The linkage of perceived neighbourhood environmental safety with travel-time and leisure-time physical activity in adults

Main Article Content

Noor Hashimah Hashim Lim
Rosita Jamaluddin
M. Rafee Majid
Teh Bor Tsong
Nurdiyana Zainal Abidin
Liyana Hasnan
Linda Shafarina Hassan

Abstract





Background


Having the highest obesity prevalence and physical inactivity among its South East Asian counterparts, it is important for Malaysia to understand the factors contributing to this epidemic. Because low neighbourhood safety is linked to physical inactivity, the objective of this study was to explore perceived neighbourhood safety from traffic and crime with its effects on adults’ travel- and leisure-time physical activities.


 


Methods


This cross-sectional study was conducted on 256 adults. Six items on a 4-point Likert scale from the Neighbourhood Environment Walkability Scale (NEWS) and WHO’s GPAQ questionnaires to record weekly minutes of physical activity were used to measure the variables. Forty-three neighbourhoods from Johor Bahru district were categorised into higher and lower socio-economic status by median housing price per square feet. Structural equation modelling (SEM) was used to analyse the data.


 


Results


Among 256 adults, males were found to be more physically active than females. SEM showed that for every 1 unit increase in neighbourhood socioeconomic status, males’ perceived neighbourhood environmental safety increases by 0.23 unit (p=0.006); however, this does not explain their physical activities. For the females, regardless of neighbourhood socioeconomic status, every 1 unit increase in perceived neighbourhood environmental safety from traffic and crime encourages physical activity to increase by 0.47 unit (p=0.006), especially for leisure purposes. Both genders perceived that street lighting at night and pedestrian visibility are important safety features of the neighbourhood environment.


 


Conclusion


The study outcomes facilitate understanding of causal factors of physical activity through perceived neighbourhood environmental safety, especially among females.


 


Keywords: Neighbourhood environment safety, neighbourhood socioeconomic status, physical activity, gender, adult





Article Details

How to Cite
Lim, N. H. H. ., Jamaluddin, R. ., Majid, M. R. ., Tsong, T. B. ., Abidin, N. Z. ., Hasnan, L. ., & Hassan, L. S. . (2024). The linkage of perceived neighbourhood environmental safety with travel-time and leisure-time physical activity in adults. Universa Medicina, 43(2), 170–178. https://doi.org/10.18051/UnivMed.2024.v43.170-178
Section
Original Articles

References

Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020;54:1451–62. doi: 10.1136/bjsports-2020-102955.

Bista B, Dhimal M, Bhattarai S, et al. Prevalence of non-communicable diseases risk factors and their determinants: results from STEPS survey 2019, Nepal. PloS One 2021;16:e0253605. doi: 10.1371/journal.pone.0253605.

Cai Lian T, Bonn G, Si Han Y, Chin Choo Y, Chee Piau W. Physical activity and its correlates among adults in Malaysia: a cross-sectional descriptive study. PLoS One 2016;11:e0157730. doi: 10.1371/journal.pone.0157730.

Kepper MM, Myers CA, Denstel KD, Hunter RF, Guan W, Broyles ST. The neighborhood social environment and physical activity: a systematic scoping review. Int J Behav Nutr Phys Act 2019;16:1-4. doi: 10.1186/s12966-019-0873-7.

Cerin E, Nathan A, Van Cauwenberg J, Barnett DW, Barnett A, & Council on Environment and Physical Activity (CEPA)–Older Adults working group. The neighbourhood physical environment and active travel in older adults: a systematic review and meta-analysis. Int J Behav Nutr Phys Act 2017;14:1-23. doi: 10.1186/s12966-017-0471-5.

Dixon BN, Ugwoaba UA, Brockmann AN, Ross KM. Associations between the built environment and dietary intake, physical activity, and obesity: a scoping review of reviews. Obes Rev 2021;22:e13171. doi: 10.1111/obr.13171.

Rhodes RE, Janssen I, Bredin SS, Warburton DE, Bauman A. Physical activity: health impact, prevalence, correlates and interventions. Psychol Health 2017;32:942-75. doi: 10.1080/08870446.2017.1325486.

Loh VH, Veitch J, Salmon J, et al. Built environment and physical activity among adolescents: the moderating effects of neighborhood safety and social support. Int J Behav Nutr Phys Act 2019;16:1-8. doi: 10.1186/s12966-019-0898-y

Zhang R, Wulff H, Duan Y, Wagner P. Associations between the physical environment and park-based physical activity: a systematic review. J Sport Health Sci 2019;8:412-21. doi: 10.1016/j.jshs.2018.11.002.

Rees-Punia E, Hathaway ED, Gay JL. Crime, perceived safety, and physical activity: a meta-analysis. Prev Med 2018;111:307-13. doi: 10.1016/j.ypmed.2017.11.017.

Zuniga-Teran AA, Stoker P, Gimblett RH, et al. Exploring the influence of neighborhood walkability on the frequency of use of greenspace. Landscape Urban Plan 2019;190:103609. doi: 10.1016/j.landurbplan.2019.103609.

Salvo G, Lashewicz BM, Doyle-Baker PK, McCormack GR. Neighbourhood built environment influences on physical activity among adults: a systematized review of qualitative evidence. Int J Environ Res Public Health 2018;15:897. doi: 10.3390/ijerph15050897.

Elshahat S, O’Rorke M, Adlakha D. Built environment correlates of physical activity in low-and middle-income countries: a systematic review. PloS One 2020;15:e0230454. doi: 10.1371/journal.pone.0230454.

Saelens BE, Handy SL. Built environment correlates of walking: a review. Med Sci Sports Exerc 2008;40(7 Suppl):S550-66. doi: 10.1249/MSS.0b013e31817c67a4.

Sasaki S, Sato A, Tanabe Y, et al. Associations between socioeconomic status, social participation, and physical activity in older people during the COVID-19 pandemic: a cross-sectional study in a northern Japanese city. Int J Environ Res Public Health 2021;18:1477. doi: 10.3390/ijerph18041477.

Sallis JF, Cerin E, Conway TL, et al. Physical activity in relation to urban environments in 14 cities worldwide: a cross-sectional study. Lancet 2016;387:2207-17. doi: 10.1016/S0140-6736(15)01284-2.

Tcymbal A, Demetriou Y, Kelso A, et al. Effects of the built environment on physical activity: a systematic review of longitudinal studies taking sex/gender into account. Environ Health Prev Med 2020;25:1-25. doi: 10.1186/s12199-020-00915-z.

Rosselli M, Ermini E, Tosi B, et al. Gender differences in barriers to physical activity among adolescents. Nutr Metab Cardiovasc Dis 2020;30:1582-9. doi: 10.1016/j.numecd.2020.05.005.

Maier SL, DePrince BT. College students’ fear of crime and perception of safety: The influence of personal and university prevention measures. J Criminal Justice Educ 2020;31:63-81. doi: 10.1080/10511253.2019.1656757.

Cheah YK, Tan AK. Determinants of leisure-time physical activity: evidence from Malaysia. Singapore Econ Rev 2014;59:1450017. doi: 10.1142/s0217590814500179.

Syed Nor SF, Idris IB, Md Isa Z. Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia. BMC Public Health 2022;22:1-12. doi: 10.1186/s12889-022-12513-5.

Wang L, Wen C. The relationship between the neighborhood built environment and active transportation among adults: a systematic literature review. Urban Sci 2017;27:29. doi: 10.3390/urbansci1030029

Wolf EJ, Harrington KM, Clark SL, Miller MW. Sample size requirements for structural equation models: An evaluation of power, bias and solution propriety. Educ Psychol Meas 2013;76:913-4. doi: 10.1177/0013164413495237.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Earlbaum Associates; 1988.

Saelens BE, Sallis JF, Black JB, Chen D. Neighborhood-based differences in physical activity: an environment scale evaluation. Am J Public Health 2003;93:1552-8.

Wan Abdul Manan WA, Lee YY. Reliability and validity of the neighbourhood environment walkability scale (NEWS)–Malay version. Int J Public Health Clin Sci 2018;5:65-82.

Cerin E, Macfarlane DJ, Ko HH, Chan KC. Measuring perceived neighbourhood walkability in Hong Kong. Cities 2007;24:209-17.

Adlakha D, Hipp JA, Brownson RC. Adaptation and evaluation of the neighborhood environment walkability scale in India (NEWS-India). Int J Environ Res Public Health 2016;13:401. doi: 10.3390/ijerph13040401.

Brickz Research. Discover actual transacted sub-sale property prices; 2024.

Institute for Public Health (IPH). National health and morbidity survey 2019 (NHMS 2019). Vol. II: Non-communicable diseases, risk factors and other health problems. Kuala Lumpur: Ministry of Health Malaysia; 2019.

Ackaah W, Apuseyine BA, Afukaar FK. Road traffic crashes at night-time: characteristics and risk factors. Int J Inj Contr Saf Promot 2020;27:392-9. doi: 10.1080/17457300.2020.1785508.

Rahm J, Sternudd C, Johansson M. “In the evening, I don’t walk in the park”: The interplay between street lighting and greenery in perceived safety. Urban Des Int 2021;26:42-52. doi: 10.1057/s41289-020-00134-6.

Shariati A. Crime prevention through environmental design (CPTED) and its potential for campus safety: a qualitative study. Secur J 2022;35:1198-219. doi: 10.1057/s41284-021-00322-1.

Lim NHH, Majid MR, Zainol R, Teh BT. Pathways of neighbourhood obesogenic environment during COVID-19: impacts and way forward. Planning Malaysia 2022;20:340-51. doi: 10.21837/pm.v20i24.1210.