Characteristics associated with willingness to walk further than necessary to the bus stop: Insights for public transport-related physical activity
Introduction
Insufficient physical activity is the fourth leading risk factor for global mortality (attributed to 6% of deaths). It causes an estimated 6% of the global burden of disease from coronary heart disease, 7% from type 2 diabetes, 10% from breast cancer, and 10% from colon cancer (Lee et al., 2012; World Health Organization, 2009, 2010). Globally, an estimated 31% of people aged 15 and over are physically inactive (Hallal et al., 2012), with Australian estimates suggesting only 30% of children aged 2–17 and 44% of adults aged 18+ years meet the Australian Physical Activity and Sedentary Behaviour guidelines which align well with World Health Organization guidelines (Australian Institute of Health and Welfare, 2018; Bull et al., 2020).
Public transport-related physical activity is physical activity undertaken to get to or from public transport. This most commonly involves walking or cycling. The use of public transport usually involves some active commuting (e.g., walking between a destination and stop/station) (Bassett Jr, 2011; Buehler et al., 2016; Lachapelle and Pinto, 2016; Renne, 2005; Rissel et al., 2012; Voss et al., 2015). Public transport use is associated with greater physical activity (Besser and Dannenberg, 2005; Lachapelle and Pinto, 2016; Patterson et al., 2018; Renne, 2005; Rissel et al., 2012, 2013; Voss et al., 2015); an English representative study of travel diaries indicated public transport users accumulated 20.5 min of physical activity per day (16.5 min for bus users) (Patterson et al., 2018), and a systematic review estimated public transport use was associated with an extra 8–33 min of walking per day compared to using private transport only (Rissel et al., 2012). Public transport-related physical activity likely confers health benefits, with one systematic review finding a consistent association between public transport use and lower adiposity, although few studies have investigated non-adiposity cardiometabolic outcomes (Patterson et al., 2019). Public health messages also encourage public transport users to walk further than necessary to/from distant public transport stops/stations to accumulate more physical activity. However, our work in a regional capital city of Australia suggests that very few public transport users engage in this behaviour (Ragaini et al., 2020), and while those who did were more physically active, no sociodemographic correlates could be identified and it was unclear how much further people were willing to walk to the bus stop. This information would be useful for informing both public health and public transport strategies.
Given the health benefits of physical activity, and the potential for public transport-related physical activity to confer health benefits, there is a need to understand public transport users’ willingness to walk further to stops/stations, the distance they are willing to walk and the characteristics associated with this willingness. This information may be used to inform appropriate and effective public health and public transport messaging and promotion strategies. This study aimed to: (i) determine the socio-demographic and transport behaviour characteristics associated with willingness to walk further to the bus stop among public transport users; and (ii) among those willing to walk further to their usual bus stop, determine the socio-demographic and transport behaviour characteristics associated with distance willing to walk further to their usual bus stop.
Section snippets
Methods
All procedures were performed in compliance with relevant laws and institutional guidelines and the appropriate institutional committee(s) have approved them. The Tasmanian Health and Medical Human Research Ethics Committee approved this study on July 20, 2019 (reference number: H0018234).
Results
Table 1 describes the socio-demographic and transport behaviour characteristics of bus passengers in 2015, 2016 and 2017. Compared to the Tasmanian general population, the samples were similar in terms of the proportion living in Hobart (70–75% vs. 65% according to 2016 census data), Launceston (17–20% vs. 28%) and Burnie (8–11% vs. 7%), but were younger (60% age 14–24 in 2017 and 23% 16–24 in 2015–2016 vs. 15%), comprised a lower percentage of people working/employed (39–40% in 2015–2016 and
Discussion
The results of this study show that most bus passengers walk to their bus stop, and approximately half of bus passengers were willing to walk further to their usual bus stop if frequency was improved. This demonstrates important public health potential as a source of physical activity. Passengers were prepared to walk an average of 265 m – approximately 4 min walking time – further to their bus stop if bus service frequency was improved. On average across all bus passengers, the extra distance
CRediT authorship contribution statement
Oliver Stanesby: Formal analysis, Data curation, Writing – original draft, Writing – review & editing, Visualization. Megan Morse: Investigation, Resources, Data curation, Writing – review & editing, Project administration, Supervision, Funding acquisition. Lexie Magill: Investigation, Resources, Data curation, Writing – review & editing, Project administration, Supervision, Funding acquisition. Kylie Ball: Conceptualization, Writing – review & editing. Leigh Blizzard: Conceptualization,
Declaration of competing interest
MM and LM were employees of Metro Tasmania during the period this work was conducted. They each contributed to the interpretation of results and provided critical revision of the manuscript prior to submission, but were not involved in the development of the study aims or analytic processes.
Acknowledgments
This work was supported by a Partnership Project grant from the National Health and Medical Research Council Australia (1152999) and Metro Tasmania, the Tasmanian Department of Health, and the Local Government Association of Tasmania. VC is supported by a National Heart Foundation of Australia Future Leader Fellowship (100444). We acknowledge the partnership of Metro Tasmania, the Tasmanian Department of Health, and the Local Government Association of Tasmania in conducting this work. This work
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