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Journal of Aging Research
Volume 2015 (2015), Article ID 382703, 11 pages
http://dx.doi.org/10.1155/2015/382703
Research Article

Variations in Community Prevalence and Determinants of Recreational and Utilitarian Walking in Older Age

1Health Statistics and Geography Lab, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
2College of Nursing and Health Sciences, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125-3393, USA
3Institute for Aging Research, Hebrew SeniorLife/Harvard Medical School and Beth Israel Deaconess Medical Center, 1200 Centre Street, Boston, MA 02131-1097, USA

Received 20 May 2015; Accepted 22 July 2015

Academic Editor: Elke Bromberg

Copyright © 2015 Elizabeth Procter-Gray et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Regular walking is critical to maintaining health in older age. We examined influences of individual and community factors on walking habits in older adults. Methods. We analyzed walking habits among participants of a prospective cohort study of 745 community-dwelling men and women, mainly aged 70 years or older. We estimated community variations in utilitarian and recreational walking, and examined whether the variations were attributable to community differences in individual and environmental factors. Results. Prevalence of recreational walking was relatively uniform while prevalence of utilitarian walking varied across the 16 communities in the study area. Both types of walking were associated with individual health and physical abilities. However, utilitarian walking was also strongly associated with several measures of neighborhood socioeconomic status and access to amenities while recreational walking was not. Conclusions. Utilitarian walking is strongly influenced by neighborhood environment, but intrinsic factors may be more important for recreational walking. Communities with the highest overall walking prevalence were those with the most utilitarian walkers. Public health promotion of regular walking should take this into account.