Int J Health Geogr - Older adults' transportation walking: a cross-sectional study on the cumulative influence of physical environmental factors.

Tópicos

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Resumo

CKGROUND: The physical environment may play a crucial role in promoting older adults' walking for transportation. However, previous studies on relationships between the physical environment and older adults' physical activity behaviors have reported inconsistent findings. A possible explanation for these inconsistencies is the focus upon studying environmental factors separately rather than simultaneously. The current study aimed to investigate the cumulative influence of perceived favorable environmental factors on older adults' walking for transportation. Additionally, the moderating effect of perceived distance to destinations on this relationship was studied.METHODS: The sample was comprised of 50,685 non-institutionalized older adults residing in Flanders (Belgium). Cross-sectional data on demographics, environmental perceptions and frequency of walking for transportation were collected by self-administered questionnaires in the period 2004-2010. Perceived distance to destinations was categorized into short, medium, and large distance to destinations. An environmental index (=a sum of favorable environmental factors, ranging from 0 to 7) was constructed to investigate the cumulative influence of favorable environmental factors. Multilevel logistic regression analyses were applied to predict probabilities of daily walking for transportation.RESULTS: For short distance to destinations, probability of daily walking for transportation was significantly higher when seven compared to three, four or five favorable environmental factors were present. For medium distance to destinations, probabilities significantly increased for an increase from zero to four favorable environmental factors. For large distance to destinations, no relationship between the environmental index and walking for transportation was observed.CONCLUSIONS: Our findings suggest that the presence of multiple favorable environmental factors can motivate older adults to walk medium distances to facilities. Future research should focus upon the relationship between older adults' physical activity and multiple environmental factors simultaneously instead of separately.

Resumo Limpo

ckground physic environ may play crucial role promot older adult walk transport howev previous studi relationship physic environ older adult physic activ behavior report inconsist find possibl explan inconsist focus upon studi environment factor separ rather simultan current studi aim investig cumul influenc perceiv favor environment factor older adult walk transport addit moder effect perceiv distanc destin relationship studiedmethod sampl compris noninstitution older adult resid flander belgium crosssect data demograph environment percept frequenc walk transport collect selfadminist questionnair period perceiv distanc destin categor short medium larg distanc destin environment index sum favor environment factor rang construct investig cumul influenc favor environment factor multilevel logist regress analys appli predict probabl daili walk transportationresult short distanc destin probabl daili walk transport signific higher seven compar three four five favor environment factor present medium distanc destin probabl signific increas increas zero four favor environment factor larg distanc destin relationship environment index walk transport observedconclus find suggest presenc multipl favor environment factor can motiv older adult walk medium distanc facil futur research focus upon relationship older adult physic activ multipl environment factor simultan instead separ

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