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Urban area disadvantage and physical activity: a multilevel study in Melbourne, Australia

Journal of epidemiology and community health (1979), 2005-11, Vol.59 (11), p.934-940 [Peer Reviewed Journal]

Copyright 2005 Journal of Epidemiology and Community Health ;Copyright 2005 The BMJ Publishing Group ;2006 INIST-CNRS ;Copyright: 2005 Copyright 2005 Journal of Epidemiology and Community Health ;ISSN: 0143-005X ;EISSN: 1470-2738 ;DOI: 10.1136/jech.2005.035931 ;PMID: 16234420 ;CODEN: JECHDR

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Title:
Urban area disadvantage and physical activity: a multilevel study in Melbourne, Australia
Author: Kavanagh, Anne M ; Goller, Jane L ; King, Tania ; Jolley, Damien ; Crawford, David ; Turrell, Gavin
Subjects: Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cardiovascular disease ; CCD ; census collector district ; Censuses ; Central business districts ; Cross-Sectional Studies ; Exercise ; Female ; General aspects ; Health promotion ; Households ; Humans ; Jogging ; Leisure Activities ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; multilevel analysis ; Multilevel models ; Neighborhoods ; Parks & recreation areas ; Participation ; physical activity ; Physical fitness ; Population ; Principal components analysis ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Research Report ; Research Reports ; SES ; Small-Area Analysis ; Social Class ; Socioeconomic factors ; Socioeconomic status ; Socioeconomics ; Studies ; Surveys and Questionnaires ; Swimming ; Urban areas ; Urban Health ; Victoria ; Walking
Is Part Of: Journal of epidemiology and community health (1979), 2005-11, Vol.59 (11), p.934-940
Description: Objective: To estimate variation between small areas in the levels of walking, cycling, jogging, and swimming and overall physical activity and the importance of area level socioeconomic disadvantage in predicting physical activity participation. Methods: All census collector districts (CCDs) in the 20 innermost local government areas in metropolitan Melbourne, Australia, were identified and ranked by the percentage of low income households (<$400/week) living in the CCD. Fifty CCDs were randomly selected from the least, middle, and most disadvantaged septiles of the ranked CCDs and 2349 residents (58.7% participation rate) participated in a cross sectional postal survey about physical activity. Multilevel logistic regression (adjusted for extrabinomial variation) was used to estimate area level variation in walking, cycling, jogging, and swimming and in overall physical activity participation, and the importance of area level socioeconomic disadvantage in predicting physical activity participation. Results: There were significant variations between CCDs in all activities and in overall physical participation in age and sex adjusted models; however, after adjustment for individual SES (income, occupation, education) and area level socioeconomic disadvantage, significant differences remained only for walking (p = 0.004), cycling (p = 0.003), and swimming (p = 0.024). Living in the most socioeconomically disadvantaged areas was associated with a decreased likelihood of jogging and of having overall physical activity levels that were sufficiently active for health; these effects remained after adjustment for individual socioeconomic status (sufficiently active: OR 0.70, 95% CI 0.55 to 0.90 and jogging: OR = 0.69, 95% CI 0.51 to 0.94). Conclusion: These research findings support the need to focus on improving local environments to increase physical activity participation.
Publisher: London: BMJ Publishing Group Ltd
Language: English
Identifier: ISSN: 0143-005X
EISSN: 1470-2738
DOI: 10.1136/jech.2005.035931
PMID: 16234420
CODEN: JECHDR
Source: ProQuest One Psychology
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
PubMed Central
Alma/SFX Local Collection
ProQuest Central

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Urban area disadvantage and physical activity: a multilevel study in Melbourne, Australia

Copyright 2005 Journal of Epidemiology and Community Health ;Copyright 2005 The BMJ Publishing Group ;2006 INIST-CNRS ;Copyright: 2005 Copyright 2005 Journal of Epidemiology and Community Health ;ISSN: 0143-005X ;EISSN: 1470-2738 ;DOI: 10.1136/jech.2005.035931 ;PMID: 16234420 ;CODEN: JECHDR

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