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      GIS-modelled built-environment exposures reflecting daily mobility for applications in child health research

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          Abstract

          Background

          Inaccurately modelled environmental exposures may have important implications for evidence-based policy targeting health promoting or hazardous facilities. Travel routes modelled using GIS generally use shortest network distances or Euclidean buffers to represent journeys with corresponding built-environment exposures calculated along these routes. These methods, however, are an unreliable proxy for calculating child built-environment exposures as child route choice is more complex than shortest network routes.

          Methods

          We hypothesised that a GIS model informed by characteristics of the built-environment known to influence child route choice could be developed to more accurately model exposures. Using GPS-derived walking commutes to and from school we used logistic regression models to highlight built-environment features important in child route choice (e.g. road type, traffic light count). We then recalculated walking commute routes using a weighted network to incorporate built-environment features. Multilevel regression analyses were used to validate exposure predictions to the retail food environment along the different routing methods.

          Results

          Children chose routes with more traffic lights and residential roads compared to the modelled shortest network routes. Compared to standard shortest network routes, the GPS-informed weighted network enabled GIS-based walking commutes to be derived with more than three times greater accuracy (38%) for the route to school and more than 12 times greater accuracy (92%) for the route home.

          Conclusions

          This research advocates using weighted GIS networks to accurately reflect child walking journeys to school. The improved accuracy in route modelling has in turn improved estimates of children’s exposures to potentially hazardous features in the environment. Further research is needed to explore if the built-environment features are important internationally. Route and corresponding exposure estimates can be scaled to the population level which will contribute to a better understanding of built-environment exposures on child health and contribute to mobility-based child health policy.

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          Most cited references32

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          GPS tracking in neighborhood and health studies: a step forward for environmental exposure assessment, a step backward for causal inference?

          Recent studies have relied on GPS tracking to assess exposure to environmental characteristics over daily life schedules. Combining GPS and GIS allows for advances in environmental exposure assessment. However, biases related to selective daily mobility preclude assessment of environmental effects, to the extent that these studies may represent a step backward in terms of assessment of causal effects. A solution may be to integrate the Public health / Nutrition approach and the Transportation approach to GPS studies, so as to combine a GPS and accelerometer data collection with an electronic mobility survey. Correcting exposure measures and improving study designs with this approach may permit mitigating biases related to selective daily mobility. Copyright © 2013 Elsevier Ltd. All rights reserved.
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            Environmental correlates of children's active transportation: a systematic literature review.

            This systematic review investigated the environmental (physical, economic, socio-cultural and political) correlates of active transportation (AT) among young people aged 5-18 years to better inform the promotion of active living. Greater distance, increasing household income and increasing car ownership are consistently associated with lower rates of AT among children. Having a non-white ethnic background has a convincing positive association with AT. Having recreation facilities and walk or bike paths present are possibly associated with higher rates of AT. Further research requires longitudinal and intervention studies, utilizing multi-level design methodologies and objective measures of environmental attributes.
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              Associations of children's independent mobility and active travel with physical activity, sedentary behaviour and weight status: a systematic review.

              Health benefits from children's independent mobility and active travel beyond school travel are largely unexplored. This review synthesized the evidence for associations of independent mobility and active travel to various destinations with physical activity, sedentary behaviour and weight status. Systematic review. A systematic search in six databases (PubMed, Scopus, CINAHL, SportDiscus, PsychInfo, TRIS) for papers published between January 1990 and March 2012 was undertaken, focussing on children aged 3-18 years. Study inclusion and methodological quality were independently assessed by two reviewers. 52 studies were included. Most studies focussed solely on active travel to and/or from school, and showed significant positive associations with physical activity. The same relationship was detected for active travel to leisure-related places and independent mobility with physical activity. An inverse relationship between active travel to school and weight status was evident but findings were inconsistent. Few studies examined correlations between active travel to school and self-reported screen-time or objectively measured sedentary behaviour, and findings were unclear. Studies on independent mobility suggested that children who have the freedom to play outdoors and travel actively without adult supervision accumulate more physical activity than those who do not. Further investigation of children's active travel to leisure-related destinations, measurement of diverse sedentary behaviour beyond simply screen-based activities, and consistent thresholds for objectively measured sedentary behaviour in children will clarify the inconsistent evidence base on associations of active travel with sedentary behaviour and weight status. Copyright © 2012 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.
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                Author and article information

                Contributors
                a.r.mizen@swansea.ac.uk
                Journal
                Int J Health Geogr
                Int J Health Geogr
                International Journal of Health Geographics
                BioMed Central (London )
                1476-072X
                10 April 2020
                10 April 2020
                2020
                : 19
                : 12
                Affiliations
                [1 ]GRID grid.4827.9, ISNI 0000 0001 0658 8800, Health Data Research UK (HDR-UK), Data Science Building, , Swansea University, ; Swansea, SA2 8PP UK
                [2 ]GRID grid.4827.9, ISNI 0000 0001 0658 8800, National Centre for Population Health and Wellbeing Research, , Swansea University Medical School, ; Swansea, SA2 8PP UK
                [3 ]GRID grid.10025.36, ISNI 0000 0004 1936 8470, Institute of Population Health Sciences, , University of Liverpool, ; Liverpool, L69 3BX UK
                Author information
                http://orcid.org/0000-0001-7516-6767
                Article
                208
                10.1186/s12942-020-00208-2
                7147039
                32276644
                c78aef10-9723-4f61-af90-5fd436c6492c
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 17 December 2019
                : 1 April 2020
                Funding
                Funded by: The Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
                Award ID: MR/KO232331/1
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2020

                Public health
                environmental exposure,child health,walking,daily mobility,school commute,weighted network

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