Washington University in St. Louis, George Warren Brown School of Social Work, Prevention Research Center in St. Louis, St. Louis, MO, USA.
Soc Sci Med. 2010 Apr;70(7):1070-6. doi: 10.1016/j.socscimed.2009.12.024. Epub 2010 Feb 6.
This study examines associations between neighborhood environment attributes and health related quality of life (HRQOL) and self-rated health (SRH) among older adults (60 years and over) in Bogotá, Colombia. Perceived and objective neighborhood environmental characteristics were assessed in a cross sectional multilevel design with 1966 older adults within 50 neighborhoods. Outcome variables included HRQOL (physical and mental dimensions) and SRH measured with the Spanish version of the Short Form 8 (SF-8). Independent variables included perceived and objective neighborhood characteristics as well as self-reported levels of walking. Hierarchical linear and logistic regression models were used for the analysis. Among perceived neighborhood characteristics, safety from traffic was positively associated with both HRQOL dimensions and SRH. Having safe parks was positively associated with the mental dimension of HRQOL and with SRH. Street noise was negatively associated with both HRQOL dimensions. Regarding objective neighborhood characteristics, residing in areas with more than eight percent of land covered by public parks was positively associated with SRH. Objective and perceived neighborhood characteristics could provide insight into potential interventions among older adults from rapidly urbanizing settings in Latin America.
本研究考察了哥伦比亚波哥大老年人（60 岁及以上）的邻里环境属性与健康相关生活质量（HRQOL）和自我报告健康（SRH）之间的关联。在一项横断面多层次设计中，对 50 个街区内的 1966 名老年人进行了感知和客观邻里环境特征评估。结局变量包括使用西班牙语版 8 项简短表格（SF-8）测量的 HRQOL（身体和精神维度）和 SRH。自变量包括感知和客观邻里特征以及自我报告的步行水平。使用分层线性和逻辑回归模型进行分析。在感知邻里特征方面，交通安全感与 HRQOL 的两个维度和 SRH 均呈正相关。拥有安全的公园与 HRQOL 的精神维度和 SRH 呈正相关。街道噪音与 HRQOL 的两个维度均呈负相关。关于客观邻里特征，居住在超过 8%的土地被公共公园覆盖的区域与 SRH 呈正相关。客观和感知的邻里特征可以为拉丁美洲快速城市化环境中老年人的潜在干预措施提供见解。
