Skip Navigation
Skip to contents

JPMPH : Journal of Preventive Medicine and Public Health

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse Articles > Author index
Search
Stephen P. Kingwell 1 Article
Increased Prevalence of Chronic Disease in Back Pain Patients Living in Car-dependent Neighbourhoods in Canada: A Cross-sectional Analysis
Amy Zeglinski-Spinney, Denise C. Wai, Philippe Phan, Eve C. Tsai, Alexandra Stratton, Stephen P. Kingwell, Darren M. Roffey, Eugene K. Wai
J Prev Med Public Health. 2018;51(5):227-233.   Published online August 10, 2018
DOI: https://doi.org/10.3961/jpmph.18.038
  • 5,432 View
  • 121 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
Chronic diseases, including back pain, result in significant patient morbidity and societal burden. Overall improvement in physical fitness is recommended for prevention and treatment. Walking is a convenient modality for achieving initial gains. Our objective was to determine whether neighbourhood walkability, acting as a surrogate measure of physical fitness, was associated with the presence of chronic disease.
Methods
We conducted a cross-sectional study of prospectively collected data from a prior randomized cohort study of 227 patients referred for tertiary assessment of chronic back pain in Ottawa, ON, Canada. The Charlson Comorbidity Index (CCI) was calculated from patient-completed questionnaires and medical record review. Using patientsā€™ postal codes, neighbourhood walkability was determined using the Walk Score, which awards points based on the distance to the closest amenities, yielding a score from 0 to 100 (0- 50: car-dependent; 50-100: walkable).
Results
Based on the Walk Score, 134 patients lived in car-dependent neighborhoods and 93 lived in walkable neighborhoods. A multivariate logistic regression model, adjusted for age, gender, rural postal code, body mass index, smoking, median household income, percent employment, pain, and disability, demonstrated an adjusted odds ratio of 2.75 (95% confidence interval, 1.16 to 6.53) times higher prevalence for having a chronic disease for patients living in a car-dependent neighborhood. There was also a significant dose-related association (p=0.01; Mantel-Haenszel chi-square=6.4) between living in car-dependent neighbourhoods and more severe CCI scores.
Conclusions
Our findings suggest that advocating for improved neighbourhood planning to permit greater walkability may help offset the burden of chronic disease.
Summary

Citations

Citations to this article as recorded by  
  • Contributions and Limitations Walk ScoreĀ® in the Context of Walkability: A Scoping Review
    Jennifer Ann Brown, Kimberley D. Curtin, Mathew Thomson, Janice Y. Kung, Candace I. J. Nykiforuk
    Environment and Behavior.2023; 55(6-7): 468.     CrossRef
  • Do Walking-Friendly Built Environments Influence Frailty and Long-Term Care Insurance Service Needs?
    Seigo Mitsutake, Tatsuro Ishizaki, Yuri Yokoyama, Mariko Nishi, Mohammad Javad Koohsari, Koichiro Oka, Shohei Yano, Takumi Abe, Akihiko Kitamura
    Sustainability.2021; 13(10): 5632.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health