Associations between spatial access to physical activity facilities and frequency of physical activity; how do home and workplace neighbourhoods in West Central Scotland compare?

Abstract

Background: Over a third of the Scottish population do not meet physical activity (PA) recommendations, with a greater proportion of those from disadvantaged areas not meeting recommended levels. There is a great need for detailed understanding of why some people are active while others are not. It has been established that features within home neighbourhoods are important for promoting PA, and although around 60% of time spent in exercise daily is undertaken outside the residential environment, relatively little research includes both home and workplace neighbourhood contexts. This study utilised an existing west central Scotland survey and spatial data on PA facilities to examine whether, for working adults, there are links between access to facilities, within home and workplace neighbourhoods, and frequency of PA, and whether such associations differ by socio-economic group. Methods: Using a Geographic Information System (GIS), home and workplace postcodes of a sub-sample of 'Transport, Health and Well-being' 2010 study respondents (n = 513) were mapped, along with public (i.e. public-sector funded) and private (i.e. private-sector funded) PA facilities (e.g. sports halls, gyms, pools etc.) within 800 m and 1600 m path/street network buffers of home and workplace postcodes. Using Analysis of Variance, associations between spatial access to PA facilities (i.e. facility counts within buffers) and self-reported PA (i.e. days being physically active in past month) were analysed. Models were run separately for access to any, public, private, and home, workplace, and home/workplace facilities. Associations were examined for all respondents, and stratified by age and income deprivation. Results: Respondents' PA frequency was associated with spatial access to specific types of facilities near home and near home or workplace (combined). In general, PA frequency was higher where individuals lived/worked in closer proximity to private facilities and frequency lower where individuals lived/worked nearby to public facilities. Results varied by age and income deprivation sub-groups. Conclusion: This research contributes to methods exploring neighbourhood contextual influences on PA behaviour; it goes beyond a focus upon home neighbourhoods and incorporates access to workplace neighbourhood facilities. Results demonstrate the importance of examining both neighbourhood types, and such findings may feed into planning for behaviour-change interventions within both spaces.