Spivock Michael, Gauvin Lise, Brodeur Jean-Marc
University of Montreal, Department of Social and Preventive Medicine, Interdisciplinary Research Group on Health and The Lea-Roback Research Centre on Social Inequalities in Health of Montreal, Montreal, QC, Canada.
Am J Prev Med. 2007 Mar;32(3):224-30. doi: 10.1016/j.amepre.2006.11.006. Epub 2007 Jan 22.
In an effort to advance the research agenda on residential determinants of active living among people with physical disabilities, the purposes of this paper are (1) to describe the extent to which environmental supports (buoys) promoting active living among individuals with disabilities are present in neighborhoods located in a large urban area, and (2) to examine the association between the presence of these buoys and neighborhood-level indicators of affluence, proportions of individuals with disabilities living in the neighborhood, and other neighborhood active living indicators.
In the context of a larger project, pairs of evaluators assessed potential determinants of active living in 112 neighborhoods (census tracts) on the island of Montreal, Canada, in the summer of 2003. The assessment grid included 18 items related to active living for the general population and three specifically for people with physical disabilities.
Analyses performed in 2006 show that few neighborhoods in this large urban area are equipped with environmental buoys that might support active living among people with physical disabilities. Lower levels of environmental buoys to promote active living among those with disabilities were most strongly associated with lower levels of neighborhood activity-friendliness. Less consistent associations were observed between lower environmental buoys and lower density of destinations, greater safety, lower proportions of people with disabilities, and higher proportions of those of low income.
More research is needed to better understand the distribution of environmental buoys in residential areas and their influences on active living among people with physical disabilities.
为推动关于身体残疾者积极生活的居住决定因素的研究议程，本文的目的是：（1）描述在一个大城市区域的社区中，促进残疾人士积极生活的环境支持（助力因素）的存在程度；（2）研究这些助力因素的存在与社区层面的富裕指标、社区内残疾人士比例以及其他社区积极生活指标之间的关联。
在一个更大项目的背景下，2003年夏天，评估人员成对评估了加拿大蒙特利尔岛上112个社区（普查区）积极生活的潜在决定因素。评估网格包括18项与普通人群积极生活相关的项目以及3项专门针对身体残疾者的项目。
2006年进行的分析表明，在这个大城市区域，很少有社区配备可能支持身体残疾者积极生活的环境助力因素。促进残疾人士积极生活的环境助力因素水平较低，与社区活动友好程度较低密切相关。在较低的环境助力因素与较低的目的地密度、更高的安全性、较低的残疾人士比例以及较高的低收入者比例之间，观察到的关联不太一致。
需要更多研究来更好地理解居民区环境助力因素的分布及其对身体残疾者积极生活的影响。
