Department of Disability and Human Development, University of Illinois- Chicago, Chicago, IL, 1640 Roosevelt Road, Chicago, 60608, United States.
Department of Disability and Human Development, University of Illinois- Chicago, Chicago, IL, 1640 Roosevelt Road, Chicago, 60608, United States; College of Urban Planning and Public Affairs, University of Illinois-Chicago, Chicago, IL, 412 S. Peoria St., Chicago, 60607, United States.
Disabil Health J. 2024 Jul;17(3):101615. doi: 10.1016/j.dhjo.2024.101615. Epub 2024 Mar 16.
People with disabilities have higher rates of physical inactivity than people without. Active travel (e.g., walking/wheeling to nearby destinations or transit) is a recommended approach to increasing total physical activity (PA) but limited research has examined active travel among people with disabilities.
To describe active travel among a nationally representative sample of people with disabilities, analyze variation between sub-groups, and examine factors associated with active travel.
Using the 2017 National Household Travel Survey, our cross-sectional analysis summarized counts and duration of walking/wheeling trips for people with four different types of disabilities. We examined which factors were associated with doing any active travel and the duration of active travel, using zero inflated negative binomial regression models.
Our analysis identified that 14.55% of people with disabilities took a mean of 2.56 (95%CI = 2.42-2.69) walking/wheeling trips per day. Compared to non-active travelers, a higher proportion of active travelers were low-income, lived alone, had no-vehicle, and were Black or Hispanic. For active travelers, daily walking minutes, on average, were 46.41 (95%CI = 40.25-52.57) among people who used ambulatory devices, 41.55 (95%CI = 24.61-58.49) among people who were blind/low-vision, 39.93 (95%CI = 35.41-44.45) among people who used no device, and 29.58 (95%CI = 23.53-35.64) among people who used chair devices. Our analysis identified individual, household, and community factors associated with the likelihood and duration of walking/wheeling for travel and variation across disability types.
Understanding the multiple identities of active travelers with disabilities can inform walking/wheeling intervention strategies. Infrastructure improvements that support less reliance on automobiles could increase active travel among people with disabilities.
残疾人士的身体活动水平高于非残疾人士。积极出行（例如，步行/轮椅前往附近目的地或公共交通）是增加总体身体活动（PA）的推荐方法，但针对残疾人士的积极出行的研究有限。
描述具有代表性的残疾人士样本中的积极出行情况，分析亚组之间的差异，并探讨与积极出行相关的因素。
我们使用 2017 年全国家庭出行调查，对四种不同类型残疾人士的步行/轮椅出行次数和时长进行了横断面分析。我们使用零膨胀负二项回归模型，检验了哪些因素与任何积极出行以及积极出行的时长相关。
我们的分析发现，14.55%的残疾人士每天平均进行 2.56 次（95%CI=2.42-2.69）步行/轮椅出行。与非积极出行者相比，更多的积极出行者收入较低、独居、无交通工具且为非裔或西班牙裔。对于积极出行者，使用助行器的人群每天步行分钟数平均为 46.41（95%CI=40.25-52.57），盲人/低视力人群为 41.55（95%CI=24.61-58.49），无使用任何装置的人群为 39.93（95%CI=35.41-44.45），使用轮椅的人群为 29.58（95%CI=23.53-35.64）。我们的分析确定了与步行/轮椅出行的可能性和时长以及残疾类型差异相关的个体、家庭和社区因素。
了解残疾积极出行者的多重身份可以为步行/轮椅出行干预策略提供信息。支持减少对汽车依赖的基础设施改善可以增加残疾人士的积极出行。
