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The Relationship among Community Environment, Behavior, Activity Ability, and Self-Rated Health of Older Adults: A Hierarchical and Multi-Dimensional Comparative Study

Author

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  • Zhenhua Zheng

    (College of Communication and Art Design, University of Shanghai for Science and Technology, No. 516 Jungong Road, Shanghai 200093, China)

  • Hong Chen

    (College of Architecture & Environment, Sichuan University, No. 24 First South Section First Ring Road, Chengdu 610065, China)

Abstract

Although the community environment is a known determinant of older adults’ health, it is unclear about the logical relationships among the community environment, behavior, activity ability, and health of older adults, and the differences between the different age groups. This study used a two-stage sampling method to conduct a household survey of people over 60 years old living in Xinhua Street, Shanghai, China. In total, 2783 valid samples were obtained. Of these, 1256 were males and 1627 were females, with an average age of 71.1 years. The statistical method used in this study was the structural equation modeling method. The effects of the community environment and behavior on the activity ability and self-rated health of older adults are different, and the path of health influence of older adults is different in different age groups. Community environment has more wider effects on older adults’ self-rated health, while behavior, including walking behavior and neighbor contacts, have a more intensive effect on the activity ability of older adults. The community environment has a significant positive effect on the activity ability of the younger group but not on that of the older group, which instead was significantly affected by the neighbor contacts. Therefore, refined environmental governance and targeted improvement and resolution of different types of health problems among different groups of older persons will contribute to the overall health of older adults.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7387-:d:591914
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    References listed on IDEAS

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    1. Frank Dunstan & David L Fone & Myer Glickman & Stephen Palmer, 2013. "Objectively Measured Residential Environment and Self-Reported Health: A Multilevel Analysis of UK Census Data," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-7, July.
    2. Zhenhua Zheng & Junling Gao & Ye Yang, 2020. "The Enigma of Gender Differences in an Environment-Behavior-Health Model of Elderly People: The Choice Between Individually and Sociality," IJERPH, MDPI, vol. 17(10), pages 1-18, May.
    3. Pei-Chun Chen & Janet M. Wilmoth, 2004. "The Effects of Residential Mobility on ADL and IADL Limitations Among the Very Old Living in the Community," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 59(3), pages 164-172.
    4. Zhenhua Zheng & Liu (Lydia) Yang, 2019. "Neighborhood Environment, Lifestyle, and Health of Older Adults: Comparison of Age Groups Based on Ecological Model of Aging," Sustainability, MDPI, vol. 11(7), pages 1-16, April.
    5. 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.
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    Cited by:

    1. Ying Wang & Di Lin & Ze Huang, 2022. "Research on the Aging-Friendly Kitchen Based on Space Syntax Theory," IJERPH, MDPI, vol. 19(9), pages 1-13, April.

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