity, and harmful alcohol use. Using evidence to inform policy and practice is challenging, often h ered by a poor fit between academic research and the needs of policymakers and practitioners--notably for active living researchers whose objective is to increase population physical activity by changing the ways cities are designed and built. We propose 10 strategies that may facilitate translation of research into health-enhancing urban planning policy. Strategies include interdisciplinary research teams of policymakers and practitioners undertaking explicitly policy-relevant research adopting appropriate study designs and methodologies (evaluation of policy initiatives as 'natural experiments') and adopting dissemination strategies that include knowledge brokers, advocates, and lobbyists. Conducting more policy-relevant research will require training for researchers as well as different rewards in academia.
Publisher: Springer Science and Business Media LLC
Date: 11-06-2019
Publisher: Human Kinetics
Date: 08-2013
DOI: 10.1123/PES.25.3.337
Abstract: This study investigated whether being driven to school was associated with lower weekday and weekend step counts, less active out-of-school leisure pursuits, and more sedentary behavior. Boys aged 10–13 years ( n = 384) and girls aged 9–13 years ( n = 500) attending 25 Australian primary schools wore a pedometer and completed a travel diary for one week. Parents and children completed surveys capturing leisure activity, screen time, and sociodemographics. Commute distance was objectively measured. Car travel was the most frequent mode of school transportation (boys: 51%, girls: 58%). After adjustment (sociodemographics, commute distance, and school clustering) children who were driven recorded fewer weekday steps than those who walked (girls: −1,393 steps p .001, boys: −1,569 steps, p = .009) and participated in fewer active leisure activities (girls only: p = .043). There were no differences in weekend steps or screen time. Being driven to and from school is associated with less weekday pedometer-determined physical activity in 9- to 13-year-old elementary-school children. Encouraging children, especially girls, to walk to and from school (even for part of the way for those living further distances) could protect the health and well-being of those children who are insufficiently active.
Publisher: CSIRO Publishing
Date: 2004
DOI: 10.1071/HE04017
Publisher: Elsevier BV
Date: 12-2013
Publisher: Human Kinetics
Date: 08-2013
Abstract: There is increasing focus on the influence of neighborhood destinations on a variety of health behaviors. Commercial databases, integrated with Geographic Information Systems (GIS), are popular sources of destination information for public health researchers. However, the suitability and accuracy of these data for public health research purposes has been generally unexplored. This study validated the presence and number of a broad range of destination types listed within an Australian-based commercial database (Yellow Pages), thought to be important for encouraging health behaviors, against those identified via field audit. The study was conducted in and around 5 housing developments within the RESIDential Environments project across metropolitan Perth, Western Australia. Overall agreement of the count of destinations listed within the Yellow Pages ranged from 0.29–0.76, depending on the study area, the timing of the data extract and the geocoding methods used. Results also indicated considerable variation between different extracts from the same commercial dataset, and appreciable over- and under-counting of different destination types compared with field audit findings. The choice of database and extraction time and methods, have important implications in the quantification of neighborhood destination mix and robustness of associations with public health behaviors.
Publisher: Springer Science and Business Media LLC
Date: 2009
DOI: 10.1057/JPHP.2008.59
Abstract: National and international organizations recommend creation of environments that support physical activity where people live, work, play, study, and travel. Policy changes can lead to activity-supportive environments and incentives. Research on environmental and policy influences on physical activity is well underway in many countries. An important use of the research is to inform policy debates, but the "translation" of research to policy is an emerging science. The papers in this supplement were presented at the 2008 Active Living Research Conference whose theme was "Connecting Active Living Research to Policy Solutions." The papers include evaluations of policy initiatives and research that suggests promising new policies. Commentaries propose principles for improving the translation of research to policy. Improving the rigor of research, asking policy-relevant questions, presenting country-specific data, and effectively communicating findings to policy makers are likely to contribute to greater impact of research on policy processes.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 10-2005
DOI: 10.1097/00003677-200510000-00005
Abstract: Ecological models are now used to understand the complex array of factors that influence physical activity, resulting in a greater emphasis on environmental correlates. This selective review examines whether the predictive capacity of these models could be improved if behavior-specific measures of the environment were used to predict context-specific behaviors.
Publisher: Elsevier BV
Date: 11-2017
Publisher: Informa UK Limited
Date: 06-04-2017
Publisher: Human Kinetics
Date: 2008
Abstract: The goal of this study was to establish preliminary criterion-referenced cut points for adult pedometer-determined physical activity (PA) related to weight status defined by body mass index (BMI). Researchers contributed directly measured BMI and pedometer data that had been collected (1) using a Yamax-manufactured pedometer, (2) for a minimum of 3 days, (3) on ostensibly healthy adults. The contrasting groups method was used to identify age- and gender-specific cut points for steps/d related to BMI cut points for normal weight and overweight/obesity (defined as BMI and ≥25 kg/m 2 , respectively). Data included 3127 in iduals age 18 to 94 years (976 men, age = 46.8 ± 15.4 years, BMI = 27.3 ± 4.9 2151 women, age = 47.4 ± 14.9 years, BMI = 27.6 ± 6.4 all gender differences NS). Best estimated cut points for normal versus overweight/obesity ranged from 11,000 to 12,000 steps/d for men and 8000 to 12,000 steps/d for women (consistently higher for younger age groups). These steps/d cut points can be used to identify in iduals at risk, or the proportion of adults achieving or falling short of set cut points can be reported and compared between populations. Cut points can also be used to set intervention goals, and they can be referred to when evaluating program impact, as well as environmental and policy changes.
Publisher: SAGE Publications
Date: 09-2003
DOI: 10.4278/0890-1171-18.1.93
Abstract: To examine associations between environmental and lifestyle factors and overweight or obesity. A cross-sectional survey and an environmental scan of recreational facilities. Metropolitan Perth, Western Australia. Healthy sedentary workers and homemakers aged 18 to 59 years (n = 1803) living in areas within the top and bottom quintiles of social disadvantage. Four lifestyle factors, one social environmental factor, and five physical environment factors (three objectively measured). After adjustment for demographic factors and other variables in the model, overweight was associated with living on a highway (odds ratio [OR], 4.24 95% confidence interval [CI], 1.62–11.09) or streets with no sidewalks or sidewalks on one side only (OR, 1.35 95% CI, 1.03–1.78) and perceiving no paths within walking distance (OR, 1.42 95% CI, 1.08–1.86). Poor access to four or more recreational facilities (OR, 1.68 95% CI, 1.11–2.55) and sidewalks (OR, 1.62 95% CI, .98–2.68) and perceiving no shop within walking distance (OR, 1.84 95% CI, 1.01–3.36) were associated with obesity. Conversely, access to a motor vehicle all the time was negatively associated with obesity (OR, .56 95% CI, .32–.99). Watching 3 or more hours of television daily (ORs, 1.92 and 1.85, respectively) and rating oneself as less active than others (ORs, 1.66 and 4.05, respectively) were associated with both overweight and obesity. After adjustment for in idual demographic factors and all other variables in the model, socioeconomic status of area of residence and leisure-time physical activity were not associated with overweight or obesity. Factors that influence overweight and obesity appear to differ, but aspects of the physical environment may be important. Objectively measured neighborhood environment factors warrant further investigation.
Publisher: Elsevier BV
Date: 12-2009
DOI: 10.1016/J.HEALTHPLACE.2009.05.001
Abstract: Studies have identified various environmental factors associated with physical activity. However, mixed findings have been reported on environment correlates of physical activity for recreation. Using a s le of Australian adults (n=2194), we examined perceived environmental attributes associated with recreational physical activity or exercise taking place on neighbourhood streets, which are known to be frequently used for such activity. Attractiveness, street connectivity, access to outdoor recreational facilities and access to places of interest were significantly associated with neighbourhood street use after adjusting for socio-demographic variables. Enhancing these environmental attributes and perceptions about them may be effective in promoting residents' physical activity.
Publisher: Oxford University Press (OUP)
Date: 18-05-2021
DOI: 10.1093/EURHEARTJ/EHAB235
Abstract: The world’s population is estimated to reach 10 billion by 2050 and 75% of this population will live in cities. Two-third of the European population already live in urban areas and this proportion continues to grow. Between 60% and 80% of the global energy use is consumed by urban areas, with 70% of the greenhouse gas emissions produced within urban areas. The World Health Organization states that city planning is now recognized as a critical part of a comprehensive solution to tackle adverse health outcomes. In the present review, we address non-communicable diseases with a focus on cardiovascular disease and the urbanization process in relation to environmental risk exposures including noise, air pollution, temperature, and outdoor light. The present review reports why heat islands develop in urban areas, and how greening of cities can improve public health, and address climate concerns, sustainability, and liveability. In addition, we discuss urban planning, transport interventions, and novel technologies to assess external environmental exposures, e.g. using digital technologies, to promote heart healthy cities in the future. Lastly, we highlight new paradigms of integrative thinking such as the exposome and planetary health, challenging the one-exposure-one-health-outcome association and expand our understanding of the totality of human environmental exposures.
Start Date: 12-2004
End Date: 09-2008
Amount: $382,098.00
Funder: Australian Research Council
View Funded ActivityStart Date: 06-2015
End Date: 12-2018
Amount: $225,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 06-2013
End Date: 12-2017
Amount: $180,694.00
Funder: Australian Research Council
View Funded ActivityStart Date: 06-2014
End Date: 12-2018
Amount: $568,815.00
Funder: Australian Research Council
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