Int J Health Geogr - How do changes to the built environment influence walking behaviors? A longitudinal study within a university campus in Hong Kong.

Tópicos

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Resumo

CKGROUND: Previous studies testing the association between the built environment and walking behavior have been largely cross-sectional and have yielded mixed results. This study reports on a natural experiment in which changes to the built environment were implemented at a university campus in Hong Kong. Longitudinal data on walking behaviors were collected using surveys, one before and one after changes to the built environment, to test the influence of changes to the built environment on walking behavior.METHODS: Built environment data are from a university campus in Hong Kong, and include land use, campus bus services, pedestrian network, and population density data collected from campus maps, the university developmental office, and field surveys. Walking behavior data were collected at baseline in March 2012 (n=198) and after changes to the built environment from the same cohort of subjects in December 2012 (n=169) using a walking diary. Geographic information systems (GIS) was used to map walking routes and built environment variables, and compare each subject's walking behaviors and built environment exposure before and after the changes to the built environment. Walking behavior outcomes were changes in: i) walking distance, ii) destination-oriented walking, and iii) walked altitude range. Multivariable linear regression models were used to test for associations between changes to the built environment and changes in walking behaviors.RESULTS: Greater pedestrian network connectivity predicted longer walking distances and an increased likelihood of walking as a means of transportation. The increased use of recreational (vs. work) buildings, largely located at mid-range altitudes, as well as increased population density predicted greater walking distances.Having more bus services and a greater population density encouraged people to increase their walked altitude range.CONCLUSIONS: In this longitudinal study, changes to the built environment were associated with changes in walking behaviors. Use of GIS combined with walking diaries presents a practical method for mapping and measuring changes in the built environment and walking behaviors, respectively. Additional longitudinal studies can help clarify the relationships between the built environment and walking behaviors identified in this natural experiment.

Resumo Limpo

ckground previous studi test associ built environ walk behavior larg crosssect yield mix result studi report natur experi chang built environ implement univers campus hong kong longitudin data walk behavior collect use survey one one chang built environ test influenc chang built environ walk behaviormethod built environ data univers campus hong kong includ land use campus bus servic pedestrian network popul densiti data collect campus map univers development offic field survey walk behavior data collect baselin march n chang built environ cohort subject decemb n use walk diari geograph inform system gis use map walk rout built environ variabl compar subject walk behavior built environ exposur chang built environ walk behavior outcom chang walk distanc ii destinationori walk iii walk altitud rang multivari linear regress model use test associ chang built environ chang walk behaviorsresult greater pedestrian network connect predict longer walk distanc increas likelihood walk mean transport increas use recreat vs work build larg locat midrang altitud well increas popul densiti predict greater walk distanceshav bus servic greater popul densiti encourag peopl increas walk altitud rangeconclus longitudin studi chang built environ associ chang walk behavior use gis combin walk diari present practic method map measur chang built environ walk behavior respect addit longitudin studi can help clarifi relationship built environ walk behavior identifi natur experi

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