Ebeveynlerin Mahallelerine Yönelik Sağlık Güvenliği Algısı: COVID-19 Salgını Öncesi ve Sonrası İçin Karşıyaka’da Bir Araştırma

Yıl 2021, Cilt: 12 Sayı: 32, 298 - 326, 31.05.2021

Gözde Ekşioğlu Çetintahra Senem Tezcan Bedriye Çınar

https://doi.org/10.31198/idealkent.832230

Öz

COVID-19 pandemisiyle mücadele kapsamında alınan önlemler, çocukların dış mekan etkileşimini kısıtlamakta ve halihazırda önemli bir halk sağlığı sorunu olan çocuklarda fiziksel aktivite eksikliğini olumsuz açıdan arttıran bir etki yaratmaktadır. Güncel durumda dış mekan kısıtlamalarının fiziksel aktivite eksikliğine neden olduğu tartışılmaktayken, ileriki dönemde yaşanılan mahalleye ya da kentsel alanlara ilişkin oluşacak sağlık güvenliği algısının, çocukların fiziksel aktivitelerini gerçekleştirecekleri dış mekan tercihlerinde de etkili olabileceği göz önünde bulundurulmalıdır. Bu çalışmada pandemi dönemi öncesi ve sonrasında çocukların fiziksel aktivite yaptığı mekanlardaki değişimleri belirlemek ve bu değişimler üzerinden pandemi temelli bir sağlık güvenliği algısının oluşup oluşmadığını tespit etmek amaçlanmıştır. Çalışma kapsamında pandemi döneminde Karşıyaka ilçesinde 27 devlet ilkokulunda eğitim almış çocuğu olan 1559 ebeveyn ile çevrimiçi bir anket yapılmıştır. Sonuçlar, pandemi öncesine göre fiziksel aktivite mekanında değişimler olduğuna, bu değişimin fiziksel aktivite yapılan mekanların temizlik ölçütü üzerinden gelişen bir “sağlık güvenliği algısı” nedeniyle oluştuğuna ilişkin ipuçları barındırmaktadır. Bu çalışma, COVID-19 ile kentsel mekan kullanımı arasındaki ilişkiye dair kentsel tasarım literatürüne önemli bir katkı koyacaktır.

Anahtar Kelimeler

covid-19, sağlık güvenliği algısı, mahalle, çocuk, fiziksel aktivite

Destekleyen Kurum

TÜBİTAK

Proje Numarası

120K672

Parents’ Perception of Neighborhood’s Health Safety: An Investigation in Karsiyaka for Pre and Post COVID-19 Outbreak

Öz

The arrangements taken to combat the COVID-19 pandemic not only cause limitations on children’s open space interaction but also increase the lack of physical activity in children, which is already a major public health problem. While it is argued that open space restrictions cause a lack of physical activity in the current situation, it should be taken into account that the health safety perception on the neighborhood or urban areas in the future may also be effective in the physical activity place preferences of children. This study aimed to determine the changes in the places where children do physical activity before and after the pandemic period and to determine whether a pandemic-based health safety perception on the neighborhood is formed through these changes. In this study, an online survey was conducted with 1559 parents with children who were educated in 27 public primary schools in Karşıyaka province during the pandemic period. Results clued in the changes in physical activity place compared to before pandemic, and these changes develop a health safety perception over the cleanliness criteria of the physical activity places. This study will contribute important data to urban design literature on the relation between COVID-19 and urban space use.

Anahtar Kelimeler

COVID-19, health safety perception, neighborhood, child, physical activity

Proje Numarası

120K672

Kaynakça

• Aarts, M., Wendel-Vos, W., Van Oers, H., Van Der Goor, I. ve Schuit, A. (2010). Environmental determinants of outdoor play in children: A large-scale cross sectional study, American Journal of Preventive Medicine, 39(3), 212-219.
• Adkins, S., Sherwood, N., Story, M. ve Davis, M. (2004). Physical activity among African-American girls: The role of parents and the home environment, Obesity Research, 12(9), 38-45.
• Ainsworth, B., Haskell, W., Whitt, M., Irwin, M., Swartz, A., Strath, S., O'Brien, W. L., Bassett, D. R. Jr., Schmitz, K. H., Emplaincourt, P. O., Jacobs, D. R. Jr. ve Leon, A. S. (2000). Compendium of physical activities: An update of actvity codes and MET intensities, Medicine & Science in Sports & Exercise, 32(9), 498-516.
• An, R. (2020). Projecting the impact of the coronavirus disease-2019 pandemic on childhood obesity in the United States: A microsimulation model, Journal of Sport and Health Science, 9, 302-312.
• Armitage, R. ve Nellums, L. (2020). Considering inequalities in th school closure response to COVID-19, The Lancet Global Health, 8, 644.
• Armstrong, T. ve Bull, F. (2006). Development of the World health organization global physical activity questionnaire (GPAQ). Journal of Public Health, 14(2), 66-70.
• Brodersen, N., Steptoe, A., Williamson, S. ve Wardle, J. (2005). Sociodemograohic, evelopmental, environmental, and psychological correlates of physical activity and sedantary behavior at age 11 to 12, Annals of Behavioral Medicine, 29(1), 2-11.
• Bronfenbrenner, U. (1977). Toward an experimental ecology of human development, American Psychologist, 32(7), 513-531.
• Burdette, H. ve Whitaker, R. (2005). A national study of neighborhood safety, outdoor play, television viewing, and obesity in preschool children, Pediatrics, 36(4), 657-662.
• Christoffel, M., Gomes, A., Souza, T. ve Ciuffo, L. (2020). Children's (in)visibility in social vulnerability and the impact of the novel coronavirus (COVID-19), Revista Brasileira de Enfermagem, 73(2), e20200302.
• Craig, C.L., Marshall, A.L., Sjöström, M., Bauman, A.E., Booth, M.L., Ainsworth, B.E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J.F. ve Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35, 138-1395.
• Çetintahra, G.E. (2015). Kentsel Alanda Fiziksel Çevrenin Çocukların Fiziksel Aktivitesi Üzerindeki Etkisi. Doktora Tezi. https://tez.yok.gov.tr/. (410526)
• Çetintahra, G.E. ve Hepgüzel, B. (2014). Yürüyerek Ulaşım Tercihini Etkileyen Kentsel Olanak(sızlık)lar: Buca Alt Merkez Örneği - İzmir. 26. Uluslararası Yapı ve Yaşam Fuar ve Kongresi: Kent Merkezini Yeniden Keşfetmek içinde (411-416). Bursa: TMMOB Mimarlar Odası Bursa Şubesi.
• Çetintahra, G.E. ve Çubukçu, E. (2019). Çocukların iç ve dış mekanlardaki aktivite düzeyleri: Akselerometre ve küresel konumlama sistemi aygıtlarını kullanarak gerçek aktivite konumunun belirlenmesi, Kentli, 10(32), 47-50.
• Dozier, S., Schroeder, K., Lee, J., Fulkerson, J. ve Kubik, M. (2020). The association between parents and children meeting physical activity guidelines, Journal of Pediatric Nursing, 52, 70-75.
• Evans, G. (2003). The built environment and mental health, Journal of Urban Health, 80(4), 536-555.
• Frank, L., Engelke, P. ve Schmid, T. (2003). Health and communty design. Washington: Island Press.
• Frank, L., Andresen, M. ve Schmid, T. (2004). Obesity relationships with community design, physical activity, and time spent in cars, American Journal of Preventive Medicine, 27, 27-96.
• Galaviz, K., Zytnick, D., Kegler, M. ve Cunningham, S. (2016). Parental perception of neighborhood safety and children's physical activity, Journal of Physical Activity and Health, 13(10), 1110-1116.
• Geldsetzer, P. (2020). Use of rapid online surveys to assess people's perceptions during infectious disease outbreaks: A cross-sectional survey on COVID-19, Journal of Medical Internet Research, 22(4), e18790.
• Guerrero, M., Vanderloo, L., Rhodes, L., Faulkner, G., Moore, S., ve Tremblay, M. (2020). Canadian children's and youth's adherence to the 24-h movement guidelines during the COVID-19 pandemic: A decision tree analysis, Journal of Sport and Health Science, 9, 313-321.
• Guillaume, M., Lapidus, L., Bjömtop, P. ve Lambert, A. (1997). Physical activity, obesity, and cardiovascular risk factors in children: The Belgan Luxembourg Child Study II, Obesity Research, 5(6), 549-556.
• Handsa, A., Williamsa, S., Pearcea, G., Atkinsonb, L., Warka, P. ve Duncana, M. (2018). Parental perception of the built environment and children’s active travel to school by deprivation level, Journal of Physical Activity & Health, 15(10), 63.
• Hemphill, N., Kuan, M., ve Harris,, K. (2020). Reduced physical activity during COVID-19 pandemic in children with congenital heart disease, Canadian Journal of Cardiology, 36, 1130-1134.
• Hesketh, K., Graham, M. ve Waters, E. (2008). Children's after-school activity: Associations with weight status and family circumstances, Pediatric Exercise Science, 20(1), 84-94.
• Heymann, D. ve Shindo, N. (2020). COVID-19: what is next for public health?, The Lancet, 395(10224), 542-545.
• Hill, J., Wyatt, H., Reed, G. ve Peters, J. (2003). Obesity and the environment: Where do we go from here?, Science, 299, 853-855.
• Heft, H. (1988). Affordances of children's environments: A functional approach to environmental description, Children's Environments Quarterly, 5(3), 29-37.
• Hume, C., Ball, K. ve Salmon, J. (2006). Development and reliability of a self-report questionnaire to examine children's perceptions of the physical activity environment at home and in the neighborhood, International Journal of Behavioral Nutrition and Physical Activity, 3(1), 16.
• Hume, C., Salmon J. ve Ball, K. (2007). Associations of children's perceived neighborhood environments with walking and physical activity, American Journal of Health Promotion, 21(3), 201-207.
• Hume, C., Timperio, A., Salmon, J., Carver, A., Giles-Corti, B. ve Crawford, D. (2009). Walking and cycling to school: Predictors of increases among children and adolescents, American Journal of Preventive Medicine, 36(3), 195-200.
• Hunter, S., Carson, V., Timperio, A., Salmon, J., Carver, A. ve Veitch, J. (2020). Moderators parents' perceptions of the neighborhood environment and children's physical activity, time outside, and screen time, Journal of Physical Activity and Health, 17(5), 557-565.
• Kail, R. (2002). Children. New Jersey: Prentice Hall.
• Kemperman, A. ve Timmermans, H. (2011). Children's recreational physical activity, Leisure Sciences, 33(3), 183-204.
• Korczak, D., Madigan, S. ve Colasanto, M. (2017). Children's physical actvity and depression: a meta-analysis, Pediatrics, 139(4), e20162266.
• Li, M., Dibley, M., Sibbritt, D. ve Yan, H. (2006). Factors associated with adolescents' physical activity in Xi'an City, China. Medicine and Science in Sports and Exercise, 38(12), 2075-2085.
• Lopez, R. (2004). Urban sprawl and risk for being overweight or obese, American Journal of Public Health, 94, 1574-1579.
• Molnar, B., Gortmaker, S., Bull, F. ve Buka, S. (2004). Unsafto play? Neighborhood disorder and lack of safety predict reduces physical activity among urban children and adolescents, American Journal of health Promotion, 18(5), 378-386.
• Mota, J., Almeida, M., Santos, P. ve Riberio, J. (2005). Perceived neighrborhood environments and physical activity in adolescents, Preventive Medicine, 41(4-5), 834-836.
• Nader, P., Bradley, R., Houts, R., McRitchie, S. ve O'Brien, M. (2008). Moderate-to-vigorous physical activity from ages 9 to 15 years, The Journal of the American Medical Association, 300(3), 295-305.
• Nezami, N., Zarei, A., Tojari, F. ve Hazeveh, S. (2020). Correlation between parental support and physical activity, children's perception of parental support, social senc and neighborhood environment with child physical activity, Journal of Health Promotion Management, 9(2), 43-55.
• Prince, S., Butler, G., Rao, D. ve Thompson, W. (2017). Where are children and adults physically active and sedentary? - A rapid review of location-based studies, Preventive Medicine Reports, 39(3), 130-135.
• Saelens, B., Sallis, J., Nader, P., Broyles, S., Berry ve C., Taras, H. (2002). Home environmental influences on children's television watching from early to middle childhood, Journal of Developmental & Behavioral Pediatrics, 23(3), 127-132.
• Saelens, B., Sallis, J., Black ve J., Chen, D. (2003). Neighborhood-based differences in physical activity: An environmental scale evaluation, American Journal of Public Health, 93, 1552-1558.
• Sallis, J., Alcaraz, J., McKenzie, T. ve Hovell, M. (1999). Predictors of change in children's physical activity over 20 mouths: Variations bugender and level of adiposity, American Journal of Preventive Medicine, 16(3), 222-229.
• Shekerdmian, L., Mahmood, N., Wolfe, K., Riggs, B., Ross, C., McKiernan, C., et al. (2020). Characteristics and outcomes of children wih coronavrus diseases 2019 (COVID-19) infection admitted to US and Canadian pediatric intensive care units, JAMA Pediatrics.
• Shi, Z., Lien, N., Kumar, B. ve Holmboe-Ottensen, G. (2006). Physical activity and associated socio-demographic factors among school adolescents in Jiangsu Province, China, Preventive Medicine, 43(3), 218-221.
• Singh, G., Kogan, M., Siahpush, M. ve Van Dyck, P. (2008). Independent and joint effects of socioeconomic, behavioral,and neighborhood characteristics on physical inactivity and activity levels among US children and adolescents, Journal of Community Health, 33(4), 206-216.
• Sunnegårdh, J., Bratteby, L. ve Sjölin, S. (1985). Physical activity and sports involvement in 8-and 13-year-old children in Sweden, Acta Paediatrica Scandinavica, 74(6), 904.
• Telford, A., Salmon, J., Jolley, D. ve Crawford, D. (2004). Reliability and validity of physical activity questionnaires for children: The children's leisure activities study survey (CLASS), Pediatric Exercise Science, 16, 64-78.
• Timperio, A., Crawford, D., Telford, A. ve Salmon, J. (2004). Perceptions about the local neighborhood and walking and cycling among children, Preventive Medicine, 38(1), 39-47.
• Thorleifsdottir, K. (2008). Neighborhood desgn: Associations between suburban neighborhood morphology and children's outdoor, out-of-school, physical activities (Doktora Tezi). https://repository.lib.ncsu.edu/. (etd-03282008-161919).
• Trapp, G., Giles-Corti, B., Christian, H., Bulsara, M., Timperio, A., McCormack, G. ve Villaneuva, K.P. (2012). Increasing children's physical activity: Individual, socal, and environmental factors associated with walking toand from school, Health Education & Behavior, 39(2), 172-182.
• Viner, R., Russell, S., Croker, H., Packer, J., Ward, J., Stansfield, C., Mytton, O., Bonell, C. ve Booy, R. (2020). School closure and management practices during coronavirus outbreaks including COVID-19: A rapid sytematic review, The Lancet Child & Adolescent Health, 4, 397–404.
• Wang, G., Zhang, Y., Zhao, J., Zhang, J. ve Jiang, F. (2020). Mitigate the effects of home confinement on children during the COVID-19 outbreak, The Lancet, 395(10228), 945-947.
• World Health Organization [WHO]. (2010). Global recommendations on physical activity for health. Switzerland: WHO Press.
• World Health Organization [WHO]. (2014). Childhood overweight and obesity. 15 Nisan 2020 tarihinde https://www.icisleri.gov.tr/koronavirus-salgini-yeni-tedbirler adresinden erişildi.
• World Health Organization [WHO]. (2016). Physical activity strategy for the WHO European Region 2016-2025. Copenhagen: WHO Regional Office for Europe.
• World Health Organization [WHO]. (2019). Implementation framework for Phase VII (2019-2024) of the WHO European Healthy Cities Network: Goals, requirements and strategic approaches. Copenhagen: WHO Regional Office for Europe.
• Yoshikawa, H., Wuermli, A., Britto, P., Dreyer, B., Leckman, J., Lye, S., et al. (2020). Effects of the global coronavirus disease-2019 pandemic on early childhood development: Short-and long-term risks and mitigating program and policy actions, Th Journal of Pediatrics, 223, 188-193.
• Zhang, C., Zhang, R., Gan, Y., Li, D. ve Rhodes, R. (2019). Predicting transport-related cycling in Chinese employees using an integration of perceived physical environment and social cognitive factors, Transport Research Part F: Traffic Psychology and Behaviour, 64, 424-439.
• Zorba, E. (2006). Yaşam boyu spor (2. bs.). İstanbul: Nobes Yayıncılık.