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Promoting Active Living Among People with Physical Disabilities

Evidence for Neighborhood-Level Buoys
  • Michael Spivock
    Correspondence
    Address correspondence and reprint requests to: Michael Spivock, MSc, National Defence Headquarters, Directorate of Human Performance and Health Promotion, 4210 Labelle Street, Ottawa ON K1A 0K2, Canada.
    Affiliations
    Department of Social and Preventive Medicine, the Interdisciplinary Research Group on Health (Groupe de recherche interdisciplinaire en santé—GRIS), Quebec, Canada

    Analysis and Evaluation of Health Interventions (Analyse et évaluation des interventions en santé, AnÉIS), Quebec, Canada

    Léa-Roback Research Centre for Social Inequalities of Health in Montreal (Centre de recherche Léa-Roback sur les inégalités sociales de santé de Montréal), Université de Montréal, Montreal, Quebec, Canada.
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  • Lise Gauvin
    Affiliations
    Department of Social and Preventive Medicine, the Interdisciplinary Research Group on Health (Groupe de recherche interdisciplinaire en santé—GRIS), Quebec, Canada

    Léa-Roback Research Centre for Social Inequalities of Health in Montreal (Centre de recherche Léa-Roback sur les inégalités sociales de santé de Montréal), Université de Montréal, Montreal, Quebec, Canada.
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  • Mylène Riva
    Affiliations
    Department of Social and Preventive Medicine, the Interdisciplinary Research Group on Health (Groupe de recherche interdisciplinaire en santé—GRIS), Quebec, Canada

    Analysis and Evaluation of Health Interventions (Analyse et évaluation des interventions en santé, AnÉIS), Quebec, Canada

    Léa-Roback Research Centre for Social Inequalities of Health in Montreal (Centre de recherche Léa-Roback sur les inégalités sociales de santé de Montréal), Université de Montréal, Montreal, Quebec, Canada.
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  • Jean-Marc Brodeur
    Affiliations
    Department of Social and Preventive Medicine, the Interdisciplinary Research Group on Health (Groupe de recherche interdisciplinaire en santé—GRIS), Quebec, Canada

    Analysis and Evaluation of Health Interventions (Analyse et évaluation des interventions en santé, AnÉIS), Quebec, Canada
    Search for articles by this author

      Background

      People with physical disabilities are more likely to be sedentary than the general population, possibly because they have an accrued sensitivity to environmental features.

      Objectives

      This paper describes the relationship between neighborhood-level active living buoys and the active living practices of adults with physical disabilities living in a large urban area.

      Methods

      A sample of 205 people with physical disabilities was recruited via a local rehabilitation center and its adapted fitness center. Telephone interviews were administered by senior occupational therapy students. The interview included a modified version of the Physical Activity and Disability Survey, a validated instrument that includes questions on physical activity, active transportation, and other activities of daily living. Individuals were geocoded within their census tract of residence (n=114) using their postal codes. Data on neighborhood active living potential were gleaned from systematic social observation.

      Results

      Multilevel logistic regression analyses showed that the association between the presence of environmental buoys and leisure activity was significant (OR=4.0, 95% CI=1.1–13.8) despite adjustments for individual difference variables while the association with active transportation became nonsignificant (OR=2.9, 95% CI=0.7–7.7) following adjustment for these variables.

      Conclusions

      People with physical disabilities who live in neighborhoods with more environmental buoys are more likely to report involvement in leisure-time physical activity.
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      References

        • McGinn A.P.
        • Evenson K.R.
        • Herring A.H.
        • Huston S.L.
        • Rodriguez D.A.
        Exploring associations between physical activity and perceived and objective measures of the built environment.
        J Urban Health. 2007; 84: 162-184
        • Berke E.M.
        • Koepsell T.D.
        • Moudon A.V.
        • Hoskins R.E.
        • Larson E.B.
        Association of the built environment with physical activity and obesity in older persons.
        Am J Public Health. 2007; 97: 486-492
        • McCormack G.R.
        • Masse L.C.
        • Bulsara M.
        • Pikora T.J.
        • Giles-Corti B.
        Constructing indices representing supportiveness of the physical environment for walking using the Rasch measurement model.
        Int J Behav Nutr Phys Act. 2006; 3: 44
        • Michael Y.
        • Beard T.
        • Choi D.
        • Farquhar S.
        • Carlson N.
        Measuring the influence of built neighborhood environments on walking in older adults.
        J Aging Phys Act. 2006; 14: 302-312
        • Lopez R.P.
        • Hynes H.P.
        Obesity, physical activity, and the urban environment: public health research needs.
        Environ Health. 2006; 5: 25
        • Librett J.J.
        • Yore M.M.
        • Schmid T.L.
        • Kohl III, H.W.
        Are self-reported physical activity levels associated with perceived desirability of activity-friendly communities?.
        Health Place. 2006; 3: 767-773
        • Giles-Corti B.
        People or places: What should be the target?.
        J Sci Med Sport. 2006; 9: 357-366
        • Davison K.K.
        • Lawson C.T.
        Do attributes in the physical environment influence children’s physical activity?.
        Int J Behav Nutr Phys Act. 2006; 3: 19
        • Sallis J.F.
        • Glanz K.
        The role of built environments in physical activity, eating, and obesity in childhood.
        Future Child. 2006; 16: 89-108
        • Day K.
        • Boarnet M.
        • Alfonzo M.
        • Forsyth A.
        The Irvine-Minnesota inventory to measure built environments: development.
        Am J Prev Med. 2006; 30: 144-152
        • Gordon-Larsen P.
        • Nelson M.C.
        • Page P.
        • Popkin B.M.
        Inequality in the built environment underlies key health disparities in physical activity and obesity.
        Pediatrics. 2006; 117: 417-424
        • Trayers T.
        • Deem R.
        • Fox K.R.
        • et al.
        Improving health through neighbourhood environmental change: Are we speaking the same language?.
        J Public Health (Oxf). 2006; 28: 49-55
        • Leslie E.
        • Coffee N.
        • Frank L.
        • et al.
        Walkability of local communities: using geographic information systems to objectively assess relevant environmental attributes.
        Health Place. 2007; 13: 111-122
        • Rutt C.D.
        • Coleman K.J.
        Examining the relationships among built environment, physical activity, and body mass index in El Paso, TX.
        Prev Med. 2005; 40: 831-841
        • Frank L.D.
        • Schmid T.L.
        • Sallis J.F.
        • Chapman J.
        • Saelens B.E.
        Linking objectively measured physical activity with objectively measured urban form: findings from SMARTRAQ.
        Am J Prev Med. 2005; 28: 117-125
        • Brownson R.C.
        • Chang J.J.
        • Eyler A.A.
        • et al.
        Measuring the environment for friendliness toward physical activity: a comparison of the reliability of 3 questionnaires.
        Am J Public Health. 2004; 94: 473-483
        • Satariano W.A.
        • McAuley E.
        Promoting physical activity among older adults: from ecology to the individual.
        Am J Prev Med. 2003; 25: 184-192
        • Maibach E.W.
        Recreating communities to support active living: a new role for social marketing.
        Am J Health Promot. 2003; 18: 114-119
        • Handy S.L.
        • Boarnet M.G.
        • Ewing R.
        • Killingsworth R.E.
        How the built environment affects physical activity: views from urban planning.
        Am J Prev Med. 2002; 23: 64-73
        • Timperio A.
        • Salmon J.
        • Telford A.
        • Crawford D.
        Perceptions of local neighbourhood environments and their relationship to childhood overweight and obesity.
        Int J Obes. 2005; 29: 170-175
        • Zhang X.
        • Christoffel K.K.
        • Mason M.
        • Liu L.
        Identification of contrastive and comparable school neighborhoods for childhood obesity and physical activity research.
        Int J Health Geogr. 2006; 5: 14
        • Anderson P.M.
        • Butcher K.E.
        Childhood obesity: trends and potential causes.
        Future Child. 2006; 16: 19-45
        • Dehghan M.
        • Khtar-Danesh N.
        • Merchant A.T.
        Childhood obesity, prevalence and prevention.
        Nutr J. 2005; 4: 24
        • Babey S.H.
        • Brown E.R.
        • Hastert T.A.
        Access to safe parks helps increase physical activity among teenagers.
        Policy Brief UCLA Cent Health Policy Res. 2005; (PB2005–10): 1-6
        • Carver A.
        • Salmon J.
        • Campbell K.
        • et al.
        How do perceptions of local neighborhood relate to adolescents’ walking and cycling?.
        Am J Health Promot. 2005; 20: 139-147
        • Cunningham G.O.
        • Michael Y.L.
        • Farquhar S.A.
        • Lapidus J.
        Developing a reliable senior walking environmental assessment tool.
        Am J Prev Med. 2005; 29: 215-217
        • De Bourdeaudhuij I.
        • Teixeira P.J.
        • Cardon G.
        • Deforche B.
        Environmental and psychosocial correlates of physical activity in Portuguese and Belgian adults.
        Public Health Nutr. 2005; 8: 886-895
        • McNeill L.H.
        • Wyrwich K.W.
        • Brownson R.C.
        • Clark E.M.
        • Kreuter M.W.
        Individual, social environmental, and physical environmental influences on physical activity among black and white adults: a structural equation analysis.
        Ann Behav Med. 2006; 31: 36-44
        • Spivock M.
        • Gauvin L.
        • Brodeur J.M.
        Neighborhood-level active living buoys for individuals with physical disabilities.
        Am J Prev Med. 2007; 32: 224-230
        • Rimmer J.H.
        • Riley B.
        • Wang E.
        • Rauworth A.
        Accessibility of health clubs for people with mobility disabilities and visual impairments.
        Am J Public Health. 2005; 95: 2022-2028
        • CDC
        Health-related quality of life and activity limitation—eight states, 1995.
        MMWR Morb Mortal Wkly Rep. 1998; 47: 134-140
        • Glass T.A.
        • Balfour J.L.
        Neighbourhoods, aging and fuctional limitations.
        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. Lawton M.P. The psychology of adult development and aging. American Psychological Association, Washington DC1973
        • Shumway-Cook A.
        • Patla A.E.
        • Stewart A.
        • et al.
        Environmental demands associated with community mobility in older adults with and without mobility disabilities.
        Phys Ther. 2002; 82: 670-681
        • 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
        • Rimmer J.H.
        • Rubin S.S.
        • Braddock D.
        • Hedman G.
        Physical activity patterns of African-American women with physical disabilities.
        Med Sci Sports Exerc. 1999; 31: 613-618
        • Noreau L.
        • Cantin R.
        • Trépannier S.
        Activité physique. In: Institut de la statistique du Québec, editor.
        in: Enquête québécoise sur les limitations d’activités. Institut de la statistique du Québec, Québec2001: 122-148
        • Rimmer J.H.
        • Riley B.B.
        • Rubin S.S.
        A new measure for assessing the physical activity behaviors of persons with disabilities and chronic health conditions: the physical activity and disability survey.
        Am J Health Promot. 2001; 16: 34-42
      1. Statistics Canada.
        • Zhang J.
        • Yu K.F.
        What’s the relative risk?.
        JAMA. 1998; 280: 1690-1691