PDF(Pubmed)
Abstract：
BACKGROUND: People with disabilities have higher rates of physical inactivity than people without. Active travel (e.g., walking/wheeling to nearby destinations or transit) is a recommended approach to increasing total physical activity (PA) but limited research has examined active travel among people with disabilities.
OBJECTIVE: To describe active travel among a nationally representative sample of people with disabilities, analyze variation between sub-groups, and examine factors associated with active travel.
METHODS: Using the 2017 National Household Travel Survey, our cross-sectional analysis summarized counts and duration of walking/wheeling trips for people with four different types of disabilities. We examined which factors were associated with doing any active travel and the duration of active travel, using zero inflated negative binomial regression models.
RESULTS: Our analysis identified that 14.55% of people with disabilities took a mean of 2.56 (95%CI = 2.42-2.69) walking/wheeling trips per day. Compared to non-active travelers, a higher proportion of active travelers were low-income, lived alone, had no-vehicle, and were Black or Hispanic. For active travelers, daily walking minutes, on average, were 46.41 (95%CI = 40.25-52.57) among people who used ambulatory devices, 41.55 (95%CI = 24.61-58.49) among people who were blind/low-vision, 39.93 (95%CI = 35.41-44.45) among people who used no device, and 29.58 (95%CI = 23.53-35.64) among people who used chair devices. Our analysis identified individual, household, and community factors associated with the likelihood and duration of walking/wheeling for travel and variation across disability types.
CONCLUSIONS: Understanding the multiple identities of active travelers with disabilities can inform walking/wheeling intervention strategies. Infrastructure improvements that support less reliance on automobiles could increase active travel among people with disabilities.
OBJECTIVE: To describe active travel among a nationally representative sample of people with disabilities, analyze variation between sub-groups, and examine factors associated with active travel.
METHODS: Using the 2017 National Household Travel Survey, our cross-sectional analysis summarized counts and duration of walking/wheeling trips for people with four different types of disabilities. We examined which factors were associated with doing any active travel and the duration of active travel, using zero inflated negative binomial regression models.
RESULTS: Our analysis identified that 14.55% of people with disabilities took a mean of 2.56 (95%CI = 2.42-2.69) walking/wheeling trips per day. Compared to non-active travelers, a higher proportion of active travelers were low-income, lived alone, had no-vehicle, and were Black or Hispanic. For active travelers, daily walking minutes, on average, were 46.41 (95%CI = 40.25-52.57) among people who used ambulatory devices, 41.55 (95%CI = 24.61-58.49) among people who were blind/low-vision, 39.93 (95%CI = 35.41-44.45) among people who used no device, and 29.58 (95%CI = 23.53-35.64) among people who used chair devices. Our analysis identified individual, household, and community factors associated with the likelihood and duration of walking/wheeling for travel and variation across disability types.
CONCLUSIONS: Understanding the multiple identities of active travelers with disabilities can inform walking/wheeling intervention strategies. Infrastructure improvements that support less reliance on automobiles could increase active travel among people with disabilities.
摘要：
背景：残疾人缺乏体力活动的比率高于没有体力活动的人。活动行程(例如，步行/步行到附近的目的地或过境）是增加总体力活动（PA）的推荐方法，但有限的研究已经检查了残疾人的积极旅行。
目的：描述具有全国代表性的残疾人样本中的积极旅行，分析子群体之间的差异，并检查与主动旅行相关的因素。
方法：使用2017年全国家庭旅行调查，我们的横断面分析总结了4种不同类型残疾人步行/轮出行的次数和持续时间.我们检查了哪些因素与进行任何主动旅行和主动旅行的持续时间有关，使用零膨胀负二项回归模型。
结果：我们的分析发现，14.55％的残疾人平均每天步行/骑车旅行2.56次（95CI=2.42-2.69）。与非活跃旅行者相比，较高比例的活跃旅行者是低收入人群，独自生活,没有车辆，是黑人或西班牙裔。对于活跃的旅行者来说，每天步行分钟，平均而言,在使用非卧床设备的人群中为46.41（95CI=40.25-52.57），41.55（95CI=24.61-58.49）在失明/低视力人群中，39.93（95CI=35.41-44.45）在未使用设备的人群中，使用椅子设备的人中有29.58（95CI=23.53-35.64）。我们的分析确定了个人，家庭,和社区因素与步行/轮旅行的可能性和持续时间以及不同残疾类型的差异相关。
结论：了解活跃的残疾旅行者的多重身份可以为步行/车轮干预策略提供信息。改善基础设施以减少对汽车的依赖，可以增加残疾人的主动出行。
目的：描述具有全国代表性的残疾人样本中的积极旅行，分析子群体之间的差异，并检查与主动旅行相关的因素。
方法：使用2017年全国家庭旅行调查，我们的横断面分析总结了4种不同类型残疾人步行/轮出行的次数和持续时间.我们检查了哪些因素与进行任何主动旅行和主动旅行的持续时间有关，使用零膨胀负二项回归模型。
结果：我们的分析发现，14.55％的残疾人平均每天步行/骑车旅行2.56次（95CI=2.42-2.69）。与非活跃旅行者相比，较高比例的活跃旅行者是低收入人群，独自生活,没有车辆，是黑人或西班牙裔。对于活跃的旅行者来说，每天步行分钟，平均而言,在使用非卧床设备的人群中为46.41（95CI=40.25-52.57），41.55（95CI=24.61-58.49）在失明/低视力人群中，39.93（95CI=35.41-44.45）在未使用设备的人群中，使用椅子设备的人中有29.58（95CI=23.53-35.64）。我们的分析确定了个人，家庭,和社区因素与步行/轮旅行的可能性和持续时间以及不同残疾类型的差异相关。
结论：了解活跃的残疾旅行者的多重身份可以为步行/车轮干预策略提供信息。改善基础设施以减少对汽车的依赖，可以增加残疾人的主动出行。
