perceptions of the neighborhood environment vary by socio-demographic and health variables

1
S266 Friday 2 November Posters / Journal of Science and Medicine in Sport 15 (2012) S265–S327 Within staircase repeated measures ANOVAs indicated that there was an effect of time on stair use only in the SW staircase. Post-hoc pairwise comparisons of means demonstrated a significant decline in stair use between baseline and Week 2 and between baseline and Week 4. There was also a significant increase in stair use between Weeks 2 and Week 6. Process evaluation revealed that the stu- dents were not provided the opportunity to vote on their favorite painting, and no prizes were awarded. Conclusions: Solely having residents of a residential hall paint murals in stairwells was insufficient for increasing stair use. A mural painting contest may be a viable approach if properly planned and implemented. http://dx.doi.org/10.1016/j.jsams.2012.11.643 641 Perceptions of the neighborhood environment vary by socio- demographic and health variables E. Fallon 1 , A. Kaczynski 2,, J. Lightner 3 , C. Der Ananian 4 1 University of Rhode Island 2 University of South Carolina 3 Kansas State University 4 Arizona State University Introduction: Neighborhood perceptions are important influ- ences on physical activity (PA). However, little research has explored how perceptions of neighborhood features differ across population sub-groups. We examined 1) the associa- tion between perceived neighborhood environment and PA, 2) socio-demographic and health variables associated with overall neighborhood perceptions, and 3) socio-demographic and health variables associated with perceptions of specific neighborhood attributes. Methods: An online survey assessed age, sex, race, eth- nicity, income, education, marital status, and self-reported height and weight. The International Physical Activity Question- naire Environment Module (IPAQ-E) measured perceptions of neighborhood environment and the Leisure-Time Exercise Ques- tionnaire assessed whether participants met PA recommendations (75+ min/week vigorous or 150+ min/week moderate/vigorous PA). Using a series of logistic regressions, we examined 1) if people with higher (above the median) neighborhood perceptions were more likely to meet PA recommendations, 2) socio-demographic/health variables associated with perceiving a positive overall neighbor- hood environment, and 3) socio-demographic/health variables associated with perceiving a positive neighborhood environment for each of the IPAQ-E’s 10 specific neighborhood attributes. Results: Participants (n = 1698) were mostly female (64.3%), White (88.9%), married/cohabitating (67.3%), college-educated (86.2%), earned at least $50,000/yr (77.5%), with a mean age of 44.3 years. Participants with more positive neighborhood perceptions were more likely to meet PA recommendations (OR = 1.47, 95% CI = 1.21–1.79). Overall neighborhood percep- tions were more favorable among healthy weight (OR = 1.38, CI = 1.05–1.84) and overweight (OR = 1.58, 95% CI = 1.22–2.06) com- pared to obese respondents; among: younger ( < 30) compared to older (>50) people (OR = 1.33, CI = 1.07–1.67); college-educated versus less educated persons (OR = 1.60, CI = 1.19–2.15); and non-married/cohabitating versus married/cohabitating individ- uals (OR = 1.28, CI = 1.03–1.60). Regarding specific neighborhood attributes, middle-aged adults (30–50 yrs) were more likely than older adults (>50 yrs) to report shops, transit stops, sidewalks, and bike facilities (ORs2.00). Healthy weight and overweight adults were more likely than obese adults to report shops (OR healthy = 1.57, OR overweight = 1.79) and seeing others active (OR healthy = 1.47, OR overweight = 1.53). Non-cohabitating adults were more likely than cohabitating adults to report transit stops (OR = 1.95) and sidewalks (OR = 1.50), but also more likely to report crime (OR = 1.70) and traffic (OR = 1.75). College-educated adults were more likely than less-educated adults to report access to free/low cost facilities (OR = 1.78) and safe parks (OR = 1.48), and less likely to report crime (OR = 0.68). Discussion: These findings reinforce positive associations between perceived neighborhood environment and PA, and show that overall neighborhood perceptions and perceptions of spe- cific neighborhood attributes vary across population sub-groups. This study provides valuable information to city planners and health professionals advocating for and implementing environ- mental changes to increase PA. http://dx.doi.org/10.1016/j.jsams.2012.11.644 642 The ‘choice transition’ in relation to physical activity behavior: Need for a new model from the Global South perspective E. Lambert 1,, T. Kolbe-Alexander 1 , C. Draper 1 , N. Levitt 2 , S. Naidoo 1 , E. Tshabangu 1 , W. Smit 3 , R. Dover 4 1 UCT/MRC Research Unit for Exercise Science and Sports Medicine, Faculty of Health 2 Department of Medicine, University of Cape Town 3 African Centre for Cities, University of Cape Town 4 Department of Anthropology, University of Antioquia, Medellin, Colombia Introduction: Eighty percent of all deaths due to non- communicable diseases occur in lower-and-middle-income countries. Socio-economic development, industrialisation and urbanisation, have brought about decreased levels of physi- cal activity (PA). The epidemiological transition involves the “transformation of social, economic and demographic struc- tures” resulting in the co-existence of both infectious and non-communicable diseases, and competing demands for the prevention and management of both. Purpose: In this theoretical paper, we introduce ‘choice tran- sition or disability’. The mutability of lifestyle behaviors, and the extent to which they are shaped by, for example, the ‘childhood memory of hunger’ have to a large extent, not informed our approaches to health promotion. Methods: We provide specific examples of ‘choice transition or disability’ in relation to health behaviors from the Global South, where large disparities in wealth further marginalise the disadvan- taged. The data on self-report PA behavior and the environmental correlates to PA behavior were extracted from 2 data sources, as part of PhD dissertations (Tshabangu and Naidoo). Together, they represent a convenience sample of 517 (men, N = 210, mean age 42 + 11 yrs, BMI = 24.6 + 5.0 kg/m 2 and women, N = 317, mean age 44 + 11 yrs, BMI = 32.7 + 7.8 kg/m 2 ). The 7 core items of the IPAQ Environmental module were administered including housing and perception of neighborhood crime, destinations, access to trans- port, recreational facilities, pavements, and cycle paths Results: Typical environmental barriers to PA such as perception of crime or traffic have little impact on the incidental or transport- related activity of individuals. Self–reported moderate-to-vigorous (MV) PA was highest in this convenience sample of urban-dwelling South Africans, in men, and lowest in employed, well-educated South African women. However, the proportion of time spent in

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Page 1: Perceptions of the neighborhood environment vary by socio-demographic and health variables

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266 Friday 2 November Posters / Journal of Scie

ithin staircase repeated measures ANOVAs indicated that thereas an effect of time on stair use only in the SW staircase. Post-hocairwise comparisons of means demonstrated a significant decline

n stair use between baseline and Week 2 and between baseline andeek 4. There was also a significant increase in stair use betweeneeks 2 and Week 6. Process evaluation revealed that the stu-

ents were not provided the opportunity to vote on their favoriteainting, and no prizes were awarded.

Conclusions: Solely having residents of a residential hall painturals in stairwells was insufficient for increasing stair use. Aural painting contest may be a viable approach if properly

lanned and implemented.

ttp://dx.doi.org/10.1016/j.jsams.2012.11.643

41

erceptions of the neighborhood environment vary by socio-emographic and health variables

. Fallon 1, A. Kaczynski 2,∗, J. Lightner 3, C. Der Ananian 4

University of Rhode IslandUniversity of South CarolinaKansas State UniversityArizona State University

Introduction: Neighborhood perceptions are important influ-nces on physical activity (PA). However, little research hasxplored how perceptions of neighborhood features differcross population sub-groups. We examined 1) the associa-ion between perceived neighborhood environment and PA, 2)ocio-demographic and health variables associated with overalleighborhood perceptions, and 3) socio-demographic and healthariables associated with perceptions of specific neighborhoodttributes.

Methods: An online survey assessed age, sex, race, eth-icity, income, education, marital status, and self-reportedeight and weight. The International Physical Activity Question-aire Environment Module (IPAQ-E) measured perceptions ofeighborhood environment and the Leisure-Time Exercise Ques-ionnaire assessed whether participants met PA recommendations75+ min/week vigorous or 150+ min/week moderate/vigorous PA).sing a series of logistic regressions, we examined 1) if people withigher (above the median) neighborhood perceptions were more

ikely to meet PA recommendations, 2) socio-demographic/healthariables associated with perceiving a positive overall neighbor-ood environment, and 3) socio-demographic/health variablesssociated with perceiving a positive neighborhood environmentor each of the IPAQ-E’s 10 specific neighborhood attributes.

Results: Participants (n = 1698) were mostly female (64.3%),hite (88.9%), married/cohabitating (67.3%), college-educated

86.2%), earned at least $50,000/yr (77.5%), with a mean agef 44.3 years. Participants with more positive neighborhooderceptions were more likely to meet PA recommendationsOR = 1.47, 95% CI = 1.21–1.79). Overall neighborhood percep-ions were more favorable among healthy weight (OR = 1.38,I = 1.05–1.84) and overweight (OR = 1.58, 95% CI = 1.22–2.06) com-ared to obese respondents; among: younger ( < 30) comparedo older (>50) people (OR = 1.33, CI = 1.07–1.67); college-educatedersus less educated persons (OR = 1.60, CI = 1.19–2.15); andon-married/cohabitating versus married/cohabitating individ-als (OR = 1.28, CI = 1.03–1.60). Regarding specific neighborhood

ttributes, middle-aged adults (30–50 yrs) were more likelyhan older adults (>50 yrs) to report shops, transit stops,idewalks, and bike facilities (ORs≥2.00). Healthy weight and

d Medicine in Sport 15 (2012) S265–S327

overweight adults were more likely than obese adults to reportshops (ORhealthy = 1.57, ORoverweight = 1.79) and seeing others active(ORhealthy = 1.47, ORoverweight = 1.53). Non-cohabitating adults weremore likely than cohabitating adults to report transit stops(OR = 1.95) and sidewalks (OR = 1.50), but also more likely to reportcrime (OR = 1.70) and traffic (OR = 1.75). College-educated adultswere more likely than less-educated adults to report access tofree/low cost facilities (OR = 1.78) and safe parks (OR = 1.48), andless likely to report crime (OR = 0.68).

Discussion: These findings reinforce positive associationsbetween perceived neighborhood environment and PA, and showthat overall neighborhood perceptions and perceptions of spe-cific neighborhood attributes vary across population sub-groups.This study provides valuable information to city planners andhealth professionals advocating for and implementing environ-mental changes to increase PA.

http://dx.doi.org/10.1016/j.jsams.2012.11.644

642

The ‘choice transition’ in relation to physical activity behavior:Need for a new model from the Global South perspective

E. Lambert 1,∗, T. Kolbe-Alexander 1, C. Draper 1, N. Levitt 2, S.Naidoo 1, E. Tshabangu 1, W. Smit 3, R. Dover 4

1 UCT/MRC Research Unit for Exercise Science and Sports Medicine,Faculty of Health2 Department of Medicine, University of Cape Town3 African Centre for Cities, University of Cape Town4 Department of Anthropology, University of Antioquia, Medellin,Colombia

Introduction: Eighty percent of all deaths due to non-communicable diseases occur in lower-and-middle-incomecountries. Socio-economic development, industrialisation andurbanisation, have brought about decreased levels of physi-cal activity (PA). The epidemiological transition involves the“transformation of social, economic and demographic struc-tures” resulting in the co-existence of both infectious andnon-communicable diseases, and competing demands for theprevention and management of both.

Purpose: In this theoretical paper, we introduce ‘choice tran-sition or disability’. The mutability of lifestyle behaviors, and theextent to which they are shaped by, for example, the ‘childhoodmemory of hunger’ have to a large extent, not informed ourapproaches to health promotion.

Methods: We provide specific examples of ‘choice transition ordisability’ in relation to health behaviors from the Global South,where large disparities in wealth further marginalise the disadvan-taged. The data on self-report PA behavior and the environmentalcorrelates to PA behavior were extracted from 2 data sources, aspart of PhD dissertations (Tshabangu and Naidoo). Together, theyrepresent a convenience sample of 517 (men, N = 210, mean age42 + 11 yrs, BMI = 24.6 + 5.0 kg/m2 and women, N = 317, mean age44 + 11 yrs, BMI = 32.7 + 7.8 kg/m2). The 7 core items of the IPAQEnvironmental module were administered including housing andperception of neighborhood crime, destinations, access to trans-port, recreational facilities, pavements, and cycle paths

Results: Typical environmental barriers to PA such as perceptionof crime or traffic have little impact on the incidental or transport-related activity of individuals. Self–reported moderate-to-vigorous

(MV) PA was highest in this convenience sample of urban-dwellingSouth Africans, in men, and lowest in employed, well-educatedSouth African women. However, the proportion of time spent in