Abstract
Objectives
In Canada, students are increasingly reliant on motorized vehicles to commute to school, and few meet the recommended overall physical activity guidelines. Infrastructure and built environments around schools may promote active commuting to and from school, thereby increasing physical activity. To date, few Canadian studies have examined this research question.
Methods
This study is a cross-sectional analysis of 11,006 students, aged 11–20, who participated in the 2016/2017 Ontario Student Drug Use and Health Survey. The remote sensing-derived Normalized Difference Vegetation Index (NDVI), at a buffer of 500 m from the schools’ locations, was used to characterize greenness, while the 2016 Canadian Active Living Environments (Can-ALE) measure was used for walkability. Students were asked about their mode of regular commuting to school, and to provide information on several socio-demographic variables. Multivariable logistic regression models were used to quantify associations between active commuting and greenness and the Can-ALE. The resulting odds ratios, and their 95% confidence intervals, were adjusted for a series of risk factors that were collected from the survey.
Results
Overall, 21% of students reported active commuting (biking or walking) to school, and this prevalence decreased with increasing age. Students whose schools had higher Can-ALE scores were more likely to be active commuters. Specifically, the adjusted odds ratio (OR) of being an active commuter for schools in the highest quartile of the Can-ALE was 2.11 (95% CI = 1.64, 2.72) when compared with those in the lowest. For children, aged 11–14 years, who attended schools in high dwelling density areas, a higher odds of active commuting was observed among those in the upper quartile of greenness relative to the lowest (OR = 1.41; 95% CI = 0.92, 2.15). In contrast, for lower dwelling density areas, greenness was inversely associated with active commuting across all ages.
Conclusion
Our findings suggest that students attending schools with higher Can-ALE scores are more likely to actively commute to school, and that positive impacts of greenness on active commuting are evident only in younger children in more densely populated areas. Future studies should collect more detailed data on residential measures of the built environment, safety, distance between home and school, and mixed modes of commuting behaviours.
Electronic supplementary material
The online version contains supplementary material available at 10.17269/s41997-020-00440-0.
Keywords: Active commuting, Youth, Greenness, Active living environments, Survey
Résumé
Objectifs
Au Canada, les élèves comptent de plus en plus sur les véhicules à moteur pour faire le trajet entre la maison et l’école, et ils sont peu nombreux à avoir des niveaux d’activité physique globaux conformes aux recommandations des lignes directrices. Les infrastructures et les milieux bâtis autour des écoles pourraient promouvoir les déplacements actifs entre la maison et l’école, faisant ainsi augmenter l’activité physique. Jusqu’à maintenant toutefois, très peu d’études canadiennes ont examiné cette question de recherche.
Méthode
La présente étude est une analyse transversale de 11 006 élèves de 11 à 20 ans ayant participé au Sondage sur la consommation de drogues et la santé des élèves de l’Ontario en 2016-2017. L’indice de végétation par différence normalisée (IVDN) dérivé par télédétection, utilisé dans un rayon de 500 m des établissements scolaires, a servi à caractériser la verdure, et l’indice d’accessibilité à la vie active dans les milieux de vie au Canada (AVA-Can) a servi à caractériser la marchabilité. Les élèves ont répondu à une question sur leur mode de transport habituel pour se rendre à l’école et donné des informations sur plusieurs variables sociodémographiques. Des modèles de régression logistique multivariée ont servi à chiffrer les associations entre les déplacements actifs, la verdure et l’AVA-Can. Les rapports de cotes ainsi obtenus, et leurs intervalles de confiance de 95 %, ont été ajustés en fonction d’une série de facteurs de risque retracés dans l’enquête.
Résultats
Dans l’ensemble, 21 % des élèves ont dit utiliser un mode de déplacement actif (vélo ou marche) pour se rendre à l’école, et cette prévalence était inversement liée à l’âge. Les élèves dont les écoles avaient un indice Can-ALE élevé étaient plus susceptibles d’employer un mode de transport actif. Spécifiquement, le rapport de cotes (RC) ajusté pour le fait de se rendre à l’école par un mode de transport actif dans le quartile supérieur de l’indice Can-ALE était de 2,11 (IC de 95 % = 1,64, 2,72) comparativement au quartile inférieur. Pour les enfants (11 à 14 ans) fréquentant des écoles dans des zones à forte densité d’habitation, des probabilités plus élevées de déplacements actifs ont été observées chez ceux du quartile de verdure supérieur que chez ceux du quartile inférieur (RC = 1,41; IC de 95 % = 0,92, 2,15). Par contre, dans les zones à faible densité d’habitation, la verdure étaient inversement associée aux déplacements actifs, à tout âge.
Conclusion
Nos constatations indiquent que les élèves fréquentant des écoles dont l’indice Can-ALE est élevé sont plus susceptibles d’utiliser un mode de déplacement actif pour se rendre à l’école, et que l’effet positif de la verdure n’est manifeste que chez les jeunes enfants, dans les zones urbaines densément peuplées. Les études futures devraient obtenir des données plus détaillées sur les indicateurs résidentiels du milieu bâti, la sécurité, la distance entre la maison et l’école et les modes de déplacement mixtes.
Mots-clés: Déplacements actifs, jeunes, verdure, milieux favorables à une vie active, enquête
Introduction
In Canada, students’ commuting behaviours to school have evolved over the last 25 years and an increasing percentage of students now rely on motorized private vehicles. For example, in the Greater Toronto Area, the percentage of students who walk to school decreased from 53% in 1986 to 42.5% in 2006 among those aged 11–13, and from 38.6% to 30.7% among those aged 14–17 (Buliung et al. 2009). More recent trends are not widely reported; however, the number of students in the Greater Toronto and Hamilton areas who walk to school has decreased from 56% in 1986 to 39% in 2011 among those aged 11–13 and from 36% to 28% among those aged 14–17 (Metrolinx 2015).
Active commuting behaviours, such as walking and biking to school, provide important opportunities for children and youth to incorporate physical activity into their daily routines. Several studies have shown that increased physical activity improves physical and mental health (Warburton et al. 2006), and reduces the risk of developing several chronic diseases (Booth et al. 2012). Despite these benefits, only an estimated 9.3% of Canadian children and youth between the ages of 5 and 17 meet the recommended physical activity guidelines of 60 mins of moderate-to-vigorous physical activity per day (Public Health Agency of Canada 2016).
There are several strategies to promote increased physical activity. From a public health perspective, there has been a recent shift in focus where researchers and policy makers have begun to explore physical activity through a holistic lens by looking at “where we live” (i.e., our environment) rather than just “how we live” (i.e., health choices individuals and communities make) (James et al. 2017; Villeneuve et al. 2018). Creating urban environments with features that include green spaces, wider streets, well-lit sidewalks, parks, and gardens, and proximity to schools, offices, and shops has been shown to promote active commuting among adults (Saelens et al. 2003; Cerin et al. 2017).
A number of studies have assessed the impact of features of the built environment on utilitarian commuting in adults (Wang and Wen 2017; Smith et al. 2017; McCormack et al. 2019). Far fewer studies have explored how the built environment influences active commuting to school in children and youth. Those that have report a higher prevalence of active commuting to school among students who have better access to safe routes (Ewing et al. 2004), shorter routes (Oliver et al. 2014; Macdonald et al. 2019), and better neighboured cohesion (McDonald 2007). Together, these findings suggest that more walkable neighbourhoods may confer important health benefits by increasing physical activity levels in youth.
Ideally, both school and residential measures of the built environment are needed to understand the intricacies of active school commute (Larsen et al. 2009; Carver et al. 2019). Studies of walkability and active commuting to school have mostly relied on residentially based measures (Veitch et al. 2017; Barnett et al. 2019); very few have used both due to the complex nature of study design. One such recent Australian study that used both school and residential measures found that active school commute was associated with higher walkability around both home and school, direct travel, and close proximity to school (Carver et al. 2019). Similarly, a Canadian study reported a higher mix of land use around the school, residential population density, short distance, and being male were positively associated with active school commuting (Larsen et al. 2009). In Canada, publicly funded schools have catchment areas where the proximity of the student’s residence to the school usually determines where they receive their education. Therefore, school and residentially based measures of the built environment share many similarities, particularly in urban areas.
The beneficial effects of greenspaces for physical activity have been reported in children (Bringolf-Isler et al. 2018; Grigsby-Toussaint et al. 2011; Benjamin-Neelon et al. 2019). However, few of these studies investigated associations between green space and active commuting. A Canadian study found that the presence of street trees was positively associated with active school commute (Larsen et al. 2009). In contrast, in the Netherlands studies have found that both subjective (Aarts et al. 2013) and objective measures of greenness (Helbich et al. 2016) were inversely associated with active commuting.
Taken together, previous research suggests that some features of the built environment may encourage active commuting in youth. As youth attend school 5 days a week for 10 months a year, active commuting to school provides an important opportunity for increasing physical activity. Herein, we describe these associations using school-based, rather than residentially based, measures. Evidence-based findings from studies such as ours can support interventions at community levels that may contribute to improved population health.
Materials and methods
Study population and design
This is a cross-sectional study design that used data collected from participants of the Ontario Student Drug Use and Health Survey (OSDUHS). This survey has been conducted biennially since 1977 (Boak et al. 2018). The 2016–2017 OSDUHS survey collected data from 11,435 students (grades 7–12) in 214 publicly funded schools in Ontario between November 2016 and June 2017, using a stratified (region by school) and two-stage (school, class) clustering design. The sampling frame of the survey was designed to be representative of the approximately 1 million students in grades 7–12 in Ontario. The primary aim of the OSDUHS was to assess alcohol and other drug use among students. However, the self-administered questionnaire also collected data for a wide range of topics, including socio-demographics, mental health, physical health, and modes of commute to school (Boak et al. 2018). Sixty-one percent of students who were approached participated in the survey. More detailed information on survey design and data collection has previously been published (CAMH 2020; Boak et al. 2018).
Carleton University’s Research Ethics Board (CUREB) provided ethical approval for this project. The Research Ethics Boards of the Centre for Addiction and Mental Health (CAMH), York University, as well as 31 school board research review committees approved the OSDUHS 2017 protocol (Boak et al. 2018).
Ascertainment of commuting status
Participants were asked “How do you usually travel to school?” and the available response options were (a) by car, van, truck, SUV (as a passenger); (b) by car, van, truck, SUV (as a driver); (c) by school bus; (d) by public bus; (e) by walking; (f) by bicycling; (g) by subway or streetcar; or (h) other. We classified students as active commuters if they indicated that they either walked or cycled to school. Those who indicated that they used motorized transportation methods, such as a car, bus, or public transit, were classified as non-active commuters. Of the 11,435 participants, we were unable to classify the active commuting status of 422 students. Of these, 278 (2.4%) indicated that they used “other” or a “combination” of commuting modes, while the remaining 144 (1.2%) students did not provide a response.
Measures of built environment
The Canadian Active Living Environments (Can-ALE) dataset (Ross et al. 2018) was used to describe the “walkability” for the area around each school. The Can-ALE dataset has been developed for 2006 and 2016 and these metrics have been applied to cross-sectional data (Colley et al. 2019; Lukmanji et al. 2020). We applied the 2016 Can-ALE dataset as it was closest in time to our survey period. The Can-ALE dataset contains active living environment measures for all 56,589 Canadian census dissemination areas (Ross et al. 2018; Herrmann et al. 2019; DMTI Spatial Inc. 2016). Dissemination areas are the smallest reportable census area units and usually contain between 400 and 700 individuals (Statistics Canada 2017). These census-based geographies were used to create Can-ALE scores at a six-character postal code level across Canada (Ross et al. 2018).
The Can-ALE summary score is an aggregate measure of the three component scores for intersection density, dwelling density, and points of interest (Ross et al. 2018). Intersection density was defined as the connectedness of streets and walking paths through a community, captured by the number of three- or more-way intersections within a 1-km buffer from the centroid of a dissemination area. Data for intersection density, including national road networks and spatial data for transport infrastructure, administrative boundaries, and natural and topological features, were derived from Statistics Canada and OpenStreetMap (Ross et al. 2018). Dwelling density was defined as the average dwelling density of the dissemination area based on 2016 census data (Statistics Canada 2016). Points of interest (POIs) (e.g., shops, parks, schools, business, landmarks) were defined as the number of such places within 1-km buffers from the centroid of a dissemination area. Amenity features for this measure were derived from OpenStreetMap (Ross et al. 2018).
For our analyses, we assigned to the participants a school-based measure of greenness by using the Normalized Difference Vegetation Index (NDVI). During photosynthesis, plants prevent overheating by absorbing photosynthetically active radiation and reflecting near-infrared radiation. Characterization of the NDVI is done by measuring the infrared radiation and visible radiation reflected by the plant. The NDVI ranges in value from − 1 (absence of greenness) to 1 (full greenness). These metrics were derived using summertime observations of the NDVI when the cloud cover was less than 10% (Robinson et al. 2017). We used postal code-specific measures of the NDVI for 2016 that were assembled by Canadian Urban Environmental Health Research (CANUE) project (CANUE 2020). NDVI data were collated by CANUE from United States Geological Survey, Landsat 8 satellite via Google Earth Engine (Gorelick et al. 2017; United States Geological Survey 2017; United States Geological Survey 2015). Mean and maximum of annual mean NDVI were calculated at buffer distances of 100 m, 250 m, 500 m, and 1000 m from the school. Our analysis of greenness and active commute was done using a commonly used distance buffer of 500 m (Larsen et al. 2009) which would represent an approximately 15-min walk. Both Can-ALE scores and greenness measures were assigned to the centroid of the six-character postal codes for each school.
Other variables related to active commuting
Our analyses sought to control for a series of covariates that could confound the association between features of the built environment and active commuting. Covariates that were identified from survey responses and included were age, biological sex, ethnicity, region, and the month that the questionnaire was completed. Students were classified into four age groups: 11–12, 13–14, 15–16, and ≥ 17. Ethno-racial background was categorized into a binary variable: Caucasian and other (Asian [Chinese, South Asian, Filipino, Southeast Asian, West Asian/Arab, Korean/Japanese], Black, Indigenous, Latin American, and multiple). We also considered the length of time lived in Canada and living situation (i.e., lives in multiple homes) as potential confounders.
The survey was administered to students at various schools across the province, and a classification variable was created to describe these four areas (Greater Toronto Area, and Northern, Western, and Eastern Ontario). In addition, as active commuting behaviours vary by season, we created a variable that captured whether students completed the survey during the winter/fall (November–February) or spring/summer (March–June).
We also evaluated the role of contextual measures of socio-demographic characteristics on active commuting. Specifically, we modelled the Material and Social Deprivation Index (MSDI), an area-level measure of socio-economic index which is calculated from socio-economic indicators such as neighbourhood income, education, and proportion of single-parent families (Gamache et al. 2017). We adopted a similar approach used in previous analyses by classifying students into five MSDI categories (most deprived, deprived, middle, privileged to most privileged) (Gamache et al. 2017; Pampalon et al. 2012).
Statistical analysis
We first performed descriptive statistics of the survey responses, including tabulations of the number of active commuters across socio-demographic characteristics. Chi-square tests were applied to assess whether there were statistical significance differences in the percentage of active commuters across these characteristics.
As the frequency distributions of Can-ALE scores and greenness were not normally distributed, we used the Kruskal-Wallis method (Leon 1998) to test for differences in the medians across different modes of commuting.
Covariates for the final adjustment models were selected based on their association with both the outcome and the exposure using chi-square tests based on two-sided level of statistical significance (p < 0.05). A generalized estimating equation (GEE) population-averaged model with a binomial family, logit link function and an exchangeable correlation was used to account for possible correlations in the data among students in the same class. These equations were fit with quartile-based measures to describe the association between greenness, Can-ALE scores, and active commuting. Results were further stratified by age and sex.
All analyses were conducted using Stata version 15 (StataCorp LLC, College Station, TX, USA). Graphs were made in Microsoft Excel 2019 (Microsoft Corp., Redmond, WA, USA).
Results
Approximately one fifth (21.1%) of students reported that they actively commuted (walked or biked) to school. Younger students (aged 11–14) reported higher active commute (24.9%) than older students (aged 15–20) (17.4%). School bus (37.6%) and car (35.3%; 30.5% as passenger and 4.8% as driver) were the most commonly reported modes of commuting (Table 1).
Table 1.
Sample characteristics of participants of the 2016–2017 OSDUHS cycle (n = 11,006) by active commuting status
| Commuting status | ||||||
|---|---|---|---|---|---|---|
| Characteristic | Value | Active (n = 2323) | Non-active (n = 8683) | pa | ||
| N | % | N | % | |||
| Age | 11–12 | 435 | 18.7 | 1074 | 12.4 | 0.001 |
| 13–14 | 914 | 39.4 | 2983 | 34.3 | ||
| 15–16 | 643 | 27.7 | 2943 | 33.9 | ||
| 17+ | 331 | 14.2 | 1683 | 19.4 | ||
| Sex | Male | 1128 | 48.6 | 3651 | 42.1 | 0.001 |
| Female | 1195 | 51.4 | 5032 | 57.9 | ||
| Race | Caucasian | 1279 | 55.1 | 5010 | 57.7 | 0.048 |
| Other | 924 | 57.7 | 3287 | 37.9 | ||
| Missing | 120 | 5.2 | 386 | 4.5 | ||
| Years lived in Canada | Have lived all their life in Canada | 1885 | 81.2 | 7299 | 84.1 | 0.001 |
| Have not lived all their life in Canada | 432 | 18.6 | 1378 | 15.9 | ||
| Missing | 6 | 0.3 | 6 | 0.1 | ||
| Living situation | Live only in one home | 7391 | 86.1 | 1905 | 83.1 | 0.001 |
| Split between two homes | 1196 | 13.9 | 388 | 16.9 | ||
| Regionb | Greater Toronto Area | 1103 | 47.5 | 3465 | 39.9 | 0.001 |
| Northern Ontario | 227 | 9.8 | 1209 | 13.9 | ||
| Western Ontario | 476 | 20.5 | 1521 | 17.5 | ||
| Eastern Ontario | 517 | 22.3 | 2488 | 28.6 | ||
| Material and social deprivationc | Most deprived | 432 | 18.6 | 1699 | 19.6 | 0.054 |
| Deprived | 580 | 25.0 | 2222 | 25.6 | ||
| Middle | 381 | 16.4 | 1241 | 14.3 | ||
| Privileged | 345 | 14.9 | 1199 | 13.8 | ||
| Most privileged | 512 | 22.0 | 1993 | 23.0 | ||
| Missing | 73 | 3.1 | 329 | 3.8 | ||
| Month of participation | Nov–Feb | 1388 | 59.7 | 4852 | 55.9 | 0.001 |
| Mar–June | 935 | 40.3 | 3831 | 44.1 | ||
Active commuters are those who responded that they either walk (n = 2213) or bike (n = 110) to school. Non-active commuters are those who took public transit (n = 662), school bus (n = 4133), or travelled in a car (as passenger (n = 3358), as driver (n = 530))
ap value derived from chi-square tests to assess differences in the distribution of each categorical variable between active and non-active commuters
bGreater Toronto Area (GTA) (including Toronto, Durham, York, Peel, and Halton); Northern Ontario (including Parry Sound, Nipissing, and farther north); Western Ontario (including Dufferin County and farther west); and Eastern Ontario (including Simcoe County and farther east)
cThe Material and Social Deprivation Index (MSDI), an area-level measure, was linked to the school address
Regionally, the overall proportion of students who were active commuters was highest in the Greater Toronto Area (24.2%) though the proportion was similar in Western Ontario (23.8%). In Eastern and Northern Ontario, there was higher reliance on automobiles. Graphical distribution of active commute showed students in the least walkable schools (quartile 1) were less likely to actively commute to school (Fig. 1). The proportion of students who were active commuters rose in the first 3 quartiles of Can-ALE index then dropped in the upper quartile (12.2%, 21.1%, 27.7%, and 23.0%). A similar trend was apparent for greenness with the percentage of active commuters across quartiles being 21.4%, 23.9%, 24.4%, and 14.8% (Fig. 1).
Fig. 1.
Percentage of participants who actively commute to school by region, and school-based quartiles of Can-ALE index, NDVI, and dwelling density
Distributional characteristics of measures of greenness and the Can-ALE index, including the mean, median, and standard deviations across different modes of commute, are presented in Table 2. There were statistically significant differences in the median values (p < 0.05) between active and non-active commuters for both Can-ALE (its components) and the NDVI.
Table 2.
Distributional characteristics of school-based measures of the Can-ALE index and NDVI for active and non-active school commuters among participants of the 2016/17 OSDUHS (n = 11,006)
| Mode of transportation to schoolf | n | NDVIa | Intersection densityb | Dwelling densityc | Points of interestd | Can-ALE indexe | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Median | Standard deviation | Median | Standard deviation | Median | Standard deviation | Median | Standard deviation | Median | Standard deviation | ||
| Active commuteg | 2323 | 0.41 | 0.08 | 57.3 | 37.4 | 926.6 | 637.6 | 39.0 | 51.8 | 0.19 | 1.45 |
| Non-active commuteh | 8683 | 0.42 | 0.07 | 43.2 | 42.7 | 730.5 | 680.0 | 34.0 | 62.1 | − 0.38 | 1.70 |
aBased on a 500 m buffer from the school location
bIntersection density—number of ≥ 3-way intersections per square kilometre in the buffer around a dissemination area centroid
cDwelling density—number of dwellings per square kilometre in the buffer around a dissemination area centroid
dPoints of interest—number of points of interest in the buffer around dissemination area centroid
eCan-ALE index—sum of the z scores of intersection density, dwelling density, and points of interest for 2016
fKruskal-Wallis tests between active and non-active commute were statistically significant at a 5% level for school-based measures of the Can-ALE index, its components, and NDVI
gActive commuters are those who responded that they either walk (n = 2213) or bike (n = 110) to school
hNon-active commuters are those who took public transit (n = 662), school bus (n = 4133), or travelled in a car (as passenger (n = 3358), as driver (n = 530))
School-based measures of Can-ALE index were positively associated with active commuting. Students whose schools were in higher active living environments were more likely to be active commuters. Overall, we found that the odds of active commute were 2.11 times (OR = 2.11, 95% CI = 1.64, 2.72) higher for students in schools of the upper quartile of overall Can-ALE scores relative to the lowest (Table 3). The strength of the association was slightly stronger among younger children (Table 3), and among females when compared with their male counterparts (Supplementary Table 1).
Table 3.
Adjusted odds ratios of active commuting across quartiles of school-based measures of Can-ALE index and NDVI among participants of the OSDUHS, 2016–2017
| 11–14 years of age (n = 5406) | 15–20 years of age (n = 5600) | All students (n = 11,006) | ||||||
|---|---|---|---|---|---|---|---|---|
| Active commutersa (%) | Odds ratiob | 95% CI | Odds ratiob | 95% CI | Odds ratiob | 95% CI | ||
| Can-ALEc | Lowest quartile (0.379–1.165) | 12.2 | 1.00 | 1.00 | 1.00 | |||
| Second quartile (1.166–2.253) | 21.8 | 2.07 | 1.47–2.89 | 1.84 | 1.33–2.53 | 1.98 | 1.56–2.50 | |
| Third quartile (2.254–3.287) | 27.7 | 2.89 | 2.08–4.01 | 1.97 | 1.42–2.72 | 2.49 | 1.96–3.13 | |
| Highest quartile (3.288–9.880) | 23.0 | 2.23 | 1.57–3.18 | 2.06 | 1.45–2.92 | 2.11 | 1.64–2.72 | |
| NDVId | ||||||||
| High dwellinge density areas (above the median) | Lowest quartile (0.233–0.330) | 22.9 | 1.00 | 1.00 | 1.00 | |||
| Second quartile (0.332–0.384) | 25.9 | 0.99 | 0.64–1.54 | 0.64 | 0.43–0.95 | 0.82 | 0.61–1.11 | |
| Third quartile (0.386–0.425) | 30.0 | 1.24 | 0.81–1.91 | 0.75 | 0.50–1.13 | 1.05 | 0.77–1.42 | |
| Highest quartile (0.427–0.524) | 34.5 | 1.41 | 0.92–2.15 | 0.58 | 0.35–0.94 | 1.06 | 0.77–1.46 | |
| Low dwellinge density areas (below the median) | Lowest quartile (0.249–0.417) | 14.3 | 1.00 | 1.00 | 1.00 | |||
| Second quartile (0.419–0.487) | 20.2 | 0.87 | 0.56–1.34 | 1.15 | 0.77–1.71 | 1.06 | 0.79–1.44 | |
| Third quartile (0.490–0.523) | 19.3 | 0.70 | 0.43–1.14 | 0.87 | 0.57–1.32 | 0.84 | 0.61–1.17 | |
| Highest quartile (0.524–0.684) | 13.9 | 0.40 | 0.24–0.68 | 0.78 | 0.49–1.24 | 0.59 | 0.41–0.83 | |
Bold indicates statistical significance
aActive commuters included those who walked (n = 2216) or biked (n = 110) to school. Non-active commuters included those who took public transit, school bus, or travelled in a car to school. Those who indicated they used mixed or other modes of commuting were excluded from analyses
bThe odds ratios have been adjusted for age, ethnicity, biological sex at birth, years lived in Canada, living situation, region, and season
cWalkability quartiles are based on the frequency distribution of the Can-ALE (Canadian Active Living Environments) index (sum of the z scores of intersection density, dwelling density, and points of interest for 2016)
dNDVI (Normalized Difference Vegetation Index)/greenness based on 500 m buffer from the school location
eBased on the dwelling density component of the Can-ALE index
Associations between school-based measures of greenness and active commuting were modified by the dwelling density of the school area. For example, among younger students (aged 11–14) who attended schools in high dwelling density areas, we found greenness was positively associated with odds of active school commute OR = 1.41 (95% CI = 0.92, 2.15), but did not reach statistical significance (p > 0.05) (Table 3). However, for the same age group, for those who attended schools in low-density areas, we found that the odds of active commuting was reduced when comparing those in the upper quartile of greenness with those in the lowest (OR = 0.40, 95% CI = 0.24–0.68) (Table 3).
Discussion
This cross-sectional study examined associations between school-based measures of the built environment, namely Can-ALE index and greenness, and self-reported active commuting to school. Students whose schools were in higher active living environments were more likely to be active commuters. The association between school-based measures of greenness and active commuting was modified by the number of dwellings, a surrogate for population density, around the school.
Perhaps our most important finding is the low prevalence of active commuters. Only one in five students (21.1%) were found to be actively commuting to school. This estimate falls outside the lower end of the range of findings from other Canadian studies that reported prevalence estimates between 23% and 72% (Wong et al. 2011; Larsen et al. 2009; Cozma et al. 2015; Buliung et al. 2009). Wong et al. (2011), who used earlier data from the OSDUHS (2009 cycle), reported that 47% and 38% of elementary school students actively commuted to and from school, respectively, while the corresponding estimates were 23% and 32% among secondary school students. Our lower estimates may be explained by continuing secular trends of decreasing active commuting over time, and suggests that further rapid declines in active commuting in Ontario have occurred over the last decade. There are likely a wide range of factors that have contributed to these trends, including individual- and community-level characteristics (Larsen et al. 2009). While Wong et al. highlighted the need for an analytic distinction between morning and afternoon commuting behaviours, the more recent cycles of the OSDUHS do not collect separate data for before and after school commuting, and therefore, we were unable to explore these differences.
We recognize that distance to school is perhaps the most important predictor of active school transportation (Aarts et al. 2013; Trapp et al. 2012). For example, Larsen et al. (2009) reported 72% of students actively commuted from and 62% to school and Cozma et al. (2015) found an overall prevalence of 63% for students who resided within 1 mile (1.61 km) of their school. While distance to school information was not collected in our survey, dwelling density around the school likely represents a proxy-based measure of average distance to the school. In our study population, the prevalence of active commuting across increasing quartiles of high dwelling density was 22.9%, 25.9%, 30.0%, and 34.5%. We advocate that future cycles of the OSDUHS consider capturing students’ residential location so that distance and travelling time to school can be modelled.
Our study also found that younger students reported a higher overall percentage of active commuters than older students (24.9% vs 17.4%). Similar findings by age have been reported in Canada (Buliung et al. 2009; Wong et al. 2011). There are a number of possible factors that contribute to these age-related differences in active commuting. Younger children will be incapable of driving themselves to school, and for many younger children, parents may be reticent to have them take public transportation. Previous research has shown that having an older sibling, or a nearby child of the same age, is an important factor that may increase active commuting in younger children (Aarts et al. 2013). Unfortunately, these data were not available to evaluate.
The active living environment measure (Can-ALE) that we modelled was positively associated with active commuting indicating that three components that comprise this measure are correlated with active commuting. Similar associations have been reported elsewhere, for instance, active school commute has been positively associated with street connectivity (Giles-Corti et al. 2011), traffic exposure (Christiansen et al. 2014; Giles-corti et al. 2011), proximity to walking tracks (Trapp et al. 2012; Barnett et al. 2019), speed limits (Jauregui et al. 2016), diversity of routes (Aarts et al. 2013), residential density (Christiansen et al. 2014), population density, land-use mix (Jauregui et al. 2016), road connectivity, and proximity to amenities/city centre/schools (Barnett et al. 2019; Trapp et al. 2012). The different methods that have been used to describe features of the built environment on active commuting make it challenging to compare findings across studies. Nonetheless, future analyses of the OSDUHS should explore to what extent different components of walkability are associated with these different features of the built environment. This would require more detailed survey data on commuting routes, and mixed modes of commuting (i.e., walk to bus stop and bus route).
We found that associations between school-based measures of greenness and active commuting were modified by both age and dwelling density. As described above, these differences may reflect the fact that dwelling densities around a school represent the average distance to the school for the students. The other Canadian study we identified reported similar findings, namely, that the presence of street trees was positively correlated with active commute among students who resided within 1 mile (1.6 km) of their schools (Larsen et al. 2009). When evaluating the associations with greenness, it is important to recognize that the characteristics of green spaces may differ substantially based on the population density. The NDVI that we used in our analyses captures overall vegetation based on a sky view metric. Other features of greenness, including accessibility, aesthetics, safety, and design (parks, walking paths), may be important determinants in promoting active transportation to school. While we were unable to describe these features given the data we had, future studies should consider exploring the role of these characteristics of greenness, or modelling other greenness-based metrics such as the Green View Index measure (Villeneuve et al. 2018).
Stratified analysis showed that the positive associations of the Can-ALE index and active commuting were modestly stronger among female students than among their male counterparts. This finding differs to other findings in the UK (Potoglou and Arslangulova 2017), Canada (Larsen et al. 2009), and Australia (Trapp et al. 2012), but is consistent with a Japanese study (Susilo and Waygood 2012). There are many factors that could contribute to differences between the sexes, including external factors such as parental perception of safety, their own self-efficacy, availability of a walking companion, and family time constraints (Potoglou and Arslangulova 2017; Larsen et al. 2009; Trapp et al. 2012; Susilo and Waygood 2012). Further efforts to better understand how features of the built environment differentially impact active commuting between boys and girls would be helpful.
Conclusion
Our study is among the few to assess school-based walkability, greenspace, and active school commute among children and youth in Canada. Overall, our findings suggest that students who attend schools that are located in areas of high-active living index scores are more likely to actively commute to school. Furthermore, they suggest that the beneficial impacts of greenness on active commuting vary by age, and population density. Efforts to enhance walkability around existing schools or to build new schools in areas that support active living may help increase physical activity through active commuting to school in urban areas. Other strategies should be pursued for those who live in suburban or rural areas to promote increased levels of physical activity.
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Acknowledgements
We thank CANUE (Canadian Urban Environmental Health Research Consortium) for providing the following built environment data: i) NDVI metrics, indexed to DMTI Spatial Inc. postal codes; ii) Canadian Active Living Environments Index (Can-ALE), indexed to DMTI Spatial Inc. postal codes; and iii) Material and Social Deprivation Indices (MSDI), indexed to DMTI Spatial Inc. postal codes. The Material and Social Deprivation Indices (MSDI) used by CANUE were provided by: Institut National de Santé Publique du Québec (INSPQ). Indices were compiled for 1991, 1996, 2001 and 2011 Census data by the Bureau d’information et d’études en santé des populations (BIESP). [online] https://www.inspq.qc.ca/en/information-management-and-analysis/deprivation-index. We would like to acknowledge the Institute for Social Research at York University for overseeing OSDUHS data collection. We would also like to thank the Health Promotion and Chronic Disease Prevention Branch of the Public Health Agency of Canada for funding the study.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Footnotes
Publisher’s note
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References
- Aarts M, Mathijssen JJP, Van Oers JAM, Schuit AJ. Associations between environmental characteristics and active commuting to school among children: A cross-sectional study. International Journal of Behavioral Medicine. 2013;20:538–555. doi: 10.1007/s12529-012-9271-0. [DOI] [PubMed] [Google Scholar]
- Barnett A, et al. Predictors of healthier and more sustainable school travel mode profiles among Hong Kong adolescents. International Journal of Behavioral Nutrition and Physical Activity. 2019;16(48):1–16. doi: 10.1186/s12966-019-0807-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Benjamin-Neelon SE, Platt A, Armstrong S, Neelon B, Jimenez-cruz A. Greenspace, physical activity, and BMI in children from two cities in northern Mexico. Preventive Medicine Reports. 2019;14(September 2018):100870. doi: 10.1016/j.pmedr.2019.100870. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Boak, A., Hamilton, H.., Adlaf, E.M., Henderson, J., & Mann, R.. (2018). The mental health and well-being of Ontario students, 1991-2017: Detailed findings from the Ontario Student Drug Use and Health Survey (OSDUHS) (CAMH Research Document Series No. 47). Toronto, ON.
- Booth F, Roberts KC, Laye M. Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology. 2012;2(2):1143–1211. doi: 10.1002/cphy.c110025. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bringolf-Isler B, et al. Sedentary behaviour in Swiss children and adolescents: Disentangling associations with the perceived and objectively measured environment. International Journal of Environmental Research and Public Health. 2018;15(918):1–16. doi: 10.3390/ijerph15050918. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Buliung, R. N., Mitra, R., & Faulkner, G. (2009). Active school transportation in the Greater Toronto Area, Canada: an exploration of trends in space and time (1986–2006). Preventive Medicine, 48(6), 507–512. 10.1016/j.ypmed.2009.03.001. [DOI] [PubMed]
- CAMH. (2020). The Ontario Student Drug Use and Health Survey (OSDUHS). Center for Addition and Mental health. Available at: https://www.camh.ca/en/science-and-research/institutes-and-centres/institute-for-mental-health-policy-research/ontario-student-drug-use-and-health-survey%2D%2D-osduhs. Accessed 24 Jan 2020.
- CANUE. (2020). CANUE data. Available at: https://canue.ca/data/. Accessed 24 Aug 2020.
- Carver A, et al. How are the built environment and household travel characteristics associated with children’s active transport in Melbourne, Australia? Journal of Transport and Health. 2019;12(January):115–129. doi: 10.1016/j.jth.2019.01.003. [DOI] [Google Scholar]
- Cerin E, Nathan A, van Cauwenberg J, Barnett DW, Barnett A. The neighbourhood physical environment and active travel in older adults: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity. 2017;14(1):1–23. doi: 10.1186/s12966-016-0456-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Christiansen, L. B., et al. (2014). School site walkability and active school transport – association, mediation and moderation. Journal of Transport Geography, 34, 7–15. 10.1016/j.jtrangeo.2013.10.012.
- Colley RC, Christidis T, Michaud I, Tjepkema M, Ross NA. An examination of the associations between walkable neighbourhoods and obesity and self-rated health in Canadians. Health Reports. 2019;30(9):14–24. doi: 10.25318/82-003-x201900900002-eng. [DOI] [PubMed] [Google Scholar]
- Cozma, I., Kukaswadia, A., Janssen, I., Craig, W., & Pickett, W. (2015). Active transportation and bullying in Canadian schoolchildren: A cross-sectional study. BMC Public Health, 15(99), 1–7. [DOI] [PMC free article] [PubMed]
- DMTI. Spatial Inc . CanMap Postal Code Suite v2016.3. Markham, ON, Canada: [Computer file] DMTI Spatial Inc; 2016. [Google Scholar]
- Ewing R, Schroeer W, Greene W. School location and student travel: Analysis of factors affecting mode choice. Journal of the Transportation Record. 2004;1895:55–63. doi: 10.3141/1895-08. [DOI] [Google Scholar]
- Gamache, P., Hamel, D., & Pampalon, R. (2017). The material and social deprivation index: A summary. Institut national de sante publique Québec. Available at: www.inspq.qc.ca/en/publications/2639. Accessed 15 July 2020.
- Giles-Corti B, et al. School site and the potential to walk to school: The impact of street connectivity and traffic exposure in school neighborhoods. Health & Place. 2011;17(2):545–550. doi: 10.1016/j.healthplace.2010.12.011. [DOI] [PubMed] [Google Scholar]
- Gorelick N, et al. Google Earth Engine: Planetary-scale geospatial analysis for everyone. Remote Sensing of Environment. 2017;202:18–27. doi: 10.1016/j.rse.2017.06.031. [DOI] [Google Scholar]
- Grigsby-Toussaint DS, Chi SH, Fiese BH. Where they live, how they play: Neighborhood greenness and outdoor physical activity among preschoolers. International Journal of Health Geographics. 2011;10(1):66. doi: 10.1186/1476-072X-10-66. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Helbich M, et al. Natural and built environmental exposures on children’s active school travel: A Dutch global positioning system-based cross-sectional study. Health & Place. 2016;39:101–109. doi: 10.1016/j.healthplace.2016.03.003. [DOI] [PubMed] [Google Scholar]
- Herrmann T, et al. A pan-Canadian measure of active living environments using open data. Health Reports, Statistics Canada. 2019;30(5):16–25. doi: 10.25318/82-003-x201900500002-eng. [DOI] [PubMed] [Google Scholar]
- James P, et al. Interrelationships between walkability, air pollution, greenness, and body mass index. Epidemiology. 2017;28(6):780–788. doi: 10.1097/EDE.0000000000000724. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jauregui A, et al. A multisite study of environmental correlates of active commuting to school in Mexican children. Journal of Physical Activity & Health. 2016;13:325–332. doi: 10.1123/jpah.2014-0483. [DOI] [PubMed] [Google Scholar]
- Larsen K, et al. The influence of the physical environment and sociodemographic characteristics on children’s mode of travel to and from school. American Journal of Public Health. 2009;99(3):520–526. doi: 10.2105/AJPH.2008.135319. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leon, A. (1998). In A. Bellack & M. Hersen (Eds.), Chapter 3.12 - Descriptive and inferential statistics in comprehensive clinical psychology. Pergamon. Available at: http://www.sciencedirect.com/science/article/pii/B0080427073002649. Accessed 25 Jan 2020.
- Lukmanji A, Williams JVA, Bulloch AGM, Dores AK, Patten SB. The association of active living environments and mental health: a Canadian epidemiological analysis. International Journal of Environmental Research and Public Health. 2020;17(6):1–12. doi: 10.3390/ijerph17061910. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Macdonald L, Mccrorie P, Nicholls N, Olsen JR. Active commute to school: does distance from school or walkability of the home neighbourhood matter ? A national sectional study of children aged 10–11 years, Scotland, UK. BMJ Open. 2019;9(e033628):1–10. doi: 10.1136/bmjopen-2019-033628. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McCormack GR, et al. A scoping review on the relations between urban form and health: A focus on Canadian quantitative evidence. Health Promotion and Chronic Disease Prevention in Canada. 2019;39(5):187–200. doi: 10.24095/hpcdp.39.5.03. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McDonald NC. Travel and the social environment : Evidence from Alameda County, California. Transportation Research Part D. 2007;12:53–63. doi: 10.1016/j.trd.2006.11.002. [DOI] [Google Scholar]
- Metrolinx. (2015). School travel in the GTHA: A report on trends. Available at: https://www.publications.gov.on.ca/browse-catalogues/monthly-librarychecklist/checklist-november-2018/school-travel-in-the-gtha-a-report-on-trends. Accessed 21 Aug 2020.
- Oliver M, et al. Environmental and socio-demographic associates of children’s active transport to school: A cross-sectional investigation from the URBAN Study. International Journal of Behavioral Nutrition and Physical Activity. 2014;11(70):1–12. doi: 10.1186/1479-5868-11-70. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pampalon R, et al. An area-based material and social deprivation index for public health in Québec and Canada. Canadian Journal of Public Health. 2012;103:17–22. doi: 10.1007/BF03403824. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Potoglou D, Arslangulova B. Factors influencing active travel to primary and secondary schools in Wales. Transportation Planning and Technology. 2017;40(1):80–99. doi: 10.1080/03081060.2016.1238573. [DOI] [Google Scholar]
- Public Health Agency of Canada. (2016). How healthly are Canadians? A trend analysis of the health of Canadians from a healthy living and chronic disease perspective. Available at: https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/healthy-living/how-healthy-canadians/pub1-eng.pdf. Accessed 30 Oct 2019.
- Robinson, N. P., et al. (2017). A dynamic Landsat derived Normalized Difference Vegetation Index (NDVI ) product for the conterminous United States. Remote Sensing, 9(863), 1–14.
- Ross, N., Wasfi, R., Herrmann, T., & Gleckner, W. (2018). Canadian Active Living Environments Database (Can-ALE) user manual & technical document. Geo-Social Determinants of Health Research Group, Department of Geography, McGill University. Available at: http://canue.ca/wp-content/uploads/2018/03/CanALE_UserGuide.pdf. Accessed 3 Jan 2020.
- Saelens BE, Sallis JF, Frank LD. Environmental correlates of walking and cycling: Findings from the transportation, urban design, and planning literatures. Annals of Behavioral Medicine. 2003;25(2):80–91. doi: 10.1207/S15324796ABM2502_03. [DOI] [PubMed] [Google Scholar]
- Smith M, et al. Systematic literature review of built environment effects on physical activity and active transport - an update and new findings on health equity. International Journal of Behavioral Nutrition and Physical Activity. 2017;14(158):1–27. doi: 10.1186/s12966-017-0613-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Statistics Canada. (2016). Population of census metropolitan areas 2016. Government of Canada. Available at: https://www.statcan.gc.ca/tablestableaux/sum-som/l01/cst01/demo05a-eng.htm. Accessed 13 Nov 2019.
- Statistics Canada. (2017). Boundary files, reference guide, census 2016 (catalogue 92-160-G). Ottawa. Available at: https://www150.statcan.gc.ca/n1/pub/92-160-g/92-160-g2016002-eng.htm. Accessed 19 Jan 2020.
- Susilo YO, Waygood EOD. A long term analysis of the mechanisms underlying children’s activity-travel engagements in the Osaka metropolitan area. Journal of Transport Geography. 2012;20(1):41–50. doi: 10.1016/j.jtrangeo.2011.07.006. [DOI] [Google Scholar]
- Trapp, G. S. A., et al. (2012). Increasing children’s physical activity: Individual, social, and environmental factors associated with walking to and from school. Health Education and Behaviour, 39(2). 10.1177/1090198111423272. [DOI] [PubMed]
- United States Geological Survey. (2015). Landsat 8 Greenest-Pixel TOA Reflectance Composite, 2013 to 2015 [Data file]. Reston: US Geological Survey. Available at: https://explorer.earthengine.google.com/#detail/%0ALANDSAT%2FLC8_L1T_ANNUAL_GREENEST_TOA%0A. Accessed 15 July 2017.
- United States Geological Survey. (2017). Landsat 8 TOA reflectance (Orthorectified), 2013 to 2017 [data file]. Reston: US Geological Survey. Available at: https://explorer.earthengine.google.com/#detail/%0ALANDSAT%2FLC8_L1T_TOA. Accessed 27 Jan 2017.
- Veitch J, et al. What predicts children’s active transport and independent mobility in disadvantaged neighborhoods? Health & Place. 2017;44(January):103–109. doi: 10.1016/j.healthplace.2017.02.003. [DOI] [PubMed] [Google Scholar]
- Villeneuve PJ, et al. Comparing the normalized difference vegetation index with the Google Street view measure of vegetation to assess associations between greenness, walkability, recreational physical activity, and health in Ottawa, Canada. International Journal of Environmental Research and Public Health. 2018;15(1719):1–16. doi: 10.3390/ijerph15081719. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wang L, Wen C. The relationship between the neighborhood built environment and active transportation among adults: A systematic literature review. Urban Science. 2017;1(29):1–19. doi: 10.3390/urbansci1030029. [DOI] [Google Scholar]
- Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: The evidence. CMAJ. 2006;174(6):801–809. doi: 10.1503/cmaj.051351. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wong BY, Faulkner G, Buliung R, Irving H. Mode shifting in school travel mode: Examining the prevalence and correlates of active school transport in Ontario, Canada. BMC Public Health. 2011;11(618):1–12. doi: 10.1186/1471-2458-11-618. [DOI] [PMC free article] [PubMed] [Google Scholar]
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