Klein Sylvain, Brondeel Ruben, Chaix Basile, Klein Olivier, Thierry Benoit, Kestens Yan, Gerber Philippe, Perchoux Camille
Luxembourg Institute of Socio-Economic Research, Urban and Mobility Department, Esch/Alzette, L-4366, Luxembourg.
Scientific Directorate of Epidemiology and Public Health, Sciensano, J. Wytsmanstraat 14, 1050, Brussels, Belgium.
Health Place. 2023 Jan;79:102730. doi: 10.1016/j.healthplace.2021.102730. Epub 2021 Dec 24.
Interest is growing in neighborhood effects on health beyond individual's home locations. However, few studies accounted for selective daily mobility bias. Selective mobility of 470 older adults (aged 67-94) living in urban and suburban areas of Luxembourg, was measured through detour percentage between their observed GPS-based paths and their shortest paths. Multilevel negative binomial regression tested associations between detour percentage, trips characteristics and environmental exposures. Detour percentage was higher for walking trips (28%) than car trips (16%). Low-speed areas and connectivity differences between observed and shortest paths vary by transport mode, indicating a potential selective daily mobility bias. The positive effects of amenities, street connectivity, low-speed areas and greenness on walking detour reinforce the existing evidence on older adults' active transportation. Urban planning interventions favoring active transportation will also promote walking trips with longer detours, helping older adults to increase their physical activity levels and ultimately promote healthy aging.
人们对邻里环境对健康的影响的兴趣日益浓厚，这种影响超出了个人的居住地点。然而，很少有研究考虑到选择性日常出行偏差。通过测量470名居住在卢森堡城市和郊区的老年人（年龄在67 - 94岁之间）基于全球定位系统（GPS）的实际路径与最短路径之间的绕行百分比，来衡量他们的选择性出行情况。多级负二项回归分析检验了绕行百分比、出行特征和环境暴露之间的关联。步行出行的绕行百分比（28%）高于汽车出行（16%）。低速区域以及实际路径与最短路径之间的连通性差异因交通方式而异，这表明存在潜在的选择性日常出行偏差。便利设施、街道连通性、低速区域和绿化对步行绕行的积极影响进一步证实了关于老年人积极出行的现有证据。有利于积极出行的城市规划干预措施也将促进绕行距离更长的步行出行，帮助老年人提高身体活动水平，最终促进健康老龄化。
