| Literature DB >> 33318886 |
Richard Patterson1, David Ogilvie1, Jenna Panter1.
Abstract
Despite strong evidence for health benefits from active travel, levels remain low in many countries. Changes to the physical and social workplace environment might encourage active travel but evaluation has been limited. We explored associations between changes in the physical and social workplace environment and changes in commute mode over one year among 419 participants in the Commuting and Health in Cambridge study. In adjusted analyses, an increase in the presence of one physical characteristic (e.g. bicycle parking or shower facilities) was associated with a 3.3% (95% confidence interval 1.0-5.6) reduction in the proportion of commutes by private motor vehicle and a 4.4% (95% CI 1.2-7.7) increase in the proportion of trips including active modes among men. These associations were not seen in women. A change to a more favourable social environment for walking or cycling among workplace management was associated with an increased proportion of commutes including active modes in women (4.5%, 95% CI 1.4-7.5) but not men. However, in both genders a change to more a favourable social environment for cycling among colleagues was associated with a reduced proportion of commutes by exclusively active modes (-2.8%, 95% CI -5.0 to -0.6). This study provides longitudinal evidence for gender differences in the associations between workplace environment and commute mode. A more supportive physical environment was associated with more active commuting in men, while the social environment appeared to have more complex associations that were stronger among women.Entities:
Keywords: Active commuting; Active travel; Cycling; Environment; Natural experiment; Physical activity; Walking; Workplace; Workplace facilities
Year: 2020 PMID: 33318886 PMCID: PMC7723790 DOI: 10.1016/j.pmedr.2020.101260
Source DB: PubMed Journal: Prev Med Rep ISSN: 2211-3355
Comparison of the characteristics of female and male commuters.
| Total | Male | Female | p-value* | |
|---|---|---|---|---|
| N = 419 | N = 132 | N = 287 | ||
| % commutes exclusively by private motor vehicle | 29 (40) | 24 (36) | 31 (42) | 0.069 |
| % commutes exclusively active travel | 46 (45) | 54 (44) | 43 (46) | 0.017 |
| % commutes including active travel | 67 (42) | 74 (37) | 64 (44) | 0.023 |
| Age | 45 (11) | 48 (11) | 44 (11) | 0.005 |
| Highest qualification | 0.24 | |||
| Degree | 308 (74%) | 102 (77%) | 206 (72%) | |
| Less than degree | 111 (26%) | 30 (23%) | 81 (28%) | |
| Housing tenure | 0.32 | |||
| Rents/other | 58 (14%) | 15 (11%) | 43 (15%) | |
| Owns/part owns | 361 (86%) | 117 (89%) | 244 (85%) | |
| Car access | 0.71 | |||
| No car access | 48 (11%) | 14 (11%) | 34 (12%) | |
| Access to a car | 371 (89%) | 118 (89%) | 253 (88%) | |
| Tertile of commute distance | 0.71 | |||
| Lowest (mean distance in whole sample 3.4 km) | 157 (37%) | 52 (39%) | 105 (37%) | |
| Middle (mean distance in whole sample 9.5 km) | 130 (31%) | 42 (32%) | 88 (31%) | |
| Highest (mean distance in whole sample 29.7 km) | 132 (32%) | 38 (29%) | 94 (33%) | |
| Change to home and/or work postcode | 0.27 | |||
| Unchanged | 316 (75%) | 95 (72%) | 221 (77%) | |
| Changed | 103 (25%) | 37 (28%) | 66 (23%) | |
| Season at follow-up | 0.98 | |||
| Spring | 89 (21%) | 28 (21%) | 61 (21%) | |
| Summer | 115 (27%) | 35 (27%) | 80 (28%) | |
| Autumn | 122 (29%) | 40 (30%) | 82 (29%) | |
| Winter | 93 (22%) | 29 (22%) | 64 (22%) | |
| Season at baseline | 0.13 | |||
| Spring | 131 (31%) | 44 (33%) | 87 (30%) | |
| Summer | 102 (24%) | 33 (25%) | 69 (24%) | |
| Autumn | 91 (22%) | 34 (26%) | 57 (20%) | |
| Winter | 95 (23%) | 21 (16%) | 74 (26%) | |
| Mental health summary score (MCS 8) | 51 (8) | 52 (7) | 51 (8) | 0.48 |
| Physical health summary score (PCS 8) | 54 (6) | 55 (5) | 54 (6) | 0.18 |
Data are presented as mean (standard deviation) for continuous measures, and n (%) for categorical measures.
Data show baseline values unless otherwise stated.
* P-values for difference between men and women using either a two sample t-test (continuous) or a Pearson’s Chi Squared test (categorical).
Associations between changes in physical and social characteristics of the workplace and the proportion of commutes by each mode or combinations of mode of transport.
| All participants | Males | Females | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | |||||||
| Change in % (95% CI) | P-value | Change in % (95% CI) | P-value | Change in % (95% CI) | P-value | Change in % (95% CI) | P-value | Change in % (95% CI) | P-value | Change in % | P-value | |
| Number of facilities | −2.6% (−4.5% to −0.8%) | −2.1% (−4.1% to −0.2%) | −5.3% (−8.1% to −2.5%) | −3.3% (−5.6% to −1.0%) | −0.7% (−2.5% to 1.2%) | 0.476 | 0.4% (−1.7% to 2.5%) | 0.724 | ||||
| Management drive | 0.6% (−2.1% to 3.4%) | 0.655 | 0.8% (−1.7% to 3.4%) | 0.515 | 2.0% (−2.9% to 6.8%) | 0.426 | 0.2% (−2.3% to 2.7%) | 0.877 | −0.4% (−3.2% to 2.4%) | 0.770 | −0.3% (−3.4% to 2.9%) | 0.866 |
| Management walk or cycle | −2.0% (−4.0% to 0.0%) | 0.052 | −1.3% (−3.4% to 0.8%) | 0.222 | −2.4% (−6.4% to 1.5%) | 0.230 | 0.1% (−3.1% to 3.4%) | 0.934 | −1.8% (−4.2% to 0.5%) | 0.123 | −1.9% (−4.3% to 0.4%) | 0.110 |
| Colleagues walk | −1.0% (−3.1% to 1.1%) | 0.359 | 0.5% (−1.9% to 2.9%) | 0.688 | −3.4% (−7.5% to 0.8%) | 0.109 | −2.9% (−6.5% to 0.7%) | 0.119 | −0.1% (−2.6% to 2.4%) | 0.953 | 1.1% (−1.4% to 3.6%) | 0.378 |
| Colleagues cycle | −1.3% (−4.2% to 1.7%) | 0.390 | −0.8% (−3.6% to 2.0%) | 0.573 | −3.0% (−8.2% to 2.2%) | 0.260 | −0.8% (−5.1% to 3.5%) | 0.719 | −0.5% (−4.1% to 3.2%) | 0.806 | −0.3% (−3.2% to 2.7%) | 0.870 |
| Colleagues drive | −0.9% (−3.9% to 2.2%) | 0.588 | 0.3% (−2.8% to 3.4%) | 0.855 | −2.6% (−9.3% to 4.1%) | 0.450 | 0.1% (−5.4% to 5.6%) | 0.969 | −0.1% (−3.3% to 3.1%) | 0.943 | 0.5% (−2.9% to 4.0%) | 0.765 |
| Number of facilities | 0.5% (−1.2% to 2.2%) | 0.581 | 0.5% (−1.3% to 2.4%) | 0.563 | 2.7% (−0.2% to 5.6%) | 0.064 | 2.1% (−1.1% to 5.2%) | 0.198 | −1.2% (−3.1% to 0.7%) | 0.205 | −1.9% (−3.5% to −0.2%) | |
| Management drive | −0.5% (−3.0% to 1.9%) | 0.664 | 0.0% (−2.3% to 2.3%) | 0.993 | 0.6% (−4.1% to 5.4%) | 0.791 | 0.5% (−3.1% to 4.0%) | 0.799 | −1.4% (−3.7% to 0.8%) | 0.216 | −0.1% (−2.4% to 2.2%) | 0.932 |
| Management walk or cycle | 0.9% (−1.0% to 2.8%) | 0.356 | 0.9% (−1.0% to 2.7%) | 0.348 | −0.1% (−4.1% to 3.8%) | 0.947 | −0.8% (−4.4% to 2.8%) | 0.658 | 1.6% (−0.3% to 3.5%) | 0.090 | 2.3% (0.8% to 3.9%) | |
| Colleagues walk | −0.8% (−2.7% to 1.1%) | 0.420 | −0.8% (−2.8% to 1.2%) | 0.425 | −1.2% (−6.0% to 3.6%) | 0.627 | −1.8% (−5.7% to 2.0%) | 0.347 | −0.6% (−2.4% to 1.2%) | 0.494 | −0.5% (−2.2% to 1.2%) | 0.560 |
| Colleagues cycle | −2.7% (−4.7% to −0.7%) | −2.8% (−5.0% to −0.6%) | −2.0% (−6.4% to 2.4%) | 0.369 | −2.8% (−7.2% to 1.6%) | 0.217 | −3.2% (−5.1% to −1.3%) | −3.1% (−5.0% to −1.1%) | ||||
| Colleagues drive | −1.0% (−3.9% to 2.0%) | 0.523 | −0.8% (−3.5% to 1.9%) | 0.580 | 2.0% (−6.2% to 10.2%) | 0.627 | 0.8% (−6.6% to 8.1%) | 0.838 | −1.6% (−4.0% to 0.8%) | 0.183 | −1.5% (−3.6% to 0.5%) | 0.144 |
| Number of facilities | 2.4% (0.6% to 4.1%) | 2.1% (0.1% to 4.1%) | 5.1% (2.4% to 7.7%) | 4.4% (1.2% to 7.7%) | 0.3% (−1.8% to 2.5%) | 0.750 | −0.7% (−3.0% to 1.7%) | 0.576 | ||||
| Management drive | 0.0% (−3.3% to 3.2%) | 0.980 | −0.3% (−3.4% to 2.8%) | 0.842 | −2.7% (−7.6% to 2.1%) | 0.270 | −0.9% (−3.5% to 1.7%) | 0.504 | 1.8% (−2.0% to 5.5%) | 0.363 | 2.7% (−1.3% to 6.7%) | 0.181 |
| Management walk or cycle | 2.8% (0.6% to 5.1%) | 2.8% (0.4% to 5.1%) | 2.5% (−1.0% to 6.0%) | 0.164 | 1.3% (−2.2% to 4.7%) | 0.472 | 3.1% (0.2% to 6.1%) | 4.5% (1.4% to 7.5%) | ||||
| Colleagues walk | 0.0% (−2.4% to 2.5%) | 0.978 | −1.1% (−3.8% to 1.6%) | 0.420 | 2.3% (−1.3% to 6.0%) | 0.209 | 2.1% (−1.4% to 5.6%) | 0.239 | −0.8% (−3.8% to 2.3%) | 0.619 | −1.3% (−4.2% to 1.7%) | 0.411 |
| Colleagues cycle | 0.7% (−2.5% to 3.9%) | 0.690 | −0.1% (−3.1% to 2.9%) | 0.961 | 3.5% (−1.6% to 8.7%) | 0.176 | 0.5% (−4.3% to 5.3%) | 0.834 | −0.6% (−4.7% to 3.5%) | 0.771 | −1.5% (−4.7% to 1.8%) | 0.370 |
| Colleagues drive | −0.2% (−4.0% to 3.7%) | 0.923 | −1.0% (−5.1% to 3.2%) | 0.640 | 1.4% (−5.6% to 8.4%) | 0.696 | −0.7% (−6.0% to 4.6%) | 0.798 | −0.8% (−5.3% to 3.8%) | 0.742 | −2.0% (−6.8% to 2.7%) | 0.398 |
Adjusted for: age in years at baseline (continuous), highest qualification at baseline (degree; less than degree), homeownership at baseline (owns/part-owns; rents/other) baseline car access (access; no access), baseline commute distance (tertiles), baseline MCS physical health score (continuous), baseline PCS mental health score (continuous), change in commute i.e. home postcode and/or work postcode changed (stable; changed), season at baseline (spring; summer; autumn; winter), season at follow-up (spring; summer; autumn; winter), a summary score based on the Theory of Planned Behaviour and a summary score of participants’ attitudes towards their environment. CI - Confidence Interval.
Fig. 1Associations between changes in physical and social characteristics of the workplace and the proportion of commutes by each mode or combinations of mode of transport.
Adjusted for: age in years at baseline (continuous), highest qualification at baseline (degree; less than degree), homeownership at baseline (owns/part-owns; rents/other) baseline car access (access; no access), baseline commute distance (tertiles), baseline MCS physical health score (continuous), baseline PCS mental health score (continuous), change in commute i.e. home postcode and/or work postcode changed (stable; changed), season at baseline (spring; summer; autumn; winter), season at follow-up (spring; summer; autumn; winter), a summary score based on the Theory of Planned Behaviour and a summary score of participants’ attitudes towards their environment.