International variation in neighborhood walkability, transit, and recreation environments using geographic information systems: the IPEN adult study

Marc Adams, Lawrence D. Frank, Jasper Schipperijn, Graham Smith, James Chapman, Lars B. Christiansen, Neil Coffee, Deborah Salvo, Lorinne du Toit, Jan Dygrýn, Adriano A kira Ferreira Hino, Poh chin Lai, Suzanne Mavoa, José David Pinzón, Nico Van de Weghe, Ester Cerin, Rachel Davey, Duncan Macfarlane, Neville Owen, James F. Sallis

    Research output: Contribution to journalArticle

    76 Citations (Scopus)

    Abstract

    BACKGROUND: The World Health Organization recommends strategies to improve urban design, public transportation, and recreation facilities to facilitate physical activity for non-communicable disease prevention for an increasingly urbanized global population. Most evidence supporting environmental associations with physical activity comes from single countries or regions with limited variation in urban form. This paper documents variation in comparable built environment features across countries from diverse regions.

    METHODS: The International Physical Activity and the Environment Network (IPEN) study of adults aimed to measure the full range of variation in the built environment using geographic information systems (GIS) across 12 countries on 5 continents. Investigators in Australia, Belgium, Brazil, Colombia, the Czech Republic, Denmark, China, Mexico, New Zealand, Spain, the United Kingdom, and the United States followed a common research protocol to develop internationally comparable measures. Using detailed instructions, GIS-based measures included features such as walkability (i.e., residential density, street connectivity, mix of land uses), and access to public transit, parks, and private recreation facilities around each participant's residential address using 1-km and 500-m street network buffers.

    RESULTS: Eleven of 12 countries and 15 cities had objective GIS data on built environment features. We observed a 38-fold difference in median residential densities, a 5-fold difference in median intersection densities and an 18-fold difference in median park densities. Hong Kong had the highest and North Shore, New Zealand had the lowest median walkability index values, representing a difference of 9 standard deviations in GIS-measured walkability.

    CONCLUSIONS: Results show that comparable measures can be created across a range of cultural settings revealing profound global differences in urban form relevant to physical activity. These measures allow cities to be ranked more precisely than previously possible. The highly variable measures of urban form will be used to explain individuals' physical activity, sedentary behaviors, body mass index, and other health outcomes on an international basis. Present measures provide the ability to estimate dose-response relationships from projected changes to the built environment that would otherwise be impossible.

    Original languageEnglish (US)
    Pages (from-to)43
    Number of pages1
    JournalInternational Journal of Health Geographics
    Volume13
    DOIs
    StatePublished - 2014

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    Recreation
    Geographic Information Systems
    Geographic information systems
    New Zealand
    Health
    Colombia
    Czech Republic
    Belgium
    Hong Kong
    Denmark
    Mexico
    Taiwan
    Land use
    Spain
    Brazil
    Buffers
    Body Mass Index
    Research Personnel
    Physical activity
    Network environment

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    International variation in neighborhood walkability, transit, and recreation environments using geographic information systems : the IPEN adult study. / Adams, Marc; Frank, Lawrence D.; Schipperijn, Jasper; Smith, Graham; Chapman, James; Christiansen, Lars B.; Coffee, Neil; Salvo, Deborah; du Toit, Lorinne; Dygrýn, Jan; Hino, Adriano A kira Ferreira; Lai, Poh chin; Mavoa, Suzanne; Pinzón, José David; Van de Weghe, Nico; Cerin, Ester; Davey, Rachel; Macfarlane, Duncan; Owen, Neville; Sallis, James F.

    In: International Journal of Health Geographics, Vol. 13, 2014, p. 43.

    Research output: Contribution to journalArticle

    Adams, M, Frank, LD, Schipperijn, J, Smith, G, Chapman, J, Christiansen, LB, Coffee, N, Salvo, D, du Toit, L, Dygrýn, J, Hino, AAKF, Lai, PC, Mavoa, S, Pinzón, JD, Van de Weghe, N, Cerin, E, Davey, R, Macfarlane, D, Owen, N & Sallis, JF 2014, 'International variation in neighborhood walkability, transit, and recreation environments using geographic information systems: the IPEN adult study', International Journal of Health Geographics, vol. 13, pp. 43. https://doi.org/10.1186/1476-072X-13-43
    Adams, Marc ; Frank, Lawrence D. ; Schipperijn, Jasper ; Smith, Graham ; Chapman, James ; Christiansen, Lars B. ; Coffee, Neil ; Salvo, Deborah ; du Toit, Lorinne ; Dygrýn, Jan ; Hino, Adriano A kira Ferreira ; Lai, Poh chin ; Mavoa, Suzanne ; Pinzón, José David ; Van de Weghe, Nico ; Cerin, Ester ; Davey, Rachel ; Macfarlane, Duncan ; Owen, Neville ; Sallis, James F. / International variation in neighborhood walkability, transit, and recreation environments using geographic information systems : the IPEN adult study. In: International Journal of Health Geographics. 2014 ; Vol. 13. pp. 43.
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    abstract = "BACKGROUND: The World Health Organization recommends strategies to improve urban design, public transportation, and recreation facilities to facilitate physical activity for non-communicable disease prevention for an increasingly urbanized global population. Most evidence supporting environmental associations with physical activity comes from single countries or regions with limited variation in urban form. This paper documents variation in comparable built environment features across countries from diverse regions.METHODS: The International Physical Activity and the Environment Network (IPEN) study of adults aimed to measure the full range of variation in the built environment using geographic information systems (GIS) across 12 countries on 5 continents. Investigators in Australia, Belgium, Brazil, Colombia, the Czech Republic, Denmark, China, Mexico, New Zealand, Spain, the United Kingdom, and the United States followed a common research protocol to develop internationally comparable measures. Using detailed instructions, GIS-based measures included features such as walkability (i.e., residential density, street connectivity, mix of land uses), and access to public transit, parks, and private recreation facilities around each participant's residential address using 1-km and 500-m street network buffers.RESULTS: Eleven of 12 countries and 15 cities had objective GIS data on built environment features. We observed a 38-fold difference in median residential densities, a 5-fold difference in median intersection densities and an 18-fold difference in median park densities. Hong Kong had the highest and North Shore, New Zealand had the lowest median walkability index values, representing a difference of 9 standard deviations in GIS-measured walkability.CONCLUSIONS: Results show that comparable measures can be created across a range of cultural settings revealing profound global differences in urban form relevant to physical activity. These measures allow cities to be ranked more precisely than previously possible. The highly variable measures of urban form will be used to explain individuals' physical activity, sedentary behaviors, body mass index, and other health outcomes on an international basis. Present measures provide the ability to estimate dose-response relationships from projected changes to the built environment that would otherwise be impossible.",
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    AU - Frank, Lawrence D.

    AU - Schipperijn, Jasper

    AU - Smith, Graham

    AU - Chapman, James

    AU - Christiansen, Lars B.

    AU - Coffee, Neil

    AU - Salvo, Deborah

    AU - du Toit, Lorinne

    AU - Dygrýn, Jan

    AU - Hino, Adriano A kira Ferreira

    AU - Lai, Poh chin

    AU - Mavoa, Suzanne

    AU - Pinzón, José David

    AU - Van de Weghe, Nico

    AU - Cerin, Ester

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    AU - Owen, Neville

    AU - Sallis, James F.

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    N2 - BACKGROUND: The World Health Organization recommends strategies to improve urban design, public transportation, and recreation facilities to facilitate physical activity for non-communicable disease prevention for an increasingly urbanized global population. Most evidence supporting environmental associations with physical activity comes from single countries or regions with limited variation in urban form. This paper documents variation in comparable built environment features across countries from diverse regions.METHODS: The International Physical Activity and the Environment Network (IPEN) study of adults aimed to measure the full range of variation in the built environment using geographic information systems (GIS) across 12 countries on 5 continents. Investigators in Australia, Belgium, Brazil, Colombia, the Czech Republic, Denmark, China, Mexico, New Zealand, Spain, the United Kingdom, and the United States followed a common research protocol to develop internationally comparable measures. Using detailed instructions, GIS-based measures included features such as walkability (i.e., residential density, street connectivity, mix of land uses), and access to public transit, parks, and private recreation facilities around each participant's residential address using 1-km and 500-m street network buffers.RESULTS: Eleven of 12 countries and 15 cities had objective GIS data on built environment features. We observed a 38-fold difference in median residential densities, a 5-fold difference in median intersection densities and an 18-fold difference in median park densities. Hong Kong had the highest and North Shore, New Zealand had the lowest median walkability index values, representing a difference of 9 standard deviations in GIS-measured walkability.CONCLUSIONS: Results show that comparable measures can be created across a range of cultural settings revealing profound global differences in urban form relevant to physical activity. These measures allow cities to be ranked more precisely than previously possible. The highly variable measures of urban form will be used to explain individuals' physical activity, sedentary behaviors, body mass index, and other health outcomes on an international basis. Present measures provide the ability to estimate dose-response relationships from projected changes to the built environment that would otherwise be impossible.

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