| Literature DB >> 32235341 |
Francisco Sergio Campos-Sánchez1, Francisco Javier Abarca-Álvarez1, Javier Molina-García2, Palma Chillón3.
Abstract
In the current call for a greater human health and well-being as a sustainable development goal, to encourage active commuting to and from school (ACS) seems to be a key factor. Research focusing on the analysis of the association between environmental factors and ACS in children and adolescents has reported limited and inconclusive evidence, so more knowledge is needed about it. The main aim of this study is to examine the association between different built environmental factors of both school neighbourhood and home-school route with ACS of children and adolescents belonging to urban areas. The ACS level was evaluated using a self-reported questionnaire. Built environment variables (i.e., density of residents, street connectivity and mixed land use) within a school catchment area and home-school route characteristics (i.e., distance and pedestrian route directness-PRD) were measured using a geographic information system (GIS) and examined together with ACS levels. Subsequently, the association between environmental factors and ACS was analysed by binary logistic regression. Several cut-off points of the route measures were explored using receiver operating characteristic (ROC) curves. In addition, the PRD was further studied regarding different thresholds. The results showed that 70.5% of the participants were active and there were significant associations between most environmental factors and ACS. Most participants walked to school when routes were short (distance variable in children: OR = 0.980; p = 0.038; and adolescents: OR = 0.866; p < 0.001) and partially direct (PRD variable in children: OR = 11.334; p < 0.001; and adolescents: OR = 3.513; p < 0.001), the latter specially for children. Mixed land uses (OR = 2.037; p < 0.001) and a high density of street intersections (OR = 1.640; p < 0.001) clearly encouraged adolescents walking and slightly discouraged children walking (OR = 0.657, p = 0.010; and OR = 0.692, p = 0.025, respectively). The assessment of ACS together with the environmental factors using GIS separately for children and adolescents can inform future friendly and sustainable communities.Entities:
Keywords: ROC curve; active transportation; connectivity; logistic regression; pedestrian route directness; sustainable development goals; walkability
Year: 2020 PMID: 32235341 PMCID: PMC7177458 DOI: 10.3390/ijerph17072295
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Figure 1Method workflow. Abbreviations: CNIG: National Centre for Geographic Information. ATOM Inspire: National cadastral service. INE: National Statistics Institute. DERA: Reference Spatial Data of Andalusia (Spain). OSM: Open Street Map. PRD: Pedestrian route directness. ORS: Open Route Service. SDGs: Sustainable Development Goals. GIS: Geographic Information System. ACS: Active commuting to school. Additional note: The literature review was a source of processed data since it allowed finding previous studies useful to define both the analysis variable of mixed land use and the built environment catchment area.
Sample cases descriptive frequencies separately by participants’ subgroups.
| Sample Cases | All | Active | Non-Active |
|---|---|---|---|
| Children | 826 (100.0%) | 561 (67.9%) | 265 (32.1%) |
| Adolescents | 2142 (100.0%) | 1530 (71.4%) | 612 (28.6%) |
| Male | 1508 (100.0%) | 1070 (71.0%) | 438 (29.0%) |
| Female | 1460 (100.0%) | 1022 (70.0%) | 438 (30.0%) |
Environmental variables descriptive statistics separately by participants’ subgroups.
| Participants’ Subgroups | Statistics | Environmental Variables | |||||
|---|---|---|---|---|---|---|---|
| ACS | Residents | Intersections | Mixed Uses | Distance (km) | PRD (Index) | ||
| All | Mean | 6.53 | 158.83 | 3.74 | 0.00 | 2.93 | 1.28 |
| Median | 10.00 | 158.91 | 3.75 | -0.06 | 0.80 | 1.24 | |
| SD | 4.36 | 57.31 | 1.24 | 0.87 | 9.80 | 0.23 | |
| Min | 0.00 | 66.51 | 1.44 | -1.43 | 0.01 | 0.03 | |
| Max | 10.00 | 271.61 | 6.63 | 2.00 | 112.61 | 4.57 | |
| Active | Mean | 9.18 | 156.12 | 3.68 | 0.03 | 1.55 | 1.30 |
| Median | 10.00 | 158.91 | 3.75 | -0.06 | 0.62 | 1.26 | |
| SD | 1.73 | 59.46 | 1.31 | 0.85 | 7.86 | 0.25 | |
| Min | 4.00 | 66.51 | 1.44 | -1.43 | 0.01 | 0.03 | |
| Max | 10.00 | 271.61 | 6.63 | 2.00 | 111.44 | 4.57 | |
| Non-active | Mean | 0.20 | 165.28 | 3.90 | -0.08 | 6.23 | 1.24 |
| Median | 0.00 | 170.66 | 3.74 | -0.08 | 2.99 | 1.20 | |
| SD | 0.61 | 51.29 | 1.03 | 0.89 | 12.74 | 0.17 | |
| Min | 0.00 | 66.51 | 1.44 | -1.43 | 0.04 | 0.55 | |
| Max | 3.00 | 271.61 | 6.63 | 2.00 | 112.61 | 3.45 | |
| Children | Mean | 6.12 | 156.84 | 3.78 | 0.30 | 2.16 | 1.30 |
| Median | 9.00 | 136.17 | 3.76 | 0.30 | 0.69 | 1.25 | |
| SD | 4.35 | 64.39 | 1.49 | 1.07 | 7.86 | 0.22 | |
| Min | 0.00 | 66.51 | 1.44 | -1.28 | 0.03 | 0.93 | |
| Max | 10.00 | 271.61 | 6.63 | 2.00 | 85.74 | 3.13 | |
| Adolescents | Mean | 6.68 | 159.59 | 3.73 | -0.12 | 3.23 | 1.28 |
| Median | 10.00 | 158.91 | 3.74 | -0.06 | 0.86 | 1.23 | |
| SD | 4.36 | 54.33 | 1.13 | 0.74 | 10.44 | 0.24 | |
| Min | 0.00 | 67.46 | 1.56 | -1.43 | 0.01 | 0.03 | |
| Max | 10.00 | 234.50 | 6.54 | 1.19 | 112.61 | 4.57 | |
Notes: Mean = The sum of the values of a data set divided by the number of the values; SD = Standard deviation; Median = The value separating the higher half from the lower half of a data sample; ACS = Active commuting to and from school; PRD = Pedestrian route directness; Min = Minimum value; Max = Maximum value.
Predictors of ACS separately for children and adolescents using binary logistic regression (BLR) (model 2).
| Age Group | Statistics | Environmental Variables | |||
|---|---|---|---|---|---|
| Intersections | Mixed Uses | Distance | PRD | ||
|
|
| −0.369 | −0.420 | −0.021 | 2.428 |
|
| 0.165 | 0.164 | 0.010 | 0.485 | |
|
| 0.025 | 0.010 | 0.038 | <0.001 | |
|
| 0.692 | 0.657 | 0.980 | 11.334 | |
|
| 0.500–0.955 | 0.477–0.906 | 0.961–0.999 | 4.384–29.303 | |
|
|
| 0.495 | 0.711 | −0.144 | 1.257 |
|
| 0.114 | 0.116 | 0.016 | 0.298 | |
|
| <0.001 | <0.001 | <0.001 | <0.001 | |
|
| 1.640 | 2.037 | 0.866 | 3.513 | |
|
| 1.312–2.050 | 1.624–2.555 | 0.839–0.894 | 1.960–6.297 | |
Notes: The sign of B indicates the direction of the relationship between the dependent variable and the predictive variables; OR (odds ratio) indicates the strength of the relationship between the dependent variable and the predictive variables. SE = Standard error; CI = Confidence interval (95%) for the odds ratio estimation; = Statistical significance. Variable are statistically significant when p ≤0.05. PRD = Pedestrian route directness.
Figure 2Example of spatial analysis of the pedestrian route directness (PDR) variable in a school-built environment.
Figure 3Receiver operating characteristic (ROC) curves of ACS by PRD measure separately by age groups. Note: PRD = Pedestrian route directness; AUC = Area under the curve.
Cross-table analysis of ACS by PRD ranges.
| ACS | PRD Ranges | |||||
|---|---|---|---|---|---|---|
| All | [Min.–1.212] | (1.212–1.30] | (1.30–1.40] | (1.40–1.50] | (1.50–Max.] | |
|
| 2955 (100%) | 1263 (100%) | 717 (100%) | 506 (100%) | 211 (100%) | 258 (100%) |
|
| 2081 (100%) | 768 (36.9%) | 534 (25.7%) | 378 (18.2%) | 176 (8.4%) | 225 (10.8%) |
|
| 874 (100%) | 495 (56.6%) | 183 (20.9%) | 128 (14.7%) | 35 (4.0%) | 33 (3.8%) |
Notes: Lost cases = 13; Pearson’s Chi-square test < 0.001; Max. = Maximum value; Min. = Minimum value; PRD = Pedestrian route directness; ACS = Active commuting to/from school