Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Hong Kong SAR, China.
Mental Health Research Centre, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Hong Kong SAR, China.
Int J Environ Res Public Health. 2022 May 3;19(9):5536. doi: 10.3390/ijerph19095536.
Few studies have examined mobility from a social exclusion perspective. Limited mobility can restrict opportunities to interact with others and therefore may lead to social exclusion. This pilot study was designed to test the feasibility of integrating Global Positioning System (GPS) trajectory data and interview data to understand the different mobility patterns between lower- and higher-income older adults in Hong Kong and the potential reasons for and impacts of these differences. Lower- (n = 21) and higher- (n = 24) income adults aged 60 years of age or older in Hong Kong were recruited based on purposive sampling. They were asked to wear a GPS device for 7 days. Seven measures of mobility (four dimensions) were created based on GPS data and compared between lower- and higher-income older adults, including extensity (standard deviation ellipse, standard distance between all locations), intensity (time spent out of home, doing activities), diversity (number of locations), and non-exclusivity (time spent in public open spaces and places with higher public service provisions). It then administered semi-structured interviews to understand the determined differences. The activity spaces for lower-income older adults were, on average, smaller than those for higher-income older adults, but lower-income older adults spent significantly more time participating in out-of-home activities. They were more likely to be exposed to environments with similar socioeconomic characteristics as their own. The interviews showed that limited social networks and expenditure on transport were the two main factors associated with lower-income older adults having relatively fewer activity spaces, which may lead to further social exclusion. We recommend using GPS in daily life as a feasible way to capture the mobility patterns and using interviews to deeply understand the different patterns between lower- and higher-income older adults. Policy strategies aiming to improve the mobility of older might be helpful for further improving the social inclusion of lower-income older adults.
很少有研究从社会排斥的角度来考察流动性。行动不便可能会限制与他人互动的机会,从而导致社会排斥。本研究旨在测试将全球定位系统 (GPS) 轨迹数据和访谈数据相结合,以了解香港低收入和高收入老年人之间不同的流动模式及其潜在原因和影响的可行性。根据目的抽样,在香港招募了年龄在 60 岁或以上的低收入(n = 21)和高收入(n = 24)成年人。要求他们佩戴 GPS 设备 7 天。根据 GPS 数据创建了七个流动性衡量标准(四个维度),并在低收入和高收入老年人之间进行了比较,包括广度(标准偏差椭圆,所有位置之间的标准距离)、强度(离开家的时间,活动时间)、多样性(位置数量)和非排他性(在公共开放空间和公共服务设施较高的地方花费的时间)。然后,对他们进行半结构化访谈,以了解确定的差异。与高收入老年人相比,低收入老年人的活动空间平均较小,但他们外出活动的时间明显更长。他们更有可能接触到与自己相似社会经济特征的环境。访谈显示,有限的社交网络和交通支出是导致低收入老年人活动空间相对较少的两个主要因素,这可能导致他们进一步被社会排斥。我们建议将日常生活中的 GPS 用作捕获流动性模式的可行方法,并使用访谈深入了解低收入和高收入老年人之间的不同模式。旨在改善老年人流动性的政策策略可能有助于进一步提高低收入老年人的社会包容性。