Life Space and Activity Space Measurement: Making ‘Room’ for Structural Racism

Author:

Szanton Sarah L1,Alexander Kamila A1ORCID,Kim Boeun1,Li Qiwei2,Gee Gilbert C3,Bandeen-Roche Karen J4,Adkins-Jackson Paris B5ORCID,Hladek Melissa D1ORCID,Samuel Laura J1ORCID,Haozous Emily A6,Okoye Safiyyah M7,Crews Deidra C8,Thorpe Roland J9

Affiliation:

1. School of Nursing, Johns Hopkins University, Baltimore , MD, USA

2. College of Health and Human Services, California State University, Fresno , CA, USA

3. Department of Community Health Sciences, Fielding School of Public Health, University of California , Los Angeles, CA, USA

4. Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University , Baltimore, MD, USA

5. Department of Epidemiology and Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, NY, USA

6. Southwest Center, Pacific Institute for Research and Evaluation, Albuquerque , New Mexico, USA

7. College of Nursing and Health Professions, Drexel University, Philadelphia , PA, USA

8. Division of Nephrology, Department of Medicine, School of Medicine , Johns Hopkins University, Baltimore, MD, USA

9. Johns Hopkins Alzheimer’s Disease Resource Center for Minority Aging Research, Bloomberg School of Public Health, Johns Hopkins University , Baltimore, MD, USA

Abstract

Abstract As we age, the ability to move is foundational to health. Life space is one measure of a person’s ability to move and engage in activity beyond the home. A separate but related concept is activity space, a measurement of a person’s spatial behaviors and visited locations that include social networks, neighborhoods, and institutions. In this article, we integrate the literature on life space and activity space discussing how physical function is not only determined by individual capabilities, but also by the surrounding social and environmental factors which may limit their agency. We show how structural racism contributes to inequities within this paradigm linking related concepts of movement, agency, belonging, and timing. We also explore implications for research and theory for mobility, social connection, and activity.

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Gerontology,General Medicine

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