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Racial Differences in Neighborhood Perceptions and their Influences on Physical Activity among Urban Older Women

1 Health Statistics and Geography Lab, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
2 MedStar Diabetes and Research Institutes, 100 Irving Street, NW, East Bldg. #4114, Washington, DC 20010, USA
3 Department of Kinesiology, Recreation and Sport Studies, The University of Tennessee Knoxville, 1914 Andy Holt Ave, Knoxville, TN 37996, USA
4 Georgetown University School of Medicine, 3900 Reservoir Road, Washington, DC 20057, USA

Background: Proper levels of physical activity (PA) are important to healthy aging. Little is known about racial differences in influences of neighborhood perceptions (NP) on PA and use of neighborhood resources among community-dwelling older women. Materials and methods: In 2014 and 2015, 49 white and 44 black women of age 65 and older living in Washington, DC were queried about their PA, NP, use of neighborhood resources and sociodemographic characteristics. They wore an accelerometer and a Global Positioning System device concurrently for 7 consecutive days. Data were analyzed by race. Results: Compared to Whites, Blacks had lower NP scores (71% positive vs. 77%, p = 0.01), lower mean daily step counts (mean (SD): 3256 (1918) vs. 5457 (2989), p < 0.001), and lower frequencies of all exercise activities combined (19.7 (8.7) vs. 25.2 (11.8) per week, p = 0.01). For both Whites and Blacks, better NPs were associated with more frequent PA both at (p = 0.05) and away from home (p = 0.01). However, better NPs were associated with higher frequencies of exercise activities, moderate-to-high intensity activities, and utilitarian walking for Whites but not Blacks (p < 0.05 for race-perception interaction terms). Conclusions: In an urban setting, older Black women were more likely than older White women to have poor NPs, less PA, and weaker or no association of positive NPs with higher levels of certain PAs. Such substantial racial differences warrant further investigation and consideration in health promotion programs.
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Keywords race; aging; neighborhood perception; physical activity; women’s health

Citation: Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee. Racial Differences in Neighborhood Perceptions and their Influences on Physical Activity among Urban Older Women. AIMS Public Health , 2017, 4(2): 149-170. doi: 10.3934/publichealth.2017.2.149

References

  • 1.  Mozaffarian D, Fried LP, Burke GL, et al. (2004) Lifestyles of older adults: can we influence cardiovascular risk in older adults. Am J Geriatr Cardiol 13: 153-160.    
  • 2. Siscovick DS, Fried L, Mittelmark M, et al. (1997) Exercise intensity and subclinical cardiovascular disease in the elderly. The Cardiovascular Health Study. Am J Epidemiol 145: 977-986.
  • 3. The Diabetes Prevention Program Research Group (2000) The Diabetes Prevention Program: baseline characteristics of the randomized cohort. The Diabetes Prevention Program Research Group. Diabetes Care 23: 1619-1629.
  • 4.  Vallbona C, Baker SB (1984) Physical fitness prospects in the elderly. Arch Phys Med Rehabil 65: 194-200.
  • 5.  Melzer I, Benjuya N, Kaplanski J (2003) Effects of regular walking on postural stability in the elderly. Gerontology 49: 240-245.    
  • 6.  Hakim AA, Petrovitch H, Burchfiel CM, et al. (1998) Effects of walking on mortality among nonsmoking retired men. N Engl J Med 338: 94-99.    
  • 7.  Rockhill B, Willett WC, Manson JE, et al. (2001) Physical activity and mortality: a prospective study among women. Am J Public Health 91: 578-583.    
  • 8.  LaCroix AZ, Leveille SG, Hecht JA, et al. (1996) Does walking decrease the risk of cardiovascular disease hospitalizations and death in older adults. J Am Geriatr Soc 44: 113-120.    
  • 9.  Manson JE, Hu FB, Rich-Edwards JW, et al. (1999) A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. N Engl J Med 341: 650-658.    
  • 10.  Hu FB, Sigal RJ, Rich-Edwards JW, et al. (1999) Walking compared with vigorous physical activity and risk of type 2 diabetes in women: a prospective study. JAMA 282: 1433-1439.    
  • 11.  Feskanich D, Willett W, Colditz G (2002) Walking and leisure-time activity and risk of hip fracture in postmenopausal women. JAMA 288: 2300-2306.    
  • 12.  Cummings SR, Nevitt MC, Browner WS, et al. (1995) Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group. N Engl J Med 332: 767-773.
  • 13.  Fukukawa Y, Nakashima C, Tsuboi S, et al. (2004) Age differences in the effect of physical activity on depressive symptoms. Psychol Aging 19: 346-351.    
  • 14.  Simonsick EM, Guralnik JM, Volpato S, et al. (2005) Just get out the door! Importance of walking outside the home for maintaining mobility: findings from the women's health and aging study. J Am Geriatr Soc 53: 198-203.    
  • 15.  Weuve J, Kang JH, Manson JE, et al. (2004) Physical activity, including walking, and cognitive function in older women. JAMA 292: 1454-1461.    
  • 16.  Leyden KM (2003) Social capital and the built environment: the importance of walkable neighborhoods. Am J Public Health 93: 1546-1551.    
  • 17.  Mensah GA, Mokdad AH, Ford ES, et al. (2005) State of disparities in cardiovascular health in the United States. Circulation 111: 1233-1241.    
  • 18.  Kurian AK, Cardarelli KM (2007) Racial and ethnic differences in cardiovascular disease risk factors: a systematic review. Ethn Dis 17: 143-152.
  • 19.  King KM, Khan NA, Quan H (2009) Ethnic variation in acute myocardial infarction presentation and access to care. Am J Cardiol 103: 1368-1373.    
  • 20.  King AC, Castro C, Wilcox S, et al. (2000) Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U. S. middle-aged and older-aged women. Health Psychol 19: 354-364.
  • 21.  Humpel N, Owen N, Leslie E (2002) Environmental factors associated with adults' participation in physical activity: a review. Am J Prev Med 22: 188-199.    
  • 22.  van Lenthe FJ, Brug J, Mackenbach JP (2005) Neighbourhood inequalities in physical inactivity: the role of neighbourhood attractiveness, proximity to local facilities and safety in the Netherlands. Soc Sci Med 60: 763-775.    
  • 23.  Frank LD (2000) Land Use and Transportation Interaction: Implications on Public Health and Quality of Life. J Plan Educ Res 20: 6-22.
  • 24.  Lopez-Zetina J, Lee H, Friis R (2006) The link between obesity and the built environment. Evidence from an ecological analysis of obesity and vehicle miles of travel in California. Health Place 12: 656-664.
  • 25. Ogilvie D, Mitchell R, Mutrie N, et al. (2008) Perceived characteristics of the environment associated with active travel: development and testing of a new scale. Int J Behav Nutr Phys Act 5: 32.    
  • 26.  McGinn AP, Evenson KR, Herring AH, et al. (2007) Exploring associations between physical activity and perceived and objective measures of the built environment. J Urban Health: Bull N Y Acad Med 84: 162-184.
  • 27.  Blanchard CM, McGannon KR, Spence JC, et al. (2005) Social ecological correlates of physical activity in normal weight, overweight, and obese individuals. Int J Obes (Lond) 29: 720-726.    
  • 28.  Saelens BE, Sallis JF, Black JB, et al. (2003) Neighborhood-based differences in physical activity: an environment scale evaluation. Am J Public Health 93: 1552-1558.    
  • 29.  Weiss CC, Purciel M, Bader M, et al. (2011) Reconsidering access: park facilities and neighborhood disamenities in new york city. J Urban Health: Bull N Y Acad Med 88: 297-310.
  • 30.  Cervero R, Duncan M (2003) Walking, bicycling, and urban landscapes: evidence from the San Francisco Bay Area. Am J Public Health 93: 1478-1483.    
  • 31.  Frank LD, Schmid TL, Sallis JF, et al. (2005) Linking objectively measured physical activity with objectively measured urban form: findings from SMARTRAQ. Am J Prev Med 28: 117-125.    
  • 32.  King WC, Brach JS, Belle S, et al. (2003) The relationship between convenience of destinations and walking levels in older women. Am J Health Promot 18: 74-82.    
  • 33.  Pfeiffer E (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 23: 433-441.    
  • 34.  Tinetti ME, Mendes de Leon CF, Doucette JT, et al. (1994) Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. J Gerontol 49: M140-147.    
  • 35.  Beck AT, Epstein N, Brown G, et al. (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 56: 893-897.    
  • 36.  Radloff LS (1977) The CES-D scale: A self report depression scale for research in the general population. Appl Psychol Meas 1: 385-401.    
  • 37.  Guenther PM, Casavale KO, Reedy J, et al. (2013) Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet 113: 569-580.    
  • 38.  Cyarto EV, Marshall AL, Dickinson RK, et al. (2006) Measurement properties of the CHAMPS physical activity questionnaire in a sample of older Australians. J Sci Med Sport 9: 319-326.    
  • 39. Li W, Procter-Gray E, Lipsitz L, et al. (2014) Utilitarian walking, neighborhood environment and risk for outdoor falls among older adults. Am J Public Health: e1–e8. doi:10.2105/AJPH.2014.302104.
  • 40.  Hooker SP, Hutto B, Zhu W, et al. (2016) Accelerometer measured sedentary behavior and physical activity in white and black adults: The REGARDS study. J Sci Med Sport 19: 336-341.    
  • 41. Hooker SP, Wilson DK, Griffin SF, et al. (2005) Perceptions of environmental supports for physical activity in African American and white adults in a rural county in South Carolina. Prev Chronic Dis 2: A11.
  • 42. Cohen SS, Matthews CE, Signorello LB, et al. (2013) Sedentary and physically active behavior patterns among low-income African-American and white adults living in the southeastern United States. PLoS One 8: e59975.    
  • 43.  Hughes JP, McDowell MA, Brody DJ (2008) Leisure-time physical activity among US adults 60 or more years of age: results from NHANES 1999–2004. J Phys Act Health 5: 347-358.    
  • 44. Sallis JF, Slymen DJ, Conway TL, et al. (2011) Income disparities in perceived neighborhood built and social environment attributes. Health Place.
  • 45.  Boslaugh SE, Luke DA, Brownson RC, et al. (2004) Perceptions of neighborhood environment for physical activity: is it "who you are" or "where you live". J Urban Health: Bull N Y Acad Med  81: 671-681.
  • 46. Procter-Gray E, Leveille SG, Hannan MT, et al. (2015) Variations in Community Prevalence and Determinants of Recreational and Utilitarian Walking in Older Age. J Aging Res 2015: 382703.

 

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Copyright Info: © 2017, Wenjun Li, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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