Giles-Corti Billie, Broomhall Melissa H, Knuiman Matthew, Collins Catherine, Douglas Kate, Ng Kevin, Lange Andrea, Donovan Robert J
School of Population Health, University of Western Australia, Crawley, Western Australia, Australia.
Am J Prev Med. 2005 Feb;28(2 Suppl 2):169-76. doi: 10.1016/j.amepre.2004.10.018.
Well-designed public open space (POS) that encourages physical activity is a community asset that could potentially contribute to the health of local residents.
In 1995-1996, two studies were conducted-an environmental audit of POS over 2 acres (n =516) within a 408-km2 area of metropolitan Perth, Western Australia; and personal interviews with 1803 adults (aged 18 to 59 years) (52.9% response rate). The association between access to POS and physical activity was examined using three accessibility models that progressively adjusted for distance to POS, and its attractiveness and size. In 2002, an observational study examined the influence of attractiveness on the use of POS by observing users of three pairs of high- and low-quality (based on attractiveness) POS matched for size and location.
Overall, 28.8% of respondents reported using POS for physical activity. The likelihood of using POS increased with increasing levels of access, but the effect was greater in the model that adjusted for distance, attractiveness, and size. After adjustment, those with very good access to large, attractive POS were 50% more likely to achieve high levels of walking (odds ratio, 1.50; 95% confidence level, 1.06-2.13). The observational study showed that after matching POS for size and location, 70% of POS users observed visited attractive POS.
Access to attractive, large POS is associated with higher levels of walking. To increase walking, thoughtful design (and redesign) of POS is required that creates large, attractive POS with facilities that encourage active use by multiple users (e.g., walkers, sports participants, picnickers).
精心设计的、鼓励身体活动的公共开放空间(POS)是一项社区资产,有可能促进当地居民的健康。
1995 - 1996年开展了两项研究——对西澳大利亚州珀斯市大都市区408平方公里范围内超过2英亩的公共开放空间(n = 516)进行环境审计;并对1803名成年人(年龄在18至59岁之间)进行个人访谈(回复率为52.9%)。使用三种可达性模型研究了接触公共开放空间与身体活动之间的关联,这些模型逐步对到公共开放空间的距离、其吸引力和规模进行了调整。2002年,一项观察性研究通过观察三对在规模和位置上匹配的、高质量(基于吸引力)和低质量公共开放空间的使用者,研究了吸引力对公共开放空间使用情况的影响。
总体而言,28.8%的受访者表示利用公共开放空间进行身体活动。使用公共开放空间的可能性随着可达性水平的提高而增加,但在对距离、吸引力和规模进行调整的模型中,这种影响更大。调整后,能够很好地接触到大型、有吸引力的公共开放空间的人达到高水平步行的可能性高出50%(优势比,1.50;95%置信区间,1.06 - 2.13)。观察性研究表明,在对公共开放空间的规模和位置进行匹配后,观察到的公共开放空间使用者中有70%去了有吸引力的公共开放空间。
接触有吸引力的大型公共开放空间与更高水平的步行相关。为了增加步行量,需要对公共开放空间进行精心设计(和重新设计),打造出大型、有吸引力的公共开放空间,并配备鼓励众多使用者(如步行者、体育参与者、野餐者)积极使用的设施。