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Objectively-Measured Neighbourhood Attributes as Correlates and Moderators of Quality of Life in Older Adults with Different Living Arrangements: The ALECS Cross-Sectional Study

Author

Listed:
  • Casper J. P. Zhang

    (School of Public Health, The University of Hong Kong, Hong Kong, China)

  • Anthony Barnett

    (Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria 3000, Australia)

  • Janice M. Johnston

    (School of Public Health, The University of Hong Kong, Hong Kong, China)

  • Poh-chin Lai

    (Department of Geography, Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China)

  • Ruby S. Y. Lee

    (Elderly Health Service, Department of Health, The Government of Hong Kong Special Administration Region, Hong Kong, China)

  • Cindy H. P. Sit

    (Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Hong Kong, China)

  • Ester Cerin

    (School of Public Health, The University of Hong Kong, Hong Kong, China
    Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria 3000, Australia)

Abstract

With an ageing world population, preservation of older adults’ health and quality of life (QoL) is paramount. Due to lower levels of physical functionality, older adults are particularly susceptible to local environment influences, especially those living alone and lacking family support. Using generalised additive mixed models, we examined associations and confounder-adjusted associations between objectively-measured neighbourhood attributes and QoL domains in 909 Hong Kong Chinese elderly community dwellers. Most examined neighbourhood attributes were not associated with QoL in the whole sample. Neighbourhood residential and entertainment density was curvilinearly and/or linearly related to specific QoL domains. Number of parks was negatively associated with social QoL and having well-treed parks with higher levels of social QoL. Older adults living alone in neighbourhoods with poor access to destinations and few activities in parks showed lower environmental and/or social QoL than their counterparts. Neighbourhood built environment characteristics do not seem to impact Hong Kong older adults’ physical and psychological QoL. Medium-to-high density, well-ordered neighbourhoods with optimal mixes of well-treed public open spaces and services meeting their daily needs may significantly contribute to social and environmental QoL in this population and appear particularly important to those living alone.

Suggested Citation

  • Casper J. P. Zhang & Anthony Barnett & Janice M. Johnston & Poh-chin Lai & Ruby S. Y. Lee & Cindy H. P. Sit & Ester Cerin, 2019. "Objectively-Measured Neighbourhood Attributes as Correlates and Moderators of Quality of Life in Older Adults with Different Living Arrangements: The ALECS Cross-Sectional Study," IJERPH, MDPI, vol. 16(5), pages 1-19, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:876-:d:212627
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    References listed on IDEAS

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    1. Ester Cerin & Shiyuan Yin & Wing Ka Choi & Winsfred Ngan & Rachel Tham & Anthony Barnett, 2021. "Development of Measures of Perceived Neighborhood Environmental Attributes Influencing, and Perceived Barriers to Engagement in, Healthy Behaviors for Older Chinese Immigrants to Australia," IJERPH, MDPI, vol. 18(9), pages 1-26, April.
    2. Phi-Yen Nguyen & Thomas Astell-Burt & Hania Rahimi-Ardabili & Xiaoqi Feng, 2021. "Green Space Quality and Health: A Systematic Review," IJERPH, MDPI, vol. 18(21), pages 1-38, October.

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