International Journal of Environmental Research and Public Health

Research

30 pages, 7877 KiB

Open AccessArticle

Implications of Aging in Place in the Context of the Residential Environment: Bibliometric Analysis and Literature Review

by Eugene Seo and Sanghee Lee

Int. J. Environ. Res. Public Health 2023, 20(20), 6905; https://doi.org/10.3390/ijerph20206905 - 10 Oct 2023

Cited by 4 | Viewed by 4599

Abstract

The residential environment’s impact on aging in place is a multidisciplinary field that draws from architecture, urban planning, gerontology, psychology, and sociology. This multidisciplinary nature makes it challenging to comprehensively understand the field and identify the connections and interactions among disciplines. A bibliometric [...] Read more.

The residential environment’s impact on aging in place is a multidisciplinary field that draws from architecture, urban planning, gerontology, psychology, and sociology. This multidisciplinary nature makes it challenging to comprehensively understand the field and identify the connections and interactions among disciplines. A bibliometric analysis is crucial for exploring the field’s intellectual structure, identifying interdisciplinary collaborations, and tracking the knowledge flow across disciplines and will facilitate cross-disciplinary dialogue, foster collaboration, and encourage research that integrates diverse perspectives. This study reviewed the literature on aging in place in the context of a residential environment, which required adapting theories and methodologies. It analyzed a dataset of 1500 publications retrieved from the Web of Science, applied performance analysis techniques, and utilized VOSviewer to visualize the intellectual structure and evolving research themes. The results emphasize the increasing strength of academic interest and the growing diversity of fields related to the topic. The findings are discussed in terms of productivity, collaboration, and research themes from the past to the future. The results provide a roadmap for researchers, policymakers, and practitioners worldwide who focus on aging in place and acknowledge the importance of considering the physical, social, and cultural aspects of an older adult’s living environment. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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11 pages, 298 KiB

Open AccessArticle

Experiences Pertaining to Successful Aging in Middle-Aged Women in South Korea

by Do-young Lee, Hyun-ju Kim and A-young Jo

Int. J. Environ. Res. Public Health 2023, 20(19), 6882; https://doi.org/10.3390/ijerph20196882 - 4 Oct 2023

Viewed by 1937

Abstract

This study aimed to analyze and gain an in-depth understanding of the experiences pertaining to successful aging in middle-aged women in South Korea. A sample of 12 middle-aged women, capable of sharing their lived experiences, was divided into three age-based groups: those in [...] Read more.

This study aimed to analyze and gain an in-depth understanding of the experiences pertaining to successful aging in middle-aged women in South Korea. A sample of 12 middle-aged women, capable of sharing their lived experiences, was divided into three age-based groups: those in their 40s, those in their 50s, and those aged 60–65 years. The collected data were analyzed using Colaizzi’s phenomenological method. Five theme clusters and ten themes emerged. The experiences of successful aging among middle-aged women were categorized as: “Coping with changes in the mind and body”, “Financially stable life”, “Undergoing the aging process with a healthy family”, “Preparations for dying well”, and “Pursuing a meaningful, harmonious life”. These findings highlight the need for programs that prepare middle-aged women to positively accept and enjoy older adulthood by identifying and addressing the factors essential for successful aging and reducing any negative emotions attached to aging and older adulthood. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

18 pages, 596 KiB

Open AccessFeature PaperArticle

Social Capital and Mental Wellbeing of Older People Migrating along with Adult Children in Shenzhen, China

by Julia Juan Wang, Daniel W. L. Lai and Wenqing Yu

Int. J. Environ. Res. Public Health 2023, 20(19), 6857; https://doi.org/10.3390/ijerph20196857 - 28 Sep 2023

Viewed by 1747

Abstract

The phenomenon of ‘older people migrating along’ (OPMA) with adult children is a unique outcome of social changes that have occurred in China. These individuals generally experience different challenges and needs associated with mental wellbeing. However, there is limited research on the relationship [...] Read more.

The phenomenon of ‘older people migrating along’ (OPMA) with adult children is a unique outcome of social changes that have occurred in China. These individuals generally experience different challenges and needs associated with mental wellbeing. However, there is limited research on the relationship between the social capital and mental health of OPMA in China. This study aims to examine the mental health status of OPMA and the effects of bonding social capital and bridging social capital on their mental wellbeing in China by conducting a quantitative research survey among 399 OPMA participants. We found that bonding social capital correlated to only one indicator of mental wellbeing, subjective happiness. Bridging social capital had significant relationships with four mental health indicators, namely, the 12-item General Health Questionnaire (GHQ-12), Geriatric Depression Scale (GDS), subjective happiness, and life satisfaction. Through strengthening bridging social capital, these older adults can benefit from more opportunities for participation in formal or informal organizations in their communities and improve their mental wellbeing. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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11 pages, 348 KiB

Open AccessArticle

Access to Information and Communication Technology, Digital Skills, and Perceived Well-Being among Older Adults in Hong Kong

by Kwok-kin Fung, Shirley Suet-lin Hung, Daniel W. L. Lai, Michelle H. Y. Shum, Hong-wang Fung and Langjie He

Int. J. Environ. Res. Public Health 2023, 20(13), 6208; https://doi.org/10.3390/ijerph20136208 - 23 Jun 2023

Cited by 9 | Viewed by 4629

Abstract

Population aging is a major concern worldwide. Active aging should be promoted by increasing the social participation of older adults and enabling them to remain involved in the community. Research has demonstrated the utility of digital resources for addressing the needs of older [...] Read more.

Population aging is a major concern worldwide. Active aging should be promoted by increasing the social participation of older adults and enabling them to remain involved in the community. Research has demonstrated the utility of digital resources for addressing the needs of older adults, which include networking, entertaining, and seeking health-related information. However, the digital divide among older adults (i.e., the “gray digital divide”) is increasingly being recognized as a social problem that may be related to poor well-being. To obtain updated local data on the prevalence of Internet access and usage and their relationship with perceived well-being, we conducted telephone interviews with a random sample of 1018 older adults in Hong Kong from January to July 2021 (This research has received funding support from the Interdisciplinary Research Matching Scheme, Hong Kong Baptist University). We found that only 76.5% of the participants had Internet access at home, a mobile phone data plan, or both, whereas 36.3% had never used Internet services and 18.2% had no digital devices. A younger age, male gender, higher education level, living with others, and higher self-perceived social class were associated with material access to digital devices and everyday use of Internet services. Participants who accessed the Internet every day had higher levels of life satisfaction and self-rated physical and mental health than those who rarely or never used the Internet. Hierarchical multiple regression analysis revealed that digital skills were significantly associated with self-rated mental health even when controlling for demographic variables (including age, gender, education level, and self-perceived social class). This study contributes to the limited body of literature on the relationship between Internet use, digital skills, and perceived well-being. Our findings highlight the importance of addressing the digital divide even in cities with high penetration of information and communication technology, such as Hong Kong. We also discuss our insights into the use of timely interventions for older adults to address the gray digital divide. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

15 pages, 529 KiB

Open AccessArticle

Is Social Participation Associated with Successful Aging among Older Canadians? Findings from the Canadian Longitudinal Study on Aging (CLSA)

by Mabel Ho, Eleanor Pullenayegum and Esme Fuller-Thomson

Int. J. Environ. Res. Public Health 2023, 20(12), 6058; https://doi.org/10.3390/ijerph20126058 - 6 Jun 2023

Cited by 8 | Viewed by 7062

Abstract

The present study examines various activities of social participation (i.e., church or religious activities; educational or cultural activities; service club or fraternal organization activities; neighbourhood, community, or professional association activities; volunteer or charity work; and recreational activities) as contributing factors to successful aging. [...] Read more.

The present study examines various activities of social participation (i.e., church or religious activities; educational or cultural activities; service club or fraternal organization activities; neighbourhood, community, or professional association activities; volunteer or charity work; and recreational activities) as contributing factors to successful aging. Successful aging in this study includes the following: adequate social support, no limitations with respect to Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), no mental illness in the preceding year, no serious cognitive decline or pain that prevents activity, as well as high levels of happiness, and self-reports of good physical health, mental health, and successful aging. Methods: The Canadian Longitudinal Study on Aging (CLSA) is a large, national, longitudinal study on aging. A secondary analysis of the baseline (i.e., 2011–2015) and Time 2 (i.e., 2015–2018) data of the CLSA was conducted on a sample of 7623 older adults who were defined as “aging successfully” at baseline and were aged 60+ at Time 2. Binary logistic regression analyses were employed to examine the association between engaging in various social participation activities at baseline and aging successfully at Time 2. Results: In a subsample (n = 7623) of the Canadian Longitudinal Study on Aging (CLSA) Comprehensive Cohort who were aging successfully at baseline, the prevalence of successful aging at Time 2 was significantly higher among the participants who participated in volunteer or charity work and recreational activities compared to those who were not involved in these activities. After adjusting for 22 potential factors, the results of the binary logistic regression analyses reported that participants who, at baseline, participated in volunteer or charity work and recreational activities had higher age–sex-adjusted odds of achieving successful aging (volunteer or charity work: aOR = 1.17, 95% CI: 1.04, 1.33; recreational activities: aOR = 1.15, 95% CI: 1.00, 1.32). Conclusions: Among six types of social participation activities, people who participated in volunteer or charity work and recreational activities were more likely to achieve successful aging than their counterparts who did not engage in these activities. If these associations are found to be causal, policies and interventions encouraging older adults to participate in volunteer or charity work and recreational activities may support older adults to achieve successful aging in later life. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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15 pages, 914 KiB

Open AccessArticle

Built Environment Accessibility and Disability as Predictors of Well-Being among Older Adults: A Norwegian Cross-Sectional Study

by Grace Katharine Forster, Leif Edvard Aarø, Maria Nordheim Alme, Thomas Hansen, Thomas Sevenius Nilsen and Øystein Vedaa

Int. J. Environ. Res. Public Health 2023, 20(10), 5898; https://doi.org/10.3390/ijerph20105898 - 20 May 2023

Cited by 4 | Viewed by 4068

Abstract

Knowledge about the influence environmental factors have on well-being is important to deliver policies supporting healthy ageing and sustainable health equity. An under-researched question is whether and how the built environment plays a role on well-being among older adults with disabilities. This study [...] Read more.

Knowledge about the influence environmental factors have on well-being is important to deliver policies supporting healthy ageing and sustainable health equity. An under-researched question is whether and how the built environment plays a role on well-being among older adults with disabilities. This study explores the relationship between built environment accessibility and disability on psychosocial well-being among older adults. Data were used from the Norwegian Counties Public Health Survey collected during February 2021 in Møre and Romsdal county (N = 8274; age = 60–97, mean = 68.6). General linear modelling was performed to examine the relationship and interaction between built environment accessibility (services, transportation, and nature) and disability on psychosocial well-being (quality of life, thriving, loneliness, and psychological distress). Higher levels of disability and poorer accessibility were each significantly related to lower psychosocial well-being across all variables (p < 0.001). Significant interaction effects were observed between disability and built environment accessibility on thriving (F(8, 5936) = 4.97, p < 0.001, η² = 0.006) and psychological distress (F(8, 5957) = 3.09, p = 0.002, η² = 0.004). No significant interaction effects were found for quality of life and loneliness. These findings indicate good built environment accessibility is associated with thriving and reduces psychological distress among older adults with disabilities. This study supports and extends previous findings on the importance of accessible and equipped environments for well-being and may aid policy makers when planning built environments to foster healthy ageing among this population group. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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19 pages, 3343 KiB

Open AccessArticle

Measuring the Impact of Bedroom Privacy on Social Networks in a Long-Term Care Facility for Hong Kong Older Adults: A Spatio-Social Network Analysis Approach

by Aria C. H. Yang, Habib Chaudhury, Jeffrey C. F. Ho and Newman Lau

Int. J. Environ. Res. Public Health 2023, 20(8), 5494; https://doi.org/10.3390/ijerph20085494 - 13 Apr 2023

Cited by 3 | Viewed by 2371

Abstract

This study aims to measure the impact of bedroom privacy on residents’ social networks in a long-term care (LTC) facility for older adults. Little is known about how the architectural design of bedrooms affects residents’ social networks in compact LTC facilities. Five design [...] Read more.

This study aims to measure the impact of bedroom privacy on residents’ social networks in a long-term care (LTC) facility for older adults. Little is known about how the architectural design of bedrooms affects residents’ social networks in compact LTC facilities. Five design factors affecting privacy were examined: bedroom occupancy, visual privacy, visibility, bedroom adjacency, and transitional space. We present a spatio-social network analysis approach to analyse the social network structures of 48 residents. Results show that residents with the highest bedroom privacy had comparatively smaller yet stronger groups of network partners in their own bedrooms. Further, residents who lived along short corridors interacted frequently with non-roommates in one another’s bedrooms. In contrast, residents who had the least privacy had relatively diverse network partners, however, with weak social ties. Clustering analyses also identified five distinct social clusters among residents of different bedrooms, ranging from diverse to restricted. Multiple regressions showed that these architectural factors are significantly associated with residents’ network structures. The findings have methodological implications for the study of physical environment and social networks which are useful for LTC service providers. We argue that our findings could inform current policies to develop LTC facilities aimed at improving residents’ well-being. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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13 pages, 592 KiB

Open AccessArticle

Experience of Chinese Recent Retirees on the Effects of Retirement on Healthy Ageing in Shenzhen and Hong Kong

by Daniel W. L. Lai, Yong-Xin Ruan, Julia Juan Wang, Emma H. S. Liu and Jia-Jia Zhou

Int. J. Environ. Res. Public Health 2023, 20(4), 2820; https://doi.org/10.3390/ijerph20042820 - 5 Feb 2023

Cited by 5 | Viewed by 3222

Abstract

This study examined perspectives of recent retirees in Shenzhen and Hong Kong on how retirement influenced their healthy ageing. It investigated retirees’ perceptions of healthy ageing and the ways in which healthy ageing connected with retirees’ transition into retirement. A qualitative design with [...] Read more.

This study examined perspectives of recent retirees in Shenzhen and Hong Kong on how retirement influenced their healthy ageing. It investigated retirees’ perceptions of healthy ageing and the ways in which healthy ageing connected with retirees’ transition into retirement. A qualitative design with narrative interviews was used to interview twelve recent retirees in Shenzhen and thirteen in Hong Kong. The participants elaborated their perspectives on healthy ageing, which covered physical, mental, social, and financial domains. Retirees in both cities identified healthy ageing as maintaining an independent life and avoiding becoming a burden on family members. This study found that retirement declined physical health (in parallel with raised awareness of health promotion), posed both negative and positive influences on mental health, and shrank peripheral social networks of retirees. In addition, regional social welfare systems have different impacts on retirees’ financial security and social participation. Retirees in Hong Kong reported higher stress of financial security and a strong desire for labor participation. Migrant–local welfare gaps were documented by retirees in Shenzhen. This study suggested that retirement planning, establishing a multi-pillar retirement-protection system, and narrowing the welfare gap between migrants and local residents should be implemented to reinforce healthy ageing. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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11 pages, 342 KiB

Open AccessArticle

Temporal Trends (from 2008 to 2017) in Functional Limitations and Limitations in Activities of Daily Living: Findings from a Nationally Representative Sample of 5.4 Million Older Americans

by Esme Fuller-Thomson, Jason Ferreirinha and Katherine Marie Ahlin

Int. J. Environ. Res. Public Health 2023, 20(3), 2665; https://doi.org/10.3390/ijerph20032665 - 2 Feb 2023

Cited by 6 | Viewed by 5184

Abstract

This study’s objectives are as follows: (1) to identify the temporal trends in the prevalence and the odds of activities of daily living (ADL) limitations and functional limitations (FLs) among Americans aged 65 and older; (2) to explore if these trends vary by [...] Read more.

This study’s objectives are as follows: (1) to identify the temporal trends in the prevalence and the odds of activities of daily living (ADL) limitations and functional limitations (FLs) among Americans aged 65 and older; (2) to explore if these trends vary by gender and age cohort; (3) to determine if generational differences in educational attainment play a role in the observed temporal trends. A secondary analysis of the American Community Survey (ACS) was conducted for ten consecutive waves of the annual cross-sectional survey (2008–2017). The respondents were community-dwelling and institutionalized adults aged 65 and older (n = 5.4 million). The question on ADLs was “Does this person have difficulty dressing or bathing?”. The question on FLs was “Does this person have serious difficulty walking or climbing stairs?”. There was a substantial decline over the decade in the prevalence of ADL limitations, from 12.1% to 9.6%, and FLs, from 27.3% to 23.5%. If the 2017 prevalence rates had remained at the same level as the 2008 prevalence rates, there would have been an additional 1.27 million older Americans with ADL limitations and 1.89 million with FLs. Adjusting for educational attainment substantially attenuated the odds of the decline for both ADL limitations and FLs. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

14 pages, 498 KiB

Open AccessArticle

Does the Internet Moderate the Neighborhood Effect? Internet Use, Neighborhoods, and Mental Health among Older Adults in Shanghai

by Wei Chen and Jia Miao

Int. J. Environ. Res. Public Health 2023, 20(3), 2267; https://doi.org/10.3390/ijerph20032267 - 27 Jan 2023

Cited by 2 | Viewed by 2760

Abstract

Internet use may reduce the impact of the neighborhood on residents’ well-being by helping people utilize resources beyond their immediate neighborhoods or strengthen neighborhood influences by widening the digital divide across neighborhoods. This study investigates how internet use moderates neighborhood effects on mental [...] Read more.

Internet use may reduce the impact of the neighborhood on residents’ well-being by helping people utilize resources beyond their immediate neighborhoods or strengthen neighborhood influences by widening the digital divide across neighborhoods. This study investigates how internet use moderates neighborhood effects on mental health among older adults in Shanghai. Using data from the Shanghai Urban Neighborhood Survey (SUNS) and population census, hierarchical linear models reveal that older adults who more frequently use the internet report lower levels of mental distress. Internet use attenuates the negative effects of living in low-socioeconomic status (SES) neighborhoods. We also examine the roles of three types of internet use: social networking, leisure, and information seeking. The results show that only social networking and leisure internet use are significantly associated with improved mental health among older adults. The results suggest that social programs are needed to increase internet literacy among older adults to promote active aging, and priority should be given to relatively disadvantaged neighborhoods. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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9 pages, 343 KiB

Open AccessArticle

Gender-Specific Prevalence and Risk Factors of Sarcopenic Obesity in the Korean Elderly Population: A Nationwide Cross-Sectional Study

by Jongseok Hwang and Soonjee Park

Int. J. Environ. Res. Public Health 2023, 20(2), 1140; https://doi.org/10.3390/ijerph20021140 - 9 Jan 2023

Cited by 29 | Viewed by 2974

Abstract

Sarcopenic obesity (SO) is characterized by the combination of sarcopenia and obesity. This study evaluates the gender-specific prevalence of SO and examines the identified gender-specific risk factors in a community-dwelling elderly population aged 75–84 years. A total of 813 subjects participated in the [...] Read more.

Sarcopenic obesity (SO) is characterized by the combination of sarcopenia and obesity. This study evaluates the gender-specific prevalence of SO and examines the identified gender-specific risk factors in a community-dwelling elderly population aged 75–84 years. A total of 813 subjects participated in the study via the Korea National Health and Nutrition Examination Survey. The SO prevalence in males and females was 15.46% (95%CI: 11.36–20.70) and 13.59% (95%CI: 10.59–17.28), respectively. The clinical sex-specific risk factors for males were low height, high weight, body mass index, waist circumference, skeletal muscle index, fasting glucose, and triglycerides. The clinical risk factors for females were low height, high weight, body mass index, waist circumference, skeletal muscle index, smoking status, fasting glucose, total cholesterol, and systolic blood pressure. These results are essential to assist healthcare professionals and primary care clinicians with early detection, diagnosis, and intervention for potential SO patients by acknowledging the sex-based prevalence and risk factors. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

19 pages, 3572 KiB

Open AccessArticle

Assessing Spatial Accessibility of Community Hospitals for the Elderly in Beijing, China

by Jingya Luan, Yuhong Tian, Chi Yung Jim, Xu Liu, Mengxuan Yan and Lizhu Wu

Int. J. Environ. Res. Public Health 2023, 20(1), 890; https://doi.org/10.3390/ijerph20010890 - 3 Jan 2023

Cited by 8 | Viewed by 3345

Abstract

Accessibility of health services signifies the quality and equitability of universal health provision. The hierarchical medical system recently implemented in China offers the policy instruments to improve medical services to the elderly in an aging society. As the critical primary care gateway, accessibility [...] Read more.

Accessibility of health services signifies the quality and equitability of universal health provision. The hierarchical medical system recently implemented in China offers the policy instruments to improve medical services to the elderly in an aging society. As the critical primary care gateway, accessibility to community hospitals has significant impacts on people’s health. However, current research has paid little attention to spatial accessibility within walking distance of community hospitals, especially for the elderly. This study selected four districts with different urbanization levels in the rapidly developing Beijing metropolis. The spatial interaction model was applied to measure the accessibility of community hospitals for the elderly at the community level. An attractiveness index was computed based on key hospital traits. The results showed that: (1) community hospitals could cover 82.66% of elderly residents, and 77.63% of the communities were within walking distance. The served elderly proportion was relatively high in central urban areas and low in the suburbs. (2) The attractiveness indices of hospitals varied notably between districts, with higher values in more urbanized areas. (3) The spatial accessibility for the elderly of hospitals differed significantly between the four districts, with a descending gradient from central to suburban and rural areas, as indicated by the Gini coefficients and Lorenz curves. (4) The accessibility index was strongly related to the served elderly population and the hospital–residence distance. The findings provide policy directions to the government, including providing more primary-care resources to suburban and rural areas, building new community hospitals in identified provision gaps, upgrading some clinics to hospitals in rural areas, and planning hospitals according to the projected trend of the elderly population in terms of quantity and distribution. The considerable provision disparity between core urban, suburban and rural areas can be addressed by refined spatial health planning informed by research. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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16 pages, 394 KiB

Open AccessArticle

Flourishing despite Chronic Obstructive Pulmonary Disease (COPD): Findings from a Nationally Representative Survey of Canadians Aged 50 and Older

by Sally Abudiab and Esme Fuller-Thomson

Int. J. Environ. Res. Public Health 2022, 19(23), 16337; https://doi.org/10.3390/ijerph192316337 - 6 Dec 2022

Cited by 3 | Viewed by 3908

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of mortality and is often associated with serious disability and depression. Little is known about the characteristics of those who are in complete mental health (CMH) despite having COPD. This study’s objectives are to: [...] Read more.

Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of mortality and is often associated with serious disability and depression. Little is known about the characteristics of those who are in complete mental health (CMH) despite having COPD. This study’s objectives are to: (1) estimate the prevalence and odds of absence of psychiatric disorders (APD) and CMH among older adults that reported having COPD, compared to their peers that did not; (2) identify factors associated with APD and with CMH. Bivariate and logistic regression analyses were conducted using the nationally representative Canadian Community Health Survey—Mental Health. The results indicate that there was a significantly (p < 0.001) lower prevalence of APD (86.7% vs. 95.0%) and CMH (66.7% vs. 77.0%) among older adults aged 50+ with COPD (n = 703) compared to those without COPD (n = 10,189). Half of the sample was female (50.5%) and the majority of whom were under age 70 (62.5%). Factors significantly (p < 0.05) associated with higher odds of APD and of CMH among older adults with COPD include being married, having a confidant, being physically active, and having no lifetime history of major depressive disorder or generalized anxiety disorder. For every additional adverse childhood experience, the odds of APD declined by 31%. The majority of those with COPD are mentally flourishing despite having this disabling and life-threatening disorder. These findings underline the importance of targeted interventions and outreach to those most vulnerable to poorer mental health outcomes including the socially isolated. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

16 pages, 1364 KiB

Open AccessArticle

The Effects of Public Open Space on Older People’s Well-Being: From Neighborhood Social Cohesion to Place Dependence

by Shi Chen, Yi Sun and Bo Kyong Seo

Int. J. Environ. Res. Public Health 2022, 19(23), 16170; https://doi.org/10.3390/ijerph192316170 - 2 Dec 2022

Cited by 10 | Viewed by 3776

Abstract

This quantitative study examines the effects of Public Open Space (POS) on older people’s well-being and examines the roles of neighborhood social cohesion (NSC) and place dependence (PD) as series buffers. A questionnaire survey of 501 people aged 65 and over was conducted [...] Read more.

This quantitative study examines the effects of Public Open Space (POS) on older people’s well-being and examines the roles of neighborhood social cohesion (NSC) and place dependence (PD) as series buffers. A questionnaire survey of 501 people aged 65 and over was conducted in various communities of Hong Kong. Structural equation modelling (SEM) was used to analyze the pathways connecting POS and well-being. A multigroup analysis examined differences in the POS–well-being associations between the young-old (aged 65 to 75, n = 166) and old-old group (aged 76 to 95, n = 166). Results show that the association between POS and emotional well-being was stronger than social and psychological well-being. POS promotes three facets of well-being through developing NSC and, subsequently, PD. Multigroup analysis results suggest that the pathway from POS to emotional well-being via NSC is stronger for the old-old group; POS is more important for psychological well-being for the young-old group. This study highlights that the quality of POS, including attractive natural elements, various amenities, and sufficient space for social interactions, is essential for making relationship-rich and health-promotive urban environments. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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17 pages, 385 KiB

Open AccessArticle

Shared Destiny in the Digital Era: Sensation Seeking, Loneliness, and Excessive Internet Use among Middle-Aged and Older Adults in Mainland China

by Heng Yang and Jianbin Jin

Int. J. Environ. Res. Public Health 2022, 19(21), 13766; https://doi.org/10.3390/ijerph192113766 - 23 Oct 2022

Cited by 4 | Viewed by 3414

Abstract

With digital infrastructures becoming the foundation of modern life and a shared lifestyle, the internet has become a popular leisure tool for middle-aged and elderly individuals. However, inappropriate use of the internet can jeopardize their health and quality of life, and excessive internet [...] Read more.

With digital infrastructures becoming the foundation of modern life and a shared lifestyle, the internet has become a popular leisure tool for middle-aged and elderly individuals. However, inappropriate use of the internet can jeopardize their health and quality of life, and excessive internet use by middle-aged and older adults is a cause for concern. This study found that middle-aged and older adults are vulnerable to excessive internet use. One predictor of excessive use is loneliness, but its effect is relatively limited. It is a mediating variable rather than the essential cause of excessive internet use by middle-aged and older adults. The effect of sensation seeking is a strong predictor of middle-aged and older adults’ excessive internet use, which means they have a strong desire to use the internet to satisfy their emotional needs, thus, resulting in excessive internet use. The social nature of digital infrastructure in a relational framework and the impact of the internet on different populations are likely more complex than we imagine and have the potential to cause many unintended effects. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

11 pages, 1008 KiB

Open AccessArticle

Acceptance of Social Networking Sites by Older People before and after COVID-19 Confinement: A Repeated Cross-Sectional Study in Chile, Using the Theory of Planned Behaviour (TPB)

by Patricio Ramírez-Correa, Elizabeth Grandón, Jorge Arenas-Gaitán, Javier Rondán-Cataluña and Muriel Ramírez-Santana

Int. J. Environ. Res. Public Health 2022, 19(20), 13355; https://doi.org/10.3390/ijerph192013355 - 16 Oct 2022

Cited by 6 | Viewed by 2084

Abstract

This study aims to examine the capacity of the Theory of Planned Behaviour (TPB) to explain the intention to use social networking sites by older people in two time periods, before and after confinement due to the COVID-19 epidemic, as well as the [...] Read more.

This study aims to examine the capacity of the Theory of Planned Behaviour (TPB) to explain the intention to use social networking sites by older people in two time periods, before and after confinement due to the COVID-19 epidemic, as well as the evolution of effects (paths) over time of TPB’s determinants. Based on interviews from samples of 384 and 383 elderly Chilean adults collected before and after confinement, the evolution of the effects (paths) was analysed using the TPB model applying the PLS-SEM technique. The intention to use social networks and its association with three factors were evaluated: attitude toward the behaviour, subjective norms, and perceived control over the behaviour. The model explains the intention to use social networks by 27% before confinement, increasing its magnitude to 50% after confinement. After the period of confinement, their attitudes become more significant, their perceptions of control become less important, and social pressures remain permanent in predicting the behaviour. In conclusion, better access and greater use of social networks by older people during the lockdown period increased the predictive strength of the attitude towards these technologies. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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18 pages, 548 KiB

Open AccessArticle

Successful Aging among Immigrant and Canadian-Born Older Adults: Findings from the Canadian Longitudinal Study on Aging (CLSA)

by Mabel Ho, Eleanor Pullenayegum, David Burnes and Esme Fuller-Thomson

Int. J. Environ. Res. Public Health 2022, 19(20), 13199; https://doi.org/10.3390/ijerph192013199 - 13 Oct 2022

Cited by 5 | Viewed by 10850

Abstract

Background: Few studies in Canada have focused on the relationship between immigrant status and successful aging. The concept of successful aging used in this study includes the ability to accomplish both activities of daily living (ADLs) and instrumental activities of daily living (IADLs), [...] Read more.

Background: Few studies in Canada have focused on the relationship between immigrant status and successful aging. The concept of successful aging used in this study includes the ability to accomplish both activities of daily living (ADLs) and instrumental activities of daily living (IADLs), freedom from mental illness, memory problems and disabling chronic pain, adequate social support and older adults’ self-reported happiness and subjective perception of their physical health, mental health and aging process as good. Methods: The present study analyzed the first two waves of data from the comprehensive cohort of the Canadian Longitudinal Study on Aging (CLSA). The sample includes 7651 respondents aged 60+ at time 2, of whom 1446 respondents were immigrants. Bivariate and multivariable binary logistic regression analyses were conducted. Results: Canadian-born older adults had a slightly higher prevalence and age-sex adjusted odds of achieving successful aging than their immigrant counterparts (aOR = 1.18, 95% CI: 1.04, 1.34, p < 0.001). After adjusting for 18 additional factors, immigrant status remained statistically significant (aOR = 1.24, 95% CI: 1.09, 1.41, p < 0.001). Significant baseline factors associated with successful aging among immigrants included being younger, having higher income, being married, not being obese, never smoking, engaging in moderate or strenuous physical activities, not having sleeping problems and being free of heart disease or arthritis. Conclusions: Immigrant older adults had a lower prevalence of successful aging than their Canadian-born peers. Further research could investigate whether policies and interventions supporting older immigrants and promoting a healthy lifestyle enhance older adults achieve successful aging in later life. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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15 pages, 600 KiB

Open AccessArticle

The Digital Divide Is Aging: An Intergenerational Investigation of Social Media Engagement in China

by Yuqiong Zhou, Tao He and Feng Lin

Int. J. Environ. Res. Public Health 2022, 19(19), 12965; https://doi.org/10.3390/ijerph191912965 - 10 Oct 2022

Cited by 6 | Viewed by 4600

Abstract

The aging-based digital divide has gained increased research attention in recent years. This research focused on two important aspects of the aging society, the digital divide and the intergenerational differences, with regard to social media usage in China. The data were collected through [...] Read more.

The aging-based digital divide has gained increased research attention in recent years. This research focused on two important aspects of the aging society, the digital divide and the intergenerational differences, with regard to social media usage in China. The data were collected through a household interview, using a nationally representative sample (n= 3790) from 58 cities in mainland China. The present study investigated the association between differentiated social media usage with demographic characteristics, social economic status, physical and mental health, and social media perceptions. The results show a significant digital divide and generational differences. The existing socio-economic inequalities and demographic variance largely explained older adults’ social media access and diversity of social media engagement. Social media perceptions play more essential roles in the intensity of social media engagement for each generation group. This study contributes a better understanding of the manner in which different factors are associated with different generations’ social media engagement. A discussion is included regarding the necessity to close the aging-based digital gap in order to cope with the issue of rapid aging. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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18 pages, 608 KiB

Open AccessArticle

Psycho-Social Factors Associated with Intimacy Needs in Divorced and Widowed Older Chinese Women

by Zhe Ji and Elsie Yan

Int. J. Environ. Res. Public Health 2022, 19(19), 12360; https://doi.org/10.3390/ijerph191912360 - 28 Sep 2022

Cited by 4 | Viewed by 2501

Abstract

The rapidly ageing population, the growing rate of divorce, and the longer life expectancy of women compared with men have resulted in a large proportion of older Chinese women being alone. The sexual health and intimacy needs of this group of women are [...] Read more.

The rapidly ageing population, the growing rate of divorce, and the longer life expectancy of women compared with men have resulted in a large proportion of older Chinese women being alone. The sexual health and intimacy needs of this group of women are ignored due to traditional Chinese cultural values that undermine older adults’ needs for sex and intimacy, and the subordinate position of women in society. The present study used a quantitative survey method to investigate bio-psycho-social factors associated with divorced and widowed older Chinese women’s sexual health and intimacy needs in two cities in Shanghai and Wuhan. The conceptual framework of this study was guided by cognitive stress theory, attachment theory, gender theory, socioemotional selectivity theory, objectification theory, and activity theory. We adopted a model involving demographic, biological, psychological, and social factors to unearth the mechanism influencing divorced and widowed older Chinese women’s sexual health and intimacy needs. Data were collected between October 2020 and March 2021 via face-to-face surveys. A convenience sample of 278 (N = 278) divorced and widowed older Chinese women was recruited (166 in Shanghai and 112 in Wuhan). Sexual health and intimacy needs were associated with current relationship status, financial status, physical health, attachment style, neuroticism, mental health, social support, prior marital conflict, and gender norm attitude. Sexual behaviour was associated with age, number of children, financial status, physical health, attachment style, neuroticism, prior marital conflict, gender norm attitude, sexual knowledge, sexual attitude, and intimacy attitude as predictors. Most participants in this study seemed to have found new intimate partners with whom to continue participating in sexual activities after their divorce or widowhood. The present study is one of the first examples of empirical research to examine the sexual health and intimacy needs of older Chinese women who are divorced or widowed. The findings generated by this study will inform the design and implementation of appropriate social programs for this demographic, and provide invaluable insight for social workers, educators, sex therapists, healthcare professionals, community workers, and policymakers working with this population. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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12 pages, 772 KiB

Open AccessArticle

Analysing the Quality of Life of Older Adults: Heterogeneity, COVID-19 Lockdown, and Residential Stability

by Ching-Yi Chen

Int. J. Environ. Res. Public Health 2022, 19(19), 12116; https://doi.org/10.3390/ijerph191912116 - 25 Sep 2022

Cited by 2 | Viewed by 1979

Abstract

This study aims to, first, investigate the quality of life (QOL) of older adults in Taiwan, from the perspective of heterogeneity and, second, clarify the social isolation affecting their QOL during the pandemic. Additionally, it explores the residential stability of older adults. Our [...] Read more.

This study aims to, first, investigate the quality of life (QOL) of older adults in Taiwan, from the perspective of heterogeneity and, second, clarify the social isolation affecting their QOL during the pandemic. Additionally, it explores the residential stability of older adults. Our empirical model, a Generalized Ordered Probit Model, uses secondary data from the 2019 Taiwan Social Change Survey for people aged 65 and above, with a total sampling size of 417. The results show that the self-assessed physical health of older adults is a significantly heterogeneous variable affecting their QOL, and has a varying impact on the probability of them being satisfied with their QOL. Results suggest that better financial plans and staying healthy are the main determinants of their QOL. Social isolation during the COVID-19 pandemic significantly hampered their QOL, which was not compensated by the use of the internet. Furthermore, older adults’ residential stability significantly influences their QOL. Family members and relevant social work units should contribute to in-person home care for older adults to reduce their social isolation, with a focus on improving their living environments and to ensure that they age in a safe and healthy place. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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20 pages, 1167 KiB

Open AccessArticle

Internet Use and Subjective Well-Being of the Elderly: An Analysis of the Mediating Effect Based on Social Capital

by Yang Yang, Dan Zeng and Fan Yang

Int. J. Environ. Res. Public Health 2022, 19(19), 12087; https://doi.org/10.3390/ijerph191912087 - 24 Sep 2022

Cited by 17 | Viewed by 3924

Abstract

At present, the Internet has a profound impact on the lifestyle and ideas of the elderly and has an important impact on the subjective well-being of the elderly. Based on the data of 2020 China Family Panel Studies (CFPS), 4463 elderly people aged [...] Read more.

At present, the Internet has a profound impact on the lifestyle and ideas of the elderly and has an important impact on the subjective well-being of the elderly. Based on the data of 2020 China Family Panel Studies (CFPS), 4463 elderly people aged 60 years and above were selected in the empirical research, including 2321 males and 2142 females. The average age was 68.07 (SD = 5.75). The ordinary least square regression (OLS) model was used to test the effect of Internet use on the subjective well-being of the elderly; the structural equation model was used to analyze the influence path of social capital in the process of Internet use affecting the subjective well-being of the elderly, and the Sobel test is used to further verify the mediating effect of social capital. The results indicated the important positive effect of Internet use on the improvement of the subjective well-being of the elderly and confirms the mediating role of social capital in the process of Internet use affecting the subjective well-being of the elderly. Among them, the mediating effects of bonding social capital and bridging social capital accounted for 18.69% and 28.17%, respectively. It can be seen that the mediating effect of bridging social capital is significantly higher than that of bonding social capital. Marital status moderates the latter half of the mediation mechanism of “Internet use–bridging social capital–subjective well-being of the elderly”, that is, “bridging social capital–subjective well-being of the elderly.” Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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8 pages, 325 KiB

Open AccessArticle

Prevalence and Associated Factors of Successful Ageing among People 50 Years and Older in a National Community Sample in Thailand

by Dararatt Anantanasuwong, Supa Pengpid and Karl Peltzer

Int. J. Environ. Res. Public Health 2022, 19(17), 10705; https://doi.org/10.3390/ijerph191710705 - 27 Aug 2022

Cited by 15 | Viewed by 2346

Abstract

The aim of the study was to assess the prevalence and associated factors of successful ageing (SA) among people 50 years and older in Thailand. We analyzed national cross-sectional data (5092 men and women 50 years or older) from the Health, Aging and [...] Read more.

The aim of the study was to assess the prevalence and associated factors of successful ageing (SA) among people 50 years and older in Thailand. We analyzed national cross-sectional data (5092 men and women 50 years or older) from the Health, Aging and Retirement in Thailand (HART) study in 2015. The SA measures included (1) life satisfaction, (2) social engagement, (3) no major illness, (4) no probable depression, and (5) absence of functional disability. The sample included 5092 participants (median age 67 years, interquartile range 60 to 78 years). The prevalence of SA was 60.0% in adults 50 years and older, ranging from 43.8% in Krabi province to 80.2% in Pathum Thani province, 58.1% (≥60 years), and 56.3% (≥65 years), and the prevalence of the components of SA was 92.3% without major illness, 96.1% without functional disability, 87.5% without probable depression, 91.3% social engagement, and 82.3% high life satisfaction. In multivariable Poisson regression analysis, Buddhist religion (adjusted Prevalence Ratio (aPR): 1.50, 95% Confidence Interval (CI): 1.25 to 1.79), high subjective economic status (aPR: 1.29, 95% CI: 1.11 to 1.49), and physical activity (≥150 min/week) (aPR: 1.11, 95% CI: 1.01 to 1.24) were positively associated and increasing age (aPR: 0.993, 95% CI: 0.989 to 0.997) was negatively associated with SA. Almost two in three older adults in Thailand were successfully ageing. Factors associated with SA included being Buddhist, younger age, higher subjective economic status, and higher engagement in physical activity. These identified factors should be incorporated into health promotion intervention programs in Thailand. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

24 pages, 2971 KiB

Open AccessArticle

Older People’s Usage Pattern, Satisfaction with Community Facility and Well-Being in Urban Old Districts

by Siqiang Wang, Esther Hiu Kwan Yung, Ester Cerin, Yifan Yu and Peiheng Yu

Int. J. Environ. Res. Public Health 2022, 19(16), 10297; https://doi.org/10.3390/ijerph191610297 - 18 Aug 2022

Cited by 9 | Viewed by 3217

Abstract

Community facilities are an important element that supports older people’s daily life and promotes their well-being. However, there is a dearth of comprehensive studies on the effect of planning and design of different types of community facilities on older people’s usage patterns and [...] Read more.

Community facilities are an important element that supports older people’s daily life and promotes their well-being. However, there is a dearth of comprehensive studies on the effect of planning and design of different types of community facilities on older people’s usage patterns and satisfaction. This study aims to provide a framework to explore the relationship among the planning of community facilities, older people’s usage and satisfaction level and well-being for different types of community facilities. Both spatial analysis and questionnaire survey (n = 497) methods are employed in this study. This study finds that commercial (89.34%), municipal (83.10%) and leisure (88.13%) facilities are most commonly used by older people. This study suggests that older people’s frequency of visiting community facilities is mainly affected by the purpose of visiting a community facility. Planning and design quality of the community facility are found to be significantly associated with older people’s satisfaction level with using a community facility. In addition, older people’s higher satisfaction level and usage level of community facilities could increase their physical and psychological well-being. The findings of this study not only contribute to the knowledge gap of older people’s usage and satisfaction with using community facilities but also suggest that planners should aim toward a better distribution of community facilities to improve older adults’ well-being. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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22 pages, 790 KiB

Open AccessArticle

Leaving No One behind in Healthy Ageing: A Unique Sub-Group, the “Cardboard Grannies of Hong Kong”

by Crystal Kwan and Ho-Chung Tam

Int. J. Environ. Res. Public Health 2022, 19(15), 9691; https://doi.org/10.3390/ijerph19159691 - 6 Aug 2022

Cited by 3 | Viewed by 2553

Abstract

The older adult population in Hong Kong is large and diverse. The “Cardboard Grannies” in Hong Kong are informal waste pickers (IWPs) who represent a unique sub-group that is often forgotten in society. This group has unique social and economic conditions and contributions [...] Read more.

The older adult population in Hong Kong is large and diverse. The “Cardboard Grannies” in Hong Kong are informal waste pickers (IWPs) who represent a unique sub-group that is often forgotten in society. This group has unique social and economic conditions and contributions that are not monitored and recognized. Leaving no one behind in healthy ageing requires an understanding of the needs and contributions of those on the margins of society, like older adult IWPs. This study answers two main research questions: (i) what are the service needs of the older adult IWPs and (ii) what are their contributions (social impact)? Qualitative methods were used to collect data from the older adult IWPs and key informants. Thematic analysis and word clouds were used to analyse the data. Nine themes were identified, providing relevant and significant insight into the service needs of the older adult IWPs. Two themes were identified, providing insight into the contributions (social impact) of the older adult IWPs. These themes inform recommendations that cover a range of individual, family, and community service responses to address healthy ageing of this unique sub-group. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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22 pages, 2604 KiB

Open AccessArticle

Mobile Application Use and Loneliness among Older Adults in the Digital Age: Insights from a Survey in Hong Kong during the COVID-19 Pandemic

by Chun Yang, Daniel W. L. Lai, Yi Sun, Chun-Yin Ma and Anson Kai Chun Chau

Int. J. Environ. Res. Public Health 2022, 19(13), 7656; https://doi.org/10.3390/ijerph19137656 - 23 Jun 2022

Cited by 15 | Viewed by 5896

Abstract

Existing literature on the associations between use of mobile applications (i.e., mobile apps) and loneliness among older adults (OAs) has been mainly conducted before the outbreak of the COVID-19 pandemic. Since mobile apps have been increasingly used by OAs during the pandemic, subsequent [...] Read more.

Existing literature on the associations between use of mobile applications (i.e., mobile apps) and loneliness among older adults (OAs) has been mainly conducted before the outbreak of the COVID-19 pandemic. Since mobile apps have been increasingly used by OAs during the pandemic, subsequent effects on social and emotional loneliness need updated investigation. This paper examines the relationship between mobile app use and loneliness among Hong Kong’s OAs during the pandemic. In our research, 364 OAs with current use experience of mobile apps were interviewed through a questionnaire survey conducted during July and August 2021, which assessed the use frequency and duration of 14 mobile app types and levels of emotional and social loneliness. The survey illustrated communication (e.g., WhatsApp) and information apps were the most commonly used. Emotional loneliness was associated with the use of video entertainment (frequency and duration), instant communication (duration), and information apps (duration). Association between video entertainment apps’ use and emotional loneliness was stronger among older and less educated OAs. Our findings highlight the distinctive relationships between different types of apps and loneliness among Hong Kong’s OAs during the pandemic, which warrant further exploration via research into post-pandemic patterns and comparative studies in other regions. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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Review

Jump to: Research, Other

37 pages, 2212 KiB

Open AccessReview

A Systematic Review with Framework Synthesis of the Ways That Urban Environments Influence Opportunities for Healthy and Sustainable Mobility in Older Age

by Tracey Ma, Jinhee Kim, Myron Anthony Godinho, Evelyne de Leeuw, Kathleen Clapham, Conrad Kobel and Rebecca Ivers

Int. J. Environ. Res. Public Health 2022, 19(20), 13014; https://doi.org/10.3390/ijerph192013014 - 11 Oct 2022

Cited by 3 | Viewed by 2645

Abstract

Supporting older people’s use of sustainable transport is important for both population health and sustainable development, especially in the context of global population ageing. This systematic review identifies individual and environmental factors that influence older people’s sustainable transport use and synthesises findings using [...] Read more.

Supporting older people’s use of sustainable transport is important for both population health and sustainable development, especially in the context of global population ageing. This systematic review identifies individual and environmental factors that influence older people’s sustainable transport use and synthesises findings using a framework approach. Factors influencing older people’s walking (n = 10 studies), bus use (n = 11), community transport use (n = 1), bicycling (n = 1), and e-bicycling (n = 1) were found to be physical, geographical, facility-based, economic, time-based, fear-based, space-based, information-based, or interpersonal. Many factors were common across transport modes. One reason for this is that environmental features designed to facilitate the use of one particular transport mode also influenced the use of other modes (e.g., bus shelters influence not only bus use but also walking as they provide pedestrian seating). Thus, environments need to be considered from the perspective of multiple, different types of road users. Another reason is that many factors related to the ways individuals experienced their environment (e.g., finding information guiding behaviour in public spaces to be unclear), regardless of any specific transport mode. This review highlights the important need for greater cross-sectoral action and input from older people. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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Other

Jump to: Research, Review

16 pages, 2179 KiB

Open AccessSystematic Review

A Meta-Analysis on the Influence of Age-Friendly Environments on Older Adults’ Physical and Mental Well-Being

by Jia-Jia Zhou, Rui Kang and Xue Bai

Int. J. Environ. Res. Public Health 2022, 19(21), 13813; https://doi.org/10.3390/ijerph192113813 - 24 Oct 2022

Cited by 9 | Viewed by 2930

Abstract

The importance of age-friendly environments (AFEs) for older adults has been empirically and theoretically highlighted by the extant literature. However, the strength of the association between environments and older adults’ well-being has not been comprehensively quantified. Given the different attributes of the physical [...] Read more.

The importance of age-friendly environments (AFEs) for older adults has been empirically and theoretically highlighted by the extant literature. However, the strength of the association between environments and older adults’ well-being has not been comprehensively quantified. Given the different attributes of the physical and mental dimensions, this meta-analysis aims to synthesise and quantify the association between AFEs and the physical and mental well-being of older adults. Fourteen eligible studies were included in this analysis: among which eight explored the link between AFEs and physical well-being, and eleven investigated AFEs in association with mental well-being. A random-effects model showed a small but significant correlation between AFEs and the mental well-being of older adults (r = 0.160, 95% CI [0.084, 0.224], p < 0.001), and the correlation between AFEs and physical well-being was also significant (r = 0.072, 95% CI [0.026, 0.118], p < 0.01). The number of environmental factors involved in AFEs moderated the association with physical well-being, from which the association was only significant among studies focusing on fewer environmental factors (n < 6). Results of this meta-analysis indicated that AFEs may be more effective in promoting the emotions of older adults, compared to ameliorating their physical functioning. The limitations of current empirical studies and directions for future research in the field of environmental gerontology were also discussed. Full article

(This article belongs to the Special Issue A Transdisciplinary Approach to Healthy Ageing)

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