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Perceived neighborhood environmental attributes associated with walking and cycling for transport among adult residents of 17 cities in 12 countries : the IPEN study

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Abstract
INTRODUCTION: Prevalence of walking and cycling for transport is low and varies greatly across countries. Few studies have examined neighborhood perceptions related to walking and cycling for transport in different countries. Therefore, it is challenging to prioritize appropriate built-environment interventions. OBJECTIVES: The aim of this study was to examine the strength and shape of the relationship between adults' neighborhood perceptions and walking and cycling for transport across diverse environments. Methods: As part of the International Physical activity and Environment Network (IPEN) adult project, self-reported data were taken from 13,745 adults (18-65 years) living in physically and socially diverse neighborhoods in 17 cities across 12 countries. Neighborhood perceptions were measured using the Neighborhood Environment Walkability Scale, and walking and cycling for transport were measured using the International Physical Activity Questionnaire-Long Form. Generalized additive mixed models were used to model walking or cycling for transport during the last seven days with neighborhood perceptions. Interactions by city were explored. RESULTS: Walking-for-transport outcomes were significantly associated with perceived residential density, land use mix-access, street connectivity, aesthetics, and safety. Any cycling for transport was significantly related to perceived land use mix-access, street connectivity, infrastructure, aesthetics, safety, and perceived distance to destinations. Between-city differences existed for some attributes in relation to walking or cycling for transport. CONCLUSIONS: Many perceived environmental attributes supported both cycling and walking; however, highly walkable environments may not support cycling for transport. People appear to walk for transport despite safety concerns. These findings can guide the implementation of global health strategies.
Keywords
GEOGRAPHIC INFORMATION-SYSTEMS, WALKABILITY SCALE NEWS, PHYSICAL-ACTIVITY, BUILT ENVIRONMENT, ACTIVE TRANSPORTATION, PUBLIC-HEALTH, ACTIVITY RECOMMENDATIONS, BELGIAN ADULTS, TRAVEL, RELOCATION

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MLA
Kerr, Jacqueline et al. “Perceived Neighborhood Environmental Attributes Associated with Walking and Cycling for Transport Among Adult Residents of 17 Cities in 12 Countries : the IPEN Study.” ENVIRONMENTAL HEALTH PERSPECTIVES 124.3 (2016): 290–298. Print.
APA
Kerr, J., Emond, J. A., Badland, H., Reis, R., Sarmiento, O., Carlson, J., Sallis, J. F., et al. (2016). Perceived neighborhood environmental attributes associated with walking and cycling for transport among adult residents of 17 cities in 12 countries : the IPEN study. ENVIRONMENTAL HEALTH PERSPECTIVES, 124(3), 290–298.
Chicago author-date
Kerr, Jacqueline, Jennifer A Emond, Hannah Badland, Rodrigo Reis, Olga Sarmiento, Jordan Carlson, James F Sallis, et al. 2016. “Perceived Neighborhood Environmental Attributes Associated with Walking and Cycling for Transport Among Adult Residents of 17 Cities in 12 Countries : the IPEN Study.” Environmental Health Perspectives 124 (3): 290–298.
Chicago author-date (all authors)
Kerr, Jacqueline, Jennifer A Emond, Hannah Badland, Rodrigo Reis, Olga Sarmiento, Jordan Carlson, James F Sallis, Ester Cerin, Kelli Cain, Terry Conway, Grant Schofield, Duncan J Macfarlane, Lars B Christiansen, Delfien Van Dyck, Rachel Davey, Ines Aguinaga-Ontoso, Deborah Salvo, Takemi Sugiyama, Neville Owen, Josef Mitáš, and Loki Natarajan. 2016. “Perceived Neighborhood Environmental Attributes Associated with Walking and Cycling for Transport Among Adult Residents of 17 Cities in 12 Countries : the IPEN Study.” Environmental Health Perspectives 124 (3): 290–298.
Vancouver
1.
Kerr J, Emond JA, Badland H, Reis R, Sarmiento O, Carlson J, et al. Perceived neighborhood environmental attributes associated with walking and cycling for transport among adult residents of 17 cities in 12 countries : the IPEN study. ENVIRONMENTAL HEALTH PERSPECTIVES. 2016;124(3):290–8.
IEEE
[1]
J. Kerr et al., “Perceived neighborhood environmental attributes associated with walking and cycling for transport among adult residents of 17 cities in 12 countries : the IPEN study,” ENVIRONMENTAL HEALTH PERSPECTIVES, vol. 124, no. 3, pp. 290–298, 2016.
@article{8502965,
  abstract     = {INTRODUCTION: Prevalence of walking and cycling for transport is low and varies greatly across countries. Few studies have examined neighborhood perceptions related to walking and cycling for transport in different countries. Therefore, it is challenging to prioritize appropriate built-environment interventions. 
OBJECTIVES: The aim of this study was to examine the strength and shape of the relationship between adults' neighborhood perceptions and walking and cycling for transport across diverse environments. Methods: As part of the International Physical activity and Environment Network (IPEN) adult project, self-reported data were taken from 13,745 adults (18-65 years) living in physically and socially diverse neighborhoods in 17 cities across 12 countries. Neighborhood perceptions were measured using the Neighborhood Environment Walkability Scale, and walking and cycling for transport were measured using the International Physical Activity Questionnaire-Long Form. Generalized additive mixed models were used to model walking or cycling for transport during the last seven days with neighborhood perceptions. Interactions by city were explored. 
RESULTS: Walking-for-transport outcomes were significantly associated with perceived residential density, land use mix-access, street connectivity, aesthetics, and safety. Any cycling for transport was significantly related to perceived land use mix-access, street connectivity, infrastructure, aesthetics, safety, and perceived distance to destinations. Between-city differences existed for some attributes in relation to walking or cycling for transport. 
CONCLUSIONS: Many perceived environmental attributes supported both cycling and walking; however, highly walkable environments may not support cycling for transport. People appear to walk for transport despite safety concerns. These findings can guide the implementation of global health strategies.},
  author       = {Kerr, Jacqueline and Emond, Jennifer A and Badland, Hannah and Reis, Rodrigo and Sarmiento, Olga and Carlson, Jordan and Sallis, James F and Cerin, Ester and Cain, Kelli and Conway, Terry and Schofield, Grant and Macfarlane, Duncan J and Christiansen, Lars B and Van Dyck, Delfien and Davey, Rachel and Aguinaga-Ontoso, Ines and Salvo, Deborah and Sugiyama, Takemi and Owen, Neville and Mitáš, Josef and Natarajan, Loki},
  issn         = {0091-6765},
  journal      = {ENVIRONMENTAL HEALTH PERSPECTIVES},
  keywords     = {GEOGRAPHIC INFORMATION-SYSTEMS,WALKABILITY SCALE NEWS,PHYSICAL-ACTIVITY,BUILT ENVIRONMENT,ACTIVE TRANSPORTATION,PUBLIC-HEALTH,ACTIVITY RECOMMENDATIONS,BELGIAN ADULTS,TRAVEL,RELOCATION},
  language     = {eng},
  number       = {3},
  pages        = {290--298},
  title        = {Perceived neighborhood environmental attributes associated with walking and cycling for transport among adult residents of 17 cities in 12 countries : the IPEN study},
  url          = {http://dx.doi.org/10.1289/ehp.1409466},
  volume       = {124},
  year         = {2016},
}

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