How the Urban Neighborhood Environment Influences the Quality of Life of Chinese Community-Dwelling Older Adults: An Influence Model of “NE-QoL”

Due to functional impairment and low mobility, the sphere of activities of older adults often shrinks and they rely on their living environment more. Especially for urban community-dwelling older adults who are aging in place, the urban neighborhood environment affects their quality of life (QoL) he...

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Bibliographic Details
Published in:Sustainability 2019-10, Vol.11 (20), p.5739
Main Authors: Zhang, Fan, Li, Dezhi
Format: Article
Language:English
Subjects:
Adults
Age
Aging
Aging in place
Environments
Influence
Literature reviews
Mediation
Medical research
Multiple regression analysis
Neighborhoods
Nursing
Older people
Quality of life
Researchers
Sustainability
Urban areas
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Summary:Due to functional impairment and low mobility, the sphere of activities of older adults often shrinks and they rely on their living environment more. Especially for urban community-dwelling older adults who are aging in place, the urban neighborhood environment affects their quality of life (QoL) heavily. This study aims to explore how the urban neighborhood environment affects QoL of community-dwelling older adults and develop a mediation model called “Neighborhood Environment-Quality of Life (NE-QoL)” for community-dwelling older adults. The reliability test is applied to test and modify the questionnaire based on cross-sectional data collected from the survey, the multiple regression analysis is used to identify significant influence relations between variables of neighborhood environment and dimensions of the QoL, mediation effects are assumed and tested by the mediation analysis in SPSS, and then the “NE-QoL” is developed to reveal the detailed influence path between the urban neighborhood environment and QoL of community-dwelling older adults. The “NE-QoL” model reveals seven variables of the urban neighborhood environment, which influences the QoL of community-dwelling older adults significantly, and three mediation effects exist in the influence path, making clear the understanding about the relationship between neighborhood environment and the QoL of community-dwelling older adults. It provides valuable retrofit guidelines of the neighborhood environment for improving QoL of community-dwelling older adults.
ISSN:2071-1050
2071-1050
DOI:10.3390/su11205739