Associations Among Neighborhood Characteristics, Mobility Limitation, and Social Participation in Late Life

Hand, Carri; Howrey, Bret

doi:10.1093/geronb/gbw215

Cited by 42 publications

(35 citation statements)

References 36 publications

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“…Mobility serves as an essential component of daily function and independent living, and impairment in mobility can increase risk for social withdrawal, and thus leads to depressive symptoms. 25 It is known that physical disability, including physical limitation in mobility, is the most commonly chronic condition related to arthritis. 26 It is possible that mobility disability operates as a psychological stressor due to disease-related loss of independence and self-care capabilities, and thus contributes to a lack of energy, motivation, effort and capability for social interactions, leading to depressive symptoms among people with arthritis.…”

Section: Discussionmentioning

confidence: 99%

A cross‐lagged model of depressive symptoms and mobility disability among middle‐aged and older Chinese adults with arthritis

Yang

Wang

et al. 2020

Geriatrics Gerontology Int

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Aim: To examine the reciprocal and longitudinal associations between depressive symptoms and mobility disability in middle-aged and older Chinese adults with arthritis. Methods: We used three waves of the China Health and Retirement Longitudinal Study. The analytic sample included 4682 community-dwelling adults aged ≥45 years with arthritis who completed the self-report measurement of depressive symptoms and mobility disability every 2 years over a 4-year study period. Analysis involved an autoregressive cross-lagged model. Results: The prevalence rates of comorbid depressive symptoms and mobility disability were 38.9%, 33.2% and 38.9%, respectively across three waves. There was a significant bidirectional and longitudinal relationship between depressive symptoms and mobility disability among middle-aged and older Chinese adults with arthritis. A higher level of depressive symptoms in previous waves was associated with a subsequent increase in mobility disability over time. A similar pattern was also shown in the opposite direction from mobility disability to depressive symptoms over time. Conclusions: This study demonstrates that depressive symptoms and mobility disability are reciprocally related in Chinese adults with arthritis over time. In addition, it highlights the importance of early interventions aimed at reversing the downward spiral of depressive symptoms and mobility disability to improve the health of Chinese adults with arthritis.

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Section: Discussionmentioning

confidence: 99%

A cross‐lagged model of depressive symptoms and mobility disability among middle‐aged and older Chinese adults with arthritis

Yang

Wang

et al. 2020

Geriatrics Gerontology Int

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“…This lack of associations may be explained by the fact that Hong Kong is generally characterised by a well-developed public transport system and high levels of density and access to retail/services, 35 which are known to promote a physically 49 and socially active lifestyle. 50 Also, 75% of the sample reported living with others. Hence, the proportion of participants potentially suffering from loneliness (a major contributor to depression) 51 due to social isolation stemming from living alone in a neighbourhood with limited opportunities for social contacts was relatively low.…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional associations of objectively assessed neighbourhood attributes with depressive symptoms in older adults of an ultra-dense urban environment: the Hong Kong ALECS study

et al. 2018

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ObjectivesThis study aimed to examine the associations between objectively assessed neighbourhood environmental attributes and depressive symptoms in Hong Kong Chinese older adults and the moderating effects of neighbourhood environmental attributes on the associations between living arrangements and depressive symptoms.DesignCross-sectional observational study.SettingHong Kong.Participants909 Hong Kong Chinese community dwellers aged 65+ years residing in preselected areas stratified by walkability and socioeconomic status.Exposure and outcome measuresAttributes of participants’ neighbourhood environment were objectively assessed using geographic information systems and environmental audits. Depressive symptoms were measured using the Geriatric Depression Scale.ResultsOverall, pedestrian infrastructure (OR=1.025; P=0.008), connectivity (OR=1.039; P=0.002) and prevalence of public transport stops (OR=1.056; P=0.012) were positively associated with the odds of reporting depressive symptoms. Older adults living alone were at higher risk of reporting any depressive symptoms than those living with others (OR=1.497; P=0.039). This association was moderated by neighbourhood crowdedness, perceptible pollution, access to destinations and presence of people. Residing in neighbourhoods with lower levels of these attributes was associated with increased deleterious effects of living alone. Living in neighbourhoods with lower public transport density also increased the deleterious effects of living alone on the number of depressive symptoms. Those living alone and residing in neighbourhoods with higher levels of connectivity tended to report more depressive symptoms than their counterparts.ConclusionsThe level of access to destinations and social networks across Hong Kong may be sufficiently high to reduce the risk of depressive symptoms in older adults. Yet, exposure to extreme levels of public transport density and associated traffic volumes may increase the risk of depressive symptoms. The provision of good access to a variety of destinations, public transport and public open spaces for socialising in the neighbourhood may help reduce the risk of depressive symptoms in older adults who live alone.

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“…In GLOBE, the scale score ranged from 6 to 30 and tertiles were defined as low (score=6-9), medium (score=10-12), and high (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). Scores were calculated for respondents with data on at least five items.…”

Section: Dependent Variable Lonelinessmentioning

confidence: 99%

Social and physical neighbourhood characteristics and loneliness among older adults: results from the MINDMAP project

Timmermans

Motoc

Noordzij

et al. 2020

J Epidemiol Community Health

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BackgroundLoneliness is associated with several adverse mental and physical health outcomes in older adults. Previous studies have shown that a variety of individual-level and perceived area-level characteristics are associated with loneliness. This study examined the associations of objectively measured social and physical neighbourhood characteristics with loneliness.MethodsWe used cross-sectional data from 1959 older adults (63–98 years) who participated in the Longitudinal Ageing Study Amsterdam (LASA; wave 2011/12) and the Health and Living Conditions of the Population of Eindhoven and Surroundings study (GLOBE; wave 2014) in the Netherlands. Study-specific loneliness scores were harmonised across both cohort studies and divided into tertiles denoting low, medium and high levels of loneliness. Objectively measured neighbourhood characteristics, including area-level percentages of low educated residents, social security beneficiaries and unoccupied dwellings, average income, crime levels and land use mix, were linked to individual-level data. Multinomial logistic regression analyses were conducted to examine the associations of interest.ResultsThere was no statistical evidence for an association of the included neighbourhood characteristics with loneliness. Although not statistically significant, the observed associations suggested that participants living in neighbourhoods with more heterogeneous land use mix were less likely to have a medium and high level of loneliness than those living in more homogeneous neighbourhoods in terms of land use mix (ORmedium=0.54, 95% CI=0.18–1.67; ORhigh=0.67, 95% CI=0.21–2.11).ConclusionThe results indicate that the included objectively measured social and physical neighbourhood characteristics are not associated with loneliness in old age.

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Associations Among Neighborhood Characteristics, Mobility Limitation, and Social Participation in Late Life

Abstract: Findings suggest that improving older adults' ability to participate in community life and age in place requires strategies that consider how neighborhood and individual characteristics interact and how these characteristics may differentially affect types of participation.

Cited by 42 publications

References 36 publications

A cross‐lagged model of depressive symptoms and mobility disability among middle‐aged and older Chinese adults with arthritis

A cross‐lagged model of depressive symptoms and mobility disability among middle‐aged and older Chinese adults with arthritis

Cross-sectional associations of objectively assessed neighbourhood attributes with depressive symptoms in older adults of an ultra-dense urban environment: the Hong Kong ALECS study

Social and physical neighbourhood characteristics and loneliness among older adults: results from the MINDMAP project

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