Active school transportation and the built environment across Canadian cities: Findings from the child active transportation safety and the environment (CHASE) study

被引:41
|
作者
Rothman, Linda [1 ,2 ,3 ]
Hagel, Brent [4 ,5 ,6 ,7 ,8 ]
Howard, Andrew [2 ]
Cloutier, Marie Soleil [9 ]
Macpherson, Alison [10 ]
Aguirre, Alberto Nettel [4 ,5 ,6 ,7 ,8 ]
McCormack, Gavin R. [11 ]
Fuselli, Pamela [12 ]
Buliung, Ron [13 ]
HubkaRao, Tate [11 ]
Ling, Rebecca [2 ]
Zanotto, Moreno [14 ]
Rancourt, Mathieu [9 ]
Winters, Meghan [14 ]
机构
[1] Ryerson Univ, Sch Occupat & Publ Hlth, 350 Victoria St, Toronto, ON M5B 2K3, Canada
[2] Hosp Sick Children, Res Inst, Child Hlth Evaluat Sci, 686 Bay St, Toronto, ON M5G 0A4, Canada
[3] Univ Toronto, Dalla Lana Sch Publ Hlth, 155 Coll St,6th Floor, Toronto, ON M5T 3M7, Canada
[4] Univ Calgary, Alberta Childrens Hosp, Cumming Sch Med, Dept Pediat, 28 Oki Dr NW, Calgary, AB T3B 6A8, Canada
[5] Univ Calgary, Alberta Childrens Hosp, Cumming Sch Med, Dept Community Hlth Sci, 28 Oki Dr NW, Calgary, AB T3B 6A8, Canada
[6] Univ Calgary, Alberta Childrens Hosp, Fac Kinesiol, Sport Injury Prevent Res Ctr, 28 Oki Dr NW, Calgary, AB T3B 6A8, Canada
[7] Univ Calgary, Alberta Childrens Hosp, Res Inst, 28 Oki Dr NW, Calgary, AB T3B 6A8, Canada
[8] Univ Calgary, Alberta Childrens Hosp, OBrien Inst Publ Health, 28 Oki Dr NW, Calgary, AB T3B 6A8, Canada
[9] Inst Natl Rech Sci, 385 Sherbrooke East, Montreal, PQ H4H 2A7, Canada
[10] York Univ, Sch Kinesiol & Hlth Sci, 4700 Keele St, Toronto, ON M3J 1P3, Canada
[11] Univ Calgary, Cumming Sch Med, Community Hlth Sci, Foothills Campus,3330 Hosp Dr NW, Calgary, AB T2N 4N1, Canada
[12] 150 Eglinton Ave E 300, Toronto, ON M4P 1E8, Canada
[13] Univ Toronto, Dept Geog Geomat & Environm, 3359 Mississauga Rd, Mississauga, ON L5L 1C6, Canada
[14] Simon Fraser Univ, Fac Hlth Sci, 8888 Univ Dr, Burnaby, BC V5A 1S6, Canada
关键词
Active school transportation; Walking; Built environment; Children; Observational study; PHYSICAL-ACTIVITY; MODE CHOICE; ELEMENTARY-SCHOOL; TRAVEL MODE; NEIGHBORHOOD; WALKING; YOUTH; TORONTO; WEIGHT; RISK;
D O I
10.1016/j.ypmed.2021.106470
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Walking and bicycling to school (active school transportation, AST) has been in decline for decades in North America and globally with the rise of automobility. This cross-sectional study estimated associations between the built environment and AST in seven Canadian communities. We observed the travel behaviours of almost 118,000 students at 552 schools. Using beta regression, we modeled the proportion of children using AST, considering built environment and social environment factors around schools. Across all schools, the average proportion of children using AST was 54.3% (SD 18.9%), with variability among cities from a low of 39.5% (SD 22.1%) in Laval, Quebec to 69.7% (SD 18.1%) in Montreal, Quebec. Overall, several modifiable road design features were associated with AST, including the presence of school crossing guards, cycling infrastructure, Walk Score? and traffic signal density. There was variability in the directionality and statistical significance of associations with design variables across cities, suggesting that the local context and directed local interventions are important to support AST. Natural experiment studies are necessary to examine local approaches related to the built environment to increase AST and ensure appropriate new policy and program interventions are developed.
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页数:8
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