Neighborhood Characteristics and Walking Behavior Among Adults With Arthritis: A National Health Interview Survey...

Area of Science:

• Public Health
• Epidemiology
• Gerontology

Background:

• Physical activity (PA) is crucial for managing arthritis, yet many adults with arthritis struggle to meet recommendations.
• Neighborhood environments can significantly influence walking behaviors and overall PA levels.

Purpose of the Study:

• To examine the association between perceived neighborhood qualities and various walking behaviors (transit, leisure, neighborhood) among US adults with arthritis.
• To determine if neighborhood attributes are associated with meeting PA recommendations in this population.

Main Methods:

• Cross-sectional analysis of 2020 National Health Interview Survey data from adults with diagnosed arthritis who can walk.
• Perceived neighborhood attributes were assessed as exposures, and walking behaviors and meeting PA recommendations were outcomes.
• Weighted logistic regression models were used to analyze associations, controlling for potential confounders.

Main Results:

• The presence of roads to walk on was associated with meeting PA recommendations (OR 1.26).
• Positive associations were found between neighborhood attributes and transit walking, while safety from crime showed a negative association.
• Roads and places to walk/relax were linked to increased leisure and neighborhood walking.

Conclusions:

• Specific neighborhood characteristics are associated with higher likelihoods of walking behaviors in adults with arthritis.
• The factors influencing walking behavior differ based on the type of walking activity.
• Integrating knowledge of neighborhood infrastructure into exercise recommendations may enhance PA for individuals with arthritis.