Household, Personal and Environmental Correlates of Rural Elderly’s Cycling Activity: Evidence from Zhongshan Metropolitan Area, China

Cycling is an important form of active transport and physical activity to provide substantial health benefits to the elderly. Among voluminous physical activity-related literature, few studies have investigated the correlates of active transport of the rural elderly in China. This study was the first attempt to investigate the impact of the household, personal, and environmental attributes on rural elderly’s cycling activity with data collected in 102 rural neighborhoods of Zhongshan Metropolitan Area, China. The negative binomial regression models suggest that, all else being equal, living in a neighborhood with low proportion of elderly population (over 60), abundant bike lanes, and a compact urban form related to high density and mixed development, are associated with the increase of frequency and duration of the rural elderly’s cycling trips. The models also detect that attitude towards cycling and household bicycle and motorized vehicle ownership are strongly related to cycling trips of the rural elderly in Zhongshan. The findings provide insights for transportation and public health agencies, practitioners, and researchers into the effective design of interventions from the prospective of attitudes, social and built environment on health promotion of the rural elderly in China.