The influence of walkability on broader mobility for Canadian middle aged and older adults: An examination of Walk Score(Tm) and the Mobility Over Varied Environments Scale (MOVES)
Jana A. Hirsch, Meghan Winters, Philippa J. Clarke, Nathalie Ste-Marie and Heather A. McKay
General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Public, Environmental & Occupational Health Science & Technology
Neighborhood built environments may play an important role in shaping mobility and subsequent health outcomes. However, little work includes broadermobility considerations such as cognitive ability to bemobile, social connectionswith community, or transportation choices. Weused a population-based sample of Canadian middle aged and older adults (aged 45 and older) from the Canadian Community Health Survey-Healthy Aging (CCHSHA, 2008- 2009) to create a holistic mobility measure: Mobility over Varied Environments Scale (MOVES). Data fromCCHS-HA respondents fromBritish Columbia withMOVESwere linkedwith StreetSmartWalk Score T data by postal code (n= 2046). Mean MOVES was estimated across sociodemographic and health characteristics. Linear regression, adjusted for relevant covariates, was used to estimate the association between Street SmartWalk Score T and theMOVES. The mean MOVES was 30.67 ( 95% confidence interval (CI) 30.36, 30.99), 5th percentile 23.27 (CI 22.16, 24.38) and 95th percentile was 36.93 (CI 35.98, 37.87). MOVES was higher for those who were younger, married, higher socioeconomic status, and had better health. In unadjusted models, for every 10 point increase in Street SmartWalk Score T, MOVES increased 4.84 points (CI 4.52, 5.15). However, results attenuated after adjustment for sociodemographic covariates: each 10 point increase in Street Smart Walk Score T was associated with a 0.10(CI 0.00, 0.20) point increase in MOVES. The modest but important link we observed between walkability and mobility highlights the implication of neighborhood design on the health of middle aged and older adults. (C) 2016 Elsevier Inc. All rights reserved.
The influence of walkability on broader mobility for Canadian middle aged and older adults: An examination of Walk Score(Tm) and the Mobility Over Varied Environments Scale (MOVES)
Creators
Jana A. Hirsch - University of British Columbia
Meghan Winters - Centre for Hip Health and Mobility, University of British Columbia, Canada; Faculty of Health Sciences, Simon Fraser University, Canada.
Philippa J. Clarke - University of Michigan–Ann Arbor
Nathalie Ste-Marie - Simon Fraser University
Heather A. McKay - University of British Columbia
Publication Details
Preventive medicine, v 95, pp S60-S67
Publisher
Elsevier
Number of pages
8
Grant note
Social Sciences and Humanities Research Council (SSHRC); Social Sciences and Humanities Research Council of Canada (SSHRC)
P2CHD050924 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
138295 / Institute of Aging (IA)
CIHR Institute of Gender and Health (IGH); Canadian Institutes of Health Research (CIHR)
P30HD005798 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Canadian Foundation for Innovation (CFI); Canada Foundation for Innovation
Statistics Canada
Canadian Institute for Health Research (CIHR); Canadian Institutes of Health Research (CIHR)
T32 HD007168; R24 HD050924 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative
Web of Science ID
WOS:000397302400008
Scopus ID
2-s2.0-85005965303
Other Identifier
991019205714004721
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