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健康城市生活:上海老年人的居住环境与健康。

Healthy urban living: Residential environment and health of older adults in Shanghai.

机构信息

Department of Human Geography and Planning, Utrecht University, The Netherlands.

Copernicus Institute of Sustainable Development, Utrecht University, The Netherlands.

出版信息

Health Place. 2017 Sep;47:80-89. doi: 10.1016/j.healthplace.2017.07.007.

Abstract

A healthy residential environment, especially for older adults, has emerged as an important issue on political and planning agenda in China. This paper aims to investigate the direct and indirect impact of residential environment on the health of older adults in Shanghai, taking into account health-related behaviours, subjective well-being and socio-demographic factors in one comprehensive conceptual model. Our results show that the residential environment is associated with older adults' health directly, and also indirectly through a series of significant behavioural (physical and social activities) and perceptual (subjective well-being) factors. After combining the direct and indirect association, the results show that good housing and neighbourhood quality and a safe social environment contribute to better subjective, physical and mental health conditions of older adults. In addition, access to cultural facilities is positively related to older adults' mental and physical health and subjective well-being, while a higher proportion of older adults in a neighbourhood appears to promote physical and social activities but not health.

摘要

一个健康的居住环境,特别是对老年人来说,已经成为中国政治和规划议程上的一个重要问题。本文旨在研究居住环境对上海老年人健康的直接和间接影响,在一个综合概念模型中考虑了与健康相关的行为、主观幸福感和社会人口因素。我们的结果表明,居住环境与老年人的健康直接相关,也通过一系列重要的行为(身体和社会活动)和感知(主观幸福感)因素间接相关。在综合直接和间接关联后,结果表明,良好的住房和邻里质量以及安全的社会环境有助于改善老年人的主观、身体和心理健康状况。此外,获得文化设施与老年人的身心健康和主观幸福感呈正相关,而邻里中老年人的比例较高似乎促进了身体和社会活动,但对健康没有影响。

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