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Frailty Status and Transport Disadvantage: Comparison of Older Adults' Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan.


ABSTRACT: This study examined differences in older adults' travel behaviours by frailty status in metropolitan, suburban, and rural areas of Japan. Data were collected from 9104 older adults (73.5 ± 5.7 years; 51% women; 19% frail) living in metropolitan (n = 5032), suburban (n = 2853), and rural areas (n = 1219) of Japan. Participants reported if they walked, cycled, drove a car, rode a car as a passenger, and used public transportation (PT) once per week or more. A standardised questionnaire was used to assess frailty status. We conducted logistic regression analysis to calculate the odds ratios of using each travel mode by frailty status stratified by locality. Relative to non-frail participants, frail participants were less likely to walk and drive a car in all three areas. Frail participants had significantly higher odds of being a car passenger in the suburban (OR = 1.73 (95% CI: 1.32, 2.25)) and rural areas (OR = 1.61 (1.10, 2.35)) but not in the metropolitan area (OR = 1.08 (0.87, 1.33)). This study found that frail older adults living in suburban and rural areas tended to rely more on cars driven by someone else, suggesting that transport disadvantage is more pronounced in suburban and rural areas than in metropolitan areas.

SUBMITTER: Abe T 

PROVIDER: S-EPMC7504364 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Frailty Status and Transport Disadvantage: Comparison of Older Adults' Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan.

Abe Takumi T   Kitamura Akihiko A   Seino Satoshi S   Yokoyama Yuri Y   Amano Hidenori H   Taniguchi Yu Y   Nishi Mariko M   Nofuji Yu Y   Ikeuchi Tomoko T   Sugiyama Takemi T   Shinkai Shoji S  

International journal of environmental research and public health 20200901 17


This study examined differences in older adults' travel behaviours by frailty status in metropolitan, suburban, and rural areas of Japan. Data were collected from 9104 older adults (73.5 ± 5.7 years; 51% women; 19% frail) living in metropolitan (n = 5032), suburban (n = 2853), and rural areas (n = 1219) of Japan. Participants reported if they walked, cycled, drove a car, rode a car as a passenger, and used public transportation (PT) once per week or more. A standardised questionnaire was used to  ...[more]

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