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Wu J, Li C, Zhu L, Liu X, Peng B, Wang T, Yuan S, Zhang Y. Nonlinear and threshold effects of built environment on older adults' walking duration: do age and retirement status matter? Front Public Health 2024; 12:1418733. [PMID: 39005992 PMCID: PMC11239551 DOI: 10.3389/fpubh.2024.1418733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Accepted: 06/17/2024] [Indexed: 07/16/2024] Open
Abstract
Introduction Walking plays a crucial role in promoting physical activity among older adults. Understanding how the built environment influences older adults' walking behavior is vital for promoting physical activity and healthy aging. Among voluminous literature investigating the environmental correlates of walking behaviors of older adults, few have focused on walking duration across different age groups and life stages, let alone examined the potential nonlinearities and thresholds of the built environment. Methods This study employs travel diary from Zhongshan, China and the gradient boosting decision trees (GBDT) approach to disentangle the age and retirement status differences in the nonlinear and threshold effects of the built environment on older adults' walking duration. Results The results showed built environment attributes collectively contribute 57.37% for predicting older adults' walking duration, with a higher predicting power for the old-old (70+ years) or the retired. The most influencing built environment attribute for the young-old (60-70 years) is bus stop density, whereas the relative importance of population density, bus stop density, and accessibility to green space or commercial facilities is close for the old-old. The retired tend to walk longer in denser-populated neighborhoods with better bus service, but the non-retired are more active in walking in mixed-developed environments with accessible commercial facilities. The thresholds of bus stop density to encourage walking among the young-old is 7.8 counts/km2, comparing to 6 counts/km2 among the old-old. Regarding the green space accessibility, the effective range for the non-retired (4 to 30%) is smaller than that of the retired (12 to 45%). Discussion Overall, the findings provide nuanced and diverse interventions for creating walking-friendly neighborhoods to promote walking across different sub-groups of older adults.
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Affiliation(s)
- Jiani Wu
- State Key Laboratory of Ocean Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Chaoyang Li
- State Key Laboratory of Ocean Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Li Zhu
- JSTI Group, Nanjing, China
| | - Xiaofei Liu
- Key Laboratory of Advanced Public Transportation Science, China Academy of Transportation Sciences, Ministry of Transport, Beijing, China
| | - Bozhezi Peng
- State Key Laboratory of Ocean Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Tao Wang
- State Key Laboratory of Ocean Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Shengqiang Yuan
- Shanghai Municipal Engineering Design Institute (Group) Co., Ltd., Shanghai, China
| | - Yi Zhang
- State Key Laboratory of Ocean Engineering, Shanghai Jiao Tong University, Shanghai, China
- Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China
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2
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Wang GM, Teng MY, Yu WJ, Ren H, Cui XS. Life-space mobility among community-dwelling older persons: A scoping review. Geriatr Nurs 2023; 54:108-117. [PMID: 37722235 DOI: 10.1016/j.gerinurse.2023.08.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/24/2023] [Accepted: 08/24/2023] [Indexed: 09/20/2023]
Abstract
To describe and analyze the current research status of life-space mobility of the older persons in community. The literature in PubMed, Web of Science, Cochrane Library, Embase, EBSCOhost, Scopus, OpenGrey, SinoMed, CNKI, WanFang, and VIP databases was computer searched, and the time frame was build to May 23, 2023. A total of 42 literatures were included, including 35 in English and 7 in Chinese, 30 of which were cross-sectional studies. Theoretical models related to spatial mobility included the "concentric circles" model and the "cone" model. 33 literatures reported the prevalence or level of spatial mobility limitations, and 9 assessment instruments were used, The influencing factors can be divided into four categories. 9 literatures reported on the adverse effects, and 9 literatures reported on the prevention and intervention. The limitation of life-space mobility is a common and under-recognized phenomenon among the older persons in the community,with serious adverse effects, complex and diverse influencing factors.
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Affiliation(s)
- Gui-Meng Wang
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China
| | - Meng-Yuan Teng
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China
| | - Wen-Jing Yu
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China
| | - Hui Ren
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China
| | - Xiang-Shu Cui
- School of Nursing, Yanbian University, 977 Park Rood, Yanji City, 133000 Yanbian Prefecture, Jilin Province, China.
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Lee CC, Huang RY, Wu YL, Yeh WC, Chang HC. The Impact of Living Arrangements and Social Capital on the Well-Being of the Elderly. Healthcare (Basel) 2023; 11:2050. [PMID: 37510491 PMCID: PMC10379188 DOI: 10.3390/healthcare11142050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 07/03/2023] [Accepted: 07/12/2023] [Indexed: 07/30/2023] Open
Abstract
This study examines the impact of living arrangements and social capital on the subjective well-being of the elderly, as well as the mutual effects and relationships between the well-being and self-rated health status of the elderly. A total of 369 questionnaires were administered, and the effective recovery rate was 98.10%. The results indicate three key findings: (1) the current location for aging in place, social support, social activities, house ownership, and self-rated health status are indispensable factors affecting the well-being of the elderly. The best location for aging in place was the community, where the elderly's sense of well-being was highest-the next best options were aging at home and institutional care. (2) Elderly people with sole ownership of their homes were more likely to have higher levels of well-being than those owning jointly or who were tenants. (3) There was significant interaction between subjective well-being and self-rated health status.
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Affiliation(s)
- Chun-Chang Lee
- Department of Real Estate Management, National Pingtung University, Pingtung City 912301, Taiwan
| | - Ruo-Yu Huang
- Department of Real Estate Management, National Pingtung University, Pingtung City 912301, Taiwan
| | - Yun-Ling Wu
- Department of Real Estate Management, National Pingtung University, Pingtung City 912301, Taiwan
| | - Wen-Chih Yeh
- Department of Real Estate Management, HungKuo Delin University of Technology, New Taipei City 236354, Taiwan
| | - Hung-Chung Chang
- Department of Business Administration, Chihlee University of Technology, New Taipei City 220305, Taiwan
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4
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Herrmann-Lunecke MG, Figueroa-Martínez C, Olivares Espinoza B. Making Chile More Pedestrian-Friendly for Older Persons: Expert Perspectives. J Aging Soc Policy 2023; 35:486-508. [PMID: 37011133 DOI: 10.1080/08959420.2023.2196908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
Walking provides numerous benefits to older persons, but its practice is hindered by social factors and the built environment. This article aims to understand the factors that encourage or discourage older people's walking behaviors, as well as the policies influencing those factors in Chile. It does so by reporting the analysis of twenty-five semi-structured interviews with Chilean policymakers and local leaders. The experts consistently represented walking as a beneficial activity for older persons that, nonetheless, occurs in adverse built environments. They asserted that the absence of older people in the public discussion and a top-down policy-making structure hamper its promotion.
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Affiliation(s)
| | - C Figueroa-Martínez
- Centro de Desarrollo Urbano Sustentable (CEDEUS), Pontificia Universidad Católica de Chile. Santiago, Chile
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Cortés S, Leiva C, Ojeda MJ, Bustamante-Ara N, Wambaa W, Dominguez A, Pasten Salvo C, Rodriguez Peralta C, Rojas Arenas B, Vargas Mesa D, Ahumada-Padilla E. Air Pollution and Cardiorespiratory Changes in Older Adults Living in a Polluted Area in Central Chile. ENVIRONMENTAL HEALTH INSIGHTS 2022; 16:11786302221107136. [PMID: 35782316 PMCID: PMC9243574 DOI: 10.1177/11786302221107136] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Accepted: 05/12/2022] [Indexed: 06/15/2023]
Abstract
One recognized cause of cardiorespiratory diseases is air pollution. Older adults (OA) are one of the most vulnerable groups that suffer from its adverse effects. The objective of the study was to analyze the association between exposure to air pollution and changes in cardiorespiratory variables in OA. Observational prospective cohort study. Health questionnaires, blood pressure (BP) measurements, lung functions, respiratory symptoms, physical activity levels, and physical fitness in high and low exposure to air pollution were all methods used in evaluating OAs in communes with high contamination rates. Linear and logistic models were created to adjust for variables of interest. A total of 92 OA participated in this study. 73.9% of the subjects were women with 72.3 ± 5.6 years. 46.7% were obese, while 12.1% consumed tobacco. The most prevalent diseases found were hypertension, diabetes, and cardiovascular disease. Adjusted linear models maintained an increase for systolic BP of 6.77 mmHg (95% CI: 1.04-12.51), and diastolic of 3.51 mmHg (95% CI: 0.72-6.29), during the period of high exposure to air pollution. The adjusted logistic regression model indicated that, during the period of high exposure to air pollution increase the respiratory symptoms 4 times more (OR: 4.43, 95% CI: 2.07-10.04) in the OA. The results are consistent with an adverse effect on cardiorespiratory variables in periods of high exposure to air pollution in the OA population.
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Affiliation(s)
- Sandra Cortés
- Department of Public Health, Pontificia
Universidad Católica de Chile, Santiago, Chile
- Advanced Center for Chronic Diseases
(ACCDIS), Pontificia Universidad Católica de Chile, Santiago, Chile
- Center for Sustainable Urban
Development (CEDEUS), Pontificia Universidad Católica de Chile, Santiago,
Chile
| | - Cinthya Leiva
- Department of Public Health, Pontificia
Universidad Católica de Chile, Santiago, Chile
- Center for Sustainable Urban
Development (CEDEUS), Pontificia Universidad Católica de Chile, Santiago,
Chile
| | - María José Ojeda
- Department of Public Health, Pontificia
Universidad Católica de Chile, Santiago, Chile
| | | | | | - Alan Dominguez
- Department of Public Health, Pontificia
Universidad Católica de Chile, Santiago, Chile
- Department of Experimental and Health
Sciences, Pompeu Fabra University, Barcelona, España
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Spatial Pattern of the Walkability Index, Walk Score and Walk Score Modification for Elderly. ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2022. [DOI: 10.3390/ijgi11050279] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Contemporary cities require excellent walking conditions to support human physical activity, increase humans’ well-being, reduce traffic, and create a healthy urban environment. Various indicators and metrics exist to evaluate walking conditions. To evaluate the spatial pattern of objective-based indicators, two popular indices were selected—the Walkability Index (WAI), representing environmental-based indicators, and Walk Score (WS), which applies an accessibility-based approach. Both indicators were evaluated using adequate spatial units (circle buffers with radii from 400 m to 2414 m) in two Czech cities. A new software tool was developed for the calculation of WS using OSM data and freely available network services. The new variant of WS was specifically designed for the elderly. Differing gait speeds, and variable settings of targets and their weights enabled the adaptation of WS to local conditions and personal needs. WAI and WS demonstrated different spatial pattern where WAI is better used for smaller radii (up to approx. 800 m) and WS for larger radii (starting from 800 m). The assessment of WS for both cities indicates that approx. 40% of inhabitants live in unsatisfactory walking conditions. A sensitivity analysis discovered the major influences of gait speed and the β coefficient on the walkability assessment.
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Toder Alon A, Bareket-Bojmel L, Shuv-Ami A. The Relationship between Perception of Care, Sense of Security, and Subjective Psychological Well-Being among Older Adults Living in Sheltered Housing vs. Independent Housing in Israel. JOURNAL OF AGING AND ENVIRONMENT 2021. [DOI: 10.1080/26892618.2021.2019867] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Anat Toder Alon
- School of Business Administration, Peres Academic Center, Rehovot, Israel
| | | | - Avichai Shuv-Ami
- The School of Business Administration, The College of Management, Rishon LeZion, Israel
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8
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Shaer A, Haghshenas H. The impacts of COVID-19 on older adults' active transportation mode usage in Isfahan, Iran. JOURNAL OF TRANSPORT & HEALTH 2021; 23:101244. [PMID: 36569333 PMCID: PMC9765224 DOI: 10.1016/j.jth.2021.101244] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 08/24/2021] [Accepted: 08/24/2021] [Indexed: 05/12/2023]
Abstract
Aims Since active mobility is essential for older adults' health and well-being, especially in crises, this study aims to investigate and compare factors affecting active mode choice of older adults (AMCOA) in the pre- and post-COVID-19 outbreak and evaluate changes in their active mobility behavior and no research has been conducted this subject. Methodology The sample study of this cross-sectional study includes individuals over 60 years old residing in Isfahan, Iran. For interviews based on a structured questionnaire, which was drafted based on reviewing the literature, 453 participants were randomly selected in 15 municipality districts of Isfahan. A binary logistic regression model was used to analyze the data. Result and Discussion The results indicate that in the post-outbreak the average walking duration per week decreased from 59 to 29 min; while, the share of this mode has increased from 40% to 65%. Also, the share of bicycles and the average cycling duration per week increased from 9% to 18% and from 9 to 15 min, respectively. Moreover, trip frequency, bicycle ownership, quality of walking and cycling routes, intersections safety, neighborhood security and greenery, traffic calming, CBD accommodation, and public transportation accessibility have positive effects on AMCOA; while, trip distance and vehicle ownership affect negatively. The results reveal that older adults have turned to the bicycle for most of their long trips during the pandemic because it is not subjected to traffic restrictions. Besides, the findings show that increasing bicycle ownership and improving bike-sharing infrastructure make the bicycle a resilient alternative when public transportation and private vehicles are not efficient. Conclusion Policymakers and urban planners should consider that an elderly-friendly neighborhood with mixed, dense, and accessible land uses and services, as well as safe and secure routes can increase older adults' active mobility in the crises. Aims Since active mobility is essential for older adults' health and well-being, especially in crises, this study aims to investigate and compare factors affecting active mode choice of older adults (AMCOA) before and during the first wave of COVID-19 outbreak and evaluate changes in their active mobility behavior and no research has been conducted this subject.
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Affiliation(s)
- Amin Shaer
- Department of Transportation Engineering, Isfahan University of Technology, Iran
| | - Hossein Haghshenas
- Department of Transportation Engineering, Isfahan University of Technology, Iran
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Shaer A, Haghshenas H. Evaluating the effects of the COVID-19 outbreak on the older adults' travel mode choices. TRANSPORT POLICY 2021; 112:162-172. [PMID: 34511750 PMCID: PMC8423136 DOI: 10.1016/j.tranpol.2021.08.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 08/18/2021] [Accepted: 08/23/2021] [Indexed: 05/27/2023]
Abstract
BACKGROUND AND AIMS To increase the older adults' mobility during the COVID-19 outbreak, providing appropriate conditions for using different transportation modes and organizing transportation facilities for the older adults are essential. Hence, this study aims to evaluate and compare factors affecting the older adults' travel mode choice to investigate transportation policies for increasing their independent mobility in the post-outbreak that has not been addressed in previous research. METHODOLOGY The population of this cross-sectional study consisted of Isfahan citizens aged 60 years and over. For interviews based on a structured questionnaire, 453 participants were randomly selected in 15 municipality districts of Isfahan. Multinomial logistic models were used to analyze the data. FINDINGS The results show that despite the decrease in the average frequency of travels per week, the increase in the share of walking and cycling modes, making shopping and recreational travels on foot, and cycling can indicate the resilience of walking and cycling in critical situations. The results also reveal that active modes have effective roles in the older adults' mobility in the post-outbreak because they are not subject to traffic restrictions like private vehicles and social constraints and crowd avoidance like public transportation. DISCUSSION AND CONCLUSION Policies such as the proper location of facilities, increasing density and mixing of land uses, landscaping, traffic reduction, increasing ownership of bicycle and tricycle (to eliminate the problems of falling in getting on and off the bicycles), driving training courses for the safe driving, and intersections safety improvement are essential to maintain the older adults' mobility after the outbreak. With more capacity and low occupancy, the public transportation system, high-quality accessibility, and safe routes will also attract the older adults' travels in the crisis.
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Affiliation(s)
- Amin Shaer
- Department of Transportation Engineering, Isfahan University of Technology, Isfahan, Iran
| | - Hossein Haghshenas
- Department of Transportation Engineering, Isfahan University of Technology, Isfahan, Iran
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Carbone E, Meneghetti C, Borella E. Supporting route learning in older adults: the role of imagery strategy. Aging Ment Health 2021; 25:1564-1571. [PMID: 32067468 DOI: 10.1080/13607863.2020.1727844] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVES Route learning is an everyday spatial ability important to individuals' independent living, and is known to decline with age. This study aimed to investigate the benefit of using an imagery strategy to support route learning in young and older adults. METHODS Forty young adults and 40 older adults learned a path from a video. Twenty of each age group were taught to use an imagery strategy (strategy groups [SGs]), while the others received no specific instructions (control groups [CGs]). Then participants were asked to recall the order and location of landmarks they had seen along the path (landmark ordering and locating tasks). RESULTS Young adults recalled the order and location of landmarks better than older adults, and the SGs outperformed the CGs regardless of age. The Age group x Learning group interaction was only significant for the landmark locating task, with the young CG performing better than the older CG, while the older SG proved as good at recalling landmark locations as the young SG. Further, it was only among the older adults that the SG outperformed the CG. CONCLUSION These findings newly suggest that using imagery helps to sustain older adults' route learning ability, especially in spatial recall tasks demanding the active manipulation of spatial information learnt, such as locating landmarks previously encountered while navigating a path. These results are discussed within the aging and spatial cognition frameworks.
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Affiliation(s)
- Elena Carbone
- Department of General Psychology, University of Padova, Padova, Italy
| | - Chiara Meneghetti
- Department of General Psychology, University of Padova, Padova, Italy
| | - Erika Borella
- Department of General Psychology, University of Padova, Padova, Italy
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Safety perceptions of older adults on an urban greenway: Interplay of the social and built environment. Health Place 2021; 70:102605. [PMID: 34134051 DOI: 10.1016/j.healthplace.2021.102605] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Revised: 05/21/2021] [Accepted: 06/07/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND Creating neighbourhood places for older adults to be socially and physically active is a global health priority. Safety is integral to older adult mobility. In greenway research, perceived safety is often only partially or superficially explored. Our study comprehensively examines older adults' experiences and perceived safety for walking on a new urban greenway in Vancouver, Canada-the Arbutus Greenway. METHODS We integrated mixed methods: i) observational count data to describe the use and context of the greenway over 3 years (2017; 2018; 2019), and; ii) semi-structured interviews with older adults at two time points (2017, n = 27; 2019, n = 16). RESULTS and discussion: We conducted thematic analysis to illuminate older adults' experiences across three safety domains: personal safety, traffic safety, and security. Built environment features such as benches, paving, road markings, and natural foliage buffers intersected with elements of the social environment to influence older adults' perceived safety. While the greenway supported active transportation, leisure, and social engagement for many older adults, certain factors also provoked fears, especially for older adults with mobility limitations. We advocate for a multidimensional lens to better understand how urban interventions influence perceived safety, and identify practical solutions to encourage mobility for all ages and abilities.
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Lehning AJ, Mattocks N, Smith RJ, Kim K, Cheon JH. Neighborhood Age Composition and Self-Rated Health: Findings from a Nationally Representative Study. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2021; 64:257-273. [PMID: 33375913 DOI: 10.1080/01634372.2020.1866731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 12/16/2020] [Accepted: 12/16/2020] [Indexed: 06/12/2023]
Abstract
Neighborhood age composition is an understudied area. Furthermore, existing empirical and conceptual work is conflicting, with some scholarship-indicating neighborhoods with older adults are beneficial and other scholarship suggesting it can be detrimental. Combining data from 7,197 older adults from the first wave (2011) of the National Health & Aging Trends Study and census tract data from the National Neighborhood Change Database, the purposes of our study were to: 1) identify the characteristics of neighborhoods experiencing different types of changes in age composition, and 2) examine the association between neighborhood age composition and self-rated health. Findings indicate that neighborhoods experiencing Concentration (where the number of older adults are declining but their percentage of the total population are increasing), the majority of which are in urban areas, have less aggregate economic resources, more indicators of neighborhood disorder, and less access to services and supports. Regression models also suggest older adults living in Concentration neighborhoods reported lower self-rated health compared to those living in the other three neighborhood types. Findings point to the importance of considering neighborhood age composition when targeting interventions and resources, and the potential consequences of being stuck in place in a neighborhood that does not meet elders' needs.
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Affiliation(s)
- Amanda J Lehning
- University of Maryland School of Social Work, Baltimore, MD, USA
| | - Nicole Mattocks
- University of Maryland School of Social Work, Baltimore, MD, USA
| | - Richard J Smith
- University of Maryland School of Social Work, Baltimore, MD, USA
| | - Kyeongmo Kim
- Virginia Commonwealth University School of Social Work, Richmond, VA, USA
| | - Ji Hyang Cheon
- University of Maryland School of Social Work, Baltimore, MD, USA
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Hargrove TW, García C, Cagney KA. The Role of Neighborhoods in Shaping the Aging Experience During Times of Crisis. ACTA ACUST UNITED AC 2021; 31:38-43. [PMID: 33462555 DOI: 10.1093/ppar/praa041] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2020] [Indexed: 11/14/2022]
Affiliation(s)
- Taylor W Hargrove
- Department of Sociology, University of North Carolina at Chapel Hill, USA.,Carolina Population Center, University of North Carolina at Chapel Hill, USA
| | | | - Kathleen A Cagney
- Department of Sociology, The University of Chicago, Illinois, USA.,Population Research Center, The University of Chicago, Illinois, USA
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14
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Park SY. Intergenerational Differences in Age-friendly Environments and Health Outcomes: Social Support as a Mediator. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2021. [DOI: 10.1080/15350770.2021.1868240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Lak A, Rashidghalam P, Amiri SN, Myint PK, Baradaran HR. An ecological approach to the development of an active aging measurement in urban areas (AAMU). BMC Public Health 2021; 21:4. [PMID: 33388040 PMCID: PMC7778809 DOI: 10.1186/s12889-020-10036-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 12/09/2020] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND An essential element in the process of "aging well" is the concept of Active Aging (AA). To propose an operational definition of Active Aging, the present study seeks to develop a new measurement tool through an ecological approach. The aim is to recognize significant indicators that play a role in assessing AA in urban areas. METHODS This study was conducted through a two-phase process of consensus-building: 1) identifying a set of indicators that were likely candidates for inclusion based on literature review, and 2) a two-round modified Delphi survey using an international panel of academic experts in environmental sciences and gerontology to achieve consensus on the importance of the extracted indicators and validate the items. The panelists were asked to complete a researcher-developed questionnaire with an 11-point Likert scale based on the indicators derived in phase 1. Finally, the Delphi survey's valid indicators and criteria were utilized to develop the measurement tool. RESULTS At the outset, a list of 111 indicators of AA was prepared through the desk study. A panel of 22 experts reviewed the extracted items and arrived at a consensus on 99 items in the first round and finalised in the second round. Thematic analysis of the panelists' open-ended responses revealed new concepts that would be explicitly considered by the consensus group. This developed measurement scale consists of five domains, i.e., individual, spatial, socio-economic, governance, and health-related, which contain 15 criteria and 99 indicators. CONCLUSIONS The present researchers have developed the active aging measure for urban settlements (AAMU), which can be used both by policy-makers and as an informal self-reported statement among the elderly. AAM's results in the elderly's residential environmental communities can improve policy-making to address urban design to sustain an active, healthy life among older people in urban environments.
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Affiliation(s)
- Azadeh Lak
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113 Iran
| | - Parichehr Rashidghalam
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113 Iran
| | - S. Nouroddin Amiri
- Faculty of Architecture and Urban Planning, Khalij-e- Fars University, Bushehr, Iran
| | - Phyo K. Myint
- Ageing Clinical & Experimental Research Team, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - Hamid R. Baradaran
- Ageing Clinical & Experimental Research Team, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
- Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
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Black K, Jester DJ. Examining Older Adults' Perspectives on the Built Environment and Correlates of Healthy Aging in an American Age-Friendly Community. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197056. [PMID: 32992480 PMCID: PMC7578930 DOI: 10.3390/ijerph17197056] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 09/23/2020] [Accepted: 09/24/2020] [Indexed: 11/16/2022]
Abstract
Population aging has led to an increased focus on the environmental context in which we age. While researchers have identified significant health benefits associated with built community features such as housing, transportation and outdoor spaces and buildings, less attention has focused on the correlates of healthy aging and other characteristics via the perspective of community-dwelling older adults. This study utilized cluster analysis to examine health-related subgroups of older adults (n = 598) in an age-friendly community located in the United States, of which nearly half of its residents are age 60 and older. Linear regression was used to associate the health clusters with perceptions of built environmental features and socio-demographics. Four distinct profiles were identified, with the greatest preference for housing and transportation found among those reporting poorer health compared to those reporting excellent health across multi-dimensional healthy aging measures. Perceptions on the importance of built environmental features were also found to vary by age, income and home accessibility status. Findings suggest that older adults’ perceptions about built environmental features differ across health and home status as well as age and income, underscoring opportunities for public health action to better reach and engage older adults by life-course trajectories in age-friendly communities.
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Affiliation(s)
- Kathy Black
- School of Aging Studies, College of Behavioral and Community Sciences, Sarasota-Manatee Campus, University of South Florida, Sarasota, FL 34243, USA
- Correspondence:
| | - Dylan J. Jester
- School of Aging Studies, University of South Florida, Tampa, FL 33620, USA;
- College of Public Health, University of South Florida, Tampa, FL 33620, USA
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17
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Abstract
AbstractThe number of older people (aged 65+) will more than double by 2050 in Sweden. The ageing population is an increasing concern due to rising health-care costs and a shortage of health professionals. Older people generally prefer ageing in place, as long as they feel confident and comfortable. However, preventive and supportive measures are needed to maintain older people's independence and active participation in society. The aim of this study is to explore the prerequisites for a healthy and independent life among older people in Sweden. A Delphi study was conducted in three rounds. In round 1, seven focus group interviews were performed with older persons aged 65–79, older persons aged ⩾80, next of kin of older persons, health professionals in primary and home health care, assistant nurses in home care, care managers and local politicians. The data were analysed using thematic analysis, resulting in 35 statements of the prerequisites needed for a healthy and independent life. These statements were sent to the participants from round 1, who were asked to evaluate the degree to which they agreed with each statement in round 2, and again in round 3. There was an agreement of at least 80 per cent for 31 of the 35 statements. When asked to identify the three prerequisites of most importance for a healthy and independent life, most participants stated: to have a social life, to have freedom of choice and power over one's own situation, and to have the possibility to choose independently one's type of housing. There was an overall high group agreement on the prerequisites needed for a healthy and independent life among older people. The main areas of importance were to have a social life, several dimensions of feeling safe and to retain one's personal control.
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Cederbom S, Bjerk M, Bergland A. A qualitative study exploring physical therapists' views on the Otago Exercise Programme for fall prevention: a stepping stone to "age in place" and to give faith in the future. Physiother Theory Pract 2020; 38:132-140. [PMID: 32090667 DOI: 10.1080/09593985.2020.1731895] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Background: One of the most effective interventions to prevent falls is exercise. A commonly used program that prevents falls is the Otago Exercise Programme (OEP). Despite this, user-based knowledge of its applicability in real-world settings for older adults who are dependent on formal care in their homes is lacking. Purposes: To explore how physical therapists (PTs) experience the applicability of the OEP in clinical practice for home-dwelling older adults who are dependent on formal home care and to determine their beliefs regarding the benefits of the OEP for living longer at home. Methods: Semi-structured interviews were conducted with 17 physical therapists. Data were analyzed using qualitative thematic analysis. Results: The OEP was described by PTs to be applicable in clinical practice. Their experience was that the OEP seemed to be meaningful and to have a strong relationship with everyday activities. The OEP improved physical function, mood, self-efficacy, and participation in social activities in older adults, as well as provided faith in the future. Conclusion: The OEP is suitable for use in a primary care setting, and according to the perceptions of physical therapists, the OEP contributes to older adults' capability to live longer at home.
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Affiliation(s)
- Sara Cederbom
- Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - Maria Bjerk
- Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - Astrid Bergland
- Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway
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19
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Lak A, Rashidghalam P, Myint PK, Bradaran HR. Comprehensive 5P framework for active aging using the ecological approach: an iterative systematic review. BMC Public Health 2020; 20:33. [PMID: 31918693 PMCID: PMC6953274 DOI: 10.1186/s12889-019-8136-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 12/30/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND "Active aging" is an inclusive term and has been defined from a variety of aspects in different domains throughout the literature. The aim of this review was to identify those aspects that play significant roles in building this concept using an ecological approach. METHODS In this study, seven online databases, including JSTOR, Pub-Med, Web of Science, Google Scholar, ProQuest, EBSCO, and Scopus, were searched from 2002 to 2018 for both qualitative and quantitative articles published in English. Two reviewers independently found the related articles using the search terms "active aging" and "built environment" and included both "ageing" and "aging". RESULTS Of 1500 records which passed the screening stage, 92 were eligible for inclusion in the review. A total of 15 subthemes were derived: (1) personal characteristics, (2) behavioral attitude, (3) land use, (4) access, (5) physical form, (6) cityscape/city image, (7) public open spaces, (8) housing, (9) social environment, (10) cultural Environment, (11) economic environment, (12) good governance, (13) physical health, (14) mental health, and (15) social health. Ecological themes of active aging can be defined as the 5P model: person, processes, place, prime, and policymaking. CONCLUSIONS The results of this study can shed light on different aspects of active aging. Also, the results emphasized the significance of the multidimensional nature of active aging, micro (person), meso (process), and macro systems (place and policymaking), based on health (prime) environments. Moreover, the results were based on the relationships between the person and the environment at the individual, interpersonal, and environmental levels, which can be used to conduct future studies and develop policies on aging populations.
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Affiliation(s)
- Azadeh Lak
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113 Iran
| | - Parichehr Rashidghalam
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113 Iran
| | - Phyo K. Myint
- Ageing Clinical & Experimental Research Team, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - Hamid R. Bradaran
- Ageing Clinical & Experimental Research Team, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
- Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
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20
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Reinhard E, Carrino L, Courtin E, van Lenthe FJ, Avendano M. Public Transportation Use and Cognitive Function in Older Age: A Quasiexperimental Evaluation of the Free Bus Pass Policy in the United Kingdom. Am J Epidemiol 2019; 188:1774-1783. [PMID: 31251811 DOI: 10.1093/aje/kwz149] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 06/10/2019] [Accepted: 06/12/2019] [Indexed: 12/29/2022] Open
Abstract
In this quasiexperimental study, we examined whether the introduction of an age-friendly transportation policy-free bus passes for older adults-increased public transport use and in turn affected cognitive function among older people in England. Data came from 7 waves (2002-2014) of the English Longitudinal Study of Ageing (n = 17,953), which measured total cognitive function, memory, executive function, and processing speed before and after the bus pass was introduced in 2006. The analytical strategy was an instrumental-variable approach with fixed effects, which made use of the age-eligibility criteria for free bus passes and addressed bias due to reverse causality, measurement error, and time-invariant confounding. Eligibility for the bus pass was associated with a 7% increase in public transport use. The increase in public transportation use was associated with a 0.346 (95% confidence interval: 0.017, 0.674) increase in the total cognitive function z score and with a 0.546 (95% confidence interval: 0.111, 0.982) increase in memory z score. Free bus passes were associated with an increase in public transport use and, in turn, benefits to cognitive function in older age. Public transport use might promote cognitive health through encouraging intellectually, socially, and physically active lifestyles. Transport policies could serve as public health tools to promote cognitive health in aging populations.
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Affiliation(s)
- Erica Reinhard
- Department of Global Health and Social Medicine, School of Global Affairs, King’s College London, London, United Kingdom
- Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands
| | - Ludovico Carrino
- Department of Global Health and Social Medicine, School of Global Affairs, King’s College London, London, United Kingdom
- Department of Economics, Ca’ Foscari University of Venice, Venice, Italy
| | - Emilie Courtin
- Center for Population and Development Studies, Harvard University, Cambridge, Massachusetts
| | - Frank J van Lenthe
- Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Utrecht, Netherlands
| | - Mauricio Avendano
- Department of Global Health and Social Medicine, School of Global Affairs, King’s College London, London, United Kingdom
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
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21
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Vitorino LM, Low G, Lucchetti G. Is the Physical Environment Associated with Spiritual and Religious Coping in Older Age? Evidence from Brazil. JOURNAL OF RELIGION AND HEALTH 2019; 58:1648-1660. [PMID: 30927202 DOI: 10.1007/s10943-019-00796-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In this cross-sectional Brazilian survey, we examined associations between aspects of physical environment (PE) and spiritual/religious coping (SRC) behaviors. Our studied sample was 77 nursing homes (NH) and 326 community-dwelling residents (CDRs). Aspects of the PE were measured using the environmental domain of the WHOQOL-BREF. SRC was assessed using the BRIEF SRC scale. The PE was significantly associated with positive SRC alone and differed between the two studied samples. "Feeling safe in daily life" and "having access to health services" were positively associated with positive SRC behaviors in NH residents. "Having access to information" and "adequate transport" were significant among CDRs. Positive SRC behaviors are influenced by PE and should be considered in geriatric and gerontology care.
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Affiliation(s)
- Luciano Magalhães Vitorino
- Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
- Faculty of Medicine of Itajubá, Av. Rennó Júnior, N° 368, São Vicente, Itajubá, Minas Gerais, 37502-138, Brazil.
| | - Gail Low
- Faculty of Nursing, 4rd Floor Edmonton Clinical Health Academy, University of Alberta, Edmonton, AB, T6G 1C9, Canada
| | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Luz Interior Street, N° 150, apt 601, Estrela Sul, Juiz de Fora, 36030-776, Brazil
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22
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Association between Recent Falls and Changes in Outdoor Environments near Community-Dwelling Older Adults' Homes over Time: Findings from the NHATS Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16183230. [PMID: 31487783 PMCID: PMC6766072 DOI: 10.3390/ijerph16183230] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 08/27/2019] [Accepted: 09/01/2019] [Indexed: 11/25/2022]
Abstract
Neighborhood environments have been increasingly associated with incidents of falling and the fear of falling. However, little is known about the causal impact of neighborhood environments on falling. This study identifies whether changes in outdoor environmental attributes over a one-year period are associated with the occurrence of recent falls among community-dwelling older adults aged 65 and older in the United States. Data were obtained from 4802 adults aged 65 years or older from the National Health and Aging Trends Study (NHATS). Logistic regression analyses were performed to identify neighborhood risk factors linked to the odds of experiencing recent falls at the one-year follow-up. Almost one in ten subjects (9.7% of 4802 subjects) who had not fallen before reported experiencing recent falls after one year. After adjusting for sociodemographic, health, and walking-related behavioral covariates, these subjects were more likely to reside in areas with higher environmental barriers on sidewalks/streets and uneven walking surfaces or broken steps, compared to non-fallers. Our findings suggest that safe and well-maintained outdoor environments may help prevent falls among community-dwelling older adults who engage in outdoor activities. Clinical and environmental interventions for promoting both safe walking and safe environments are warranted.
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23
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Cederbom S, Nortvedt L, Lillekroken D. The perceptions of older adults living with chronic musculoskeletal pain about participating in an intervention based on a behavioral medicine approach to physical therapy. Physiother Theory Pract 2019; 36:1118-1129. [PMID: 30727810 DOI: 10.1080/09593985.2019.1572846] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Background: There is evidence that interventions based on a behavioral medicine approach to physical therapy (BMPI) are beneficial for older adults living with chronic pain; however, knowledge of the perceptions of older people regarding their participation in BMPI is lacking. Aim: The aim of this study was to describe the perceptions of older people about being participants in a home-based BMPI. Methods: Semi-structured interviews were conducted with 12 older adults living with chronic pain and participating in a BMPI. Data were analyzed using qualitative content analysis. Results: The respondents highlighted the importance of the home-based and individualized nature of the intervention. They perceived the support from the physical therapist (PT) as significant for their motivation and goal attainment. The benefits of the intervention were described in physical, psychological, social, and functional terms and as enabling participants to live at home for longer. Conclusion: The results show that participation in a BMPI was perceived as a positive and meaningful experience. Support from a PT is crucial to encouraging behavioral changes. Finally, participation in a BMPI may contribute to the ability of participants to "age in place" for longer.
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Affiliation(s)
- Sara Cederbom
- Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University , Oslo, Norway
| | - Line Nortvedt
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University , Oslo, Norway
| | - Daniela Lillekroken
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University , Oslo, Norway
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24
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Starnes HA, McDonough MH, Wilson JS, Mroczek DK, Laden F, Troped PJ. Factorial Invariance of the Abbreviated Neighborhood Environment Walkability Scale among Senior Women in the Nurses' Health Study Cohort. MEASUREMENT IN PHYSICAL EDUCATION AND EXERCISE SCIENCE 2018; 23:135-147. [PMID: 31631957 PMCID: PMC6800228 DOI: 10.1080/1091367x.2018.1554577] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The purpose of this study was to examine the factorial invariance of the Abbreviated Neighborhood Environment Walkability Scale (NEWS-A) across subgroups based on demographic, health-related, behavioral, and environmental characteristics among Nurses' Health Study participants (N = 2,919; age M = 73.0, SD = 6.9 years) living in California, Massachusetts, and Pennsylvania. A series of multi-group confirmatory factor analyses were conducted to evaluate increasingly restrictive hypotheses of factorial invariance. Factorial invariance was supported across age, walking limitations, and neighborhood walking. Only partial scalar invariance was supported across state residence and neighborhood population density. This evidence provides support for using the NEWS-A with older women of different ages, who have different degrees of walking limitations, and who engage in different amounts of neighborhood walking. Partial scalar invariance suggests that researchers should be cautious when using the NEWS-A to compare older adults living in different states and neighborhoods with different levels of population density.
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Affiliation(s)
- Heather A Starnes
- California Polytechnic State University, Department of Kinesiology, 1 Grand Ave, San Luis Obispo, CA 93401,
| | - Meghan H McDonough
- Purdue University, Department of Health and Kinesiology, 800 Stadium Ave, West Lafayette, IN 47907,
| | - Jeffrey S Wilson
- Indiana University - Purdue University, Indianapolis, Department of Geography, 420 University Blvd, Indianapolis, IN 46202,
| | - Daniel K Mroczek
- Northwestern University, Department of Medical Social Sciences and Department of Psychology, 633 Clark St, Evanston, IL 60208,
| | - Francine Laden
- Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115 and Brigham and Women's Hospital Channing Laboratory, 181 Longwood Dr, Boston, MA 02115,
| | - Philip J Troped
- University of Massachusetts Boston, Department of Exercise and Health Sciences, 100 Morrissey Boulevard Boston, MA 02125,
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25
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Abstract
Mobility is a key aspect of active ageing enabling participation and autonomy into later life. Remaining active brings multiple physical but also social benefits leading to higher levels of well-being. With globally increasing levels of urbanisation alongside demographic shifts meaning in many parts of the world this urban population will be older people, the challenge is how cities should evolve to enable so-called active ageing. This paper reports on a co-design study with 117 participants investigating the interaction of existing urban spaces and infrastructure on mobility and well-being for older residents (aged 55 + years) in three cities. A mixed method approach was trialled to identify locations beneficial to subjective well-being and participant-led solutions to urban mobility challenges. Spatial analysis was used to identify key underlying factors in locations and infrastructure that promoted or compromised mobility and well-being for participants. Co-designed solutions were assessed for acceptability or co-benefits amongst a wider cross-section of urban residents (n = 233) using online and face-to-face surveys in each conurbation. Our analysis identified three critical intersecting and interacting thematic problems for urban mobility amongst older people: The quality of physical infrastructure; issues around the delivery, governance and quality of urban systems and services; and the attitudes and behaviors of individuals that older people encounter. This identified complexity reinforces the need for policy responses that may not necessarily involve design or retrofit measures, but instead might challenge perceptions and behaviors of use and access to urban space. Our co-design results further highlight that solutions need to move beyond the generic and placeless, instead embedding specific locally relevant solutions in inherently geographical spaces, populations and processes to ensure they relate to the intricacies of place.
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26
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Morales E, Lindsay S, Edwards G, Howell L, Vincent C, Yantzi N, Gauthier V. Addressing challenges for youths with mobility devices in winter conditions. Disabil Rehabil 2016; 40:21-27. [DOI: 10.1080/09638288.2016.1239768] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Ernesto Morales
- Department of Rehabilitation, Faculty of Medicine, Université Laval, Québec, QC, Canada
- Centre interdisciplinaire en réadaptation et intégration sociale (CIRRIS), Quebec, QC, Canada
| | - Sally Lindsay
- Holland Bloorview Kids Rehabilitation Hospital, Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
| | - Geoffrey Edwards
- Centre interdisciplinaire en réadaptation et intégration sociale (CIRRIS), Quebec, QC, Canada
- Holland Bloorview Kids Rehabilitation Hospital, Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
- Department of Geomatics, Faculty of Forestry, Geography and Geomatics, Université Laval, Québec City, QC, Canada
| | - Lori Howell
- Holland Bloorview Kids Rehabilitation Hospital, Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
| | - Claude Vincent
- Department of Rehabilitation, Faculty of Medicine, Université Laval, Québec, QC, Canada
- Centre interdisciplinaire en réadaptation et intégration sociale (CIRRIS), Quebec, QC, Canada
| | - Nicole Yantzi
- School of the Environment, Laurentian University, Sudbury, ON, Canada
| | - Véronique Gauthier
- Centre interdisciplinaire en réadaptation et intégration sociale (CIRRIS), Quebec, QC, Canada
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27
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Ottoni CA, Sims-Gould J, Winters M, Heijnen M, McKay HA. “Benches become like porches”: Built and social environment influences on older adults’ experiences of mobility and well-being. Soc Sci Med 2016; 169:33-41. [DOI: 10.1016/j.socscimed.2016.08.044] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2016] [Revised: 07/21/2016] [Accepted: 08/27/2016] [Indexed: 10/21/2022]
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28
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Tournier I, Dommes A, Cavallo V. Review of safety and mobility issues among older pedestrians. ACCIDENT; ANALYSIS AND PREVENTION 2016; 91:24-35. [PMID: 26950033 DOI: 10.1016/j.aap.2016.02.031] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Revised: 02/09/2016] [Accepted: 02/29/2016] [Indexed: 06/05/2023]
Abstract
Although old people make up an extremely vulnerable road-user group, older pedestrians' difficulties have been studied less extensively than those of older drivers, and more knowledge of this issue is still required. The present paper reviews current knowledge of older-adult problems with the main components of pedestrian activity, i.e., walking and obstacle negotiation, wayfinding, and road crossing. Compared to younger ones, old pedestrians exhibit declining walking skills, with a walking speed decrease, less stable balance, less efficient wayfinding strategies, and a greater number of unsafe road crossing behaviors. These difficulties are linked to age-related changes in sensorial, cognitive, physical, and self-perception abilities. It is now known that visual impairment, physical frailty, and attention deficits have a major negative impact on older pedestrians' safety and mobility, whereas the roles of self-evaluation and self-regulation are still poorly understood. All these elements must be taken into consideration, not only in developing effective safety interventions targeting older pedestrians, but also in designing roads and cars. Recent initiatives are presented here and some recommendations are proposed.
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Affiliation(s)
- Isabelle Tournier
- INSIDE, University of Luxembourg, 11 porte des sciences, L-4366 Esch-sur-Alzette, Luxembourg; LEPSIS, IFSTTAR, 25 allée des Marronniers, F-78000 Versailles, France.
| | - Aurélie Dommes
- LEPSIS, IFSTTAR, 25 allée des Marronniers, F-78000 Versailles, France
| | - Viola Cavallo
- LEPSIS, IFSTTAR, 25 allée des Marronniers, F-78000 Versailles, France
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29
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Kestens Y, Chaix B, Gerber P, Desprès M, Gauvin L, Klein O, Klein S, Köppen B, Lord S, Naud A, Payette H, Richard L, Rondier P, Shareck M, Sueur C, Thierry B, Vallée J, Wasfi R. Understanding the role of contrasting urban contexts in healthy aging: an international cohort study using wearable sensor devices (the CURHA study protocol). BMC Geriatr 2016; 16:96. [PMID: 27151297 PMCID: PMC4858908 DOI: 10.1186/s12877-016-0273-7] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Accepted: 04/29/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Given the challenges of aging populations, calls have been issued for more sustainable urban re-development and implementation of local solutions to address global environmental and healthy aging issues. However, few studies have considered older adults' daily mobility to better understand how local built and social environments may contribute to healthy aging. Meanwhile, wearable sensors and interactive map-based applications offer novel means for gathering information on people's mobility, levels of physical activity, or social network structure. Combining such data with classical questionnaires on well-being, physical activity, perceived environments and qualitative assessment of experience of places opens new opportunities to assess the complex interplay between individuals and environments. In line with current gaps and novel analytical capabilities, this research proposes an international research agenda to collect and analyse detailed data on daily mobility, social networks and health outcomes among older adults using interactive web-based questionnaires and wearable sensors. METHODS/DESIGN Our study resorts to a battery of innovative data collection methods including use of a novel multisensor device for collection of location and physical activity, interactive map-based questionnaires on regular destinations and social networks, and qualitative assessment of experience of places. This rich data will allow advanced quantitative and qualitative analyses in the aim to disentangle the complex people-environment interactions linking urban local contexts to healthy aging, with a focus on active living, social networks and participation, and well-being. DISCUSSION This project will generate evidence about what characteristics of urban environments relate to active mobility, social participation, and well-being, three important dimensions of healthy aging. It also sets the basis for an international research agenda on built environment and healthy aging based on a shared and comprehensive data collection protocol.
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Affiliation(s)
- Yan Kestens
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada. .,École de Santé Publique de l'Université de Montréal (ESPUM), 7101, rue du Parc, Montréal, QC, H3N 1X9, Canada.
| | - Basile Chaix
- Inserm, UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Faculté de médecine Saint-Antoine, 27 rue Chaligny, cedex 12, Paris, 75571, France
| | - Philippe Gerber
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg
| | - Michel Desprès
- École d'urbanisme et d'architecture de paysage, Université de Montréal, 2940, chemin de la Côte-Sainte-Catherine, Montréal, QC, H3C 3 J7, Canada
| | - Lise Gauvin
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada.,École de Santé Publique de l'Université de Montréal (ESPUM), 7101, rue du Parc, Montréal, QC, H3N 1X9, Canada
| | - Olivier Klein
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg
| | - Sylvain Klein
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg
| | - Bernhard Köppen
- Luxembourg Institute of Socio-Economic Research, 11, Porte des Sciences, Esch-sur-Alzette, L-4366, Luxembourg
| | - Sébastien Lord
- École d'urbanisme et d'architecture de paysage, Université de Montréal, 2940, chemin de la Côte-Sainte-Catherine, Montréal, QC, H3C 3 J7, Canada
| | - Alexandre Naud
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada.,École de Santé Publique de l'Université de Montréal (ESPUM), 7101, rue du Parc, Montréal, QC, H3N 1X9, Canada
| | - Hélène Payette
- Canada Research Center on Aging, CIUSSS de l'Estrie-CHUS, Faculty of Medicine & Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada
| | - Lucie Richard
- Faculty of Nursing, Université de Montréal, Montreal, QC, H3C 3 J7, Canada
| | - Pierre Rondier
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada
| | | | - Cédric Sueur
- UMR Géographie-Cités, 13 rue du Four, Paris, 75006, France
| | - Benoit Thierry
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada
| | - Julie Vallée
- Département d'Ecologie, Physiologie et Ethologie; Institut Pluridisciplinaire Hubert Curien, 23, rue Becquerel, Strasbourg, 67087, France
| | - Rania Wasfi
- Montreal University Research Center (CRCHUM), 850, rue St-Denis, Montréal, QC, H2X 0A9, Canada.,École de Santé Publique de l'Université de Montréal (ESPUM), 7101, rue du Parc, Montréal, QC, H3N 1X9, Canada
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Chaudhury H, Campo M, Michael Y, Mahmood A. Neighbourhood environment and physical activity in older adults. Soc Sci Med 2016; 149:104-13. [PMID: 26708246 PMCID: PMC10339378 DOI: 10.1016/j.socscimed.2015.12.011] [Citation(s) in RCA: 98] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2014] [Revised: 12/01/2015] [Accepted: 12/08/2015] [Indexed: 11/30/2022]
Abstract
RATIONALE The neighbourhood socio-physical environment has effects on health in later life including health behaviours, chronic illnesses, mental health and mortality. Few studies have examined the relationship of both physical environmental features and social aspects of neighbourhood with older adults' physical activity. OBJECTIVE This study examined the relationship of neighbourhood physical and social environment with physical activity among older adults. METHODS A cross-sectional telephone survey was conducted with 434 older adults in eight neighbourhoods in greater Vancouver, Canada and Portland, United States. Data included participants' perceptions of their neighbourhood built and social environment factors and levels of physical activity. A logistic regression analysis was conducted to understand the relationship between these factors. RESULTS Participants engaged in physical activity most frequently at home (87.1%) or in close proximity of home (76.5%). Neighbourhood walkability, presence of amenities and accessibility were not significantly associated with meeting physical activity requirements. Participation in a recreational program with friends was associated with increased likelihood of physical activity. CONCLUSION The home and its immediate physical environmental context has potentially important relevance in supporting physical activity in older adults. Also, neighbourhood social aspects have a positive influence on activity levels.
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Affiliation(s)
- Habib Chaudhury
- Department of Gerontology, Simon Fraser University, 2800-515 W. Hastings St. Vancouver, V6B 5K3, Canada.
| | - Michael Campo
- Department of Gerontology, Simon Fraser University, 2800-515 W. Hastings St. Vancouver, V6B 5K3, Canada
| | - Yvonne Michael
- Drexel University Dornsife School of Public Health, Nesbitt Hall, 3215 Market St., Philadelphia, PA, 19104, USA
| | - Atiya Mahmood
- Department of Gerontology, Simon Fraser University, 2800-515 W. Hastings St. Vancouver, V6B 5K3, Canada
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Mazuz K. Elderly care between global and local services: the use of somatic care practices. BMJ Case Rep 2015; 2015:bcr-2015-211055. [PMID: 26604226 DOI: 10.1136/bcr-2015-211055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Israel's population is ageing alongside the worldwide ageing population. As the population ages and the number of older people who are 'ageing in place' increases, the system of elderly care will face new opportunities and challenges in responding to non-institutional services for elderly care. There is an increasing demand for foreign caregivers despite differences in language and cultural background. This case report describes the global care services provided in Israel by caregivers from the Philippines to emphasis the cultural and social components of elderly care. The following case analyses the use of somatic care practices as culturally intuitive sensitivity practices adjustable to the local culture, especially since the caregiver from the Philippines and her Israeli patient do not share a common language or cultural background.
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Affiliation(s)
- Keren Mazuz
- Hadassah Academic College, Jerusalem, Israel
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Home Help Service Staffs’ Descriptions of Their Role in Promoting Everyday Activities Among Older People in Sweden Who Are Dependent on Formal Care. J Appl Gerontol 2015. [DOI: 10.1177/0733464815595511] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The study aimed to explore how home help service staff described their role in improving the abilities of older people, in particular, older women with chronic pain who are dependent on formal care, to perform everyday activities. Three focus group interviews were conducted, and a qualitative inductive thematic content analysis was used. The analysis resulted in one theme: struggling to improve the care recipients’ opportunities for independence but being inhibited by complex environmental factors. By encouraging the care recipients to perform everyday activities, the staff perceived themselves to both maintain and improve their care recipients’ independence and quality of life. An important goal for society and health care professionals is to improve older people’s abilities to “age in place” and to enable them to age independently while maintaining their quality of life. A key resource is home help service staff, and this resource should be utilized in the best possible way.
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Byles JE, Leigh L, Vo K, Forder P, Curryer C. Life space and mental health: a study of older community-dwelling persons in Australia. Aging Ment Health 2015; 19:98-106. [PMID: 24903196 DOI: 10.1080/13607863.2014.917607] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVES The ability of older people to mobilise within and outside their community is dependent on a number of factors. This study explored the relationship between spatial mobility and psychological health among older adults living in Australia. METHODS The survey sample consisted of 260 community-dwelling men and women aged 75-80 years, who returned a postal survey measuring spatial mobility (using the Life Space Questionnaire) and psychological health (using the SF36 Health Related Quality of Life Profile). From the Life Space Questionnaire, participants were given a life-space score and multinomial regression was used to explore the potential effect of mental health on life-space score. RESULTS The study found a significant association between mental health and life space. However, gender, physical functioning, and ability to drive were most strongly associated with the extent of life space and spatial mobility. Compared to men, older women are more likely to experience less spatial mobility and restricted life space, and hence are more vulnerable to social isolation. CONCLUSION Mental health and life space were associated for the older people in this study. These findings have important implications for health policy and highlight the need to support older persons to maintain independence and social networks, and to successfully age in place within their community. This study also highlights the utility of the Life Space Questionnaire in terms of identifying older persons at risk of poorer mental health.
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Affiliation(s)
- Julie E Byles
- a Research Centre for Gender, Health and Ageing , Faculty of Health and Medicine , The University of Newcastle , Callaghan , Australia
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Anderson LA, Slonim A, Yen IH, Jones DL, Allen P, Hunter RH, Goins RT, Leith KH, Rosenberg D, Satariano WA, McPhillips-Tangum C. Developing a framework and priorities to promote mobility among older adults. HEALTH EDUCATION & BEHAVIOR 2015; 41:10S-8S. [PMID: 25274706 DOI: 10.1177/1090198114537492] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Mobility, broadly defined as movement in all of its forms from ambulation to transportation, is critical to supporting optimal aging. This article describes two projects to develop a framework and a set of priority actions designed to promote mobility among community-dwelling older adults. Project 1 involved a concept-mapping process to solicit and organize action items into domains from a broad group of stakeholders to create the framework. Concept mapping uses qualitative group processes with multivariate statistical analysis to represent the ideas visually through maps. A snowball technique was used to identify stakeholders (n = 211). A 12-member steering committee developed a focus prompt, "One specific action that can lead to positive change in mobility for older adults in the United States is..." Project 2 included a Delphi technique (n = 43) with three iterations to prioritize four to six items using results from the concept mapping rating process. Project 1 resulted in 102 items across nine domains (Research to Practice, Independence and Engagement, Built Environment and Safety, Transportation, Policy, Housing and Accessibility, Community Supports, Training, and Coordinated Action). The number of items ranged from 6 to 18 per domain. Project 2 resulted in agreement on four items that reflect the importance of promoting environmental strategies through collaborative initiatives aimed at planning and best practices focusing on environmental enhancements or transit, training of professionals, and integration of mobility into state and local public health plans. These findings can be applied to support coordinated, multidisciplinary research and practice to promote mobility among older adults.
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Affiliation(s)
| | | | - Irene H Yen
- University of California, San Francisco, CA, USA
| | | | - Peg Allen
- Washington University in St. Louis, St. Louis, MO, USA
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Winters M, Voss C, Ashe MC, Gutteridge K, McKay H, Sims-Gould J. Where do they go and how do they get there? Older adults' travel behaviour in a highly walkable environment. Soc Sci Med 2015; 133:304-12. [DOI: 10.1016/j.socscimed.2014.07.006] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2014] [Revised: 05/20/2014] [Accepted: 07/03/2014] [Indexed: 10/25/2022]
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Gallagher NA, Clarke PJ, Gretebeck KA. Gender differences in neighborhood walking in older adults. J Aging Health 2015; 26:1280-300. [PMID: 25502242 DOI: 10.1177/0898264314532686] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE This study examined mobility, self-efficacy, outcome expectations, neighborhood (density, destinations, and design), and neighborhood walking in older men (n = 106, 60-99 years, M = 76.78, SD = 8.12) and women (n = 216, 60-99 years, M = 75.81, SD = 8.46). METHOD/RESULTS In hierarchical regression, the variables explained 32% of the variance in neighborhood walking in men (p < .001) and 27% of the variance in women (p < .01). Self-efficacy (β = .49, p < .01), density (β= .22, p < .05), and design (β= .21, p = .05) were associated with walking in men. Significant design characteristics included sidewalks (β= .25, p < .05) and crime (β= .36, p < .01). In women, self-efficacy (β= .48, p < .001) and destinations (β= .15, p < .05) were associated with walking. Walking was associated with self-efficacy for walking despite individual barriers in women (β= .38, p < .001) and neighborhood barriers in men (β= .30, p < .05). CONCLUSION Walking interventions targeting older women should incorporate local destinations. In older men, interventions should consider neighborhood sidewalk design and crime. Walking interventions for all older adults should include enhancement of self-efficacy, but gender differences may exist in the types of self-efficacy on which to focus.
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Yen IH, Fandel Flood J, Thompson H, Anderson LA, Wong G. How design of places promotes or inhibits mobility of older adults: realist synthesis of 20 years of research. J Aging Health 2014; 26:1340-72. [PMID: 24788714 PMCID: PMC4535337 DOI: 10.1177/0898264314527610] [Citation(s) in RCA: 65] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The objective of this study was to determine the environmental features that best support aging in place. METHOD We conducted a realist synthesis, a theory-driven interpretive method of evidence synthesis, of 120+ articles (published 1991-2011) that attempts to explain how place may influence older adults' decisions about mobility (e.g., physical activity). We developed an initial program theory, reviewed the literature, identified outcomes, analyzed and synthesized patterns, and created a final program theory. RESULTS Safety was a central mechanism, serving as one of the bridges between environmental components (e.g., connectivity, aesthetics, retail and services) and decisions about mobility. Population density, sidewalk presence, and park proximity did not emerge as key factors. DISCUSSION Safety considerations are one of the most prominent influences of older adults' decisions about mobility. Street connectivity, pedestrian access and transit, and retail and services were also important. These factors are amenable to change and can help promote mobility for older adults.
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Affiliation(s)
- Irene H Yen
- University of California, San Francisco, USA
| | | | | | - Lynda A Anderson
- Centers for Disease Control and Prevention, Atlanta, GA, USA Rollins School of Public Health, Atlanta, GA, USA
| | - Geoff Wong
- Barts and the London School of Medicine and Dentistry, London, UK
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Lovasi GS, Goldsmith J. Invited commentary: Taking advantage of time-varying neighborhood environments. Am J Epidemiol 2014; 180:462-6. [PMID: 25117659 DOI: 10.1093/aje/kwu170] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Neighborhood built environment characteristics may encourage physical activity, but previous literature on the topic has been critiqued for its reliance on cross-sectional data. In this issue of the Journal, Knuiman et al. (Am J Epidemiol. 2014;180(5):453-461) present longitudinal analyses of built environment characteristics as predictors of neighborhood transportation walking. We take this opportunity to comment on self-selection, exposure measurement, outcome form, analyses, and future directions. The Residential Environments (RESIDE) Study follows individuals as they relocate into new housing. The outcome, which is neighborhood transportation walking, has several important limitations with regards to public health relevance, dichotomization, and potential bias. Three estimation strategies were pursued: marginal modeling, random-effects modeling, and fixed-effects modeling. Knuiman et al. defend fixed-effects modeling as the one that most effectively controls for unmeasured time-invariant confounders, and it will do so as long as confounders have a constant effect over time. Fixed-effects modeling requires no distributional assumptions regarding the heterogeneity of subject-specific effects. Associations of time-varying neighborhood characteristics with walking are interpreted at the subject level for both fixed- and random-effects models. Cross-sectional data have set the stage for the next generation of neighborhood research, which should leverage longitudinal changes in both place and health behaviors. Careful interpretation is warranted as longitudinal data become available for analysis.
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Abstract
Barriers to aging in place include physical mobility and transportation limitations, isolation related loneliness and depression, diminishing health status, housing quality, finances, and caregiving resources. The scope of the aging demographic shift, economic consequences and loss of quality of life urge adoption of such successful approaches as the life course model. Desirable aging in place provides person-centered quality of living that is independence-effective and affordable. Systematic community-centered and person-centered approaches are crucial to accomplishing the central actions of the life course model. Not only are the actions necessary, they are interactive, interdependent, and strategic in supporting one another.
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Affiliation(s)
- Lazelle E Benefield
- Donald W. Reynolds Center of Geriatric Nursing Excellence, University of Oklahoma Health Sciences Center College of Nursing, 1100 North Stonewall, Oklahoma City, OK 73117, USA.
| | - Barbara J Holtzclaw
- Donald W. Reynolds Center of Geriatric Nursing Excellence, University of Oklahoma Health Sciences Center College of Nursing, 1100 North Stonewall, Oklahoma City, OK 73117, USA
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Choi M, Lohman MC, Mezuk B. Trajectories of cognitive decline by driving mobility: evidence from the Health and Retirement Study. Int J Geriatr Psychiatry 2014; 29:447-53. [PMID: 24022894 PMCID: PMC4080895 DOI: 10.1002/gps.4024] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2013] [Accepted: 08/14/2013] [Indexed: 11/10/2022]
Abstract
OBJECTIVE The recent emphasis of the importance of "aging in place" has highlighted the role of transportation in health promotion over the life course. Driving cessation in later life is associated with numerous poor health outcomes including limitations in social and physical functioning and increased risk of mortality. However, little is known about the relationship between driving cessation and change in cognitive functioning in late life. This study examined the association between driving mobility and trajectories of cognitive functioning among older adults. METHODS Using data from six waves [1998-2008] of the Health and Retirement Study, trajectories of cognitive functioning were estimated over a 10-year period using longitudinal mixed effects models [N = 9,135]. Cognitive function was assessed with a modified version of the Telephone Interview for Cognitive Status. Driving status and health characteristics were assessed by self-report. RESULTS Older adults who did not drive (former and never drivers) at baseline had lower average cognitive scores compared with active drivers. Former drivers had accelerated cognitive decline over the subsequent 10 years compared with active drivers (β = -0.35, 95% Confidence Interval [CI] = -0.43 to -0.26) even after controlling for baseline cognitive functioning and health status. The transition to non-driving was associated with a faster cognitive decline among those who were driving at baseline (β = -0.31, 95% CI = -0.40 to -0.22). CONCLUSIONS Older adults without driving mobility had poorer cognitive functioning at baseline and experienced accelerated cognitive decline relative to active drivers over follow-up.
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Affiliation(s)
- Moon Choi
- College of Social Work, University of Kentucky, Lexington, KY, USA,Sanders–Brown Center on Aging, University of Kentucky, Lexington, KY, USA
| | - Matthew C. Lohman
- Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, USA
| | - Briana Mezuk
- Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, USA
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Cederbom S, Wågert PVH, Söderlund A, Söderbäck M. The importance of a daily rhythm in a supportive environment – promoting ability in activities in everyday life among older women living alone with chronic pain. Disabil Rehabil 2014; 36:2050-8. [PMID: 24517866 DOI: 10.3109/09638288.2014.887795] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Sara Cederbom
- School of Health, Care and Social Welfare, Mälardalens University , Västerås , Sweden and
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Hanson HM, Schiller C, Winters M, Sims-Gould J, Clarke P, Curran E, Donaldson MG, Pitman B, Scott V, McKay HA, Ashe MC. Concept mapping applied to the intersection between older adults' outdoor walking and the built and social environments. Prev Med 2013; 57:785-91. [PMID: 24012832 DOI: 10.1016/j.ypmed.2013.08.023] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2013] [Revised: 07/29/2013] [Accepted: 08/14/2013] [Indexed: 11/30/2022]
Abstract
OBJECTIVE For older adults, the ability to navigate walking routes in the outdoor environment allows them to remain active and socially engaged, facilitating community participation and independence. In order to enhance outdoor walking, it is important to understand the interaction of older adults within their local environments and the influence of broader stakeholder priorities that impact these environments. Thus, we aimed to synthesize perspectives from stakeholders to identify elements of the built and social environments that influence older adults' ability to walk outdoors. METHOD We applied a concept mapping approach with the input of diverse stakeholders (N=75) from British Columbia, Canada in 2012. RESULTS A seven-cluster map best represented areas that influence older adults' outdoor walking. Priority areas identified included sidewalks, crosswalks, and neighborhood features. CONCLUSION Individual perceptions and elements of the built and social environments intersect to influence walking behaviors, although targeted studies that address this area are needed.
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Affiliation(s)
- Heather M Hanson
- Centre for Hip Health & Mobility, Robert HN Ho Research Centre, 7/F 2635 Laurel St., Vancouver, British Columbia V5Z 1M9, Canada; Department of Family Practice, University of British Columbia, 320-5950 University Blvd., Vancouver, British Columbia V6T 1Z3, Canada
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Siordia C, Saenz J. On the Relationship Between Neighborhood Perception, Length of Residence and Co-Ethnic Concentration. APPLIED SPATIAL ANALYSIS AND POLICY 2013; 6:267-284. [PMID: 25057331 PMCID: PMC4104697 DOI: 10.1007/s12061-013-9084-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We investigate how co-ethnic concentration and length of residence are related to neighborhood perception in aged Mexican Americans, and discuss sources of information for measuring social environments. Neighborhood perception scale, length of residence in current home, and all individual-level covariates in a hierarchical linear model are derived from data on community-dwelling older adults. Tract-level measures are obtained from Census data. We find no relationship between co-ethnic concentration and positive neighborhood perception, and find a direct relationship between length of residence and positive neighborhood perception. Until further evidence is found, different sources of information when measuring place should be treated equally.
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Boström M, Bravell ME, Lundgren D, Björklund A. Promoting sense of security in old-age care. Health (London) 2013. [DOI: 10.4236/health.2013.56a2009] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Koutsogeorgou E, Quintas R, Raggi A, Bucciarelli P, Cerniauskaite M, Leonardi M. Linking COURAGE in Europe built environment instrument to the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). Maturitas 2012; 73:218-24. [PMID: 22853872 DOI: 10.1016/j.maturitas.2012.07.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2012] [Revised: 07/02/2012] [Accepted: 07/06/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVES The aim of the paper is to prove that the COURAGE in Europe Built Environment (CBE) instrument selected items are relevant to health and disability assessment and evaluation. STUDY DESIGN The two lists of the CBE preliminary items--outdoor checklist and self-reported questionnaire--were linked to the World Health Organization's International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) through established linking rules. RESULTS The pool of the CBE 162 preliminary items were linked to a total of 184 categories of ICF-CY, and belonged mainly to two out of the four of the ICF-CY components. Fifteen of the items were not linked to any category of the ICF-CY classification at all. The linking process showed that more than 90% of CBE preliminary items were linked to ICF-CY categories and more than 4/5 of them were linked to the ICF-CY component of environmental factors. CONCLUSION The fact that most of the linked CBE preliminary items referred to few ICF categories, on one hand showed that the ICF framework encompasses a lot of different aspects related to functioning and disability; on the other hand ICF categories are not very detailed for a comprehensive description of the built environment features.
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