Rania Wasfi

Achieving recommended daily physical activity levels through commuting by public transportation: Unpacking individual and contextual influences

This paper estimates the amount of daily walking associated with using public transportation in a large metropolitan area and examines individual and contextual characteristics associated with walking distances. Total walking distance to and from transit was calculated from a travel diary survey for 6913 individuals. Multilevel regression modelling was used to examine the underlying factors associated with walking to public transportation. The physical activity benefits of public transportation varied along gender and socio-economic lines. Recommended minutes of daily physical activity can be achieved for public transportation users, especially train users living in affluent suburbs.

Neighborhood Walkability and Body Mass Index Trajectories: Longitudinal Study of Canadians

OBJECTIVES To assess the impact of neighborhood walkability on body mass index (BMI) trajectories of urban Canadians. METHODS Data are from Canadas National Population Health Survey (n = 2935; biannual assessments 1994-2006). We measured walkability with the Walk Score. We modeled body mass index (BMI, defined as weight in kilograms divided by the square of height in meters [kg/m(2)]) trajectories as a function of Walk Score and sociodemographic and behavioral covariates with growth curve models and fixed-effects regression models. RESULTS In men, BMI increased annually by an average of 0.13 kg/m(2) (95% confidence interval [CI] = 0.11, 0.14) over the 12 years of follow-up. Moving to a high-walkable neighborhood (2 or more Walk Score quartiles higher) decreased BMI trajectories for men by approximately 1 kg/m(2) (95% CI = -1.16, -0.17). Moving to a low-walkable neighborhood increased BMI for men by approximately 0.45 kg/m(2) (95% CI = 0.01, 0.89). There was no detectable influence of neighborhood walkability on body weight for women. CONCLUSIONS Our study of a large sample of urban Canadians followed for 12 years confirms that neighborhood walkability influences BMI trajectories for men, and may be influential in curtailing male age-related weight gain.

“Contextualizing Context”: Reconciling Environmental Exposures, Social Networks, and Location Preferences in Health Research

Purpose of ReviewThe aim of this paper is to review the recent advances in health and place research and discuss concepts useful to explore how context affects health. More specifically, it reviews measures and tools used to account for place; concepts relating to daily mobility and multiple exposure to places, and further points to the intertwining between social and spatial networks to help further our understanding of how context translates into health profiles.Recent FindingsSignificant advances in environmental or neighborhood effects have been made in the last decades. Specifically, conceptual and methodological developments have improved our consideration of spatial processes, shifting from a residential-based view of context to a more dynamic activity space and daily mobility paradigm. Yet, such advances have led to overlooking other potentially important aspects related to social networks and decision-making processes.SummaryWith an increasing capacity to collect high-precision data on daily mobility and behavior, new possibilities in understanding how environments relate to behavior and health inequalities arise. Two overlooked aspects need to be addressed: the questions of “with or for whom”, and “why”. While the former calls for a better consideration of social networks and social interactions, the latter calls for refining our understanding of place preference and decision-making leading to daily mobility and multiple exposures.

Measuring the transportation needs of seniors

Over 208,000 residents of Hennepin County, Minnesota are over the age of 55, a number that is sure to rise. This paper examines the transportation needs of the elderly in Hennepin County through a mail out-mail back survey of their existing travel behavior and their unmet needs. The survey had both demographic and attitude questions as well as a travel diary for recording actual trips and desired but untaken trips. We found that 87% of the sampled population feel they are independent travelers. Around 51% of the surveyed population indicated that they are transit users, 25% of them revealed their concerns about difficulties they are facing when using public transit. About 16% of transit users were concerned about waiting time for transit, while only 8% were concerned about the travel time. Only 15% of the surveyed population use paratransit. A large number of comments were received, which add qualitative flavor to the analysis that was conducted. Seniors recognize even if they are currently independent, that will not always be the case, and acknowledge they should plan.

Understanding the role of contrasting urban contexts in healthy aging: an international cohort study using wearable sensor devices (the CURHA study protocol)

BackgroundGiven the challenges of aging populations, calls have been issued for more sustainable urban re-development and implementation of local solutions to address global environmental and healthy aging issues. However, few studies have considered older adults’ daily mobility to better understand how local built and social environments may contribute to healthy aging. Meanwhile, wearable sensors and interactive map-based applications offer novel means for gathering information on people’s mobility, levels of physical activity, or social network structure. Combining such data with classical questionnaires on well-being, physical activity, perceived environments and qualitative assessment of experience of places opens new opportunities to assess the complex interplay between individuals and environments. In line with current gaps and novel analytical capabilities, this research proposes an international research agenda to collect and analyse detailed data on daily mobility, social networks and health outcomes among older adults using interactive web-based questionnaires and wearable sensors.Methods/DesignOur study resorts to a battery of innovative data collection methods including use of a novel multisensor device for collection of location and physical activity, interactive map-based questionnaires on regular destinations and social networks, and qualitative assessment of experience of places. This rich data will allow advanced quantitative and qualitative analyses in the aim to disentangle the complex people-environment interactions linking urban local contexts to healthy aging, with a focus on active living, social networks and participation, and well-being.DiscussionThis project will generate evidence about what characteristics of urban environments relate to active mobility, social participation, and well-being, three important dimensions of healthy aging. It also sets the basis for an international research agenda on built environment and healthy aging based on a shared and comprehensive data collection protocol.

Chasing Sustainability: Do New Transit-Oriented Development Residents Adopt More Sustainable Modes of Transportation?

One of the solutions suggested for mitigating the detrimental effect of motor vehicles on society is to implement transit-oriented development (TOD). This type of development is intended to reduce automobile use and urban sprawl as well as to provide communities with more socially, environmentally, and economically sustainable neighborhoods that offer a variety of mobility choices. This study attempted to find out whether new residents adopted more sustainable modes of transportation after their relocation to a TOD. The analysis determined which factors influenced travel mode switching decisions by specifying a multilevel multinomial logistic regression model. Data for the analysis were drawn from a travel behavior survey conducted on residents in seven North American TODs in 2013. The results showed that newcomers adopted more sustainable travel modes for amenities and leisure trips after they relocated to a TOD but that they were less likely to do so for work and shopping trips. To encourage more sustainable travel modes, the study findings suggested that transit incentives coupled with workplace parking charges needed to be considered. Factors that were found to increase the probability that new TOD residents would switch to a more sustainable mode of transportation included their awareness of the environmental impact of each travel mode, the ease with which it was possible to walk through the neighborhood and to various destinations, and the proximity to transit stops. However, larger household size, homeownership, and the addition of a new car had negative impacts. The findings provided new insights into TOD planning and its link to travel behavior; these insights could benefit planners, engineers, and policy makers who have adopted the TOD approach to development with the goal of mitigating car usage.

The Transportation Needs of Seniors

Over 208,000 residents of Hennepin County, Minnesota are over the age of 55, a number that is sure to rise. This paper examines the transportation needs of the elderly in Hennepin County through a mail out-mail back survey of their existing travel behavior and their unmet needs. The survey had both demographic and attitude questions as well as a travel diary for recording actual trips and desired but untaken trips. We found that 87% of the sampled population feel they are independent travelers. Around 51% of the surveyed population indicated that they are transit users, 25% of them revealed their concerns about difficulties they are facing when using public transit. About 16% of transit users were concerned about waiting time for transit, while only 8% were concerned about the travel time. Only 15% of the surveyed population use paratransit. A large number of comments were received, which add qualitative flavor to the analysis that was conducted. Seniors recognize even if they are currently independent, that will not always be the case, and acknowledge they should plan.

Is gentrification all bad? Positive association between gentrification and individual’s perceived neighborhood collective efficacy in Montreal, Canada

BackgroundCollective efficacy has been associated with many health benefits at the neighborhood level. Therefore, understanding why some communities have greater collective efficacy than others is important from a public health perspective. This study examined the relationship between gentrification and collective efficacy, in Montreal Canada.MethodsA gentrification index was created using tract level median household income, proportion of the population with a bachelor’s degree, average rent, proportion of the population with low income, and proportion of the population aged 30–44. Multilevel linear regression analyses were conducted to measure the association between gentrification and individual level collective efficacy.ResultsGentrification was positively associated with collective efficacy. Gentrifiers (individuals moving into gentrifying neighborhoods) had higher collective efficacy than individuals that lived in a neighborhood that did not gentrify. Perceptions of collective efficacy of the original residents of gentrifying neighborhoods were not significantly different from the perceptions of neighborhood collective efficacy of gentrifiers.ConclusionsOur results indicate that gentrification was positively associated with perceived collective efficacy. This implies that gentrification could have beneficial health effects for individuals living in gentrifying neighborhoods.

Place matters: A longitudinal analysis measuring the association between neighbourhood walkability and walking by age group and population center size in Canada

This study examined the influence of walkability on walking behaviour and assessed whether associations varied according to life-stage and population center (PC) size. Walkability scores were obtained for the six-digit postal codes of residential neighbourhoods of 11,200 Canadians, who participated in biennial assessments of the National Population Health Survey from 1994 to 2010. Participants were stratified by age-group. Mixed-effects logistic regression models were used to estimate the influence of cumulative exposure to neighborhood walkability on utilitarian and exercise walking by PC size and life-stage. Associations of neighbourhood walkability with utilitarian and exercise walking varied according to age-group and PC size. Exposure to high walkable neighborhoods was associated with utilitarian walking in younger and older adults in all PC sizes, except for older adults living in a medium PC. Living in a highly walkable neighborhood in a large PC was associated with walking for exercise in younger (OR: 1.42; 95%CI: 1.20–1.67) and older adults (OR: 2.09; 95%CI: 1.51–2.89). Living in highly walkable neighbourhood in a medium PC was associated with walking for exercise in older adults (OR: 1.62; 95%CI: 1.15–2.29). These results emphasize the need to consider the size and nature of every community, and the age-group of a population when implementing strategies to promote walking.

Small Steps, Big Differences: Assessing the Validity of using Home and Work Locations to Estimate Walking Distances to Transit

Walking to and from public transport can form a seamless way to integrate physical activity into our daily lives, thereby helping us achieve the recommended minutes of physical activity. To measure the link between physical activity and public transport use, it is critical to determine how far individuals are walking, and are willing to walk, to different modes of transit. Few planners, however, have access to detailed information on the exact public transport lines used by individuals, and therefore need to estimate distances by making use of only home and work locations. This study therefore compared two methods of calculating walking distances: one method using widely available home and work locations and a fastest route algorithm leveraging general transit feed specification data, and a second employing a detailed travel survey containing information on the real routes used by each respondent from Montreal, Canada, to generate more robust estimates of the distances individuals are walking to public transport stops. Results show that walking distances calculated from commonly available origin and destination information tend to underestimate real walking distances by 10%. Multilevel mixed-effect regression models indicate these differing results are mainly attributable to differences in travel behaviour and mode choice. Findings from this study provide a better understanding of how modelled and real walking routes to public transport stops differ, which could be of interest to professionals and urban decision makers wishing to correctly model walking to transit in their region when only limited information is available.