| As cities continue to grow,problems such as traffic congestion and environmental pollution follow,and population health issues become increasingly prominent,with the rising prevalence of chronic non-communicable diseases in particular becoming a major threat to people’s health today.The planning of healthy cities is of great importance in promoting the health of residents,and there is a growing concern about modifiable risk factors such as community environment and lack of physical activity.Physical activity has a positive effect on reducing the risk of chronic diseases and contributes to healthy development,but current research on residents’ health and environment is mostly focused on large cities,and studies for small and medium-sized cities are relatively lacking.Therefore,this paper takes 32 communities in Yuhui District,Bengbu City,as a starting point to explore the relationship between community environment and residents’ health behaviours on chronic diseases,and to promote residents’ health by improving the community environment and guiding them to engage in active physical activities.The study selected people aged 22 and above as the target population and conducted a questionnaire interview to collect individual information and health status of the residents.Data on residents’ subjective environmental perceptions,travel patterns and physical activity were collected through questionnaires,and the traffic environment data were processed and analysed through the Arc GIS platform and then visualised.Non-parametric tests,descriptive statistical analysis,Pearson correlation and Geographical Detector were used to analyse in depth the elements of community environment and health behaviour that influence residents’ chronic diseases.The study found that:(1)there are some differences in the travel patterns,physical activity and perceptions of the environment among different groups of people,with people aged 65 years and above preferring to walk,and people aged 22-65 years preferring to cycle and scooter.The perceived satisfaction with the neighbourhood environment is higher among those aged 22-35 than among those aged 36-65 and 65+,but the safety and convenience requirements of those aged 36-65 and 65+ are higher.In terms of the distribution characteristics of chronic disease patients,the number of patients in the neighbourhood of Zhanggongshan Park is higher and there is a certain clustering.(2)According to the results of non-parametric tests,individual attributes are significantly correlated with residents’ chronic diseases.The risk of chronic diseases increases with age and longer residence time,and the increase in education,occupational status and income level helps to reduce the risk of chronic diseases,and the elderly population over 65 years old is most likely to suffer from multiple chronic diseases,with a chronic disease prevalence rate of 75.4%.(3)Through correlation and geographic detector analysis,it was found that in terms of community environment,the risk of chronic diseases tends to decrease with higher subjective environmental perceptions of green environment,road cleanliness,walking facilities,convenience to bus stops,convenience to parks and squares,night lighting,perimeter safety and walking safety,and the risk of chronic diseases tends to increase with higher road network density,road connectivity and bus stop density.In terms of health behaviours,travel patterns,hours of outdoor activity,cycling frequency and walking duration are significantly associated with chronic disease,and cycling frequency and travel patterns are found to be the main influencing factors on chronic disease,with the interaction between the influencing factors being higher than the influence of individual factors.Community planning has a positive effect on the promotion of public health.By analysing the factors affecting residents’ chronic diseases and proposing community environment optimisation strategies,optimising the community neighbourhood environment,improving the planning of community public service facilities and community travel systems and upgrading the transport layout,residents can be guided to promote physical activity and effectively prevent and improve the occurrence of chronic diseases.Figure [25] table[12] reference[94]... |
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