Tides of change – beach accessibility barriers and facilitators for older people and people with disability: An Australian community survey

Aim: To determine barriers and facilitators of beach access for older people and people with disability. Design: Anonymous online cross-sectional survey. Method: A 39-item online survey (categorical, ordinal, and open response data) was developed to explore perspectives of older people (>65 years) and people with disability or mobility limitation (temporary/permanent) regarding beach access barriers and facilitators. Frequency statistics were used to summarise barriers and facilitators according to environmental and personal factors. Results: 350 people completed the survey (69% female; age range 2-90 years (mean=52)). Disability/mobility limitation was reported by 88% of respondents, with 77% requiring a community mobility aid. Two thirds (68%) of respondents were unable to visit the beach as often as wanted, with 45% unable to visit at all. The most frequently reported environmental barriers were inaccessible leadup pathways (81%) and limited beach mobility equipment (75%). The most frequently reported personal barrier was difficulty moving on soft sand (87%). If beach access were improved, respondents reported they would visit the beach more often (85%), for longer (83%), and would have an improved experience (91%). The most frequently reported facilitators of beach access included accessible sand walkways (89%) and parking (87%). Conclusion: Older people and people with disability have limited beach access, primarily due to environmental factors, excluding them from a wide range of health benefits associated with the beach. Key Practice Points: • Barrier and facilitator diversity highlights the importance of person-centred and co-designed beach access. • Equipment prescription and services will be key to improve beach access.