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Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand

Christine Stephens, Joanne Allen, Norah Keating Orcid Logo, Ágnes Szabó, Fiona Alpass

Maturitas, Volume: 139, Pages: 1 - 5

Swansea University Author: Norah Keating Orcid Logo

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DOI (Published version): 10.1016/j.maturitas.2020.05.008

Abstract

ObjectivesFollowing the WHO 2015 policy framework, we tested the effects of older people’s intrinsic capacity and their perceptions of their neighborhood environments on mental and physical health-related quality of life (QoL) outcomes across two years.Study designParticipants (mean age = 66) were d...

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Published in: Maturitas
ISSN: 0378-5122
Published: Elsevier BV 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa54227
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spelling 2022-11-15T16:49:05.8745733 v2 54227 2020-05-14 Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand 79aa9c79c6c3f3fa498a1d429844c45e 0000-0002-2535-4564 Norah Keating Norah Keating true false 2020-05-14 PHAC ObjectivesFollowing the WHO 2015 policy framework, we tested the effects of older people’s intrinsic capacity and their perceptions of their neighborhood environments on mental and physical health-related quality of life (QoL) outcomes across two years.Study designParticipants (mean age = 66) were drawn from two waves of a longitudinal study of aging (n = 2910) in 2016 and 2018. Regression analyses tested the main and interaction effects of intrinsic capacity and neighborhood factors on health-related QoL at T2 (controlling for T1).Main outcome measuresIntrinsic capacity was assessed with number of chronic conditions. Neighborhood perceptions was assessed with measures of housing suitability, neighborhood satisfaction, and neighborhood social cohesion. Health-related QoL was assessed with SF12 physical and mental health component scores.ResultsPerceptions of greater neighborhood accessibility and more trust among neighbours were associated with better mental health-related QoL two years later, but not to changes in physical health-related QoL. A significant interaction between intrinsic capacity and neighborhood access to facilities on physical health-related QoL over time showed that those reporting lower neighborhood access experienced a stronger impact of intrinsic capacity on physical health-related QoL.ConclusionsThe neighborhood environment is important to the wellbeing of older people and is amenable to policy interventions. We need more work on the aspects of the immediate environment that support QoL in older age. This study points to the need for accessible facilities and cohesive neighborhoods to support health. Journal Article Maturitas 139 1 5 Elsevier BV 0378-5122 neighborhoods; physical health; intrinsic capacity; quality of life; healthy aging; mental health; environment 1 9 2020 2020-09-01 10.1016/j.maturitas.2020.05.008 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University New Zealand Ministry of Business Innovation and Employment Endeavour Fund programme [grant number MAUX1705]. 2022-11-15T16:49:05.8745733 2020-05-14T21:16:14.4568780 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing Christine Stephens 1 Joanne Allen 2 Norah Keating 0000-0002-2535-4564 3 Ágnes Szabó 4 Fiona Alpass 5 54227__17453__d0db7fc1483a42ccb4186122b71417d3.pdf Maturitas paper_revisedACCEPTED.pdf 2020-06-09T16:42:13.4730502 Output 279950 application/pdf Accepted Manuscript true 2021-05-17T00:00:00.0000000 Released under the terms of a Creative Commons Attribution Non-Commercial No Derivatives License (CC-BY-NC-ND). true English
title Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand
spellingShingle Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand
Norah Keating
title_short Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand
title_full Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand
title_fullStr Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand
title_full_unstemmed Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand
title_sort Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand
author_id_str_mv 79aa9c79c6c3f3fa498a1d429844c45e
author_id_fullname_str_mv 79aa9c79c6c3f3fa498a1d429844c45e_***_Norah Keating
author Norah Keating
author2 Christine Stephens
Joanne Allen
Norah Keating
Ágnes Szabó
Fiona Alpass
format Journal article
container_title Maturitas
container_volume 139
container_start_page 1
publishDate 2020
institution Swansea University
issn 0378-5122
doi_str_mv 10.1016/j.maturitas.2020.05.008
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str The Centre for Innovative Ageing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}The Centre for Innovative Ageing
document_store_str 1
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description ObjectivesFollowing the WHO 2015 policy framework, we tested the effects of older people’s intrinsic capacity and their perceptions of their neighborhood environments on mental and physical health-related quality of life (QoL) outcomes across two years.Study designParticipants (mean age = 66) were drawn from two waves of a longitudinal study of aging (n = 2910) in 2016 and 2018. Regression analyses tested the main and interaction effects of intrinsic capacity and neighborhood factors on health-related QoL at T2 (controlling for T1).Main outcome measuresIntrinsic capacity was assessed with number of chronic conditions. Neighborhood perceptions was assessed with measures of housing suitability, neighborhood satisfaction, and neighborhood social cohesion. Health-related QoL was assessed with SF12 physical and mental health component scores.ResultsPerceptions of greater neighborhood accessibility and more trust among neighbours were associated with better mental health-related QoL two years later, but not to changes in physical health-related QoL. A significant interaction between intrinsic capacity and neighborhood access to facilities on physical health-related QoL over time showed that those reporting lower neighborhood access experienced a stronger impact of intrinsic capacity on physical health-related QoL.ConclusionsThe neighborhood environment is important to the wellbeing of older people and is amenable to policy interventions. We need more work on the aspects of the immediate environment that support QoL in older age. This study points to the need for accessible facilities and cohesive neighborhoods to support health.
published_date 2020-09-01T04:07:37Z
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