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Neighborhood-Level Active Living Buoys for Individuals with Physical Disabilities

  • Michael Spivock
    Correspondence
    Address correspondence and reprint requests to: Michael Spivock, PhD(c), Canadian Forces Base Montreal, St-Jean Garrison, Building B-129, Office 125, P.O. Box 100, Richelain, Québec, Canada, J0J 1R0.
    Affiliations
    University of Montreal, Department of Social and Preventive Medicine, Interdisciplinary Research Group on Health and The Lea-Roback Research Centre on Social Inequalities in Health of Montreal, Montreal, QC, Canada
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  • Lise Gauvin
    Affiliations
    University of Montreal, Department of Social and Preventive Medicine, Interdisciplinary Research Group on Health and The Lea-Roback Research Centre on Social Inequalities in Health of Montreal, Montreal, QC, Canada
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  • Jean-Marc Brodeur
    Affiliations
    University of Montreal, Department of Social and Preventive Medicine, Interdisciplinary Research Group on Health and The Lea-Roback Research Centre on Social Inequalities in Health of Montreal, Montreal, QC, Canada
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Published:January 22, 2007DOI:https://doi.org/10.1016/j.amepre.2006.11.006

      Background

      In an effort to advance the research agenda on residential determinants of active living among people with physical disabilities, the purposes of this paper are (1) to describe the extent to which environmental supports (buoys) promoting active living among individuals with disabilities are present in neighborhoods located in a large urban area, and (2) to examine the association between the presence of these buoys and neighborhood-level indicators of affluence, proportions of individuals with disabilities living in the neighborhood, and other neighborhood active living indicators.

      Methods

      In the context of a larger project, pairs of evaluators assessed potential determinants of active living in 112 neighborhoods (census tracts) on the island of Montreal, Canada, in the summer of 2003. The assessment grid included 18 items related to active living for the general population and three specifically for people with physical disabilities.

      Results

      Analyses performed in 2006 show that few neighborhoods in this large urban area are equipped with environmental buoys that might support active living among people with physical disabilities. Lower levels of environmental buoys to promote active living among those with disabilities were most strongly associated with lower levels of neighborhood activity-friendliness. Less consistent associations were observed between lower environmental buoys and lower density of destinations, greater safety, lower proportions of people with disabilities, and higher proportions of those of low income.

      Conclusions

      More research is needed to better understand the distribution of environmental buoys in residential areas and their influences on active living among people with physical disabilities.
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      References

        • Barnes P.M.
        • Schoenborn C.A.
        Physical activity among adults, United States, 2000.
        Centers for Disease Control and Prevention. 2003; 333: 1-23
        • United States Department of Health and Human Services
        Physical activity and health: a report of the Surgeon General. Department of health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta GA1996
        • Rimmer J.H.
        • Rubin S.S.
        • Braddock D.
        Barriers to exercise in African American women with physical disabilities.
        Arch Phys Med Rehabil. 2000; 81: 182-188
        • Noreau L.
        • Cantin R.
        • Trépanier S.
        Pratique d’activités physiques et de loisirs.
        in: Enquête québécoise sur les limitations d’activités. Institut de la statistique du Québec, Montreal1998
        • Heath G.W.
        • Fentem P.H.
        Physical activity among persons with disabilities—a public health perspective.
        Exerc Sport Sci Rev. 1997; 25: 195-234
        • Lollar D.J.
        Public health and disability: emerging opportunities.
        Public Health Rep. 2002; 117: 131-135
        • Glass T.A.
        • Balfour J.L.
        Neighborhoods, aging and physical disabilities.
        in: Kawachi I. Berkman L.F. Neighborhoods and health. Oxford University Press, New York2003
        • Lawton M.P.
        • Nahemow L.
        Ecology and the aging process.
        in: Eisdorfer C. Nahemow L. The psychology of adult development and aging. American Psychology Association, Washington DC1973
        • Booth S.L.
        • Sallis J.F.
        • Ritenbaugh C.
        • et al.
        Environmental and societal factors affect food choice and physical activity: rationale, influences, and leverage points.
        Nutr Rev. 2001; 59: S21-S39
        • Giles-Corti B.
        • Donovan R.J.
        Socioeconomic status differences in recreational activity levels and real and perceived access to a supportive physical environment.
        Prev Med. 2002; 35: 601-611
        • Sallis J.F.
        • McKenzie T.L.
        • Conway T.L.
        • et al.
        Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools.
        Am J Prev Med. 2003; 24: 209-217
        • Kahn E.B.
        • Ramsey L.T.
        • Brownson R.C.
        • et al.
        The effectiveness of interventions to increase physical activity: a systematic review.
        Am J Prev Med. 2002; 4: 73-107
        • World Health Organization
        Document A29/INFDOCI/1. Author, Geneva1976
        • Rimmer J.H.
        • Riley B.
        • Wang E.
        • Rauworth A.
        • Jurkowski J.
        Physical activity participation among persons with disabilities: barriers and facilitators.
        Am J Prev Med. 2004; 26: 419-425
        • Shumway-Cook A.
        • Patla A.E.
        • Stewart A.
        • Ferrucci L.
        • Ciol M.A.
        • Guralnik J.M.
        Environmental demands associated with community mobility in older adults with and without mobility disabilities.
        Phys Ther. 2002; 82: 670-681
      1. Active Living Research. What is active living? Retrieved March 16 2006 from http://www.activelivingresearch.org/index.php/What_is_Active_Living/103.

        • Bard G.
        Energy expenditure of hemiplegic subjects during walking.
        Arch Phys Med Rehabil. 1963; 44: 368-370
        • Macko R.F.
        • Smith G.V.
        • Dobrovolny C.L.
        • Sorkin J.D.
        • Goldberg A.P.
        • Silver K.H.
        Treadmill training improves fitness reserve in chronic stroke patients.
        Arch Phys Med Rehabil. 2001; 82: 879-884
        • Waters R.L.
        • Hislop H.J.
        • Perry J.
        • Antonelli D.
        Energetics: application to the study and management of locomotor disabilities.
        Orthop Clin North Am. 1978; 9: 351-356
        • Zamparo P.
        • Francescato M.P.
        • DeLuca G.
        • Lovati L.
        • diPrampero P.E.
        The energy cost of level walking in patients with hemiplegia.
        Scand J Med Sci Sports. 1995; 5: 348-352
        • Beekman C.E.
        • Miller-Porter L.
        • Shoneberger M.
        Energy cost of propulsion in standard and ultra-light wheelchairs in people with spinal cord injuries.
        Phys Ther. 1999; 79: 146-158
        • Sawka M.N.
        • Glaser R.M.
        • Wilde S.W.
        • von Luhrte T.C.
        Metabolic and circulatory responses to wheelchair and arm crank exercise.
        J Appl Physiol. 1980; 49: 784-788
        • Heath G.W.
        • Brownson R.C.
        • Kruger J.
        • Miles R.
        • Powell K.E.
        • Ramsey L.T.
        • Task Force on Community Preventive Services
        The effectiveness of urban design and land use and transport policies and practices to increase physical activity: a systematic review.
        J Phys Acc Health. 2006; 3: S55-S76
        • Gauvin L.
        • Richard L.
        • Craig C.L.
        • et al.
        From walkability to active living potential: an “ecometric” validation study.
        Am J Prev Med. 2005; 28: 126-133
        • Saelens B.E.
        • Sallis J.F.
        • Frank L.D.
        Environmental correlates of walking and cycling: findings from the transportation, urban design, and planning literatures.
        Ann Behav Med. 2003; 25: 80-91
        • Craig C.L.
        • Brownson R.C.
        • Cragg S.E.
        • Dunn A.L.
        Exploring the effect of the environment on physical activity: a study examining walking to work.
        Am J Prev Med. 2002; 23: 36-43
      2. Statistics Canada. 2001 Canadian Census. Ottawa: 2001.

        • Raudenbush S.W.
        • Sampson R.J.
        Ecometrics: toward a science of assessing ecological settings, with application to the systematic social observations of neighborhoods.
        Sociol Methodol. 1999; 29: 1-41
        • National Centre on Accessibility
        What is an accessible trail?.
        Access Today. 2002; 8: 1-12