Skip to main content
Top
Gepubliceerd in: Quality of Life Research 9/2019

09-05-2019

Association of the built environments and health-related quality of life in community-dwelling older adults: a cross-sectional study

Auteurs: Nuan-Ching Huang, Cordia Chu, Shiann-Far Kung, Susan C. Hu

Gepubliceerd in: Quality of Life Research | Uitgave 9/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

The relationship between built environments and the quality of life (QoL) of the elderly has gained great attention in recent years. However, most QoL studies have been conducted in western countries; thus, limited research was found in Asia, in which the population density, urban forms, narrow roadways, and land use patterns are more compact and highly mixed in terms of use. Therefore, the purpose of this study was an interdisciplinary analysis of two national datasets, the National Land Use Investigation and the National Health Interview Survey, to explore the relationship between built environments and the health-related quality of life of older adults in Taiwan.

Methods

Eight types of built environments at the township level were calculated, and 1222 nationally representative older adults aged 65 and older were recruited. The outcome variable was health-related QoL as measured using the EQ-5D, including utility score and the EQ-VAS. Statistical methods included descriptive analysis, bivariate analysis, and mixed-effects logistic regression analysis, which were conducted using SAS 9.4 software.

Results

The results showed that a significant relationship exists between cultural and historical facilities and low EQ-VAS; none of the built environments were found to be related to the EQ-5D. Individual factors are the main determinants of the EQ-5D of older adults in Taiwan. Positive relationships were found if older adults were engaging in physical activities and social participation.

Conclusions

We suggest that building a supportive environment in which elderly people could consistently engage in physical activities and social participation is another potential approach that might contribute to active aging.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference WHO. (2015). World report on ageing and health. Geneva: World Health Organization. WHO. (2015). World report on ageing and health. Geneva: World Health Organization.
2.
go back to reference WHO. (2000). Social development and ageing: Crisis or opportunity?. Geneva: World Health Organization. WHO. (2000). Social development and ageing: Crisis or opportunity?. Geneva: World Health Organization.
3.
go back to reference United Nations. (2014). World urbanization prospects. New York: United Nations. CrossRef United Nations. (2014). World urbanization prospects. New York: United Nations. CrossRef
4.
go back to reference Noreau, L., & Boschen, K. (2010). Intersection of participation and environmental factors: A complex interactive process. Archives of Physical Medicine and Rehabilitation, 91(9), S44–S53. CrossRefPubMed Noreau, L., & Boschen, K. (2010). Intersection of participation and environmental factors: A complex interactive process. Archives of Physical Medicine and Rehabilitation, 91(9), S44–S53. CrossRefPubMed
5.
go back to reference Hooyman, N. R., & Kiyak, H. A. (2011). Social gerontology: A multidisciplinary perspective (9th ed.). Boston, MA: Allyn & Bacon. Hooyman, N. R., & Kiyak, H. A. (2011). Social gerontology: A multidisciplinary perspective (9th ed.). Boston, MA: Allyn & Bacon.
6.
go back to reference WHO. (1995). The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409. CrossRef WHO. (1995). The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409. CrossRef
9.
go back to reference Revicki, D. A., Kleinman, L., & Cella, D. (2014). A history of health-related quality of life outcomes in psychiatry. Dialogues in Clinical Neuroscience, 16(2), 127–135. PubMedPubMedCentral Revicki, D. A., Kleinman, L., & Cella, D. (2014). A history of health-related quality of life outcomes in psychiatry. Dialogues in Clinical Neuroscience, 16(2), 127–135. PubMedPubMedCentral
10.
go back to reference Kuo, L. M., Tsai, W. C., Chiu, M. J., Tang, L. Y., Lee, H. J., & Shyu, Y. I. L. (2019). Cognitive dysfunction predicts worse health-related quality of life for older stroke survivors: A nationwide population-based survey in Taiwan. Aging & Mental Health, 23(3), 305–310. CrossRef Kuo, L. M., Tsai, W. C., Chiu, M. J., Tang, L. Y., Lee, H. J., & Shyu, Y. I. L. (2019). Cognitive dysfunction predicts worse health-related quality of life for older stroke survivors: A nationwide population-based survey in Taiwan. Aging & Mental Health, 23(3), 305–310. CrossRef
18.
go back to reference Barton, H., Thompson, S., Burgess, S., & Grant, M. (2015). The Routledge handbook of planning for health and well-being: Shaping a sustainable and healthy future. London: Routledge. CrossRef Barton, H., Thompson, S., Burgess, S., & Grant, M. (2015). The Routledge handbook of planning for health and well-being: Shaping a sustainable and healthy future. London: Routledge. CrossRef
19.
go back to reference Barton, H. (2016). City of well-being: A radical guide to planning. London: Routledge. CrossRef Barton, H. (2016). City of well-being: A radical guide to planning. London: Routledge. CrossRef
20.
go back to reference Barton, H., & Grant, M. (2006). A health map for the local human habitat. The Journal for the Royal Society for the Promotion of Health, 126(6), 252–253. Barton, H., & Grant, M. (2006). A health map for the local human habitat. The Journal for the Royal Society for the Promotion of Health, 126(6), 252–253.
22.
go back to reference WHO. (2002). Active ageing: A policy framework. Geneva: World Health Organization. WHO. (2002). Active ageing: A policy framework. Geneva: World Health Organization.
26.
27.
go back to reference Marventano, S., Prieto-Flores, M. E., Sanz-Barbero, B., Martín-García, S., Fernandez-Mayoralas, G., Rojo-Perez, F., et al. (2015). Quality of life in older people with dementia: A multilevel study of individual attributes and residential care center characteristics. Geriatrics & Gerontology International, 15(1), 104–110. CrossRef Marventano, S., Prieto-Flores, M. E., Sanz-Barbero, B., Martín-García, S., Fernandez-Mayoralas, G., Rojo-Perez, F., et al. (2015). Quality of life in older people with dementia: A multilevel study of individual attributes and residential care center characteristics. Geriatrics & Gerontology International, 15(1), 104–110. CrossRef
28.
go back to reference Wahl, H. W., & Lang, F. R. (2006). Psychological aging: A contextual view. In S. A. Benjamin, et al. (Eds.), Handbook of models for human aging (pp. 881–895). Amsterdam: Elsevier. CrossRef Wahl, H. W., & Lang, F. R. (2006). Psychological aging: A contextual view. In S. A. Benjamin, et al. (Eds.), Handbook of models for human aging (pp. 881–895). Amsterdam: Elsevier. CrossRef
31.
go back to reference WHO. (2009). Zagreb declaration for healthy cities: Health and equity in all local policies. Copenhagen: WHO regional Office for Europe. WHO. (2009). Zagreb declaration for healthy cities: Health and equity in all local policies. Copenhagen: WHO regional Office for Europe.
32.
go back to reference Diez-Roux, A. V. (2000). Multilevel analysis in public health research. Annual Review of Public Health, 21(1), 171–192. CrossRefPubMed Diez-Roux, A. V. (2000). Multilevel analysis in public health research. Annual Review of Public Health, 21(1), 171–192. CrossRefPubMed
37.
go back to reference Huang, S. J. (2002). On Taiwan’s level of urbanization. Taiwanese Journal of Sociology, 27, 163–205. Huang, S. J. (2002). On Taiwan’s level of urbanization. Taiwanese Journal of Sociology, 27, 163–205.
39.
40.
go back to reference Dolan, P. (1997). Modeling valuations for EuroQol health states. Medical Care: 1095–1108. Dolan, P. (1997). Modeling valuations for EuroQol health states. Medical Care: 1095–1108.
41.
go back to reference Lee, H.-Y., Hung, M.-C., Hu, F.-C., Chang, Y.-Y., Hsieh, C.-L., & Wang, J.-D. (2013). Estimating quality weights for EQ-5D (EuroQol-5 dimensions) health states with the time trade-off method in Taiwan. Journal of the Formosan Medical Association, 112(11), 699–706. CrossRefPubMed Lee, H.-Y., Hung, M.-C., Hu, F.-C., Chang, Y.-Y., Hsieh, C.-L., & Wang, J.-D. (2013). Estimating quality weights for EQ-5D (EuroQol-5 dimensions) health states with the time trade-off method in Taiwan. Journal of the Formosan Medical Association, 112(11), 699–706. CrossRefPubMed
42.
go back to reference Chang, T.-J., Tarn, Y.-H., Hsieh, C.-L., Liou, W.-S., Shaw, J. W., & Chiou, X. G. (2007). Taiwanese version of the EQ-5D: Validation in a representative sample of the Taiwanese population. Journal of the Formosan Medical Association, 106(12), 1023–1031. CrossRefPubMed Chang, T.-J., Tarn, Y.-H., Hsieh, C.-L., Liou, W.-S., Shaw, J. W., & Chiou, X. G. (2007). Taiwanese version of the EQ-5D: Validation in a representative sample of the Taiwanese population. Journal of the Formosan Medical Association, 106(12), 1023–1031. CrossRefPubMed
43.
go back to reference Dalton, A. M., Wareham, N., Griffin, S., & Jones, A. P. (2016). Neighbourhood greenspace is associated with a slower decline in physical activity in older adults: A prospective cohort study. SSM-Population Health, 2, 683–691. CrossRefPubMedPubMedCentral Dalton, A. M., Wareham, N., Griffin, S., & Jones, A. P. (2016). Neighbourhood greenspace is associated with a slower decline in physical activity in older adults: A prospective cohort study. SSM-Population Health, 2, 683–691. CrossRefPubMedPubMedCentral
45.
go back to reference Ory, M. G., Towne, S. D., Won, J., Forjuoh, S. N., & Lee, C. (2016). Social and environmental predictors of walking among older adults. BMC Geriatrics, 16(1), 155. CrossRefPubMedPubMedCentral Ory, M. G., Towne, S. D., Won, J., Forjuoh, S. N., & Lee, C. (2016). Social and environmental predictors of walking among older adults. BMC Geriatrics, 16(1), 155. CrossRefPubMedPubMedCentral
51.
go back to reference Ene, M., Leighton, E. A., Blue, G. L., & Bell, B. A. (2015). Multilevel models for categorical data using SAS ® PROC GLIMMIX: the basics. In SAS Global Forum 2015 Proceedings, 3430-2015. Ene, M., Leighton, E. A., Blue, G. L., & Bell, B. A. (2015). Multilevel models for categorical data using SAS ® PROC GLIMMIX: the basics. In SAS Global Forum 2015 Proceedings, 3430-2015.
52.
go back to reference Hair, J. F., Anderson, R. E., Babin, B. J., & Black, W. C. (2010). Multivariate data analysis, a global perspective (Vol. 7). New Jersey: Pearson. Hair, J. F., Anderson, R. E., Babin, B. J., & Black, W. C. (2010). Multivariate data analysis, a global perspective (Vol. 7). New Jersey: Pearson.
64.
go back to reference Insch, A., & Florek, M. (2010). Place satisfaction of city residents: Findings and implications for city branding. In G. Ashworth & M. Kavaratzis (Eds.), Towards effective place brand management: Branding European Cities and Regions (pp. 191–204). Cheltenham: Edward Elgar Publishing. Insch, A., & Florek, M. (2010). Place satisfaction of city residents: Findings and implications for city branding. In G. Ashworth & M. Kavaratzis (Eds.), Towards effective place brand management: Branding European Cities and Regions (pp. 191–204). Cheltenham: Edward Elgar Publishing.
66.
go back to reference Marcouiller, D. W. (1997). Toward integrative tourism planning in rural America. Journal of Planning Literature, 11(3), 337–357. CrossRef Marcouiller, D. W. (1997). Toward integrative tourism planning in rural America. Journal of Planning Literature, 11(3), 337–357. CrossRef
Metagegevens
Titel
Association of the built environments and health-related quality of life in community-dwelling older adults: a cross-sectional study
Auteurs
Nuan-Ching Huang
Cordia Chu
Shiann-Far Kung
Susan C. Hu
Publicatiedatum
09-05-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 9/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02199-5

Andere artikelen Uitgave 9/2019

Quality of Life Research 9/2019 Naar de uitgave