The impact of individual and environmental interventions on income inequalities in sports participation: explorations with an agent-based model

Abstract Background Income inequalities in sports participation are shaped by a system in which individuals and the environment interact. We developed an agent-based model (ABM) that could represent this system and used it to provide a proof-of-concept of its potential to explore the impact of individual and environmental interventions on reducing inequalities in sports participation. Methods Our ABM simulates sports participation of individuals in the Dutch city of Eindhoven. In the model, sports participation is determined by an individual’s tendency to start sports (at a fitness center, sports club or self-organized), which is influenced by attributes of individuals (i.e. age, sex, income), sports facilities (i.e. price, accessibility) and the social environment (i.e. social cohesion, social influence). Sports facilities can adapt to changes in the demand by closures or startups, which in turn influence the tendency of individuals to participate in sport. We explored the impact of five interventions scenarios. Results Explorative results show that providing health education, increasing the availability of sports facilities, lowering prices of facilities and improving safety levels can increase sports participation and modestly reduce absolute income inequalities in sports participation. The largest gain can be attained through health education, if the effect and reach is sufficiently large. Environmental interventions alone have a modest impact. Marked effects are only achieved after five to 10 years. Conclusions ABMs have much potential to test the population-level effects of various interventions in the context of a system. Our study highlights the challenges of ABM development and reveals gaps in empirical data. With further refinements, our model could aid in understanding and finding optimal pathways to reduce income inequalities in sports participation