O1 Abstract
Clustering of reported activity destinations and use of active transport among older adults (2022)

Keskinen, K. E., Tuomola, E.-M., Rantanen, T., & Portegijs, E. (2022). Clustering of reported activity destinations and use of active transport among older adults. European Journal of Public Health, 32(Supplement 2), ii85. https://doi.org/10.1093/eurpub/ckac095.063

JYU authors or editors

Publication details

All authors or editors: Keskinen, Kirsi E.; Tuomola, Essi-Mari; Rantanen, Taina; Portegijs, Erja

Journal or series: European Journal of Public Health

ISSN: 1101-1262

eISSN: 1464-360X

Publication year: 2022

Publication date: 27/08/2022

Volume: 32

Issue number: Supplement 2

Pages range: ii85

Publisher: Oxford University Press (OUP)

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1093/eurpub/ckac095.063

Publication open access: Openly available

Publication channel open access: Open Access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/83214

Additional information: 2022 HEPA Europe Conference : An Ecosystem Approach to Health-Enhancing Physical Activity Promotion


Conducting everyday activities out-of-home may accumulate a large share of older adults' daily physical, especially if active transportation is used. Environmental features in home neighborhood may motivate for higher physical activity, but the role of features around destinations is less known. Our goal was to study 1) clustering of older adults' reported activity destinations, and 2) whether transport mode to a destination was associated with characteristics of destination clusters.

Data comprise AGNES study participants (901 community-dwelling people aged 75-85 years living in city of Jyväskylä, Finland; 57% women) combined with geospatial data. Using digital mapping, participants located frequently used destinations for shopping, services, and social and spiritual activities on a map, and reported transport mode (active/passive) for each. Geographic information system was used to define distance from home to each destination, to identify spatially clustered destination areas, and to assess destination areas' characteristics (urban location, intersection density, nature versatility, and the proportion of reported social/spiritual destinations of all destinations in the area). Based on their characteristics, destination areas were hierarchically categorized to area types. In mixed model, active transportation (vs. passive) was regressed for area type and adjusted for distance, car use possibility, walking difficulty in 2km, age, sex, and MMSE score.

Of reported destinations within 2km from home (1278 destinations for 642 participants), 81% clustered spatially in 23 destination areas and 19% remained separate. Hierarchical clustering resulted three area types: 1) city centre (versatile activities and nature), 2) less serviced areas (versatile activities and less nature), 3) shopping areas (shopping/service activities and less nature). The proportion of destinations visited using active transportation was 63% in city centre, 68% in less serviced areas, 69% in shopping areas, and 56% for separate destinations outside the areas. Based on mixed model results, the odds for active transport use were higher when destinations located in city centre (OR = 4.8, 95%CI 1.3-17.0) or in shopping areas (OR = 11.9, 95%CI 2.6-55.6) compared to visiting locations outside spatially clustered destination areas.

Majority of older adults' activity destinations locate as spatially clustered. Varied destinations close to one another may promote active transport.

Keywords: physical training; mobility; older people; walking (motion); urban environment; constructed environment

Free keywords: mobility; walking; urban; built environment; GIS

Contributing organizations

Ministry reporting: Won't be reported

Last updated on 2023-23-01 at 10:05