학술논문

Associations of social cohesion and quality of life with objective and perceived built environments: a latent profile analysis among seniors.
Document Type
article
Source
Journal of Public Health. 44(1)
Subject
Public Health
Health Sciences
Basic Behavioral and Social Science
Prevention
Behavioral and Social Science
Built Environment
Humans
Quality of Life
Residence Characteristics
Social Cohesion
Social Environment
environment
older people
Public Health and Health Services
Epidemiology
Health services and systems
Public health
Language
Abstract
BackgroundHealthy aging requires support from local built and social environments. Using latent profile analysis, this study captured the multidimensionality of the built environment and examined relations between objective and perceived built environment profiles, neighborhood social cohesion and quality of life among seniors.MethodsIn total, 693 participants aged 66-97 were sampled from two US locales in 2005-2008 as part of the Senior Neighborhood Quality of Life Study (SNQLS). Perceived social cohesion and quality of life were assessed using validated surveys. Six objective (geographic information system (GIS)-based) and seven perceived built environment latent profiles generated in previous SNQLS publications were used for analyses. Mixed-effects models estimated social cohesion and quality of life separately as a function of the built environment profiles.ResultsMore walkable and destination-rich perceived built environment profiles were associated with higher social cohesion and quality of life. Objective built environment profiles were not associated with social cohesion and only positively associated with quality of life in only one locale (Baltimore/DC).ConclusionsLatent profile analysis offered a comprehensive approach to assessing the built environment. Seniors who perceived their neighborhoods to be highly walkable and recreationally dense experienced higher neighborhood social cohesion and quality of life, which may set the stage for healthier aging.