@article{598817b290ea4715a5663f975acdeec3,
title = "Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries: An analysis of moderators and perceptions as mediators",
abstract = "Rationale: Residents of neighbourhoods with high destination accessibility (higher population density, more-interconnected streets, and better access to services, public transport and parks) are more physically active. Evidence on the factors that underlie these associations is sparse and inconsistent. Objective: We examined (1) five socio-demographic and four non-destination perceived neighbourhood attributes as moderators of the relationship between objectively-assessed destination accessibility and moderate-to-vigorous physical activity (MVPA); (2) perceived indicators of destination accessibility as mediators of those relationships; and, (3) the generalizability of findings across 14 cities. Methods: Data were from the International Physical Activity and Environment Network (IPEN) Adult study (N = 6822), which provided comparable objective and perceived environmental variables and accelerometer-based MVPA from 14 cities across 10 countries. Mediation and mediation moderation analyses were performed. Results: Objective net residential density, public transport density, and number of parks in the neighbourhood were consistently associated with MVPA across all examined socio-demographic groups and non-destination perceived neighbourhood characteristics. However, only the association between number of parks and MVPA was mediated by its conceptually-comparable perceived indicator. While the associations of objective intersection density and land use mix with MVPA were moderated by both gender and perceived pedestrian infrastructure/safety, only the latter moderating effects were mediated by the conceptually-comparable perceived indicators. Perceived neighbourhood safety and/or aesthetics moderated the associations of objective ratio of retail/civic land to total area and distance to nearest transport stop with MVPA. These associations were not mediated by the conceptually-comparable perceived indicators. Conclusion: Densely populated neighbourhoods with access to public transport and parks have the potential to significantly and equitably contribute to adults' MVPA on a global scale. Perceived neighbourhood aesthetics, pedestrian-friendliness and safety can magnify the positive effects of mixed-use neighbourhoods on residents' MVPA by interacting with the perceived ease of access to a variety of destinations.",
keywords = "Geographic information systems, Mediated moderation, Parks, Perceived neighbourhood attributes, Physical activity, Public transport, Sociodemographic characteristics, Walkability",
author = "Ester Cerin and Conway, {Terry L.} and Marc Adams and Anthony Barnett and Cain, {Kelli L.} and Neville Owen and Christiansen, {Lars B.} and {van Dyck}, Delfien and Josef Mit{\'a}{\v s} and Sarmiento, {Olga L.} and Davey, {Rachel C.} and Rodrigo Reis and Deborah Salvo and Grant Schofield and Sallis, {James F.}",
note = "Funding Information: Data collection in Hong Kong was supported by the grants ( #HKU740907H and #747807H ) and the HKU URC Strategic Research Theme (Public Health) . US data collection and Coordinating Center processing was supported by the following NIH grant: R01 CA127296 (NCI). The study conducted in Bogota was funded by COLCIENCIAS grant 519 2010 , Fogarty and CeiBA (Center in Complex-Systems, Basic and Applied Research at the Universidad de los Andes). Ester Cerin is supported by an Australian Research Council Future Fellowship ( FT3 #140100085 ). The contributions of Neville Owen were supported by a NHMRC Program Grant ( #569940 ), a NHMRC Senior Principal Research Fellowship ( #1003960 ), and by the Victorian Government's Operational Infrastructure Support Program . The Danish study was partly funded by the Municipality of Aarhus . Data collection in the Czech Republic was supported by the grant of Ministry of Education, Youth and Science ( # MSM 6198959221 ). Data collection in New Zealand was supported by the Health Research Council of New Zealand grant # 07/356 . Data collection in Mexico was supported by the Club Foundation which received an unrestricted training grant from The Coca-Cola Company . Data collection in the UK was funded partly under the National Prevention Research Initiative , managed by the Medical Research Council (Grant Id 75376 ). Funding Information: Data collection in Hong Kong was supported by the grants (#HKU740907H and #747807H) and the HKU URC Strategic Research Theme (Public Health). US data collection and Coordinating Center processing was supported by the following NIH grant: R01 CA127296 (NCI). The study conducted in Bogota was funded by COLCIENCIAS grant 519 2010, Fogarty and CeiBA (Center in Complex-Systems, Basic and Applied Research at the Universidad de los Andes). Ester Cerin is supported by an Australian Research Council Future Fellowship (FT3 #140100085). The contributions of Neville Owen were supported by a NHMRC Program Grant (#569940), a NHMRC Senior Principal Research Fellowship (#1003960), and by the Victorian Government's Operational Infrastructure Support Program. The Danish study was partly funded by the Municipality of Aarhus. Data collection in the Czech Republic was supported by the grant of Ministry of Education, Youth and Science (# MSM 6198959221). Data collection in New Zealand was supported by the Health Research Council of New Zealand grant # 07/356. Data collection in Mexico was supported by the Club Foundation which received an unrestricted training grant from The Coca-Cola Company. Data collection in the UK was funded partly under the National Prevention Research Initiative, managed by the Medical Research Council (Grant Id 75376). Publisher Copyright: {\textcopyright} 2018 The Authors Copyright: Copyright 2019 Elsevier B.V., All rights reserved.",
year = "2018",
month = aug,
doi = "10.1016/j.socscimed.2018.06.034",
language = "English (US)",
volume = "211",
pages = "282--293",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Elsevier Limited",
}