Reliable and valid NEWS for Chinese seniors: measuring perceived neighborhood attributes related to walking

Cerin, Ester; Sit, Cindy H.P.; Cheung, Man-chin; Ho, Sai Yin; Lee, Janet Lok Chun; Chan, Wai‐Man

doi:10.1186/1479-5868-7-84

Cited by 116 publications

(153 citation statements)

References 35 publications

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“…The present study is the first such one to be conducted in an Asian urban context, to use measures of overall and within-neighbourhood walking for transport, and to employ outcome and environmental exposure measures specifically adapted for and/or validated in the target population (13,18,19) .…”

Section: Discussionmentioning

confidence: 99%

“…Land-use mixdiversity was assessed by the perceived walking proximity from home to a list of destinations, with responses ranging from 1-5 min (5) to .30 min (1) walking distance. Residential density items used a 5-point scale with ratings weighted relative to the average residential density that a specific item represents (13) .…”

Section: Methodsmentioning

confidence: 99%

“…The SES level of EHC catchment areas was operationalized using census data on median monthly household income and percentage of owner-occupiers. Transport-related walkability was established using Census and Centamap (www.centamap.com) data on household, intersection and commercial/service destination densities (13) . The EHC were first ranked by the SES of their catchment area.…”

Section: Participantsmentioning

confidence: 99%

“…In doing so, we used validated exposure and outcome measures adapted for the target population (13,18,19) . Both frequency and total minutes of transport-related walking were examined since the level of access and diversity of destinations in a neighbourhood may have greater effects on frequency than duration of transport-related walking.…”

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confidence: 99%

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Ageing in an ultra-dense metropolis: perceived neighbourhood characteristics and utilitarian walking in Hong Kong elders

Cerin

Sit

Barnett

et al. 2012

Public Health Nutr.

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Objective: The neighbourhood built environment may affect walking behaviour of elders. However, such effects remain underexplored, especially in an Asian context. We examined associations of perceived environmental attributes with overall and neighbourhood-specific walking for transport in a sample of Chinese elders residing in Hong Kong, an ultra-dense Chinese metropolis. Design: Cross-sectional observational study using a two-stage stratified sampling strategy. Setting: Hong Kong, China. Subjects: Chinese-speaking elders (n 484), with no cognitive impairment and able to walk without assistance, residing in thirty-two selected communities stratified by socio-economic status and walkability, were interviewer-administered validated measures of perceived neighbourhood environment and walking for transport. Results: Much higher levels of transport-related walking (mean 569 (SD 452) min/ week) than found in Western samples were reported. The degree of perceived access to shops, crowdedness, presence of sitting facilities and easy access of residential entrance were independently positively related to both frequency of overall and within-neighbourhood walking for transportation. Infrastructure for walking and access to public transport were predictive of higher frequency of transport-related walking irrespective of location, while the perceived degree of land-use mix was predictive of higher levels of within-neighbourhood walking.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

mentioning

confidence: 99%

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Ageing in an ultra-dense metropolis: perceived neighbourhood characteristics and utilitarian walking in Hong Kong elders

Cerin

Sit

Barnett

et al. 2012

Public Health Nutr.

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“…Physical environmental characteristics were classified according to the categories applied in the valid and reliable Neighborhood Environment Walkability Scale (NEWS questionnaire, [94][95][96]), which is the most internationally used questionnaire to assess perceptions of the environmental correlates of PA [97,98]. Retained independent variables were 1) walkability and its three key elements: 2) residential density, 3) land use mix diversity, and 4) street connectivity.…”

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confidence: 99%

Relationship between the physical environment and different domains of physical activity in European adults: A systematic review

Holle

Deforche

Cauwenberg³

et al. 2012

Journal of Science and Medicine in Sport

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Walking for Recreation and Perceptions of the Neighborhood Environment in Older Chinese Urban Dwellers

et al. 2012

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Engagement in walking for recreation can contribute to healthy aging. Although there is growing evidence that the neighborhood environment can influence walking for recreation, the amount of such evidence in relation to older adults is scarce and limited to Western low-density urban locations. Asian urban environments are typified by distinctive environmental and cultural characteristics that may yield different patterns to those observed in Western countries. Therefore, the main aim of this study was to examine associations of perceived environmental attributes with overall and within-neighborhood walking for recreation in Chinese elders (65+ years) residing in Hong Kong, an ultradense Asian metropolis. A sample of 484 elders was recruited from 32 neighborhoods stratified by socio-economic status and walkability (dwelling and intersection densities). Validated questionnaires measuring perceived neighborhood environment and weekly minutes of overall and within-neighborhood walking for recreation were interviewer administered. Results showed that the level of recreational walking was twice to four times higher than that reported in Western adults and elders. While overall walking for recreation showed a general lack of associations with perceived environmental attributes, within-neighborhood recreational walking was positively related with proximity of recreational facilities, infrastructure for walking, indoor places for walking, and presence of bridge/overpasses connecting to services. Age and educational attainment moderated the associations with several perceived environmental attributes with older and less-educated participants showing stronger associations. Traditional cultural views on the benefits of physical activity and the high accessibility of facilities and pedestrian infrastructure of Hong Kong may explain the high levels of walking. Although specific neighborhood attributes, or their perception, may influence recreational walking within the neighborhood, the compactness and public transport affordability of ultradense metropolises such as Hong Kong may make it easy for elders to compensate for the lack of favorable neighborhood attributes by walking outside the neighborhood.

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Reliable and valid NEWS for Chinese seniors: measuring perceived neighborhood attributes related to walking

Cited by 116 publications

References 35 publications

Ageing in an ultra-dense metropolis: perceived neighbourhood characteristics and utilitarian walking in Hong Kong elders

Ageing in an ultra-dense metropolis: perceived neighbourhood characteristics and utilitarian walking in Hong Kong elders

Relationship between the physical environment and different domains of physical activity in European adults: A systematic review

Walking for Recreation and Perceptions of the Neighborhood Environment in Older Chinese Urban Dwellers

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