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Older adults' quality of life – Exploring the role of the built environment and social cohesion in community-dwelling seniors on low income

Author

Listed:
  • Engel, L.
  • Chudyk, A.M.
  • Ashe, M.C.
  • McKay, H.A.
  • Whitehurst, D.G.T.
  • Bryan, S.

Abstract

The built environment and social cohesion are increasingly recognized as being associated with older adults' quality of life (QoL). However, limited research in this area still exists and the relationship has remained unexplored in the area of Metro Vancouver, Canada. This study examined the association between the built environment and social cohesion with QoL of 160 community-dwelling older adults (aged ≥ 65 years) on low income from Metro Vancouver. Cross-sectional data acquired from the Walk the Talk (WTT) study were used. Health-related QoL (HRQoL) and capability wellbeing were assessed using the EQ-5D-5L and the ICECAP-O, respectively. Measures of the environment comprised the NEWS-A (perceived built environment measure), the Street Smart Walk Score (objective built environment measure), and the SC-5PT (a measure of social cohesion). The primary analysis consists of Tobit regression models to explore the associations between environmental features and HRQoL as well as capability wellbeing. Key findings indicate that after adjusting for covariates, older adults' capability wellbeing was associated with street connectivity and social cohesion, while no statistically significant associations were found between environmental factors and HRQoL. Our results should be considered as hypothesis-generating and need confirmation in a larger longitudinal study.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:164:y:2016:i:c:p:1-11
    DOI: 10.1016/j.socscimed.2016.07.008
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    1. Mokhtarian, Patricia L. & Cao, Xinyu, 2008. "Examining the impacts of residential self-selection on travel behavior: A focus on methodologies," Transportation Research Part B: Methodological, Elsevier, vol. 42(3), pages 204-228, March.
    2. Bleichrodt, Han & Quiggin, John, 2013. "Capabilities as menus: A non-welfarist basis for QALY evaluation," Journal of Health Economics, Elsevier, vol. 32(1), pages 128-137.
    3. Takemi Sugiyama & Catharine Ward Thompson, 2007. "Outdoor Environments, Activity and the Well-Being of Older People: Conceptualising Environmental Support," Environment and Planning A, , vol. 39(8), pages 1943-1960, August.
    4. Coast, Joanna & Flynn, Terry N. & Natarajan, Lucy & Sproston, Kerry & Lewis, Jane & Louviere, Jordan J. & Peters, Tim J., 2008. "Valuing the ICECAP capability index for older people," Social Science & Medicine, Elsevier, vol. 67(5), pages 874-882, September.
    5. Winters, Meghan & Voss, Christine & Ashe, Maureen C. & Gutteridge, Kaitlyn & McKay, Heather & Sims-Gould, Joanie, 2015. "Where do they go and how do they get there? Older adults' travel behaviour in a highly walkable environment," Social Science & Medicine, Elsevier, vol. 133(C), pages 304-312.
    6. Cao, Xinyu & Mokhtarian, Patricia & Handy, Susan, 2008. "Examining The Impacts of Residential Self-Selection on Travel Behavior: Methodologies and Empirical Findings," Institute of Transportation Studies, Working Paper Series qt08x1k476, Institute of Transportation Studies, UC Davis.
    7. Leah Couzner & Maria Crotty & Richard Norman & Julie Ratcliffe, 2013. "A Comparison of the EQ-5D-3L and ICECAP-O in an Older Post-Acute Patient Population Relative to the General Population," Applied Health Economics and Health Policy, Springer, vol. 11(4), pages 415-425, August.
    8. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    9. Elliott, Jane & Gale, Catharine R. & Parsons, Samantha & Kuh, Diana, 2014. "Neighbourhood cohesion and mental wellbeing among older adults: A mixed methods approach," Social Science & Medicine, Elsevier, vol. 107(C), pages 44-51.
    10. Grewal, Ini & Lewis, Jane & Flynn, Terry & Brown, Jackie & Bond, John & Coast, Joanna, 2006. "Developing attributes for a generic quality of life measure for older people: Preferences or capabilities?," Social Science & Medicine, Elsevier, vol. 62(8), pages 1891-1901, April.
    11. Freedman, V.A. & Grafova, I.B. & Rogowski, J., 2011. "Neighborhoods and chronic disease onset in later life," American Journal of Public Health, American Public Health Association, vol. 101(1), pages 79-86.
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    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Thesis Thursday: Lidia Engel
      by Chris Sampson in The Academic Health Economists' Blog on 2017-09-21 11:00:49

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