Neighborhood Attributes and Well-Being Among Older Adults in Urban Areas: A Mixed-Methods Systematic Review

Leisure-time management and subjective well-being among older adults: A three-wave longitudinal survey

AIM

As older adults have longer leisure time and the types and influences of leisure activities they participate in are diverse, appropriate management of their leisure time would be important to optimize their subjective well-being. Although greater use of time management in educational and occupational settings is associated with better job performance, academic achievement, and the well-being of workers and students, few studies have investigated time management in leisure settings. This study aimed to examine the longitudinal association between leisure-time management and subjective well-being among older adults.

METHODS

Data on 879 individuals in Nada Ward, Kobe, Japan were obtained from a three-wave questionnaire-based longitudinal survey (Wave 1: December 2017 to January 2018; Wave 2: after one year; Wave 3: after three years). In each survey, leisure-time management (newly developed in this study) and subjective well-being (simplified Japanese version of the World Health Organization Five Well-Being Index) were measured. This study used a cross-lagged model to analyze the longitudinal association between leisure-time management and subjective well-being after considering their inverse association.

RESULTS

The cross-lagged model indicated that that the standardized path coefficients from leisure-time management in Wave 1 to subjective well-being in Wave 2 (0.13, p<0.001) and from leisure-time management in Wave 2 to subjective well-being in Wave 3 (0.06, p=0.042) were positive and significant.

CONCLUSIONS

This study found that leisure-time management is a determinant of subjective well-being among older adults. This finding indicates that the management of leisure time elevates one's subjective well-being among them.

Quality appraisal of spatial epidemiology and health geography research: A scoping review of systematic reviews

A scoping review of peer-reviewed literature was conducted to understand how systematic reviews assess the methodological quality of spatial epidemiology and health geography research. Fifty-nine eligible reviews were identified and included. Variations in the use of quality appraisal tools were found. Reviews applied existing quality appraisal tools with no adaptations (n = 32; 54%), existing quality appraisal tools with adaptations (n = 9; 15%), adapted tools or methods from other reviews (n = 13; 22%), and developed new quality appraisal tools for the review (n = 5; 8%). Future research should focus on developing and validating a quality appraisal tool that evaluates the spatial methodology within studies.

A spatial indicator of environmental and climatic vulnerability in Rome

BACKGROUND

Urban areas are disproportionately affected by multiple pressures from overbuilding, traffic, air pollution, and heat waves that often interact and are interconnected in producing health effects. A new synthetic tool to summarize environmental and climatic vulnerability has been introduced for the city of Rome, Italy, to provide the basis for environmental and health policies.

METHODS

From a literature overview and based on the availability of data, several macro-dimensions were identified on 1,461 grid cells with a width of 1 km² in Rome: land use, roads and traffic-related exposure, green space data, soil sealing, air pollution (PM_2.5, PM₁₀, NO₂, C₆H₆, SO₂), urban heat island intensity. The Geographically Weighted Principal Component Analysis (GWPCA) method was performed to produce a composite spatial indicator to describe and interpret each spatial feature by integrating all environmental dimensions. The method of natural breaks was used to define the risk classes. A bivariate map of environmental and social vulnerability was described.

RESULTS

The first three components explained most of the variation in the data structure with an average of 78.2% of the total percentage of variance (PTV) explained by the GWPCA, with air pollution and soil sealing contributing most in the first component; green space in the second component; road and traffic density and SO₂ in the third component. 56% of the population lives in areas with high or very high levels of environmental and climatic vulnerability, showing a periphery-centre trend, inverse to the deprivation index.

CONCLUSIONS

A new environmental and climatic vulnerability indicator for the city of Rome was able to identify the areas and population at risk in the city, and can be integrated with other vulnerability dimensions, such as social deprivation, providing the basis for risk stratification of the population and for the design of policies to address environmental, climatic and social injustice.

Friendly Residential Environments and Subjective Well-Being in Older People with and without Help Needs

Previous studies have shown that friendly environments are associated with well-being and higher quality of life in older people. This study aimed to investigate the relationship between friendly environments and subjective well-being by segmenting the population according to the need for help in performing activities of daily living (ADLs) in a representative sample of people over 55 years of age in the Basque Country (Spain) (n = 2760). To determine the predictive power of friendliness on subjective well-being, two separate linear regression models were obtained according to the need for help in ADLs. The results obtained show a greater explanatory power of the model in the case of people who required help. However, in the case of people who do not need help, subjective health had a greater weight in the predictions. This paper's findings support the greater importance of the characteristics of the physical and social environment, as people's functional status worsens, with friendliness being an explanatory factor for people's well-being as they age and their dependency increases.

Neighborhood Environment and Mental Well-Being Among Chinese Older Adults: The Mediating Role of Social Capital

Background and Objectives

Neighborhood environments are increasingly recognized as associated with mental well-being among older adults. However, their underlying mechanisms remain unclear. This study investigated mediating effects of cognitive and structural social capital (SC) in relationships between neighborhood environments and mental well-being among older adults.

Research Design and Methods

We conducted a cross-sectional analysis of 1,277 community-dwellers aged 60 years and older in Hong Kong in 2021. The Warwick-Edinburgh Mental Well-being Scale assessed mental well-being. Perceived age-friendly environment was assessed. Objective neighborhood environment was measured by the number of neighborhood facilities (e.g., transportation, community centers, leisure facilities) within 200-m and 500-m buffer areas from respondents' residences. Structural equational modeling was used.

Results

Perceived age-friendly environment regarding community and health support had a protective role on mental well-being. More community centers were directly associated with better affective-emotional well-being, while more passive leisure facilities directly lowered psychological-functioning well-being. Cognitive SC outweighed structural SC in mediating relationships of neighborhood environment on mental well-being.

Discussion and Implications

Our findings advance the ecological model of aging by providing evidence for cognitive and structural SC as mediators to explain the relationship between neighborhood environment and mental well-being. Policy implications for optimizing mental well-being in aging societies are discussed.

Effect of Environmental Planning on Elderly Individual Quality of Life in Severe Cold Regions: A Case Study in Northeastern China

With the development of urbanization and the ageing population, the improvement of the urban environment and the quality of life (QOL) of the elderly in cities with a cold climate have become critical issues to be addressed. However, only a few studies have focused on this aspect. According to a review of the literature, the contents of the built environment (BE) in severe cold regions are defined as thirteen key factors of four categories (density, environmental aesthetics, outdoor environment, and accessibility) and the QOL of old people consists of three aspects (residential, health, and social satisfaction). This study explores how BE variables are associated with the QOL of older adults by using ordered logit and gologit2 models. The data consist of the results of 1945 questionnaires from field surveys in 11 different residential areas, across two cities in northeastern China. The results show: (1) Walkability in winter, distance to a public park of 400–1000 m, outdoor shelters and seating, less than five buses available, and a mixture of evergreen and deciduous trees are five of the most important variables of BE that have a significant positive impact on QOL compared with other climatic regions; (2) “Pocket parks” and pedestrian walkway safety are appropriate approaches to improve wellbeing under local economic conditions. For public transportation, metro and rail transit systems are encouraged, and some rules are needed to reduce the number of buses in harsh weather conditions; (3) Compared with spatial distribution in other climates, the scope of a 15 min city should be less than 1km in severe cold areas. From the findings, we conclude that there are six possible pattern languages to improve the urban environment, and they can provide information for further study on environmental planning in severe cold regions.