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Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese

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  • Moses Wong

    (Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
    CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong, China)

  • Ruby Yu

    (Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
    CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong, China)

  • Jean Woo

    (Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
    CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong, China)

Abstract

In response to the growing number of older people living in cities, the World Health Organization (WHO) introduced the concept of “Age-Friendly Cities” (AFC) to guide the way in designing physical and social environments to encourage active ageing. Limited research has studied the effects of neighbourhood age-friendliness on elderly health outcomes. Using the example of a highly urbanized city in Asia, this study examined the effects of perceived age-friendliness of neighbourhood environments on self-rated health (SRH) among community-dwelling older Chinese. A multi-stage sampling method was used to collect views of community-dwelling older people from two local districts of Hong Kong. A structured questionnaire covering the WHO’s eight AFC domains was developed to collect information on the perceived neighbourhood environments, SRH and individual characteristics. Age-friendliness of neighbourhood was assessed by mean scores of AFC domains, which was used to predict SRH with adjustment for individual and objective neighbourhood characteristics. Furthermore, 719 respondents aged ≥60 years completed the questionnaire, of which 44.5% reported good SRH. Independent of individual and objective neighbourhood characteristics, multiple logistics regressions showed that higher satisfaction on outdoor spaces and buildings, transportation, housing, social participation, and respect and social inclusion was significantly associated with increased odds of reporting good SRH by more than 20% ( p < 0.05). Individuals aged 70–79 years, being female, lower education and residents of public or subsidized housing were less likely to report good SRH, after controlling for individual and neighbourhood characteristics. In addition to age, gender, education and housing type, AFC environments have important contributive influence on SRH, after controlling for individual and objective neighbourhood characteristics.

Suggested Citation

  • Moses Wong & Ruby Yu & Jean Woo, 2017. "Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese," IJERPH, MDPI, vol. 14(6), pages 1-17, June.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:6:p:614-:d:100766
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    References listed on IDEAS

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    5. Da Mao & Huijie Yang & Shaohua Zhang & Haozhe Sun & Xiaojuan Wang, 2024. "Adaptive Behavioral Dynamics in Public Open Spaces During the COVID-19 Pandemic: A Technological Perspective on Urban Resilience," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 15(3), pages 12651-12677, September.
    6. Jean Woo, 2017. "How Can We Achieve Healthy Aging?," IJERPH, MDPI, vol. 14(12), pages 1-2, December.
    7. Wen Zhong & Jian Suo & Xinxin Ren & Guopeng Li, 2021. "The Influence of Emotional Health on the Activity Characteristics of the Elderly and the Selection of Environmental Quality Factors in Residential Areas," IJERPH, MDPI, vol. 18(23), pages 1-18, November.
    8. Ling Yang & Hsiao-Tung Chang & Jian Li & Xinyue Xu & Zhi Qiu & Xiaomin Jiang, 2023. "A Comprehensive Evaluation of the Friendliness of Urban Facilities for the Elderly in Taipei City and New Taipei City," Sustainability, MDPI, vol. 15(18), pages 1-19, September.
    9. Kathy Black & Dylan J. Jester, 2020. "Examining Older Adults’ Perspectives on the Built Environment and Correlates of Healthy Aging in an American Age-Friendly Community," IJERPH, MDPI, vol. 17(19), pages 1-11, September.
    10. Zhichang Cai & ChengHe Guan & An Trinh & Bo Zhang & Zhibin Chen & Sumeeta Srinivasan & Chris Nielsen, 2022. "Satisfactions on Self-Perceived Health of Urban Residents in Chengdu, China: Gender, Age and the Built Environment," Sustainability, MDPI, vol. 14(20), pages 1-17, October.
    11. Zhenhua Zheng & Hong Chen, 2021. "The Relationship among Community Environment, Behavior, Activity Ability, and Self-Rated Health of Older Adults: A Hierarchical and Multi-Dimensional Comparative Study," IJERPH, MDPI, vol. 18(14), pages 1-12, July.
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