Neighborhood amenities and mobility in older adults

Andrea L. Rosso, Anthony Grubesic, Amy H. Auchincloss, Loni P. Tabb, Yvonne L. Michael

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Diversity of neighborhood amenities may promote the mobility of older adults. A 2010 community-based sample of 510 adults aged ≥65 years in Philadelphia, Pennsylvania, and geospatial data from the Esri Business Analyst database (Esri, Inc., Redlands, California) were used to assess associations of neighborhood amenity diversity with mobility. Neighborhoods were defined by census tract, and diversity of amenities was derived by using the Leadership in Energy and Environmental Design's neighborhood development index (US Green Building Council, Washington, DC). Generalized estimating equations adjusted for demographic, socioeconomic, and neighborhood characteristics were used to estimate differences in mobility score by tertile of amenity diversity. Analyses were stratified by participants' routine travel habits (stayed at home, stayed in home zip code, or traveled beyond home zip code). We found that for those who spent most of their time in their home neighborhoods, mobility scores (from the Life-Space Assessment, which ranges from 0 to 104 points) were 8.3 points higher (95% confidence interval: 0.1, 16.6) among those who lived in neighborhoods with the most amenity diversity compared with those who lived in neighborhoods with the least amenity diversity. No significant associations between amenity diversity and mobility were observed for those who did not leave home or who regularly traveled outside their neighborhoods. Neighborhoods with a high diversity of amenities may be important promoters of mobility in older adults who do not routinely travel outside their neighborhoods.

Original languageEnglish (US)
Pages (from-to)761-769
Number of pages9
JournalAmerican Journal of Epidemiology
Volume178
Issue number5
DOIs
StatePublished - Sep 1 2013
Externally publishedYes

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Keywords

  • aging
  • mobility limitation
  • residence characteristics

ASJC Scopus subject areas

  • Epidemiology

Cite this

Rosso, A. L., Grubesic, A., Auchincloss, A. H., Tabb, L. P., & Michael, Y. L. (2013). Neighborhood amenities and mobility in older adults. American Journal of Epidemiology, 178(5), 761-769. https://doi.org/10.1093/aje/kwt032

Neighborhood amenities and mobility in older adults. / Rosso, Andrea L.; Grubesic, Anthony; Auchincloss, Amy H.; Tabb, Loni P.; Michael, Yvonne L.

In: American Journal of Epidemiology, Vol. 178, No. 5, 01.09.2013, p. 761-769.

Research output: Contribution to journalArticle

Rosso, AL, Grubesic, A, Auchincloss, AH, Tabb, LP & Michael, YL 2013, 'Neighborhood amenities and mobility in older adults', American Journal of Epidemiology, vol. 178, no. 5, pp. 761-769. https://doi.org/10.1093/aje/kwt032
Rosso, Andrea L. ; Grubesic, Anthony ; Auchincloss, Amy H. ; Tabb, Loni P. ; Michael, Yvonne L. / Neighborhood amenities and mobility in older adults. In: American Journal of Epidemiology. 2013 ; Vol. 178, No. 5. pp. 761-769.
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