University of Southern California, Los Angeles, CA, USA.
J Urban Health. 2020 Aug;97(4):471-485. doi: 10.1007/s11524-020-00462-6.
This study aims to identify age-friendly community features that are associated with better health for older adults. This cross-sectional study utilized the 2015 AARP Age-Friendly Communities (AFC) Survey, which includes 66 home and community features that fall within the eight domains specified by the World Health Organization (WHO)'s age-friendly cities guidelines. Two measures of health (self-rated health and functional limitations) were examined using multi-level linear and logistic regressions. Both a greater perceived availability of age-friendly features in communities and a good person-environment fit were associated with better self-rated health and a lower likelihood of reporting functional limitations. The domains of outdoor spaces and buildings, transportation, and social participation and inclusion were consistently associated with these outcomes. Promoting age-friendliness in outdoor spaces and buildings, transportation, and social participation and inclusion domains by providing green spaces, neighborhood safety programs, transportation options, and social opportunities may be the most effective way to support healthy and active aging.
本研究旨在确定与老年人健康相关的友好社区特征。本横断面研究使用了 2015 年美国退休人员协会（AARP）友好社区调查（AFC），其中包括 66 个属于世界卫生组织（WHO）友好城市指南规定的八个领域的家庭和社区特征。使用多层次线性和逻辑回归检查了两个健康指标（自我评估健康和功能限制）。社区中感知到的更多友好特征的可用性和良好的人与环境的契合度都与更好的自我评估健康和较低的功能限制报告几率相关。户外空间和建筑、交通以及社会参与和包容领域与这些结果一致。通过提供绿色空间、邻里安全计划、交通选择和社会机会，促进户外空间和建筑、交通以及社会参与和包容领域的友好性，可能是支持健康和积极老龄化的最有效途径。
