| Literature DB >> 23859933 |
Anna Goodman1, Shannon Sahlqvist, David Ogilvie.
Abstract
OBJECTIVE: To examine how adults use new local walking and cycling routes, and what characteristics predict use.Entities:
Keywords: Built environment; Cycling; Infrastructure; Walking
Mesh:
Year: 2013 PMID: 23859933 PMCID: PMC3807875 DOI: 10.1016/j.ypmed.2013.07.007
Source DB: PubMed Journal: Prev Med ISSN: 0091-7435 Impact factor: 4.018
Fig. 1‘Core’ and ‘greater’ Connect2 projects at the Cardiff study site.
Purple lines show the sections of the greater Connect2 network which were operational at the time of both the 2011 and the 2012 surveys; green lines show the sections of the network only operational at the time of the 2012 survey. See electronic supplement for equivalent maps of Southampton and Kenilworth, and for the location within the United Kingdom of these three study sites. Contains Ordnance Survey data © Crown copyright and database right 2011.
Participants' characteristics at baseline.
| Domain | Variable | Level | N (%) in one-year sample | N (%) in two-year sample |
|---|---|---|---|---|
| Geographic | Site | Southampton | 523 (28%) | 425 (28%) |
| Cardiff | 596 (32%) | 487 (32%) | ||
| Kenilworth | 730 (39%) | 598 (40%) | ||
| Proximity of home to greater Connect2 (km) | ≥ 4 | 178 (10%) | 144 (10%) | |
| 3–3.99 | 137 (7%) | 106 (7%) | ||
| 2–2.99 | 291 (16%) | 229 (15%) | ||
| 1–1.99 | 631 (34%) | 490 (33%) | ||
| < 1 | 612 (33%) | 541 (36%) | ||
| Demographic | Sex | Female | 1006 (54%) | 857 (57%) |
| Male | 843 (46%) | 653 (43%) | ||
| Age (years) at baseline | 18–34 | 241 (13%) | 144 (10%) | |
| 35–49 | 379 (21%) | 300 (20%) | ||
| 50–64 | 607 (33%) | 532 (35%) | ||
| 65–89 | 616 (33%) | 530 (35%) | ||
| Ethnicity | White | 1771 (97%) | 1460 (97%) | |
| Non-White | 64 (3%) | 45 (3%) | ||
| Any child under 16 | No | 1547 (84%) | 1276 (85%) | |
| Yes | 301 (16%) | 234 (16%) | ||
| Socio-economic status and car and bicycle access | Highest educational level | Tertiary or equivalent | 715 (39%) | 590 (39%) |
| Secondary school † | 622 (34%) | 490 (33%) | ||
| None or other | 500 (27%) | 425 (28%) | ||
| Annual household income | >£40,000 | 584 (34%) | 451 (32%) | |
| £20,001–40,000 | 550 (32%) | 469 (33%) | ||
| ≤£20,000 | 577 (34%) | 488 (35%) | ||
| Employment status | Working | 939 (51%) | 740 (49%) | |
| Student | 48 (3%) | 25 (2%) | ||
| Retired | 710 (38%) | 609 (40%) | ||
| Other | 152 (8%) | 134 (9%) | ||
| Any car in household | No | 247 (13%) | 215 (14%) | |
| Yes | 1599 (87%) | 1290 (86%) | ||
| Any adult bicycle in household | No | 768 (45%) | 620 (45%) | |
| Yes | 948 (55%) | 768 (55%) | ||
| Health | Weight status | Normal/underweight | 875 (50%) | 702 (49%) |
| Overweight | 641 (36%) | 534 (37%) | ||
| Obese | 244 (14%) | 201 (14%) | ||
| General health | Excellent/good | 1437 (79%) | 1168 (78%) | |
| Fair/poor | 388 (21%) | 324 (22%) | ||
| Long-term illness or disability that limits daily activities | No | 1295 (75%) | 1046 (74%) | |
| Yes | 441 (25%) | 374 (26%) | ||
| Walking and cycling | Time spent walking or cycling in past week (minutes) | None | 295 (16%) | 238 (16%) |
| 1–149 | 479 (26%) | 384 (25%) | ||
| 150–299 | 415 (22%) | 355 (24%) | ||
| 300–449 | 270 (15%) | 218 (14%) | ||
| ≥ 450 | 390 (21%) | 315 (21%) |
km = kilometers. † British ‘A’ Levels, GCSEs or equivalent. Results based on 1849 British adults participating in 2010 and 2011, and 1510 participating in 2010 and 2012: numbers add to fewer than the total number of participants for some variables due to missing data. Chi-squared tests provided no evidence (all p > 0.16) for a difference in the distribution of characteristics between the one- and two-year samples, except that the age distribution was (unsurprisingly) slightly older at two-year follow-up.
Proportion of study population reporting using Connect2 for different purposes.
| % of full sample reporting behaviour | % Connect2 users reporting behaviour | Correlation across years † | ||||
|---|---|---|---|---|---|---|
| One year | Two years | One year | Two years | |||
| Walking | Any transport | 11% | 12% | 35% | 32% | .51 |
| Social/leisure | 8% | 8% | 26% | 22% | .48 | |
| Shopping/personal | 6% | 6% | 18% | 15% | .46 | |
| To work | 1% | 1% | 4% | 3% | .38 | |
| For education | < 1% | < 1% | 2% | 1% | .41 | |
| For business | < 1% | < 1% | 2% | 2% | .49 | |
| Recreation | 27% | 32% | 84% | 85% | .60 | |
| Any walking | 29% | 35% | 92% | 91% | .61 | |
| Cycling | Any transport | 5% | 7% | 17% | 18% | .60 |
| Social/leisure | 4% | 5% | 11% | 13% | .40 | |
| Shopping/personal | 2% | 2% | 7% | 6% | .41 | |
| To work | 1% | 2% | 5% | 5% | .61 | |
| For education | < 1% | < 1% | < 1% | 1% | .76 | |
| For business | < 1% | < 1% | 1% | 2% | .35 | |
| Recreation | 12% | 15% | 37% | 39% | .65 | |
| Any cycling | 13% | 16% | 39% | 43% | .66 | |
| Use Connect2 for any purpose | 32% | 38% | 100% | 100% | .62 | |
Results based on 1826 British adults from the one-year sample in 2011 (excluding 1.2% with missing data), and 1490 from the two-year sample in 2012 (excluding 1.3% with missing data). † Pearson correlation between reporting behaviour at one and two years, among those taking part at both time points (N = 1235). The Supplementary material includes the numbers of individuals underlying these percentages and correlations.
Predictors of using Connect2 for any purpose at one- or two-year follow-up.
| Baseline characteristics | Level | One-year sample (N = 1849) | Two-year sample (N = 1510) | ||||
|---|---|---|---|---|---|---|---|
| % users | Minimally-adjusted RR (95% CI) | Multivariable RR (95% CI) | % users | Minimally-adjusted RR (95% CI) | Multivariable RR (95% CI) | ||
| Site | Southampton | 20% | 1*** | 1*** | 23% | 1*** | 1*** |
| Cardiff | 49% | 2.48 (1.86, 3.32) | 2.26 (1.75, 2.91) | 53% | 2.37 (1.83, 3.06) | 2.10 (1.70, 2.60) | |
| Kenilworth | 28% | 1.45 (1.04, 2.01) | 1.57 (1.19, 2.08) | 37% | 1.70 (1.29, 2.23) | 1.70 (1.38, 2.09) | |
| Proximity of home to greater Connect2 (km) | ≥ 4 | 12% | 1*** | 1*** | 16% | 1*** | 1*** |
| 3–3.99 | 22% | 1.57 (0.94, 2.63) | 1.58 (0.97, 2.57) | 28% | 1.63 (1.01, 2.66) | 1.54 (0.95, 2.51) | |
| 2–2.99 | 25% | 2.13 (1.24, 3.66) | 2.06 (1.26, 3.37) | 27% | 1.88 (1.22, 2.88) | 1.79 (1.22, 2.63) | |
| 1–1.99 | 31% | 2.86 (1.73, 4.73) | 2.71 (1.67, 4.40) | 37% | 2.80 (1.90, 4.13) | 2.59 (1.81, 3.71) | |
| < 1 | 46% | 3.83 (2.33, 6.31) | 3.62 (2.27, 5.80) | 52% | 3.54 (2.37, 5.29) | 3.38 (2.35, 4.87) | |
| Sex | Female | 31% | 1 | 1 | 37% | 1* | 1 |
| Male | 34% | 1.11 (0.99, 1.25) | 1.08 (0.96, 1.21) | 40% | 1.13 (1.01, 1.25) | 1.07 (0.95, 1.19) | |
| Age (years) at baseline | 18–34 | 33% | 1 | 1 | 40% | 1* | 1* |
| 35–49 | 40% | 1.22 (0.91, 1.65) | 1.10 (0.89, 1.38) | 45% | 1.14 (0.90, 1.43) | 0.87 (0.69, 1.10) | |
| 50–64 | 35% | 1.05 (0.78, 1.42) | 1.05 (0.83, 1.34) | 43% | 1.06 (0.85, 1.33) | 0.96 (0.78, 1.19) | |
| 65–89 | 26% | 0.78 (0.57, 1.08) | 0.88 (0.65, 1.21) | 29% | 0.72 (0.56, 0.93) | 0.74 (0.57, 0.95) | |
| Ethnicity | White | 33% | 1 | 1 | 39% | 1 | 1 |
| Non-White | 27% | 0.85 (0.55, 1.30) | 0.99 (0.68, 1.45) | 25% | 0.70 (0.41, 1.18) | 0.83 (0.51, 1.33) | |
| Any child under 16 | No | 31% | 1 | 1 | 36% | 1 | 1 |
| Yes | 42% | 1.17 (0.96, 1.43) | 1.04 (0.85, 1.27) | 48% | 1.16 (0.96, 1.41) | 1.12 (0.94, 1.32) | |
| Highest educational level | Tertiary | 42% | 1*** | 1* | 49% | 1*** | 1 |
| Secondary | 28% | 0.68 (0.59, 0.79) | 0.84 (0.73, 0.96) | 34% | 0.70 (0.60, 0.82) | 0.86 (0.74, 1.00) | |
| None or other | 24% | 0.65 (0.54, 0.79) | 0.88 (0.75, 1.03) | 28% | 0.68 (0.57, 0.81) | 0.92 (0.77, 1.10) | |
| Annual household income | >£40,000 | 42% | 1** | 1 | 51% | 1*** | 1* |
| £20–40,000 | 32% | 0.83 (0.69, 1.00) | 0.90 (0.75, 1.07) | 39% | 0.82 (0.71, 0.94) | 0.89 (0.78, 1.02) | |
| ≤£20,000 | 24% | 0.65 (0.52, 0.82) | 0.82 (0.66, 1.03) | 27% | 0.62 (0.52, 0.74) | 0.77 (0.64, 0.95) | |
| Employment status | Working | 37% | 1** | 1* | 44% | 1*** | 1** |
| Student | 10% | 0.33 (0.14, 0.75) | 0.34 (0.15, 0.76) | 8% | 0.22 (0.06, 0.80) | 0.20 (0.06, 0.68) | |
| Retired | 29% | 1.13 (0.93, 1.37) | 1.23 (1.01, 1.50) | 34% | 1.12 (0.94, 1.33) | 1.17 (0.97, 1.40) | |
| Other | 28% | 0.81 (0.64, 1.02) | 0.96 (0.75, 1.23) | 28% | 0.66 (0.50, 0.87) | 0.77 (0.59, 1.00) | |
| Any car in household | No | 23% | 1* | 1 | 27% | 1* | 1 |
| Yes | 34% | 1.34 (1.04, 1.72) | 1.07 (0.83, 1.37) | 40% | 1.31 (1.05, 1.63) | 0.99 (0.80, 1.21) | |
| Any adult bicycle in household | No | 23% | 1*** | 1*** | 27% | 1*** | 1*** |
| Yes | 41% | 1.74 (1.44, 2.11) | 1.51 (1.26, 1.80) | 48% | 1.68 (1.43, 1.97) | 1.45 (1.25, 1.70) | |
| Weight status | Normal | 33% | 1 | 1 | 40% | 1* | 1 |
| Overweight | 33% | 0.97 (0.84, 1.14) | 1.07 (0.94, 1.22) | 39% | 0.95 (0.83, 1.10) | 1.03 (0.90, 1.18) | |
| Obese | 27% | 0.78 (0.63, 0.97) | 1.02 (0.84, 1.24) | 30% | 0.72 (0.57, 0.92) | 0.97 (0.77, 1.21) | |
| General health | Excellent/good | 36% | 1*** | 1** | 42% | 1*** | 1 |
| Fair/poor | 21% | 0.61 (0.50, 0.74) | 0.74 (0.61, 0.90) | 26% | 0.65 (0.53, 0.79) | 0.83 (0.68, 1.02) | |
| Long-term illness | No | 36% | 1*** | 1 | 42% | 1* | 1 |
| Yes | 24% | 0.73 (0.61, 0.87) | 0.93 (0.78, 1.12) | 28% | 0.77 (0.63, 0.95) | 0.97 (0.79, 1.20) | |
| Time walking or cycling in past week (minutes) | None | 17% | 1*** | 1*** | 19% | 1*** | 1*** |
| 1–149 | 30% | 1.61 (1.23, 2.10) | 1.41 (1.08, 1.85) | 35% | 1.65 (1.20, 2.26) | 1.47 (1.10, 1.96) | |
| 150–299 | 30% | 1.65 (1.27, 2.14) | 1.41 (1.10, 1.81) | 38% | 1.81 (1.35, 2.43) | 1.52 (1.16, 1.99) | |
| 300–449 | 38% | 2.08 (1.63, 2.66) | 1.69 (1.32, 2.16) | 46% | 2.22 (1.67, 2.95) | 1.83 (1.41, 2.38) | |
| ≥ 450 | 45% | 2.32 (1.76, 3.05) | 1.93 (1.47, 2.53) | 51% | 2.37 (1.71, 3.27) | 2.09 (1.55, 2.81) | |
*p < 0.05, **p < 0.01, ***p < 0.001 for heterogeneity. CI = confidence interval, km = kilometers; RR = relative risk. Minimally-adjusted analyses adjusted for site, sex and age only, multivariable analyses adjusted for all variables in column. Intermediate multivariable models (e.g. including only demographic and socio-economic characteristics) available on request from the authors. Results based on 1849 British adults participating in 2010 and 2011, and 1510 participating in 2010 and 2012.
Fig. 2Effect of proximity to Connect2 and baseline walking and cycling upon awareness and different types of Connect2 use at two-year follow-up.
CR = cycling for recreation; CT = cycling for transport; CI = confidence interval, km = kilometers; min = minutes; WR = walking for recreation; WT = walking for transport. Results based on 1510 British adults participating in 2010 and 2012: Results very similar at one-year follow-up, see the Supplementary material.