| Literature DB >> 31717447 |
Solveig Nordengen1,2, Denise Christina Ruther3, Amund Riiser1, Lars Bo Andersen1,2, Ane Solbraa1.
Abstract
Globally, there is an increasing challenge of physical inactivity and associated diseases. Commuter cycling is an everyday physical activity with great potential to increase the health status in a population. We aimed to evaluate the association of self-reported factors and objectively measured environmental factors in residence and along commuter routes and assessed the probability of being a commuter cyclist in Norway. Our study included respondents from a web-based survey in three Norwegian counties and we used a Geographic Information Systems (GIS) to evaluate the natural and built environment. Of the 1196 respondents, 488 were classified as commuter cyclists. Self-reported factors as having access to an e-bike (OR 5.99 [CI: 3.71-9.69]), being physically active (OR 2.56 [CI: 1.42-4.60]) and good self-rated health (OR 1.92 [CI: 1.20-3.07]) increased the probability of being a cyclist, while being overweight or obese (OR 0.71 [CI: 0.54-0.94]) reduced the probability. Environmental factors, such as high population density (OR 1.49 [CI: 1.05-2.12]) increased the probability, while higher slope (trend p = 0.020), total elevation along commuter route (trend p = 0.001), and >5 km between home and work (OR 0.17 [CI: 0.13-0.23]) decreased the probability of being a cyclist. In the present study, both self-reported and environmental factors were associated with being a cyclist. With the exception of being in good health, the characteristics of cyclists in Norway, a country with a low share of cyclists, seem to be similar to countries with a higher share of cyclists. With better knowledge about characteristics of cyclists, we may design better interventions and campaigns to increase the share of commuter cyclists.Entities:
Keywords: GIS; active commuting; active travel; adults; bicycle; public employees
Mesh:
Year: 2019 PMID: 31717447 PMCID: PMC6887986 DOI: 10.3390/ijerph16224372
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Figure 1Flowchart and inclusion process of the Førde Active Transport study.
Figure 2Geographic Information Systems (GIS)-derived information. (a) Population density and location of home addresses in Sogn og Fjordane; (b) Roads, cycling paths and shared-use paths in Sogn og Fjordane; (c) Population density and location of home addresses in Agder; (d) Roads, cycling paths and shared-use paths in Agder.
Descriptive table of characteristics of participants, n = 1196.
| Characteristics | Sogn og Fjordane and Agder | County | ||
|---|---|---|---|---|
| Cyclists | Total | Sogn og Fjordane | Agder | |
| Total | Total | |||
|
| 488 | 1196 | 441 (35%) | 755 (41%) |
| Distance ( | ||||
| 0.1–5.0 km | 301 | 467 | 183 (62%) | 284 (66%) |
| 5.0–145 km | 187 | 729 | 258 (16%) | 471 (31%) |
| Age (median (min-max)) | 49 (19–70) | 49 (72–19) | 48 (23–72) a
| 49 (19–70) a |
| Gender ( | ||||
| men | 204 | 468 | 155 (38%) | 313 (46%) |
| women | 284 | 728 | 286 (33%) | 442 (42%) |
| Income ( | ||||
| 0–399,999 NOK | 69 | 266 | 92 (30%) | 174 (40%) |
| 400,000–799,999 NOK | 371 | 868 | 321 (38%) | 547 (46%) |
| 800,000–19,999,999 NOK | 21 | 62 | 28 (25%) | 34 (41%) |
| Self-reported health status * ( | ||||
| Poor | 38 | 138 | 44 (18%) | 94 (32%) |
| Good | 450 | 1058 | 397 (37%) | 661 (46%) |
| BMI ( | ||||
| Underweight or normal weight | 282 | 627 | 246 (40%) | 381 (48%) |
| Pre-obesity or Obesity class 1–3 | 206 | 569 | 195 (29%) | 374 (40%) |
| Tobacco ( | ||||
| Non-tobacco | 484 | 1188 | 438 (35%) | 750 (44%) |
| Any usage of snuff or tobacco | 4 | 8 | 3 (66%) | 5 (40%) |
| Cycle type ( | ||||
| other | 408 | 1083 | 432 (39%) | 651 (39%) |
| e-bike | 80 | 113 | 9 (33%) | 104 (74%) |
| Ethnicity ( | ||||
| Self and parents born in Norway | 428 | 1080 | 401 (34%) | 679 (43%) |
| Self or parents not born in Norway | 60 | 116 | 40 (48%) | 76 (54%) |
| Education ( | ||||
| <high school | 50 | 157 | 50 (30%) | 107 (33%) |
| University <4 years | 98 | 273 | 103 (29%) | 170 (40%) |
| University ≥4 years | 340 | 766 | 288 (38%) | 478 (48%) |
| Road safety (median (min-max)) | 8 (1–10) | 8 (1–10) | 7 (1–10) a | 8 (1–10) a |
| PA level ** ( | ||||
| inactive | 20 | 95 | 40 (22%) | 55 (20%) |
| Activity class 1 | 246 | 602 | 209 (33%) | 393 (45%) |
| Activity class 2 or 3 | 222 | 499 | 192 (40%) | 307 (47%) |
| Population density ( | ||||
| 1 | 94 | 230 | 55 (18%) | 175 (48%) |
| 2 | 96 | 241 | 86 (38%) | 155 (41%) |
| 3 | 129 | 259 | 143 (43%) | 116 (58%) |
| Mean slope route | ||||
| <25% 0–3.8% | 83 | 170 | 94 (43%) | 76 (57%) |
| 25–50%, 3.8–5.6% | 71 | 187 | 119 (34%) | 68 (44%) |
| 50–75%, 5.6–14.0% | 68 | 179 | 49 (37%) | 130 (38%) |
| >75%, >14.0% | 97 | 194 | 22 (27%) | 172 (53%) |
| Sum elevation home-work-home | ||||
| <25%, 0–132.7 m | 119 | 172 | 69 (70%) | 103 (69%) |
| 25–50%, 132.7–555.9 m | 72 | 188 | 75 (29%) | 113 (44%) |
| 50–75%, 555.9–1509.6 m | 66 | 194 | 50 (16%) | 144 (40%) |
| >75%, >1509.6 m | 62 | 176 | 90 (30%) | 86 (41%) |
* Tobacco included both snuff and smoke. Non-tobacco included those who are non-users. ** Based on the four activity categories by Saltin and Grimby [22]: “Almost completely inactive: reading, TV watching, movies, etc.” [inactive], “Some physical activity during at least 4 h per week, riding a bicycle or walk to work, walking or skiing with the family, gardening’’ [1], “Regular activity, such as heavy gardening, running, calisthenics, tennis, etc.” and “Regular hard physical training for competition in running events, soccer, racing. European handball, etc. several times per week.” [2]. a cyclists; b non-cyclists.
Likelihood of being a cyclist, survey data, n = 1196. Presented as bivariate and multivariate analyses. Significant associations are written in bold.
| Characteristics | Bivariate | Multivariate |
|---|---|---|
| All Seasons | All Seasons | |
| Age |
| 1.01 (0.99–1.02); 0.100 |
| >5 km vs. <5 km distance |
|
|
| Gender (women vs. men) | 1.21 (0.95–1.53); 0.116 |
|
| Income |
| Trend |
| Income (0–399.999NOK) | Ref. | Ref. |
| Income (4–799.999) | 1.32 (1.00–1.76); 0.054 | 1.09 (0.77–1.53); 0.632 |
| Income (>800.000) | 0.91 (0.51–1.63); 0.743 | 0.54 (0.28–1.067); 0.077 |
| SRH poor vs. good |
|
|
| Normal weight vs. Pre-obesity or Obesity class 1–3 |
|
|
| E-bike |
| 5.99 (3.71–9.69); <0.001 |
| Education |
|
|
| Education< high school | Ref. | Ref. |
| <4 years university | 1.20 (0.79–1.81); 0.395 | 1.33 (0.82–0.2.15); 0.246 |
| ≥4 year university |
|
|
| Ethnicity |
|
|
| Perceived Road safety |
| 1.05 (0.99–1.12); 0.081 |
| Tobacco | 1.46 (0.36–5.84); 0.597 | 0.69 (0.12–4.02); 0.675 |
| Activity class * |
|
|
| Activity class 1 | Ref. | Ref. |
| Activity class 2 |
|
|
| Activity class 3 |
|
|
* Based on the four activity categories by Saltin and Grimby [22], “Almost completely inactive: reading, TV watching, movies, etc.” [inactive], “Some physical activity during at least 4 h per week, riding a bicycle or walk to work, walking or skiing with the family, gardening’’ [1], “Regular activity, such as heavy gardening, running, calisthenics, tennis, etc.” [2] and “Regular hard physical training for competition in running events, soccer, racing. European handball, etc. several times per week.” [3]. SRH, self-rated health status.
Likelihood of being a cyclist, survey data, n = 1196. Presented as bivariate and multivariate analyses. Significant associations are written in bold.
| Characteristics | Bivariate | Multivariate | ||
|---|---|---|---|---|
| Sogn og Fjordane and Agder | Sogn og Fjordane and Agder | Sogn og Fjordane | Agder | |
| All Seasons | All Seasons | All Seasons | All Seasons | |
| OR (95% CI) | OR (95% CI) | |||
| Age |
| 1.01 (0.99–1.02); 0.100 | 1.00 (0.98–1.03); 0.701 | 1.02 (1.00–1.03);0.054 |
| >5 km vs. <5 km distance |
|
|
|
|
| Gender (women vs. men) | 1.21 (0.95–1.53); 0.116 |
| 1.18 (0.72–1.95); 0.512 |
|
| Income(0–399.999NOK) |
| Trend | Trend | Trend |
| Income (4–799.999) | 1.32 (1.00–1.76); 0.054 | 1.09 (0.77–1.53); 0.632 | 1.05 (0.57–1.95); 0.875 | 1.13 (0.74–1.17); 0.574 |
| Income (>800.000) | 0.91 (0.51–1.63); 0.743 | 0.54 (0.28–1.067); 0.077 | 0.46 (0.15–1.43); 0.178 | 0.76 (0.32–1.80); 0.527 |
| Health poor vs. good |
|
|
| 1.59 (0.91–2.81); 0.107 |
| Normal weight vs. Pre-obesity or Obesity class 1–3 |
|
| 0.78 (0.48–1.26); 0.313 |
|
| E-bike |
| 5.99 (3.71–9.69); <0.001 | 0.96 (0.19–4.94); 0.957 |
|
| Education< high school |
|
|
| Trend |
| <4 years university | 1.20 (0.79–1.81); 0.395 | 1.33 (0.82–0.2.15); 0.246 | 0.99 (0.41–2.26); 0.978 | 1.46 (0.81–2.64); 0.21 |
| ≥4 year university |
|
| 1.42 (0.66–3.09); 0.370 |
|
| Ethnicity |
|
| 2.05 (0.91–4.62); 0.084 | 1.46 (0.86–2.54); 0.160 |
| Perceived Road safety |
| 1.05 (0.99–1.12); 0.081 |
| 1.06 (0.99–1.15); 0.098 |
| Tobacco | 1.46 (0.36–5.84); 0.597 | 0.69 (0.12–4.02); 0.675 | 3.87 (0.12–124.79); 0.455 | 0.31 (0.03–3.02); 0.315 |
| Activity class * |
|
| Trend |
|
| Activity class 2 |
|
| 1.62 (0.64–4.11); 0.307 |
|
| Activity class 3 |
|
| 2.01 (0.80–5.08); 0.139 |
|
* Based on the four activity categories by Saltin and Grimby [22]: “Almost completely inactive: reading, TV watching, movies, etc.” [inactive], “Some physical activity during at least 4 h per week, riding a bicycle or walk to work, walking or skiing with the family, gardening’’ [2], “Regular activity, such as heavy gardening, running, calisthenics, tennis, etc.” and “Regular hard physical training for competition in running events, soccer, racing. European handball, etc. several times per week.” [3].
Likelihood of being a cyclist. Environmental factors (GIS data). n = 1009. Presented as bivariate and multivariate analyses. Significant associations are written in bold.
| Bivariate | Multivariate | |
|---|---|---|
| All Seasons | All Seasons | |
|
| 1009 | 1009 |
|
| ||
| Ratio shared-path/road buffer home |
| 1.79 (0.42–7.69); 0.435 |
| Car junction home |
| 1.00 (0.99–1.01); 0.598 |
| Bike junction home |
| 1.00 (0.99–1.01); 0.869 |
| Population density home |
| Trend |
| Low (0–199 persons) | Ref. | Ref. |
| Moderate (200–599 persons) | 1.11 (0.80–1.54); 0.551 | 1.09 (0.77–1.55); 0.626 |
| High (<600 persons) |
|
|
|
| ||
| Ratio minutes home-work bike */car route |
|
|
| Ratio meter bike/car route |
| 0.83 (0.15–4.65); 0.831 |
| Percentiles of mean slope route |
|
|
| <25% 0–3.8% | Ref. | Ref. |
| 25–50%, 3.8–5.6% | 0.76 (0.53–1.10); 0.143 | 0.91 (0.60–1.36); 0.636 |
| 50–75%, 5.6–14.0% |
| 0.75 (0.49–1.13); 0.162 |
| >75%, >14.0% | 0.87 (0.61–1.24); 0.439 | 1.44 (0.91–2.28); 0.125 |
| Percentiles for elevation t/r route |
|
|
| <25%, 0–132.7 m | Ref. | Ref. |
| 25–50%, 132.7–555.9 m |
|
|
| 50–75%, 555.9–1509.6 m |
|
|
| >75%, >1509.6 m |
|
|
* estimated 15 km/h.
Likelihood of being a cyclist. Environmental factors (GIS data). n = 1009. Presented as bivariate and multivariate analyses. Significant associations are written in bold.
| Bivariate | Multivariate | |||
|---|---|---|---|---|
| Sogn og Fjordane and Agder | Sogn og Fjordane and Agder | Sogn og Fjordane | Agder | |
| All Seasons | All Seasons | All Seasons | All Seasons | |
|
| 1009 | 1009 | 410 | 599 |
|
| ||||
| Ratio shared-path/road buffer home |
| 1.79 (0.42–7.69); 0.435 | 1.23 (0.031–49.44); 0.911 | 1.37 (0.26–7.29); 0.714 |
| Car junction home |
| 1.00 (0.99–1.01); 0.598 | 1.01 (0.99- 1.03); 0.380 | 1.01 (0.99–1.02); 0.377 |
| Bike junction home |
| 1.00 (0.99–1.01); 0.869 | 0.99 (0.98–1.01); 0.243 | 1.00 (0.99–1.01); 0.829 |
| Population density home |
| Trend | Trend | Trend |
| 0–199 | Ref. | Ref. | Ref. | Ref. |
| 200–599 | 1.11 (0.80–1.54); 0.551 | 1.09 (0.77–1.55); 0.626 | 1.85 (0.87–3.94); 0.109 | 0.92 (0.60–1.41); 0.707 |
| >600 |
|
| 2.31 (1.08–4.97); 0.031 | 1.46 (0.92–2.31); 0.109 |
|
| ||||
| Ratio minutes home-work bike */car route |
|
| 0.76 (0.45–1.27); 0.298 | 0.79 (0.57–1.09); 0.155 |
| Ratio meter bike/car route |
| 0.83 (0.15–4.65); 0.831 | 9.59 (0.70–132.09); 0.091 | 0.10 (0.01–1.30); 0.079 |
| Percentiles of mean slope route |
|
| Trend | Trend |
| 0–25% | Ref. | Ref. | Ref. | Ref. |
| 25–50% |
| 0.91 (0.60–1.36); 0.636 | 0.97 (0.56–1.69): 0.916 | 0.86 (0.45–1.65); 0.648 |
| 50–70% |
| 0.75 (0.49–1.13); 0.162 | 0.72 (0.35–1.47); 0.369 | 0.68 (0.38–1.22); 0.192 |
| 75–100% | 0.87 (0.61–1.24); 0.439 | 1.44 (0.91–2.28); 0.125 | 1.17 (0.43–3.18); 0.759 | 1.31 (0.68–2.52); 0.418 |
| Percentiles for elevation t/r route |
|
|
|
|
| 0–25% | Ref. | Ref. | Ref. | Ref. |
| 25–50% |
|
|
|
|
| 50–70% |
|
|
|
|
| 75–100% |
|
|
| 0.42 (0.16–1.12); 0.082 |
* estimated 15 km/h.
Linear regression of distance * cycled. n = 307. Significant associations are written in bold.
| All Seasons | ||
|---|---|---|
| β | ||
|
| ||
| Age | 0.039 | 0.454 |
| Gender (women vs. man) | 0.109 |
|
| Income (ascending) | −0.038 | 0.469 |
| SRH (poor vs. good) | 0.087 | 0.100 |
| Normal weight vs. overweight/obesity | −0.054 | 0.312 |
| E-bike (regular vs. e-bike) | 0.041 | 0.443 |
| Years of education (ascending) | 0.014 | 0.794 |
| Perceived road safety (ascending) |
|
|
| Ethnicity (ethnic Norwegian vs. not ethnic Norwegian) | 0.017 | 0.744 |
| PA level (ascending) | 0.046 | 0.388 |
|
| ||
| 500 m home buffer | ||
| Population density home | −0.025 | 0.637 |
| Bike junction home | 0.063 | 0.700 |
| Car junction home | −0.338 | 0.062 |
| Ratio shared-path/road buffer home |
|
|
| Route | ||
| Ratio minutes home-work bike **/car route | 0.035 | 0.713 |
| Ratio meter bike/car route | 0.071 | 0.272 |
| Percentiles of mean slope route |
|
|
| Percentiles for elevation t/r route |
|
|
* Distance is log-transformed; ** Estimated 15 km/h; β, Standardized beta; SRH, self-rated health status; PA, physical activity; GIS, geographic information systems.
Linear regression of distance * cycled. Significant associations are written in bold.
| Sogn og Fjordane and Agder | Sogn og Fjordane | Agder | ||||
|---|---|---|---|---|---|---|
| All Seasons | All Seasons | All Seasons | ||||
|
| 307 | 102 | 205 | |||
| β | β | β | ||||
|
| ||||||
| Age | 0.039 | 0.454 | 0.014 | 0.888 | 0.058 | 0.331 |
| Gender (women vs. man) |
|
| −0.099 | 0.322 |
|
|
| Income (ascending) | −0.038 | 0.469 | −0.108 | 0.299 | 0.013 | 0.827 |
| Health status (ascending) | 0.087 | 0.100 | 0.068 | 0.526 | −0.009 | 0.888 |
| Normal weight vs. overweight/obesity | −0.054 | 0.312 | −0.016 | 0.874 | −0.89 | 0.149 |
| E-bike (regular vs. e-bike) | 0.041 | 0.443 | −0.306 | 0.760 | −0.003 | 0.961 |
| Years of education (ascending) | 0.014 | 0.794 | −0.040 | 0.706 | 0.003 | 0.968 |
| Perceived road safety (ascending) |
|
|
|
|
|
|
| Ethnicity (ethnic Norwegian vs. not ethnic Norwegian) | 0.017 | 0.744 | 0.052 | 0.615 | −0.051 | 0.392 |
| PA level (ascending) | 0.046 | 0.388 | 0.144 | 0.167 | 0.043 | 0.487 |
|
| ||||||
|
| ||||||
| Population density home | −0.025 | 0.637 | 0.088 | 0.385 | −0.024 | 0.686 |
| Bike junction home | 0.063 | 0.700 | 0.290 | 0.497 |
|
|
| Car junction home | −0.338 | 0.062 | −0.608 | 0.139 | 0.225 | 0.235 |
| Ratio shared-path/road buffer home | 0.184 |
| 0.069 | 0.586 | 0.144 | 0.058 |
|
| ||||||
| Ratio minutes home-work bike **/car route | 0.035 | 0.713 | 0.181 | 0.422 | −0.122 | 0.263 |
| Ratio meter bike/car route | 0.071 | 0.272 | 0.023 | 0.845 | 0.109 | 0.155 |
| Percentiles of mean slope route |
|
| −0.089 | 0.461 | 0.139 | 0.071 |
| Percentiles for elevation t/r route |
|
| −0.071 | 0.741 |
|
|
* Distance is log-transformed; β, Standardized beta; p, p-value. ** Estimated 15 km/h.