Accessible employment suited to residents’ needs is an important equity issue and social determinant of health and wellbeing, and a balanced jobs-housing ratio within a region has the potential to provide health benefits. This paper aims to provide evidence on the associations between employment and health, and the potential pathways, as well as identifying spatial indicators that can be used to measure urban employment, a construct of liveability. We used 2011 census data to create and test two area-level spatial measures of urban employment with geo-coded population health behaviour and outcome data (2011 VicHealth survey) in 5206 employed adults living in urban Victoria, Australia. Those living in areas with higher levels of local employment had reduced odds of a longer commute (OR 0.87). The odds of a longer commute time was also greater for those who lived in an area where more people commuted to work by private vehicle (OR 1.20), and less for those who lived in local areas where more people travelled to work by public transport (OR 0.85) or active travel (OR 0.80). The odds of reporting longer sitting times was less for those who lived in a local area where more people commuted to work by private vehicle (OR 0.65). Those who had a longer commute times, regardless of travel mode, had greater odds of reporting more sitting during a typical weekday (OR 1.67). In turn, those who spent more time sitting had significantly greater odds of reporting poorer self-rated health (OR 1.34). Such work provides evidence to policy-makers to help build the argument for which area-level attributes are needed to support urban employment across a region.
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Australian Bureau of Statistics. (2011a). Australian rural profile. Canberra: Australian Bureau of Statistics.
Australian Bureau of Statistics. (2011b). Australian Statistical Geography Standard (ASGS). Canberra: Australian Bureau of Statistics.
Australian Bureau of Statistics. (2011c). Census 2011. Canberra: Australian Bureau of Statistics.
Australian Bureau of Statistics. (2013). Gender indicators, Australia: Underutilised labour. Canberra: Australian Bureau of Statistics.
Badland, H., Davern, M., Villanueva, K., Mavoa, S., Milner, A., Roberts, R., et al. (2016). Conceptualising and measuring spatial indicators of employment through a liveability lens. Social Indicators Research, 127, 565–576.
Badland, H., Schofield, G., & Schluter, P. (2007). Objectively measured commute distance: Associations with actual travel modes and perceptions to place of work or study in Auckland, New Zealand. Journal of Physical Activity & Health, 4(1), 80–86.
Badland, H., Whitzman, C., Lowe, M., Davern, M., Aye, L., Butterworth, I., et al. (2014). Urban liveability: Emerging lessons from Australia for exploring the potential for indicators to measure the social determinants of health. Social Science and Medicine, 111, 64–73.
Baum, F., Ziersch, A., Zhang, G., & Osborne, K. (2009). Do perceived neighbourhood cohesion and safety cohesion contribute to neighbourhood differences in health? Health & Place, 15(4), 925–934.
Becker, P., & Moen, P. (1999). Scaling back: Dual-earner couples’ work-family strategies. Journal of Marriage and the Family, 61, 995–1007.
Brownson, R., Boehmer, T., & Luke, D. (2005). Declining rates of physical activity in the United States: What are the contributors? Annual Review of Public Health, 26, 421–443.
Burström, B., & Fredlund, P. (2001). Self-rated health: Is it a good predictor of subsequent mortality among adults in lower as well as higher social classes? Journal of Epidemiology and Community Health, 55, 836–840.
Cervero, R., & Duncan, M. (2006). Which reduces vehicle travel more: Jobs-housing balance or retail-housing mixing? Journal of the American Planning Association, 72(4), 475–490.
Colantonio, A., & Dixon, T. (2011). Urban regeneration and social sustainability. Best practice for European cities. West Sussex: Wiley-Blackwell.
Department for Transport. (2013). National travel survey statistics. London: Department for Transport.
Dieleman, F. (2001). Modelling residential mobility; a review of recent trends in research. Journal of Housing and the Built Environment, 16, 249–265.
Dodson, J., & Sipe, N. (2008). Unsettling suburbia: The new landscape of oil and mortgage vulnerability in Australian cities (Vol. 17). Nathan: Urban Research Program, Griffith University.
Florida, R. (2011). The rise of the creative class: Revisited. New York: Basic Books.
Frank, L. (2004). Economic determinants of urban form: Resulting trade-offs between active and sedentary forms of travel. American Journal of Preventive Medicine, 27(3S1), 146–153.
Frank, L., Andresen, M., & Schmid, T. (2004). Obesity relationships with community design, physical activity, and time spent in cars. American Journal of Preventive Medicine, 27(2), 87–96.
Frank, L. D., & Pivo, G. (1995). Impacts of mixed use and density on utilization of three modes of travel: Single-occupant vehicle, transit, and walking. Transportation Research Record, 1466, 44–52.
Giles-Corti, B., Mavoa, S., Eagleson, S., Davern, M., Roberts, R., & Badland, H. (2014). How walkable is Melbourne? The development of a transport walkability index for metropolitan Melbourne. Melbourne: The University of Melbourne.
Ivory, V., Russell, M., Witten, K., Hooper, C., Pearce, J., & Blakely, T. (2015). What shape is your neighbourhood? Investigating the micro geographies of physical activity. Social Science and Medicine, 133, 313–321.
Jackson, L. (2003). The relationship of urban design to human health and condition. Landscape and Urban Planning, 64, 191–200.
Kaplan, G., & Camacho, T. (1983). Perceived health and mortality: A nine-year follow-up of the Human Population Laboratory Cohort. American Journal of Epidemiology, 117, 292–304.
Kluger, A. (1998). Commute variability and strain. Journal of Organizational Behavior, 19, 147–165.
Korsu, E., & Wenglenski, S. (2010). Job accessibility, residential segregation and risk on long-term unemployment in the Paris region. Urban Studies, 47, 2279–2324.
Kwan, M.-P. (2012). The uncertain geographic context problem. Annals of the Association of American Geographers, 102(5), 958–968.
Levine, J. (1998). Rethinking accessibility and jobs-housing balance. Journal of the American Planning Association, 64, 133–149.
Lowe, M., Whitzman, C., Badland, H., Davern, M., Hes, D., Aye, L., et al. (2013). Liveable, Health, Sustainable: What are the key indicators for Melbourne neighbourhoods?. Melbourne: Place, Health, and Liveability Research Program, University of Melbourne. (Research paper 1).
Lyons, G., & Chatterjee, K. (2008). A human perspective on the daily commute: Costs, benefits, and trade-offs. Transport Reviews, 28, 181–198.
Milner, A., Kavanagh, A., Krnjacki, L., Bentley, R., & LaMontagne, A. (2014). Area-level unemployment and job insecurity: Evidence from a longitudinal study conducted in the Australian working age population. Annuals of Occupational Hygiene, 58(2):171–181.
Norris, M. (2014). Social housing, disadvantage, and neighbourhood liveability: Ten years of change in social housing neighbourhoods. New York: Routledge.
Palmer, A. (2005). Health of people who travel to work: The effect of time travel and mode of transport on health. Kent: Centre for Health Services Studies, University of Kent.
Rohe, W., Cowan, S., & Roderiguez, D. (2012). Assessing the environmental, economic and social benefit of well-located workforce housing. Social Science Research Network. Retrieved 23 August 2012, from http://dx.doi.org/10.2139/ssrn.2135239.
Schleith, D., & Horner, M. (2014). Commuting, job clusters, and travel burdens. Transportation Research Record, 2452, 19–27.
Schofield, G., Badland, H., & Oliver, M. (2005). Objectively measured physical activity in New Zealand workers. Journal of Science and Medicine in Sport, 8(2), 143–151.
Singleton, P. (2013). A theory of travel decision-making with application for modeling active travel demand. Portland: Master of Science, Portland State University.
State Government Victoria. (2014). Plan Melbourne. Metropolitan planning strategy 2014. Melbourne: State Government Victoria.
Stoll, M. (2005). Geographical skills mismatch, job search and race. Urban Studies, 42, 695–717.
Strategic Review of Health Inequalities in England post-2010. (2010). Fair society, healthy lives. London: Department of Health.
Stutzer, A., & Frey, B. (2004). Stress that doesn’t pay: The commuting paradox. Bonn: Institute for the Study of Labor.
Textor, J., Hardt, J., & Knüppel, S. (2011). DAGitty: A graphical tool for analyzing causal diagrams. Eoidemiology, 5, 745.
Theorell, T. (2000). Working conditions and health. In L. Berkman & I. Kawachi (Eds.), Social Epidemiology (pp. 95–117). New York: Oxford University Press.
United Nations Department of Economic & Social Affairs. (2014). World urbanization prospects: 2014 revision. New York: United Nations.
Van Dyck, D., Cardon, G., Deforche, B., Owen, N., Sallis, J., & De Bourdeaudhuij, I. (2010). Neighborhood walkability and sedentary time in Belgian adults. American Journal of Preventive Medicine, 39, 25–32.
van Lenthe, F., Borrell, L., Costa, G., Diez Roux, A., Kauppinen, T., Marinacci, C., et al. (2005). Neighbourhood unemployment and all cause mortality: A comparison of six countries. Journal of Epidemiology and Community Health, 59, 231–237.
Van Rooy, D. (2006). Effects of automobile commute characteristics on affect and job candidate evaluations. Environment and Behavior, 38(5), 626–655.
Warr, D., Feldman, P., Tacticos, T., & Kelaher, M. (2009). Sources of stress in impoverished neighbourhoods: Insights into links between neighbourhood environments and health. Australian and New Zealand Journal of Public Health, 33(1), 25–35.
Wen, L., Orr, N., Millett, C., & Rissel, C. (2006). Driving to work and overweight and obesity: Findings from the 2003 New South Wales Health Survey, Australia. International Journal of Obesity, 30, 782–786.
Western Australian Planning Commission and Department for Planning and Infrastructure. (2009). Liveable neighbourhoods: A Western Australian Government sustainable cities initiative. Perth: Western Australian Planning Commission.
Wilson, J. (2000). Volunteering. Annual Review of Sociology, 26, 215–240.
Witten, K., Blakely, T., Bagheri, N., Badland, H., Ivory, V., Pearce, J., et al. (2012). Neighbourhood built environment is associated with residents’ transport and leisure physical activity: Findings from New Zealand using objective exposure and outcome measures. Environmental Health Perspectives, 120(7), 971–977.
This work was supported by the NHMRC Centre for Excellence in Healthy Liveable Communities (No. 1061404) and The Australian Prevention Partnership Centre (supported by NHMRC, ACT Health, NSW Health, the Australian National Preventive Health Agency (ANPHA), the Hospitals Contribution Fund of Australia (HCF) and the HCF Research Foundation). BGC is supported by an NHMRC Principal Research Fellow Award (No. 1004900). All authors are in part, supported by VicHealth.
Conflict of interest
All authors declare they have no conflict of interest.
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Badland, H., Milner, A., Roberts, R. et al. Are Area-Level Measures of Employment Associated with Health Behaviours and Outcomes?. Soc Indic Res 134, 237–251 (2017). https://doi.org/10.1007/s11205-016-1417-z
- Geographic information system
- Social determinants of health