| Literature DB >> 31014023 |
Melody Smith1, Rebecca Amann2, Alana Cavadino3, Deborah Raphael4, Robin Kearns5, Roger Mackett6, Lisa Mackay7, Penelope Carroll8, Euan Forsyth9, Suzanne Mavoa10, Jinfeng Zhao11, Erika Ikeda12, Karen Witten13.
Abstract
Children's independent mobility is declining internationally. Parents are the gatekeepers of children's independent mobility. This mixed methods study investigates whether parent perceptions of the neighbourhood environment align with objective measures of the neighbourhood built environment, and how perceived and objective measures relate to parental licence for children's independent mobility. Parents participating in the Neighbourhood for Active Kids study (n = 940) answered an open-ended question about what would make their neighbourhoods better for their child's independent mobility, and reported household and child demographics. Objective measures of the neighbourhood built environment were generated using geographic information systems. Content analysis was used to classify and group parent-reported changes required to improve their neigbourhood. Parent-reported needs were then compared with objective neighbourhood built environment measures. Linear mixed modelling examined associations between parental licence for independent mobility and (1) parent neighbourhood perceptions; and (2) objectively assessed neighbourhood built environment features. Parents identified the need for safer traffic environments. No significant differences in parent reported needs were found by objectively assessed characteristics. Differences in odds of reporting needs were observed for a range of socio-demographic characteristics. Parental licence for independent mobility was only associated with a need for safer places to cycle (positive) and objectively assessed cycling infrastructure (negative) in adjusted models. Overall, the study findings indicate the importance of safer traffic environments for children's independent mobility.Entities:
Keywords: active transport; active travel; cycling; infrastructure; traffic safety; walking
Mesh:
Year: 2019 PMID: 31014023 PMCID: PMC6517958 DOI: 10.3390/ijerph16081361
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Parent reported need and corresponding objective measure of the neighbourhood built environment.
| Parent-Reported Needs | Objectively-Assessed Neighbourhood Features | Key Considerations Regarding Making Direct Comparisons |
|---|---|---|
| Less, slower, and safer traffic | Ratio of high to low speed roads | Objective measure provides an estimate only of traffic safety based on road hierarchy (and does not account for actual driver behavior irrespective of regulatory environment); parent-reported traffic safety needs included a broad range of strategies to reduce speeds and volume of traffic |
| More and safer crossings | Number of signalised crossings | Objective measure only takes signalled crossings into account; parent-reported needs included comments about non-signalled crossings |
| Safer and designated cycle lanes | Ratio of cycle path lengths to road lengths | Objective measure is limited to data available for the cycle network; parent-reported needs included bike paths and also the quality of places to cycle safely |
| More and better walking paths | PedShed | Objective measure provides an indication of the relative prevalence of places to walk only; parent-reported needs noted additional considerations such as wider and better-maintained footpaths |
Descriptive statistics for key topics derived from parent responses to the question “What would make your neighbourhood a better place for (Child Name) to walk, bike or scooter by (Himself/Herself)?” (n = 931).
| Topic and Subtopics |
| % a |
|---|---|---|
|
| 185 | 19.9 |
| Less busy traffic | 65 | 7.0 |
| Slower speeds | 56 | 6.0 |
| Traffic calming infrastructure (e.g., humps) | 38 | 4.1 |
| Lowering speed limits | 37 | 4.0 |
| Reducing dangerous driving | 34 | 3.7 |
| Improving traffic safety in general | 19 | 2.0 |
| Signage to slow traffic (e.g., “kids around”, “slow down”) | 6 | 0.6 |
|
| 125 | 13.4 |
| More and safer pedestrian crossings | 121 | 13.0 |
| Lights at pedestrian crossings | 4 | 0.4 |
| Supervised crossings | 1 | 0.1 |
|
| 91 | 9.8 |
| Cycle lanes—designated, away from road, on footpaths | 66 | 7.1 |
| Bike tracks and paths | 26 | 2.8 |
|
| 67 | 7.2 |
|
| 112 | 12.0 |
| Reduced “stranger danger” | 50 | 5.4 |
| Community surveillance | 43 | 4.6 |
| Reduced crime (drugs and gang activity) | 19 | 2.0 |
| Fewer roaming dogs | 12 | 1.3 |
| Reduced perceived danger from others especially youth | 9 | 1.0 |
| Less bullying | 4 | 0.4 |
|
| 37 | 4.0 |
| More destinations in the neighbourhood | 23 | 2.5 |
| More and better facilities at the destinations | 16 | 1.7 |
|
| 33 | 3.5 |
| More connected community | 25 | 2.7 |
| More children/people out and about | 9 | 1.0 |
|
| 232 | 24.9 |
| Better street lighting | 56 | 6.0 |
| Child too young | 45 | 4.8 |
| Nothing | 38 | 4.1 |
| Positive Comments | 31 | 3.3 |
| Less hilly | 14 | 1.5 |
| Safer neighbourhood | 12 | 1.3 |
| Other | 10 | 1.1 |
| More public transport and school buses | 9 | 1.0 |
| Fewer cars parked on street | 8 | 0.9 |
| Better general infrastructure | 8 | 0.9 |
| More walking school buses (adult accompanying group of children to school) | 7 | 0.8 |
| Better upkeep of public spaces | 6 | 0.6 |
| Better visibility of the streets | 4 | 0.4 |
| Improved connectivity | 3 | 0.3 |
| Uncodeable | 3 | 0.3 |
a Data are presented for the number and percentage of parents who noted these topics and subtopics. Note: n and % of topics do not equate to the total of all the subtopics due to some parents mentioning more than one subtopic in one topic.
Socio-demographic characteristics of children and their licence for independent mobility (n = 931).
| Socio-Demographic Variables |
| % | Licence for Independent Mobility | |
|---|---|---|---|---|
| Mean (SD) | ||||
|
| <0.001 c | |||
| Male | 469 | 50.4 | 5.65 (1.73) | |
| Female | 462 | 49.6 | 5.00 (1.67) | |
|
| <0.001 c | |||
| Primary (years 5–6) | 486 | 52.2 | 4.58 (1.32) | |
| Intermediate (years 7–8) | 445 | 47.8 | 6.04 (1.69) | |
|
| 0.001 d | |||
| New Zealand European/Pākehā/Other European | 394 | 42.3 | 5.41 (1.61) | |
| Māori | 112 | 12.0 | 5.49 (1.67) | |
| Pacific | 125 | 13.4 | 4.94 (1.73) | |
| Asian | 120 | 12.9 | 5.04 (1.62) | |
| MELAA a/Other/Not stated | 180 | 19.3 | 5.25 (1.77) | |
|
| 0.106 d | |||
| Low Deprivation (decile 1–3) | 357 | 38.3 | 5.36 (1.67) | |
| Medium Deprivation (decile 4–7) | 324 | 34.8 | 5.31 (1.65) | |
| High Deprivation (decile 8–10) | 250 | 26.9 | 5.13 (1.71) | |
a MELAA = Middle Eastern, Latin American, or African; b NZDep13 score calculated for each individual household at the meshblock level; c p-value from Mann-Whitney U Test; d p-value from Kruskal-Wallis H Test.
Descriptive information for objectively-assessed neighbourhood features (n = 931).
| Objectively-Assessed Neighbourhood Features a | Minimum | Maximum | Mean (SD) |
|---|---|---|---|
| Ratio of high to low speed roads | 0.00 | 1.00 | 0.37 (0.11) |
| Number of signalised crossings | 0.00 | 7.00 | 1.01 (1.40) |
| Ratio of cycle paths to road lengths | 0.00 | 0.74 | 0.12 (0.13) |
| PedShed b | 0.01 | 0.63 | 0.32 (0.11) |
a Variable corresponding to parent-reported need; derived within the 800 m street network individual neighbourhood buffer using Geographic Information Systems; b Ratio of reachable pedestrian network area to the maximum possible area; a higher ratio indicates a more connected pedestrian network.
Differences in parent-reported needs by objectively-assessed neighbourhood built environment characteristics and socio-demographic factors (n = 931).
| Parent-Reported Need a | Less, Slower, and Safer Traffic | More and Safer Crossings | Safer and Designated Cycle Lanes | More and Better Walking Paths | ||||
|---|---|---|---|---|---|---|---|---|
|
|
|
|
|
| ||||
| OR (95% CI) c | OR (95% CI) c | OR (95% CI) c | OR (95% CI) c | |||||
| Lower | Reference | Reference | Reference | Reference | ||||
| Higher | 0.79 (0.54, 1.14) | 0.208 | 0.90 (0.72, 1.11) | 0.314 | 1.02 (0.56, 1.87) | 0.944 | 0.77 (0.34, 1.73) | 0.527 |
|
| ||||||||
| Male | Reference | Reference | Reference | Reference | ||||
| Female | 0.93 (0.67, 1.31) | 0.693 | 0.73 (0.49, 1.09) | 0.125 | 0.78 (0.49, 1.24) | 0.296 | 0.87 (0.47, 1.60) | 0.527 |
|
| ||||||||
| Intermediate (years 7–8) | Reference | Reference | Reference | Reference | ||||
| Primary (years 5–6) | 1.54 (1.09, 2.19) | 0.014 | 1.01 (0.67, 1.52) | 0.980 | 0.48 (0.29, 0.77) | 0.003 | 1.41 (0.66, 3.00) | 0.372 |
|
| ||||||||
| NZ European/Pākehā/Other European | Reference | Reference | Reference | Reference | ||||
| Māori | 0.78 (0.43, 1.44) | 0.432 | 0.60 (0.27, 1.34) | 0.214 | 0.12 (0.03, 0.52) | 0.004 | 0.30 (0.06, 1.53) | 0.147 |
| Pacific | 0.36 (0.17, 0.76) | 0.008 | 0.13 (0.03, 0.59) | 0.008 | 0.06 (0.01, 0.50) | 0.009 | 0.29 (0.05, 1.55) | 0.148 |
| Asian | 0.61 (0.34, 1.10) | 0.103 | 0.48 (0.22, 1.03) | 0.058 | 0.28 (0.11, 0.75) | 0.012 | 0.37 (0.07, 1.82) | 0.220 |
| MELAA a/Other/Not stated | 0.85 (0.51, 1.42) | 0.543 | 0.93 (0.49, 1.75) | 0.816 | 0.51 (0.26, 1.00) | 0.049 | 2.01 (0.73, 5.52) | 0.174 |
|
| ||||||||
| Low | Reference | Reference | Reference | Reference | ||||
| Medium | 1.08 (0.72, 1.61) | 0.708 | 0.83 (0.53, 1.28) | 0.396 | 0.84 (0.51, 1.39) | 0.504 | 0.15 (0.07, 0.33) | <0.001 |
| High | 1.08 (0.60, 1.96) | 0.796 | 0.50 (0.22, 1.18) | 0.113 | 0.40 (0.15, 1.08) | 0.071 | 0.22 (0.07, 0.67) | 0.008 |
a Variable corresponding to parent-reported need; derived within the 800 m street network individual neighbourhood buffer using Geographic Information Systems; b Measure of walking path availability; area of network buffer/area of radial buffer; c Estimates from mixed effects logistic regression with random intercept for neighbourhood; d Objective measures are included in each model as binary variables to compare those with ‘higher’ and ‘lower’ objective measures, defined as being above or below the median value for each.
Mutually adjusted association of parent reported needs and related objective neighbourhood features with children’s licence for independent mobility (n = 931).
| Neighbourhood Variables in Model | Comparison | Estimate (95% CI) a | |
|---|---|---|---|
| Ratio of high to low speed roads b | Higher vs. lower | −0.05 (−0.26, 0.17) | 0.682 |
| Less, slower, and safer traffic c | Parent reported vs. didn’t report need | −0.03 (−0.2, 0.21) | 0.811 |
| Number of signalised crossings b | Per additional crossing | −0.04 (−0.15, 0.06) | 0.421 |
| More and safer crossings c | Parent reported vs. didn’t report need | 0.01 (−0.27, 0.29) | 0.944 |
| Ratio of cycle path to road lengths b | Higher vs. lower | −0.46 (−0.71, −0.20) | 0.001 |
| Safer and designated cycle lanes c | Parent reported vs. didn’t report need | 0.56 (0.24, 0.88) | 0.001 |
| PedShed b,d | Higher vs. lower | 0.20 (−0.01, 0.41) | 0.058 |
| More and better walking paths c | Parent reported vs. didn’t report need | −0.14 (−0.55, 0.27) | 0.506 |
a Linear mixed models with random intercept for neighbourhood to account for neighbourhood clustering, including the objectively-assessed neighbourhood feature and the related parent-reported need, and adjusted for sex of child, school year level, ethnicity, and meshblock-level deprivation; b Objectively assessed variable corresponding to parent-reported need; derived within the 800 m street network individual neighbourhood buffer using Geographic Information Systems; c Parent-reported need; d Measure of walking path availability; area of network buffer/area of radial buffer.