Measuring the Built Environment for Aging in Place: A Review of Neighborhood Audit Tools

Kan, Har Ye; Forsyth, Ann; Molinsky, Jennifer

doi:10.1177/0885412220903497

Cited by 26 publications

(21 citation statements)

References 71 publications

(72 reference statements)

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“…These theories see the home and neighborhood environment as potentially creating stresses for older people or on the other hand providing support-physical, social, and psychological. Similarly, residential normalcy emphasizes how for older people places can provide a comfort zone providing mastery, competence, and control (Golant 2011;Stafford 2017;also Wahl, Iwarsson and Oswald 2012;Kan et al 2020).…”

Section: Implications For Studying Loneliness From Theories Examining...mentioning

confidence: 99%

Planning, Aging, and Loneliness: Reviewing Evidence About Built Environment Effects

Lyu

Forsyth

2021

Journal of Planning Literature

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Large numbers of people in many countries report being lonely with rates highest among the very old. Does the built environment affect loneliness among older people and if so, how? Using a scoping review, we examined associations between loneliness and built environments at the block, neighborhood, and city scales. The (1) neighborhood environment has received most attention. Research has also examined (2) urban contexts, (3) housing, and (4) transportation access. Findings are mixed with the stronger evidence that local resources, walkability, overall environment quality, housing options, and nearby transportation alternatives can help combat loneliness.

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Section: Implications For Studying Loneliness From Theories Examining...mentioning

confidence: 99%

Planning, Aging, and Loneliness: Reviewing Evidence About Built Environment Effects

Lyu

Forsyth

2021

Journal of Planning Literature

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“…Parallel efforts have generated indicators using local data rather than the WHO AFC framework, including the Multidimensional Assessment System of the Built Environment (MASBE), which was refined using case studies in Mexico and Spain [ 34 ], and the Age-friendly Urban Index (AFUI) in Ireland, which used confirmatory factor analysis to identify three domains and calculate a single score [ 29 ]. In addition, numerous projects have narrowed in on specific aspects of age-friendliness, such as accessibility and protection from harmful exposures [ 35 ]. These include the Mobility Over Varied Environments Scale (MOVES) tool, developed using data from a population-based survey of older Canadians [ 36 ], and the Senior Walking Environmental Assessment Tool (SWEAT), which measures features related to physical activity [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Developing indicators of age-friendly neighbourhood environments for urban and rural communities across 20 low-, middle-, and high-income countries

et al. 2022

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Background By 2050, the global population of adults 60 + will reach 2.1 billion, surging fastest in low- and middle-income countries (LMIC). In response, the World Health Organization (WHO) has developed indicators of age-friendly urban environments, but these criteria have been challenging to apply in rural areas and LMIC. This study fills this gap by adapting the WHO indicators to such settings and assessing variation in their availability by community-level urbanness and country-level income. Methods We used data from the Prospective Urban and Rural Epidemiology (PURE) study’s environmental-assessment tools, which integrated systematic social observation and ecometrics to reliably capture community-level environmental features associated with cardiovascular-disease risk factors. The results of a scoping review guided selection of 18 individual indicators across six distinct domains, with data available for 496 communities in 20 countries, including 382 communities (77%) in LMIC. Finally, we used both factor analysis of mixed data (FAMD) and multitrait-multimethod (MTMM) approaches to describe relationships between indicators and domains, as well as detailing the extent to which these relationships held true within groups defined by urbanness and income. Results Together, the results of the FAMD and MTMM approaches indicated substantial variation in the relationship of individual indicators to each other and to broader domains, arguing against the development of an overall score and extending prior evidence demonstrating the need to adapt the WHO framework to the local context. Communities in high-income countries generally ranked higher across the set of indicators, but regular connections to neighbouring towns via bus (95%) and train access (76%) were most common in low-income countries. The greatest amount of variation by urbanness was seen in the number of streetscape-greenery elements (33 such elements in rural areas vs. 55 in urban), presence of traffic lights (18% vs. 67%), and home-internet availability (25% vs. 54%). Conclusions This study indicates the extent to which environmental supports for healthy ageing may be less readily available to older adults residing in rural areas and LMIC and augments calls to tailor WHO’s existing indicators to a broader range of communities in order to achieve a critical aspect of distributional equity in an ageing world.

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“…Many systems, policies, and design guidelines have been introduced and implemented in recent years, taking into account the activities of older people and difficulties in walking, movement related to sitting, and moving in and from wheelchairs. 6,7 In order to solve these social problems for the older adults, various types of devices capable of assisting the elderly in independent daily living are needed. In particular, indoor mobile devices by electric power play an important role for the movement of the elderly in home.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Comparison of Muscle Use Patterns of Young Adults and Older Adults in Floor and Bed Transfer Movements

Kim

et al. 2020

J. Mech. Med. Biol.

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In this study, lift chair was developed to reduce safety accidents in the daily lives of elderly people with reduced muscle strength as the importance of health and well-being of the elderly was emphasized by the increase in the elderly population. In addition, muscle strength characteristics of the elderly and those in their 20s were compared and analyzed when using lift chair. The lift chair used are chairs that can be raised and lowered and designed to reach the floor in full descent. The EMG was measured to compare the near-term use of lift chair to those in their 20s. As a result, the elderly had higher use of lower limb muscles compared to young participants. It was judged that the upper and lower extremities were difficult to move due to the characteristics of the elderly with reduced muscle strength, and that the upper and lower limbs were used simultaneously to complete the movement. The results showed the characteristics of everyday motion of the elderly for the development of lift chair and can help improve design, function, etc. in later development of lift chair.

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Measuring the Built Environment for Aging in Place: A Review of Neighborhood Audit Tools

Cited by 26 publications

References 71 publications

Planning, Aging, and Loneliness: Reviewing Evidence About Built Environment Effects

Planning, Aging, and Loneliness: Reviewing Evidence About Built Environment Effects

Developing indicators of age-friendly neighbourhood environments for urban and rural communities across 20 low-, middle-, and high-income countries

Biomechanical Comparison of Muscle Use Patterns of Young Adults and Older Adults in Floor and Bed Transfer Movements

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