IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i19p10250-d646166.html
   My bibliography  Save this article

The Effect of High-Density Built Environments on Elderly Individuals’ Physical Health: A Cross-Sectional Study in Guangzhou, China

Author

Listed:
  • Rongrong Zhang

    (School of Geography and Planning, Sun Yat-sen University, Guangzhou 510275, China)

  • Song Liu

    (School of Geography and Planning, Sun Yat-sen University, Guangzhou 510275, China)

  • Ming Li

    (School of Geography and Planning, Sun Yat-sen University, Guangzhou 510275, China)

  • Xiong He

    (School of Geography and Planning, Sun Yat-sen University, Guangzhou 510275, China)

  • Chunshan Zhou

    (School of Geography and Planning, Sun Yat-sen University, Guangzhou 510275, China)

Abstract

The built environment refers to the objective material environment built by humans in cities for living and production activities. Existing studies have proven that the built environment plays a significant role in human health, but little attention is paid to the elderly in this regard. At the same time, existing studies are mainly concentrated in Western developed countries, and there are few empirical studies in developing countries such as China. Based on POI (point of interest) data and 882 questionnaires collected from 20 neighborhoods in Guangzhou, we employ multilevel linear regression modeling, mediating effect modeling, to explore the path and mechanism of the impact of the built environment on elderly individuals’ physical health, especially the mediating effects of physical and social interaction activity. The results show that the number of POIs, the distance to the nearest park and square, and the number of parks and squares are significantly positively correlated with the physical health of the elderly, while the number of bus and subway stations and the distance to the nearest station are significantly negatively correlated. Secondly, physical activity and social networks play a separate role in mediating the effect of the built environment on elderly individuals’ physical health. The results enrich the research on the built environment and elderly individuals’ health in the context of high-density cities in China and provide some reference basis for actively promoting spatial intervention and cultivating a healthy aging society.

Suggested Citation

  • Rongrong Zhang & Song Liu & Ming Li & Xiong He & Chunshan Zhou, 2021. "The Effect of High-Density Built Environments on Elderly Individuals’ Physical Health: A Cross-Sectional Study in Guangzhou, China," IJERPH, MDPI, vol. 18(19), pages 1-22, September.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10250-:d:646166
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/19/10250/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/18/19/10250/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Reid Ewing & Robert Cervero, 2010. "Travel and the Built Environment," Journal of the American Planning Association, Taylor & Francis Journals, vol. 76(3), pages 265-294.
    2. Saelens, B.E. & Sallis, J.F. & Black, J.B. & Chen, D., 2003. "Neighborhood-Based Differences in Physical Activity: An Environment Scale Evaluation," American Journal of Public Health, American Public Health Association, vol. 93(9), pages 1552-1558.
    3. John R. Beard & Shannon Blaney & Magda Cerda & Victoria Frye & Gina S. Lovasi & Danielle Ompad & Andrew Rundle & David Vlahov, 2009. "Neighborhood Characteristics and Disability in Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(2), pages 252-257.
    4. Mi Namgung & B. Elizabeth Mercado Gonzalez & Seungwoo Park, 2019. "The Role of Built Environment on Health of Older Adults in Korea: Obesity and Gender Differences," IJERPH, MDPI, vol. 16(18), pages 1-13, September.
    5. Maria Beatrice Andreucci & Alessio Russo & Agnieszka Olszewska-Guizzo, 2019. "Designing Urban Green Blue Infrastructure for Mental Health and Elderly Wellbeing," Sustainability, MDPI, vol. 11(22), pages 1-14, November.
    6. Leyden, K.M., 2003. "Social Capital and the Built Environment: The Importance of Walkable Neighborhoods," American Journal of Public Health, American Public Health Association, vol. 93(9), pages 1546-1551.
    7. Michael, Yvonne L. & Nagel, Corey L. & Gold, Rachel & Hillier, Teresa A., 2014. "Does change in the neighborhood environment prevent obesity in older women?," Social Science & Medicine, Elsevier, vol. 102(C), pages 129-137.
    8. Guglielmo Bonaccorsi & Federico Manzi & Marco Del Riccio & Nicoletta Setola & Eletta Naldi & Chiara Milani & Duccio Giorgetti & Claudia Dellisanti & Chiara Lorini, 2020. "Impact of the Built Environment and the Neighborhood in Promoting the Physical Activity and the Healthy Aging in Older People: An Umbrella Review," IJERPH, MDPI, vol. 17(17), pages 1-27, August.
    9. Moniruzzaman, Md. & Páez, Antonio & Nurul Habib, Khandker M. & Morency, Catherine, 2013. "Mode use and trip length of seniors in Montreal," Journal of Transport Geography, Elsevier, vol. 30(C), pages 89-99.
    10. Wasfi, R.A. & Dasgupta, K. & Orpana, H. & Ross, N.A., 2016. "Neighborhood walkability and body mass index trajectories: Longitudinal study of Canadians," American Journal of Public Health, American Public Health Association, vol. 106(5), pages 934-940.
    11. Scott C. Brown & Craig A. Mason & Joanna L. Lombard & Frank Martinez & Elizabeth Plater-Zyberk & Arnold R. Spokane & Frederick L. Newman & Hilda Pantin & José Szapocznik, 2009. "The Relationship of Built Environment to Perceived Social Support and Psychological Distress in Hispanic Elders: The Role of "Eyes on the Street"," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(2), pages 234-246.
    12. Raaj Kishore Biswas & Enamul Kabir, 2017. "Influence of distance between residence and health facilities on non-communicable diseases: An assessment over hypertension and diabetes in Bangladesh," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-11, May.
    13. Ford, E.S. & Zhao, G. & Tsai, J. & Li, C., 2011. "Low-Risk lifestyle behaviors and all-cause mortality: Findings from the national health and nutrition examination survey III mortality study," American Journal of Public Health, American Public Health Association, vol. 101(10), pages 1922-1929.
    14. Giulia Melis & Elena Gelormino & Giulia Marra & Elisa Ferracin & Giuseppe Costa, 2015. "The Effects of the Urban Built Environment on Mental Health: A Cohort Study in a Large Northern Italian City," IJERPH, MDPI, vol. 12(11), pages 1-18, November.
    15. Sun, Bindong & Yan, Hong & Zhang, Tinglin, 2017. "Built environmental impacts on individual mode choice and BMI: Evidence from China," Journal of Transport Geography, Elsevier, vol. 63(C), pages 11-21.
    16. Diez Roux, A.V. & Evenson, K.R. & McGinn, A.P. & Brown, D.G. & Moore, L. & Brines, S. & Jacobs Jr., D.R., 2007. "Availability of recreational resources and physical activity in adults," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 493-499.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Yiwen Zhang & Haizhi Luo & Jiami Xie & Xiangzhao Meng & Changdong Ye, 2023. "The Influence and Prediction of Built Environment on the Subjective Well-Being of the Elderly Based on Random Forest: Evidence from Guangzhou, China," Land, MDPI, vol. 12(10), pages 1-16, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Marquet, Oriol & Miralles-Guasch, Carme, 2015. "Neighbourhood vitality and physical activity among the elderly: The role of walkable environments on active ageing in Barcelona, Spain," Social Science & Medicine, Elsevier, vol. 135(C), pages 24-30.
    2. Bojing Liao & Yifan Xu & Xiang Li & Ji Li, 2022. "Association between Campus Walkability and Affective Walking Experience, and the Mediating Role of Walking Attitude," IJERPH, MDPI, vol. 19(21), pages 1-13, November.
    3. Young-Jae Kim & Ayoung Woo, 2016. "What’s the Score? Walkable Environments and Subsidized Households," Sustainability, MDPI, vol. 8(4), pages 1-20, April.
    4. Yinhua Tao & Jie Yang & Yanwei Chai, 2019. "The Anatomy of Health-Supportive Neighborhoods: A Multilevel Analysis of Built Environment, Perceived Disorder, Social Interaction and Mental Health in Beijing," IJERPH, MDPI, vol. 17(1), pages 1-19, December.
    5. Ivan Blečić & Tanja Congiu & Giovanna Fancello & Giuseppe Andrea Trunfio, 2020. "Planning and Design Support Tools for Walkability: A Guide for Urban Analysts," Sustainability, MDPI, vol. 12(11), pages 1-18, May.
    6. Martín, Belén & Páez, Antonio, 2019. "Individual and geographic variations in the propensity to travel by active modes in Vitoria-Gasteiz, Spain," Journal of Transport Geography, Elsevier, vol. 76(C), pages 103-113.
    7. Antonio Zumelzu & Marie Geraldine Herrmann-Lunecke, 2021. "Mental Well-Being and the Influence of Place: Conceptual Approaches for the Built Environment for Planning Healthy and Walkable Cities," Sustainability, MDPI, vol. 13(11), pages 1-21, June.
    8. Jingyuan Zhang & Puay Yok Tan & Hui Zeng & Ye Zhang, 2019. "Walkability Assessment in a Rapidly Urbanizing City and Its Relationship with Residential Estate Value," Sustainability, MDPI, vol. 11(8), pages 1-20, April.
    9. Kevin Credit & Elizabeth Mack, 2019. "Place-making and performance: The impact of walkable built environments on business performance in Phoenix and Boston," Environment and Planning B, , vol. 46(2), pages 264-285, February.
    10. Fernando Fonseca & Escolástica Fernandes & Rui Ramos, 2022. "Walkable Cities: Using the Smart Pedestrian Net Method for Evaluating a Pedestrian Network in Guimarães, Portugal," Sustainability, MDPI, vol. 14(16), pages 1-23, August.
    11. Zimu Jia & Long Chen & Jingjia Chen & Guowei Lyu & Ding Zhou & Ying Long, 2020. "Urban modeling for streets using vector cellular automata: Framework and its application in Beijing," Environment and Planning B, , vol. 47(8), pages 1418-1439, October.
    12. Bradley Bereitschaft, 2017. "Equity in Microscale Urban Design and Walkability: A Photographic Survey of Six Pittsburgh Streetscapes," Sustainability, MDPI, vol. 9(7), pages 1-20, July.
    13. Enayat Mirzaei & Dominique Mignot, 2021. "An Empirical Analysis of Mode Choice Decision for Utilitarian and Hedonic Trips: Evidence from Iran," Sustainability, MDPI, vol. 13(12), pages 1-23, June.
    14. Neatt, Kevin & Millward, Hugh & Spinney, Jamie, 2017. "Neighborhood walking densities: A multivariate analysis in Halifax, Canada," Journal of Transport Geography, Elsevier, vol. 61(C), pages 9-16.
    15. Wang, Donggen & Lin, Tao, 2013. "Built environments, social environments, and activity-travel behavior: a case study of Hong Kong," Journal of Transport Geography, Elsevier, vol. 31(C), pages 286-295.
    16. Teng Zhong & Guonian Lü & Xiuming Zhong & Haoming Tang & Yu Ye, 2020. "Measuring Human-Scale Living Convenience through Multi-Sourced Urban Data and a Geodesign Approach: Buildings as Analytical Units," Sustainability, MDPI, vol. 12(11), pages 1-19, June.
    17. Junyu Lu & Meilin Dai & Fuhan Li & Ludan Qin & Bin Cheng & Zhuoyan Li & Zikun Yao & Rong Wu, 2023. "The Impact of Urban Built Environments on Elderly People’s Sense of Safety and Adaptation to Aging: A Case Study of Three Major Urban Agglomerations in China," Land, MDPI, vol. 12(8), pages 1-18, July.
    18. Won, Jaewoong & Lee, Chanam & Forjuoh, Samuel N. & Ory, Marcia G., 2016. "Neighborhood safety factors associated with older adults' health-related outcomes: A systematic literature review," Social Science & Medicine, Elsevier, vol. 165(C), pages 177-186.
    19. Hou, Yuting & Yap, Winston & Chua, Rochelle & Song, Siqi & Yuen, Belinda, 2020. "The associations between older adults’ daily travel pattern and objective and perceived built environment: A study of three neighbourhoods in Singapore," Transport Policy, Elsevier, vol. 99(C), pages 314-328.
    20. Teck Hong Tan, 2022. "Perceived Environmental Attributes: Their Impact on Older Adults’ Mental Health in Malaysia," IJERPH, MDPI, vol. 19(6), pages 1-13, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10250-:d:646166. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.