Centre de Recherche du Centre Hospitalier de l’Université de Montréal, Québec, Canada.
J Gerontol B Psychol Sci Soc Sci. 2012 Jan;67(1):76-88. doi: 10.1093/geronb/gbr134. Epub 2012 Jan 6.
This paper examined whether or not closer proximity to local services and amenities was associated with maintenance of more frequent walking over time among urban-dwelling seniors over and above individual-level characteristics.
A sample of 521 adults who were part of the VoisiNuAge study and who resided in a large North American urban area reported on the frequency of walking outside the home over a 3-year period and on their health, sociodemographic characteristics, social support and resources, and perceptions of different features of their residential environment. Information about the distance between their home and 16 services and amenities was obtained from a geographic information system. Seniors were then classified into quartiles of proximity (Q1, Q2, Q3, Q4).
Unadjusted and adjusted ordinal growth curve models showed that closer proximity to services and amenities was associated with greater likelihood of frequent walking at all times throughout the 3-year period.
Findings are consistent with the notion that environments may act as buoys for the maintenance of important health behaviors. Future experimental and quasi-experimental research is required to explore whether or not the environment can play a causal role in influencing patterns of walking over time.
本研究旨在探讨在城市老年人中,与个体特征相比,与当地服务和便利设施的接近程度是否与维持更频繁的步行有关。
一项来自 VoisiNuAge 研究的 521 名成年人样本,他们居住在一个大型北美城市地区,报告了他们在 3 年内外出步行的频率,以及他们的健康、社会人口统计学特征、社会支持和资源,以及对居住环境不同特征的看法。家庭与 16 种服务和便利设施之间的距离信息是从地理信息系统中获得的。然后,将老年人分为四个距离组(Q1、Q2、Q3、Q4)。
未调整和调整后的有序增长曲线模型表明,与服务和便利设施的接近程度与在整个 3 年期间更频繁地行走的可能性更大有关。
这些发现与环境可能作为维持重要健康行为的浮标这一观点一致。未来需要进行实验和准实验研究,以探讨环境是否可以在影响随时间推移的行走模式方面发挥因果作用。