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J Epidemiol Community Health. Jul 2005; 59(7): 558–564.
PMCID: PMC1757084

Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults

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.

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Selected References

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  • Eyler Amy A, Brownson Ross C, Bacak Stephen J, Housemann Robyn A. The epidemiology of walking for physical activity in the United States. Med Sci Sports Exerc. 2003 Sep;35(9):1529–1536. [PubMed]
  • Rafferty Ann P, McGee Harry B, Petersmarck Karen A, Miller Corinne E. Proportion of trips made by walking: estimating a state-level baseline for Healthy People 2010 Objective 22-14. Am J Health Promot. 2004 May-Jun;18(5):387–391. [PubMed]
  • Siegel PZ, Brackbill RM, Heath GW. The epidemiology of walking for exercise: implications for promoting activity among sedentary groups. Am J Public Health. 1995 May;85(5):706–710. [PMC free article] [PubMed]
  • Simpson Mary Ellen, Serdula Mary, Galuska Deborah A, Gillespie Cathleen, Donehoo Ralph, Macera Carol, Mack Karin. Walking trends among U.S. adults: the Behavioral Risk Factor Surveillance System, 1987-2000. Am J Prev Med. 2003 Aug;25(2):95–100. [PubMed]
  • Shinn Marybeth, Toohey Siobhan M. Community contexts of human welfare. Annu Rev Psychol. 2003;54:427–459. [PubMed]
  • Humpel Nancy, Owen Neville, Leslie Eva. Environmental factors associated with adults' participation in physical activity: a review. Am J Prev Med. 2002 Apr;22(3):188–199. [PubMed]
  • King Abby C, Stokols Dan, Talen Emily, Brassington Glenn S, Killingsworth Richard. Theoretical approaches to the promotion of physical activity: forging a transdisciplinary paradigm. Am J Prev Med. 2002 Aug;23(2 Suppl):15–25. [PubMed]
  • Owen Neville, Humpel Nancy, Leslie Eva, Bauman Adrian, Sallis James F. Understanding environmental influences on walking; Review and research agenda. Am J Prev Med. 2004 Jul;27(1):67–76. [PubMed]
  • Saelens Brian E, Sallis James F, Frank Lawrence D. Environmental correlates of walking and cycling: findings from the transportation, urban design, and planning literatures. Ann Behav Med. 2003 Spring;25(2):80–91. [PubMed]
  • Handy Susan L, Boarnet Marlon G, Ewing Reid, Killingsworth Richard E. How the built environment affects physical activity: views from urban planning. Am J Prev Med. 2002 Aug;23(2 Suppl):64–73. [PubMed]
  • Berrigan David, Troiano Richard P. The association between urban form and physical activity in U.S. adults. Am J Prev Med. 2002 Aug;23(2 Suppl):74–79. [PubMed]
  • Brownson RC, Baker EA, Housemann RA, Brennan LK, Bacak SJ. Environmental and policy determinants of physical activity in the United States. Am J Public Health. 2001 Dec;91(12):1995–2003. [PMC free article] [PubMed]
  • Ewing Reid, Schmid Tom, Killingsworth Richard, Zlot Amy, Raudenbush Stephen. Relationship between urban sprawl and physical activity, obesity, and morbidity. Am J Health Promot. 2003 Sep-Oct;18(1):47–57. [PubMed]
  • Wendel-Vos G C Wanda, Schuit A Jantine, de Niet Raymond, Boshuizen Hendriek C, Saris Wim H M, Kromhout Daan. Factors of the physical environment associated with walking and bicycling. Med Sci Sports Exerc. 2004 Apr;36(4):725–730. [PubMed]
  • Fisher K John, Li Fuzhong. A community-based walking trial to improve neighborhood quality of life in older adults: a multilevel analysis. Ann Behav Med. 2004 Dec;28(3):186–194. [PubMed]
  • Sallis JF, Johnson MF, Calfas KJ, Caparosa S, Nichols JF. Assessing perceived physical environmental variables that may influence physical activity. Res Q Exerc Sport. 1997 Dec;68(4):345–351. [PubMed]
  • Craig Cora L, Marshall Alison L, Sjöström Michael, Bauman Adrian E, Booth Michael L, Ainsworth Barbara E, Pratt Michael, Ekelund Ulf, Yngve Agneta, Sallis James F, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381–1395. [PubMed]
  • Li Fuzhong, Fisher John, Brownson Ross C. A multilevel analysis of change in neighborhood walking activity in older adults. J Aging Phys Act. 2005 Apr;13(2):145–159. [PubMed]
  • Sheppard Lisa, Senior Jane, Park Chae Hee, Mockenhaupt Robin, Chodzko-Zajko Wojtek, Bazzarre Terry. The National Blueprint Consensus Conference summary report: strategic priorities for increasing physical activity among adults aged >or=50. Am J Prev Med. 2003 Oct;25(3 Suppl 2):209–213. [PubMed]

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