Socioeconomic Status, Neighborhood Characteristics, and Walking Within the Neighborhood Among Older Hong Kong Chinese

Ester Cerin · Robin R. Mellecker · Duncan James Macfarlane · Anthony H Barnett · Man-chin Cheung · Cindy H. P. Sit

35 citations0/0 files storedJournal of Aging and Health

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Urban Transport and Accessibility Health disparities and outcomes Urban Green Space and Health

Abstract

OBJECTIVE: We examined the associations of educational attainment and area socioeconomic status (SES) with total within-neighborhood walking patterns and percentage of walking undertaken for recreation purposes in Hong Kong elders. Environmental mediators of these associations were also examined. METHOD: Chinese-speaking elders (N = 484), cognitively unimpaired and able to walk unassisted, were recruited from 32 street blocks stratified by SES and walkability. Interviewer-administered surveys were conducted to collect data on walking and sociodemographics. Neighborhood environments were audited. RESULTS: Educational attainment was positively related to walking outcomes, while area SES was only positively related to percentage of walking allocated to recreational purposes. While no mediators of area SES-walking associations were identified, several environmental attributes explained the associations of educational attainment with walking. DISCUSSION: Educational attainment rather than area SES is a key determinant of walking in Hong Kong elders; these effects are mostly attributable to social and individual rather than environmental factors.

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References

2005Preventing Chronic Disease 2010Relationship between the physical environment and physical activity in older adults: A systematic review 2008The Relation between Neighborhood Built Environment and Walking Activity among Older Adults 2009Socioeconomic differences in lack of recreational walking among older adults: the role of neighbourhood and individual factors 2004Concepts Guiding the Study of the Impact of the Built Environment on Physical Activity for Older Adults: A Review of the Literature 2009Neighborhood Social Cohesion and Disorder in Relation to Walking in Community-Dwelling Older Adults 2007Personal, social and environmental determinants of educational inequalities in walking: a multilevel study 2011Income disparities in perceived neighborhood built and social environment attributes

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