Relationships between neighborhood attributes and subjective well-being among the Chinese elderly: Data from Shanghai

Gao, Junling; Weaver, Scott R.; Fu, Hua; Jia, Yingnan; Li, Jiang

doi:10.5582/bst.2017.01170

Cited by 22 publications

(17 citation statements)

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“…In addition, neighbourhood aesthetics and walking environment were correlated with obesity and body mass index (BMI) [13, 38]. Even more, a high aesthetic quality of the neighbourhood probably improves residents’ pleasant mood, and was related to a higher mental well-being [22, 39] and lower depressive symptoms [40]. The walkability of the neighbourhood refers to walkable roads, access to facilities and opportunities for activities, which are correlated with various types of physical activity [13, 23] and chronic diseases [41, 42].…”

Section: Discussionmentioning

confidence: 99%

“…Each item also was assessed using a five-point Likert scale, ranging from ‘strongly disagree’ (1) to ‘strongly agree’ (5). The other social characteristics of neighbourhood is social participation (SP), which was developed by Gao et al and was validated in Chinese populations [22, 23]. The scale is assessed by asking respondents how often in the past 12 months did you participate in the eight types of social activities (see Table 1).…”

Section: Methodsmentioning

confidence: 99%

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Associations between lifestyle, physical and social environments and frailty among Chinese older people: a multilevel analysis

Gao

2018

BMC Geriatr

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BackgroundFrailty represents a public health priority and an increasingly prevalent condition in the ageing population. It is seen as reflecting an interaction among individual factors and a range of environmental elements. This study aims to examine the association between frailty and individual factors, physical and social environments among Chinese older people.MethodsThe data were from the Shanghai Healthy City Survey in 2017, which sampled 2559 older people aged ≥60 years from 67 neighbourhoods. The FRAIL scale was used to assess frailty, and social and physical environments were assessed using validated and psychometrically tested instruments. Individual factors included age, gender, education, employment, marital status, smoking, drinking, physical exercise, organization participation, self-rated health and psychological well-being. A multilevel analysis was conducted to examine whether physical and social environments were associated with frailty.ResultsThe prevalence of pre-frailty and frailty were 39.5 and 16.9%, respectively. The prevalence of frailty increased with age from 14.6% (60–64 years) to 26.5% (≥75 years). After adjusting for age and/or gender, older age, women, and those with low education, alcohol dependence, physical inactivity, poor self-rated health, or psychological disorders had a higher prevalence of frailty. The multilevel analysis indicated that after controlling for individual covariates, compared to the 1st quartile of aesthetic quality, the odds ratio (OR) of frailty for the 4th quartile was 0.65 (0.47–0.89); compared to the 1st quartile of walking environment, the OR of frailty for the 4th quartile was 0.43 (0.19–0.95); compared to the 1st quartile of social cohesion, the OR of frailty for the 4th quartile was 0.73 (0.54–0.99); compared to the 1st quartile of social participation, the ORs of frailty for the 2nd, 3rd and 4th quartiles were 0.76 (0.59–0.97), 0.59 (0.45–0.77) and 0.59 (0.45–0.77), respectively.ConclusionsFrailty is a highly prevalent health condition among the aged population in China. Healthcare should focus on frail elderly who are older age, women, those with low education, and those with mental health problems. It may decrease frailty among Chinese older people to encourage social participation and healthy behaviours and to build aesthetic, walkable and cohesive neighbourhoods.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0982-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Associations between lifestyle, physical and social environments and frailty among Chinese older people: a multilevel analysis

Gao

2018

BMC Geriatr

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“…Within a disordered environment, many neighbors, especially older adults, may be reluctant to venture outside, reducing their ability to form ties and observe positive neighborhood interaction [37]. Additionally, the literature regarding life satisfaction and social environment among old people demonstrates that perceived social cohesion and social interaction are positively associated with life satisfaction [16, 38, 39].…”

Section: Discussionmentioning

confidence: 99%

“…They are demographic and socio-economic factors, lifestyle behavior, health status, social activities and connections. Regarding contextual-level factors, studies tend to be exclusively focused on the role of the social environment, such as social support and social interaction [5, 12–16].…”

Section: Introductionmentioning

confidence: 99%

A multilevel model of life satisfaction among old people: individual characteristics and neighborhood physical disorder

Vaz

Andrade

Proietti³

et al. 2019

BMC Public Health

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Background Considering the lack of studies that examine built environmental factors associated with life satisfaction among old people in developing countries, particularly those focused on Brazil, the aim of this study was to estimate the prevalence of life satisfaction among old adults residents in a Brazilian urban center and to investigate its association with individual characteristics and objective measures of the built environment. Methods A household survey ( N = 832) in Belo Horizonte, Minas Gerais, Brazil (2008–2009) and a Systematic Social Observation (SSO) was used in this study. Life satisfaction was assessed through Self-Anchoring Ladder Scale, developed by Cantril, in 1965. Participants’ answers were categorized as satisfied (rungs 6–10) and dissatisfied (rungs 0–5). A Multilevel Poisson regression analysis with robust variance was performed. Results The prevalence of satisfaction with life was approximately 82%. Higher prevalence of life satisfaction was significantly associated with old people who reported higher incomes, higher religious participation, who practice physical activity and who perceive their health as good and very good. In contextual level, results showed that when the contextual features were adjusted separately by the individual characteristics they were no longer significant. The results also showed a lower prevalence of life satisfaction among those living in neighborhoods with higher physical disorder, even after adjusting for individual and other contextual characteristics. Conclusions The present findings suggest that life satisfaction should be assessed whenever evaluating urban redevelopment programs designed to improve neighborhood characteristics, reducing physical disorder, especially among old adults.

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“…It has been established that frail older adults are more likely to have functional disability compared with non-frail older adults. A growing body of evidence suggest neighborhood conditions and characteristics (e.g., neighborhood social cohesion) affect older adults’ health and well-being such as physical frailty [ 16 , 17 , 18 , 19 ]. Merging studies also indicate that, despite similar initial health conditions, older adults can develop very different health outcomes due to the neighborhoods and living environments [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Independent and Combined Relationships of Perceived Neighborhood Social Cohesion and Physical Frailty on Functional Disability in Community-Dwelling Older Adults

Xie

Wang

2020

IJERPH

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Functional disability and physical frailty (PF) are debilitating geriatric conditions. Previous studies have suggested both perceived neighborhood social cohesion (PNSC) and PF can influence functional disability and may have an interactive effect too. This cross-sectional study aims to examine the independent and combined relationships of PF and PNSC on functional disability in community-dwelling older adults in Shanghai, China. A total of 1616 older adults aged 75 years were recruited using multistage sampling. Results showed that prefrailty, frailty (using the modified frailty phenotype criteria), and low PNSC (measured by the Neighborhood Cohesion Scale) were independently associated with increased likelihood of functional disability after adjustment of covariates. To evaluate the combined relationships of PF and PNSC, participants were classified into six groups based on their levels of PF and PNSC. The probability of frail older adults with low PNSC having functional disability stood out compared with the robust older adults with high PNSC. Our findings suggest the importance of high PNSC as a protective factor of maintaining functional ability. Future longitudinal studies are needed to identify the role of PNSC in the development of functional disability among frail older adults.

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Relationships between neighborhood attributes and subjective well-being among the Chinese elderly: Data from Shanghai

Cited by 22 publications

References 51 publications

Associations between lifestyle, physical and social environments and frailty among Chinese older people: a multilevel analysis

Associations between lifestyle, physical and social environments and frailty among Chinese older people: a multilevel analysis

A multilevel model of life satisfaction among old people: individual characteristics and neighborhood physical disorder

Independent and Combined Relationships of Perceived Neighborhood Social Cohesion and Physical Frailty on Functional Disability in Community-Dwelling Older Adults

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