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六年多来,邻里环境质量与更好的心理健康、生活质量及孤独感相关:通过社会参与和社会支持实现健康老龄化的途径。

Neighborhood Qualities Are Related to Better Mental Health, Quality of Life, and Loneliness Over 6 Years: Pathways Through Social Engagement and Social Support to Aging Well.

作者信息

Stephens Christine, Bakhshandeh Bavarsad Maryam

机构信息

School of Psychology, Massey University, Palmerston North, New Zealand.

出版信息

Gerontologist. 2025 May 10;65(6). doi: 10.1093/geront/gnaf095.

DOI:10.1093/geront/gnaf095
PMID:40045182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12082299/
Abstract

BACKGROUND AND OBJECTIVES

Growing research evidence supports the importance of neighborhoods for the well-being of older people. The aim of this study was to investigate key pathways (social engagement and social support) through which neighborhood qualities (accessibility, safety, and social cohesion) may affect older people's mental well-being (mental health, quality of life, and loneliness) over 6 years.

RESEARCH DESIGN AND METHODS

A structural equation model was used to test the model while controlling for individual limitations such as physical health and socioeconomic status. The population sample included 2,750 New Zealanders over the age of 55 (M = 65.64 ± 6.30) years who responded to Health, Work and Retirement (HWR) longitudinal surveys in 2016 and 2022.

RESULTS

The results showed that greater neighborhood accessibility to important facilities in 2016 predicted better mental health and quality of life and less loneliness in 2022 through provision of social support. Neighborhood social cohesion predicted social engagement, which was related to higher social support predicting better mental health and quality of life and less loneliness in 2022.

DISCUSSION AND IMPLICATIONS

These findings confirm a body of research highlighting the importance of neighborhood qualities and show the socially oriented pathways through which neighborhoods support aging well. These findings have direct implications for the development of social policy that focuses on the development of housing situations to support healthy aging.

摘要

背景与目标

越来越多的研究证据支持邻里环境对老年人幸福感的重要性。本研究的目的是调查邻里环境质量(可达性、安全性和社会凝聚力)在6年时间里可能通过哪些关键途径(社会参与和社会支持)影响老年人的心理健康(心理健康、生活质量和孤独感)。

研究设计与方法

在控制身体健康和社会经济地位等个体限制因素的同时,使用结构方程模型对该模型进行检验。总体样本包括2750名年龄在55岁以上(平均年龄=65.64±6.30岁)的新西兰人,他们分别在2016年和2022年对健康、工作和退休(HWR)纵向调查做出了回应。

结果

结果表明,2016年邻里环境对重要设施的可达性更高,通过提供社会支持,预测了2022年更好的心理健康和生活质量以及更少的孤独感。邻里社会凝聚力预测了社会参与,社会参与与更高的社会支持相关,而更高的社会支持预测了2022年更好的心理健康和生活质量以及更少的孤独感。

讨论与启示

这些发现证实了一系列强调邻里环境质量重要性的研究,并展示了邻里环境支持健康老龄化的社会导向途径。这些发现对旨在发展住房状况以支持健康老龄化的社会政策制定具有直接影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2cd/12082299/84459093d2f6/gnaf095_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2cd/12082299/84459093d2f6/gnaf095_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2cd/12082299/84459093d2f6/gnaf095_fig1.jpg

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本文引用的文献

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Perceived Neighborhood Characteristics and Later-Life Pain Outcomes: Evidence From the Health and Retirement Study.感知邻里特征与晚年疼痛结局:来自健康与退休研究的证据。
J Aging Health. 2024 Mar;36(3-4):246-256. doi: 10.1177/08982643231185382. Epub 2023 Jun 22.
2
Neighborhood Social Cohesion and Loneliness in Mid- and Later Life: Are Benefits Contingent on Race/Ethnicity or Neighborhood Disorder?邻里社会凝聚力与中老年孤独感:这些益处是否取决于种族/民族或邻里混乱程度?
J Gerontol B Psychol Sci Soc Sci. 2023 Aug 28;78(9):1581-1590. doi: 10.1093/geronb/gbad081.
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Neighborhood Social Environment and Self-Perceptions of Aging.
邻里社会环境与衰老的自我认知
Innov Aging. 2023 Apr 27;7(4):igad038. doi: 10.1093/geroni/igad038. eCollection 2023.
4
Older People's Neighborhood Perceptions Are Related to Social and Emotional Loneliness and Mediated by Social Network Type.老年人对邻里环境的感知与社会和情感孤独有关,并受到社交网络类型的影响。
Gerontologist. 2022 Oct 19;62(9):1336-1346. doi: 10.1093/geront/gnac087.
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The Association between Social Participation and Loneliness of the Chinese Older Adults over Time-The Mediating Effect of Social Support.《社会参与与中国老年人孤独感的关系:社会支持的中介作用》
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Neighborhood Characteristics, Neighborhood Satisfaction, and Loneliness Differences Across Ethnic-Migrant Groups in Australia.澳大利亚不同族裔移民群体的邻里特征、邻里满意度与孤独感差异
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Neighborhood Attributes and Well-Being Among Older Adults in Urban Areas: A Mixed-Methods Systematic Review.城市老年人的邻里属性与幸福感:一项混合方法系统综述。
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Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand.邻里环境和内在能力相互作用,影响新西兰老年人的健康相关生活质量。
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