Associations of socioeconomic status with transport-related physical activity: combining a household travel survey and accelerometer data using random forests
Résumé
Background
Socioeconomic disparities in active transport have been documented in household travel surveys. However, active transport in these studies was operationalized with self-reported measures, which poorly approximate physical activity. Unfortunately, objective accelerometer data are very expensive to obtain in large-scale travel studies.
Purpose
To benefit from a large sample and objective physical activity data, this study linked a cross-sectional household travel survey with accelerometer data from a small sample to investigate the association between socioeconomic disadvantage and the daily level of transport-related moderate-to-vigorous physical activity (T-MVPA) in an adult population (35–83 years).
Methods
Accelerometer data for participants’ trips over 7 days from the RECORD GPS Study (7138 trips, 229 participants) were combined with information on participants’ trips over 1 day from the Global Transport Survey (Enquête Globale Transport, EGT) (82084 trips, 21332 participants). Trip-level T-MVPA data from the RECORD sample were used to train a random forests prediction model, enabling the prediction of T-MVPA for each participant׳s trip from EGT. The associations between socioeconomic indicators and daily T-MVPA were analyzed with negative binomial regression models.
Results
An average time of 18.9 min (95% confidence interval: 18.6–19.2) of T-MVPA was found for these 35–83 year old adults. The education level had a positive association with T-MVPA. Household income had a negative association with T-MVPA, especially for those people without a motorized vehicle.
Conclusions
This study developed a methodology exporting precise sensor-based knowledge to a large survey sample to shed light on population-level socioeconomic disparities in transport-related physical activity.
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