Assessing spatial disparities of accessibility to community-based service resources for Chinese older adults based on travel behavior: A city-wide study of Nanjing, China

Zhang, Fan; Li, Dezhi; Ahrentzen, Sherry; Zhang, Jiankun

doi:10.1016/j.habitatint.2019.05.003

Cited by 76 publications

(63 citation statements)

References 44 publications

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“…The results reveal a need to make up for the deficiency in the number of facilities by building differentiated neighborhoods according to the age groups. Although there are an increasing number of elderly people in China and an inadequate distribution of appropriate urban neighborhood services [58], it is not enough to consider age differences alone. Secondly, the relevant results did not provide evidence supporting the hypothesis that the greater the number of facilities available, the better the livability of the city is.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Associations of Spatial Aggregation between Neighborhood Facilities and the Population of Age Groups Based on Points-of-Interest Data

et al. 2020

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By actively adapting urban planning to identified social needs, residential areas tend to be more people-oriented, fairer, resource-saving, and sustainable. The emergence of big data has provided new opportunities for the planning of residential urban areas. Since the quantity and age-appropriateness of neighborhood facilities are important criteria when developing the ideal neighborhood, this study investigated the associations of the number of neighborhood facilities and the age groups within those neighborhoods by using the Wuhan metropolitan area in China as a case study and by applying a Geodetector and regression analysis to points-of-interest data. In terms of age groups, the neighborhood facilities of kindergartens, pharmacies, and bus stations were found to be highly associated with population size, regardless of the age difference. It was also found that convenience stores were closely related to the adult population, and that convenience stores, community hospitals or clinics, and vegetable markets or fresh supermarkets were associated with the elderly population. Facilities without significant correlations were equally important, but it was found that there was no statistical correlation between the number of facilities and the distribution of the population. The weak association of key educational resources and medical resources with the population indicates a concentrated distribution of educational resources and medical resources, and the latent insufficiency of schools, community hospitals, or clinics at some neighborhoods. It concludes that planning of neighborhood facilities for residential areas in Wuhan requires optimization in terms of matching the provision of facilities with population size and social structure. Furthermore, more efforts should be put into supplementing important facilities and building differentiated residential area programs based on age structure.

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Section: Limitations and Future Researchmentioning

confidence: 99%

Associations of Spatial Aggregation between Neighborhood Facilities and the Population of Age Groups Based on Points-of-Interest Data

et al. 2020

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“…Facilities related to physical exercise & recreation (E10) are always decided by planning and design of communities rather than other neighborhood environmental variables, and the planning and design of facilities can affect other variables more. While the accessibility to facilities (E12) always depends on other variables, including locations of facilities, distance to facilities, or scales of facilities [46,47].In addition, the neighbor support (E6) can be the linkage between variables in higher levels and lower levels [36]. Consequently, it is reasonable to assume that neighbor support (E6) and accessibility to facilities (E12) have multiple mediation effects between facilities related to physical exercise & recreation (E10) and the overall QoL of community-dwelling older adults (Q1), and accessibility to facilities (E12) is also the mediator between neighbor support (E6) and Q1.…”

Section: Hyphothesis 1: Facilities Related To Physical Exercise and Recmentioning

confidence: 99%

How the Urban Neighborhood Environment Influences the Quality of Life of Chinese Community-Dwelling Older Adults: An Influence Model of “NE-QoL”

Zhang

2019

Sustainability

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Due to functional impairment and low mobility, the sphere of activities of older adults often shrinks and they rely on their living environment more. Especially for urban community-dwelling older adults who are aging in place, the urban neighborhood environment affects their quality of life (QoL) heavily. This study aims to explore how the urban neighborhood environment affects QoL of community-dwelling older adults and develop a mediation model called "Neighborhood Environment-Quality of Life (NE-QoL)" for community-dwelling older adults. The reliability test is applied to test and modify the questionnaire based on cross-sectional data collected from the survey, the multiple regression analysis is used to identify significant influence relations between variables of neighborhood environment and dimensions of the QoL, mediation effects are assumed and tested by the mediation analysis in SPSS, and then the "NE-QoL" is developed to reveal the detailed influence path between the urban neighborhood environment and QoL of community-dwelling older adults. The "NE-QoL" model reveals seven variables of the urban neighborhood environment, which influences the QoL of community-dwelling older adults significantly, and three mediation effects exist in the influence path, making clear the understanding about the relationship between neighborhood environment and the QoL of community-dwelling older adults. It provides valuable retrofit guidelines of the neighborhood environment for improving QoL of community-dwelling older adults.

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“…The Chinese government also envisages that AIP should consist of two essential elements, i.e., living at home and being able to acquire the necessary services from the community conveniently [5,8,9]. AIP systems in China are affected by two main factors: (i) built facilities (e.g., beds in aging services institution) for the elderly care can only accommodate around 3% of the aged population, which means around 97% of older people would have to end up staying in their current residences after retirement [8]; and (ii) Chinese people practice the Confucian principle of filial piety where descendants would prefer to live with their parents and take care of them when they get old [9,10]. The one-child policy introduced in China in the late 70s, however, has resulted in the emergence of many 4-2-1 families (i.e., the paternal and maternal grandparents, two parents, and one child).…”

Section: Introductionmentioning

confidence: 99%

“…The AIP system consists of different stakeholders (i.e., government authorities, service providers, older people, third-party assessment agencies, non-governmental organizations (NGOs), etc.) [9]. Among these stakeholders, there are also various activities and interactions that form intricate social networks [9].…”

Section: Introductionmentioning

confidence: 99%

“…[9]. Among these stakeholders, there are also various activities and interactions that form intricate social networks [9]. In such social networks, stakeholders are faced with multifarious problems, like loose connections between stakeholders, unbalanced distributions of authorities among government departments, and unreasonable allocations of stakeholder duties [9,[15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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Characterizing Stakeholders of Aging-in-Place through Social Network Analysis: A Study of Nanjing, China

Zhou

et al. 2019

Sustainability

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China currently has an elderly population of 249 million with over 97% of them ending up aging in place. Although various regional pilot programs have been conducted, a sustainable aging-in-place system has not been established to effectively and efficiently provide aging services in many cities of China. The characteristics of stakeholder networks in the aging-in-place systems have not attracted great attention from researchers. This research applies social network analysis to characterize the interactions of stakeholders in aging-in-place systems to facilitate cooperation and coordination amongst them. Using Nanjing as a case study, 23 stakeholders in Nanjing’s aging-in-place system are identified, such as the Aging Affairs Committee, Aging-in-Place Service Association, and aging-in-place service centers; and then the relationship networks of these stakeholders in terms of communication, supervision, and trust are developed and analyzed. The results show that the aging-in-place system suffers from certain defects, including the loose connection of government departments, redundant information channels, low trustworthiness of certain aging-in-place service centers, poor credibility of third-party training and assessment institutions, and excess power of the industry association. To tackle these issues, a wide spectrum of actionable measures applicable to Nanjing’s conditions, as well as high-level policy implications for other cities of China, are proposed for augmenting the communication, supervision, and trust among stakeholder groups.

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Assessing spatial disparities of accessibility to community-based service resources for Chinese older adults based on travel behavior: A city-wide study of Nanjing, China

Cited by 76 publications

References 44 publications

Associations of Spatial Aggregation between Neighborhood Facilities and the Population of Age Groups Based on Points-of-Interest Data

Associations of Spatial Aggregation between Neighborhood Facilities and the Population of Age Groups Based on Points-of-Interest Data

How the Urban Neighborhood Environment Influences the Quality of Life of Chinese Community-Dwelling Older Adults: An Influence Model of “NE-QoL”

Characterizing Stakeholders of Aging-in-Place through Social Network Analysis: A Study of Nanjing, China

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