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Sociodemographic Moderators of Relations of Neighborhood Safety to Physical Activity

CARLSON, JORDAN A.1; BRACY, NICOLE L.1; SALLIS, JAMES F.1; MILLSTEIN, RACHEL A.1; SAELENS, BRIAN E.2; KERR, JACQUELINE1; CONWAY, TERRY L.1; FRANK, LAWRENCE D.3; CAIN, KELLI L.1; KING, ABBY C.4

Medicine & Science in Sports & Exercise: August 2014 - Volume 46 - Issue 8 - p 1554–1563
doi: 10.1249/MSS.0000000000000274
Epidemiology

Purpose This study aimed to investigate gender, race/ethnicity, education, and income as moderators of relations of perceived neighborhood crime, pedestrian, and traffic safety to physical activity.

Methods Participants were from two samples: adults (N = 2199, age = 25–65 yr) and older adults (N = 718, age = 66+ yr) from high- and low-walkable neighborhoods in the Washington, DC, and Seattle, Washington, areas. Neighborhood safety and transportation and leisure walking were assessed via survey, and moderate to vigorous physical activity was assessed using accelerometers. Sociodemographic moderators were investigated using interaction terms and follow-up within-group tests from mixed-effects regression models.

Results Overall direct effects of safety on physical activity were not found, with one exception. Seven interactions were found in each sample. Interactions were found for all physical activity outcomes, although total moderate to vigorous physical activity was involved in more interactions in adults than older adults. Half of the interactions revealed significant positive relations of pedestrian and traffic safety to physical activity in the more affluent/advantaged group (i.e., high education, high income, and non-Hispanic white) and null associations in the less affluent/advantaged group. Race/ethnicity was a moderator only in older adults. One-third of the interactions involved gender; half of these involved crime safety. Interactions involving crime safety showed nonsignificant positive trends in the more affluent/advantaged group and women and nonsignificant negative trends in the less affluent/advantaged group and men.

Conclusions Sociodemographic moderators of neighborhood safety explained some of the variation in adults’ and older adults’ physical activity. Patterns suggested positive associations between safety and physical activity in participants with more affluent/advantaged sociodemographic characteristics, although some patterns were inconsistent, particularly for gender. More refined conceptualizations and measures of safety are needed to understand if and how these constructs influence physical activity.

1Department of Family and Preventive Medicine, University of California, San Diego, CA; 2Department of Pediatrics and Psychiatry, Seattle Children’s Research Institute and University of Washington, Seattle, WA; 3Department of Community and Regional Planning, University of British Columbia, Vancouver BC, CANADA; and 4Department of Health Research and Policy, Stanford University, Stanford, CA

Address for correspondence: Jordan A. Carlson, PhD, Family and Preventive Medicine, University of California, San Diego, 3900 5th Ave. Suite 310, San Diego, CA 92103 USA; E-mail: jacarlson@ucsd.edu.

Submitted for publication August 2013.

Accepted for publication December 2013.

© 2014 American College of Sports Medicine