Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Exploring Spatial Variations and Factors associated with Walking Practice in Korea: An Empirical Study based on Geographically Weighted Regression

지리적 가중회귀모형을 이용한 지역별 걷기실천율의 지역적 변이 및 영향요인 탐색

  • Received : 2023.03.14
  • Accepted : 2023.07.17
  • Published : 2023.08.31
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Abstract

Purpose: Walking practice is a representative indicator of the level of physical activity of local residents. Although the world health organization addressed reduction in prevalence of insufficient physical activity as a global target, the rate of walking practice in Korea has not improved and there are large regional disparities. Therefore, this study aimed to explore the spatial variations of walking practice and its associated factors in Korea. Methods: A secondary analysis was conducted using Community Health Outcome and Health Determinants Database 1.3 from Korea Centers for Disease Control and Prevention. A total of 229 districts was included in the analysis. We compared the ordinary least squares (OLS) and the geographically weighted regression (GWR) to explore the associated factors of walking practice. MGWR 2.2.1 software was used to explore the spatial distribution of walking practice and modeling the GWR. Results: Walking practice had spatial variations across the country. The results showed that the GWR model had better accommodation of spatial autocorrelation than the OLS model. The GWR results indicated that different predictors of walking practice across regions of Korea. Conclusion: The findings of this study may provide insight to nursing researchers, health professionals, and policy makers in planning health programs to promote walking practices in their respective communities.

Keywords

Acknowledgement

This study was supported by the Research Program funded by the Korea Disease Control and Prevention Agency (ISSN 2733-5488). This research was supported by the BK21 four project (Center for Human-Caring Nurse Leaders for the Future) funded by the Ministry of Education (MOE, Korea) and National Research Foundation of Korea (NRF).

References

  1. World Health Organization (WHO). Physical inactivity [Internet]. Geneva: WHO; c2023 [cited 2023 Jan 11]. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/3416.
  2. Schutz Y, Weinsier S, Terrier P, Durrer D. A new accelerometric method to assess the daily walking practice. International Journal of Obesity and Related Metabolic Disorders. 2002;26(1):111-118. https://doi.org/10.1038/sj.ijo.0801856
  3. Harvard T.H. Chan. Walking for exercise [Internet]. Boston: Harvard T.H. Chan; c2023 [cited 2023 Jan 11]. Available from: https://www.hsph.harvard.edu/nutritionsource/walking/.
  4. Williams PT, Thompson PD. Walking versus running for hypertension, cholesterol, and diabetes mellitus risk reduction. Arteriosclerosis, Thrombosis, and Vascular Biology. 2013;33(5):1085-1091. https://doi.org/10.1161/ATVBAHA.112.300878
  5. World Health Organization (WHO). Global status report on noncommunicable diseases 2014 [Internet]. Geneva: WHO; c2014 [cited 2023 Jan 11]. Available from: https://apps.who.int/iris/handle/10665/148114.
  6. Korea Health Promotion Institute. Physical activity [Internet]. Seoul: Korea Health Promotion Institute; c2023 [cited 2023 Feb 13]. Available from: https://www.khepi.or.kr/hpn/hpnIdx/selectIdxDetailList2030.do?menuId=MENU01424.
  7. Kim YM, Kang SH. Changes and determinants affecting on geographic variations in health behavior, prevalence of hypertension and diabetes in Korean. Journal of Digital Convergence. 2015;13(11):241-254. https://doi.org/10.14400/JDC.2015.13.11.241
  8. Korea Disease Control and Prevention Agency (KDCA). 2021 Regional health statistics at a glance. Cheongju: Korea Disease Control and Prevention Agency; 2022 May. Report No.: 11-1790387-000034-10.
  9. Rose G, Khaw KT, Marmot M. Rose's strategy of preventive medicine. Oxford: Oxford University Press; 2008. p. 1-192.
  10. Lee MS. Health inequalities among Korean adults - socioeconomic status and residential area differences. Korean Journal of Sociology. 2005;39(6):183-209.
  11. Saelens BE, Handy SL. Built environment correlates of walking: A review. Medicine and Science in Sports and Exercise. 2008;40(7 Suppl):S550-S566. https://doi.org/10.1249/MSS.0b013e31817c67a4
  12. Agrawal AW, Schimek P. Extent and correlates of walking in the USA. Transportation Research Part D: Transport and Environment. 2007;12(8):548-563. https://doi.org/10.1016/j.trd.2007.07.005
  13. Li F, Fisher KJ, Brownson RC, Bosworth M. Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults. Journal of Epidemiology and Community Health. 2005;59(7):558-564. https://doi.org/10.1136/jech.2004.028399
  14. An B, Son J. Analysis of metabolic syndrome in Korean adult one-person households. Journal of Korean Public Health Nursing. 2018;32(1):30-43. https://doi.org/10.5932/JKPHN.2018.32.1.30
  15. Yun MS, Choi EH, Kim YJ, Kang Y, Choi SE. Factors influencing health-related quality of life of the elderly by the types of households. The Journal of Muscle and Joint Health. 2021;28(2):174-182. https://doi.org/10.5953/JMJH.2021.28.2.174
  16. Hannon L 3rd, Sawyer P, Allman RM. Housing, the neighborhood environment, and physical activity among older African Americans. Journal of Health Disparities Research and Practice. 2012;5(3):27-41.
  17. Hannon L 3rd, Sawyer P, Allman RM. The influence of community and the built environment on physical activity. Journal of Aging and Health. 2012;24(3):384-406. https://doi.org/10.1177/0898264311424430
  18. Owen N, Humpel N, Leslie E, Bauman A, Sallis JF. Understanding environmental influences on walking: Review and research agenda. American Journal of Preventive Medicine. 2004;27(1):67-76. https://doi.org/10.1016/j.amepre.2004.03.006
  19. Granner ML, Sharpe PA, Hutto B, Wilcox S, Addy CL. Perceived individual, social, and environmental factors for physical activity and walking. Journal of Physical Activity and Health. 2007;4(3):278-293. https://doi.org/10.1123/jpah.4.3.278
  20. Sa K, Lee S. An analysis of neighborhood's environmental factors affecting residents' daily walking and exercise walking. Journal of the Urban Design Institute of Korea. 2018;19(3):71-90. https://doi.org/10.38195/judik.2018.06.19.3.71
  21. Kim J, Yoo S, Sim S. Unveiling the meaning of walking for health promotion: The perspectives of urban walkers. Korean Journal of Health Education and Promotion. 2011;28(4):63-77.
  22. Tobler WR. A computer movie simulating urban growth in the Detroit Region. Economic Geography. 1970;46(Suppl 1):234-240. https://doi.org/10.2307/143141
  23. Lee S, Zhu L, Cho D. The spatio-temporal change of voting rate in the national assembly election and its influencing factors. Journal of the Korean Association of Regional Geographers. 2017;23(4):751-771. https://doi.org/10.26863/JKARG.2017.11.23.4.751
  24. Cho D. A comparative analysis of areal interpolation methods for representing spatial distribution of population subgroups. Journal of Korea Spatial Information Society. 2014;22(3):35-46. https://doi.org/10.12672/ksis.2014.22.3.035
  25. Lee SI, Cho D, Lee M. Comparing univariate spatial association statistics (I): Focusing on global Lee's S statistics. Journal of the Association of Korean Geographers. 2015;4(2):329-345. https://doi.org/10.25202/JAKG.4.2.13
  26. Lee SI. Correlation and spatial autocorrelation. In: Shekhar S, Xiong H, Zhou X, editors. Encyclopedia of GIS. 2nd ed. Cham: Springer; 2017. p. 360-368.
  27. Lee SI, Cho D, Lee M. Spatializing the Pearson's correlation coefficient: An experimental comparison of three relevant techniques. Journal of the Korean Geographical Society. 2018;53(5):761-776.
  28. Moran PAP. The interpretation of statistical maps. Journal of the Royal Statistical Society: Series B (Methodological). 1948;10(2):243-251. https://doi.org/10.1111/j.2517-6161.1948.tb00012.x
  29. Fotheringham AS, Brunsdon C, Charlton M. Quantitative geography: Perspectives on spatial data analysis. London: Sage Publications; 2000. p. 1-269.
  30. Park JH. Analysis on changes in spatial dependency and hot spots of walking practice rate using multi-year data. Journal of the Korea Academia-Industrial Cooperation Society. 2021;22(11):315-323. https://doi.org/10.5762/KAIS.2021.22.11.315
  31. Guerra E, Caudillo C, Monkkonen P, Montejano J. Urban form, transit supply, and travel behavior in Latin America: Evidence from Mexico's 100 largest urban areas. Transport Policy. 2018;69:98-105. https://doi.org/10.1016/j.tranpol.2018.06.001
  32. Kim HC, Ahn KH, Kwon YS. The effects of residential environmental factors on personal walking probability - focused on Seoul. Journal of the Urban Design Institute of Korea. 2014;15(3):5-18.
  33. Park H. Analysis on walking practice of the elderly considering local effect in the big cities [master's thesis]. Seoul: Seoul National University; 2016. p. 1-68.
  34. Oh KK, Kim M, Joung JY, Park SY. Analysis of first-last mile travel characteristics using Al-card data. Transportation Technology and Policy. 2020;17(5):17-24.
  35. Lee SH. Understanding spatial dependence and using spatial regression analysis. Korean Policy Sciences Review. 2014;18(3):39-79.
  36. Fotheringham AS, Rogerson P. The SAGE handbook of spatial analysis. London: Sage Publications; 2009. p. 1-528.
  37. Lee ES. Relationship between household types, health-related lifestyle, health service usage, and health outcomes across age groups. Korean Journal of Health Education and Promotion. 2021;38(3):1-12. https://doi.org/10.14367/kjhep.2021.38.3.1
  38. Sung H, Lee MH, Seong T. Difference in the determinants factors of walking activity as the purposes of recreation and travel: Focused on characteristics at the levels of individual and household. Journal of Korea Planning Association. 2015;50(5):73-86. https://doi.org/10.17208/jkpa.2015.08.50.5.73
  39. Sugiyama T, Thompson CW. Associations between characteristics of neighbourhood open space and older people's walking. Urban Forestry & Urban Greening. 2008;7(1):41-51. https://doi.org/10.1016/j.ufug.2007.12.002
  40. Gatersleben B, Andrews M. When walking in nature is not restorative-the role of prospect and refuge. Health & Place. 2013;20:91-101. https://doi.org/10.1016/j.healthplace.2013.01.001