Development of an objectively measured walkability index for the Netherlands

Abstract Background Walkability indices have been developed and linked to behavioural and health outcomes elsewhere in the world, but not comprehensively for Europe. We aimed to 1) develop a theory-based and evidence-informed Dutch walkability index, 2) examine its cross-sectional associations with total and purpose-specific walking behaviours of adults across socioeconomic (SES) and urbanisation strata, 3) explore which walkability components drive these associations. Methods Components of the index included: population density, retail and service density, land use mix, street connectivity, g... Mehr ...

Verfasser: Thao Minh Lam
Zhiyong Wang
Ilonca Vaartjes
Derek Karssenberg
Dick Ettema
Marco Helbich
Erik J. Timmermans
Lawrence D. Frank
Nicolette R. den Braver
Alfred J. Wagtendonk
Joline W. J. Beulens
Jeroen Lakerveld
Dokumenttyp: Artikel
Erscheinungsdatum: 2022
Reihe/Periodikum: International Journal of Behavioral Nutrition and Physical Activity, Vol 19, Iss 1, Pp 1-16 (2022)
Verlag/Hrsg.: BMC
Schlagwörter: Walkability / Validation / Physical activity / Built environment / Transport / Nutritional diseases. Deficiency diseases / RC620-627 / Public aspects of medicine / RA1-1270
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27189339
Datenquelle: BASE; Originalkatalog
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Link(s) : https://doi.org/10.1186/s12966-022-01270-8

Abstract Background Walkability indices have been developed and linked to behavioural and health outcomes elsewhere in the world, but not comprehensively for Europe. We aimed to 1) develop a theory-based and evidence-informed Dutch walkability index, 2) examine its cross-sectional associations with total and purpose-specific walking behaviours of adults across socioeconomic (SES) and urbanisation strata, 3) explore which walkability components drive these associations. Methods Components of the index included: population density, retail and service density, land use mix, street connectivity, green space, sidewalk density and public transport density. Each of the seven components was calculated for three Euclidean buffers: 150 m, 500 m and 1000 m around every 6-digit postal code location and for every administrative neighbourhood in GIS. Componential z-scores were averaged, and final indices normalized between 0 and 100. Data on self-reported demographic characteristics and walking behaviours of 16,055 adult respondents (aged 18–65) were extracted from the Dutch National Travel Survey 2017. Using Tobit regression modelling adjusted for individual- and household-level confounders, we assessed the associations between walkability and minutes walking in total, for non-discretionary and discretionary purposes. By assessing the attenuation in associations between partial indices and walking outcomes, we identified which of the seven components drive these associations. We also tested for effect modification by urbanization degree, SES, age and sex. Results In fully adjusted models, a 10% increase in walkability was associated with a maximum increase of 8.5 min of total walking per day (95%CI: 7.1–9.9). This association was consistent across buffer sizes and purposes of walking. Public transport density was driving the index’s association with walking outcomes. Stratified results showed that associations with minutes of non-discretionary walking were stronger in rural compared to very urban areas, in neighbourhoods ...