Perceived neighborhood environment and physical activity in 11 countries: Do associations differ by country?

Ding Ding, Marc Adams, James F. Sallis, Gregory J. Norman, Melbourn F. Hovell, Christina D. Chambers, C. Richard Hofstetter, Heather R. Bowles, Maria Hagströmer, Cora L. Craig, Luis Fernando Gomez, Ilse De Bourdeaudhuij, Duncan J. Macfarlane, Barbara Ainsworth, Patrick Bergman, Fiona C. Bull, Harriette Carr, Lena Klasson-Heggebo, Shigeru Inoue, Norio MuraseSandra Matsudo, Victor Matsudo, Grant McLean, Michael Sjöström, Heidi Tomten, Johan Lefevre, Vida Volbekiene, Adrian E. Bauman

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Background: Increasing empirical evidence supports associations between neighborhood environments and physical activity. However, since most studies were conducted in a single country, particularly western countries, the generalizability of associations in an international setting is not well understood. The current study examined whether associations between perceived attributes of neighborhood environments and physical activity differed by country. Methods: Population representative samples from 11 countries on five continents were surveyed using comparable methodologies and measurement instruments. Neighborhood environment x country interactions were tested in logistic regression models with meeting physical activity recommendations as the outcome, adjusted for demographic characteristics. Country-specific associations were reported. Results: Significant neighborhood environment attribute x country interactions implied some differences across countries in the association of each neighborhood attribute with meeting physical activity recommendations. Across the 11 countries, land-use mix and sidewalks had the most consistent associations with physical activity. Access to public transit, bicycle facilities, and low-cost recreation facilities had some associations with physical activity, but with less consistency across countries. There was little evidence supporting the associations of residential density and crime-related safety with physical activity in most countries. Conclusion: There is evidence of generalizability for the associations of land use mix, and presence of sidewalks with physical activity. Associations of other neighborhood characteristics with physical activity tended to differ by country. Future studies should include objective measures of neighborhood environments, compare psychometric properties of reports across countries, and use better specified models to further understand the similarities and differences in associations across countries.

Original languageEnglish (US)
Pages (from-to)57
Number of pages1
JournalInternational Journal of Behavioral Nutrition and Physical Activity
DOIs
StateAccepted/In press - May 14 2013

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Logistic Models
Recreation
Crime
Psychometrics
Demography
Safety
Costs and Cost Analysis
Population

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Nutrition and Dietetics
  • Medicine (miscellaneous)
  • Medicine(all)

Cite this

Perceived neighborhood environment and physical activity in 11 countries : Do associations differ by country? / Ding, Ding; Adams, Marc; Sallis, James F.; Norman, Gregory J.; Hovell, Melbourn F.; Chambers, Christina D.; Hofstetter, C. Richard; Bowles, Heather R.; Hagströmer, Maria; Craig, Cora L.; Gomez, Luis Fernando; De Bourdeaudhuij, Ilse; Macfarlane, Duncan J.; Ainsworth, Barbara; Bergman, Patrick; Bull, Fiona C.; Carr, Harriette; Klasson-Heggebo, Lena; Inoue, Shigeru; Murase, Norio; Matsudo, Sandra; Matsudo, Victor; McLean, Grant; Sjöström, Michael; Tomten, Heidi; Lefevre, Johan; Volbekiene, Vida; Bauman, Adrian E.

In: International Journal of Behavioral Nutrition and Physical Activity, 14.05.2013, p. 57.

Research output: Contribution to journalArticle

Ding, D, Adams, M, Sallis, JF, Norman, GJ, Hovell, MF, Chambers, CD, Hofstetter, CR, Bowles, HR, Hagströmer, M, Craig, CL, Gomez, LF, De Bourdeaudhuij, I, Macfarlane, DJ, Ainsworth, B, Bergman, P, Bull, FC, Carr, H, Klasson-Heggebo, L, Inoue, S, Murase, N, Matsudo, S, Matsudo, V, McLean, G, Sjöström, M, Tomten, H, Lefevre, J, Volbekiene, V & Bauman, AE 2013, 'Perceived neighborhood environment and physical activity in 11 countries: Do associations differ by country?', International Journal of Behavioral Nutrition and Physical Activity, pp. 57. https://doi.org/10.1186/1479-5868-10-57
Ding, Ding ; Adams, Marc ; Sallis, James F. ; Norman, Gregory J. ; Hovell, Melbourn F. ; Chambers, Christina D. ; Hofstetter, C. Richard ; Bowles, Heather R. ; Hagströmer, Maria ; Craig, Cora L. ; Gomez, Luis Fernando ; De Bourdeaudhuij, Ilse ; Macfarlane, Duncan J. ; Ainsworth, Barbara ; Bergman, Patrick ; Bull, Fiona C. ; Carr, Harriette ; Klasson-Heggebo, Lena ; Inoue, Shigeru ; Murase, Norio ; Matsudo, Sandra ; Matsudo, Victor ; McLean, Grant ; Sjöström, Michael ; Tomten, Heidi ; Lefevre, Johan ; Volbekiene, Vida ; Bauman, Adrian E. / Perceived neighborhood environment and physical activity in 11 countries : Do associations differ by country?. In: International Journal of Behavioral Nutrition and Physical Activity. 2013 ; pp. 57.
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abstract = "Background: Increasing empirical evidence supports associations between neighborhood environments and physical activity. However, since most studies were conducted in a single country, particularly western countries, the generalizability of associations in an international setting is not well understood. The current study examined whether associations between perceived attributes of neighborhood environments and physical activity differed by country. Methods: Population representative samples from 11 countries on five continents were surveyed using comparable methodologies and measurement instruments. Neighborhood environment x country interactions were tested in logistic regression models with meeting physical activity recommendations as the outcome, adjusted for demographic characteristics. Country-specific associations were reported. Results: Significant neighborhood environment attribute x country interactions implied some differences across countries in the association of each neighborhood attribute with meeting physical activity recommendations. Across the 11 countries, land-use mix and sidewalks had the most consistent associations with physical activity. Access to public transit, bicycle facilities, and low-cost recreation facilities had some associations with physical activity, but with less consistency across countries. There was little evidence supporting the associations of residential density and crime-related safety with physical activity in most countries. Conclusion: There is evidence of generalizability for the associations of land use mix, and presence of sidewalks with physical activity. Associations of other neighborhood characteristics with physical activity tended to differ by country. Future studies should include objective measures of neighborhood environments, compare psychometric properties of reports across countries, and use better specified models to further understand the similarities and differences in associations across countries.",
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T2 - Do associations differ by country?

AU - Ding, Ding

AU - Adams, Marc

AU - Sallis, James F.

AU - Norman, Gregory J.

AU - Hovell, Melbourn F.

AU - Chambers, Christina D.

AU - Hofstetter, C. Richard

AU - Bowles, Heather R.

AU - Hagströmer, Maria

AU - Craig, Cora L.

AU - Gomez, Luis Fernando

AU - De Bourdeaudhuij, Ilse

AU - Macfarlane, Duncan J.

AU - Ainsworth, Barbara

AU - Bergman, Patrick

AU - Bull, Fiona C.

AU - Carr, Harriette

AU - Klasson-Heggebo, Lena

AU - Inoue, Shigeru

AU - Murase, Norio

AU - Matsudo, Sandra

AU - Matsudo, Victor

AU - McLean, Grant

AU - Sjöström, Michael

AU - Tomten, Heidi

AU - Lefevre, Johan

AU - Volbekiene, Vida

AU - Bauman, Adrian E.

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