Socioeconomic status, neighborhood characteristics, and walking within the neighborhood among older Hong Kong Chinese

J Aging Health. 2013 Dec;25(8):1425-44. doi: 10.1177/0898264313510034. Epub 2013 Nov 18.

Abstract

Objective: We examined the associations of educational attainment and area socioeconomic status (SES) with total within-neighborhood walking patterns and percentage of walking undertaken for recreation purposes in Hong Kong elders. Environmental mediators of these associations were also examined.

Method: Chinese-speaking elders (N = 484), cognitively unimpaired and able to walk unassisted, were recruited from 32 street blocks stratified by SES and walkability. Interviewer-administered surveys were conducted to collect data on walking and sociodemographics. Neighborhood environments were audited.

Results: Educational attainment was positively related to walking outcomes, while area SES was only positively related to percentage of walking allocated to recreational purposes. While no mediators of area SES-walking associations were identified, several environmental attributes explained the associations of educational attainment with walking.

Discussion: Educational attainment rather than area SES is a key determinant of walking in Hong Kong elders; these effects are mostly attributable to social and individual rather than environmental factors.

Keywords: built environment; elders; mediators; socioeconomic status; walking.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Educational Status
  • Environment Design / statistics & numerical data*
  • Female
  • Hong Kong
  • Humans
  • Male
  • Recreation
  • Residence Characteristics / statistics & numerical data*
  • Social Class*
  • Walking / statistics & numerical data*