The quality of the built environment and the public health and well-being of its inhabitants are profoundly interwoven. Among all age groups, the aged are particularly susceptible to disengagement or avoidance of the built environment and the physical exercise options it affords; this can have a deleterious influence on personal health. In this discussion, concepts drawn from the fields of architecture, landscape research, urban and regional planning, and environmental gerontology are drawn together in the context of a hybrid conceptual and operative model. This model is put forth to assist in the acquisition of knowledge in the field to further understanding of how chronic diseases among the aged can be reduced through the provision and utilization of sufficiently supportive outdoor physical activity options in the everyday environment. This hybrid model, the Prospect-Refuge Competency Index (PRCI), combines key elements of prospect-refuge theory and environmental press-competency theory. It can be applied to diverse settings and user constituencies. The discussion concludes with the presentation of a set of hypotheses for the neighborhood/community level and the residential/exterior environs level of inquiry.
AlexanderC.IshikawaS.SilversteinM.JacobsonM.Fiksdahl-KingI., & ShlomoA. (1977). A pattern language: Towns, building, construction. New York: Oxford University Press.
2.
AlfonzoM. A. (2005). To walk or not to walk? The hierarchy of walking needs. Environment and Behavior, 37(6), 808–836.
3.
American Association of Retired Persons. (2007). Facts on aging: 2007. Washington, DC: AARP.
4.
AppletonJ. (1975). The experience of landscape. London: Wiley.
5.
BesserL., & DannenbergA. (2005). Walking to public transit: Steps to help meet physical activity recommendations. American Journal of Preventive Medicine, 29(4), 273–280.
6.
BolbaumA., & HuneckeM. (2005). Perceived danger in urban public space: The impacts of physical features and personal factors. Environment and Behavior, 37(4), 465–486.
7.
BoyceP. R., & GutkowskiJ. M. (1995). The if, why and what of street lighting and street crime: A review. Lighting Research and Technology, 27(2), 103–112.
8.
BurkhauserR. V.ButricaB. A., & WasylenkoM. J. (1995). Mobility patterns of older homeowners: Are older homeowners trapped in distressed neighborhoods?Research on Aging, 17(3), 363–385.
9.
CerinE.LeslieE.du ToitL.OwenN., & FrankL. (2007). Destinations that matter: Associations with walking for transport. Health Place, 13(4), 713–724.
10.
ChiricosT.McEntireM., & GertzM. (2001). Perceived racial and ethnic composition of neighborhood and perceived risk of crime. Social Problems, 48(1), 322–329.
11.
DannenbergA.BhatiaR.ColeB.DoraC.FieldingJ.KraftK.McClymont-PeaceD. (2006). Growing the field of health impact assessment in the United States: An agenda for research and practice. American Journal of Public Health, 96(2), 262–270.
12.
DuanyA.Plater-ZyberkE., & SpeckJ. (2001). Suburban nation: The rise of sprawl and the decline of the American dream. Boston: North Point Press.
13.
EspinoD.LichtensteinM. J.PalmerR., & HazudaH. (2001). Ethnic differences in mini-mental state examination (MMSE) scores: Where you live makes a difference. Journal of the American Geriatrics Society, 49(3), 538–543.
14.
FischerM. A., & ShroutP. E. (2006). Children's liking of landscape paintings as a function of their perceptions of prospect, refuge, and hazard. Environment and Behavior, 38(3), 373–393.
15.
FisherB. S., & NasarJ. L. (1992). Fear of crime in relation to three exterior site features. Environment and Behavior, 24(1), 35–65.
16.
FrankL.SaelensB.PowellK., & ChapmanJ. (2007). Stepping towards causation: Do built environments or neighborhood and travel preferences explain physical activity, driving and obesity?Journal of Social Science and Medicine, 65(8), 1898–1914.
17.
FrumkinH. (2005). Health, equity, and the built environment. Environmental Health Perspectives, 113(6), A290–A291.
18.
FrumkinH.FrankL., & JacksonR. (2004). Urban sprawl and public health: Designing, planning and building for healthy communities. Washington, DC: Island Press.
19.
Gordon-LarsenP.McMurrayFi., & PopkinB. (2000). Determinants of adolescent physical activity and inactivity patterns. Pediatrics, 105(3), 83–95.
20.
HaysR. A. (1995). The federal government and urban housing: Ideology and change in public policy. Albany, NY: State University of New York Press.
21.
HerzogT. R., & MillerE. J. (1998). The role of mystery in perceived danger and environmental preference. Environment and Behavior, 30(4), 429–449.
22.
IssacsS. (1983). A sense of belonging (establishing a sense of community). Parents Magazine, 58(11), 56–62.
23.
JacksonR. (2003). The impact of the built environment on health: An emerging field. American Journal of Public Health, 93(11), 1382–1384.
24.
JacobsJ. (1961). The death and life of great American cities. New York: Random House.
25.
KaplanS., & KaplanR. (1982). Cognition and environment: Functioning in an uncertain world. New York: Praeger.
26.
KaplanS., & KaplanR. (1989). The experience of nature: A psychological perspective. Cambridge, UK: Cambridge University Press.
27.
KlinenbergE. (2002). Heat wave: A social autopsy of disaster in Chicago. Chicago: University of Chicago Press.
28.
KrauseN. (1993). Neighborhood deterioration and social isolation in later life. International Journal of Aging and Human Development, 36(3), 9–39.
29.
KuoF. E.BacaicoaM., & SullivanW. C. (1998). Transforming nner city landscapes: Trees, sense of safety, and preference. Environment and Behavior, 30(1), 28–59.
30.
KuoF. E., & SullivanW. C. (2001). Environment and crime in the nner city: Does vegetation reduce crime?Environment and Behavior, 33(3), 343–367.
31.
LawtonM. P. (1985). The elderly in context: Perspectives from environmental psychology and gerontology. Environment and Behavior, 17(1), 501–519.
32.
LawtonM. P., & NahemowL. (1973). Ecology and the aging process. In EisendorferC. & LawtonM. P. (Eds.), Psychology of adult development and aging (pp. 619–674). Washington, DC: American Psychological Association.
33.
MaliziaE. (2005). City and regional planning: A primer for public health officials. The Art of Health Promotion, 12(5/6), 1–13.
34.
NewmanO. (1972). Defensible space: Crime prevention through urban design. New York: Collier Books.
35.
PeterK., & ScullyV. (1993). The new urbanism: Toward architecture of community. New York: McGraw-Hill.
36.
PetherickN. (2000). Environmental design and fear: The prospect-refuge model and the University College of the Cariboo Campus. Western Geography, 10/11(1), 89–112.
37.
RalstonB. M. (1999). Residents in unsafe neighborhoods exercise less. The Physician and Sports Medicine, 27(2), 80–81.
38.
RamanujamP. (2006). Prospect-refuge theory revisited: A search for safety in dynamic public spaces with a reference to design. Unpublished Master in Landscape Architecture Thesis, University of Texas at Arlington.
39.
RegnierV. (2002). Design for assisted living: Guidelines for housing the physically and mentally frail. New York: Wiley and Sons.
40.
StampsA. E. (2005). Enclosure and safety in urbanscapes. Environment and Behavior, 37(1), 102–133.
41.
SteeleF. (1981). The sense of place. Boston: CBI Publishing.
42.
StilesB. L.HalimS., & KaplanH. B. (2003). Fear of crime among individuals with physical limitations. Criminal Justice Review, 28(2), 232–253.
43.
U.S. Centers for Disease Control and Prevention. (1996). Neighborhood safety and the prevalence of physical inactivity—Selected states, 1996. Atlanta, GA: Centers for Disease Control and Prevention.
44.
VerderberS. (1991). Elderly persons' appraisal of domestic animals in the residential environment. Anthrozoos, 4(2), 164–173.
45.
VerderberS. (2006). The role of housing in community health promotion among the aged: A case study in New Orleans. Journal of Housing for the Elderly, 20(4), 123–141.
46.
VerderberS.GardnerL.IslamD., & NakanishiL. (1988). Elderly persons' appraisal of the zoological environment. Environment and Behavior, 20(2), 492–507.
47.
VernaR. (1999). Neighborhood safety and physical inactivity. American Family Physician, 59(4), 2925.
48.
WilcoxP.QuisenberryN., & JonesS. (2003). The built environment and community crime risk interpretation. Journal of Research in Crime and Delinquency, 40(3), 322–345.
49.
Wilson-DoengesG. (2000). An exploration of sense of community and fear of crime in gated communities. Environment and Behavior, 32(4), 597–612.
50.
YoungerM.Morrow-AlmeidaH.VindigniS., & DannenbergA. (2008). The built environment, climate change, and health: Opportunities for co-benefits. American Journal of Preventive Medicine, 35(5), 517–526.
