Access to Recreational Physical Activities by Car and Bus: An Assessment of Socio-Spatial Inequalities in Mainland Scotland

Obesity and other chronic conditions linked with low levels of physical activity (PA) are associated with deprivation. One reason for this could be that it is more difficult for low-income groups to access recreational PA facilities such as swimming pools and sports centres than high-income groups. In this paper, we explore the distribution of access to PA facilities by car and bus across mainland Scotland by income deprivation at datazone level. GIS car and bus networks were created to determine the number of PA facilities accessible within travel times of 10, 20 and 30 minutes. Multilevel negative binomial regression models were then used to investigate the distribution of the number of accessible facilities, adjusting for datazone population size and local authority. Access to PA facilities by car was significantly (p<0.01) higher for the most affluent quintile of area-based income deprivation than for most other quintiles in small towns and all other quintiles in rural areas. Accessibility by bus was significantly lower for the most affluent quintile than for other quintiles in urban areas and small towns, but not in rural areas. Overall, we found that the most disadvantaged groups were those without access to a car and living in the most affluent areas or in rural areas.

[1]  Andy P. Jones,et al.  Equitable access to exercise facilities. , 2007, American journal of preventive medicine.

[2]  Q. Shen,et al.  Location Characteristics of Inner-City Neighborhoods and Employment Accessibility of Low-Wage Workers , 1998 .

[3]  Billie Giles-Corti,et al.  Correlates of distances traveled to use recreational facilities for physical activity behaviors , 2006, The international journal of behavioral nutrition and physical activity.

[4]  DR Jones,et al.  Fore sight Tackling Obesities : Future Choices – Obesogenic Environments – Evidence Review , 2007 .

[5]  Bert van Wee,et al.  Accessibility evaluation of land-use and transport strategies: review and research directions , 2004 .

[6]  J. Oppert,et al.  Investigating disparities in spatial accessibility to and characteristics of sport facilities: direction, strength, and spatial scale of associations with area income. , 2011, Health & place.

[7]  J. Dargay,et al.  Income's effect on car and vehicle ownership, worldwide, 1960-2015 , 1999 .

[8]  D. Ogilvie,et al.  Sociospatial distribution of access to facilities for moderate and vigorous intensity physical activity in Scotland by different modes of transport , 2012, International Journal of Behavioral Nutrition and Physical Activity.

[9]  Gordon Pirie,et al.  Measuring Accessibility: A Review and Proposal , 1979 .

[10]  S. Mallinson.  Five-year review of 'Let's make Scotland more active - a strategy for physical activity' , 2010 .

[11]  Shannon J. Brines,et al.  Availability of recreational resources in minority and low socioeconomic status areas. , 2008, American journal of preventive medicine.

[12]  Richard Shearmur,et al.  International Journal of Health Geographics Open Access the Case of Montréal's Missing Food Deserts: Evaluation of Accessibility to Food Supermarkets , 2022 .

[13]  R Core Team,et al.  R: A language and environment for statistical computing. , 2014 .

[14]  Debbie A. Niemeier,et al.  Measuring Accessibility: An Exploration of Issues and Alternatives , 1997 .

[15]  C. Foster,et al.  Age-related differences in physical activity profiles of English adults. , 2011, Preventive medicine.

[16]  J. Brug,et al.  Neighbourhood inequalities in physical inactivity: the role of neighbourhood attractiveness, proximity to local facilities and safety in the Netherlands. , 2005, Social science & medicine.

[17]  D. Ogilvie,et al.  Recreational physical activity facilities within walking and cycling distance: sociospatial patterning of access in Scotland. , 2011, Health & place.

[18]  A. Joseph,et al.  Measuring potential physical accessibility to general practitioners in rural areas: a method and case study. , 1982, Social science & medicine.

[19]  B. Popkin,et al.  Inequality in the Built Environment Underlies Key Health Disparities in Physical Activity and Obesity , 2006, Pediatrics.

[20]  D. Berrigan,et al.  Health and community design: the impact of the built environment on physical activity , 2005 .

[21]  F. Chaloupka,et al.  Availability of physical activity-related facilities and neighborhood demographic and socioeconomic characteristics: a national study. , 2006, American journal of public health.

[22]  Jan R Ritsema van Eck,et al.  Evaluation of Accessibility Impacts of Land-Use Scenarios: The Implications of Job Competition, Land-Use, and Infrastructure Developments for the Netherlands , 2003 .

[23]  Richard Shearmur,et al.  Comparing alternative approaches to measuring the geographical accessibility of urban health services: Distance types and aggregation-error issues , 2008, International journal of health geographics.

[24]  정재용.  [서평] Good City Form , 2012 .

[25]  Rebecca E. Lee,et al.  Contribution of neighbourhood socioeconomic status and physical activity resources to physical activity among women , 2007, Journal of Epidemiology & Community Health.

[26]  Lisa Rutherford,et al.  The Scottish Health Survey , 2014 .

[27]  Duncan Lee,et al.  Bayesian quantile regression for count data with application to environmental epidemiology , 2010 .

[28]  B. Giles-Corti,et al.  Socioeconomic status differences in recreational physical activity levels and real and perceived access to a supportive physical environment. , 2002, Preventive medicine.

[29]  A. Ellaway,et al.  Do poorer people have poorer access to local resources and facilities? The distribution of local resources by area deprivation in Glasgow, Scotland☆ , 2008, Social science & medicine.

[30]  Susan L Handy,et al.  How the built environment affects physical activity: views from urban planning. , 2002, American journal of preventive medicine.

[31]  Andy P. Jones,et al.  Equity of access to physical activity facilities in an English city. , 2008, Preventive medicine.

[32]  R. J. Salter.  Geometric delay at non-signalised intersections , 1989 .

[33]  Chief Medical Officer.,et al.  Start active, stay active: a report on physical activity from the four home countries' Chief Medical Officers , 2013 .

[34]  D. Ogilvie,et al.  Distribution of physical activity facilities in Scotland by small area measures of deprivation and urbanicity , 2010, The international journal of behavioral nutrition and physical activity.

[35]  Rebecca E. Lee,et al.  Resources for physical activity participation: Does availability and accessibility differ by neighborhood socioeconomic status? , 2003, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.