《Walking behaviour and patterns of perceived access to neighbourhood destinations in older adults from a low-density (Brisbane, Australia) and an ultra-dense city (Hong Kong, China)》

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作者
来源
CITIES,Vol.84,P.23-33
语言
英文
关键字
Transport and recreation walking; Distance to destinations; Latent class analysis; Between-city differences; PHYSICAL-ACTIVITY; ENVIRONMENT; VALIDITY; DISTANCE; TRANSPORTATION; DISADVANTAGE; RELIABILITY; NUMBER; HEALTH; SCALE
作者单位
[Boakye-Dankwa, Ernest; Nathan, Andrea; Barnett, Anthony; Cerin, Ester] Australian Catholic Univ, Mary MacKillop Inst Hlth Res, Level 5,215 Spring St, Melbourne, Vic 3000, Australia. [Busija, Lucy] Australian Catholic Univ, Inst Hlth & Ageing, Melbourne, Vic, Australia. [Lee, Ruby S. Y.] Govt Hong Kong SAR, Dept Hlth, Elderly Hlth Serv, Hong Kong, Peoples R China. [Pachana, Nancy] Univ Queensland, Sch Psychol, Fac Hlth & Behav Sci, Brisbane, Qld, Australia. [Turrell, Gavin] Queensland Univ Technol, Sch Publ Hlth & Social Work, Brisbane, Qld, Australia. [Cerin, Ester] Univ Hong Kong, Sch Publ Hlth, Hong Kong, Peoples R China. [Cerin, Ester] Baker IDI Heart & Diabet Inst, Melbourne, Vic, Australia. Cerin, E (reprint author), Australian Catholic Univ, Mary MacKillop Inst Hlth Res, Level 5,215 Spring St, Melbourne, Vic 3000, Australia. E-Mail: emest.boakyedankwa@myacu.edu.au; Andrea.Nathan@acu.edu.au; Anthony.Barnett@acu.edu.au; Lucy.Busija@acu.edu.au; ruby_sy_lee@dh.gov.hk; n.pachana@psy.uq.edu.au; g.turrell@qut.edu.au; Ester.Cerin@acu.edu.au
摘要
Introduction: Hong Kong older adults have been found to accumulate high levels of walking compared to their Westerns counterparts living in low-density cities. These differences in walking could be attributed to differences in destination accessibility. However, between-city differences in older adults' walking and perceived destination accessibility have not been quantified. This study examined differences in walking and patterns of perceived destination accessibility within 5-, 10-, and 20-minute walk from home between older adults aged >= 65 years in Brisbane and Hong Kong. Methods: We used data from epidemiological studies conducted in Brisbane (n = 793) and Hong Kong (n = 484) using comparable measures of perceived distance to 12 destinations and weekly minutes of walking for transport and recreation. Regression models accounting for neighbourhood-level clustering were used to estimate between-city differences in walking and access to specific destinations. Latent class analyses were used to identify city-specific patterns of destination accessibility. Results: Hong Kong older adults accumulated significantly more minutes of walking than their Brisbane counterparts and also reported higher accessibility to most destinations. The between-city differences in percentage of older adults with access to a diversity of destinations were particularly large for shorter distances (5- and 10-minute walk from home). Conclusion: Low-density cities should provide ageing-friendly housing in the city centre with high levels of accessibility to relevant destinations and/or promote the implementation of urban planning policies that support the development of mixed land use and higher levels of residential density.