Perceived and objective measures of neighborhood walkability and physical activity among adults in Japan: A multilevel analysis of a nationally representative sample

Tomoya Hanibuchi, Tomoki Nakaya, Mayuko Yonejima, Kaori Honjo

Research output: Contribution to journalArticlepeer-review

29 Citations (Scopus)

Abstract

Although associations between a person’s neighborhood and their health have been studied internationally, most studies have been limited to a few cities or towns. Therefore, we used a nationally representative sample to explore whether perceived and objective neighborhood walkability was associated with the physical activity of residents. Data were analyzed from the Japanese General Social Surveys of 2010 (n = 2395; 1114 men and 1281 women). Perceived walkability was scored using factor analysis for the respondents’ perceptions of neighborhood conditions, while objective walkability was measured using the geographic information system approach. Finally, multilevel logistic regression analysis was performed to examine whether neighborhood walkability was associated with the frequency of leisure-time physical activity (LTPA) among respondents. We found that perceived walkability was positively associated with the frequency of LTPA (odds ratio of the highest quartile was 1.53 (1.14-2.05) compared with the lowest quartile); however, objective walkability showed no association. When stratified by gender, an association between perceived walkability and LTPA was observed among women, but only a marginally significant association was present between objective walkability and LTPA among men. We conclude that the association between neighborhood walkability and LTPA can be partially generalized across Japan.

Original languageEnglish
Pages (from-to)13350-13364
Number of pages15
JournalInternational journal of environmental research and public health
Volume12
Issue number10
DOIs
Publication statusPublished - 2015 Oct 23

Keywords

  • Geographic information systems
  • Japan
  • Multilevel analysis
  • Neighborhoods
  • Physical activity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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