Perceived built environment, health-related quality of life and health care utilization

Cerletti, Paco; Eze, Ikenna C.; Keidel, Dirk; Schaffner, Emmanuel; Stolz, Daiana; Gasche-Soccal, Paola M; Rothe, Thomás; Imboden, Medea; Probst‐Hensch, Nicole

doi:10.1371/journal.pone.0251251

Cited by 14 publications

(11 citation statements)

References 42 publications

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“…Although this is a new finding, the National Recreation and Park Association previously conducted a survey on the perception and use of local recreation and park services among Americans and showed that even non-users of parks believed that having a local park, playground, or open space in their neighborhood was important to their personal and community wellbeing ( 48 ). In another study of Switzerland adults, higher satisfaction with the living environment and perception of access to green spaces were associated with higher health-related QoL ( 49 ).…”

Section: Discussionmentioning

confidence: 99%

The association of park use and park perception with quality of life using structural equation modeling

Kodali

Ferris

Wyka

et al. 2023

Front. Public Health

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IntroductionThe literature is limited on the impact of neighborhood parks on quality of life (QoL) and the mechanism linking them.MethodsIn this paper, we applied the structural equation model to data from a cross-sectional sample of 650 participants in low-income communities of New York City, we examined the associations of neighborhood park use vs. park perception and QoL, and whether these associations were mediated through self-reported perceived stress. We also examined whether park use mediated the relationship between park perception and QoL.ResultsWe found that park use had a significant but weak association with QoL (standardized β = 0.08, 95% confidence interval (CI): 0.02, 0.15, p = 0.02), but this relationship was not mediated by self-reported stress. Park perception was more strongly associated with QoL than park use (standardized β = 0.23, 95% CI: 0.16, 0.30, p < 0.01), and this was partly mediated by self-reported stress (indirect effect- standardized β = 0.08, 95% CI: 0.03, 0.13, p < 0.01) and, to a lesser extent, by park use (indirect effect- standardized β = 0.01, 95% CI: 0.00, 0.02, p = 0.01).DiscussionHaving well-perceived parks appears to be an important factor for QoL independent of park use, suggesting that quality parks may benefit everyone in a community beyond park users. This strengthens the argument in favor of increasing park investment as a strategy to improve population wellbeing.

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Section: Discussionmentioning

confidence: 99%

The association of park use and park perception with quality of life using structural equation modeling

Kodali

Ferris

Wyka

et al. 2023

Front. Public Health

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“…Outdoor mobility is a crucial subject that has the potential to stimulate or inhibit autonomy and hence to compel or avoid impairment [123]. Walkable green streets, access to public spaces, and park density may contribute to older adults' health and health-related QoL (HRQOL) [124][125][126]. Other factors that promote health among older people include increased perceived diversity, safety, aesthetics, accessibility of neighbourhood amenities, leisure, social interaction, and less reported noise [124,125,127,128].…”

Section: Fostering Good Healthmentioning

confidence: 99%

“…Walkable green streets, access to public spaces, and park density may contribute to older adults' health and health-related QoL (HRQOL) [124][125][126]. Other factors that promote health among older people include increased perceived diversity, safety, aesthetics, accessibility of neighbourhood amenities, leisure, social interaction, and less reported noise [124,125,127,128]. In addition, one study showed a solid correlation between lower depressive symptoms and the amount of urban greenery and commercial space within a 500 m buffer [129].…”

Section: Fostering Good Healthmentioning

confidence: 99%

Public Spaces for Older People: A Review of the Relationship between Public Space to Quality of Life

Younes,

Marques,

McIntosh

2024

Sustainability

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This paper investigates the relationship between public spaces and quality of life (QoL) for older adults, aiming to identify knowledge gaps within the context of population ageing and urbanisation. Recognising the growing importance of sustainable urban development, the research explores how cities can foster active ageing and improve QoL through accessible and inclusive public spaces. A scoping literature review identifies five key QoL domains for older adults: autonomy, meaningful activities, positive social relationships, leisure opportunities, and health. To identify knowledge gaps, a review of the literature was conducted for each of the highlighted themes. The review highlights areas requiring further investigation, including the interplay between environmental design and social connections, intergenerational perspectives on public space liveliness, the influence of context on QoL and the built environment, and the value of qualitative research in this field. By contributing to the understanding of QoL in relation to public spaces through the lens of person–environment fit theory, this study aims to inform urban design, landscape architecture, and policymaking in the creation of age-friendly communities with inclusive public spaces.

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“…Neighborhoods with functioning social organizations and desirable accessibility show high utilization of services for frail older adults with complex needs dwelling at home ( 33 ). In addition, the built environment, such as transportation and green spaces, affect local health care utilization and residents' health and wellbeing ( 34 ).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

A Path Analysis of the Effect of Neighborhood Built Environment on Public Health of Older Adults: A Hong Kong Study

Chen

Wang

Bao

et al. 2022

Front. Public Health

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IntroductionHealth deterioration among frail older adults is a public health concern. Among the multi-dimensional factors, the neighborhood built environment is crucial for one's health. Although the relationship between the built environment and health in the general population has been thoroughly investigated, it has been ignored in the case of frail older adults, who may have difficulties in their daily basic living skills. A path analysis is constructed to model the proposed theoretical framework involving the neighborhood built environment and health among frail older adults. This study thus aims to investigate the environmental influences on health, and to validate the theoretical framework proposed for health and social services.MethodsThis study used secondary data collected in Hong Kong. A sample of 969 older community dwellers aged 60 or above were frail with at least one activity of daily living. Demographic information, neighborhood built environment data, service utilization, and health conditions were collected from these participants and their caregivers. A path analysis was performed to examine the proposed theoretical framework.ResultsThe health condition was of general concern, including frailty and incapacities in daily activities in frail older adults. Besides psychosocial factors, service use, and caregivers' care quality, the built environment had a significant impact on the health of older adults as well. Specifically, more facilities offering services and groceries, a shorter distance to the nearest metro station, and more greenery exposure are associated with a better-expected health condition among frail older adults.DiscussionThe proposed theoretical framework successfully supplements past negligence on the relationship between the built environment and the health of frail older adults. The findings further imply that policymakers should promote the usability of transit and greenery in neighborhoods and communities. In addition, service utilization should be improved to meet the basic needs of frail older adults in the communities.

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Perceived built environment, health-related quality of life and health care utilization

Cited by 14 publications

References 42 publications

The association of park use and park perception with quality of life using structural equation modeling

The association of park use and park perception with quality of life using structural equation modeling

Public Spaces for Older People: A Review of the Relationship between Public Space to Quality of Life

A Path Analysis of the Effect of Neighborhood Built Environment on Public Health of Older Adults: A Hong Kong Study

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