期刊
JOURNAL OF PUBLIC HEALTH
卷 44, 期 1, 页码 138-147出版社
OXFORD UNIV PRESS
DOI: 10.1093/pubmed/fdaa217
关键词
environment; older people
资金
- National Heart, Lung, and Blood Institute of the National Institutes of Health [R01 HL077141, T32 HL007034]
- Robert Wood Johnson Foundation [7334]
- National Cancer Institute of the National Institutes of Health [5R01CA211048, P20CA217199]
- Nutrilite Health Institute Wellness Fund by Amway [101518]
- Discovery Innovation Fund Grant in Basic Biomedical Sciences from Stanford University
- US Public Health Service [1U54EB020405, 1U54MD010724]
This study used latent profile analysis to assess the impact of the built environment on social cohesion and quality of life among seniors. The results showed that seniors who perceived their neighborhoods to be suitable for walking and recreational activities had higher social cohesion and quality of life.
Background Healthy aging requires support from local built and social environments. Using latent profile analysis, this study captured the multidimensionality of the built environment and examined relations between objective and perceived built environment profiles, neighborhood social cohesion and quality of life among seniors. Methods In total, 693 participants aged 66-97 were sampled from two US locales in 2005-2008 as part of the Senior Neighborhood Quality of Life Study (SNQLS). Perceived social cohesion and quality of life were assessed using validated surveys. Six objective (geographic information system (GIS)-based) and seven perceived built environment latent profiles generated in previous SNQLS publications were used for analyses. Mixed-effects models estimated social cohesion and quality of life separately as a function of the built environment profiles. Results More walkable and destination-rich perceived built environment profiles were associated with higher social cohesion and quality of life. Objective built environment profiles were not associated with social cohesion and only positively associated with quality of life in only one locale (Baltimore/DC). Conclusions Latent profile analysis offered a comprehensive approach to assessing the built environment. Seniors who perceived their neighborhoods to be highly walkable and recreationally dense experienced higher neighborhood social cohesion and quality of life, which may set the stage for healthier aging.
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