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Frailty Status and Transport Disadvantage: Comparison of Older Adults’ Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan

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  • Takumi Abe

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
    Centre for Urban Transitions, Swinburne University of Technology, Melbourne, VIC 3122, Australia
    Japan Society for the Promotion of Science, Tokyo 102-0083, Japan)

  • Akihiko Kitamura

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Satoshi Seino

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Yuri Yokoyama

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Hidenori Amano

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Yu Taniguchi

    (Center for Health and Environmental Risk Research, National Institute for Environmental Studies, Tsukuba 305-0053, Japan)

  • Mariko Nishi

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Yu Nofuji

    (Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Tomoko Ikeuchi

    (Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan)

  • Takemi Sugiyama

    (Centre for Urban Transitions, Swinburne University of Technology, Melbourne, VIC 3122, Australia
    Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia)

  • Shoji Shinkai

    (Kagawa Nutrition University, Sakado 350-0288, Japan)

Abstract

This study examined differences in older adults’ travel behaviours by frailty status in metropolitan, suburban, and rural areas of Japan. Data were collected from 9104 older adults (73.5 ± 5.7 years; 51% women; 19% frail) living in metropolitan (n = 5032), suburban (n = 2853), and rural areas (n = 1219) of Japan. Participants reported if they walked, cycled, drove a car, rode a car as a passenger, and used public transportation (PT) once per week or more. A standardised questionnaire was used to assess frailty status. We conducted logistic regression analysis to calculate the odds ratios of using each travel mode by frailty status stratified by locality. Relative to non-frail participants, frail participants were less likely to walk and drive a car in all three areas. Frail participants had significantly higher odds of being a car passenger in the suburban (OR = 1.73 (95% CI: 1.32, 2.25)) and rural areas (OR = 1.61 (1.10, 2.35)) but not in the metropolitan area (OR = 1.08 (0.87, 1.33)). This study found that frail older adults living in suburban and rural areas tended to rely more on cars driven by someone else, suggesting that transport disadvantage is more pronounced in suburban and rural areas than in metropolitan areas.

Suggested Citation

  • Takumi Abe & Akihiko Kitamura & Satoshi Seino & Yuri Yokoyama & Hidenori Amano & Yu Taniguchi & Mariko Nishi & Yu Nofuji & Tomoko Ikeuchi & Takemi Sugiyama & Shoji Shinkai, 2020. "Frailty Status and Transport Disadvantage: Comparison of Older Adults’ Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan," IJERPH, MDPI, vol. 17(17), pages 1-8, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6367-:d:407393
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    References listed on IDEAS

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    1. Shiho Amagasa & Noritoshi Fukushima & Hiroyuki Kikuchi & Tomoko Takamiya & Yuko Odagiri & Koichiro Oka & Shigeru Inoue, 2018. "Drivers Are More Physically Active Than Non-Drivers in Older Adults," IJERPH, MDPI, vol. 15(6), pages 1-12, May.
    2. Kieran Walsh & Thomas Scharf & Norah Keating, 2017. "Social exclusion of older persons: a scoping review and conceptual framework," European Journal of Ageing, Springer, vol. 14(1), pages 81-98, March.
    3. Md. Kamruzzaman & Tan Yigitcanlar & Jay Yang & Mohd Afzan Mohamed, 2016. "Measures of Transport-Related Social Exclusion: A Critical Review of the Literature," Sustainability, MDPI, vol. 8(7), pages 1-30, July.
    4. Takumi Abe & Akihiko Kitamura & Satoshi Seino & Yuri Yokoyama & Hidenori Amano & Yu Taniguchi & Mariko Nishi & Miki Narita & Tomoko Ikeuchi & Yui Tomine & Yoshinori Fujiwara & Shoji Shinkai, 2019. "Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas," IJERPH, MDPI, vol. 16(20), pages 1-9, October.
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    Cited by:

    1. Abe, Takumi & Seino, Satoshi & Hata, Toshiki & Yamashita, Mari & Ohmori, Nobuaki & Kitamura, Akihiko & Shinkai, Shoji & Fujiwara, Yoshinori, 2023. "Transportation modes and social participation in older drivers and non-drivers: Results from urbanised Japanese cities," Journal of Transport Geography, Elsevier, vol. 109(C).
    2. Nur Farhana Mohammed Noor & Hayati Kadir Shahar & Tengku Aizan Hamid & Zumilah Zainalaludin & Siti Anom Ahmad & Fakhrul Zaman Rokhani & Norsidah Ujang & Irwan Syah Md Yusoff & Siti Aisyah Nor Akahbar, 2022. "Understanding Travel Behavior and Sustainability of Current Transportation System for Older Adults in Malaysia: A Scoping Review," Sustainability, MDPI, vol. 14(21), pages 1-14, October.
    3. Yuki Soma & Ayane Sato & Kenji Tsunoda & Naruki Kitano & Takashi Jindo & Takumi Abe & Tomohiro Okura, 2021. "Relationships between Participation in Volunteer-Managed Exercises, Distance to Exercise Facilities, and Interpersonal Social Networks in Older Adults: A Cross-Sectional Study in Japan," IJERPH, MDPI, vol. 18(22), pages 1-11, November.
    4. Meijering, Louise & Weitkamp, Gerd, 2024. "‘I choose the quiet roads’: Everyday mobility in later life on the urban–rural continuum of the Northern Netherlands," Journal of Transport Geography, Elsevier, vol. 114(C).

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