Gender Differences in Neighborhood Walking in Older Adults

被引:18
|
作者
Gallagher, Nancy Ambrose [1 ,3 ]
Clarke, Philippa J. [1 ]
Gretebeck, Kimberlee A. [2 ]
机构
[1] Univ Michigan, Ann Arbor, MI 48109 USA
[2] Univ Wisconsin, Madison, WI 53706 USA
[3] Michigan State Univ, E Lansing, MI 48824 USA
关键词
walking; neighborhood environment; self-efficacy; PHYSICAL-ACTIVITY; EXERCISE BEHAVIOR; BUILT ENVIRONMENT; SELF-EFFICACY; MOBILITY DISABILITY; OUTCOME EXPECTATIONS; PUBLIC-HEALTH; PATH-ANALYSIS; WOMEN; CONFIDENCE;
D O I
10.1177/0898264314532686
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objective: This study examined mobility, self-efficacy, outcome expectations, neighborhood (density, destinations, and design), and neighborhood walking in older men (n = 106, 60-99 years, M = 76.78, SD = 8.12) and women (n = 216, 60-99 years, M = 75.81, SD = 8.46). Method/Results: In hierarchical regression, the variables explained 32% of the variance in neighborhood walking in men (p < .001) and 27% of the variance in women (p < .01). Self-efficacy ( = .49, p < .01), density (= .22, p < .05), and design (= .21, p = .05) were associated with walking in men. Significant design characteristics included sidewalks (= .25, p < .05) and crime (= .36, p < .01). In women, self-efficacy (= .48, p < .001) and destinations (= .15, p < .05) were associated with walking. Walking was associated with self-efficacy for walking despite individual barriers in women (= .38, p < .001) and neighborhood barriers in men (= .30, p < .05). Conclusion: Walking interventions targeting older women should incorporate local destinations. In older men, interventions should consider neighborhood sidewalk design and crime. Walking interventions for all older adults should include enhancement of self-efficacy, but gender differences may exist in the types of self-efficacy on which to focus.
引用
收藏
页码:1280 / 1300
页数:21
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