Neighborhood factors relevant for walking in older, urban, African American adults.

Focus-group and photo-voice methodology were used to identify the salient factors of the neighborhood environment that encourage or discourage walking in older, urban African Americans. Twenty-one male (n = 2) and female (n = 19) African Americans age 60 years and older (M = 70 +/- 8.7, range = 61-85) were recruited from a large urban senior center. Photographs taken by the participants were used to facilitate focus-group discussions. The most salient factors that emerged included the presence of other people, neighborhood surroundings, and safety from crime, followed by sidewalk and traffic conditions, animals, public walking tracks and trails, and weather. Future walking interventions for older African Americans should include factors that encourage walking, such as the presence of other friendly or active people, attractive or peaceful surroundings, and a sense of safety from crime.

[1]  E. Aschermann,et al.  Photographs as retrieval cues for children , 1998 .

[2]  M. Sandelowski Focus on Research Methods Whatever Happened to Qualitative Description? , 2022 .

[3]  Michael Duncan,et al.  Walking, bicycling, and urban landscapes: evidence from the San Francisco Bay Area. , 2003, American journal of public health.

[4]  C. Wong,et al.  Habitual walking and its correlation to better physical function: implications for prevention of physical disability in older persons. , 2003, The journals of gerontology. Series A, Biological sciences and medical sciences.

[5]  Joshua Lawson,et al.  Profile of physical activity levels in community-dwelling older adults. , 2005, Medicine and science in sports and exercise.

[6]  E. McAuley,et al.  Promoting physical activity among older adults: from ecology to the individual. , 2003, American journal of preventive medicine.

[7]  E. Eng,et al.  Quality-of-Life Concerns of African American Breast Cancer Survivors Within Rural North Carolina: Blending the Techniques of Photovoice and Grounded Theory , 2005, Qualitative health research.

[8]  J. Manson,et al.  Walking compared with vigorous exercise for the prevention of cardiovascular events in women. , 2002, The New England journal of medicine.

[9]  Melissa Bopp,et al.  Understanding physical activity participation in members of an African American church: a qualitative study. , 2006, Health education research.

[10]  A. Kriska,et al.  Objective measures of neighborhood environment and physical activity in older women. , 2005, American journal of preventive medicine.

[11]  Stella M. Yu Healthy People 2010 , 1998, Maternal and Child Health Journal.

[12]  B. Belza,et al.  Older Adult Perspectives on Physical Activity and Exercise: Voices From Multiple Cultures , 2004, Preventing chronic disease.

[13]  Dawn K. Wilson,et al.  Socioeconomic status and perceptions of access and safety for physical activity , 2004, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[14]  J. Lapidus,et al.  Developing a reliable Senior Walking Environmental Assessment Tool. , 2005, American journal of preventive medicine.

[15]  B. Resnick,et al.  Testing A Theoretical Model of Exercise Behavior for Older Adults , 2003, Nursing research.

[16]  L. George,et al.  The role of the built environment in the disablement process. , 2005, American journal of public health.

[17]  Sara Wilcox,et al.  Perceived individual, social, and environmental factors for physical activity and walking. , 2007, Journal of physical activity & health.

[18]  N. Burns Standards for Qualitative Research , 1989, Nursing science quarterly.

[19]  Susan Weaver,et al.  Trail Characteristics as Correlates of Urban Trail Use , 2007, American journal of health promotion : AJHP.

[20]  M. Schroll,et al.  All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. , 2000, Archives of internal medicine.

[21]  Allon Goldberg,et al.  Common Gait Disturbances: A Clinical Overview , 2005 .

[22]  J. Sallis,et al.  Neighborhood-based differences in physical activity: an environment scale evaluation. , 2003, American journal of public health.

[23]  J. Guralnik,et al.  Characteristics of older pedestrians who have difficulty crossing the street. , 1997, American journal of public health.

[24]  Emily Stevens,et al.  Features of the neighborhood environment and walking by U.S. adults. , 2005, American journal of preventive medicine.

[25]  S. Zizzi,et al.  Use of a Community Trail Among New and Habitual Exercisers: A Preliminary Assessment , 2004, Preventing chronic disease.

[26]  Caroline C. Wang,et al.  Photovoice: Concept, Methodology, and Use for Participatory Needs Assessment , 1997, Health education & behavior : the official publication of the Society for Public Health Education.

[27]  A. King Interventions to promote physical activity by older adults. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[28]  Robert J. Bensley,et al.  The eHealth Behavior Management Model: A Stage-based Approach to Behavior Change and Management , 2004, Preventing chronic disease.

[29]  Caterina G. Roman,et al.  Fear of walking outdoors. A multilevel ecologic analysis of crime and disorder. , 2008, American journal of preventive medicine.

[30]  Mandy K. Green,et al.  Neighborhood design and active aging. , 2006, Health & place.

[31]  P. Foster-Fishman,et al.  Revealing the Cues Within Community Places: Storiesof Identity, History, and Possibility , 2006, American journal of community psychology.

[32]  B. Ainsworth,et al.  Enablers and Constraints to Walking for Older African American and American Indian Women: The Cultural Activity Participation Study , 2000, Research quarterly for exercise and sport.

[33]  Amy A. Eyler,et al.  Physical Activity and Minority Women: A Qualitative Study , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[34]  M. McDowell,et al.  Leisure-time physical activity among US adults 60 or more years of age: results from NHANES 1999-2004. , 2008, Journal of physical activity & health.

[35]  J. Sallis,et al.  An ecological approach to creating active living communities. , 2006, Annual review of public health.

[36]  B. Saelens,et al.  Built environment correlates of walking: a review. , 2008, Medicine and science in sports and exercise.

[37]  F. Bull,et al.  Understanding Physical Activity Environmental Correlates: Increased Specificity for Ecological Models , 2005, Exercise and sport sciences reviews.

[38]  V. Conn Older adults and exercise: path analysis of self-efficacy related constructs. , 1998, Nursing research.

[39]  W. Green,et al.  Health and Community Design: The Impact of the Built Environment on Physical Activity by Lawrence D. Frank, Peter Engelke and Thomas Schmid , 2004 .

[40]  P. Åstrand Physical activity and fitness. , 1992, The American journal of clinical nutrition.

[41]  Benjamin A. Shaw,et al.  Examining the Association Between Education Level and Physical Activity Changes During Early Old Age , 2008, Journal of aging and health.

[42]  Barbara Sternfeld,et al.  Outdoor falls among middle-aged and older adults: a neglected public health problem. , 2006, American journal of public health.

[43]  R. Hudson Older Americans 2004 , 2005 .

[44]  Kelly R Evenson,et al.  Neighborhood Environment, Access to Places for Activity, and Leisure-Time Physical Activity in a Diverse North Carolina Population , 2003, American journal of health promotion : AJHP.

[45]  Ross C Brownson,et al.  The epidemiology of walking for physical activity in the United States. , 2003, Medicine and science in sports and exercise.

[46]  J F Sallis,et al.  Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[47]  D M Buchner,et al.  Physical activity interventions targeting older adults. A critical review and recommendations. , 1998, American journal of preventive medicine.

[48]  Caroline C. Wang,et al.  Photovoice: Use of a Participatory Action Research Method to Explore the Chronic Pain Experience in Older Adults , 2006, Qualitative health research.

[49]  Caroline C. Wang,et al.  Flint Photovoice: community building among youths, adults, and policymakers. , 2004, American journal of public health.

[50]  Liu Wen-chuan,et al.  Be Active,Healthy and Happy —Edification from 〈2008 Physical Activity Guidelines for Americans〉 , 2012 .

[51]  Jennifer L Balfour,et al.  Neighborhood environment and loss of physical function in older adults: evidence from the Alameda County Study. , 2002, American journal of epidemiology.

[52]  Luigi Ferrucci,et al.  Environmental Components of Mobility Disability in Community‐Living Older Persons , 2003, Journal of the American Geriatrics Society.

[53]  H. Kohl,et al.  Trends in leisure-time physical inactivity by age, sex, and race/ethnicity--United States, 1994-2004. , 2005, MMWR. Morbidity and mortality weekly report.

[54]  Donna Lockett,et al.  Through seniors' eyes: an exploratory qualitative study to identify environmental barriers to and facilitators of walking. , 2005, The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres.

[55]  Michael J. Greenwald,et al.  Operationalizing environmental indicators for physical activity in older adults. , 2007, Journal of aging and physical activity.

[56]  G. King,et al.  Physical activity and ethnic differences in hypertension prevalence in the United States. , 2002, Preventive medicine.

[57]  S L Lusk,et al.  Healthy People 2010 , 2001, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[58]  P. Patterson,et al.  Urban Form and Older Residents' Service Use, Walking, Driving, Quality of Life, and Neighborhood Satisfaction , 2004, American journal of health promotion : AJHP.

[59]  Jennifer Balfour,et al.  Just Get Out the Door! Importance of Walking Outside the Home for Maintaining Mobility: Findings from the Women's Health and Aging Study , 2005, Journal of the American Geriatrics Society.