Transit use and walking as potential mediators of the association between accessibility to services and amenities and social participation among urban-dwelling older adults: Insights from the VoisiNuAge study

被引：19

作者：

Julien, Dominic ^{[1
]}

Richard, Lucie ^{[1
,2
,3
,4
]}

Gauvin, Lise ^{[2
,5
,6
]}

Fournier, Michel ^{[7
]}

Kestens, Yan ^{[2
,5
,6
]}

Shatenstein, Bryna ^{[4
,8
]}

Daniel, Mark ^{[6
,9
,10
]}

Mercille, Genevieve ^{[1
,6
]}

Payette, Helene ^{[11
,12
]}

机构：

[1] Univ Montreal, IRSPUM Inst Rech Sante Publ, Succ Ctr Ville, Montreal, PQ H3C 3J7, Canada

[2] Univ Montreal, Ctr Rech Lea Roback Inegalites Sociales Sante Mon, Montreal, PQ H2L 1M3, Canada

[3] Univ Montreal, Fac Sci Infirmieres, Montreal, PQ H3T 1A8, Canada

[4] Univ Montreal, Inst Univ Geriatrie Montreal, Ctr Rech, Montreal, PQ H3W 1W5, Canada

[5] CRCHUM, Succ Ctr Ville, Montreal, PQ H3C 3J7, Canada

[6] Univ Montreal, Dept Med Sociale & Prevent, Succ Ctr Ville, Montreal, PQ H3C 3J7, Canada

[7] Agence Sante & Serv Sociaux Montreal, Direct Sante Publ, Montreal, PQ H2L 1M3, Canada

[8] Univ Montreal, Dept Nutr, Succ Ctr Ville, Montreal, PQ H3C 3J7, Canada

[9] Univ S Australia, Sch Populat Hlth, Adelaide, SA 5001, Australia

[10] Univ Melbourne, St Vincents Hosp, Dept Med, Melbourne, Vic 3065, Australia

[11] Inst Univ Geriatrie Sherbrooke, Ctr Sante & Serv Sociaux, Ctr Rech Vieillissement, Sherbrooke, PQ J1H 4C4, Canada

[12] Univ Sherbrooke, Fac Med & Sci Sante, Dept Sci Sante Communautaire, Sherbrooke, PQ J1H 5N4, Canada

来源：

JOURNAL OF TRANSPORT & HEALTH | 2015年 / 2卷 / 01期

基金：

加拿大健康研究院;

关键词：

Social participation; Living environments; Walking; Transportation; Mediator analysis; Aged; PHYSICAL-ACTIVITY SCALE; BUILT ENVIRONMENT; LAND-USES; NEIGHBORHOOD DESIGN; TRAVEL BEHAVIORS; SELF-SELECTION; ELDERLY PASE; HEALTH; TRANSPORTATION; NUTRITION;

D O I：

10.1016/j.jth.2014.09.007

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Accessibility to services and amenities is related to social participation in older adults. However, the mechanisms underlying this association are not clear. Transit use and walking may be potential mediating variables. The aim of this study was to investigate whether frequency of transit use and frequency of walking mediated the relationship between accessibility to services and amenities conducive to social participation (SACSP) and social participation itself among a sample of older adults. Participants were 519 older adults from the VoisiNuAge study. Multiple mediation and separate mediation analyses were conducted to investigate whether frequency of transit use and frequency of walking mediated the association between accessibility to SACSP and social participation, controlling for sociodemographic variables. Results showed that transit use was a significant mediator in multiple and separate mediation analyses. Walking frequency was not a significant mediator in multiple mediation analyses, and conflicting results were observed for separate mediation analyses involving walking. We conclude that the association between accessibility to SACSP and social participation seems to be partly mediated by transit use, but results involving walking should be interpreted cautiously. (C) 2014 Elsevier Ltd. All rights reserved.

引用

页码：35 / 43

页数：9

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