Barriers to cycling, barriers to health equity: Disparities in perceived cycling environments in the U.S.

Lindsay M. Braun
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Abstract

Marginalized groups often face disproportionate environmental barriers to cycling, which could contribute to sociodemographic disparities in safety and health. Studies of these barriers typically rely on objective measures of infrastructure access, which are useful but may not capture important factors such as infrastructure quality and traffic safety. I address this gap by examining perceived barriers to cycling in a nationally representative sample of U.S. adults (n = 222,344) drawn from the 2017 National Household Travel Survey, asking three research questions through an equity lens: (1) Who cycles? (2) Which types of cyclists report environmental barriers? (3) Do these barriers moderate the potential health benefits of cycling? Using Heckman selection and multinomial logistic regression models, I find that marginalized groups (i.e., people of color and those with low socioeconomic status) are less likely to cycle, and more likely to face infrastructure- and safety-related barriers when they do. I also find that associations between cycling and self-reported health, while generally positive, are weaker among cyclists who report environmental barriers. These results suggest that there are sociodemographic disparities in perceived barriers to cycling in the U.S., and that addressing these disparities should be a critical focus for equitable cycling promotion.
骑自行车的障碍,健康公平的障碍:在美国感知骑车环境的差异
边缘化群体骑自行车往往面临不成比例的环境障碍,这可能导致安全和健康方面的社会人口差异。对这些障碍的研究通常依赖于对基础设施可及性的客观衡量,这是有用的,但可能无法捕捉到基础设施质量和交通安全等重要因素。为了解决这一差距,我从2017年全国家庭旅行调查中选出了一个具有全国代表性的美国成年人样本(n = 222,344),通过公平的视角提出了三个研究问题:(1)谁骑自行车?(2)哪种类型的骑自行车的人报告环境障碍?(3)这些障碍是否抑制了骑车的潜在健康益处?使用Heckman选择和多项逻辑回归模型,我发现边缘化群体(即有色人种和社会经济地位低的人)不太可能骑自行车,而且更有可能在骑自行车时面临与基础设施和安全相关的障碍。我还发现,骑车和自我报告的健康状况之间的联系虽然总体上是积极的,但在报告环境障碍的骑车者中,这种联系较弱。这些结果表明,在美国,人们对骑行障碍的认知存在社会人口差异,解决这些差异应该是公平推广骑行的关键焦点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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