A mobility barrier increased the odds for LOWER almost eight-fold among

A mobility barrier increased the odds for LOWER almost eight-fold among those living alone and more than thirty-fold among those living with others compared with the reference group. Adding the number of chronic conditions and CES-D score into the MedChemExpress Digitoxin models one at a time had no material influence on the odds ratios. Adding walking speed into the models attenuated the odds to some extent, but the pattern of associations remained similar to those in the models adjusted for age and gender (data not shown).Tsai et al. BMC Public Health 2013, 13:1054 http://www.biomedcentral.com/1471-2458/13/Page 5 ofTable 2 CJ-023423 web Average distance and frequency walked in a week by participants reporting environmental mobility barriersEnvironmental mobility barriers Traffic Yes No Terrain Yes No Distances Yes No Entrance Yes No 5.8 ?5.1 6.6 ?5.1 4.5 ?4.4 6.8 ?5.2 0.120 3.9 ?2.1 4.0 ?2.2 6.0 ?5.1 6.6 ?5.2 < 0.001 3.1 ?1.9 4.2 ?2.2 0.469 6.3 ?5.0 6.5 ?5.2 0.173 4.0 ?2.1 4.0 ?2.2 < 0.001 Distance (km) walked/week (n = 642) Mean ?SD 0.675 4.2 ?2.2 3.9 ?2.2 0.685 p-value* Frequency of walking/week (n = 649) Mean ?SD 0.179 p-value** t-test. NOTE: Environmental mobility barriers studied were Traffic (noisy traffic and dangerous crossroads), Terrain (hilly terrain and poor street condition), Distances (long distance to services and lack of resting places), and Entrance (outdoor stairs present, indoor stairs present, no elevator, heavy doors, slippery floor and inadequate lighting).Discussion We observed that the association between self-reported environmental barriers and amount of walking for errands differed by living arrangements. People who lived alone were less likely to report LOWER but more likely to report environmental mobility barriers than those living with others. Our findings may be explained in several ways. First of all, we focused only on walking for errands. It is likely that the need to run daily errands personally is greater when living alone than when living with others, which reduces the odds for LOWER. For people who do not live alone, their companions may run their errands for them, which may increase the risk for LOWER. Ourfindings are in line with two earlier observations, i.e. older people most often receive help from their spouse when their functional capacity declines [25] and that walking outside the home was more common for older women who live alone than those living with another person [17]. We speculate that, owing to their greater walking activity, those who live alone are more exposed to and hence better aware of the existing environmental mobility barriers, and consequently also more likely to report them. As those living with others have less experience of negotiating their nearby environment, they are probably also less aware of the environmental mobility barriers, which results in less reporting of them [26]. Reporting Distances as a mobility barrier was consistentlyTable 3 Odds ratios* for low and moderate amount of walking for errands with perceived environmental mobility barriers among those living alone and living with othersLiving alone LOWER (n = 29) Environmental mobility barrier Traffic Terrain Distances Entrance OR (95 Cl) 1.95 (0.76-5.01) 1.83 (0.78-4.31) 7.77 (2.94-20.56) 8.76 (3.37-22.80) MODWER (n = 248) OR (95 Cl) 1.32 (0.72-2.40) 1.38 (0.83-2.29) 1.93 (0.96-3.91) 2.13 (1.09-4.20) LOWER (n = 67) OR (95 Cl) 0.64 (0.25-1.64) 0.75 (0.34-1.66) 7.35 (2.00-26.99) 0.59 (0.22-1.57) Living with others MODWER (n = 133) OR (95 Cl).A mobility barrier increased the odds for LOWER almost eight-fold among those living alone and more than thirty-fold among those living with others compared with the reference group. Adding the number of chronic conditions and CES-D score into the models one at a time had no material influence on the odds ratios. Adding walking speed into the models attenuated the odds to some extent, but the pattern of associations remained similar to those in the models adjusted for age and gender (data not shown).Tsai et al. BMC Public Health 2013, 13:1054 http://www.biomedcentral.com/1471-2458/13/Page 5 ofTable 2 Average distance and frequency walked in a week by participants reporting environmental mobility barriersEnvironmental mobility barriers Traffic Yes No Terrain Yes No Distances Yes No Entrance Yes No 5.8 ?5.1 6.6 ?5.1 4.5 ?4.4 6.8 ?5.2 0.120 3.9 ?2.1 4.0 ?2.2 6.0 ?5.1 6.6 ?5.2 < 0.001 3.1 ?1.9 4.2 ?2.2 0.469 6.3 ?5.0 6.5 ?5.2 0.173 4.0 ?2.1 4.0 ?2.2 < 0.001 Distance (km) walked/week (n = 642) Mean ?SD 0.675 4.2 ?2.2 3.9 ?2.2 0.685 p-value* Frequency of walking/week (n = 649) Mean ?SD 0.179 p-value** t-test. NOTE: Environmental mobility barriers studied were Traffic (noisy traffic and dangerous crossroads), Terrain (hilly terrain and poor street condition), Distances (long distance to services and lack of resting places), and Entrance (outdoor stairs present, indoor stairs present, no elevator, heavy doors, slippery floor and inadequate lighting).Discussion We observed that the association between self-reported environmental barriers and amount of walking for errands differed by living arrangements. People who lived alone were less likely to report LOWER but more likely to report environmental mobility barriers than those living with others. Our findings may be explained in several ways. First of all, we focused only on walking for errands. It is likely that the need to run daily errands personally is greater when living alone than when living with others, which reduces the odds for LOWER. For people who do not live alone, their companions may run their errands for them, which may increase the risk for LOWER. Ourfindings are in line with two earlier observations, i.e. older people most often receive help from their spouse when their functional capacity declines [25] and that walking outside the home was more common for older women who live alone than those living with another person [17]. We speculate that, owing to their greater walking activity, those who live alone are more exposed to and hence better aware of the existing environmental mobility barriers, and consequently also more likely to report them. As those living with others have less experience of negotiating their nearby environment, they are probably also less aware of the environmental mobility barriers, which results in less reporting of them [26]. Reporting Distances as a mobility barrier was consistentlyTable 3 Odds ratios* for low and moderate amount of walking for errands with perceived environmental mobility barriers among those living alone and living with othersLiving alone LOWER (n = 29) Environmental mobility barrier Traffic Terrain Distances Entrance OR (95 Cl) 1.95 (0.76-5.01) 1.83 (0.78-4.31) 7.77 (2.94-20.56) 8.76 (3.37-22.80) MODWER (n = 248) OR (95 Cl) 1.32 (0.72-2.40) 1.38 (0.83-2.29) 1.93 (0.96-3.91) 2.13 (1.09-4.20) LOWER (n = 67) OR (95 Cl) 0.64 (0.25-1.64) 0.75 (0.34-1.66) 7.35 (2.00-26.99) 0.59 (0.22-1.57) Living with others MODWER (n = 133) OR (95 Cl).