Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese

Wong, Moses; Yu, Ruby; Woo, Jean

doi:10.3390/ijerph14060614

Cited by 48 publications

(35 citation statements)

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“…The present study extends the results from a previous study showing that perceptions of neighborhood environment were associated with self-rated health [35], reinforcing the importance of including a broad range of environmental attributes when examining potential correlates and determinants of health and well-being in older populations. Furthermore, sense of community was positively associated with self-rated health, suggesting that social factors, particularly the relationship between the individual and the social structure, are also pertinent to health and well-being of older people.…”

Section: Discussionsupporting

confidence: 84%

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Perceptions of Neighborhood Environment, Sense of Community, and Self-Rated Health: an Age-Friendly City Project in Hong Kong

Wong

Woo

2018

J Urban Health

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To examine the relationships between perceptions of neighborhood environment, sense of community, and self-rated heath, we recruited 1798 people aged 60 years and older living in Hong Kong. With reference to the checklist of the essential features of age-friendly cities developed by the World Health Organization, perceptions of neighborhood environment were assessed using a questionnaire covering physical and social environmental domains, which mapped onto Boutdoor spaces and buildings,^Btransportation,B housing,^Bsocial participation,^Brespect and social inclusion,^Bcivic participation and employment,B communication and information,^and Bcommunity support and health services.^Sense of community was measured by the Brief Sense of Community Scale. Selfrated health was assessed by a single question. The relationships between these measures were analyzed using partial correlations, multivariate regression models, and path analyses. The mean age of the participants was 71.7 years; of which 54.3% were women. In multivariate regression models, perceived neighborhood environments were positively associated with sense of community and self-rated health. Among the domains o f p e r c e i v e d n e i g h b o r h o o d e n v i r o n m e n t , Btransportation^and Brespect and social inclusionŵ ere the physical and the social environmental domains most strongly associated with sense of community, respectively. In addition, sense of community accounted for part of the relationship between perceived neighborhood environments and self-rated health. The results of this study support the importance of perceived neighborhood environments for the sense that older person has of one's community, and self-rated health of older people which may be enhanced through the improvement of neighborhood environments. Keywords Age-friendly environment. Perceptions of neighborhood environment. Sense of community. Selfrated health. Respect and social inclusion

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Section: Discussionsupporting

confidence: 84%

“…Furthermore, a sex (male-to-female) ratio of approximately 0.8 was set to match with the overall sex ratio of Hong Kong population. Details of the sampling method and survey population have been reported elsewhere [35].…”

Section: Data and Samplingmentioning

confidence: 99%

Perceptions of Neighborhood Environment, Sense of Community, and Self-Rated Health: an Age-Friendly City Project in Hong Kong

Wong

Woo

2018

J Urban Health

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“…The range of characteristics associated with the clusters underscores the diversity of community-dwelling older adults and the wide range of factors associated with views on built environmental features. Our findings support previous research regarding the nuanced relationship between self-rated health, satisfaction on built environmental features and socio-demographic characteristics [ 23 ]. However, the regression models only explained 1% to 7% of the variability in built environment preferences.…”

Section: Discussionsupporting

confidence: 91%

Examining Older Adults’ Perspectives on the Built Environment and Correlates of Healthy Aging in an American Age-Friendly Community

Black

Jester

2020

IJERPH

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Population aging has led to an increased focus on the environmental context in which we age. While researchers have identified significant health benefits associated with built community features such as housing, transportation and outdoor spaces and buildings, less attention has focused on the correlates of healthy aging and other characteristics via the perspective of community-dwelling older adults. This study utilized cluster analysis to examine health-related subgroups of older adults (n = 598) in an age-friendly community located in the United States, of which nearly half of its residents are age 60 and older. Linear regression was used to associate the health clusters with perceptions of built environmental features and socio-demographics. Four distinct profiles were identified, with the greatest preference for housing and transportation found among those reporting poorer health compared to those reporting excellent health across multi-dimensional healthy aging measures. Perceptions on the importance of built environmental features were also found to vary by age, income and home accessibility status. Findings suggest that older adults’ perceptions about built environmental features differ across health and home status as well as age and income, underscoring opportunities for public health action to better reach and engage older adults by life-course trajectories in age-friendly communities.

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“…One of the WHO goals included in the Global Strategy and Action Plan on Ageing and Health states that cities and human settlements should be made inclusive, safe, resilient and sustainable, by providing universal access to safe, inclusive and accessible green and public spaces, in particular for older persons. The WHO Global Network of Age-friendly Cities and Communities (AFCCs) was established in 2010 and now covering more than 1000 cities and communities provides an example how proper actions at different levels may be implemented [42][43][44].…”

Section: Enhancing the Global Network For Age-friendly Cities And Commentioning

confidence: 99%

The World Health Organization (WHO) approach to healthy ageing

et al. 2020

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The ageing of the global population is the most important medical and social demographic problem worldwide. The World Health Organization (WHO) has defined healthy ageing as a process of maintaining functional ability to enable wellbeing in older age. The WHO, Member States and Partners for Sustainable Development Goals have created a Global Strategy and Action Plan for Ageing and Health for 2016-2020 and its continuation with the WHO programme The Decade of Healthy Ageing 2020-2030. The WHO has established main priorities such as supporting country planning and action, collecting better global data and promoting research on healthy ageing, aligning health systems to the needs of older people, laying the foundations and ensuring the human resources necessary for long-term integrated care, undertaking a global campaign to combat ageism, and enhancing the global network for age-friendly cities and communities. There are several reports of coordinated preventive health and social health initiatives in well developed countries. However, there is little evidence on the application of the active ageing frameworks in developing countries. Greater national capacities and closer monitoring of the progress through age-disaggregated data is needed to effectively implement the intended programmes on healthy ageing.

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Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese

Cited by 48 publications

References 50 publications

Perceptions of Neighborhood Environment, Sense of Community, and Self-Rated Health: an Age-Friendly City Project in Hong Kong

Perceptions of Neighborhood Environment, Sense of Community, and Self-Rated Health: an Age-Friendly City Project in Hong Kong

Examining Older Adults’ Perspectives on the Built Environment and Correlates of Healthy Aging in an American Age-Friendly Community

The World Health Organization (WHO) approach to healthy ageing

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