School of Population Health, University of Auckland, New Zealand.
School of Population Health, University of Auckland, New Zealand.
Soc Sci Med. 2017 Jul;185:27-37. doi: 10.1016/j.socscimed.2017.05.006. Epub 2017 May 4.
An extensive body of research theorises that attachment to place is positively associated with health, particularly for older people. Building on this, we measure how indicators of attachment to place are associated with health for in people of advanced age in New Zealand. We use data from a cohort study (LiLACS NZ), which includes an indigenous Māori cohort aged 80-90 years and a non-Māori cohort aged 85 years from a mixed urban/rural region in New Zealand. Each cohort undertook a comprehensive interview and health assessment (n = 267 Māori and n = 404 non-Māori). Using multivariate regression analyses, we explore participants' feelings for and connectedness with their home, community and neighbourhood; nature and the outdoors; expectations about and enthusiasm for residential mobility; and how all these are associated with measures of health (e.g., SF-12 physical and mental health related quality of life) and functional status (e.g., NEADL). We demonstrate that people in advanced age hold strong feelings of attachment to place. We also establish some positive associations between attachment to place and health in advanced age, and show how these differ for the indigenous and non-indigenous cohorts. For older Māori there were strong associations between various health measures and the importance of nature and the outdoors, and connectedness to neighbourhood and community. For older non-Māori, there were strong associations between health and liking home and neighbourhood, and feeling connected to their community and neighbourhood. Place attachment, and particularly its relationship to health, operates in different ways for different groups.
大量研究理论认为，对地方的依恋与健康呈正相关，尤其是对老年人而言。在此基础上，我们衡量了新西兰老年人对地方的依恋指标与健康的关联。我们使用了来自队列研究（LiLACS NZ）的数据，该研究包括一个 80-90 岁的本土毛利人队列和一个来自新西兰混合城市/农村地区的 85 岁非毛利人队列。每个队列都进行了全面的访谈和健康评估（n=267 名毛利人和 n=404 名非毛利人）。通过多元回归分析，我们探讨了参与者对家庭、社区和邻里的感受和联系；对自然和户外的感受和联系；对居住流动性的期望和热情；以及所有这些与健康指标（如 SF-12 身心健康相关生活质量）和功能状态（如 NEADL）的关联。我们证明了老年人对地方有着强烈的依恋感。我们还确定了在老年时期，对地方的依恋与健康之间存在一些积极的关联，并展示了这些关联在本土和非本土群体中的差异。对于年长的毛利人来说，各种健康指标与自然和户外的重要性以及与邻里和社区的联系之间存在强烈的关联。对于年长的非毛利人来说，健康与喜欢家庭和邻里以及与社区和邻里的联系之间存在强烈的关联。地方依恋，特别是它与健康的关系，对不同群体的作用方式不同。
