Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults
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Open Access
- 1 July 2005
- journal article
- research article
- Published by BMJ in Journal of Epidemiology and Community Health
- Vol. 59 (7), 558-564
- https://doi.org/10.1136/jech.2004.028399
Abstract
Objective: To examine the relation between built environment factors (representing several dimensions of urban form of neighbourhoods) and walking activity at both the neighbourhood level and the resident level, in an older adult sample. Design, setting, participants: A cross sectional, multilevel design with neighbourhoods as the primary sampling unit and senior residents as the secondary unit. Five hundred and seventy seven residents (mean age = 74 years, SD = 6.3 years) participated in the survey, which was conducted among 56 city defined neighbourhoods in Portland, Oregon, USA. Neighbourhood level variables were constructed using geographical information systems. Resident level variables consisted of a mix of self reports and geocoded data on the built environment. Main outcome measure: Self reported neighbourhood walking. Main results: A positive relation was found between built environment factors (density of places of employment, household density, green and open spaces for recreation, number of street intersections) and walking activity at the neighbourhood level. At the resident level, perceptions of safety for walking and number of nearby recreational facilities were positively related to high levels of walking activity. A significant interaction was observed between number of street intersections and perceptions of safety from traffic. Conclusions: Certain neighbourhood built environment characteristics related to urban form were positively associated with walking activity in the neighbourhoods of senior residents. Public health promotion of walking activity/urban mobility and the design of interventions need to consider the contribution of neighbourhood level built environment influences.Keywords
This publication has 19 references indexed in Scilit:
- A community-based walking trial to improve neighborhood quality of life in older adults: a multilevel analysisAnnals of Behavioral Medicine, 2004
- Walking trends among U.S. adults: The Behavioral Risk Factor Surveillance System, 1987–2000American Journal of Preventive Medicine, 2003
- International Physical Activity Questionnaire: 12-Country Reliability and ValidityMedicine & Science in Sports & Exercise, 2003
- Environmental correlates of walking and cycling: Findings from the transportation, urban design, and planning literaturesAnnals of Behavioral Medicine, 2003
- Community Contexts of Human WelfareAnnual Review of Psychology, 2003
- How the built environment affects physical activity: Views from urban planningAmerican Journal of Preventive Medicine, 2002
- Theoretical approaches to the promotion of physical activity: Forging a transdisciplinary paradigmAmerican Journal of Preventive Medicine, 2002
- The association between urban form and physical activity in U.S. adultsAmerican Journal of Preventive Medicine, 2002
- Environmental factors associated with adults' participation in physical activity A reviewAmerican Journal of Preventive Medicine, 2002
- Environmental and Policy Determinants of Physical Activity in the United StatesAmerican Journal of Public Health, 2001