Quantifying active travel among people with disabilities in the US

Elsevier

Available online 16 March 2024, 101615

Disability and Health Journal

Presentation of Material: Some contents of this article were presented as a poster at the Transportation Research Board Conference 2023 and the American Public Health Association conference in 2022.

Author links open overlay panel, , AbstractBackground

People with disabilities have higher rates of physical inactivity than people without. Active travel (e.g., walking/wheeling to nearby destinations or transit) is a recommended approach to increasing total physical activity (PA) but limited research has examined active travel among people with disabilities.

Objective

To describe active travel among a nationally representative sample of people with disabilities, analyze variation between sub-groups, and examine factors associated with active travel.

Methods

Using the 2017 National Household Travel Survey, our cross-sectional analysis summarized counts and duration of walking/wheeling trips for people with four different types of disabilities. We examined which factors were associated with doing any active travel and the duration of active travel, using zero inflated negative binomial regression models.

Results

Our analysis identified that 14.55% of people with disabilities took a mean of 2.56 (95%CI = 2.42–2.69) walking/wheeling trips per day. Compared to non-active travelers, a higher proportion of active travelers were low-income, lived alone, had no-vehicle, and were Black or Hispanic. For active travelers, daily walking minutes, on average, were 46.41 (95%CI = 40.25–52.57) among people who used ambulatory devices, 41.55 (95%CI = 24.61–58.49) among people who were blind/low-vision, 39.93 (95%CI = 35.41–44.45) among people who used no device, and 29.58 (95%CI = 23.53–35.64) among people who used chair devices. Our analysis identified individual, household, and community factors associated with the likelihood and duration of walking/wheeling for travel and variation across disability types.

Conclusions

Understanding the multiple identities of active travelers with disabilities can inform walking/wheeling intervention strategies. Infrastructure improvements that support less reliance on automobiles could increase active travel among people with disabilities.

Keywords

Active travel

Walking/wheeling

Disability

Assistive device

Transportation

© 2024 The Authors. Published by Elsevier Inc.

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