| Literature DB >> 34513591 |
Meagan Cusack1,2.
Abstract
OBJECTIVE: Physical inactivity is a major public health concern. Though active transportation through bicycling and walking can increase physical activity and thereby positively affect health, factors that influence people's decisions to commute using active transportation modes remain underexplored and often fail to capture equity-related barriers. Increases in active transportation during the COVID-19 pandemic call for a better understanding of these influences. This study examines the commute mode choices of essential workers in Philadelphia, Pennsylvania, USA to explore the extent to which active transportation to work is explained by individual, social, and environmental factors and whether active transportation choices reflect inequalities.Entities:
Keywords: Active transportation; Bicycling; Commuting; Equity; Walking
Year: 2021 PMID: 34513591 PMCID: PMC8423621 DOI: 10.1016/j.jth.2021.101089
Source DB: PubMed Journal: J Transp Health ISSN: 2214-1405
Fig. 1Social-Ecological Model adapted for Active Transportation.
Survey items.
| Measure | Item | Response options | Reference |
|---|---|---|---|
| Demographic characteristics | |||
| Age | What is your age in years? | Age in years | ACS |
| Sex | What is your sex? | Male | ACS |
| Ethnicity | Are you of Hispanic, Latino, or Spanish origin? | No, not of Hispanic, Latino, or Spanish origin | ACS |
| Race | What is your race? Please select all that apply. | White | ACS |
| Education | What is the highest degree or level of school you have completed? | No schooling completed | ACS |
| Marital status | What is your marital status? | Now married | ACS |
| Children under 18 | How many children under the age of 18 live with you? | Number of children | – |
| Employment and commute details | |||
| Employment status | What is your current employment status? | Part-time (less than 35 h per week) | CPS |
| Length of employment | How long have you been with your current employer? | 0–6 months | Adapted from |
| Annual income | What is your annual income? | Less than $30,000/year | Adapted from |
| Commute mode | How did you usually get to work LAST WEEK? If you usually used more than one method of transportation during the trip, indicate the one used for most of the distance. | Car, truck or van | Adapted from ACS |
| Commute distance | How many miles did you travel to get from home to work LAST WEEK? | Distance in miles | Adapted from ACS |
| Commute mode change | Did the way you usually get to work change as a result of the COVID-19 pandemic? | Yes/no | Adapted from ACS |
| Reason for commute mode change | What is the main reason you changed the way you get to work as a result of the COVID-19 pandemic? | Open-ended | – |
| Essential employee | The term essential employee refers to an employee that performs work involving the safety of human life or the protection of property. Are you considered an essential employee? | Yes/no | |
| Industry | In what industry do you work? | Natural resources and mining | |
| Individual determinants | |||
| Self-efficacy related to bicycling | How confident are you with your cycling skills in urban areas? | Likert scale: | Adapted from |
| Self-efficacy related to walking | How confident are you walking in urban areas? | Likert scale: | Adapted from |
| Behavioral beliefs related to active transportation | Items regarding active transportation beliefs: | Likert scale: | Adapted from |
| Barriers to active commuting | To what extent do you feel that the following serve as a barrier to biking or walking to work? | Likert scale: | Adapted from |
| Motivators to active commuting | To what extent do you feel that the following serve as a motivator to biking or walking to work? | Likert scale: | Adapted from |
| Social context | |||
| Social norms related to active transportation | Family/friend normative beliefs around active transportation: | Likert scale: | Adapted from |
| Workplace norms related to active transportation | Coworker normative beliefs around active transportation: | Likert scale: | Adapted from |
| Employer supports for active transportation | Does your employer provide any of the following for employees who commute using active transportation? | Yes/no | Adapted from |
| Overall employer support for active transportation | How much do you agree with the following statement? | Likert scale: | Adapted from |
| Built environment | |||
| Bicycle/pedestrian friendliness near home | Rate the bicycle/pedestrian friendliness of the neighborhood where you live | Likert scale: | Adapted from |
| Bicycle/pedestrian friendliness near work | Rate the bicycle/pedestrian friendliness of the neighborhood where you work | Likert scale: | Adapted from |
| Perceived support for active transportation | How satisfied are you with the current level of support for bicycling and walking within Philadelphia? | Likert scale: | Adapted from |
Notes. ACS = American Community Survey; CPS=Current Population Survey.
Sample characteristics.
| Non-active transportation commuter | Active transportation commuter | Total | |||||
|---|---|---|---|---|---|---|---|
| N | % or M±SD | N | % or M±SD | N | % or M±SD | ||
| Demographic characteristics | |||||||
| Age (N = 168) | 82 | 37.6 ± 10.7 | 86 | 36.1 ± 11.1 | 168 | 36.9 ± 10.9 | .380 |
| Latinx (N = 168) | 4 | 4.9 | 4 | 4.7 | 8 | 4.8 | .945 |
| < | |||||||
| Education (N = 168) | .600 | ||||||
| High school diploma | 9 | 11.0 | 13 | 15.1 | 22 | 13.1 | |
| Associate's degree | 8 | 9.8 | 4 | 4.7 | 12 | 7.1 | |
| Bachelor's degree | 35 | 42.7 | 32 | 37.2 | 67 | 39.9 | |
| Master's degree | 19 | 23.2 | 22 | 25.6 | 41 | 24.4 | |
| Professional degree | 4 | 4.9 | 8 | 9.3 | 12 | 7.1 | |
| Doctorate degree | 7 | 8.5 | 7 | 8.1 | 14 | 8.3 | |
| Marital status (N = 168) | .868 | ||||||
| Married | 34 | 41.5 | 36 | 41.9 | 70 | 41.7 | |
| Widowed | 1 | 1.2 | 0 | 0.0 | 1 | 0.6 | |
| Divorced | 5 | 6.1 | 4 | 4.7 | 9 | 5.4 | |
| Separated | 1 | 1.2 | 1 | 1.2 | 2 | 1.2 | |
| Never married | 41 | 50.0 | 45 | 52.3 | 86 | 51.2 | |
| Employment and commute details | |||||||
| Full-time (N = 213) | 83 | 79.0 | 90 | 83.3 | 172 | 81.2 | .423 |
| Time at current job (N = 213) | .800 | ||||||
| 0–6 months | 8 | 7.6 | 8 | 7.4 | 16 | 7.5 | |
| 6–12 months | 14 | 13.3 | 9 | 8.3 | 23 | 10.8 | |
| 1–2 years | 17 | 16.2 | 16 | 14.8 | 33 | 15.5 | |
| 2–5 years | 28 | 26.7 | 32 | 29.6 | 60 | 28.2 | |
| More than 5 years | 38 | 36.2 | 43 | 39.8 | 81 | 38.0 | |
| Annual income (N = 168) | .760 | ||||||
| Less than $30,000 | 11 | 13.4 | 10 | 11.6 | 21 | 12.5 | |
| $30,000-$60,000 | 32 | 39.0 | 32 | 37.2 | 64 | 38.1 | |
| 60,001-$100,000 | 27 | 32.9 | 26 | 30.2 | 53 | 31.5 | |
| More than $100,000 | 12 | 14.6 | 18 | 20.9 | 30 | 17.9 | |
| < | |||||||
| Commute mode change (N = 193) | 52 | 54.7 | 41 | 41.8 | 93 | 48.2 | .073 |
| Essential employee (N = 213) | 84 | 80.0 | 81 | 75.0 | 165 | 77.5 | .383 |
| Industry (N = 213) | .306 | ||||||
| Utilities | 1 | 1.0 | 2 | 1.9 | 3 | 1.4 | |
| Construction | 2 | 1.9 | 1 | 0.9 | 3 | 1.4 | |
| Manufacturing | 2 | 1.9 | 2 | 1.9 | 4 | 1.9 | |
| Retail trade | 4 | 3.8 | 9 | 8.3 | 13 | 6.1 | |
| Transportation and warehousing | 4 | 3.8 | 1 | 0.9 | 5 | 2.3 | |
| Information | 1 | 1.0 | 0 | 0.0 | 1 | 0.5 | |
| Real estate and renting and leasing | 1 | 1.0 | 2 | 1.9 | 3 | 1.5 | |
| Professional and business services | 7 | 6.7 | 5 | 4.6 | 12 | 5.6 | |
| Educational services | 8 | 7.6 | 7 | 6.5 | 15 | 7.0 | |
| Healthcare and social assistance | 59 | 56.2 | 59 | 54.6 | 118 | 55.4 | |
| Arts, entertainment, and recreation | 4 | 3.8 | 2 | 1.9 | 6 | 2.8 | |
| Accommodation and food services | 4 | 3.8 | 13 | 12.0 | 17 | 8.0 | |
| Repair and maintenance services | 1 | 1.0 | 0 | 0.0 | 1 | 0.5 | |
| Religious, grantmaking, civic, professional, and similar organizations | 0 | 0.0 | 2 | 1.9 | 2 | 0.9 | |
| Public administration | 7 | 6.7 | 3 | 2.8 | 10 | 4.7 | |
Notes. M = Mean; SD=Standard Deviation; bold text indicates p ≤ .05.
Individual, social, and environmental perspectives by commute mode choice.
| Non-active transportation commuter | Active transportation commuter | Total | ||
|---|---|---|---|---|
| % or M±SD | % or M±SD | % or M±SD | ||
| Individual (N = 178) | ||||
| Confidence walking | 3.66 ± .57 | 3.72 ± .54 | 3.69.55 | .511 |
| Active transportation beliefs | ||||
| Improves physical health | 6.19 ± 1.05 | 6.42 ± .84 | 6.31 ± .95 | .095 |
| Improves physical appearance | 5.17 ± 1.44 | 5.43 ± 1.59 | 5.31 ± 1.52 | .254 |
| Improves energy | 5.28 ± 1.30 | 5.64 ± 1.41 | 5.47 ± 1.37 | .077 |
| Results in injury | 5.05 ± 1.61 | 5.17 ± 1.47 | 5.11 ± 1.53 | .581 |
| Good for the environment | 6.47 ± 1.19 | 6.66 ± .560 | 6.57 ± .92 | .152 |
| Saves money | 6.26 ± 1.10 | 6.47 ± 1.03 | 6.37 ± 1.07 | .187 |
| Barriers to active transportation use | ||||
| Health problems | 2.07 ± 1.05 | 1.86 ± 1.19 | 1.96 ± 1.23 | .213 |
| Traveling preferences of others traveling with you | 2.22 ± 1.30 | 2.13 ± 1.26 | 2.17 ± 1.28 | .637 |
| Concerns about appearance | 2.64 ± 1.44 | 2.33 ± 1.38 | 2.48 ± 1.42 | .140 |
| Motivators to active transportation use | ||||
| Nice scenery on the route to work | 3.45 ± 1.26 | 3.68 ± 1.09 | 3.57 ± 1.18 | .191 |
| Good weather | 4.16 ± .94 | 4.14 ± 1.00 | 4.15 ± .97 | .883 |
| Parking difficulties | 3.43 ± 1.44 | 3.66 ± 1.51 | 3.55 ± 1.48 | .295 |
| Safe infrastructure | 3.97 ± 1.14 | 4.04 ± 1.07 | 4.01 ± 1.10 | .637 |
| Social (N = 174) | ||||
| Family/friends | ||||
| Value their thoughts on commute to work | 4.35 ± 1.87 | 4.48 ± 1.78 | 4.41 ± 1.82 | .633 |
| Hold an opinion on how they commute to work | 3.98 ± 1.80 | 4.44 ± 1.77 | 4.22 ± 1.80 | .086 |
| Influence commute choices | 3.58 ± 1.81 | 3.40 ± 1.72 | 3.49 ± 1.76 | .494 |
| Coworkers | ||||
| Value their thoughts on commute to work | 3.36 ± 1.90 | 3.40 ± 1.81 | 3.38 ± 1.85 | .879 |
| Hold an opinion on how they commute to work | 3.15 ± 1.83 | 3.63 ± 1.81 | 3.40 ± 1.83 | .085 |
| Influence commute choices | 2.65 ± 1.73 | 2.63 ± 1.47 | 2.64 ± 1.60 | .930 |
| Employer | ||||
| Incentives for active transportation | 9.5 | 9.3 | 9.4 | .947 |
| Hosts events related to active transportation | 4.8 | 10.2 | 7.5 | .133 |
| Flexible work hours | 15.2 | 15.7 | 15.5 | .919 |
| Bicycle storage policies | 14.3 | 17.6 | 16.0 | .510 |
| Bicycle parking | 46.7 | 52.8 | 49.8 | .372 |
| Locker rooms | 11.4 | 10.2 | 10.8 | .770 |
| Flexible dress code | 18.1 | 24.1 | 21.1 | .285 |
| Supports active transportation to work | 3.71 ± 1.60 | 4.00 ± 1.54 | 3.86 ± 1.57 | .232 |
| Environmental (N = 168) | ||||
| Bicycle/pedestrian friendliness near home | 3.74 ± 1.02 | 3.74 ± 1.03 | 3.74 ± 1.02 | .999 |
| Bicycle/pedestrian friendliness near work | 3.45 ± 1.18 | 3.51 ± 1.17 | 3.48 ± 1.17 | .739 |
| Satisfaction with city support | 2.73 ± 1.07 | 2.62 ± 1.07 | 2.67 ± 1.06 | .484 |
| Satisfaction with support from community | 3.00 ± .98 | 2.72 ± .97 | 2.86 ± .98 | .065 |
| Satisfaction with maintenance of infrastructure near home | 2.52 ± 1.20 | 2.29 ± 1.05 | 2.40 ± 1.13 | .180 |
| Satisfaction with maintenance of infrastructure near work | 2.54 ± 1.20 | 2.52 ± 1.12 | 2.53 ± 1.16 | .941 |
Notes. M = Mean; SD=Standard Deviation; bold text indicates p ≤ .05.
Individual, social, and environmental perspectives associated with active transportation to work (N = 165).
| Control | Confidence and beliefs | Barriers | Motivators | All individual | Social | Environ-mental | Full | |
|---|---|---|---|---|---|---|---|---|
| Adj R2 = .221 | Adj R2 = .311 | Adj R2 = .505 | Adj R2 = .254 | Adj R2 = .508 | Adj R2 = .294 | Adj R2 = .251 | Adj. R2 = .543 | |
| OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Age | .981 (.951–1.012) | .972 (.940–1.005) | .984 (.948–1.002) | .989 (.958–1.022) | .986 (.949–1.024) | .975 (.944–1.007) | .981 (.951–1.012) | .986 (9.49–1.025) |
| Female | .487 (.212–1.117) | .620 (.251–1.532) | .484 (.191–1.228) | .355 (.165-.762) | .476 (.182–1.245) | |||
| Latinx | 1.731 (.292–10.256) | 2.199 (.336–14.414) | 1.583 (.262–9.558) | 1.788 (.295–10.835) | 1.699 (.261–11.056) | 3.488 (.518–23.480) | 1.533 (.262–8.957) | 1.615 (.240–10.875) |
| Non-white | ||||||||
| Commute in miles | .962 (.922–1.003) | .956 (.912–1.002) | .965 (.925–1.008) | .963 (.923–1.005) | .966 (.929–1.005) | .963 (.924–1.003) | ||
| Confidence bicycling | – | – | – | – | – | – | – | |
| Increases productivity | – | – | – | – | – | – | – | |
| Time constraints | – | – | ||||||
| Health problems | – | – | – | – | – | – | ||
| Concerns about safety from traffic | – | – | ||||||
| Economic concerns | – | – | – | – | – | |||
| Safety concerns around germs | – | |||||||
| Family and friends discuss active transportation to work | – | |||||||
| Family and friends influence commute choices | – | |||||||
| Satisfaction with support from community | – |
Notes. Adj = Adjusted; OR=Odds Ratio; CI=Confidence Interval; bold text indicates p ≤ .05.