Perceived built environment and health-related quality of life in four types of neighborhoods in Xi’an, China

Development in Chinese cities is resulting in a diversity of urban environments that may influence health. In a cross-sectional study of 1608 adults in 20 neighborhoods of Xi’an, China, we examined perceptions of neighborhoods using the NEWS-A survey and health-related quality of life (HRQOL) from t...

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Bibliographic Details
Published in:Health & place 2016-05, Vol.39, p.110-115
Main Authors: Gao, Meiling, Ahern, Jennifer, Koshland, Catherine P.
Format: Article
Language:English
Subjects:
Adult
Built environment
China
Cities - statistics & numerical data
Cross-Sectional Studies
Environment Design
Female
Health technology assessment
Health-related quality of life (HRQOL)
Humans
Male
Mental Health
Middle Aged
Neighborhood perceptions
Quality of Life
Residence Characteristics - statistics & numerical data
Surveys and Questionnaires
Urban development
Urban Population - statistics & numerical data
Walking - statistics & numerical data
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Summary:Development in Chinese cities is resulting in a diversity of urban environments that may influence health. In a cross-sectional study of 1608 adults in 20 neighborhoods of Xi’an, China, we examined perceptions of neighborhoods using the NEWS-A survey and health-related quality of life (HRQOL) from the SF-12 across four types of neighborhoods: old/planned, old/unplanned, new/high density, and new/low density. Increased accessibility was significantly associated with both higher mental (range: 3.13–5.53 points) and physical (range: 2.06–3.54 points) well-being for all types of neighborhoods. In the new neighborhoods, increased perceived diversity, safety, and esthetics were significantly associated with higher physical and mental well-being. This study can help inform urban planning priorities to improve quality of life as Chinese cities develop.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2016.03.008