Latin Americans engage in physical activity (PA) in unique ways and use a wider range of places for PA than those commonly studied in high-income settings. We examined the contribution of a variety of places and domains of PA to meeting PA recommendations among a sample of adults (18-65 y) from all over Mexico. This was a cross-sectional study conducted in 2017 (n = 3 686). Overall and domain-specific PA was measured using the Global Physical Activity Questionnaire. Use of places for PA was self-reported. Places were classified as private or public. In 2018, associations between specific places and meeting PA recommendations (�150 mins/week) were estimated using multivariate logistic regression models. In total 72.1% met PA recommendations. The proportion meeting recommendations through domain-specific PA was highest for leisure-time PA (50.0%), followed by travel-related (39.1%) and work-related (24.9%) PA. The most commonly reported places for PA were home (43%), parks (40.7%) and streets (39.4%) (public). Use of most public places was positively associated with meeting PA recommendations, mainly through travel-related PA (Streets OR 2.05 [95% CI 1.71-2.45]; Cycling paths OR 1.91 [1.37-2.68]). Using private places was more strongly associated with PA, mainly leisure-time PA (Gyms OR 9.66 [7.34-12.70]); Sports facilities OR 5.03 [3.27-7.74]). In conclusion, public and private places were important contributors to PA. While public places may be a powerful setting for PA promotion, increasing the equitable access for all to private places may also represent an effective strategy to increase PA among Mexican adults.
OPEN ACCESSCitation: Jáuregui A, Salvo D, Medina C, Barquera S, Hammond D (2020) Understanding the contribution of public-and restricted-access places to overall and domain-specific physical activity among Mexican adults: A cross-sectional study. PLoS ONE 15(2): e0228491. https://doi.
Data Availability Statement:The database used for this analysis is available from https://doi.org/10. 6084/m9.figshare.11803488.v1. and the prevalence of physical inactivity has increased in the past 10 years [2]. Given the magnitude of this public health crisis, international organizations have made an urgent call to prioritize policies and actions for promoting physical activity (PA) [3]. Increasing the availability, equitable access, and quality of places where people are likely to be physically active is a priority investment that works for PA promotion [3]. However, a major limitation for implementing effective PA promotion policies at scale is the lack of contextually-relevant evidence on the underlying drivers of physical (in)activity among Mexicans, as well as other Latin American countries [4,5].Latin Americans engage in PA in unique ways. Studies suggest that in comparison to highincome countries, Latin Americans engage in more transport-based PA, and less leisure-time PA, and use a wider range of places for PA (e.g., non-exercise or sport oriented public-access places like shopping malls, public squares, or unoc...