| Literature DB >> 23409012 |
Neil S Ferguson1, Karen E Lamb, Yang Wang, David Ogilvie, Anne Ellaway.
Abstract
Obesity and other chronic conditions linked with low levels of physical activity (PA) are associated with deprivation. One reason for this could be that it is more difficult for low-income groups to access recreational PA facilities such as swimming pools and sports centres than high-income groups. In this paper, we explore the distribution of access to PA facilities by car and bus across mainland Scotland by income deprivation at datazone level. GIS car and bus networks were created to determine the number of PA facilities accessible within travel times of 10, 20 and 30 minutes. Multilevel negative binomial regression models were then used to investigate the distribution of the number of accessible facilities, adjusting for datazone population size and local authority. Access to PA facilities by car was significantly (p<0.01) higher for the most affluent quintile of area-based income deprivation than for most other quintiles in small towns and all other quintiles in rural areas. Accessibility by bus was significantly lower for the most affluent quintile than for other quintiles in urban areas and small towns, but not in rural areas. Overall, we found that the most disadvantaged groups were those without access to a car and living in the most affluent areas or in rural areas.Entities:
Mesh:
Year: 2013 PMID: 23409012 PMCID: PMC3567099 DOI: 10.1371/journal.pone.0055638
Source DB: PubMed Journal: PLoS One ISSN: 1932-6203 Impact factor: 3.240
Number of datazones, population of mainland Scotland (2001) and percentage of total population by income deprivation and urban/rural classification.
| Urban Rural Classification | ||||||||||||||||||
| Deprivation Quintile | Large urban areas | Other urban areas | Accessible small towns | Remote small towns | Accessible rural areas | Remote rural areas | ||||||||||||
| DZs | Pop’n | % | DZs | Pop’n | % | DZs | Pop’n | % | DZs | Pop’n | % | DZs | Pop’n | % | DZs | Pop’n | % | |
| 1 (most affluent) | 511 | 413,901 | 20.86 | 403 | 306,154 | 19.76 | 138 | 105,503 | 22.86 | 19 | 14,311 | 8.51 | 175 | 135,752 | 24.19 | 46 | 34,049 | 12.53 |
| 2 | 371 | 303,625 | 15.30 | 301 | 231,331 | 14.93 | 103 | 80,749 | 17.50 | 41 | 31,254 | 18.58 | 298 | 223,008 | 39.74 | 160 | 114,502 | 42.15 |
| 3 (middling) | 324 | 257,896 | 12.99 | 414 | 321,459 | 20.75 | 148 | 113,127 | 24.52 | 76 | 58,053 | 34.50 | 179 | 131,867 | 23.50 | 126 | 93,656 | 34.48 |
| 4 | 465 | 374,708 | 18.88 | 510 | 389,499 | 25.14 | 141 | 106,113 | 23.00 | 59 | 43,592 | 25.91 | 75 | 58,924 | 10.50 | 28 | 20,585 | 7.58 |
| 5 (most deprived) | 783 | 634,490 | 31.97 | 391 | 300,958 | 19.42 | 71 | 55,926 | 12.12 | 30 | 21,045 | 12.51 | 15 | 11,683 | 2.08 | 11 | 8,850 | 3.26 |
| 2,454 | 1,984,620 | 100 | 2,019 | 1,549,401 | 100 | 601 | 461,418 | 100 | 225 | 168,255 | 100 | 742 | 561,234 | 100 | 371 | 271,642 | 100 | |
Total number of households and percentage which do not own a car (2001) by income deprivation and urban/rural classification.
| Urban Rural Classification | ||||||||||||
| Large urban areas | Other urban areas | Accessible small towns | Remote smalltowns | Accessible rural areas | Remote rural areas | |||||||
| Deprivation Quintile | H/holds | % without a car | H/holds | % without a car | H/holds | % without a car | H/holds | % without a car | H/holds | % without a car | H/holds | % without a car |
| 1 (most affluent) | 171,084 | 17.38 | 114,575 | 9.29 | 39,824 | 8.78 | 6,498 | 12.70 | 46,919 | 8.34 | 12,942 | 8.72 |
| 2 | 133,497 | 28.67 | 96,037 | 20.78 | 34,646 | 18.30 | 13,489 | 21.37 | 89,863 | 13.13 | 42,954 | 14.19 |
| 3 (middling) | 129,587 | 40.82 | 128,312 | 30.89 | 45,155 | 29.08 | 25,468 | 30.66 | 55,780 | 21.71 | 48,264 | 20.84 |
| 4 | 168,625 | 48.82 | 178,446 | 39.82 | 45,327 | 37.61 | 21,696 | 38.74 | 26,269 | 32.05 | 16,072 | 31.36 |
| 5 (most deprived) | 292,168 | 63.89 | 143,476 | 51.85 | 27,866 | 45.94 | 9,319 | 52.52 | 6,337 | 43.96 | 4,298 | 42.76 |
Unadjusted and population adjusted§ median and range of number of recreational physical activity facilities within 10, 20 and 30 minutes travel time by car by income deprivation quintile and urban/rural classification.
| 10 minutes | 20 minutes | 30 minutes | ||||
| Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | |
|
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| 1 (most affluent) | 271 (0, 1130) | 350.6 (0, 2063.7) | 1009 (0, 2342) | 1354.2 (0, 4351.3) | 2286.5 (12, 3837) | 2636.9 (17.1, 6702.2) |
| 2 | 142 (0, 1182) | 189.4 (0, 2155.3) | 538 (0, 2339) | 714.9 (0, 4206.4) | 1279.5 (1, 4105) | 1679.1 (1.8, 7437) |
| 3 (middling) | 164 (0, 1203) | 222.0 (0, 2237.7) | 589 (0, 2344) | 820.7 (0, 4234) | 1533 (1, 4168) | 2002.6 (1.1, 7281.8) |
| 4 | 243.5 (3, 1211) | 332.5 (4.4, 1989.7) | 1073 (3, 2370) | 1411.7 (5.9, 4677.6) | 2325 (4, 4223) | 2910.8 (6.8, 7810.9) |
| 5 (most deprived) | 434 (7, 1196) | 563.1 (7.1, 2208.6) | 1666 (21, 2382) | 2007.6 (21.6, 4378.7) | 2774 (21, 4140) | 3201.8 (24.6, 7039.5) |
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| 1 (large urban) | 763 (163, 1211) | 911.2 (199.2, 2237.7) | 1896 (452, 2382) | 2273.0 (397.9, 4677.6) | 2831 (702, 350.4) | 3310.8 (490.2, 6611.9) |
| 2 (other urban) | 172 (24, 695) | 227.9 (25.2, 1259.3) | 733 (54, 2221) | 981.4 (53.5, 4066.4) | 2092 (60, 4233) | 2661.0 (63.4, 7810.9) |
| 3 (accessible small towns) | 103 (13, 992) | 137.4 (14.3, 1467.4) | 547 (32, 2325) | 731.4 (35.9, 4351.3) | 1671 (72, 4082) | 2135.4 (79.1, 6425.1) |
| 4 (remote small towns) | 30 (14, 56) | 38.0 (15.3, 97.6) | 76 (20, 351) | 98.4 (21.6, 530.7) | 177 (21, 965) | 246.1 (22.3, 1448.3) |
| 5 (accessible rural) | 54 (0, 927) | 78.0 (0, 1363.2) | 330.5 (6, 2282) | 442.2 (8.8, 4023.2) | 747 (53, 3961) | 1095.6 (57.3, 7057.6) |
| 6 (remote rural) | 14 (0, 92) | 18.8 (0, 154.9) | 41 (0, 483) | 56.1 (0, 743.5) | 94 (1, 1626) | 130.3 (1.1, 2552.6) |
The number of facilities per 1000 individuals.
Unadjusted and population adjusted§ median and range of number of recreational physical activity facilities within 10, 20 and 30 minutes travel time by bus during the weekday inter-peak period by income deprivation quintile and urban/rural classification.
| 10 minutes | 20 minutes | 30 minutes | ||||
| Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | |
|
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| 1 (most affluent) | 1 (0, 28) | 1.3 (0, 32.9) | 19 (0, 543) | 25.1 (0, 731.1) | 91 (0, 1111) | 117.6 (0, 2047.8) |
| 2 | 1 (0, 28) | 1.7 (0, 37.6) | 18 (0, 632) | 23.3 (0, 971.6) | 71 (0, 1256) | 94.9 (0, 1859.1) |
| 3 (middling) | 2 (0, 26) | 2.7 (0, 34.9) | 22 (0, 550) | 29.9 (0, 775.7) | 83 (0, 1183) | 113.6 (0, 1924.2) |
| 4 | 3 (0, 24) | 3.4 (0, 37.2) | 34 (0, 517) | 44.2 (0, 945.2) | 125.5 (0, 1097) | 164.0 (0, 2005.5) |
| 5 (most deprived) | 2 (0, 22) | 3.1 (0, 27.2) | 44 (0, 378) | 55.7 (0, 634.7) | 200 (8, 894) | 249.7 (9.7, 1683.6) |
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| 1 (large urban) | 3 (0, 28) | 3.8 (0, 37.6) | 64 (0, 632) | 80.8 (0, 971.6) | 297 (11, 1256) | 374.4 (18.9, 2047.8) |
| 2 (other urban) | 2 (0, 20) | 2.0 (0, 31.9) | 25 (0, 177) | 32.8 (0, 319.4) | 88 (2, 479) | 115.6 (2.9, 845.7) |
| 3 (accessible small towns) | 2 (0, 22) | 2.4 (0, 30.8) | 19 (0, 133) | 24.5 (0, 231.8) | 68 (7, 558) | 91.7 (9.2, 793.1) |
| 4 (remote small towns) | 2 (0, 20) | 3.1 (0, 23.8) | 13 (0, 38) | 17.4 (0, 67) | 22 (3, 78) | 32.4 (3.1, 114.1) |
| 5 (accessible rural) | 1 (0, 12) | 1.4 (0, 17.8) | 7 (0, 105) | 10.1 (0, 157.8) | 33 (0, 466) | 44.4 (0, 646.5) |
| 6 (remote rural) | 0 (0, 12) | 0 (0, 17.5) | 2 (0, 46) | 3.0 (0, 71.3) | 7 (0, 105) | 8.8 (0, 159.7) |
The number of facilities per 1000 individuals.
Unadjusted and population adjusted§ median and range of number of recreational physical activity facilities within 10, 20 and 30 minutes travel time by bus during the weekday evening period by income deprivation quintile and urban/rural classification.
| 10 minutes | 20 minutes | 30 minutes | ||||
| Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | |
|
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| 1 (most affluent) | 1 (0, 24) | 1.3 (0, 32.9) | 14 (0, 525) | 17.8 (0, 659.4) | 53 (0, 994) | 70.1 (0, 1665.3) |
| 2 | 1 (0, 24) | 1.7 (0, 33.4) | 13 (0, 605) | 16.5 (0, 867.4) | 45 (0, 1174) | 57.5 (0, 1772.2) |
| 3 (middling) | 2 (0, 22) | 2.7 (0, 32.0) | 18 (0, 513) | 24.1 (0, 723.6) | 55 (0, 1087) | 72.7 (0, 1626.4) |
| 4 | 3 (0, 26) | 3.3 (0, 44.8) | 25 (0, 527) | 33.6 (0, 963.4) | 82 (0, 997) | 105.4 (0, 1822.7) |
| 5 (most deprived) | 2 (0, 23) | 3.1 (0, 27.9) | 34 (0, 316) | 42.6 (0, 457.6) | 115 (1, 736) | 150.0 (1.3, 1293.8) |
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| 1 (large urban) | 3 (0, 26) | 3.6 (0, 44.8) | 50 (0, 605) | 64.2 (0, 958.2) | 175 (2, 1174) | 223.9 (3.2, 1812.7) |
| 2 (other urban) | 1 (0, 20) | 1.9 (0, 31.8) | 18 (0, 174) | 23.9 (0, 316.9) | 59 (0, 393) | 77.8 (0, 715.9) |
| 3 (accessible small towns) | 2 (0, 22) | 2.4 (0, 30.5) | 15 (0, 127) | 19.5 (0, 221.6) | 38 (1, 372) | 50.7 (1.9, 539.9) |
| 4 (remote small towns) | 2 (0, 20) | 3.0 (0, 23.81) | 12 (0, 38) | 16.5 (0, 65.1) | 16 (1, 73) | 23.5 (1.0, 97.7) |
| 5 (accessible rural) | 1 (0, 12) | 1.4 (0, 17.8) | 4 (0, 85) | 4.8 (0, 137.2) | 6 (0, 268) | 8.6 (0, 509.5) |
| 6 (remote rural) | 0 (0, 12) | 0 (0, 17.4) | 1 (0, 46) | 1.9 (0, 71.7) | 2 (0, 99) | 3.1 (0, 154.2) |
The number of facilities per 1000 individuals.
Figure 1Car access to PA facilities by income deprivation.
Adjusted rate ratios and 99% confidence intervals of PA facilities which are accessible by car within a travel time of 10, 20 and 30 minutes of A. urban, B. small town and C. rural areas by income deprivation, 1 = most affluent (reference category) to 5 = most deprived.
Figure 2Bus access to PA facilities by income deprivation.
Adjusted rate ratios and 99% confidence intervals of PA facilities which are accessible by bus within a travel time of 10, 20 and 30 minutes of A. urban, B. small town and C. rural areas by income deprivation, 1 = most affluent (reference category) to 5 = most deprived.
Car access to public and private PA facilities by income deprivation.
| Deprivation Quintile | 10 minutes | 20 minutes | 30 minutes | |||||||||
| Public | Private | Public | Private | Public | Private | |||||||
| (a) Urban | RR | 99% C.I. | RR | 99% C.I. | RR | 99% C.I. | RR | 99% C.I. | RR | 99% C.I. | RR | 99% C.I. |
| 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||
| 2 | 1.00 | (0.95, 1.04) | 1.00 | (0.95, 1.05) | 1.01 | (0.98, 1.05) | 1.02 | (0.98, 1.05) | 1.00 | (0.96, 1.03) | 1.01 | (0.98, 1.04) |
| 3 | 0.97 | (0.92, 1.01) | 0.97 | (0.93, 1.03) | 1.00 | (0.97, 1.04) | 1.00 | (0.96, 1.04) | 0.99 | (0.96, 1.02) | 1.00 | (0.97, 1.03) |
| 4 | 0.99 | (0.95, 1.04) | 0.99 | (0.95, 1.04) | 0.97 | (0.94, 1.01) | 0.96 | (0.93, 0.997) | 0.97 | (0.95, 1.00) | 0.98 | (0.95, 1.01) |
| 5 | 1.01 | (0.97, 1.05) | 1.01 | (0.96, 1.06) | 0.98 | (0.95, 1.02) | 0.97 | (0.94, 1.01) | 0.98 | (0.95, 1.00) | 0.98 | (0.95, 1.01) |
| (b) Small Town | ||||||||||||
| 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||
| 2 | 0.78 | (0.64, 0.95) | 0.83 | (0.70, 0.99) | 0.82 | (0.71, 0.96) | 0.81 | (0.69, 0.95) | 0.88 | (0.77, 1.00) | 0.86 | (0.75, 0.99) |
| 3 | 0.81 | (0.68, 0.97) | 0.88 | (0.75, 1.03) | 0.83 | (0.72, 0.95) | 0.83 | (0.72, 0.95) | 0.86 | (0.76, 0.97) | 0.86 | (0.76, 0.97) |
| 4 | 0.82 | (0.68, 0.996) | 0.84 | (0.71, 0.995) | 0.89 | (0.77, 1.03) | 0.86 | (0.74, 1.00) | 0.93 | (0.82, 1.06) | 0.91 | (0.80, 1.04) |
| 5 | 0.79 | (0.63, 0.99) | 0.84 | (0.68, 1.02) | 0.82 | (0.69, 0.98) | 0.80 | (0.67, 0.95) | 0.90 | (0.77, 1.05) | 0.88 | (0.76, 1.03) |
| (c) Rural | ||||||||||||
| 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||
| 2 | 0.71 | (0.56, 0.89) | 0.77 | (0.62, 0.95) | 0.70 | (0.58, 0.85) | 0.70 | (0.59, 0.85) | 0.73 | (0.61, 0.88) | 0.74 | (0.62, 0.89) |
| 3 | 0.68 | (0.53, 0.88) | 0.74 | (0.58, 0.93) | 0.55 | (0.44, 0.67) | 0.58 | (0.47, 0.71) | 0.56 | (0.46, 0.69) | 0.58 | (0.47, 0.70) |
| 4 | 0.77 | (0.54, 1.10) | 0.77 | (0.56, 1.07) | 0.53 | (0.40, 0.72) | 0.54 | (0.40, 0.72) | 0.56 | (0.42, 0.75) | 0.57 | (0.43, 0.76) |
| 5 | 0.65 | (0.36, 1.19) | 0.49 | (0.28, 0.85) | 0.43 | (0.26, 0.71) | 0.36 | (0.22, 0.59) | 0.48 | (0.30, 0.79) | 0.46 | (0.29, 0.74) |
Adjusted rate ratios and 99% confidence intervals for (a) urban, (b) small town and (c) rural areas.
Bus access to public and private PA facilities by income deprivation.
| Deprivation Quintile | 10 minutes | 20 minutes | 30 minutes | |||||||||
| Public | Private | Public | Private | Public | Private | |||||||
| (a) Urban | RR | 99% C.I. | RR | 99% C.I. | RR | 99% C.I. | RR | 99% C.I. | RR | 99% C.I. | RR | 99% C.I. |
| 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||
| 2 | 1.73 | (1.34, 2.23) | 1.23 | (0.99, 1.53) | 1.42 | (1.29, 1.57) | 1.27 | (1.14, 1.42) | 1.18 | (1.10, 1.26) | 1.13 | (1.05, 1.21) |
| 3 | 2.04 | (1.59, 2.61) | 1.29 | (1.04, 1.61) | 1.60 | (1.45, 1.76) | 1.35 | (1.21, 1.51) | 1.25 | (1.17, 1.33) | 1.19 | (1.11, 1.27) |
| 4 | 2.30 | (1.82, 2.91) | 0.99 | (0.79, 1.24) | 1.71 | (1.56, 1.88) | 1.40 | (1.26, 1.55) | 1.34 | (1.26, 1.42) | 1.26 | (1.18, 1.34) |
| 5 | 2.46 | (1.95, 3.11) | 0.69 | (0.55, 0.88) | 1.64 | (1.49, 1.80) | 1.26 | (1.14, 1.40) | 1.32 | (1.24, 1.41) | 1.23 | (1.15, 1.32) |
| (b) Small Town | ||||||||||||
| 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||
| 2 | 1.55 | (0.93, 2.59) | 2.14 | (1.15, 3.98) | 1.03 | (0.82, 1.29) | 1.27 | (0.99, 1.62) | 0.95 | (0.80, 1.14) | 1.03 | (0.85, 1.23) |
| 3 | 1.65 | (1.04, 2.62) | 2.43 | (1.37, 4.31) | 1.20 | (0.98, 1.47) | 1.52 | (1.21, 1.90) | 1.03 | (0.88, 1.21) | 1.16 | (0.98, 1.38) |
| 4 | 2.44 | (1.53, 3.91) | 2.34 | (1.29, 4.24) | 1.46 | (1.18, 1.80) | 1.53 | (1.21, 1.95) | 1.11 | (0.94, 1.32) | 1.14 | (0.96, 1.36) |
| 5 | 1.95 | (1.11, 3.43) | 2.09 | (1.04, 4.17) | 1.40 | (1.09, 1.81) | 1.48 | (1.11, 1.97) | 1.01 | (0.82, 1.24) | 1.09 | (0.88, 1.36) |
| (c) Rural | ||||||||||||
| 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||
| 2 | 1.39 | (0.89, 2.16) | 0.93 | (0.57, 1.52) | 1.03 | (0.75, 1.42) | 0.97 | (0.72, 1.29) | 0.86 | (0.65, 1.14) | 0.83 | (0.65, 1.06) |
| 3 | 1.97 | (1.26, 3.09) | 1.10 | (0.66, 1.82) | 1.49 | (1.05, 2.12) | 1.28 | (0.93, 1.76) | 1.07 | (0.79, 1.47) | 1.05 | (0.80, 1.39) |
| 4 | 3.15 | (1.90, 5.22) | 1.02 | (0.53, 1.97) | 1.85 | (1.15, 2.98) | 1.31 | (0.85, 2.01) | 1.34 | (0.87, 2.07) | 1.10 | (0.75, 1.62) |
| 5 | 2.15 | (1.14, 5.50) | 0.29 | (0.05, 1.83) | 1.94 | (0.89, 4.22) | 1.02 | (0.49, 2.13) | 1.41 | (0.68, 2.91) | 0.89 | (0.47, 1.71) |
Adjusted rate ratios and 99% confidence intervals for (a) urban, (b) small town and (c) rural areas.