Skip to main content
Top
Published in: BMC Primary Care 1/2004

Open Access 01-12-2004 | Research article

Walkability and self-rated health in primary care patients

Authors: James Rohrer, JR Pierce Jr, Anne Denison

Published in: BMC Primary Care | Issue 1/2004

Login to get access

Abstract

Background

The objective of this study was to investigate the relationship between perceived walkability and overall self-rated health among patients who use community-based clinics.

Methods

A cross-sectional survey was distributed to a convenience sample in three community clinics. Forms were completed by 793 clinic patients. Multiple logistic regression analysis was to control for the effects of demographic variables and lifestyles.

Results

Perceiving the availability of places to walk was related to better self-rated health. The most important places were work (OR = 3.2), community center (OR = 3.12), park (OR = 2.45) and day care (OR = 2.05). Respondents who said they had zero (OR = .27) or one (OR = .49) place to walk were significantly less healthy than persons who said they had five or more places to walk.

Conclusion

Persons who perceived that they had no place to walk were significantly less healthy than persons who thought they had at least one place to walk (OR = .39). Support for walkable neighborhoods and education of patients about options for walking may be in the best interests of community medicine patients.
Literature
1.
go back to reference Kawachi I, Berkman LF, eds: Neighborhoods and Health. 2003, Oxford: Oxford University Press Kawachi I, Berkman LF, eds: Neighborhoods and Health. 2003, Oxford: Oxford University Press
2.
go back to reference Kawachi I, Berkman LF: Chapter 1. Introduction. Neighborhoods and Health. Edited by: Kawachi I, Berkman LF. 2003, Oxford: Oxford University Press, 1-19.CrossRef Kawachi I, Berkman LF: Chapter 1. Introduction. Neighborhoods and Health. Edited by: Kawachi I, Berkman LF. 2003, Oxford: Oxford University Press, 1-19.CrossRef
3.
go back to reference Kawachi I, Kennedy BP: Income inequality and health: pathways and mechanisms. Health Serv Res. 1999, 34 (1 pt 2): 215-227.PubMedPubMedCentral Kawachi I, Kennedy BP: Income inequality and health: pathways and mechanisms. Health Serv Res. 1999, 34 (1 pt 2): 215-227.PubMedPubMedCentral
4.
go back to reference Collins J, Schulte NF, Drolet A: Differential effect of ecologic risk factors on low birthweight component of African-American, Mexican-American, and non-Latino white infants in Chicago. J Natl Med Assoc. 1998, 90: 223-232.PubMedPubMedCentral Collins J, Schulte NF, Drolet A: Differential effect of ecologic risk factors on low birthweight component of African-American, Mexican-American, and non-Latino white infants in Chicago. J Natl Med Assoc. 1998, 90: 223-232.PubMedPubMedCentral
5.
go back to reference Shenessa ED, Stubbendick A, Beown MJ: Social disparities in housing and related pediatric injury: a multilevel study. Am J Public Health. 2004, 94: 633-639.CrossRef Shenessa ED, Stubbendick A, Beown MJ: Social disparities in housing and related pediatric injury: a multilevel study. Am J Public Health. 2004, 94: 633-639.CrossRef
6.
go back to reference Wright RJ, Fischer EB: Chapter 11. Putting asthma into context: community influences on risk, behavior, and intervention. Neighborhoods and Health. Edited by: Kawachi I, Berkman LF. 2003, Oxford: Oxford University Press, 233-264.CrossRef Wright RJ, Fischer EB: Chapter 11. Putting asthma into context: community influences on risk, behavior, and intervention. Neighborhoods and Health. Edited by: Kawachi I, Berkman LF. 2003, Oxford: Oxford University Press, 233-264.CrossRef
7.
go back to reference Ruiz MO, Tedesco C, McTighe TJ, Austin C, Kitron U: Environmental and social determinants of human risk during a West Nile Virus outbreak in the greater Chicago area, 2002. International J Health Geographics. 2004, 3: 8-10.1186/1476-072X-3-8.CrossRef Ruiz MO, Tedesco C, McTighe TJ, Austin C, Kitron U: Environmental and social determinants of human risk during a West Nile Virus outbreak in the greater Chicago area, 2002. International J Health Geographics. 2004, 3: 8-10.1186/1476-072X-3-8.CrossRef
8.
go back to reference Luby JP, Miller G, Gardner P, Pigford CA, Henderson BE, Eddins D: The epidemiology of St. Louis encephalitis in Houston, Texas, 1964. Am J Epidemiol. 1967, 86: 584-597.PubMed Luby JP, Miller G, Gardner P, Pigford CA, Henderson BE, Eddins D: The epidemiology of St. Louis encephalitis in Houston, Texas, 1964. Am J Epidemiol. 1967, 86: 584-597.PubMed
9.
go back to reference MacIntyre S, Ellanay A: Chapter 2. Neighborhoods and health. Neighborhoods and Health. Edited by: Kawachi I, Berkman LF. 2003, Oxford: Oxford University Press, 20-44.CrossRef MacIntyre S, Ellanay A: Chapter 2. Neighborhoods and health. Neighborhoods and Health. Edited by: Kawachi I, Berkman LF. 2003, Oxford: Oxford University Press, 20-44.CrossRef
12.
go back to reference U.S. Dept of Health and Human Services: Physical Activity and Health. A report of the Surgeon General. 1996, Washington DC U.S. Dept of Health and Human Services: Physical Activity and Health. A report of the Surgeon General. 1996, Washington DC
13.
go back to reference Rohrer JE, Arif AA, Pierce JR, Blackburn CB: Unsafe neighborhoods, social group activity, and self-rated health. J Public Health Manag Pract. 2004, 10: 124-129.CrossRefPubMed Rohrer JE, Arif AA, Pierce JR, Blackburn CB: Unsafe neighborhoods, social group activity, and self-rated health. J Public Health Manag Pract. 2004, 10: 124-129.CrossRefPubMed
14.
go back to reference Brown DW, Balluz LS, Health GW, Moriarty DG, Ford ES, Giles WH, Mokdad AH: Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 Behavioral Risk Factor Surveillance System survey. Prev Med. 2003, 37 (5): 520-528. 10.1016/S0091-7435(03)00179-8.CrossRefPubMed Brown DW, Balluz LS, Health GW, Moriarty DG, Ford ES, Giles WH, Mokdad AH: Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 Behavioral Risk Factor Surveillance System survey. Prev Med. 2003, 37 (5): 520-528. 10.1016/S0091-7435(03)00179-8.CrossRefPubMed
15.
go back to reference Harland J, White M, Drinkwater C, Chinn D, Farr L, Howel D: The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care. BMJ. 1999, 319: 828-832.CrossRefPubMedPubMedCentral Harland J, White M, Drinkwater C, Chinn D, Farr L, Howel D: The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care. BMJ. 1999, 319: 828-832.CrossRefPubMedPubMedCentral
16.
go back to reference Yeazel MW, Bunner SH, Kofron PM, Weiss PJ: Put prevention into practice (PPIP): evaluating PPIP in two family practice residency sites. Fam Med. 2002, 34 (1): 17-22.PubMed Yeazel MW, Bunner SH, Kofron PM, Weiss PJ: Put prevention into practice (PPIP): evaluating PPIP in two family practice residency sites. Fam Med. 2002, 34 (1): 17-22.PubMed
17.
go back to reference Long BJ, Calfas KJ, Wooten W, Sallis JF, Patrick K, Goldstein M, Marcus BH, Schwenk TL, Chenoweth J, Carter R, Torres T, Palinkas LA, Heath G: A Multisite Field Test of the Acceptability of Physical Activity Counseling in Primary Care: Project PACE. Am J Prev Med. 1996, 12: 73-81.PubMed Long BJ, Calfas KJ, Wooten W, Sallis JF, Patrick K, Goldstein M, Marcus BH, Schwenk TL, Chenoweth J, Carter R, Torres T, Palinkas LA, Heath G: A Multisite Field Test of the Acceptability of Physical Activity Counseling in Primary Care: Project PACE. Am J Prev Med. 1996, 12: 73-81.PubMed
18.
go back to reference Eakin EG, Glasgow RE, Riley KM: Review of primary care-based physical activity intervention studies effectiveness and implications for practice and future research. J Fam Pract. 2000, 49 (2): 158-68.PubMed Eakin EG, Glasgow RE, Riley KM: Review of primary care-based physical activity intervention studies effectiveness and implications for practice and future research. J Fam Pract. 2000, 49 (2): 158-68.PubMed
19.
go back to reference Keysor JJ, Jette AM: Have we oversold the benefit of late-life exercise?. J Gerontol A Biol Sci Med Sci. 2001, 56 (7): M412-23.CrossRefPubMed Keysor JJ, Jette AM: Have we oversold the benefit of late-life exercise?. J Gerontol A Biol Sci Med Sci. 2001, 56 (7): M412-23.CrossRefPubMed
20.
go back to reference Perkins AJ, Clark DO: Assessing the association of walking with health services use and costs among socioeconomically disadvantaged older adults. Prev Med. 2001, 32 (6): 492-501. 10.1006/pmed.2001.0832.CrossRefPubMed Perkins AJ, Clark DO: Assessing the association of walking with health services use and costs among socioeconomically disadvantaged older adults. Prev Med. 2001, 32 (6): 492-501. 10.1006/pmed.2001.0832.CrossRefPubMed
21.
go back to reference Humpel N, Marshall AL, Iverson D, Leslie E, Owen N: Trial of telephone delivered interventions to influence walking. Prev Med. 2004, 39: 635-641. 10.1016/j.ypmed.2004.02.032.CrossRefPubMed Humpel N, Marshall AL, Iverson D, Leslie E, Owen N: Trial of telephone delivered interventions to influence walking. Prev Med. 2004, 39: 635-641. 10.1016/j.ypmed.2004.02.032.CrossRefPubMed
22.
go back to reference Duncan GE, Sydeman SJ, Perri MG, Limacher MC, Martin AD: Can sedentary adults accurately recall the intensity of their physical activity?. Prev Med. 2001, 33 (1): 18-26. 10.1006/pmed.2001.0847.CrossRefPubMed Duncan GE, Sydeman SJ, Perri MG, Limacher MC, Martin AD: Can sedentary adults accurately recall the intensity of their physical activity?. Prev Med. 2001, 33 (1): 18-26. 10.1006/pmed.2001.0847.CrossRefPubMed
23.
go back to reference Brownson RC, Eyler AA, King AC, Brown DR, Shyu YL, Sallis JF: Patterns and correlates of physical activity among US women 40 years and older. Am J Public Health. 2000, 90 (2): 264-70.CrossRefPubMedPubMedCentral Brownson RC, Eyler AA, King AC, Brown DR, Shyu YL, Sallis JF: Patterns and correlates of physical activity among US women 40 years and older. Am J Public Health. 2000, 90 (2): 264-70.CrossRefPubMedPubMedCentral
24.
go back to reference Sevick MA, Dunn AL, Morrow MS, Marcus BH, Chen GJ, Blair SN: Cost-effectiveness of lifestyle and structured exercise interventions in sedentary adults: results of project ACTIVE. Am J Prev Med. 2000, 19 (1): 1-8. 10.1016/S0749-3797(00)00154-9.CrossRefPubMed Sevick MA, Dunn AL, Morrow MS, Marcus BH, Chen GJ, Blair SN: Cost-effectiveness of lifestyle and structured exercise interventions in sedentary adults: results of project ACTIVE. Am J Prev Med. 2000, 19 (1): 1-8. 10.1016/S0749-3797(00)00154-9.CrossRefPubMed
25.
go back to reference Blair SN, Connelly JC: How much physical activity should we do? The case for moderate amounts and intensities of physical activity. Res Q Exerc Sport. 1996, 67 (2): 193-205.CrossRefPubMed Blair SN, Connelly JC: How much physical activity should we do? The case for moderate amounts and intensities of physical activity. Res Q Exerc Sport. 1996, 67 (2): 193-205.CrossRefPubMed
26.
go back to reference Brownson RC, Baker EA, Housemann RA, Brennan LK, Bacak SJ: Environmental and policy determinants of physical activity in the United States. Am J Public Health. 2001, 91 (12): 1995-2003.CrossRefPubMedPubMedCentral Brownson RC, Baker EA, Housemann RA, Brennan LK, Bacak SJ: Environmental and policy determinants of physical activity in the United States. Am J Public Health. 2001, 91 (12): 1995-2003.CrossRefPubMedPubMedCentral
27.
go back to reference Rütten A, Abel T, Kannas L, von Lengerke T, Lüschen G, Rodríguez-Diaz JA, Vinck J, van der Zee J: Self reported physical activity, public health, and perceived environment: results from a comparative European study. J Epidemiol Community Health. 2001, 55: 139-146. 10.1136/jech.55.2.139.CrossRefPubMedPubMedCentral Rütten A, Abel T, Kannas L, von Lengerke T, Lüschen G, Rodríguez-Diaz JA, Vinck J, van der Zee J: Self reported physical activity, public health, and perceived environment: results from a comparative European study. J Epidemiol Community Health. 2001, 55: 139-146. 10.1136/jech.55.2.139.CrossRefPubMedPubMedCentral
28.
go back to reference Wang G, Macera CA, Scudder-Soucie B, Schmid T, Pratt M, Buchner D, Heath G: Cost Analysis of the Built Environment: The Case of Bike and Pedestrian Trials in Lincoln, Neb. Am J Public Health. 2004, 94: 549-553.CrossRefPubMedPubMedCentral Wang G, Macera CA, Scudder-Soucie B, Schmid T, Pratt M, Buchner D, Heath G: Cost Analysis of the Built Environment: The Case of Bike and Pedestrian Trials in Lincoln, Neb. Am J Public Health. 2004, 94: 549-553.CrossRefPubMedPubMedCentral
29.
go back to reference Rohrer J, Borders T: Healthy Skepticism. Prev Med. 2004, 39: 1234-1237. 10.1016/j.ypmed.2004.04.038.CrossRefPubMed Rohrer J, Borders T: Healthy Skepticism. Prev Med. 2004, 39: 1234-1237. 10.1016/j.ypmed.2004.04.038.CrossRefPubMed
30.
go back to reference Rohrer JE, Young R: Self-esteem, stress and self-rated health in family planning clinic patients. BMC Family Practice. 2004, 5 (1): 11-10.1186/1471-2296-5-11.CrossRefPubMedPubMedCentral Rohrer JE, Young R: Self-esteem, stress and self-rated health in family planning clinic patients. BMC Family Practice. 2004, 5 (1): 11-10.1186/1471-2296-5-11.CrossRefPubMedPubMedCentral
Metadata
Title
Walkability and self-rated health in primary care patients
Authors
James Rohrer
JR Pierce Jr
Anne Denison
Publication date
01-12-2004
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2004
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/1471-2296-5-29

Other articles of this Issue 1/2004

BMC Primary Care 1/2004 Go to the issue