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Active school transportation and the built environment across Canadian cities: Findings from the child active transportation safety and the environment (CHASE) study.
Rothman, Linda; Hagel, Brent; Howard, Andrew; Cloutier, Marie Soleil; Macpherson, Alison; Aguirre, Alberto Nettel; McCormack, Gavin R; Fuselli, Pamela; Buliung, Ron; HubkaRao, Tate; Ling, Rebecca; Zanotto, Moreno; Rancourt, Mathieu; Winters, Meghan.
Afiliação
  • Rothman L; School of Occupational and Public Health, Ryerson University, 350 Victoria St, Toronto, ON M5B 2K3, Canada; Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, 686 Bay St, Toronto, ON M5G 0A4, Canada; Dalla Lana School of Public Health, University of Toronto, 155 Col
  • Hagel B; Departments of Pediatrics and Community Health Sciences, Cumming School of Medicine; Sport Injury Prevention Research Centre, Faculty of Kinesiology; Alberta Children's Hospital Research Institute and O'Brien Institute for Public Health; University of Calgary, Alberta Children's Hospital, 28 Oki Dri
  • Howard A; Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, 686 Bay St, Toronto, ON M5G 0A4, Canada.
  • Cloutier MS; Institut National de la Recherche Scientifique, 385, Sherbrooke East, Montréal, QC, H4H 2A7, Canada.
  • Macpherson A; School of Kinesiology and Health Science, York University, 4700 Keele St, Toronto, ON M3J 1P3, Canada.
  • Aguirre AN; Departments of Pediatrics and Community Health Sciences, Cumming School of Medicine; Sport Injury Prevention Research Centre, Faculty of Kinesiology; Alberta Children's Hospital Research Institute and O'Brien Institute for Public Health; University of Calgary, Alberta Children's Hospital, 28 Oki Dri
  • McCormack GR; Community Health Sciences, Cumming School of Medicine, Foothills Campus, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada.
  • Fuselli P; Parachute, 150 Eglinton Ave E #300, Toronto, ON, M4P 1E8, Canada.
  • Buliung R; Department of Geography, Geomatics and Environment, University of Toronto Mississuaga, 3359 Mississauga Road, Mississauga, ON, L5L 1C6, Canada.
  • HubkaRao T; Community Health Sciences, Cumming School of Medicine, Foothills Campus, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada.
  • Ling R; Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, 686 Bay St, Toronto, ON M5G 0A4, Canada.
  • Zanotto M; Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC V5A 1S6, Canada.
  • Rancourt M; Institut National de la Recherche Scientifique, 385, Sherbrooke East, Montréal, QC, H4H 2A7, Canada.
  • Winters M; Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC V5A 1S6, Canada.
Prev Med ; 146: 106470, 2021 05.
Article em En | MEDLINE | ID: mdl-33639180
ABSTRACT
Walking and bicycling to school (active school transportation, AST) has been in decline for decades in North America and globally with the rise of automobility. This cross-sectional study estimated associations between the built environment and AST in seven Canadian communities. We observed the travel behaviours of almost 118,000 students at 552 schools. Using beta regression, we modeled the proportion of children using AST, considering built environment and social environment factors around schools. Across all schools, the average proportion of children using AST was 54.3% (SD 18.9%), with variability among cities from a low of 39.5% (SD 22.1%) in Laval, Quebec to 69.7% (SD 18.1%) in Montreal, Quebec. Overall, several modifiable road design features were associated with AST, including the presence of school crossing guards, cycling infrastructure, Walk Score® and traffic signal density. There was variability in the directionality and statistical significance of associations with design variables across cities, suggesting that the local context and directed local interventions are important to support AST. Natural experiment studies are necessary to examine local approaches related to the built environment to increase AST and ensure appropriate new policy and program interventions are developed.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Características de Residência / Ambiente Construído Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Pregnancy País como assunto: America do norte Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Características de Residência / Ambiente Construído Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Pregnancy País como assunto: America do norte Idioma: En Ano de publicação: 2021 Tipo de documento: Article