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• W2805142074 abstract "Step It Up! The Surgeon General’s Call to Action to Promote Walking and Walkable Communities calls for community design that makes it safe and easy to walk for people of all ages and abilities. Determining which community design features are associated with walking at the national level can inform strategies to improve and monitor walkability in the U.S. PURPOSE: To document the associations between walking and walkable supports and destination types among U.S. adults. METHODS: Adult respondents (n=29,925) to the 2015 National Health Interview Survey reported the presence of two near-home walkable supports (roads, sidewalks, paths, or trails; sidewalks on most streets) and four destination types (shops, stores, or markets; bus or transit stops; movies, libraries, or churches; places that help one relax, clear one’s mind, and reduce stress). Stepwise logistic regression was used to identify features significantly associated with self-reported walking for leisure or transportation in the past week. From the resulting model, the prevalence of walking was calculated for each combination of features. RESULTS: When combined in a single model, one support and three destination types were associated with walking: roads, sidewalks, paths, or trails (prevalence ratio [PR], present vs. absent [95% confidence interval]: 1.11 [1.07-1.16]); transit (1.07 [1.04-1.10]); movies, libraries, or churches (1.07 [1.04-1.11]); and places to relax (1.39 [1.34-1.44]). For specific combinations of the four, 7.4% reported absence of all features, 36.5% of whom reported any walking. In comparison, 32.5% reported presence of all features, 73.7% of whom reported any walking (PR: 2.02 [1.82-2.22]). The prevalence of walking was generally higher among adults who reported a greater number of features (p<0.001 for linear trend). CONCLUSIONS: Among U.S. adults, one near home walkable support (roads, sidewalks, paths, or trails) and three walkable destination types (transit; movies, libraries, churches; places to relax) were associated with walking. Walking was two times more common among adults who reported all four features versus no features. These results support the idea that multiple built environment features may combine to influence walking and designing communities with these features may help improve walkability in the U.S." @default.
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• W2805142074 date "2018-05-01" @default.
• W2805142074 modified "2023-09-26" @default.
• W2805142074 title "Association Between Walkable Community Design Features and Walking AmongU.S. Adults — 2015" @default.
• W2805142074 doi "https://doi.org/10.1249/01.mss.0000536372.15221.9f" @default.
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