Mobility Disability and the Urban Built Environment

Philippa Clarke; Jennifer A. Ailshire; Michael Bader; Jeffrey D. Morenoff; James S. House
September 2008
American Journal of Epidemiology;Sep2008, Vol. 168 Issue 5, p506
Academic Journal
Research on the effects of the built environment in the pathway from impairment to disability has been largely absent. Using data from the Chicago Community Adult Health Study (2001–2003), the authors examined the effect of built environment characteristics on mobility disability among adults aged 45 or more years (n = 1,195) according to their level of lower extremity physical impairment. Built environment characteristics were assessed by using systematic social observation to independently rate street and sidewalk quality in the block surrounding each respondents residence in the city of Chicago (Illinois). Using multinomial logistic regression, the authors found that street conditions had no effect on outdoor mobility among adults with only mild or no physical impairment. However, among adults with more severe impairment in neuromuscular and movement-related functions, the difference in the odd ratios for reporting severe mobility disability was over four times greater when at least one street was in fair or poor condition (characterized by cracks, potholes, or broken curbs). When all streets were in good condition, the odds of reporting mobility disability were attenuated in those with lower extremity impairment. If street quality could be improved, even somewhat, for those adults at greatest risk for disability in outdoor mobility, the disablement process could be slowed or even reversed.


Related Articles

  • Potential Misinterpretation of Treatment Effects Due to Use of Odds Ratios and Logistic Regression in Randomized Controlled Trials Knol, Mirjam J.; Duijnhoven, Ruben G.; Grobbee, Diederick E.; Moons, Karel G. M.; Groenwold, Rolf H. H. // PLoS Clinical Trials;Jun2011, Vol. 6 Issue 6, p1 

    Background: In randomized controlled trials (RCTs), the odds ratio (OR) can substantially overestimate the risk ratio (RR) if the incidence of the outcome is over 10%. This study determined the frequency of use of ORs, the frequency of overestimation of the OR as compared with its accompanying...

  • The Accuracy of Health Risk Appraisal in Predicting Mortality. Foxman, Betsy; Edington, Dee W. // American Journal of Public Health;Aug1987, Vol. 77 Issue 8, p971 

    Abstract: In order to determine the accuracy of the Centers for Disease Control Health Risk Appraisal (CDC/HRA) program the authors compared observed to predicted mortality for the 3,135 persons followed from 1959-79 as part of the Tecumseh Community Health Study. The analysis was limited to...

  • Health Disparities Experienced by People with Disabilities in the United States: A Behavioral Risk Factor Surveillance System Study. Pharr, Jennifer R.; Bungum, Tim // Global Journal of Health Science;Nov2012, Vol. 4 Issue 6, p99 

    The Americans with Disabilities Act became law in 1990; since then research has shown that people with disabilities continue to experience barriers to health care. The purpose of this study was to compare utilization of preventive services, chronic disease rates, and engagement in health risk...

  • The experience of the first sanitary revolution: Are there lessons for today's global sanitation crisis? Black, Maggie // Waterlines;Jan2008, Vol. 27 Issue 1, p62 

    The stench and filth of 19th-century London, especially from the discharge of raw sewage into the Thames, broke through inhibitions concerning bodily wastes to prompt a sanitary revolution. In today's world, around I billion people in even more rapidly expanding towns - and many more in rural...

  • The Validity of Health Risk Appraisal Instruments for Assessing Coronary Heart Disease Risk. Smith, Kevin W.; McKinlay, Sonja M.; Thorington, Bruce D. // American Journal of Public Health;Apr87, Vol. 77 Issue 4, p419 

    Abstract: This study evaluated the validity of the scoring systems employed by 41 health risk assessment instruments (HRAs) with respect to the probability of death due to coronary heart disease. Validity was assessed by comparing predictions of mortality risk produced by each HRA to estimates...

  • Predictive Factors for Open Conversion of Laparoscopic Adrenalectomy A 13-Year Review of 456 Cases. Z.J. Shen; S.W. Chen; S. Wang; X.D. Jin; J. Chen; Y. Zhu; R.M. Zhang // Journal of Endourology;Nov2007, Vol. 21 Issue 11, p1333 

    Background and Purpose Laparoscopic adrenalectomy has largely replaced open adrenalectomy for the treatment of adrenal tumor. However, certain cases still require conversion to open procedures. Identifying the risk of conversion remains difficult. This study identified risk factors that may...

  • World Autism Awareness Day - 2nd Ap.  // Foods Matter (USA);Mar2009, p10 

    The article provides certain facts about autism as well as highlights the issues that would be discussed at the World Autism Awareness Day on April 2, 2009 in Great Britain. According to the article, there is a need for more training among professionals who look after the disease especially...

  • Neighborhood social participation, use of anxiolytic‐hypnotic drugs, and women's propensity for disability pension: a multilevel analysis. Johnell, Kristina; Månsson, Nils-Ove; Sundquist, Jan; Melander, Arne; Blennow, Göran; Merlo, Juan // Scandinavian Journal of Public Health;Jan2006, Vol. 34 Issue 1, p41 

    Aims: The increasing number of people on disability pension in Sweden is of concern for Swedish policy-makers, and there is a need for a better understanding of the mechanisms behind disability pension. We investigated (i) whether women living in the same neighborhood have a similar propensity...

  • Related factors and use of free preventive health services among adults with intellectual disabilities in Taiwan. Suh-May Yen; Pei-Tseng Kung; Li-Ting Chiu; Wen-Chen Tsai // BMC Health Services Research;2014, Vol. 14 Issue 1, p100 

    Background This study aimed to investigate the utilization of preventive health services in the adults with intellectual disabilities from the nationwide database. Methods The research method of this study is secondary data analysis. The data was obtained from three nationwide databases from...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics