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The impact of neighborhood factors on physical activity in older adults with visual impairment
Journal article   Open access   Peer reviewed

The impact of neighborhood factors on physical activity in older adults with visual impairment

Jian-Yu E, Sheila K. West, Laura N. Gitlin, David S. Friedman and Pradeep Y. Ramulu
American journal of ophthalmology, v 250, pp 49-58
Jun 2023
DOI: https://doi.org/10.1016/j.ajo.2023.01.017
PMID: 36682519
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/10175110View
SubmittedOpen Access (Publisher-Specific),  Open

Abstract

Purpose To investigate the associations of neighborhood-level socioeconomic and environmental characteristics with physical activity in persons with glaucoma. Design Cross-sectional study (N = 230). Methods Home addresses were used to extract neighborhood factors (NFs): Area Deprivation Index, crime rate, and the proportion of racial and ethnic minorities, poverty, college graduates, and park area in their census tract. Participants’ average number of daily steps and nonsedentary minutes were collected over 7 days using an accelerometer. Visual field (VF) loss was quantified as integrated VF sensitivity. Multivariable negative binomial regression models and additional models with an interaction term evaluated the effect of NF on physical activity and whether these relationships differed by VF loss severity. Results Participants were on average 70.6 years of age, 51.7% were male, and 27.8% were black. A higher Area Deprivation Index or poverty share was associated with fewer NSM (incidence rate ratio [IRR] = 0.96 per 1 Area Deprivation Index decile increment, P = .01; IRR = 0.92 per 10% poverty share increment, P = .02), while higher share of college graduates was associated with greater NSM (IRR = 1.03 per 10% increment; P = .03). Stronger associations were noted between both high crime rate and poverty share with NSM in individuals with severe VF damage as opposed to no/mild VF damage (IRR = 0.44, P = .001; IRR = 0.81, P = .02). Conclusions Select NFs (poverty share and crime rate) may disproportionately affect physical activity in patients with severe VF loss. Interventions to overcome activity limitations within the context of poverty and high socioeconomic disadvantage are important for addressing glaucoma-related disability, particularly in those with severe VF loss.

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4 citations in Web of Science
3 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Ophthalmology
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