caa a22 4500 467934428 CHVBK 20180406152953.0 cr unu---uuuuu 170328e20060801xx s 000 0 eng 10.1007/s10900-006-9014-8 doi (NATIONALLICENCE)springer-10.1007/s10900-006-9014-8 Living near a trail is associated with increased odds of walking among patients using community clinics [Elektronische Daten] [J. Pierce Jr., Anne Denison, Ahmed Arif, James Rohrer] We tested the hypothesis that living near a walking or cycling trail was associated with greater odds of walking. This has been previously studied in healthy and unselected populations, but to our knowledge has not been studied in patients attending community clinics. A cross-sectional survey was completed by 1211 persons in five community clinics that serve poor populations. We performed univariate analysis and developed a multivariate logistic regression model for walking adjusting for 12 independent variables including self-rated health, frequent mental distress, lifestyle and demographic variables, and environmental characteristics of the neighborhood including perceived proximity to a walking or cycling trail. Compared to those who reported not living close to a trail, persons who reported living near a trail were more likely to meet recommended levels of walking of at least 30minutes fives times per week (unadjusted odds ratio=1.49, 95% confidence intervals=1.04-2.13). In the multivariate model, male gender (unadjusted odds ratio=1.63, 95% confidence intervals=1.15-2.30), having three or more convenient destinations (unadjusted odds ratio=1.78, 95% confidence intervals=1.37-2.32), and living near a trail (unadjusted odds ratio=1.45, 95% confidence intervals=1.01-2.09) were positively associated with walking at statistically significant levels. The odds of walking were lower in non-Hispanic blacks (odds ratio=0.59, 95% confidence intervals=0.40-0.87) and current smokers (odds ratio=0.66, 95% confidence intervals=0.57-0.76). For patients attending community clinics, environmental strategies to encourage walking may include mixed-land-use neighborhoods and construction of trails. Springer Science+Business Media, Inc., 2006 built environment nationallicence exercise nationallicence neighborhood nationallicence trails nationallicence walking nationallicence Pierce Jr. J. Dept. of Internal Medicine, TTUHSC, 1400 S. Coulter Street, 79106, Amarillo, TX, USA aut Denison Anne Dept. of Internal Medicine, TTUHSC, 1400 S. Coulter Street, 79106, Amarillo, TX, USA aut Arif Ahmed Dept. of Internal Medicine, TTUHSC, 1400 S. Coulter Street, 79106, Amarillo, TX, USA aut Rohrer James Dept. of Internal Medicine, TTUHSC, 1400 S. Coulter Street, 79106, Amarillo, TX, USA aut Journal of Community Health Kluwer Academic Publishers-Plenum Publishers; http://www.springer-ny.com 31/4(2006-08-01), 289-302 0094-5145 31:4<289 2006 31 10900 https://doi.org/10.1007/s10900-006-9014-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10900-006-9014-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pierce Jr J. Dept. of Internal Medicine, TTUHSC, 1400 S. Coulter Street, 79106, Amarillo, TX, USA aut NATIONALLICENCE 700 1- Denison Anne Dept. of Internal Medicine, TTUHSC, 1400 S. Coulter Street, 79106, Amarillo, TX, USA aut NATIONALLICENCE 700 1- Arif Ahmed Dept. of Internal Medicine, TTUHSC, 1400 S. Coulter Street, 79106, Amarillo, TX, USA aut NATIONALLICENCE 700 1- Rohrer James Dept. of Internal Medicine, TTUHSC, 1400 S. Coulter Street, 79106, Amarillo, TX, USA aut NATIONALLICENCE 773 0- Journal of Community Health Kluwer Academic Publishers-Plenum Publishers; http://www.springer-ny.com 31/4(2006-08-01), 289-302 0094-5145 31:4<289 2006 31 10900 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer