Open AccessNeighborhood Participation Is Less Likely among Older Adults with Sidewalk Problems
Author(s) -
Erica Twardzik,
Philippa Clarke,
Suzanne E. Judd,
Natalie Colabianchi
Publication year - 2020
Publication title -
journal of aging and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 75
eISSN - 1552-6887
pISSN - 0898-2643
DOI - 10.1177/0898264320960966
Subject(s) - socioeconomic status , logistic regression , demography , psychology , gerontology , cross sectional study , injury prevention , suicide prevention , poison control , medicine , population , environmental health , pathology , sociology
Objectives: This cross-sectional study examines the association between perceived sidewalk conditions and neighborhood participation among older adults in the REasons for Geographic and Racial Differences in Stroke (REGARDS) study. Methods: Between 2013-2016, 14,233 REGARDS participants completed a second in-home visit. Using logistic regression, we cross-sectionally examined if perceived severity of sidewalk problems was associated with going into the neighborhood less than once compared to 1-7 times per week. Results: The analytic sample included participants ( N = 9863) with nonmissing data. The likelihood of going into the neighborhood less than one time per week was greater among participants who reported minor (OR = 1.15; 95% CI: 1.00, 1.33), somewhat serious (OR = 1.41; 95% CI: 1.17, 1.70), and very serious (OR = 1.65; 95% CI: 1.38, 1.98) sidewalk problems in their neighborhood compared to those reporting no sidewalk problems, independent of demographic, socioeconomic, and impairment characteristics. Discussion: Perceived sidewalk problems appear to deter neighborhood participation among older adults.