‘Does the community use the built environment?’ Assessing the utilization of healthy space model in bridging physical activity inequalities for the Thai population

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Issue: Volume 14, Issue 1, 2020


This study aims to assess the utilization of built environment under healthy space model for physical activity as a measure of inequalities in Thai communities. The mothodology included a cross-sectional survey with face-to-face interviews with a total of 2,046 community members. About 48% of the residents who lived near a sports complex have used the facility, while 22% and 31% of the locals have participated in the creative city and elderly healthy community. Compared to non-participants, sufficient MVPA was significantly higher among those who participated in the healthy space program (t=6.387***). The results suggested that healthy space model could eliminate most socioeconomic inequalities but could not eliminate age-driven physical ability and social support inequalities in accessing PA amenities. The model could serve as an example for low-middle income countries where inequalities could not be neglected. The community engagement as the key of the model therefore is crucial, not only to make sure high participation but also in maintaining the built environment for PA.

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Authors Affiliations

Piyawat Katewongsa (1,2), Dyah Anantalia Widyastari* (1,2), Panya Choolers (1,2), Wipada Iamyaem (3)

1) Institute for Population and Social Research, Mahidol University, Thailand
2) Physical Activity Knowledge Development Center (TPAK), Thailand
3) Thai Health Promotion Foundation, Thailand
* Corresponding author.
Email: dyah.ana@mahidol.ac.th


Akter, S., Rutsaert, P., Luis, J., Htwe, N. M., San, S. S., Raharjo, B. and Pustika, A. (2017), “Women’s empowerment and gender equity in agriculture: A different perspective from Southeast Asia”, Food Policy, vol. 69, p. 270-279.
Ashton, J., Grey, P. and Barnard, K. (1986), “Healthy cities—WHO’s new public health initiative”, Health promotion international, vol. 1, no. 3, p. 319-324.
Beenackers, M.A., Kamphuis, C.B., Giskes, K., Brug, J., Kunst, A.E., Burdorf, A. and Van Lenthe, F.J. (2012), “Socioeconomic inequalities in occupational, leisure-time, and transport related physical activity among European adults: a systematic review”, International journal of behavioral nutrition and physical activity, vol. 9, no. 1, p. 1-23.
Cefai, C. (2018), “Healthy Habits and Healthy Spaces: Children’s Views on Their Use of Time and Space’ in L.R. de la Vega and W..N Toscano (eds.) Handbook of Leisure, Physical Activity, Sports, Recreation and Quality of Life, p. 97-105, Springer.
Chandrasiri, O. and Arifwidodo, S. (2017), “Inequality in active public park: a case study of Benjakitti Park in Bangkok, Thailand”, Procedia engineering, vol. 198, p. 193-199.
Chase, E. (2018), “Sports and Recreation: Inequalities for Young Children with Regards to Sports and Physical Activity”, in B. Johnson and Y. Pratt-Johnson (eds.) Inequalities in the Early Years, p. 127-136, Routledge.
Chen, T., Hui, E. C.-M., Lang, W. and Tao, L. (2016), “People, recreational facility and physical activity: New-type urbanization planning for the healthy communities in China”, Habitat International, vol. 58, p. 12-22.
de Leeuw, E. and Green, G. (2017), The logic of method for evaluating healthy cities”, in E. de Leeuw and J. Simos (eds.) Healthy Cities, p. 463-487, Springer, New York.
Demarest, S., Van Oyen, H., Roskam, A.-J., Cox, B., Regidor, E., Mackenbach, J. P. and Kunst, A.E. (2014), “Educational inequalities in leisure-time physical activity in 15 European countries”, The European Journal of Public Health, vol. 24, no. 2, p. 199-204.
Giles-Corti, B. (2016), “Could public policies reduce inequalities in physical activity and health?”, Revista Brasileira de Atividade Física & Saúde, vol. 21, no. 1, p. 1-4.
Goodman, A., Snyder, M., Wilson, K. and Whitford, J. (2019), “Healthy spaces: Exploring urban Indigenous youth perspectives of social support and health using photovoice”, Health & place, vol. 56, p. 34-42.
Gordon-Larsen, P., Nelson, M. C., Page, P. and Popkin, B.M. (2006), “Inequality in the built environment underlies key health disparities in physical activity and obesity”, Pediatrics, vol. 117, no. 2, p. 417-424.
Handy, S.L., Boarnet, M.G., Ewing, R. and Killingsworth, R.E. (2002), “How the built environment affects physical activity: views from urban planning”, American journal of preventive medicine, vol. 23, no. 2, p. 64-73.
Hanibuchi, T., Nakaya, T. and Honjo, K. (2016), “Trends in socioeconomic inequalities in self-rated health, smoking, and physical activity of Japanese adults from 2000 to 2010”, SSM-population health, vol. 2, p. 662-673.
Heerman, W.J., Mitchell, S.J., Thompson, J., Martin, N.C., Sommer, E.C., van Bakergem, M., Taylor, J.L., Buchowski, M.S and Barkin, S.L. (2016), “Parental perception of built environment characteristics and built environment use among Latino families: a cross-sectional study”, BMC public health, vol. 16, no. 1, pp. 1180.
Hohepa, M., Scragg, R., Schofield, G., Kolt, G.S. and Schaaf, D. (2007), “Social support for youth physical activity: Importance of siblings, parents, friends and school support across a segmented school day”, International journal of behavioral nutrition and physical activity, vol. 4, no. 1, p. 4-54.
IPSR (2016), Thailand Physical Activity Surveillance 2016 Dataset, Bangkok, Thailand: Institute for Population and Social Research, Mahidol University.
IPSR (2017), Thailand Physical Activity Surveillance 2017 Dataset, Bangkok, Thailand: Institute for Population and Social Research, Mahidol University.
International Society for Physical Activity and Health (2017), “The Bangkok Declaration on Physical Activity for Global Health and Sustainable Development”, British Journal of Sports Medicine, vol. 51, no. 19, 1389.
Iwasaki, Y., Honda, S., Kaneko, S., Kurishima, K., Honda, A., Kakinuma, A. and Jahng, D. (2017), “Exercise self-efficacy as a mediator between goal-setting and physical activity: developing the workplace as a setting for promoting physical activity”, Safety and health at work, vol. 8, no. 1, p. 94-98.
Jitsuchon, S. (2020), Thai inequality: What we should know, Bangkok Post.
Kamphuis, C. and van Lenthe, F. (2013), “Socioeconomic differences in physical activity: the role of neighbourhood factors” in C. Stock and A. Ellaway Neighbourhood Structure and Health Promotion, p. 223-248, Springer.
Kärmeniemi, M., Lankila, T., Ikäheimo, T., Koivumaa-Honkanen, H. and Korpelainen, R. (2018), “The built environment as a determinant of physical activity: a systematic review of longitudinal studies and natural experiments”, Annals of Behavioral Medicine, vol. 52, no. 3, p. 239-251.
Kenyon, A. (2018), “Built environment, walking and health inequalities in urban Scotland”, PhD Thesis, School of Geosciences, University of Edinburg, Scotland.
Laird, Y., Fawkner, S., Kelly, P., McNamee, L., and Niven, A. (2016), “The role of social support on physical activity behaviour in adolescent girls: a systematic review and meta-analysis”, International journal of behavioral nutrition and physical activity, vol. 13, no. 1, p. 13-79.
Levy-Storms, L., Chen, L. and Loukaitou-Sideris, A. (2018), “Older adults’ needs and preferences for open space and physical activity in and near parks: A systematic review”, Journal of aging and physical activity, vol. 26, no. 4, p. 682-696.
Liangruenrom, N., Craike, M., Biddle, S.J., Suttikasem, K. and Pedisic, Z. (2019), “Correlates of physical activity and sedentary behaviour in the Thai population: a systematic review”, BMC public health, vol. 19, no. 1, p. 1-26.
Loh, V.H., Rachele, J.N., Brown, W.J., Ghani, F., Washington, S. and Turrell, G. (2019), “The potential for walkability to narrow neighbourhood socioeconomic inequalities in physical function: A case study of middle-aged to older adults in Brisbane, Australia”, Health & place, vol. 56, p. 99-105.
Loh, V. H., Veitch, J., Salmon, J., Cerin, E., Thornton, L., Mavoa, S., Villanueva, K. and Timperio, A. (2019), “Built environment and physical activity among adolescents: the moderating effects of neighborhood safety and social support”, International journal of behavioral nutrition and physical activity, vol. 16, no. 1.
MoPH (2017), 5-Year National NCDs Prevention and Control Strategic and Action Plan (2017-2021), Ministry of Public Health.
Moroney, A. and Shilton, T. (2010), “Healthy spaces and places”, Journal of Science and Medicine in Sport, vol. 12, p. e56-e57.
Najafizadeh, M. and Lindsey, L. (2018), Women of Asia: Globalization, Development, and Gender Equity, Routledge.
Parra, D.C., Gomez, L.F., Fleischer, N.L. and Pinzon, J.D. (2010), “Built environment characteristics and perceived active park use among older adults: Results from a multilevel study in Bogota”, Health & place, vol. 16, no. 6, p. 1174-1181.
Petersen, A. (1996), “The ‘healthy’ city, expertise, and the regulation of space”, Health & place, vol. 2, no. 3, p. 157-165.
Picavet, H.S.J., Milder, I., Kruize, H., de Vries, S., Hermans, T. and Wendel-Vos, W. (2016), “Greener living environment healthier people?: Exploring green space, physical activity and health in the Doetinchem Cohort Study”, Preventive medicine, vol. 89, p. 7-14.
Pimpa, N., Moore, T. and Phouxay, K. (2017), Unlocking Gender Potential. A Comparative Study of Women in the Mining Community in Thailand and Lao PDR, GRIN Publishing.
Roberts, H., McEachan, R., Margary, T., Conner, M. and Kellar, I. (2018), “Identifying effective behavior change techniques in built environment interventions to increase use of green space: a systematic review”, Environment and Behavior, vol. 50, no. 1, p. 28-55.
Sallis, J.F., Floyd, M.F., Rodríguez, D.A. and Saelens, B.E. (2012), Role of built environments in physical activity, obesity, and cardiovascular disease, Circulation, vol. 125, no. 5, p. 729-737.
Sallis, J.F., Owen, N. and Fisher, E. (2015), “Ecological models of health behavior”, Health behavior: Theory, research, and practice, vol. 5, p. 43-64.
Saonuam, P., Rasri, N., Pongpradit, K., Widyastari, D.A. and Katewongsa, P. (2018), “Results from Thailand’s 2018 report card on physical activity for children and youth”, Journal of Physical Activity and Health, vol. 15( 2), p. 417-418.
Sarkar, S., Taylor, W.C., Lai, D., Shegog, R. and Paxton, R.J. (2016), “Social support for physical activity: Comparison of family, friends, and co-workers”, Work, vol. 55, no. 4, p. 893-899.
Scarapicchia, T.M.F., Amireault, S., Faulkner, G. and Sabiston, C.M. (2017), “Social support and physical activity participation among healthy adults: a systematic review of prospective studies”, International Review of Sport and Exercise Psychology, vol. 10, no. 1, p. 50-83.
Slater, S., Pugach, O., Lin, W. and Bontu, A. (2016), “If you build it will they come? Does involving community groups in playground renovations affect park utilization and physical activity?”, Environment and Behavior, vol. 48, no. 1, p. 246-265.
Sones, M., Fuller, D., Kestens, Y. and Winters, M. (2019), “If we build it, who will come? The case for attention to equity in healthy community design”, British Journal of Sports Medicine, Publishing Group Ltd and British Association of Sport and Exercise Medicine.
UNESCO (2019), UNESCO Creative cities moving towards the 2030 agenda for sustainable development, France.
Waters, E.A. and Hawkins, E. (2018), “Awareness of Health Outcomes Associated with Insufficient Physical Activity and Associations with Physical Activity Intentions and Behavior”, Journal of health communication, vol. 23, no. 7, p. 634-642.
Watson, M. (2019), Exploring the role of greenspace and neighbourhood level inequalities in determining physical activity, health and wellbeing outcomes in young people in Aberdeen City, University of Aberdeen.
WHO (2013), Global action plan for the prevention and control of non-communicable diseases 2013-2020, World Health Organization.
Williamson, J. (2016), “Awareness of physical activity health benefits can influence participation and dose”, Sports Medicine and Rehabilitation Journal, vol. 1, no. 1.
Xiao, Y., Wang, H., Zhang, T. and Ren, X. (2019), “Psychosocial predictors of physical activity and health-related quality of life among Shanghai working adults”, Health and quality of life outcomes, vol. 17, no. 1.
Zhang, R., Duan, Y., Brehm, W. and Wagner, P. (2019), “Socioecological correlates of park-based physical activity in older adults: a comparison of Hong Kong and Leipzig parks”, International journal of environmental research and public health, vol. 16, no. 17, pp. 3048.

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Title: Human Geographies - Journal of Studies and Research in Human Geography
ISSN online: 2067-2284
ISSN print: 1843-6587
Imprint: University of Bucharest
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Current volume: 14/2020
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Prof. dr. Liliana Dumitrache
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Daniela Dumbrăveanu
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Mariana Nae
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Gabriel Simion
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

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