Living with pain in ‘age-(un)friendly’ housing environments: A qualitative study with African American older adults

Booker, Staja Q.

doi:10.1016/j.gerinurse.2021.08.017

Cited by 4 publications

(6 citation statements)

References 27 publications

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“…An inferior living environment might promote the development of arthritis, so improvement of the living environment can be a good strategy for the primary prevention of arthritis [81]. Similarly, a study examined the context of environmental life spaces with chronic osteoarthritis pain among older African Americans aged 61-81 living in income-adjusted housing [26]. Their housing environments lacked age-friendly amenities, and specific enhancements to assist aging individuals with everyday function and reduce pain were identified [26].…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, a study examined the context of environmental life spaces with chronic osteoarthritis pain among older African Americans aged 61-81 living in income-adjusted housing [26]. Their housing environments lacked age-friendly amenities, and specific enhancements to assist aging individuals with everyday function and reduce pain were identified [26]. This further illustrates the importance of understanding the impact of environments (macro, meso, and micro) on pain management [26].…”

Section: Discussionmentioning

confidence: 99%

“…Built-in environmental-level factors also hold significant importance for pain and pain interference, even though they are often overlooked. Patterns of co-residence [25] and housing environment [26] have been linked to pain interference in daily activities. A systematic review has found a relationship between numerous aspects of healthy building determinants and back and neck pain [27].…”

Section: Introductionmentioning

confidence: 99%

“…[28]. A built environment characterized by sufficient lighting [29,30], large space [31], good indoor air quality [32], and accessibility to activity [26] can effectively improve pain and pain interference with sleeping quality, vitality, and mood. Quality of built environment, such as construction type [33], age [34], design [35] and size of living area [36], had been linked to health.…”

Section: Introductionmentioning

confidence: 99%

“…Isolated studies have also linked pain interference with individual aspects of one's living environment, such as small living areas [26] (operationalized here as the number of non-functional rooms being two or less), poor air quality [26] (operationalized here as the buildings lacking re-entrant bay [41]), poor access to light [42] (cardinal orientation, and specifically in the local setting, those residential buildings facing south have better access to light [43,44]; and the number of light wells in the building [45]), social connectivity [5,27,46] (operationalized here as the buildings' numbers of corridors and lifts [47][48][49][50]), and the age of the building.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Environment on Pain among the Working Poor: Making Use of Random Forest-Based Stratification Tool to Study the Socioecology of Pain Interference

Leung,

Lee,

Liu

et al. 2024

IJERPH

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Pain interferes with one’s work and social life and, at a personal level, daily activities, mood, and sleep quality. However, little research has been conducted on pain interference and its socioecological determinants among the working poor. Noting the clinical/policy decision needs and the technical challenges of isolating the intricately interrelated socioecological factors’ unique contributions to pain interference and quantifying the relative contributions of each factor in an interpretable manner to inform clinical and policy decision-making, we deployed a novel random forest algorithm to model and quantify the unique contribution of a diverse ensemble of environmental, sociodemographic, and clinical factors to pain interference. Our analyses revealed that features representing the internal built environment of the working poor, such as the size of the living space, air quality, access to light, architectural design conducive to social connection, and age of the building, were assigned greater statistical importance than other more commonly examined predisposing factors for pain interference, such as age, occupation, the severity and locations of pain, BMI, serum blood sugar, and blood pressure. The findings were discussed in the context of their benefit in informing community pain screening to target residential areas whose built environment contributed most to pain interference and informing the design of intervention programs to minimize pain interference among those who suffered from chronic pain and showed specific characteristics. The findings support the call for good architecture to provide the spirit and value of buildings in city development.

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Section: Discussionmentioning

confidence: 99%