Background:
Supportive neighbourhood walking conditions are particularly important for older people as they age and who, as a group, prefer walking as a form of physical activity. Urban form and socio-economic status (SES) can influence neighbourhood walking behaviour. The objectives of this study were: a) to examine how urban form and neighbourhood SES inter-relate to affect the experiences of older people who walk in their neighbourhoods; and b) to examine differences among neighbourhood stakeholder key informant perspectives on socio-political processes that shape the walkability of neighbourhood environments.
Methods:
An embedded comparative case study examined differences among four Ottawa neighbourhoods that were purposefully selected to provide contrasts on urban form (inner-urban versus suburban) and SES (higher versus lower). Qualitative data collected from 75 older walkers and 19 neighbourhood key informants, as well as quantitative indicators were compared on the two axes of urban form and SES among the four neighbourhoods.Results and discussionExamining the inter-relationship of neighbourhood SES and urban form characteristics on older people’s walking experiences indicated that urban form differences were accentuated positively in higher SES neighbourhoods and negatively in lower SES neighbourhoods. For example, older people in lower SES neighbourhoods were more affected by traffic hazards and more reliant on public transit compared to their higher SES counterparts. In higher SES neighbourhoods the disadvantages of traffic in the inner-urban neighbourhood and lack of commercial destinations in the suburban neighbourhood were partially offset by other factors including neighbourhood aesthetics. Key informant descriptions of the socio-political process highlighted how lower SES neighbourhoods may face greater challenges in creating walkable places. These differences pertained to the size of neighbourhood associations, relationships with political representatives, accessing information and salient neighbourhood association issues. Findings provide evidence of inequitable walking environments.
Conclusion:
Future research on walking must consider urban form-SES inter-relationships and further examine the equitable distribution of walking conditions as well as the socio-political processes driving these conditions. There is a need for municipal governments to monitor differences in walking conditions among higher and lower SES neighbourhoods, to be receptive to the needs of lower SES neighbourhoods and to ensure that policy decisions are taken to address inequitable walking conditions.
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Inequitable walking conditions among older people: examining the inter-relationship of neighbourhood socio-economic status and urban form using a comparative case study
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Am J Public Health. 2009 October; 99(Suppl 2): S432–S438.
Solid lines represent statistically significant direct effects of the regression of each mediator (i.e., psychological distress; risky sexual situations) onto childhood sexual abuse, experiences of childhood homophobia, and experiences of adult homophobia. Dashed lines represent statistically significant indirect effects, which are the regressions of risky sexual behavior onto childhood sexual abuse, experiences of childhood homophobia, and experiences of adult homophobia through (a) psychological distress, (b) risky sexual situations, or (c) psychological distress and risky sexual situations. Dashed lines that cross an intermediary variable (i.e., psychological distress; risky sexual situations) include that variable as a mediator.