Preventing Chronic Disease | Does Perceived Neighborhood Walkability and Safety Mediate the Association Between Education and Meeting Physical Activity Guidelines? - CDC
Does Perceived Neighborhood Walkability and Safety Mediate the Association Between Education and Meeting Physical Activity Guidelines?
Michael Pratt, MD, MSPE, MPH; Shaoman Yin, PhD, MSPH; Robin Soler, PhD; Rashid Njai, PhD, MPH; Paul Z. Siegel, MD, MPH; Youlian Liao, MD
Suggested citation for this article: Pratt M, Yin S, Soler R, Njai R, Siegel PZ, Liao Y. Does Perceived Neighborhood Walkability and Safety Mediate the Association Between Education and Meeting Physical Activity Guidelines? Prev Chronic Dis 2015;12:140570. DOI:http://dx.doi.org/10.5888/pcd12.140570.
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Abstract
The role of neighborhood walkability and safety in mediating the association between education and physical activity has not been quantified. We used data from the 2010 and 2012 Communities Putting Prevention to Work Behavioral Risk Factor Surveillance System and structural equation modeling to estimate how much of the effect of education level on physical activity was mediated by perceived neighborhood walkability and safety. Neighborhood walkability accounts for 11.3% and neighborhood safety accounts for 6.8% of the effect. A modest proportion of the important association between education and physical activity is mediated by perceived neighborhood walkability and safety, suggesting that interventions focused on enhancing walkability and safety could reduce the disparity in physical activity associated with education level.
Acknowledgments
The findings and conclusions of this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. The authors declare no conflicts of interest and have not received funding to support this work. The authors acknowledge valuable input and support from staff and leadership of the National Center for Chronic Disease Prevention and Health Promotion, and Divisions of Nutrition, Physical Activity and Obesity, and Community Health. Special thanks to Ursula Bauer, Dana Shelton, Leonard Jack, Nicole Flowers, Joan Dorn, Thomas Schmid, and Janet Fulton.
Author Information
Corresponding Author: Michael Pratt, MD, MSPE, MPH, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Mailstop F-80, 4770 Buford Hwy, NE, Atlanta GA 30341. Telephone: 404-770-5403. Email: mpratt@cdc.gov.
Author Affiliations: Robin Soler, Rashid Njai, Paul Z. Siegel, Youlian Liao, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia; Shaoman Yin, SciMetrika, LLC, Durham, North Carolina.
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