Environmental conditions around itineraries to destinations as correlates of walking for transportation among adults: the RECORD cohort study.
BACKGROUND
Assessing the contextual factors that influence walking for transportation is important to develop more walkable environments and promote physical activity. To advance previous research focused on residential environments and overall walking for transportation, the present study investigates objective environmental factors assessed around the residence, the workplace, the home--work itinerary, and the home--supermarket itinerary, and considered overall walking for transportation but also walking to work and to shops.


METHODS
Data from the RECORD Study involving 7290 participants recruited in 2007-2008, aged 30-79 years, and residing in the Paris metropolitan area were analyzed. Multilevel ordinal regression analyses were conducted to investigate environmental characteristics associated with self-reported overall walking for transportation, walking to work, and walking to shops.


RESULTS
High individual education was associated with overall walking for transportation, with walking to work, and walking to shops. Among workers, a high residential neighborhood education was associated with increased overall walking for transportation, while a high workplace neighborhood education was related to an increased time spent walking to work. The residential density of destinations was positively associated with overall walking for transportation, with walking to work, and with walking to shops, while the workplace density of destinations was positively associated with overall walking for transportation among workers. Environmental factors assessed around the itineraries were not associated with walking to work or to the shops.


CONCLUSIONS
This research improves our understanding of the role of the environments on walking for transportation by accounting for some of the environments visited beyond the residential neighborhood. It shows that workers' walking habits are more influenced by the density of destinations around the workplace than around the residence. These results provide insight for the development of policies and programs to encourage population level active commuting.
Inserm, U707, Paris, France; Université Pierre et Marie Curie-Paris6, UMR-S 707, Paris, France.
Noëlla
N
Karusisi
Centre d'Investigations Préventives et Cliniques, Paris, France.
Frédérique
F
Thomas
Inserm, U707, Paris, France; Université Pierre et Marie Curie-Paris6, UMR-S 707, Paris, France.
Julie
J
Méline
Inserm, U707, Paris, France; Université Pierre et Marie Curie-Paris6, UMR-S 707, Paris, France.
Ruben
R
Brondeel
Inserm, U707, Paris, France; Université Pierre et Marie Curie-Paris6, UMR-S 707, Paris, France.
Basile
B
Chaix
D000328:Adult; D000368:Aged; D015331:Cohort Studies; D004779:Environment Design / Q000639:trends*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010297:Paris; D012111:Residence Characteristics; D057566:Self Report; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014186:Transportation; D014505:Urban Population; D016138:Walking / Q000502:physiology / Q000523:psychology*; D017132:Workplace