Association of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS)

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dc.contributor.authorShoham, David A
dc.contributor.authorDugas, Lara R
dc.contributor.authorBovet, Pascal
dc.contributor.authorForrester, Terrence E
dc.contributor.authorLambert, Estelle V
dc.contributor.authorPlange-Rhule, Jacob
dc.contributor.authorSchoeller, Dale A
dc.contributor.authorBrage, Soren
dc.contributor.authorEkelund, Ulf
dc.contributor.authorDurazo-Arvizu, Ramon A
dc.contributor.authorCooper, Richard S
dc.contributor.authorLuke, Amy
dc.coverage.spatialGhanaen_ZA
dc.coverage.spatialSouth Africaen_ZA
dc.coverage.spatialSeychellesen_ZA
dc.coverage.spatialJamaicaen_ZA
dc.coverage.spatialUnited Statesen_ZA
dc.date.accessioned2015-04-01T06:23:38Z
dc.date.available2015-04-01T06:23:38Z
dc.date.issued2015-02-21
dc.date.updated2015-03-13T19:02:25Z
dc.description.abstractBackground: Variations in physical activity (PA) across nations may be driven by socioeconomic position. As national incomes increase, car ownership becomes within reach of more individuals. This report characterizes associations between car ownership and PA in African-origin populations across 5 sites at different levels of economic development and with different transportation infrastructures: US, Seychelles, Jamaica, South Africa, and Ghana. Methods: Twenty-five hundred adults, ages 25–45, were enrolled in the study. A total of 2,101 subjects had valid accelerometer-based PA measures (reported as average daily duration of moderate to vigorous PA, MVPA) and complete socioeconomic information. Our primary exposure of interest was whether the household owned a car. We adjusted for socioeconomic position using household income and ownership of common goods. Results: Overall, PA levels did not vary largely between sites, with highest levels in South Africa, lowest in the US. Across all sites, greater PA was consistently associated with male gender, fewer years of education, manual occupations, lower income, and owning fewer material goods. We found heterogeneity across sites in car ownership: after adjustment for confounders, car owners in the US had 24.3 fewer minutes of MVPA compared to non-car owners in the US (20.7 vs. 45.1 minutes/day of MVPA); in the non-US sites, car-owners had an average of 9.7 fewer minutes of MVPA than non-car owners (24.9 vs. 34.6 minutes/day of MVPA). Conclusions: PA levels are similar across all study sites except Jamaica, despite very different levels of socioeconomic development. Not owning a car in the US is associated with especially high levels of MVPA. As car ownership becomes prevalent in the developing world, strategies to promote alternative forms of active transit may become important.en_ZA
dc.identifier.apacitationShoham, D. A., Dugas, L. R., Bovet, P., Forrester, T. E., Lambert, E. V., Plange-Rhule, J., ... Luke, A. (2015). Association of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS). <i>BMC Public Health</i>, http://hdl.handle.net/11427/12625en_ZA
dc.identifier.chicagocitationShoham, David A, Lara R Dugas, Pascal Bovet, Terrence E Forrester, Estelle V Lambert, Jacob Plange-Rhule, Dale A Schoeller, et al "Association of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS)." <i>BMC Public Health</i> (2015) http://hdl.handle.net/11427/12625en_ZA
dc.identifier.citationShoham, David A.; Dugas, Lara R.; Bovet, Pascal; Forrester, Terrence E.; Lambert, Estelle V.; Plange-Rhule, Jacob; Schoeller, Dale A.; Brage, Soren; Ekelund, Ulf; Durazo-Arvizu, Ramon A.; Cooper, Richard S. and Luke, Amy (2015) Association of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS). BMC Public Health. 15(1):173-183.en_ZA
dc.identifier.ris TY - Journal Article AU - Shoham, David A AU - Dugas, Lara R AU - Bovet, Pascal AU - Forrester, Terrence E AU - Lambert, Estelle V AU - Plange-Rhule, Jacob AU - Schoeller, Dale A AU - Brage, Soren AU - Ekelund, Ulf AU - Durazo-Arvizu, Ramon A AU - Cooper, Richard S AU - Luke, Amy AB - Background: Variations in physical activity (PA) across nations may be driven by socioeconomic position. As national incomes increase, car ownership becomes within reach of more individuals. This report characterizes associations between car ownership and PA in African-origin populations across 5 sites at different levels of economic development and with different transportation infrastructures: US, Seychelles, Jamaica, South Africa, and Ghana. Methods: Twenty-five hundred adults, ages 25–45, were enrolled in the study. A total of 2,101 subjects had valid accelerometer-based PA measures (reported as average daily duration of moderate to vigorous PA, MVPA) and complete socioeconomic information. Our primary exposure of interest was whether the household owned a car. We adjusted for socioeconomic position using household income and ownership of common goods. Results: Overall, PA levels did not vary largely between sites, with highest levels in South Africa, lowest in the US. Across all sites, greater PA was consistently associated with male gender, fewer years of education, manual occupations, lower income, and owning fewer material goods. We found heterogeneity across sites in car ownership: after adjustment for confounders, car owners in the US had 24.3 fewer minutes of MVPA compared to non-car owners in the US (20.7 vs. 45.1 minutes/day of MVPA); in the non-US sites, car-owners had an average of 9.7 fewer minutes of MVPA than non-car owners (24.9 vs. 34.6 minutes/day of MVPA). Conclusions: PA levels are similar across all study sites except Jamaica, despite very different levels of socioeconomic development. Not owning a car in the US is associated with especially high levels of MVPA. As car ownership becomes prevalent in the developing world, strategies to promote alternative forms of active transit may become important. DA - 2015-02-21 DB - OpenUCT DO - 10.1186/s12889-015-1435-9 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Association of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS) TI - Association of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS) UR - http://hdl.handle.net/11427/12625 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/12625
dc.identifier.urihttp://dx.doi.org/10.1186/s12889-015-1435-9
dc.identifier.vancouvercitationShoham DA, Dugas LR, Bovet P, Forrester TE, Lambert EV, Plange-Rhule J, et al. Association of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS). BMC Public Health. 2015; http://hdl.handle.net/11427/12625.en_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentDepartment of Human Biologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderShoham et al.; licensee BioMed Central.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherPhysical activityen_ZA
dc.subject.otherSocioeconomic statusen_ZA
dc.subject.otherAfrican Americanen_ZA
dc.subject.otherAfrican populationsen_ZA
dc.subject.otherAutomobile ownershipen_ZA
dc.titleAssociation of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS)en_ZA
dc.typeJournal Articleen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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