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      Using Manipulated Photographs to Identify Features of Streetscapes That May Encourage Older Adults to Walk for Transport

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          Abstract

          Experimental evidence of environmental features important for physical activity is challenging to procure in real world settings. The current study aimed to investigate the causal effects of environmental modifications on a photographed street's appeal for older adults' walking for transport. Secondly, we examined whether these effects differed according to gender, functional limitations, and current level of walking for transport. Thirdly, we examined whether different environmental modifications interacted with each other. Qualitative responses were also reported to gain deeper insight into the observed quantitative relationships. Two sets of 16 panoramic photographs of a streetscape were created, in which six environmental factors were manipulated (sidewalk evenness, traffic level, general upkeep, vegetation, separation from traffic, and benches). Sixty older adults sorted these photographs on appeal for walking for transport on a 7-point scale and reported qualitative information on the reasons for their rankings. Sidewalk evenness appeared to have the strongest influence on a street's appeal for transport-related walking. The effect of sidewalk evenness was even stronger when the street's overall upkeep was good and when traffic was absent. Absence of traffic, presence of vegetation, and separation from traffic also increased a street's appeal for walking for transport. There were no moderating effects by gender or functional limitations. The presence of benches increased the streetscape's appeal among participants who already walked for transport at least an hour/week. The protocols and methods used in the current study carry the potential to further our understanding of environment-PA relationships. Our findings indicated sidewalk evenness as the most important environmental factor influencing a street's appeal for walking for transport among older adults. However, future research in larger samples and in real-life settings is needed to confirm current findings.

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          Most cited references14

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          Come take a walk with me: the "go-along" interview as a novel method for studying the implications of place for health and well-being.

          This paper aims to serve as a four-part introductory primer on the "go-along" qualitative interview methodology for studying the health issues of neighborhood or local-area contexts. First, I describe the purpose and different types of implementation of go-alongs. Second, I discuss its advantages for studying how place may matter for health (particularly in terms of the participants) and how it may facilitate researchers' understandings of local knowledge as well as the social and physical context. Third, I consider the method's strengths and limitations for population health research on neighborhoods and local areas. Fourth and finally, I discuss how go-alongs may be used in tandem with other qualitative and quantitative approaches for multi-method research. Informing this discussion are my own experiences with a particular type of go-along interview-"walk-along" interviews-during a study of social capital in Milwaukee, Wisconsin neighborhoods.
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            Stepping towards causation: do built environments or neighborhood and travel preferences explain physical activity, driving, and obesity?

            Evidence documents associations between neighborhood design and active and sedentary forms of travel. Most studies compare travel patterns for people located in different types of neighborhoods at one point in time adjusting for demographics. Most fail to account for either underlying neighborhood selection factors (reasons for choosing a neighborhood) or preferences (neighborhoods that are preferred) that impact neighborhood selection and behavior. Known as self-selection, this issue makes it difficult to evaluate causation among built form, behavior, and associated outcomes and to know how much more walking and less driving could occur through creating environments conducive to active transport. The current study controls for neighborhood selection and preference and isolates the effect of the built environment on walking, car use, and obesity. Separate analyses were conducted among 2056 persons in the Atlanta, USA based Strategies for Metropolitan Atlanta's Regional Transportation and Air Quality (SMARTRAQ) travel survey on selection factors and 1466 persons in the SMARTRAQ community preference sub-survey. A significant proportion of the population are "mismatched" and do not live in their preferred neighborhood type. Factors influencing neighborhood selection and individual preferences, and current neighborhood walkability explained vehicle travel distance after controlling for demographic variables. Individuals who preferred and lived in a walkable neighborhood walked most (33.9% walked) and drove 25.8 miles per day on average. Individuals that preferred and lived in car dependent neighborhoods drove the most (43 miles per day) and walked the least (3.3%). Individuals that do not prefer a walkable environment walked little and show no change in obesity prevalence regardless of where they live. About half as many participants were obese (11.7%) who prefer and live in walkable environments than participants who prefer car dependent environments (21.6%). Findings suggest that creating walkable environments may result in higher levels of physical activity and less driving and in slightly lower obesity prevalence for those preferring walkability.
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              Association of the built environment with physical activity and obesity in older persons.

              We examined whether older persons who live in areas that are conducive to walking are more active or less obese than those living in areas where walking is more difficult. We used data from the Adult Changes in Thought cohort study for a cross-sectional analysis of 936 participants aged 65 to 97 years. The Walkable and Bikable Communities Project previously formulated a walkability score to predict the probability of walking in King County, Washington. Data from the cohort study were linked to the walkability score at the participant level using a geographic information system. Analyses tested for associations between walkability score and activity and body mass index. Higher walkability scores were associated with significantly more walking for exercise across buffers (circular zones around each respondent's home) of varying radii (for men, odds ratio [OR]=5.86; 95% confidence interval [CI]=1.01, 34.17 to OR=9.14; CI=1.23, 68.11; for women, OR=1.63; CI=0.94, 2.83 to OR=1.77; CI=1.03, 3.04). A trend toward lower body mass index in men living in more walkable neighborhoods did not reach statistical significance. Findings suggest that neighborhood characteristics are associated with the frequency of walking for physical activity in older people. Whether frequency of walking reduces obesity prevalence is less clear.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, USA )
                1932-6203
                2014
                14 November 2014
                : 9
                : 11
                : e112107
                Affiliations
                [1 ]Department of Human Biometry and Biomechanics, Vrije Universiteit Brussel, Brussels, Belgium
                [2 ]Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium
                [3 ]Fund for Scientific Research Flanders (FWO), Brussels, Belgium
                [4 ]City and Regional Planning, The Ohio State University, Columbus, Ohio, United States of America
                [5 ]School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Victoria, Australia
                [6 ]Department of Experimental–Clinical and Health Psychology, Ghent University, Ghent, Belgium
                Örebro University, Sweden
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: JVC VVH IDB PC JN JS LG BD. Performed the experiments: JVC VVH. Analyzed the data: JVC. Wrote the paper: JVC VVH IDB PC JN JS LG BD.

                Article
                PONE-D-14-22404
                10.1371/journal.pone.0112107
                4232399
                25396732
                df18f6e5-4800-441c-8d40-0c1e2ef4dd82
                Copyright @ 2014

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 19 June 2014
                : 13 October 2014
                Page count
                Pages: 9
                Funding
                JVC and VVH were supported by a Ph.D. Fellowship – Research Foundation Flanders (FWO, http://www.fwo.be/en/). JS was supported by a National Health and Medical Research Council of Australia Principal Research Fellowship (APP1026216). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Biology and Life Sciences
                Biomechanics
                Biological Locomotion
                Walking
                Earth Sciences
                Geography
                Human Geography
                Neighborhoods
                Medicine and Health Sciences
                Public and Occupational Health
                Behavioral and Social Aspects of Health
                Health Promotion
                Sports and Exercise Medicine
                Exercise
                Social Sciences
                Custom metadata
                The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the paper and its Supporting Information files.

                Uncategorized
                Uncategorized

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