The influence mechanism of community-built environment on the health of older adults: from the perspective of low-income groups

Zheng, Zhenhua; Liu, Wanting; Lu, Yingchen; Sun, Ning; Chu, Yusu; Chen, Hong

doi:10.1186/s12877-022-03278-y

Cited by 10 publications

(7 citation statements)

References 35 publications

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“…Other important upstream factors, such as structural health inequities that may interact with lifestyle and traditional risk factors, should also be considered in the context of physical activity and asymptomatic ICAS. 41…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Is Inversely Associated With Severe Intracranial Stenosis in Stroke-Free Participants of NOMAS

Yang

Liu

Willey

et al. 2023

Stroke

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Background: Although protective in secondary stroke prevention of intracranial arterial stenosis (ICAS), it is uncertain if the benefits of leisure time physical activity (LTPA) extend to asymptomatic ICAS or extracranial carotid stenosis (ECAS). Therefore, we sought to determine LTPA’s relationship with ECAS and ICAS in a stroke-free, race-ethnically diverse cohort. Methods: This cross-sectional study included participants from the magnetic resonance imaging substudy of the Northern Manhattan Study, of whom 1274 had LTPA assessments at enrollment. LTPA was represented continuously as metabolic equivalent score (MET-score) and ordinally as model-based cluster analysis (LTPA-cluster), both based on the same LTPA assessments. We evaluated ECAS sonographically using carotid intima-media thickening and number of carotid plaques. ICAS was assessed with time-of-flight magnetic resonance angiograph and defined as ≥50% or ≥70% stenosis. We applied regression analyses to evaluate the association between LTPA with ECAS and ICAS, adjusting for confounders. Results: Of 1274 included participants (mean age 71±9 years; 60% women; 65% Hispanic), the mean MET-score was 10±16 and 60% were in a LTPA-cluster with any activity. Among those with carotid ultrasound (n=1234), the mean carotid intima-media thickening was 0.97±0.09 mm, and 56% of participants had at least one carotid plaque identified. Among those with magnetic resonance angiograph (n=1211), 8% had ≥50% ICAS and 5% had ≥70% ICAS. For ICAS, MET-score was associated with ≥70% ICAS (adjusted odds ratio per unit increase in MET-score [95% CI, 0.97 [0.94–0.99]) but not with ECAS measures (carotid intima-media thickening, adjusted β-estimate per unit increase in MET-score [95% CI], 0.002 [−0.003 to 0.006] or number of plaques, adjusted β-estimate [95% CI], 0.0001 [−0.0001 to 0.0003]). Substituting MET-score with LTPA-clusters replicated the association between ≥70% ICAS and LTPA (adjusted odds ratio per each increased LTPA-cluster [95% CI], 0.83 [0.70–0.99]). Conclusions: In this diverse stroke-free population, we found LTPA most strongly associated with asymptomatic ≥70% ICAS. Given the high-risk nature of ≥70% ICAS, these findings may emphasize the role of LTPA in people at risk for ICAS.

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Section: Discussionmentioning

confidence: 99%

Physical Activity Is Inversely Associated With Severe Intracranial Stenosis in Stroke-Free Participants of NOMAS

Yang

Liu

Willey

et al. 2023

Stroke

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“…Similarly, there is also a signi cant mediating role of social capital in neighborhood environmental perception and depression (22). Besides this, the community-building environment demonstrates a positive impact on the health of elderly people through outdoor exercise (23).…”

Section: Literature Reviewmentioning

confidence: 99%

Neighborhood Effects on the Health of Elderly Persons: Evidence from China

xia,

Gong,

et al. 2023

Preprint

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Background Presently, global aging has become increasingly serious, whereas the health concerns brought by aging have become a public issue that warrants an urgent solution from all countries across the world. Therefore, this research paper discusses the influence of neighborhood health on elderly individuals' health, and extending a realistic basis for the other economies to improve the neighborhood environment and promote the health of the elderly. Methods Based on the data of CHARLS2018, this research paper adopts the samples that fulfill the study requirements (N = 7326). we constructed a comprehensive research framework integrating ordinary least square (OLS) regression, heterogeneity analysis, IV-2SLS, robustness testing, Furthermore, the KHB decomposition method is implemented to ascertain the influential mechanism of NMH and NPH on the mental- and physical health of elderly persons. Results The OLS regression analysis indicates that NMH 0.241 and NPH 0.294 exert positive influences on the elderly’s mental- and physical health. Meanwhile, the effects of IV-2SLS on NPH and NMH stand at 0.346 and 0.207, which are different from the OLS regression results; thereby, indicating the existence of endogeneity. Afterward, KHB mediating effect confirms that Internet use, gift reciprocity, and charity activity contribute 13.48% and 28.16% to physical- and mental health, respectively. Conclusions Firstly, the NPH and NMH demonstrate a positive influence on the physical and mental health of the elder population. However, there exist heterogeneous differences. Secondly, the IV-2SLS model deals with the endogeneity of NPH and NMH. Thirdly, social integration, social interaction, and social engagement serve as significant transmission mechanisms for the influences of NMH and NPH on the health of elderly persons.

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“…As older adults' physical capabilities diminish diferently, individual sociodemographic characteristics infuence their health status. We used gender (male and female), age (60-69, 70-79, and 80+), and residential status (living alone or not) as control variables [42].…”

Section: Variable Measurementmentioning

confidence: 99%

Understanding the Relationship between Neighbourhood Built Environment and Older Adults’ Health from the Perspective of Housing Differentiation

Qin,

Choi,

Dou

et al. 2024

Health & Social Care in the Community

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Studies have revealed an association between the built environment and the health of older adults. However, few studies distinguish between the objective and perceived built environments and explore their associations with older adults’ health, especially when considering housing differentiation. Drawing on a survey of 426 older adults in ten residential neighbourhoods in Dongfeng Township, Beijing, this study employed structural equation modelling and the Kruskal–Wallis test to analyse the relationship between the built environment of different housing types and older adults’ health. The findings revealed that the objective and perceived environments were significantly associated with older adults’ health, with physical activity and social interactions as mediating factors. The perceived built environment mediates the relationship between the objective built environment and older adults’ health. Moreover, it was observed that the relationship between the built environment and older adults’ health varied depending on housing type, which is a crucial reflection of spatial non-stationary in the relationship between health and environment. Therefore, the varying impacts of different housing types on older adults’ health should not be overlooked when developing planning and other policies for aging-friendly cities.

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The influence mechanism of community-built environment on the health of older adults: from the perspective of low-income groups

Cited by 10 publications

References 35 publications

Physical Activity Is Inversely Associated With Severe Intracranial Stenosis in Stroke-Free Participants of NOMAS

Physical Activity Is Inversely Associated With Severe Intracranial Stenosis in Stroke-Free Participants of NOMAS

Neighborhood Effects on the Health of Elderly Persons: Evidence from China

Understanding the Relationship between Neighbourhood Built Environment and Older Adults’ Health from the Perspective of Housing Differentiation

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