IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i17p6367-d407393.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/17/6367/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/17/6367/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. John Stanley & Janet Stanley, 2023. "Improving Appraisal Methodology for Land Use Transport Measures to Reduce Risk of Social Exclusion," Sustainability, MDPI, vol. 15(15), pages 1-18, August.
    2. Akihiko Katayama & Ayako Hase & Nobuyuki Miyatake, 2023. "Enhancing Driving Ability in Older Adults through Health Exercises and Physical Activity: A Randomized Controlled Trial," IJERPH, MDPI, vol. 20(19), pages 1-13, September.
    3. Muhammad Ahmad Al-Rashid & Muhammad Nadeem & Tiziana Campisi & Iftikhar Ahmad, 2023. "Exploring the Role of Socio-Demographic Characteristics on Gendered Social Exclusion: Empirical Evidence from Older Adults in Pakistan," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 169(3), pages 847-862, October.
    4. Tomasz Panek & Jan Zwierzchowski, 2022. "Examining the Degree of Social Exclusion Risk of the Population Aged 50 + in the EU Countries Under the Capability Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(3), pages 973-1002, October.
    5. Thomas Hansen & Marcela Petrová Kafková & Ruth Katz & Ariela Lowenstein & Sigal Naim & George Pavlidis & Feliciano Villar & Kieran Walsh & Marja Aartsen, 2021. "Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective," IJERPH, MDPI, vol. 18(23), pages 1-16, November.
    6. Hui Zheng & Baohong He & Mingwei He & Jinghui Guo, 2022. "Impact of Urban Spatial Transformation on the Mobility of Commuters with Different Transportation Modes in China: Evidence from Kunming 2011–2016," Sustainability, MDPI, vol. 14(13), pages 1-22, June.
    7. Luz, Gregório & Barboza, Matheus H.C. & Portugal, Licinio & Giannotti, Mariana & van Wee, Bert, 2022. "Does better accessibility help to reduce social exclusion? Evidence from the city of São Paulo, Brazil," Transportation Research Part A: Policy and Practice, Elsevier, vol. 166(C), pages 186-217.
    8. Prattley, Jennifer & Buffel, Tine & Marshall, Alan & Nazroo, James, 2020. "Area effects on the level and development of social exclusion in later life," Social Science & Medicine, Elsevier, vol. 246(C).
    9. Luz, Gregorio & Barboza, Matheus Henrique Cunha & da Silva Portugal, Licinio & Giannotti, Mariana & van Wee, Bert, 2022. "Does better accessibility help to reduce social exclusion? Evidence from the City of São Paulo, Brazil," SocArXiv 2p896, Center for Open Science.
    10. Joseph, Lucy & Neven, An & Martens, Karel & Kweka, Opportuna & Wets, Geert & Janssens, Davy, 2020. "Measuring individuals' travel behaviour by use of a GPS-based smartphone application in Dar es Salaam, Tanzania," Journal of Transport Geography, Elsevier, vol. 88(C).
    11. Bantis, Thanos & Haworth, James, 2020. "Assessing transport related social exclusion using a capabilities approach to accessibility framework: A dynamic Bayesian network approach," Journal of Transport Geography, Elsevier, vol. 84(C).
    12. Ling Xu & Jia Li & Weiyu Mao & Iris Chi, 2023. "Exploration of Social Exclusion among Older Chinese Immigrants in the USA," IJERPH, MDPI, vol. 20(3), pages 1-17, January.
    13. Abouelela, Mohamed & Durán-Rodas, David & Antoniou, Constantinos, 2024. "Do we all need shared E-scooters? An accessibility-centered spatial equity evaluation approach," Transportation Research Part A: Policy and Practice, Elsevier, vol. 181(C).
    14. Lena Dahlberg & Kevin J. McKee & Carin Lennartsson & Johan Rehnberg, 2022. "A social exclusion perspective on loneliness in older adults in the Nordic countries," European Journal of Ageing, Springer, vol. 19(2), pages 175-188, June.
    15. Keran Sarah Boyd & Christian Calvillo & Tanja Mueller & Xiaoyi Mu & Tong Zhu, 2023. "The Intersection of Fuel and Transport Policy in Scotland: A Review of Policy, Definitions and Metrics," Energies, MDPI, vol. 16(13), pages 1-14, June.
    16. Aviad Tur-Sinai & Netta Bentur & Paolo Fabbietti & Giovanni Lamura, 2021. "Impact of the Outbreak of the COVID-19 Pandemic on Formal and Informal Care of Community-Dwelling Older Adults: Cross-National Clustering of Empirical Evidence from 23 Countries," Sustainability, MDPI, vol. 13(13), pages 1-13, June.
    17. Kozar Łukasz, 2021. "Non-Monetary Indicators of Social Exclusion – A Multidimensional Comparative Analysis of the Eu-10 Countries," Econometrics. Advances in Applied Data Analysis, Sciendo, vol. 25(4), pages 40-53, December.
    18. Charlene H. Chu & Simon Donato-Woodger & Shehroz S. Khan & Rune Nyrup & Kathleen Leslie & Alexandra Lyn & Tianyu Shi & Andria Bianchi & Samira Abbasgholizadeh Rahimi & Amanda Grenier, 2023. "Age-related bias and artificial intelligence: a scoping review," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-17, December.
    19. Mirian Fernández Salido & Carolina Moreno-Castro & Francesco Belletti & Stecy Yghemonos & Jorge Garcès Ferrer & Georgia Casanova, 2022. "Innovating European Long-Term Care Policies through the Socio-Economic Support of Families: A Lesson from Practices," Sustainability, MDPI, vol. 14(7), pages 1-12, March.
    20. Ferraro, Aniello & Cerciello, Massimiliano & Agovino, Massimiliano & Garofalo, Antonio, 2021. "Do public policies reduce social exclusion? The role of national and supranational economic tools," Structural Change and Economic Dynamics, Elsevier, vol. 57(C), pages 165-181.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6367-:d:407393. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.