Neighborhood Characteristics & Walking Behavior Among Adults with Arthritis: An NHIS Study.

IF 3.7 2区 医学 Q1 RHEUMATOLOGY
Ciri Pocha, Timothy Chrusciel, Joanne Salas, Seth Eisen, Leigh Callahan, Marcia G Ory, Jeffrey F Scherrer, Sarah Gebauer
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引用次数: 0

Abstract

Objective: This study investigated the association of perceived neighborhood qualities with likelihood of transit walking, leisure walking, neighborhood walking, and meeting physical activity (PA) recommendations among US adults with arthritis.

Methods: This cross-sectional study utilized 2020 National Health Interview Survey data. Included participants were adults reporting clinician-diagnosed arthritis and who reported the ability to walk. Exposures of interest were perceived neighborhood attributes. Outcomes were transit walking, leisure walking, neighborhood walking, and meeting PA recommendations. Standardized mean difference percent (SMD%) was used to assess relationships between exposures and outcomes with SMD% >10% resulting in inclusion in final adjusted multivariate logistic regression models for odds of outcomes. All analyses were weighted to account for complex survey methodology.

Results: The analytic sample included 7,322 adults with arthritis. Fully adjusted logistic regression models showed presence of roads to walk on was associated with meeting PA recommendations (OR=1.26[95%CI=1.07-1.49]). Three attributes were positively associated with transit walking, while safety from crime was negatively associated (OR=2.33[95%CI=1.75-3.10], OR=1.49[95%CI=1.17-1.91], OR=1.67[95%CI=1.34-2.08]), OR=0.70[95%CI=0.53-0.92]). Roads to walk and places to walk and relax were associated with leisure and neighborhood walking (OR=1.46[95%CI=1.21-1.76], OR=1.56[95%CI=1.34-1.82], OR=1.58[95%CI=1.29-1.93], OR=1.63[95%CI=1.40-1.90], respectively).

Conclusion: This study identified several neighborhood characteristics associated with higher likelihood of walking behaviors among adults with arthritis. Factors associated with walking behavior varied by type of walking. The shared correlates between leisure and neighborhood walking imply they occur in the same setting. Patients with arthritis may benefit from exercise recommendations that are informed by the presence or absence of facilitating infrastructure in their neighborhoods.

邻里特征与患有关节炎的成年人的步行行为:一项国家健康调查研究
目的:本研究调查了患有关节炎的美国成年人感知到的邻里品质与公交步行、休闲步行、邻里步行以及满足体育锻炼建议的可能性之间的关系:本研究调查了患有关节炎的美国成年人感知到的邻里品质与公交步行、休闲步行、邻里步行以及满足身体活动(PA)建议的可能性之间的关系:这项横断面研究利用了 2020 年全国健康访谈调查数据。研究对象为经临床医生确诊患有关节炎且有步行能力的成年人。关注的暴露因素是感知到的邻里属性。研究结果包括公交步行、休闲步行、邻里步行和满足 PA 建议。标准化平均差异百分率(SMD%)用于评估暴露与结果之间的关系,SMD%>10%的暴露将被纳入最终调整的多变量逻辑回归模型,以计算结果的几率。所有分析均已加权,以考虑复杂的调查方法:分析样本包括 7322 名成人关节炎患者。完全调整后的逻辑回归模型显示,是否有可供步行的道路与是否符合体育锻炼建议有关(OR=1.26[95%CI=1.07-1.49])。三个属性与过境步行呈正相关,而与犯罪安全呈负相关(OR=2.33[95%CI=1.75-3.10]、OR=1.49[95%CI=1.17-1.91]、OR=1.67[95%CI=1.34-2.08]),OR=0.70[95%CI=0.53-0.92])。步行道路和步行休闲场所与休闲和邻里步行相关(OR=1.46[95%CI=1.21-1.76],OR=1.56[95%CI=1.34-1.82],OR=1.58[95%CI=1.29-1.93],OR=1.63[95%CI=1.40-1.90]):本研究发现了一些与患有关节炎的成年人更有可能采取步行行为相关的邻里特征。与步行行为相关的因素因步行类型而异。休闲步行和邻里步行之间的共同相关性意味着它们发生在相同的环境中。根据社区内是否存在便利的基础设施,为关节炎患者提供锻炼建议,可能会使他们受益。
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来源期刊
CiteScore
9.40
自引率
6.40%
发文量
368
审稿时长
3-6 weeks
期刊介绍: Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.
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