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The Association between Changes in Built Environment and Changes in Walking among Older Women in Portland, Oregon

Author

Listed:
  • Justin Guan

    (Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA)

  • Jana A. Hirsch

    (Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA
    Urban Health Collaborative, Philadelphia, PA 19104, USA)

  • Loni Philip Tabb

    (Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA)

  • Teresa A. Hillier

    (Kaiser Permanente Northwest Center for Health Research, Portland, OR 97227, USA)

  • Yvonne L. Michael

    (Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA)

Abstract

Some cross-sectional evidence suggests that the objectively measured built environment can encourage walking among older adults. We examined the associations between objectively measured built environment with change in self-reported walking among older women by using data from the Study of Osteoporotic Fractures (SOF). We evaluated the longitudinal associations between built environment characteristics and walking among 1253 older women (median age = 71 years) in Portland, Oregon using generalized estimating equation models. Built environment characteristics included baseline values and longitudinal changes in distance to the closest bus stop, light rail station, commercial area, and park. A difference of 1 km in the baseline distance to the closest bus stop was associated with a 12% decrease in the total number of blocks walked per week during follow-up (e β = 0.88, 95% CI: 0.78, 0.99). Our study provided limited support for an association between neighborhood transportation and changes in walking among older women. Future studies should consider examining both objective measures and perceptions of the built environment.

Suggested Citation

  • Justin Guan & Jana A. Hirsch & Loni Philip Tabb & Teresa A. Hillier & Yvonne L. Michael, 2022. "The Association between Changes in Built Environment and Changes in Walking among Older Women in Portland, Oregon," IJERPH, MDPI, vol. 19(21), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14168-:d:957612
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    References listed on IDEAS

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    3. Lise Gauvin & Lucie Richard & Yan Kestens & Bryna Shatenstein & Mark Daniel & Spencer D. Moore & Geneviève Mercille & Hélène Payette, 2012. "Living in a Well-Serviced Urban Area Is Associated With Maintenance of Frequent Walking Among Seniors in the VoisiNuAge Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(1), pages 76-88.
    4. Enrico A. Colosimo & Maria Arlene Fausto & Marta Afonso Freitas & Jorge Andrade Pinto, 2012. "Practical modeling strategies for unbalanced longitudinal data analysis," Journal of Applied Statistics, Taylor & Francis Journals, vol. 39(9), pages 2005-2013, May.
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