Unleashing their potential: a critical realist scoping review of the influence of dogs on physical activity for dog-owners and non-owners

Animals and Cities: A Reflection on Their Potential in Innovating Nature-Based Solutions

In recent decades, nature-based solutions (NBSs) have spread in scientific research, and they are increasingly deployed in cities' strategic planning. While the number of nonhuman animals in cities is growing, a specific reflection on the advantages of human-animal interactions as potential NBSs is still lacking. This article aims to provide an overview of the current situation of animals in cities and to explore the roles of animals and their interactions with humans in such a context. These topics are crucial to the European project IN-HABIT in Lucca (Italy), which aims to codify an integrated policy on the relationship between people and animals; its outputs will then be transferred and replicated in other cities. This article concludes by highlighting the need for the involvement of different stakeholders in public-private-people partnerships to implement actions that aim to valorize human-animal relationships and their positive effects. This study presents a perspective on the relevance of animal NBSs to increase the quality of life in cities, both for citizens and for animals living in cities, and to also introduce the opportunity to develop an integrated animal urban policy able to valorize human-animal interactions in cities.

Exercise social support, barriers, and instructions in venous thromboembolism survivors: a descriptive study

Background

Diagnosis of venous thromboembolism (VTE) can be a significant life event that leads to changes in physical activity and exercise. Currently, little is known about the psychosocial experiences of survivors including perceived sources of social support, exercise barriers, and instructions for exercise from medical providers.

Objectives

This study aimed to explore psychosocial characteristics associated with VTE survivors' postdiagnosis exercise. Specifically, 1) what are the main sources of social support utilized by VTE survivors for exercise, 2) what are the most significant exercise barriers (eg, physical, social, and psychological) faced by VTE survivors, and 3) what specific information relative to exercise is provided by medical professionals following diagnosis?

Methods

VTE survivors (n = 472) were recruited through social media groups to participate in open-ended questions about psychosocial characteristics pertaining to postdiagnosis exercise.

Results

VTE survivors reported multiple forms of exercise social support, although almost 1 in 4 participants reported having no support for exercise. Several postdiagnosis exercise barriers were noted, and the data indicated a wide variety of information from their medical providers regarding engaging in exercise following their diagnosis, suggesting that the unique benefits and drawbacks to these instructions should be examined in more detail.

Conclusion

Although VTE survivors identified numerous categories of social support, there also exist numerous barriers, including a lack of standardized instructions for exercise. Further exploration of these characteristics is needed to better serve this population to encourage postdiagnosis exercise.

Fecal contamination of urban parks by domestic dogs and tragedy of the commons

Contamination of public parks by dogs is a potential source of conflict among park users, causing "tragedy of the commons" problems. Besides the social conflict, feces can pose serious health risks to both dogs and humans. In this study we analyzed the extent and patterns of the distribution of dog feces in the urban parks of the City of Calgary. We collected dog feces from randomly selected locations in the urban parks. The average density of dog feces by the different dog leash policies of the parks and the distribution pattern of the fecal density within the parks were assessed, and the total contamination of the public parks for the entire city was estimated. We found off-leash parks to be significantly more contaminated than other types of parks. We estimated 127.23 g/ha of dog feces are left unpicked in city parks in total every week. Dog feces were found more often and in greater amount in off-leash parks, and near park entrances and parking lots, than in on-leash parks and away from the park entrances. These results suggest that public park visitors, especially those visiting off-leash parks, are likely to be exposed to large amounts of dog feces. Designation of parks as on-leash and educating dog-owners may be an effective approach for reducing the fecal contamination.

Benefits and Conflicts: A Systematic Review of Dog Park Design and Management Strategies

Simple Summary

Dog parks contribute physical and social benefits for both canines and their owners, especially during and since the COVID-19 pandemic. However, dogs in public places can create various conflicts. Growing numbers of scholars have explored strategies for effective park design and management. This systematic study synthesizes and analyze the benefits, conflicts, and strategies for the design and management of dog parks according to the PRISMA guidelines. Based on the summary of conflicts between canines, humans, and their environment, we present design and management guidance for dog parks to effectively mitigate these conflicts while enhancing the benefits of off-leash areas. While this study promotes a sustainable and healthy coexistence of canines and residents of built environments through appropriate design and management strategies, several research and practice gaps have been identified from the results, such as the dearth of experimental evidence and limitations of the physical benefits of dog parks. These research gaps provide opportunities for experts to address in future.

Abstract

Dog ownership and dog walking brings various health benefits for urban dwellers, especially since the COVID-19 pandemic, but trigger a number of controversies. Dog parks have become increasingly significant public resources in the pandemic to support these benefits while facing intense conflicts. To develop effective dog parks in urban settings, growing numbers of scholars have provided insights into the design and management strategies for addressing the benefits and conflicts. The objective of this study is to synthesize and analyze various aspects of dog park design and management and to assess identified strategies for enhancing their benefits while mitigating their drawbacks. Following the PRISMA guidelines, a systematic study was conducted to synthesize the benefits, conflicts, and management strategies of dog parks, supported by Citespace. Benefits and conflicts in dog park design and management have been synthesized and organized according to their frequency of presence and the statistical results. We analyzed and assessed existing design and management strategies. Through this systematic study, we discovered the need obtain o po experimental evidence on effective dog park design and management to enhance their benefits while mitigating their sources of conflict and limitations in the intensity of park visitors’ physical activity in off-leash areas. Guidelines for the design and management strategies for effective dog parks were made to enhance their benefits while alleviating conflicts in the future development of sustainable dog parks that promote healthy relationships between canines and residents in urban built environments.

Exploring why animal health practices are (not) adopted among smallholders in low and middle-income countries: a realist framework and scoping review protocol

Background

Improving livestock health is considered critical to address poverty, malnutrition and food insecurity in low- and middle-income countries (LMICs). Modifications of livestock management practices is also increasingly recognized as an important strategy to mitigate global threats such as climate change and novel disease emergence. Smallholders are, however, under various constraints which prohibit them from altering health practices for livestock and little is known about how the adoption of these practices may be promoted. The proposed scoping review aims to systematically map evidence around "what practices are (not) adopted by smallholders under what circumstances, how and why?."

Method and analysis

We conducted initial scoping searches to broadly define types of animal health practices relevant for smallholders in LMICs and formulated search terms. A scoping review protocol was designed and registered. A systematic literature search will be conducted using electronic databases including CAB Abstract, Scopus, MEDLINE, EMBASE, and Web of Science Core Collection. Gray literature will be searched from AGRIS and Standards for Supporting Agricultural Livelihoods in Emergencies. Articles in English, pertaining to the animal health practices considered highly relevant will be considered eligible for inclusion. Articles will be screened at two stages by two independent reviewers; screening of titles, abstracts, and keywords, followed by full-article screening. The first reviewer will review 100% of the articles at both stages. The second reviewer will review a random sample of 20% of the articles at both stages. Any disagreements will be resolved using inputs from the third reviewer. A thematic analysis will be conducted to catalog contexts and mechanisms for adoption and discussed under a realist framework.

Discussion

Understanding of the mechanisms underlying the adoption of animal health practices by livestock smallholders in LMICs is crucial for successful implementation of interventions including those which are based on a One Health approach. This review will identify the extent of this knowledge across disciplines and inform future research priorities for the design of effective and feasible interventions which can contribute toward Sustainable Development Goal 2.

Registration

This protocol is registered within the Open Science Framework (https://doi.org/10.17605/OSF.IO/FUQAX).

Pet Ownership and Mental and Physical Health in Older White and Black Males and Females

Pet ownership literature remains mixed regarding associations with mental and physical health outcomes among older adults. The present study investigates the relationship between pet ownership and depression, health, and physical activity in an older adult sample balanced by sex (male/female), race (White/Black), and urban/rural status. Participants were adults aged 65+ recruited between 1999 and 2001 in the University of Alabama at Birmingham Study of Aging. Participants completed the Geriatric Depression Scale, a single-item self-reported health measure, and a physical activity questionnaire. Dog owners reported better subjective health and were more likely to walk for exercise as compared to non-pet owners. Cat owners did not differ from non-pet owners in terms of self-reported health or walking. White participants were more likely than Black participants to report ownership of a pet. No relationships were found between pet ownership and symptoms of depression. Findings were not influenced by sex, race, or geographical location. Dog ownership may be associated with positive physical health behaviors and subjective health perceptions. Additional research focused on mechanisms and cognitive impact is needed. Although there may be physical health benefits of dog ownership, adopting a pet should not be viewed as a simplistic solution to alleviating depression in older adults.

The Design Challenges for Dog Ownership and Dog Walking in Dense Urban Areas: The Case of Japan

There has been growing interest in the role of pet ownership, particularly dog ownership, in managing noncommunicable diseases. The built environment can act as a facilitator or barrier to owning a dog or dog walking. Nevertheless, limited studies conducted in different geographical contexts have examined how the built environment can influence dog ownership and dog walking. In this interdisciplinary article, using Japan as a case study, we identify key design challenges to owning and walking dogs in dense urban areas as a means of promoting health and wellbeing.

A Measurement Equivalence Study of the Family Bondedness Scale: Measurement Equivalence Between Cat and Dog Owners

About 38.4% of U.S. households include a dog, and 25.4% a cat, as pets, and a recent poll suggested over 90% of pet owners feel their companion animal is a family member. Numerous studies have suggested pet ownership has physical, mental, and social health benefits, though much of this research has yielded mixed results. Results of a recent review suggested significant measurement problems in human-animal interaction (HAI) and human-animal bond (HAB) research, including the absence of validity evidence, overly long measures, lack of evidence for measurement equivalence across species of pets, and measures lacking a basis in important psychological, family, and attachment theories. This article describes the development and results of a measurement equivalence study of a new measure of the HAB called the family bondedness scale (FBS). This scale, and the research results, address multiple gaps in HAB measurement. Results of multi-group confirmatory factor analyses with multiple covariates indicated the scores on the FBS showed equivalence between cat and dog owners. The use of the FBS in both veterinary research and practice, as well as in research and practice in other disciplines, such as social work and psychology, are considered.

Dog-related activities and human well-being in Brazilian dog owners: A framework and cross-cultural comparison with a British study

Despite the abundance of studies investigating the benefits of having a dog, the specific aspects of dog ownership that impacts human well-being are not well understood. This study used a qualitative approach to create a framework of the main dog-related activities perceived by Brazilian owners to impact their well-being and compared the findings with those of a similar study in England. Thirty-two Brazilian dog owners from the five regions of the country were remotely interviewed. The thematic analysis of the transcripts generated a total of 58 dog-related activities, organised into 13 themes. Most activities were reported to have a positive effect on participants' well-being, accounting for 76.8% of the total number of mentions in the interviews. 'Playing with dog' and 'Dog presence' were the themes most frequently associated with positive well-being outcomes, whereas 'Unwanted behaviours' and 'Failing to meet dog's needs' were the most commonly associated with negative outcomes. The dog-related activities reported by Brazilian dog owners and the well-being outcomes linked to those activities were consistent with the previous British sample in the framework that emerged. These findings suggest reliability between the two methods used to gather data (remote interview versus focus group) and, most importantly, provide consistent cross-cultural evidence for how certain activities impact dog owner's well-being.

Débats autour des races canines et de la santé publique à Montréal et au Québec (2016-2019)

OBJECTIVES

We examine the public policies that have been formulated to reduce the incidence of dog bites. We do so to encourage the adoption of policies aligned with One Health promotion.

METHODS

This case-study research involved an ethnographic approach. Our qualitative analysis derived from participant observation, policy documents, media coverage, and interviews with stakeholders in Montreal (Quebec).

RESULTS

Following on from a human fatality due to dog bite injuries, the City of Montreal decided to ban certain types of dogs based on their 'breed.' In the ensuing discussions, the 'Calgary model' emerged as an alternative to breed-specific legislation. These discussions led to a change in policy direction for Montreal, and for Quebec as a whole. Furthermore, we discerned marked improvements with respect to intersectoral coordination in the wake of this controversy.

CONCLUSION

'Policy mobilities' offer a useful conceptual apparatus for understanding how public policies for dog bite prevention are polarized around controversial proposals, to the detriment of discussions that focus on policy implementation.

Representations of Free-Living and Unrestrained Dogs as an Emerging Public Health Issue in Australian Newspapers

That dogs can live and breed as free-living animals contributes to public health risks including zoonotic transmission, dog bites, and compromising people’s sense of safety in public spaces. In Australia, free-living dog populations are comprised of domestic dogs, dingoes, and dog–dingo hybrids, and are described using various terms (for example, stray or community), depending on social or geographic context. Urban expansion and regional migration mean that risks associated with contact between humans and free-living dogs are increasing. Public health authorities, local governments, and community organisations have called for transdisciplinary partnerships to address dog-related health risks with a sustainable long-term approach. Values pluralism and a lack of sustained community engagement in affected areas have meant that the outcome of such efforts to date has been mixed. To identify ideas in public circulation about the impact of unrestrained and free-living dogs on human health and well-being, and understand the framework through which these animals are problematised and solutions are proposed in public discourse, we systematically examined coverage of these issues in print media. Our analyses indicate that reporting in Australian newspapers tends to frame the public health impacts of free-living dogs as problems of public order requiring direct government action to re-establish control. The public health impacts of free-living dog populations in Australia have complex causes that intersect at the nexus between human and canine behaviour, agricultural and land management practices, local bylaws, and efforts to conserve ecological systems. Placing responsibility on governments limits opportunities for greater community involvement in developing integrated One Health approaches. Better-quality evidence of the impacts of dog populations on community health and well-being, and broad community support are needed to reshape public debates on animal control, which, ultimately, will promote more effective approaches to mitigate dog-related public health risks at the human–animal–environment interface.

From more-than-human solidarity to multi-species biographical value: insights from a veterinary school about ethical dilemmas in One Health promotion

This article features a partnership between a veterinary school and a charity that aims to enhance the wellbeing of low-income people. Through this partnership, the charity periodically hosts veterinary clinics for clients and their pets. Even as the veterinarians and veterinary students duly examine people's pets, these pop-up clinics aim to help people and their pets. Hence our analysis revolves around the ethics of 'more-than-human solidarity'. By 'more-than-human solidarity', we mean efforts to help others that either center on or that implicate non-human beings. To delve into the ethical and sociological implications of subsidised veterinary services, and to assist with program planning, we conducted several in-depth interviews with veterinarians. Most substantively, we found that the veterinary school's outreach clinics give rise to multi-species biographical value, which is prized as a pedagogical resource for veterinary students. The veterinarians whom we interviewed felt troubled by the extent to which the pop-up clinics ultimately benefited the veterinary school, but also by the shortage of subsidised veterinary services in the vicinity. Based on these interviews and our own reflections, we invite more scholarship on cultural, economic and political influences that shape the lives of human beings and non-human animals alike.

Dogs as Support and Motivation for Physical Activity

Physical activity behavior change theorists are actively shifting the field to better align with the science of motivation and decision making. With this shift has come increasing interest in the role of affective judgments, habit, and identity in long-term physical activity maintenance, as well as the importance of framing physical activity in ways that protect autonomy and support personal values. This special communication makes the case for dog walking as a physical activity modality that fits well with the field's new focus. The authors provide an overview of dog walking research performed to date and discuss unanswered research questions. Given the large percentage of U.S. households that own a dog and the mainstream animal welfare movement to rehome adoptable shelter pets, there are innumerable opportunities to leverage the human-dog bond to increase physical activity levels.Dog walking interventions may be a highly practical approach to population-level physical activity promotion.

Dog ownership, the natural outdoor environment and health: a cross-sectional study

OBJECTIVES

Dog owners walking their dog in natural outdoor environments (NOE) may benefit from the physical activity facilitated by dog walking and from time spent in nature. However, it is unclear whether dog owners receive additional health benefits associated with having access to NOE above the physical activity benefit of walking with their dog. We investigated associations between dog ownership, walking, time spent in NOE and health and whether these associations differed among those with good and poor access to NOE and those living in green and less green areas.

DESIGN

Cross-sectional study.

SETTING

The Positive Health Effects of the Natural Outdoor Environment in Typical Populations in Different Regions in Europe project.

PARTICIPANTS

n=3586 adults from Barcelona (Spain), Doetinchem (the Netherlands), Kaunas (Lithuania) and Stoke-on-Trent (UK).

DATA COLLECTION AND ANALYSIS

We calculated access to NOE with land maps and residential surrounding greenness with satellite data. Leisure time walking, time spent in NOE and general and mental health status were measured using validated questionnaires. Associations were estimated using multilevel analysis with a random intercept defined at the neighbourhood level.

RESULTS

Dog ownership was associated with higher rates of leisure time walking and time spending in NOE (OR 2.17, 95% CI 1.86 to 2.54 and 2.37, 95% CI 2.02 to 2.79, respectively). These associations were stronger in those living within 300 m of a NOE and in greener areas. No consistent associations were found between dog ownership and perceived general or mental health status.

CONCLUSIONS

Compared with non-dog owners, dog owners walked more and spent more time in NOE, especially those living within 300 m of a NOE and in greener areas. The health implications of these relationships should be further investigated. In a largely physically inactive society, dog walking in NOE may be a simple way of promoting physical activity and health.

'When the dog bites': What can we learn about health geography from newspaper coverage in a 'model city' for dog-bite prevention?

Despite calls for the adoption of 'One-Health' approaches, dog-bite injuries remain neglected in healthcare and public health, and our study may help to understand why. Media coverage can influence policy directions, including policies that address dogs. We collected articles (n = 65) published in two local newspapers, 2012-2017, then carried out an ethnographically-informed discourse analysis of the dog-bite reports. The newspapers portrayed dog-bites mainly as matters of public disorder, as opposed to priorities for healthcare and public health. Even as our study took place in a city that has shown dog-bite reductions without recourse to 'breed bans' or restrictions (i.e., breed-specific legislation), journalists still tended to emphasize dog breed as a narrative element in explaining dog-bite incidents. Nonetheless, the news coverage did not reproduce a 'nature versus nurture' dichotomy. Rather, the journalists presented dog breed, and presumably associated aggressive behaviour, as entanglements with social, economic, and cultural contexts. Meanwhile, the news stories reduced contextual complexity to geographic locations, as codes for community reputation, in attributing causality and morality.

A Mixed Methods Study on the Barriers and Facilitators of Physical Activity Associated with Residential Relocation

Despite evidence suggesting that neighbourhood characteristics are associated with physical activity, very few mixed methods studies investigate how relocating neighbourhood, and subsequent changes in the built environment, influences physical activity. This sequential mixed methods study estimates associations between changes in overall physical activity and transportation walking and cycling and changes in objectively assessed neighbourhood walkability (quantitative phase) and describes perceived barriers and facilitators to physical activity following residential relocation (qualitative phase). During the quantitative phase, self-reported changes in transportation walking, transportation cycling, and overall physical activity following residential relocation were measured using a 5-point scale: (1) a lot less now, (2) a little less now, (3) about the same, (4) a little more now, and (5) a lot more now. Walkability improvers reported a slight increase in transportation walking (mean = 3.29, standard deviation (SD) = 0.87), while walkability decliners reported little or no perceived change in their transportation walking after relocation (mean = 2.96, SD = 1.12). This difference approached statistical significance (p=0.053). Furthermore, walkability decliners reported a slight decrease in transportation cycling (mean = 2.69, SD = 0.96), while walkability improvers reported little or no perceived change in their transportation cycling after relocation (mean = 3.02, SD = 0.84). This difference was statistically significant (p < 0.05). Change in walkability resulting from relocation was not significantly associated with perceived change in overall physical activity. Our qualitative findings suggest that moving to a neighbourhood with safe paths connecting to nearby destinations can facilitate transportation walking and cycling. Some participants describe adjusting their leisure physical activity to compensate for changes in transportation walking and cycling. Strong contributors to neighbourhood leisure physical activity included the presence of aesthetic features and availability of recreational opportunities that allow for the creation of social connections with community and family.

A cross-sectional exploratory analysis between pet ownership, sleep, exercise, health and neighbourhood perceptions: the Whitehall II cohort study

BACKGROUND

To explore associations between pets, and specifically dog ownership and sleep, health, exercise and neighbourhood.

METHODS

Cross sectional examination of 6575 participants of the Whitehall II study aged between 59 and 79 years. We used self-assessed measurement scales of the Short Form (SF36), General Health Questionnaire (GHQ), Control, Autonomy, Self-realisation and Pleasure (CASP), Centre for Epidemiologic Studies Depression Scale (CES-D), sleep, exercise, and perceptions of local neighbourhood. In addition the Mini Mental State Examination which is administered to test global cognitive status (MMSE).

RESULTS

We found 2/7 people owned a pet and of those 64% were "very" attached to their pet. Mild exercise in metabolic equivalents (MET-hours) was significantly higher in pet owners than non-owners (median 27.8 (IQR 18.1 to 41.8) vs 25.7 (IQR 16.8 to 38.7), p = 0.0001), and in dog owners than other pets (median 32.3 (IQR 20.8 to 46.1) vs 25.6 (IQR 16.8 to 38.5), p < 0.0001). Moderate exercise was also significantly higher in pet owners than non pet owners (median 11.8 (IQR 4.2 to 21.9) vs 9.8 (IQR 2.8 to 19.5), p < 0.0001), and dog owners than owners of other pets (median 12.3 (IQR 4.2 to 22.2) vs 10.1 (3.1 to 20.0), p = 0.0002) but there were no significant differences with vigorous exercise. We found that pet owners were significantly more positive about their neighbourhood than non-owners on 8/9 questions, while dog owners were (significantly) even more positive than owners of other pets on 8/9 questions. Associations with sleep were mixed, although dog owners had less trouble falling asleep than non-dog owners, with borderline statistical significance.

CONCLUSION

Dog owners feel more positive about their neighbourhood, do more exercise, and fall asleep more easily than non-dog owners. These results suggest that dog owners could be more likely to exercise by walking their dogs and therefore may be more familiar and positive about the area in which they walk their dog.

Encouraging Dog Walking for Health Promotion and Disease Prevention

Regular physical activity is associated with numerous health benefits, including the prevention of many chronic diseases and conditions or a reduction in their adverse effects. Intervention studies suggest that promoting dog walking among dog owners who do not routinely walk their dogs may be an effective strategy for increasing and maintaining regular physical activity. Strategies that emphasize the value of dog walking for both dogs and people, promote the context-dependent repetition of dog walking, enhance the social-interaction benefits, encourage family dog walking, and ensure availability of public space for dog walking may encourage increased dog walking. Research also supports organizing buddy systems via "loaner" dogs to facilitate informal walking by dog owners and non-dog owners. Given the number of homes that have dogs, strategies that promote dog walking could be effective at increasing physical activity levels among a significant proportion of the population. Maximizing the potential for dog walking to positively influence the health of individual people (and dogs) will only occur through implementing programs with broad population-level reach. Policies that facilitate dog walking at the community and population levels, such as "dogs allowed" places, off-leash zones, and dog-friendly built environments and parks, may contribute to greater physical activity through dog walking.

Pets, Social Participation, and Aging-in-Place: Findings from the Canadian Longitudinal Study on Aging

Des données de référence nationales et représentatives de l’Étude longitudinale canadienne sur le vieillissement (ÉLCV) ont été utilisées pour évaluer si la possession d’un animal de compagnie était associée à la participation sociale et à la satisfaction de vivre des personnes âgées (≥65 ans, n= 7,474). Des statistiques descriptives ont permis de distinguer les modalités de la possession d’animaux dans la population canadienne plus âgée, et des modèles de régression logistique ont été utilisés pour estimer les associations entre la participation sociale et la satisfaction de vivre de personnes âgées possédant ou non des animaux. Un tiers des personnes âgées de l’échantillon ont rapporté posséder des animaux. En moyenne, les personnes possédant des animaux avaient une satisfaction de vivre inférieure (OR=0,73, p<0,001) et participaient à moins d’activités sociales, récréatives et culturelles sur une base régulière (OR=0,73, p<0,001) que les personnes sans animaux; cependant, les personnes avec animaux n’étaient pas moins satisfaites de leur niveau actuel de participation sociale que celles sans animaux. Pour les propriétaires d’animaux dont la participation sociale était compromise, les animaux semblaient constituer un facteur de protection dans certaines circonstances. Des caractéristiques individuelles et des facteurs structurels liés au cadre conceptuel des Collectivités amies des aînés de l’Organisation mondiale de la Santé ont permis de mieux comprendre ces résultats.

Dog ownership, dog walking, and leisure-time walking among Taiwanese metropolitan and nonmetropolitan older adults

Background

This study examined the prevalence of dog ownership and dog walking and its association with leisure-time walking among metropolitan and nonmetropolitan older adults.

Methods

A telephone-based cross-sectional survey targeting Taiwanese older adults was conducted in November 2016. Data related to dog ownership, time spent dog walking (categorized as non-dog owner, non-dog walkers, and dog walkers), and sociodemographic variables were obtained from 1074 older adults. Adjusted binary logistic regression was then performed.

Results

In this sample, 12% of Taiwanese older adults owned a dog and 31% of them walked their dogs for an average of 232.13 min over 5.9 days/week (standard deviation = 2.03). Older adults living in nonmetropolitan areas were more likely to own a dog (14.7% vs. 9.1%) but less likely to walk their dog (25.9% vs. 39.6%) than were those living in metropolitan areas. Compared with non-dog owners, only older adults living in nonmetropolitan areas who were dog walkers achieved 150 min of leisure-time walking (odds ratio: 3.03, 95% confidence interval: 1.05–8.77), after adjustment for potential confounders.

Conclusion

Older Taiwanese adults living in nonmetropolitan areas who owned and walked their dogs were more likely to achieve health-enhancing levels of leisure-time walking. Tailored physical activity interventions for promoting dog walking should be developed for older adults who are dog owners living in nonmetropolitan areas and who do not engage in dog walking.

Dog ownership supports the maintenance of physical activity during poor weather in older English adults: cross-sectional results from the EPIC Norfolk cohort

BACKGROUND

Dog ownership has been suggested to encourage physical activity in older adults and may enhance resilience to poor environmental conditions. This study investigates the role of dog ownership and walking as a means of supporting the maintenance of physical activity in older adults during periods of inclement weather.

METHODS

The analysis used data from the European Prospective Investigation into Cancer and Nutrition Norfolk cohort. Daily physical activity (counts per minute) and minutes of sedentary behaviour were measured using accelerometers over 7 days. Three types of environmental conditions, day length, precipitation and maximum temperature, were date matched with daily physical activity. A multilevel first-order autoregressive time-series model quantified the moderating effect of self-reported dog ownership and walking on the association between physical activity and weather factors.

RESULTS

Among the 3123 participants, 18% reported having a dog in their households and two-thirds of dog owners walked their dogs at least once a day. Regular dog walkers were more active and less sedentary on days with the poorest conditions than non-dog owners were on the days with the best conditions. In days with the worst conditions, those who walked their dogs had 20% higher activity levels than non-dog owners and spent 30 min/day less sedentary.

CONCLUSION

Those who walked dogs were consistently more physically active than those who did not regardless of environmental conditions. These large differences suggest that dog walking, where appropriate, can be a component of interventions to support physical activity in older adults.

Companion Animals in Natural Disasters: A Scoping Review of Scholarly Sources

During a disaster, people may make evacuation decisions based on their companion animal's welfare, therefore exposing themselves, their companion animals, and emergency responders to increased risk for injury or death. The loss and suffering of companion animals in disasters causes deep distress, diminishing people's capacity to rebuild their lives. This scoping review presents scholarly research studies and reviews relating to people and their companion animals in the context of disasters, with an aim of informing researchers, policymakers, and practitioners and providing direction for future research. Using the Arksey and O'Malley framework, articles in scholarly journals from 2004 to 2014 are discussed. Analysis included 38 articles: 20 research studies, 12 reviews, and 6 editorials. Findings revealed 2 central themes: companion animals as a risk factor to human health and safety and companion animals being "at risk" themselves. An emerging theme was "responsibility": Who is responsible for companion animals in disasters and how? Understanding the implications of human-nonhuman animal relationships for disaster response and having a broader public consensus on what is owed to animals at times of emergency are important to community preparedness and resilience.

The association between dog walking, physical activity and owner's perceptions of safety: cross-sectional evidence from the US and Australia

BACKGROUND

We examined the relationship between dog walking and physical activity within and between four US cities and Australia and investigated if dog walking is associated with higher perceived safety in US and Australian cities.

METHODS

Dog owners (n = 1113) in the Pet Connections Study completed a cross-sectional survey. Data were collected across four study sites; three in the US (San Diego, Nashville, Portland) and a fourth in Australia (Perth). Physical activity, local walking, dog walking, and individual and community perceptions of safety were analysed for dog walkers and non-dog walkers for each study site. Between-city comparisons were examined for dog walkers.

RESULTS

Across all study sites, dog walkers walked with their dog 5-6 times/week for a total of 93-109 min/week and achieved ≥30mins of physical activity on more days/week and walked in their neighbourhood more often/week, compared with non-dog walkers (all p ≤ 0.01). Compared with Perth, significantly fewer dog walkers walked in their local park in the three US study sites. San Diego dog walkers walked more often in their neighborhood/week compared with Perth dog walkers (all p ≤ 0.05). In Portland, dog walkers perceived significantly more neighborhood problems and in Nashville dog walkers perceived a significantly higher level of neighborhood natural surveillance (i.e., 'eyes on the street'), compared with non-dog walkers (both p ≤ 0.05). Among dog walkers, females were more likely than males to feel safer walking with their dog in their neighborhood (OR = 2.49; 95 % CI = 1.76, 3.53). Compared with dog walkers in Perth, dog walkers from each of the US study sites felt safer in their neighborhood and perceived there was more neighborhood surveillance (all p ≤ 0.001).

CONCLUSION

This multi-site international study provides further support for the potential for dog walking to increase levels of daily physical activity. Walking with a dog may be a mechanism for increasing perceptions of neighborhood safety and getting to know the neighborhood, however significant between-country differences exist. Further international research is required to understand the drivers for these between-country differences. Community based programs and policies aimed at improving safety and social connectedness should consider the wider community benefits of dog walking and include strategies for supporting more dog walking.

Use of Dog Parks and the Contribution to Physical Activity for Their Owners

PURPOSE

This study described the use of dog parks in several diverse locations and explored the contribution dog parks made to physical activity of the dog owners.

METHOD

The Systematic Observation of Play and Recreation in Communities (SOPARC) tool was used to count the number and characteristics of people using parks. Observations were conducted 4 times per day, 4 days per week during for 1 week in 6 urban/suburban parks during different seasons. Collection sites included 3 dog parks in Chapel Hill/Durham, NC; 2 dog parks in Los Angeles, CA; and 1 dog park in Philadelphia, PA. Interviews at the NC and PA parks were conducted among 604 adults.

RESULTS

We counted 2,124 people (11.9%) in the dog park area compared with 15,672 people in the remaining park areas. Based on observations, dog park visitors were more likely to be female and White or Other race/ethnicity compared with Hispanics, and were less likely to be children or engaged in walking or vigorous activity. Park interviews revealed that compared with other park activities, reporting walking/watching a dog at the park was more common among those who visited the park more frequently ( ≥ 1 time per week), stayed at the park for a shorter time ( ≤  1 hr), or visited the park alone.

CONCLUSION

Although dog parks may be an important destination for dog owners and contribute to physical activity, the contribution of dog parks to participants' moderate-to-vigorous physical activity was limited.

Policies on pets for healthy cities: a conceptual framework

Drawing on the One Health concept, and integrating a dual focus on public policy and practices of caring from the Ottawa Charter for Health Promotion, we outline a conceptual framework to help guide the development and assessment of local governments' policies on pets. This framework emphasizes well-being in human populations, while recognizing that these outcomes relate to the well-being of non-human animals. Five intersecting spheres of activity, each associated with local governments' jurisdiction over pets, are presented: (i) preventing threats and nuisances from pets, (ii) meeting pets' emotional and physical needs, (iii) procuring pets ethically, (iv) providing pets with veterinary services and (v) licensing and identifying pets. This conceptual framework acknowledges the tenets of previous health promotion frameworks, including overlapping and intersecting influences. At the same time, this framework proposes to advance our understanding of health promotion and, more broadly, population health by underscoring interdependence between people and pets as well as the dynamism of urbanized ecologies.

Urban park-related risks forGiardiaspp. infection in dogs

Giardiaspp. is a common gastrointestinal (GI) parasite of multiple host species, including dogs and humans, with the potential for zoonotic transmission. The risk of GI parasitism in dogs (includingGiardiaspp.) may increase with park use in urban areas. This study aimed to (1) determine whether park attendance is a risk factor forGiardiaspp. infection in dogs and (2) characterize the behavioural and demographic risk factors forGiardiaspp. infection in park-attending and non-park-attending dogs. From August to September 2012, a total of 1293 dog owners completed a survey and 860 corresponding dog faecal samples were collected. Dog faeces were screened forGiardiaspp. using a direct immunofluorescence assay and associations assessed among behaviours, demographics, andGiardiaspp. infection. Main results included off-leash and swimming frequencies within parks as significantly positively associated withGiardiaspp. infection in dogs. Dog-owner age was negatively associated with off-leash and swimming frequencies in parks. The results suggest some recreational behaviours in parks and certain demographics are risk factors for parasitism in pet dogs.

Relationships between dog ownership and physical activity in postmenopausal women

BACKGROUND

Positive associations between dog ownership and physical activity in older adults have been previously reported.

PURPOSE

The objective of this study was to examine cross-sectional associations between dog ownership and physical activity measures in a well-characterized, diverse sample of postmenopausal women.

METHODS

Analyses included 36,984 dog owners (mean age: 61.5years), and 115,645 non-dog owners (mean age: 63.9years) enrolled in a clinical trial or the observational study of the Women's Health Initiative between 1993 and 1998. Logistic regression models were used to test for associations between dog ownership and physical activity, adjusted for potential confounders.

RESULTS

Owning a dog was associated with a higher likelihood of walking ≥150min/wk (Odds Ratio, 1.14; 95% Confidence Interval, 1.10-1.17) and a lower likelihood of being sedentary ≥8h/day (Odds Ratio, 0.86; 95% Confidence Interval, 0.83-0.89) as compared to not owning a dog. However, dog owners were less likely to meet ≥7.5MET-h/wk of total physical activity as compared to non-dog owners (Odds Ratio, 1.03; 95% Confidence Interval, 1.00-1.07).

CONCLUSIONS

Dog ownership is associated with increased physical activity in older women, particularly among women living alone. Health promotion efforts aimed at older adults should highlight the benefits of regular dog walking for both dog owners and non-dog owners.

Dog-walking behaviours affect gastrointestinal parasitism in park-attending dogs

BACKGROUND

In urban parks, dogs, wildlife and humans can be sympatric, introducing the potential for inter- and intra-specific transmission of pathogens among hosts. This study was conducted to determine the prevalence of zoonotic and non-zoonotic gastrointestinal parasites in dogs in Calgary city parks, and assess if dog-walking behaviour, park management, history of veterinary care, and dog demographics were associated with parasitism in dogs

METHODS

From June to September 2010, 645 questionnaires were administered to dog owners in nine city parks to determine behavioural and demographic factors, and corresponding feces from 355 dogs were collected. Dog feces were analyzed for helminth and some protozoan species using a modified sugar flotation technique and microscopic examination, a subsample was analyzed for Giardia spp. and Cryptosporidium spp. using a direct immunofluorescence assay. Descriptive and multivariate statistics were conducted to determine associations among behaviours, demographics, and parasite prevalence and infection intensities

RESULTS

Parasite prevalence was 50.2%. Giardia spp. (24.7%), Cryptosporidium spp. (14.7%), and Cystoisospora spp. (16.8%) were the most prevalent parasites. Helminth prevalence was low (4.1%). Presence of Giardia spp. was more likely in intact and young dogs; and infection with any parasite and Giardia spp. intensity were both positively associated with dogs visiting multiple parks coupled with a high frequency of park use and off-leash activity, and with being intact and young. Cryptosporidium spp. intensity was associated with being intact and young, and having visited the veterinarian within the previous year

CONCLUSIONS

Our results indicate a higher overall prevalence of protozoa in dogs than previously found in Calgary. The zoonotic potential of some parasites found in park-attending dogs may be of interest for public health. These results are relevant for informing park managers, the public health sector, and veterinarians.

Physical activity of preschool-aged Latino children in farmworker families

OBJECTIVE

To describe time spent in sedentary and moderate-to-vigorous physical activity (MVPA) by children in Latino farmworker families and delineate sources of variation in sedentary and MVPA.

METHOD

Data were from mother-child dyads (N = 248) in Latino farmworker households in North Carolina. Physical activity was assessed using accelerometers; mothers described their children's characteristics and their physical and social environments.

RESULTS

Children spent 6.2 hours/day sedentary (Median=369 minutes), and 6.0 minutes/day in MVPA. Children in Head Start spent more time sedentary, whereas children living where dogs roam freely were less sedentary. Children whose mothers limited screen time spent 2 more minutes in MVPA.

CONCLUSIONS

Preschool-aged Latino children in farmworker families are sedentary, engaging in little MVPA.

Development of methodological guidance, publication standards and training materials for realist and meta-narrative reviews: the RAMESES (Realist And Meta-narrative Evidence Syntheses – Evolving Standards) project

Background

There is growing interest in theory-driven, qualitative and mixed-method approaches to systematic review, such as realist and meta-narrative review. These approaches offer the potential to expand the knowledge base in policy-relevant areas. However, the quality of such reviews can be difficult to assess.

Objectives

The aim of this project was to produce methodological guidance, publication standards and training resources for those seeking to undertake realist and/or meta-narrative reviews.

Methods/design

We (1) collated and summarised existing literature on the principles of good practice in realist and meta-narrative systematic reviews; (2) considered the extent to which these principles had been followed by published and in-progress reviews, thereby identifying how rigour may have been lost and how existing methods could be improved; (3) used an online Delphi method with an interdisciplinary panel of experts from academia and policy, to produce a draft set of methodological steps and publication standards; (4) produced training materials with learning objectives linked to these steps; (5) refined these standards and training materials prospectively on real reviews in progress, capturing methodological and other challenges as they arose; (6) synthesised expert input, evidence review and real-time problem analysis into more definitive guidance and standards; and (7) disseminated outputs to audiences in academia and policy.

Results

An important element of this study was the establishment of an e-mail mailing list to bring together researches in the field (www.jiscmail.ac.uk/RAMESES). Our literature review identified 35 and nine realist and meta-narrative reviews respectively. Analysis and discussion within the project team produced a summary of the published literature, and common questions and challenges into briefing materials for the Delphi panel, comprising 37 and 33 members (for realist and meta-narrative reviews respectively). Within three rounds this panel had reached a consensus on 19 (realist) and 20 (meta-narrative) key publication standards, with an overall response rate of 90% and 91% respectively. The Realist And Meta-narrative Evidence Syntheses – Evolving Standards (RAMESES) publication standards for realist syntheses and meta-narrative reviews were published in open-access journals and quickly became highly accessed. The RAMESES quality standards and training materials drew together the following sources of data: (1) personal expertise as researchers and trainers; (2) data from the Delphi panels; (3) feedback from participants at training sessions we ran; and (4) comments made on RAMESES mailing list. The quality standards and training materials are freely available online (www.ramesesproject.org).

Discussion

The production of these standards and guidance drew on multiple sources of knowledge and expertise, and a high degree of a consensus was achieved despite ongoing debate among researchers about the overall place of these methodologies in the secondary research toolkit. As with all secondary research methods, guidance on quality assurance and uniform reporting is an important step towards improving quality and consistency of studies. We anticipate that as more reviews are undertaken, further refinement will be needed to the publication and quality standards and training materials.

Limitations

The project’s outputs are not definitive and in the future updating and further development is likely to be needed.

Conclusion

An initial set of publication standards, quality standards and training materials have been produced for researchers, users and funders of realist or meta-narrative reviews. As realist and meta-narrative reviews are relatively new approaches to evidence synthesis, methodological development is needed for both review approaches.

Funding

The National Institute for Health Research Health Services and Delivery Research programme.

Dog ownership and physical activity in later life: a cross-sectional observational study

OBJECTIVE

To examine whether dog ownership amongst community dwelling older adults (≥ 65 years) is associated with objectively measured physical activity (PA).

METHODS

We used data from the Physical Activity Cohort Scotland (PACS) which consists of 547 people aged 65 and over, resident in the community in Tayside, Scotland. The data was collected in 2009-2011. We assessed whether dog ownership is associated with objectively measured physical activity (accelerometry counts).

RESULTS

The physical activity (PA) counts of 547 older people (mean age 79 (standard deviation (SD) 8 years, 54% female) were analysed. Linear mixed models showed that dog ownership was positively related to higher PA levels. This positive relationship remained after controlling for a large number of individual and contextual variables, including attitude towards exercise, physical activity intention and history of physical activity. Dog owners were found to be 12% more active (21,875 counts, 95% Confidence Interval (CI): 2810 to 40,939, p<0.05) than non-dog owners.

CONCLUSION

Dog ownership is associated with physical activity in later life. Interventions to increase activity amongst older people might usefully attempt to replicate elements of the dog ownership experience.

How might we increase physical activity through dog walking?: A comprehensive review of dog walking correlates

BACKGROUND

Physical inactivity and sedentary behaviour are major threats to population health. A considerable proportion of people own dogs, and there is good evidence that dog ownership is associated with higher levels of physical activity. However not all owners walk their dogs regularly. This paper comprehensively reviews the evidence for correlates of dog walking so that effective interventions may be designed to increase the physical activity of dog owners.

METHODS

Published findings from 1990-2012 in both the human and veterinary literature were collated and reviewed for evidence of factors associated with objective and self-reported measures of dog walking behaviour, or reported perceptions about dog walking. Study designs included cross-sectional observational, trials and qualitative interviews.

RESULTS

There is good evidence that the strength of the dog-owner relationship, through a sense of obligation to walk the dog, and the perceived support and motivation a dog provides for walking, is strongly associated with increased walking. The perceived exercise requirements of the dog may also be a modifiable point for intervention. In addition, access to suitable walking areas with dog supportive features that fulfil dog needs such as off-leash exercise, and that also encourage human social interaction, may be incentivising.

CONCLUSION

Current evidence suggests that dog walking may be most effectively encouraged through targeting the dog-owner relationship and by providing dog-supportive physical environments. More research is required to investigate the influence of individual owner and dog factors on 'intention' to walk the dog as well as the influence of human social interaction whilst walking a dog. The effects of policy and cultural practices relating to dog ownership and walking should also be investigated. Future studies must be of a higher quality methodological design, including accounting for the effects of confounding between variables, and longitudinal designs and testing of interventions in a controlled design in order to infer causality.

Public health ethics and more-than-human solidarity

This article contributes to the literature on One Health and public health ethics by expanding the principle of solidarity. We conceptualise solidarity to encompass not only practices intended to assist other people, but also practices intended to assist non-human others, including animals, plants, or places. To illustrate how manifestations of humanist and more-than-human solidarity may selectively complement one another, or collide, recent responses to Hendra virus in Australia and Rabies virus in Canada serve as case examples. Given that caring relationships are foundational to health promotion, people's efforts to care for non-human others are highly relevant to public health, even when these efforts conflict with edicts issued in the name of public health. In its most optimistic explication, One Health aims to attain optimal health for humans, non-human animals and their shared environments. As a field, public health ethics needs to move beyond an exclusive preoccupation with humans, so as to account for moral complexity arising from people's diverse connections with places, plants, and non-human animals.

Public health ethics and a status for pets as person-things : revisiting the place of animals in urbanized societies

Within the field of medical ethics, discussions related to public health have mainly concentrated on issues that are closely tied to research and practice involving technologies and professional services, including vaccination, screening, and insurance coverage. Broader determinants of population health have received less attention, although this situation is rapidly changing. Against this backdrop, our specific contribution to the literature on ethics and law vis-à-vis promoting population health is to open up the ubiquitous presence of pets within cities and towns for further discussion. An expanding body of research suggests that pet animals are deeply relevant to people's health (negatively and positively). Pet bylaws adopted by town and city councils have largely escaped notice, yet they are meaningful to consider in relation to everyday practices, social norms, and cultural values, and thus in relation to population health. Nevertheless, not least because they pivot on defining pets as private property belonging to individual people, pet bylaws raise emotionally charged ethical issues that have yet to be tackled in any of the health research on pet ownership. The literature in moral philosophy on animals is vast, and we do not claim to advance this field here. Rather, we pragmatically seek to reconcile philosophical objections to pet ownership with both animal welfare and public health. In doing so, we foreground theorizations of personhood and property from sociocultural anthropology.

A cross-sectional study of frequency and factors associated with dog walking in 9-10 year old children in Liverpool, UK

Background

Owning a pet dog could potentially improve child health through encouraging participation in physical activity, through dog walking. However, evidence to support this is limited and conflicting. In particular, little is known about children’s participation in dog walking and factors that may be associated with this. The objective of this study was to describe the participation of children in dog walking, including their own and those belonging to somebody else, and investigate factors associated with regular walking with their own pet dog.

Methods

Primary school children (n=1021, 9–10 years) from a deprived area of Liverpool were surveyed during a ‘fitness fun day’ as part of the SportsLinx project. The ‘Child Lifestyle and Pets’ survey included questions about pet ownership, pet attachment, and dog walking. Multivariable logistic regression models were used to investigate factors associated with walking any dog, or their own dog, several times a day or more, including level of attachment to the dog, dog type, and sociodemographic factors.

Results

Overall, 15.4% of children reported walking with any dog (their own or belonging to a friend or family member) ≥ once daily, 14.1% several times a week, 27.6% ≤ once a week, and 42.8% never. Dog owning children (37.1% of the population) more often reported dog walking ‘several times a week or more’ (OR=12.30, 95% CI=8.10-18.69, P<0.001) compared to those without a dog, but were less likely to report other walking without a dog. The majority (59.3%) of dog owning children indicated that they usually walked their dog, with 34.6% reporting that they walked their dog ≥ once daily. Attachment score was highly associated with the child reporting walking their dog (lower score=higher attachment; OR=0.93, 95% CI=0.89-0.96, P<0.001). There was no evidence that gender, ethnicity, sibling status or deprivation score was associated with dog walking. Children that reported owning Pit Bulls were more likely to report friends walking with their dog than those owning non-Pit bull types (OR=10.01, 95% CI=1.52-65.76, P=0.02, respectively).

Conclusions

Promotion of supervised walking of suitable pet dogs may be an opportunity for increasing physical activity in 9–10 year old children. The identification of stronger attachment to dogs regularly walked is similar to findings in adult studies.

Dog-walking and sense of community in neighborhoods: implications for promoting regular physical activity in adults 50 years and older

This study investigates whether dog-ownership and neighborhood characteristics are associated with sense of community (SC) and neighborhood-based recreational walking (NRW) for older adults. A random sample of adults ≥50 years of age (n=884) provided information on SC, dog-related factors, neighborhood walking, and socio-demographics in telephone and postal surveys. Associations between dog-ownership, neighborhood characteristics, and NRW were estimated using logistic regression (i.e., odds ratios (OR)). Frequent dog-walkers (≥4 times/wk) were more likely than those not owning a dog to report a heightened SC (OR=1.94, p<.05) and to achieve ≥150min/wk of NRW (OR=10.68, p<.05). SC was also tested but not found to mediate associations between neighborhood characteristics, dog-ownership and NRW. Older adults who walk dogs often in their neighborhoods may benefit from both increased physical activity and heightened sense of community to an extent that supports healthy aging. Longitudinal studies are needed to explore directions of associations among these factors.

'It was not just a walking experience': reflections on the role of care in dog-walking

Research into physical activity and human health has recently begun to attend to dog-walking. This study extends the literature on dog-walking as a health behaviour by conceptualizing dog-walking as a caring practice. It centres on qualitative interviews with 11 Canadian dog-owners. All participants resided in urban neighbourhoods identified through previous quantitative research as conducive to dog-walking. Canine characteristics, including breed and age, were found to influence people's physical activity. The health of the dog and its position in the life-course influenced patterns of dog-walking. Frequency, duration and spatial patterns of dog-walking all depended on relationships and people's capacity to tap into resources. In foregrounding networks of care, inclusive of pets and public spaces, a relational conceptualization of dog-walking as a practice of caring helps to make sense of heterogeneity in patterns of physical activity among dog-owners.