Associations of perceived community environmental attributes with walking in a population-based sample of adults with type 2 diabetes

Taylor, Lorian M., Leslie, Eva, Plotnikoff, Ronald C., Owen, Neville and Spence, John C. (2008) Associations of perceived community environmental attributes with walking in a population-based sample of adults with type 2 diabetes. Annals of Behavioral Medicine, 35 2: 170-178. doi:10.1007/s12160-008-9021-3


Author Taylor, Lorian M.
Leslie, Eva
Plotnikoff, Ronald C.
Owen, Neville
Spence, John C.
Title Associations of perceived community environmental attributes with walking in a population-based sample of adults with type 2 diabetes
Journal name Annals of Behavioral Medicine   Check publisher's open access policy
ISSN 0883-6612
1532-4796
Publication date 2008-04-01
Sub-type Article (original research)
DOI 10.1007/s12160-008-9021-3
Open Access Status
Volume 35
Issue 2
Start page 170
End page 178
Total pages 9
Place of publication Knoxville, TN, U.S.A.
Publisher Springer
Language eng
Subject C1
111799 Public Health and Health Services not elsewhere classified
920401 Behaviour and Health
Formatted abstract
Background: No studies have yet examined the associations of physical environmental attributes specifically with walking in adults with type 2 diabetes.

Purpose
: The purpose of this study was to examine associations of perceived community physical environmental attributes with walking for transport and for recreation among adults living with type 2 diabetes.

Methods
: Participants were 771 adults with type 2 diabetes who completed a self-administered survey on perceived community physical environmental attributes and walking behaviors.

Results
: Based on a criterion of a minimum of 120-min/week, some 29% were sufficiently active through walking for transport and 33% through walking for recreation. Significantly higher proportions of those actively walking for transport and for recreation had shops or places to buy things close by (67.8% and 60.9%); lived within a 15-min walk to a transit stop (70.6% and 71.0%); did not have dead-end streets close by (77.7% and 79.8%); reported interesting things to look at (84.8% and 84.4%); and lived close to low-cost recreation facilities (81.3% and 78.8%). In addition, those actively walking for transport reported living in a community with intersections close to each other (75.6%) and with sidewalks on their streets (88.1%). When these variables were entered simultaneously into logistic regression models, living close by to shops was positively related to walking for transport (OR = 1.92, 99% CI = 1.11–3.32).

Conclusions
: Consistent with findings from studies of healthy adult populations, positive perceptions of community environmental attributes are associated with walking for transport among adults with type 2 diabetes. The now-strong public health case for environmental innovations to promote more walking for transport is further reinforced by the potential to benefit those living with diabetes. 
Keyword type I diabetes
Perceived Physical Environment
walking for transport
walking for recreation
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
Cancer Prevention Research Centre Publications
School of Public Health Publications
 
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Created: Wed, 25 Mar 2009, 23:10:38 EST by Cathy Swart on behalf of School of Public Health