IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i24p4933-d294643.html
   My bibliography  Save this article

Multiple Linear Regression-Structural Equation Modeling Based Development of the Integrated Model of Perceived Neighborhood Environment and Quality of Life of Community-Dwelling Older Adults: A Cross-Sectional Study in Nanjing, China

Author

Listed:
  • Fan Zhang

    (Department of Construction and Real Estate, School of Civil Engineering, Southeast University, Nanjing 211189, Jiangsu, China)

  • Dezhi Li

    (Engineering Research Center of Building Equipment, Energy and Environment, Southeast University, Nanjing 211189, Jiangsu, China)

Abstract

Due to the poor functioning in daily living activities, community-dwelling older adults spend more time in their neighborhood environment. The perceived neighborhood environment is crucial to their quality of life (QoL). To explore the complex influences of perceived neighborhood environment on QoL, a questionnaire was designed to measure their perception of each factor of neighborhood environment and each domain of QoL. Based on collected data, the reliability test was applied to revise the questionnaire. Multiple linear regression (MLR) and structural equation modeling (SEM) were adopted to hypothesize and test the integrated model for community-dwelling older adults. The results show that community-dwelling older adults’ perceptions of neighbor support, facilities related to physical exercise and recreation, and accessibility to facilities impact their overall QoL with diverse coefficients of 0.437, 0.312, and 0.295, respectively; neighbor support (0.207) on physical health; sidewalk condition (0.134), natural environment (0.260), and facilities related to daily life (0.165) on psychological health; and neighbor support (0.298), facilities related to daily life (0.206), and design-related safety (0.225) on social relationship. This revealed that perceptions of neighborhood environment have diverse impacts on their QoL. This study can provide targeted retrofit strategies for communities to enhance QoL of community-dwelling older adults efficiently.

Suggested Citation

  • Fan Zhang & Dezhi Li, 2019. "Multiple Linear Regression-Structural Equation Modeling Based Development of the Integrated Model of Perceived Neighborhood Environment and Quality of Life of Community-Dwelling Older Adults: A Cross-," IJERPH, MDPI, vol. 16(24), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:4933-:d:294643
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/24/4933/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/24/4933/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. DUJARDIN, Claire & lorant, VINCENT & THOMAS, Isabelle, 2013. "Self-assessed health of elderly people in Brussels: does the built environment matter?," LIDAM Discussion Papers CORE 2013048, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    2. S. V. Subramanian & Laura Kubzansky & Lisa Berkman & Martha Fay & Ichiro Kawachi, 2006. "Neighborhood Effects on the Self-Rated Health of Elders: Uncovering the Relative Importance of Structural and Service-Related Neighborhood Environments," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(3), pages 153-160.
    3. Chaudhury, Habib & Campo, Michael & Michael, Yvonne & Mahmood, Atiya, 2016. "Neighbourhood environment and physical activity in older adults," Social Science & Medicine, Elsevier, vol. 149(C), pages 104-113.
    4. Yan, Bingqiu & Gao, Xiaolu & Lyon, Michael, 2014. "Modeling satisfaction amongst the elderly in different Chinese urban neighborhoods," Social Science & Medicine, Elsevier, vol. 118(C), pages 127-134.
    5. Wu, Jih-hwa & Li, Shu-Hua & Sung, Wei-Ying, 2016. "The study of perceived environment and its relation to senior citizen's physical activity behavior intention," Journal of Business Research, Elsevier, vol. 69(6), pages 2259-2264.
    6. Emily Joy Nicklett & Matthew C. Lohman & Matthew Lee Smith, 2017. "Neighborhood Environment and Falls among Community-Dwelling Older Adults," IJERPH, MDPI, vol. 14(2), pages 1-15, February.
    7. Engel, L. & Chudyk, A.M. & Ashe, M.C. & McKay, H.A. & Whitehurst, D.G.T. & Bryan, S., 2016. "Older adults' quality of life – Exploring the role of the built environment and social cohesion in community-dwelling seniors on low income," Social Science & Medicine, Elsevier, vol. 164(C), pages 1-11.
    8. Fan Zhang & Dezhi Li, 2019. "How the Urban Neighborhood Environment Influences the Quality of Life of Chinese Community-Dwelling Older Adults: An Influence Model of “NE-QoL”," Sustainability, MDPI, vol. 11(20), pages 1-22, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fan Zhang & Dezhi Li, 2019. "How the Urban Neighborhood Environment Influences the Quality of Life of Chinese Community-Dwelling Older Adults: An Influence Model of “NE-QoL”," Sustainability, MDPI, vol. 11(20), pages 1-22, October.
    2. Seonhye Lee & Eunmi Oh & Gwi-Ryung Son Hong, 2018. "Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History," IJERPH, MDPI, vol. 15(5), pages 1-12, May.
    3. Subramanian, S.V. & Elwert, Felix & Christakis, Nicholas, 2008. "Widowhood and mortality among the elderly: The modifying role of neighborhood concentration of widowed individuals," Social Science & Medicine, Elsevier, vol. 66(4), pages 873-884, February.
    4. Marquet, Oriol & Miralles-Guasch, Carme, 2015. "Neighbourhood vitality and physical activity among the elderly: The role of walkable environments on active ageing in Barcelona, Spain," Social Science & Medicine, Elsevier, vol. 135(C), pages 24-30.
    5. Guillem Artigues & Sara Mateo & Maria Ramos & Elena Cabeza, 2020. "Validation of the Urban Walkability Perception Questionnaire (UWPQ) in the Balearic Islands," IJERPH, MDPI, vol. 17(18), pages 1-16, September.
    6. Finlay, Jessica & Esposito, Michael & Langa, Kenneth M. & Judd, Suzanne & Clarke, Philippa, 2022. "Cognability: An Ecological Theory of neighborhoods and cognitive aging," Social Science & Medicine, Elsevier, vol. 309(C).
    7. Cremer Helmuth & Pestieau Pierre, 2018. "Means-Tested Long-Term Care and Family Transfers," German Economic Review, De Gruyter, vol. 19(3), pages 351-364, August.
    8. Bauwens, Luc & Grigoryeva, Lyudmila & Ortega, Juan-Pablo, 2016. "Estimation and empirical performance of non-scalar dynamic conditional correlation models," Computational Statistics & Data Analysis, Elsevier, vol. 100(C), pages 17-36.
    9. François Maniquet & Massimo Morelli, 2015. "Approval quorums dominate participation quorums," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 45(1), pages 1-27, June.
    10. Messer, Lynne C. & Vinikoor, Lisa C. & Laraia, Barbara A. & Kaufman, Jay S. & Eyster, Janet & Holzman, Claudia & Culhane, Jennifer & Elo, Irma & Burke, Jessica G. & O'Campo, Patricia, 2008. "Socioeconomic domains and associations with preterm birth," Social Science & Medicine, Elsevier, vol. 67(8), pages 1247-1257, October.
    11. Hafner, Christian M. & Preminger, Arie, 2015. "A note on the Tobit model in the presence of a duration variable," Economics Letters, Elsevier, vol. 126(C), pages 47-50.
    12. Liu, Zhengying & Kemperman, Astrid & Timmermans, Harry & Yang, Dongfeng, 2021. "Heterogeneity in physical activity participation of older adults: A latent class analysis," Journal of Transport Geography, Elsevier, vol. 92(C).
    13. Bowling, Ann & Stafford, Mai, 2007. "How do objective and subjective assessments of neighbourhood influence social and physical functioning in older age? Findings from a British survey of ageing," Social Science & Medicine, Elsevier, vol. 64(12), pages 2533-2549, June.
    14. Paul Belleflamme & Paul Bloch, 2013. "Dynamic Protection of Innovations through Patents and Trade Secrets," CESifo Working Paper Series 4486, CESifo.
    15. Tiina E. Laatikainen & Mohammad Haybatollahi & Marketta Kyttä, 2018. "Environmental, Individual and Personal Goal Influences on Older Adults’ Walking in the Helsinki Metropolitan Area," IJERPH, MDPI, vol. 16(1), pages 1-19, December.
    16. Sharifian, Neika & Spivey, Briana N. & Zaheed, Afsara B. & Zahodne, Laura B., 2020. "Psychological distress links perceived neighborhood characteristics to longitudinal trajectories of cognitive health in older adulthood," Social Science & Medicine, Elsevier, vol. 258(C).
    17. Liqing Li & Luyao Yu, 2021. "The Influence of Pension Mode on the Mental Health of Older Adults—Evidence from Older Adults in China," IJERPH, MDPI, vol. 19(1), pages 1-15, December.
    18. Jianbo Han & Edwin H. W. Chan & Esther H. K. Yung & Queena K. Qian & Patrick T. I. Lam, 2022. "A Policy Framework for Producing Age-Friendly Communities from the Perspective of Production of Space," IJERPH, MDPI, vol. 19(4), pages 1-23, February.
    19. Grafova, Irina B. & Freedman, Vicki A. & Lurie, Nicole & Kumar, Rizie & Rogowski, Jeannette, 2014. "The difference-in-difference method: Assessing the selection bias in the effects of neighborhood environment on health," Economics & Human Biology, Elsevier, vol. 13(C), pages 20-33.
    20. Kyunghwan Jung & Younglae Choi, 2023. "Factors Influencing Physical Activity and Exercise in Older Adults during COVID-19 in South Korea," Sustainability, MDPI, vol. 15(9), pages 1-20, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:4933-:d:294643. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.