Concept mapping applied to the intersection between older adults' outdoor walking and the built and social environments

PREVENTIVE MEDICINE

卷:57

Article

Hanson, Heather M.^1,2  Schiller, Claire^1,2  Winters, Meghan^1,3  Sims-Gould, Joanie^1,2  Clarke, Philippa⁴  Curran, Eileen⁵  Donaldson, Meghan G.^1,6  Pitman, Beverley⁷  Scott, Vicky^8,9,10  McKay, Heather A.^1,2,11  Ashe, Maureen C.^1,2 

[1] Robert HN Ho Res Ctr, Ctr Hip Hlth & Mobil, Vancouver, BC V5Z 1M9, Canada

[2] Univ British Columbia, Dept Family Practice, Vancouver, BC V6T 1Z3, Canada

[3] Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC V5A 1S6, Canada

[4] Univ Michigan, Inst Social Res, Ann Arbor, MI 48104 USA

[5] City Vancouver, St & Elect Design Branch, Engn Serv, Vancouver, BC V5Z 0B4, Canada

[6] Univ British Columbia, Ctr Clin Epidemiol & Evaluat, Vancouver, BC V5Z 1M9, Canada

[7] United Way Lower Mainland, Burnaby, BC V5G 4T4, Canada

[8] BC Injury Res & Prevent Unit, Victoria, BC V8W 3C8, Canada

[9] Minist Hlth British Columbia, Victoria, BC V8W 3C8, Canada

[10] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC V6T 1Z3, Canada

[11] Univ British Columbia, Dept Orthopaed, Vancouver, BC V5Z 1M9, Canada

关键词: Older adults;    Built environment;    Social environment;    Walking;    Mobility;    Concept map;   

DOI  :  10.1016/j.ypmed.2013.08.023

来源: Elsevier

【 摘 要 】

Objective. For older adults, the ability to navigate walking routes in the outdoor environment allows them to remain active and socially engaged, facilitating community participation and independence. In order to enhance outdoor walking, it is important to understand the interaction of older adults within their local environments and the influence of broader stakeholder priorities that impact these environments. Thus, we aimed to synthesize perspectives from stakeholders to identify elements of the built and social environments that influence older adults' ability to walk outdoors. Method. We applied a concept mapping approach with the input of diverse stakeholders (N = 75) from British Columbia, Canada in 2012. Results. A seven-cluster map best represented areas that influence older adults' outdoor walking. Priority areas identified included sidewalks, crosswalks, and neighborhood features. Conclusion. Individual perceptions and elements of the built and social environments intersect to influence walking behaviors, although targeted studies that address this area are needed. (C) 2013 The Authors. Published by Elsevier Inc All rights reserved.

【 授权许可】

Free