Exercise & Training

Transportation Walking Among US Adults With and Without Transportation Insecurity, 2022 National Health Interview Survey.

TL;DR

Walking for transportation was twice as common among adults with transportation insecurity (30.9%) than among adults without transportation insecurity (15.3%), suggesting that infrastructure and policies supporting walking may be especially important for those experiencing transportation insecurity.

Key Findings

Transportation insecurity affected 5.6% of US adults in 2022.

  • Estimate based on 2022 National Health Interview Survey data on 25,889 US adults
  • Prevalence of transportation insecurity was 5.6% (95% CI, 5.1%–6.2%)
  • Transportation insecurity was defined as the lack of safe and convenient access to reliable transportation

Transportation walking was twice as common among adults with transportation insecurity compared to those without.

  • 30.9% (95% CI, 27.9%–34.1%) of adults with transportation insecurity reported transportation walking
  • 15.3% (95% CI, 14.5%–16.1%) of adults without transportation insecurity reported transportation walking
  • Approximately 1 in 6 US adults overall walk for transportation
  • Subgroup differences were tested using pairwise comparisons

Among adults with transportation insecurity, lower educational attainment was associated with higher prevalence of transportation walking.

  • Adults with the lowest levels of educational attainment had higher prevalence of transportation walking than those with the highest levels
  • This pattern was observed within the transportation insecurity subgroup specifically
  • Differences were identified through pairwise comparisons across sociodemographic subgroups

Among adults with transportation insecurity, those below the poverty threshold were more likely to walk for transportation than those above it.

  • Adults below their poverty threshold had higher prevalence of transportation walking versus adults above their poverty threshold
  • This finding was specific to the population experiencing transportation insecurity
  • Poverty threshold comparisons were among several sociodemographic subgroup analyses conducted

Among adults with transportation insecurity, non-Hispanic Black adults had higher prevalence of transportation walking than non-Hispanic White adults.

  • Racial/ethnic differences in transportation walking were identified within the transportation insecurity group
  • Non-Hispanic Black adults had higher transportation walking prevalence compared to non-Hispanic White adults
  • The study analyzed multiple racial/ethnic subgroups using pairwise comparisons

Among adults with transportation insecurity, younger adults were more likely to walk for transportation than older adults.

  • Age-related differences in transportation walking prevalence were observed within the transportation insecurity subgroup
  • Younger adults had higher prevalence of transportation walking versus older adults
  • Age was one of several sociodemographic variables examined across both transportation insecurity groups

Among adults with transportation insecurity, those without disabilities had higher transportation walking prevalence than those with disabilities.

  • Adults without disabilities had higher prevalence of transportation walking compared to adults with disabilities within the transportation insecurity group
  • Disability status was among the sociodemographic and geographic subgroups analyzed
  • Differences were tested using pairwise comparisons

Among adults with transportation insecurity, those residing in the West had higher transportation walking prevalence than those residing in the South.

  • Geographic region was among the subgroup variables analyzed in the study
  • Adults in the West had higher transportation walking prevalence than adults in the South within the transportation insecurity subgroup
  • Regional differences were identified using pairwise comparisons across geographic subgroups

What This Means

This research suggests that people who lack reliable transportation — a condition called transportation insecurity — are much more likely to walk to get to everyday destinations compared to people who have dependable transportation options. Using data from nearly 26,000 U.S. adults surveyed in 2022, researchers found that about 1 in 6 Americans walk for transportation overall, but among those experiencing transportation insecurity, nearly 1 in 3 do so. Transportation insecurity itself affected roughly 1 in 18 American adults. Within the group experiencing transportation insecurity, certain populations were especially likely to rely on walking to get around: people with lower education levels, those living below the poverty line, non-Hispanic Black adults, younger adults, and those without disabilities. People living in the Western United States were also more likely to walk for transportation than those in the South among this group. This research suggests that walking infrastructure — such as sidewalks, crosswalks, and pedestrian-friendly street design — and supportive policies may be particularly important for people who lack access to reliable transportation. Since these individuals disproportionately include people with lower incomes and other socioeconomic disadvantages, investments in walkable environments could be a meaningful public health strategy for communities where transportation options are limited.

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Citation

Soto G, Van Dyke M, Nakayama J, Chen T, Devlin H, Irani K, et al.. (2026). Transportation Walking Among US Adults With and Without Transportation Insecurity, 2022 National Health Interview Survey.. Preventing chronic disease. https://doi.org/10.5888/pcd23.250436