TY - JOUR
T1 - Espacios públicos y actividad física en adultos
T2 - Reflexiones de un estudio de métodos combinados
AU - Bojorquez, Ietza
AU - De Lourdes Romo-Aguilar, Maria
AU - Ojeda-Revah, Lina
AU - Tena, Fernando
AU - Lara-Valencia, Francisco
AU - García, Hilda
AU - Díaz, Rolando
AU - Aranda, Patricia
N1 - Publisher Copyright:
© 2021 Fundacao Oswaldo Cruz. All rights reserved.
PY - 2021/1
Y1 - 2021/1
N2 - Public spaces could promote health equity by providing a place for people to engage in physical activity. Whereas most studies show a positive association between public spaces and physical activity, there are still mixed results, especially in low- and middle-income countries. The objectives of this mixed-methods study were: (i) to assess the quantitative association between access to public spaces and physical activity; (ii) to assess the modification of the association by public spaces quality, area-level walkability, and social stratifiers; (iii) to explain the quantitative results using qualitative data. Quantitative data were obtained with a household survey in two arid-climate Mexican cities in 2017-2018. physical activity was measured with the Global Physical Activity Questionnaire. Access to public spaces was measured in buffers centered on survey blocks, walkability with area-level indicators, and public spaces quality with the Physical Activity Resources Assessment. Qualitative data were obtained with semi-structured interviews and neighborhood observation. No quantitative association between access to public spaces and physical activity was found, as well as no interactions between access to public spaces and other variables. Walkability was positively associated with physical activity. Qualitative analysis showed that local public spaces were rarely used by adults because they were perceived as small, unequipped, unattractive, and unsafe. The results shed light on the relationship between public spaces and physical activity, highlighting the improvements in design and upkeep of public spaces that are necessary to achieve their potential health benefit.
AB - Public spaces could promote health equity by providing a place for people to engage in physical activity. Whereas most studies show a positive association between public spaces and physical activity, there are still mixed results, especially in low- and middle-income countries. The objectives of this mixed-methods study were: (i) to assess the quantitative association between access to public spaces and physical activity; (ii) to assess the modification of the association by public spaces quality, area-level walkability, and social stratifiers; (iii) to explain the quantitative results using qualitative data. Quantitative data were obtained with a household survey in two arid-climate Mexican cities in 2017-2018. physical activity was measured with the Global Physical Activity Questionnaire. Access to public spaces was measured in buffers centered on survey blocks, walkability with area-level indicators, and public spaces quality with the Physical Activity Resources Assessment. Qualitative data were obtained with semi-structured interviews and neighborhood observation. No quantitative association between access to public spaces and physical activity was found, as well as no interactions between access to public spaces and other variables. Walkability was positively associated with physical activity. Qualitative analysis showed that local public spaces were rarely used by adults because they were perceived as small, unequipped, unattractive, and unsafe. The results shed light on the relationship between public spaces and physical activity, highlighting the improvements in design and upkeep of public spaces that are necessary to achieve their potential health benefit.
KW - Built environment
KW - Exercise
KW - Motor activity
KW - Recreational parks
UR - http://www.scopus.com/inward/record.url?scp=85100583634&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85100583634&partnerID=8YFLogxK
U2 - 10.1590/0102-311X00028720
DO - 10.1590/0102-311X00028720
M3 - Article
C2 - 33503160
AN - SCOPUS:85100583634
SN - 0102-311X
VL - 37
JO - Cadernos de Saude Publica
JF - Cadernos de Saude Publica
IS - 1
M1 - e00028720
ER -