| Literature DB >> 23375993 |
Jenna Panter1, Carol Desousa, David Ogilvie.
Abstract
OBJECTIVE: Small increases in walking or cycling for transport could contribute to population health improvement. We explore the individual, workplace and environmental characteristics associated with the incorporation of walking and cycling into car journeys.Entities:
Mesh:
Year: 2013 PMID: 23375993 PMCID: PMC3712186 DOI: 10.1016/j.ypmed.2013.01.014
Source DB: PubMed Journal: Prev Med ISSN: 0091-7435 Impact factor: 4.018
Descriptive characteristics of the sample from Cambridge, UK.
| Variable | Percentage (number) | |||
|---|---|---|---|---|
| All participants (n = 419) | Car (n = 288) | Car in combination with walking or cycling (n = 131) | p | |
| Mean age in years (SD) | 43.7 (11.9) | 43.8 (10.8) | 43.5 (11.8) | 0.816 |
| Gender | ||||
| Male | 23.4 (98) | 24.0 (69) | 22.1 (29) | 0.683 |
| Female | 76.6 (321) | 76.0 (219) | 77.9 (102) | |
| Weight status | ||||
| Underweight/normal | 56.3 (232) | 53.4 (151) | 62.8 (81) | 0.073 |
| Overweight/obese | 43.7 (180) | 46.6 (132) | 37.2 (48) | |
| Work type | ||||
| Sedentary/standing | 81.8 (342) | 83.6 (240) | 77.9 (102) | 0.157 |
| Manual | 18.1 (76) | 16.4 (47) | 22.1 (29) | |
| Difficulty walking | ||||
| Yes | 2.4 (10) | 2.1 (6) | 3.0 (4) | 0.546 |
| No | 97.6 (409) | 97.9 (282) | 97.0 (127) | |
| Number of children in the household | ||||
| None | 67.3 (282) | 67.3 (191) | 71.0 (91) | 0.525 |
| One or more | 32.7 (137) | 32.3 (97) | 29.3 (40) | |
| Urban–rural status | ||||
| Urban | 44.3 (185) | 42.9 (123) | 46.6 (61) | 0.479 |
| Rural | 55.9 (234) | 57.1 (164) | 53.4 (70) | |
| Highest educational qualifications | ||||
| Lower than degree | 35.1 (146) | 35.3 (101) | 34.6 (45) | 0.890 |
| Degree or equivalent | 64.9 (270) | 64.7 (185) | 65.4 (85) | |
| Housing tenure | ||||
| Owned | 85.4 (356) | 84.6 (242) | 87.0 (114) | 0.518 |
| Privately rented/shared ownership/social housing | 14.6 (61) | 15.4 (44) | 13.0 (17) | |
| Index of multiple deprivation | ||||
| Quartile 1 (most deprived) | 291 (25.0) | 28.5 (82) | 17.5 (23) | 0.093 |
| Quartile 2 | 291 (25.0) | 22.9 (66) | 29.7 (39) | |
| Quartile 3 | 291 (25.0) | 25.4 (73) | 25.9 (34) | |
| Quartile 4 (least deprived) | 290 (25.0) | 23.2 (67) | 26.7 (35) | |
| Distance to work | ||||
| < 10 km | 22.9 (97) | 21.8 (63) | 26.0 (34) | 0.642 |
| 10.01–19.99 km | 27.0 (112) | 26.8 (77) | 26.8 (35) | |
| 20 km and over | 50.1 (210) | 51.4 (148) | 47.2 (62) | |
| Workplace car parking | ||||
| Free parking | 48.5 (203) | 62.2 (179) | 18.3 (24) | 0.001 |
| Pay for parking | 35.3 (148) | 32.6 (94) | 41.2 (54) | |
| No parking | 16.2 (68) | 5.2 (15) | 40.5 (53) | |
| Geographical context of commuting journey | ||||
| Commuting to the heart from within the city | 24.7 (103) | 26.7 (76) | 20.6 (27) | 0.298 |
| Commuting to the outskirts from within the city | 26.9 (112) | 28.0 (80) | 24.4 (32) | |
| Commuting to the heart from outside the city | 22.6 (94) | 20.7 (59) | 26.7 (35) | |
| Commuting to the outskirts from outside the city | 25.7 (107) | 24.6 (70) | 28.3 (37) | |
| Reported the least supportive route (lowest tertile) | 33.4 (138) | 39.4 (111) | 20.6 (27) | 0.001 |
| Middle tertile | 34.2 (158) | 37.9 (107) | 38.9 (51) | |
| Reported the most supportive route (highest tertile) | 28.3 (122) | 22.7 (64) | 40.5 (53) | |
| Intention to use car (2 items) | ||||
| Below median | 56.4 (234) | 61.4 (175) | 45.4 (59) | 0.002 |
| Above median | 43.6 (181) | 38.6 (110) | 54.6 (71) | |
| Positive attitude towards car (2 items) | ||||
| Below median | 51.9 (214) | 59.7 (169) | 34.8 (45) | 0.001 |
| Above median | 48.1 (198) | 40.3 (114) | 65.1 (84) | |
| Perceived behavioural control (2 items) | ||||
| Below median | 57.4 (236) | 63.3 (179) | 44.6 (57) | 0.008 |
| Above median | 42.6 (175) | 36.7 (104) | 55.4 (71) | |
| Social norm (2 items) | ||||
| Below median | 59.0 (242) | 66.7 (188) | 42.2 (54) | 0.001 |
| Above median | 41.0 (168) | 33.3 (94) | 57.8 (74) | |
| Habit strength | ||||
| Low habit strength | 50.5 (210) | 54.5 (157) | 40.5 (53) | 0.008 |
| High habit strength | 49.5 (206) | 45.4 (131) | 59.6 (78) | |
| Mean minutes/day spent walking on the commute (SD) | 5.14 (11.9) | 0.65 (3.1) | 11.8 (14.7) | 0.001 |
| Mean minutes/day spent cycling on the commute (SD) | 4.3 (9.6) | 1.3 (5.1) | 17.4 (18.2) | 0.001 |
Percentages represent column percentages. Data collected in 2009 in Cambridge, UK. p values represent differences between ‘car only’ and ‘car in combination with walking or cycling’ groups.
The seven items comprising the perceptions of the route environment were: ‘It is pleasant to walk’, ‘There is convenient public transport’, ‘There is little traffic’, ‘There are no convenient routes for walking’, ‘It is safe to cross the road’,’ The roads are dangerous for cyclists’ and ‘There are convenient routes for cycling’. Further details can be found in Panter et al. (2011).
Unadjusted models for odds of incorporating walking or cycling into car journeys.
| Variable | OR (95% CI) | p |
|---|---|---|
| Age (under 30) | ||
| 30–49 | 0.79 (0.41, 1.54) | 0.926 |
| 50 + | 0.92 (0.45, 1.85) | |
| Gender (reference: male) | ||
| Female | 1.11 (0.68, 1.81) | 0.683 |
| Weight status (reference: underweight or normal weight) | ||
| Overweight or obese | 0.68 (0.44, 1.04) | 0.074 |
| Work type (reference: sedentary) | ||
| Standing/manual | 1.45 (0.87, 2.44) | 0.158 |
| Difficulty walking (reference: no) | ||
| Yes | 0.67 (0.18, 2.43) | 0.549 |
| Children (reference: no children) | ||
| At least 1 child in the household | 0.87 (0.55, 1.35) | 0.525 |
| Urban–rural status (reference: urban) | ||
| Rural | 0.86 (0.57, 1.30) | 0.479 |
| Highest educational status (reference: less than degree) | ||
| Degree | 0.97 (0.63, 1.50) | 0.890 |
| Housing tenure (reference: owns their home) | ||
| Privately rented/shared ownership/social housing | 0.82 (0.45, 1.50) | 0.519 |
| Index of multiple deprivation (reference: most deprived quartile) | ||
| Quartile 2 | 2.10 (1.15, 3.87) | 0.117 |
| Quartile 3 | 1.66 (0.90, 3.07) | |
| Quartile 4 (least deprived) | 1.86 (1.00, 3.45) | |
| Distance to work (reference: < 10 km) | ||
| 10.01–19.99 km | 0.84 (0.47, 1.50) | 0.342 |
| 20 km and over | 0.77 (0.47, 1.29) | |
| Workplace car parking (reference: free parking) | ||
| Pay for parking | 4.28 (2.49, 7.37) | 0.001 |
| No parking | 26.4 (12.90, 53.83) | |
| Geographical context (reference: commuting to the heart from within the city) | ||
| Commuting to the outskirts from within the city | 0.40 (0.13, 1.23) | 0.111 |
| Commuting to the heart from outside the city | 0.61 (0.22, 1.69) | 0.348 |
| Commuting to the outskirts from outside the city | 0.45 (0.16, 1.23) | 0.121 |
| Sum of perceived environment of route (reference: least supportive route (lowest tertile)) | ||
| Middle tertile | 1.95 (1.15, 3.35) | 0.001 |
| Reported the most supportive route (highest tertile) | 3.04 (1.95, 5.94) | |
| Mean intention to use car (reference: low) | ||
| High | 1.91 (1.25, 2.91) | 0.002 |
| Mean attitude towards car (reference: low) | ||
| High | 2.76 (1.79, 4.26) | 0.001 |
| Mean social norm (reference: low) | ||
| High | 2.74 (1.78, 4.21) | 0.001 |
| Mean PBC (reference: low) | ||
| High | 2.14 (1.40, 3.27) | 0.001 |
| Habit strength (reference: low) | ||
| High | 1.73 (1.13, 2.64) | 0.011 |
OR: Odds Ratio; CI: Confidence intervals; PBC: Perceived behavioural control. Where one p-value is reported for several categories, it refers to a test for trend across the groups. Data collected in 2009 in Cambridge, UK.
Multivariable regression models for odds of incorporating walking and cycling into car journeys.
| Variables | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | |
| Overweight or obese (reference: underweight or normal) | 0.70 (0.45, 1.08) | 0.108 | 0.69 (0.41, 1.14) | 0.149 | 0.64 (0.39, 1.07) | 0.091 | 0.72 (0.42, 1.22) | 0.216 | 0.71 (0.42, 1.21) | 0.203 |
| Standing or manual work (reference: sedentary work) | 1.43 (0.84, 2.45) | 0.192 | 1.15 (0.62, 2.13) | 0.666 | 1.34 (0.71, 2.52) | 0.366 | 1.40 (0.73, 2.69) | 0.308 | 1.41 (0.73, 2.70) | 0.305 |
| Index of multiple deprivation (reference: most deprived quartile) | ||||||||||
| Quartile 2 | 1.94 (1.03, 3.63) | 0.100 | 1.80 (0.87, 3.72) | 0.184 | 1.83 (0.88, 3.83) | 0.346 | 2.14 (0.99, 4.65) | 0.407 | 2.09 (0.96, 4.57) | 0.431 |
| Quartile 3 | 1.65 (0.88, 3.11) | 1.57 (0.75, 3.30) | 1.64 (0.78, 3.45) | 1.77 (0.82, 3.83) | 1.74 (0.80, 3.78) | |||||
| Quartile 4 (least deprived) | 1.88 (1.00, 3.56) | 1.81 (0.87, 3.79) | 1.56 (0.75, 3.27) | 1.57 (0.73, 3.36) | 1.55 (0.72, 3.32) | |||||
| Workplace car parking (reference: free parking) | ||||||||||
| Pay for parking | 4.20 (2.34, 7.56) | 0.001 | 3.94 (2.18, 7.09) | 0.001 | 4.07 (2.20, 7.50) | 0.001 | 4.07 (2.20, 7.50) | 0.001 | ||
| No parking | 27.93 (13.14, 59.37) | 27.25 (12.69, 58.53) | 25.97 (11.79, 57.24) | 25.96 (11.78, 57.19) | ||||||
| Sum of perceived environment of route (reference: reported the least supportive route (lowest tertile)) | ||||||||||
| Middle tertile | 1.79 (0.95, 3.35) | 0.002 | 1.77 (0.91, 3.44) | 0.006 | 1.79 (0.92, 3.51) | 0.007 | ||||
| Reported the most supportive route (highest tertile) | 2.77 (1.44, 5.34) | 2.68 (1.33, 5.39) | 2.74 (1.35, 5.54) | |||||||
| Positive attitude towards car (reference: negative) | 1.75 (0.94, 3.26) | 0.077 | 1.82 (0.96, 3.44) | 0.068 | ||||||
| Strong social norm (reference: low) | 1.57 (0.83, 3.00) | 0.168 | 1.65 (0.84, 3.23) | 0.146 | ||||||
| Strong habit (reference: low) | 0.86 (0.47, 1.60) | 0.638 | ||||||||
OR: Odds Ratio; CI: Confidence interval. Where one p-value is reported for several categories, it refers to a test for trend across the groups. Data collected in 2009 in Cambridge, UK. Model 1: personal and socio-economic characteristics; Model 2: personal, socio-economic and workplace-related characteristics; Model 3: personal, socio-economic and workplace-related characteristics and perceptions of the route environment; Model 4: personal, socio-economic and workplace-related characteristics, perceptions of the route environment and psychological measures relating to car use; Model 5: personal, socio-economic and workplace-related characteristics, perceptions of the route environment, psychological measures relating to car use and habit strength for car use.