Pathways from Built Environment to Health Care Costs: Linking Objectively Measured Built Environment with Physical Activity and Health Care Expenditures

IF 5.2 2区 心理学 Q1 ENVIRONMENTAL STUDIES Environment and Behavior Pub Date : 2022-04-01 DOI:10.1177/00139165221083291
Behram Wali, L. Frank, D. Young, B. Saelens, R. Meenan, J. Dickerson, Erin M. Keast, J. Kuntz, S. Fortmann
{"title":"Pathways from Built Environment to Health Care Costs: Linking Objectively Measured Built Environment with Physical Activity and Health Care Expenditures","authors":"Behram Wali, L. Frank, D. Young, B. Saelens, R. Meenan, J. Dickerson, Erin M. Keast, J. Kuntz, S. Fortmann","doi":"10.1177/00139165221083291","DOIUrl":null,"url":null,"abstract":"Evidence connecting health care expenditures with physical activity and built environment is rare. We examined how detailed urban form relates to mode specific moderate-to-vigorous physical activity (MVPA) and health care costs—controlling for transit access, residential choices/preferences, sociodemographic factors. We harness high resolution data for 476 participants in the Rails and Health study on health care costs, mode specific MVPA, parcel-level built environment, and neighborhood perception surveys. To account for dependencies among outcomes, structural equation modeling framework is used. A 1% increase in bike, walk, and transit-related MVPA was associated with lower health care costs by −0.28%, −0.09%, and −0.27% respectively. A one-unit increase in neighborhood walkability index correlates with a 6.48% reduction in health care costs. Indirect associations between residential choices, attitudes, and health outcomes through MVPA were also observed. The results suggest the potential to alter behaviors and lower health care costs through retrofitting neighborhoods.","PeriodicalId":48374,"journal":{"name":"Environment and Behavior","volume":null,"pages":null},"PeriodicalIF":5.2000,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Environment and Behavior","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1177/00139165221083291","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENVIRONMENTAL STUDIES","Score":null,"Total":0}
引用次数: 7

Abstract

Evidence connecting health care expenditures with physical activity and built environment is rare. We examined how detailed urban form relates to mode specific moderate-to-vigorous physical activity (MVPA) and health care costs—controlling for transit access, residential choices/preferences, sociodemographic factors. We harness high resolution data for 476 participants in the Rails and Health study on health care costs, mode specific MVPA, parcel-level built environment, and neighborhood perception surveys. To account for dependencies among outcomes, structural equation modeling framework is used. A 1% increase in bike, walk, and transit-related MVPA was associated with lower health care costs by −0.28%, −0.09%, and −0.27% respectively. A one-unit increase in neighborhood walkability index correlates with a 6.48% reduction in health care costs. Indirect associations between residential choices, attitudes, and health outcomes through MVPA were also observed. The results suggest the potential to alter behaviors and lower health care costs through retrofitting neighborhoods.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
从建筑环境到医疗成本的途径:将客观测量的建筑环境与体育活动和医疗支出联系起来
将卫生保健支出与体育活动和建筑环境联系起来的证据很少。我们研究了详细的城市形态如何与模式特定的中高强度体育活动(MVPA)和医疗保健成本控制(交通通道、居住选择/偏好、社会人口因素)相关。我们利用railsand Health研究中476名参与者的高分辨率数据,包括医疗保健成本、特定模式的MVPA、包裹级建筑环境和社区感知调查。为了考虑结果之间的依赖关系,使用了结构方程建模框架。自行车、步行和交通相关的MVPA每增加1%,医疗保健成本分别降低0.28%、0.09%和0.27%。社区步行指数每增加一个单位,医疗保健成本就会降低6.48%。通过MVPA还观察到居住选择、态度和健康结果之间的间接关联。研究结果表明,通过改造社区,有可能改变人们的行为,降低医疗成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
13.30
自引率
1.80%
发文量
13
期刊介绍: Environment & Behavior is an interdisciplinary journal designed to report rigorous experimental and theoretical work focusing on the influence of the physical environment on human behavior at the individual, group, and institutional levels.
期刊最新文献
Cross-Cultural Applications of the New Ecological Paradigm in Protected Area Contexts Evidence on the Effectiveness-Acceptance Trade-Off Between Forced Active Choice and Default Nudging: A Field Study to Reduce Meat Consumption in Cafeterias Ecological Dominance Orientation as a predictor of Wildlife Value Orientations and Support for Lethal Wildlife Management Psychosocial Determinants of Lyme Disease Preventive Behavior Among Outdoor Recreationists Spatial Optimism and Cross-Over Effects in the Perceptions of Interconnected Wildfire, Flood, and Mudslide Hazards
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1