Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xlFmoC. Diffusion soumise à autorisation]. Objectives. We assessed the potential public health benefit of the National Bus Pass, introduced in 2006, which permits free local bus travel for older adults (>=60 years) in England. Methods. We performed regression analyses with annual data from the 2005-2008 National Travel Survey. Models assessed associations between being a bus pass holder and active travel (walking, cycling, and use of public transport), use of buses, and walking 3 or more times per week. Results. Having a free pass was significantly associated with greater active travel among both disadvantaged (adjusted odds ratio [AOR]=4.06 ; 95% confidence interval [CI]=3.35,4.86 ; P<. 001) and advantaged groups (AOR=4.72 ; 95% CI=3.99,5.59 ; P<. 001) ; greater bus use in both disadvantaged and advantaged groups (AOR=7.03 ; 95% CI=5.53,8.94 ; P<. 001 and AOR=7.11 ; 95% CI=5.65,8.94 ; P<. 001, respectively) ; and greater likelihood of walking more frequently in the whole cohort (AOR=1.15 ; 95% CI=1.07,1.12 ; P<. 001). Conclusions. Public subsidies enabling free bus travel for older persons may confer significant population health benefits through increased incidental physical activity.
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