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Published on: August 1, 2019
Walkability and self-rated health in primary care patients
James Rohrer1, J R Pierce, Anne Denison
1Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, Texas 79106, USA. james.rohrer@ttuhsc.edu <james.rohrer@ttuhsc.edu>
Background:
The objective of this study was to investigate the relationship between perceived walkability and overall self-rated health among patients who use community-based clinics.
Methods:
A cross-sectional survey was distributed to a convenience sample in three community clinics. Forms were completed by 793 clinic patients. Multiple logistic regression analysis was to control for the effects of demographic variables and lifestyles.
Results:
Perceiving the availability of places to walk was related to better self-rated health. The most important places were work (OR = 3.2), community center (OR = 3.12), park (OR = 2.45) and day care (OR = 2.05). Respondents who said they had zero (OR = .27) or one (OR = .49) place to walk were significantly less healthy than persons who said they had five or more places to walk.
Conclusion:
Persons who perceived that they had no place to walk were significantly less healthy than persons who thought they had at least one place to walk (OR = .39). Support for walkable neighborhoods and education of patients about options for walking may be in the best interests of community medicine patients.
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