Socioeconomic differences in associations between living in a 20-min neighbourhood and diet, physical activity and self-rated health: Cross-sectional findings from ProjectPLAN

Karen E Lamb; Mark Daniel; Basile Chaix; Yan Kestens; Neil T Coffee; Lukar E Thornton

doi:10.1016/j.healthplace.2023.103119

Socioeconomic differences in associations between living in a 20-min neighbourhood and diet, physical activity and self-rated health: Cross-sectional findings from ProjectPLAN

Health Place. 2023 Nov:84:103119. doi: 10.1016/j.healthplace.2023.103119. Epub 2023 Sep 22.

Authors

Karen E Lamb¹, Mark Daniel², Basile Chaix³, Yan Kestens⁴, Neil T Coffee⁵, Lukar E Thornton⁶

Affiliations

¹ Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. Electronic address: klamb@unimelb.edu.au.
² Dasman Diabetes Institute, GeoHealth Laboratory, Kuwait City, Kuwait.
³ Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Nemesis Research team, F75012, Paris, France.
⁴ École de Santé Publique de l'Université de Montréal (ESPUM), Montreal, QC, Canada; Centre de Recherche en Santé Publique (CReSP), Montréal, QC, Canada.
⁵ Deakin Rural Health, Faculty of Health, Deakin University, Warrnambool, VIC, Australia.
⁶ Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia; Department of Marketing, Faculty of Business Economics, University of Antwerp, Antwerp, Belgium.

PMID: 37742399
DOI: 10.1016/j.healthplace.2023.103119

Abstract

The 20-min neighbourhood (20MN) concept aims to enable residents to meet daily needs using resources within a 20-min trip from home noting that there is no single definition of what services and amenities are required for daily needs nor what modes of transport constitute a 20 min trip. Whether 20MNs promote better health and whether associations differ by socio-economic status (SES) is unknown. Using cross-sectional data from adults randomly sampled in 2018-19 from Melbourne or Adelaide, Australia, we examined whether associations between neighbourhood type (20MN/non-20MN) and diet, physical activity or self-rated health vary according to individual- or area-level SES. We found no consistent patterns of interactions. The results do not consistently support the often assumed belief that 20MNs support more healthful behaviour and that these relationships vary by SES.

Keywords: 20-Min neighbourhood; Built environment; Eating behaviours; Physical activity.

MeSH terms

Adult
Cross-Sectional Studies
Diet*
Exercise*
Humans
Residence Characteristics
Social Class