Evidence map›Paper›PMID 23592019›Full record

ArticleJournal of urban health : bulletin of the New York Academy of Medicine2013

Optimizing mobility in later life: the role of the urban built environment for older adults aging in place.

Philippa Clarke, Nancy Ambrose Gallagher

Abstract read
In one paragraph

Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The Association of Mobility Determinants and Life Space Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Trial
  3. Trial
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  10. The Neighborhood Environment and Handgrip Strength: Longitudinal Findings From the Health and Retirement Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  11. Article
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  15. Living in an Age-Friendly Community: Evidence from a Masterplanned Development in Southwest Sydney.International journal of environmental research and public health · 2023
    Article
  16. Article
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  19. Aging in Place:: Are We Prepared?Delaware journal of public health · 2022
    Article
  20. Fear of Falling and Environmental Factors: A Scoping Review.Annals of geriatric medicine and research · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Philippa ClarkeInstitute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI, 48104, USA, pjclarke@umich.edu.
Nancy Ambrose Gallagher

Funding

Urban Built Environments and Trajectories of Disability Among Older AdultsK01EH000286 · EH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CLARKE, PHILIPPA · 2007 to 2009
$394k
NCEH CDC HHS K01 EH000286NCEH CDC HHS K01EH000286-01
6 · The paper itself

Abstract

Hazards in the urban built environment can create barriers to mobility among older adults aging in place. We investigated the relationship between urban built environment characteristics and 15-month trajectories of mobility disability in a sample of 1,188 older adults living in Detroit, MI, a city that has undergone rapid economic and structural decline. Data come from the Michigan Minimum Data Set for Home Care (2001-2008), an enumerative database of older adults in Michigan who qualify for federal or state-funded home and community-based long-term care through a Medicaid waiver program. Standardized assessments are made at intake and every 90 days by case managers. Built environments were assessed with a virtual audit using the "Street View" feature of Google Earth. A summary accessibility score was created for each block based on a count of the number of accessible features (e.g., continuous barrier-free sidewalks and proximity of public transportation). Using growth mixture models, two latent trajectories of outdoor mobility were identified: one capturing occasional outdoor mobility (representing 83 % of the sample) and one capturing almost no mobility outside the home. Controlling for sociodemographic and health risk factors, individuals living in more accessible environments had a 18 % higher odds of being in the more mobile group (OR = 1.18, 95 % CI = 1.01, 1.41). These findings emphasize the importance of the built environment for mobility among urban-dwelling older adults.

Indexed as

EnvironmentIndependent LivingPersons with DisabilitiesUrban HealthAccidental FallsAgedAged, 80 and overAge FactorsEnvironment DesignFemaleHealth StatusHome Care ServicesHumansLong-Term CareMaleMedicaid

Identifiers

PMID23592019
PMCPMC3853178

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.