Choi Eun Young, Zelinski Elizabeth M, Ailshire Jennifer
School of Global Public Health, New York University, New York, New York, USA.
Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
Innov Aging. 2023 Apr 27;7(4):igad038. doi: 10.1093/geroni/igad038. eCollection 2023.
Self-perceptions of aging (SPA) are associated with health and well-being later in life. Although prior studies have identified individual-level predictors of SPA, the role of neighborhood social context in SPA remains largely unexplored. A neighborhood social environment may act as a critical avenue for older adults to remain healthy and socially active, contributing to their evaluations of how they grow old. The present study aims to fill the previous research gap by examining the relationship between neighborhood social environment and SPA, and how age may moderate this relationship. This study is guided by Bronfenbrenner's Ecology of Human Development theory and Lawton's Ecological Model of Aging, positing that an individual's aging experience is deeply rooted in their residential environment.
Our sample includes 11,145 adults aged 50+ from the 2014 and 2016 waves of the Health and Retirement Study. We included 4 social and economic aspects of neighborhoods: (1) neighborhood poverty; (2) percentage of older adults; (3) perceived social cohesion; and (4) perceived disorder.
Multilevel linear regression models showed that respondents in neighborhoods with higher percentages of the older population and with perceptions of high neighborhood disorder reported more negative SPA. Those who perceived their neighborhoods as more socially cohesive reported more positive SPA. Controlling for individual socioeconomic and health status, only neighborhood social cohesion remained significant. We also found significant interaction effects between neighborhood social cohesion and age: The effects of neighborhood cohesion on SPA were stronger in middle age than in old age.
Our findings provide insights into how neighborhood social context is associated with SPA, suggesting that a socially cohesive neighborhood may be important to promote more favorable perceptions of aging, particularly for middle-aged residents.
对衰老的自我认知(SPA)与晚年的健康和幸福相关。尽管先前的研究已经确定了SPA的个体层面预测因素,但邻里社会环境在SPA中的作用在很大程度上仍未得到探索。邻里社会环境可能是老年人保持健康和社交活跃的关键途径,有助于他们对自身衰老方式的评价。本研究旨在通过考察邻里社会环境与SPA之间的关系以及年龄如何调节这种关系来填补先前的研究空白。本研究以布朗芬布伦纳的人类发展生态学理论和劳顿的衰老生态模型为指导,假定个体的衰老经历深深植根于其居住环境。
我们的样本包括来自2014年和2016年健康与退休研究的11145名50岁及以上的成年人。我们纳入了邻里的4个社会和经济方面:(1)邻里贫困;(2)老年人百分比;(3)感知到的社会凝聚力;(4)感知到的混乱。
多层次线性回归模型显示,在老年人口比例较高且邻里混乱程度较高的社区中,受访者报告的SPA更为消极。那些认为自己所在社区社会凝聚力更强的人报告的SPA更为积极。在控制了个体社会经济和健康状况后,只有邻里社会凝聚力仍然显著。我们还发现邻里社会凝聚力与年龄之间存在显著的交互作用:邻里凝聚力对SPA的影响在中年比老年更强。
我们的研究结果为邻里社会环境与SPA之间的关联提供了见解,表明具有社会凝聚力的邻里对于促进更积极的衰老认知可能很重要,尤其是对中年居民而言。