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Area-Level Associations between Built Environment Characteristics and Disability Prevalence in Australia: An Ecological Analysis

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  • Nicola Fortune

    (Centre of Research Excellence in Disability and Health, University of Melbourne, Parkville, VIC 3010, Australia
    Centre for Disability Research and Policy, University of Sydney, Lidcombe, NSW 2141, Australia)

  • Ankur Singh

    (Centre of Research Excellence in Disability and Health, University of Melbourne, Parkville, VIC 3010, Australia
    Centre for Health Equity & Centre for Epidemiology & Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC 3053, Australia)

  • Hannah Badland

    (Centre of Research Excellence in Disability and Health, University of Melbourne, Parkville, VIC 3010, Australia
    Centre for Urban Research, RMIT University, Melbourne, VIC 3000, Australia)

  • Roger J. Stancliffe

    (Centre of Research Excellence in Disability and Health, University of Melbourne, Parkville, VIC 3010, Australia
    Centre for Disability Research and Policy, University of Sydney, Lidcombe, NSW 2141, Australia)

  • Gwynnyth Llewellyn

    (Centre of Research Excellence in Disability and Health, University of Melbourne, Parkville, VIC 3010, Australia
    Centre for Disability Research and Policy, University of Sydney, Lidcombe, NSW 2141, Australia)

Abstract

The importance of health-promoting neighborhoods has long been recognized, and characteristics of local built environments are among the social determinants of health. People with disability are more likely than other population groups to experience geographic mobility and cost restrictions, and to be reliant on ‘opportunity structures’ available locally. We conducted an ecological analysis to explore associations between area-level disability prevalence for people aged 15–64 years and area-level built environment characteristics in Australia’s 21 largest cities. Overall, disability was more prevalent in areas with lower walkability and lower local availability of various neighborhood amenities such as public transport, healthier food options, public open space, physical activity and recreation destinations and health and mental health services. These patterns of lower liveability in areas of higher disability prevalence were observed in major cities but not in regional cities. Our findings suggest that geographically targeted interventions to improve access to health-enhancing neighborhood infrastructure could reduce disability-related inequalities in the social determinants of health.

Suggested Citation

  • Nicola Fortune & Ankur Singh & Hannah Badland & Roger J. Stancliffe & Gwynnyth Llewellyn, 2020. "Area-Level Associations between Built Environment Characteristics and Disability Prevalence in Australia: An Ecological Analysis," IJERPH, MDPI, vol. 17(21), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7844-:d:435006
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    References listed on IDEAS

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    1. Nicola Fortune & Bernadette Curryer & Hannah Badland & Jennifer Smith-Merry & Alexandra Devine & Roger J. Stancliffe & Eric Emerson & Gwynnyth Llewellyn, 2022. "Do Area-Level Environmental Factors Influence Employment for People with Disability? A Scoping Review," IJERPH, MDPI, vol. 19(15), pages 1-16, July.

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