Spivock, M., Gauvin, L., Riva, M., & Brodeur, J.M. (2008). Promoting Active Living Among People with Physical Disabilities: Evidence for Neighborhood-Level Buoys. American Journal of Preventive Medicine, 34(4), 291-298.
Background: People with physical disabilities are more likely to be sedentary than the general population, possibly because they have an accrued sensitivity to environmental features.
Objectives: This paper describes the relationship between neighborhood-level active living buoys and the active living practices of adults with physical disabilities living in a large urban area.
Methods: A sample of 205 people with physical disabilities was recruited via a local rehabilitation center and its adapted ﬁtness center. Telephone interviews were administered by senior occupational therapy students. The interview included a modiﬁed version of the Physical
Activity and Disability Survey, a validated instrument that includes questions on physical activity, active transportation, and other activities of daily living. Individuals were geocoded within their census tract of residence (n=114) using their postal codes. Data on neighborhood active living potential were gleaned from systematic social observation.
Results: Multilevel logistic regression analyses showed that the association between the presence of environmental buoys and leisure activity was signiﬁcant (OR=4.0, 95% CI=1.1–13.8) despite adjustments for individual difference variables while the association with active transportation became nonsigniﬁcant (OR=2.9, 95% CI=0.7–7.7) following adjustment for these variables.
Conclusions: People with physical disabilities who live in neighborhoods with more environmental buoys are more likely to report involvement in leisure-time physical activity.