Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101, USA.
Gerontologist. 2013 Apr;53(2):268-79. doi: 10.1093/geront/gns119. Epub 2012 Sep 25.
To gain better understanding of how the built environment impacts neighborhood-based physical activity among midlife and older adults with mobility disabilities.
We conducted in-depth interviews with 35 adults over age 50, which used an assistive device and lived in King County, Washington, U.S. In addition, participants wore global positioning systems (GPS) devices for 3 days prior to the interview. The GPS maps were used as prompts during the interviews. Open coding of the 35 interviews using latent content analysis resulted in key themes and subthemes that achieved consensus between coders. Two investigators independently coded the text of each interview.
Participants were on average of 67 years of age (range: 50-86) and predominantly used canes (57%), walkers (57%), or wheelchairs (46%). Key themes pertained to curb ramp availability and condition, sidewalk availability and condition, hills, aesthetics, lighting, ramp availability, weather, presence and features of crosswalks, availability of resting places and shelter on streets, paved or smooth walking paths, safety, and traffic on roads.
A variety of built environment barriers and facilitators to neighborhood-based activity exist for midlife and older adults with mobility disabilities. Preparing our neighborhood environments for an aging population that uses assistive devices will be important to foster independence and health.
深入了解建筑环境如何影响行动不便的中老年居民的邻里间身体活动。
我们对 35 名 50 岁以上、使用辅助设备并居住在美国华盛顿州金县的成年人进行了深入访谈。此外，参与者在访谈前三天佩戴全球定位系统（GPS）设备。在访谈过程中，GPS 地图被用作提示。通过潜在内容分析对 35 次访谈进行开放式编码，得出了关键主题和子主题，这些主题和子主题在编码员之间达成了共识。两位研究人员分别对每个访谈的文本进行编码。
参与者的平均年龄为 67 岁（范围：50-86 岁），主要使用手杖（57%）、助行器（57%）或轮椅（46%）。关键主题涉及路缘坡道的可用性和状况、人行道的可用性和状况、山丘、美学、照明、坡道的可用性、天气、人行横道的存在和特征、街道上休息场所和遮蔽物的可用性、铺砌或平滑的步行道、安全性以及道路上的交通。
行动不便的中老年居民在邻里间活动方面存在各种建筑环境障碍和促进因素。为使用辅助设备的老龄化人口做好邻里环境的准备将对促进独立性和健康至关重要。
