Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/129922
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Type: | Journal article |
Title: | Area-level associations between built environment characteristics and disability prevalence in Australia: an ecological analysis |
Author: | Fortune, N. Singh, A. Badland, H. Stancliffe, R.J. Llewellyn, G. |
Citation: | International Journal of Environmental Research and Public Health, 2020; 17(21):7844-7844 |
Publisher: | MDPI |
Issue Date: | 2020 |
ISSN: | 1661-7827 1660-4601 |
Statement of Responsibility: | Nicola Fortune, Ankur Singh, Hannah Badland, Roger J. Stancliffe and Gwynnyth Llewellyn |
Abstract: | The importance of health-promoting neighborhoods has long been recognized, and characteristics of local built environments are among the social determinants of health. People with disability are more likely than other population groups to experience geographic mobility and cost restrictions, and to be reliant on ‘opportunity structures’ available locally. We conducted an ecological analysis to explore associations between area-level disability prevalence for people aged 15–64 years and area-level built environment characteristics in Australia’s 21 largest cities. Overall, disability was more prevalent in areas with lower walkability and lower local availability of various neighborhood amenities such as public transport, healthier food options, public open space, physical activity and recreation destinations and health and mental health services. These patterns of lower liveability in areas of higher disability prevalence were observed in major cities but not in regional cities. Our findings suggest that geographically targeted interventions to improve access to health-enhancing neighborhood infrastructure could reduce disability-related inequalities in the social determinants of health. |
Keywords: | Disability; liveability; social determinants of health; accessibility; geographic variation |
Rights: | © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
DOI: | 10.3390/ijerph17217844 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1116385 |
Published version: | http://dx.doi.org/10.3390/ijerph17217844 |
Appears in Collections: | Aurora harvest 4 Environment Institute publications |
Files in This Item:
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hdl_129922.pdf | Published version | 2.55 MB | Adobe PDF | View/Open |
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