Built Environment Accessibility and Disability as Predictors of Well-Being among Older Adults: A Norwegian Cross-Sectional Study
Knowledge about the influence environmental factors have on well-being is important to deliver policies supporting healthy ageing and sustainable health equity. An under-researched question is whether and how the built environment plays a role on well-being among older adults with disabilities. This...
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| Veröffentlicht in: | International journal of environmental research and public health 2023-05, Vol.20 (10), p.5898 |
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| creator | Forster, Grace Katharine Aarø, Leif Edvard Alme, Maria Nordheim Hansen, Thomas Nilsen, Thomas Sevenius Vedaa, Øystein |
| description | Knowledge about the influence environmental factors have on well-being is important to deliver policies supporting healthy ageing and sustainable health equity. An under-researched question is whether and how the built environment plays a role on well-being among older adults with disabilities. This study explores the relationship between built environment accessibility and disability on psychosocial well-being among older adults. Data were used from the Norwegian Counties Public Health Survey collected during February 2021 in Møre and Romsdal county (
= 8274; age = 60-97, mean = 68.6). General linear modelling was performed to examine the relationship and interaction between built environment accessibility (services, transportation, and nature) and disability on psychosocial well-being (quality of life, thriving, loneliness, and psychological distress). Higher levels of disability and poorer accessibility were each significantly related to lower psychosocial well-being across all variables (
< 0.001). Significant interaction effects were observed between disability and built environment accessibility on thriving (
(8, 5936) = 4.97,
< 0.001, η
= 0.006) and psychological distress (
(8, 5957) = 3.09,
= 0.002, η
= 0.004). No significant interaction effects were found for quality of life and loneliness. These findings indicate good built environment accessibility is associated with thriving and reduces psychological distress among older adults with disabilities. This study supports and extends previous findings on the importance of accessible and equipped environments for well-being and may aid policy makers when planning built environments to foster healthy ageing among this population group. |
| doi_str_mv | 10.3390/ijerph20105898 |
| format | Article |
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= 8274; age = 60-97, mean = 68.6). General linear modelling was performed to examine the relationship and interaction between built environment accessibility (services, transportation, and nature) and disability on psychosocial well-being (quality of life, thriving, loneliness, and psychological distress). Higher levels of disability and poorer accessibility were each significantly related to lower psychosocial well-being across all variables (
< 0.001). Significant interaction effects were observed between disability and built environment accessibility on thriving (
(8, 5936) = 4.97,
< 0.001, η
= 0.006) and psychological distress (
(8, 5957) = 3.09,
= 0.002, η
= 0.004). No significant interaction effects were found for quality of life and loneliness. These findings indicate good built environment accessibility is associated with thriving and reduces psychological distress among older adults with disabilities. This study supports and extends previous findings on the importance of accessible and equipped environments for well-being and may aid policy makers when planning built environments to foster healthy ageing among this population group.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20105898</identifier><identifier>PMID: 37239625</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adults ; Age ; Aged ; Aged, 80 and over ; Aging ; Built Environment ; Cross-Sectional Studies ; Disability ; Disabled Persons ; Environment Design ; Environmental factors ; Handicapped accessibility ; Health aspects ; Health behavior ; Health care ; Health disparities ; Humans ; Middle Aged ; Mortality ; Older people ; People with disabilities ; Physically disabled persons ; Polls & surveys ; Psychological aspects ; Psychological stress ; Public Health ; Quality of Life ; Residence Characteristics ; Social aspects ; Stress (Psychology) ; Urban environments ; Well being</subject><ispartof>International journal of environmental research and public health, 2023-05, Vol.20 (10), p.5898</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4018-eb94b3bd9db763f7e4991a47a860b5c10a27cfe7c9359f264008853d6bda928d3</citedby><cites>FETCH-LOGICAL-c4018-eb94b3bd9db763f7e4991a47a860b5c10a27cfe7c9359f264008853d6bda928d3</cites><orcidid>0009-0009-2275-5862 ; 0000-0001-7529-9252</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10218673/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10218673/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37239625$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Forster, Grace Katharine</creatorcontrib><creatorcontrib>Aarø, Leif Edvard</creatorcontrib><creatorcontrib>Alme, Maria Nordheim</creatorcontrib><creatorcontrib>Hansen, Thomas</creatorcontrib><creatorcontrib>Nilsen, Thomas Sevenius</creatorcontrib><creatorcontrib>Vedaa, Øystein</creatorcontrib><title>Built Environment Accessibility and Disability as Predictors of Well-Being among Older Adults: A Norwegian Cross-Sectional Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Knowledge about the influence environmental factors have on well-being is important to deliver policies supporting healthy ageing and sustainable health equity. An under-researched question is whether and how the built environment plays a role on well-being among older adults with disabilities. This study explores the relationship between built environment accessibility and disability on psychosocial well-being among older adults. Data were used from the Norwegian Counties Public Health Survey collected during February 2021 in Møre and Romsdal county (
= 8274; age = 60-97, mean = 68.6). General linear modelling was performed to examine the relationship and interaction between built environment accessibility (services, transportation, and nature) and disability on psychosocial well-being (quality of life, thriving, loneliness, and psychological distress). Higher levels of disability and poorer accessibility were each significantly related to lower psychosocial well-being across all variables (
< 0.001). Significant interaction effects were observed between disability and built environment accessibility on thriving (
(8, 5936) = 4.97,
< 0.001, η
= 0.006) and psychological distress (
(8, 5957) = 3.09,
= 0.002, η
= 0.004). No significant interaction effects were found for quality of life and loneliness. These findings indicate good built environment accessibility is associated with thriving and reduces psychological distress among older adults with disabilities. This study supports and extends previous findings on the importance of accessible and equipped environments for well-being and may aid policy makers when planning built environments to foster healthy ageing among this population group.</description><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Built Environment</subject><subject>Cross-Sectional Studies</subject><subject>Disability</subject><subject>Disabled Persons</subject><subject>Environment Design</subject><subject>Environmental factors</subject><subject>Handicapped accessibility</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Health disparities</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Older people</subject><subject>People with disabilities</subject><subject>Physically disabled persons</subject><subject>Polls & surveys</subject><subject>Psychological aspects</subject><subject>Psychological stress</subject><subject>Public Health</subject><subject>Quality of Life</subject><subject>Residence Characteristics</subject><subject>Social aspects</subject><subject>Stress (Psychology)</subject><subject>Urban environments</subject><subject>Well being</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptks1rFDEYxgdRbK1ePUrAi5ep-ZjJJF5ku9YPKFao4jFkkne2WTLJNpmp7K1_erPY1lZKIJ-_9wnPw1tVrwk-ZEzi924NaXNOMcGtkOJJtU84x3XDMXl6b79Xvch5jTETDZfPqz3WUSY5bferq6PZ-Qkdh0uXYhghTGhhDOTseufdtEU6WPTJZX17zOhHAuvMFFNGcUC_wfv6CFxYIT3GMp96Cwkt7Oyn_AEt0PeY_sDK6YCWKeZcn4GZXAzao7NpttuX1bNB-wyvbtaD6tfn45_Lr_XJ6Zdvy8VJbRpMRA29bHrWW2n7jrOhg0ZKoptOC4771hCsaWcG6IxkrRwobzAWomWW91ZLKiw7qD7-1d3M_QjWFKdJe7VJbtRpq6J26uFLcOdqFS8VwZQI3rGi8O5GIcWLGfKkRpdNsa8DxDkrKigubIm1oG__Q9dxTsXzjiKywUx2-B-10h6UC0MsH5udqFp0LWUcd7gp1OEjVBkWRmdigMGV-8cKzC7vBMOdSYLVrmnUw6YpBW_uR3OH33YJuwYSy74T</recordid><startdate>20230520</startdate><enddate>20230520</enddate><creator>Forster, Grace Katharine</creator><creator>Aarø, Leif Edvard</creator><creator>Alme, Maria Nordheim</creator><creator>Hansen, Thomas</creator><creator>Nilsen, Thomas Sevenius</creator><creator>Vedaa, Øystein</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0009-2275-5862</orcidid><orcidid>https://orcid.org/0000-0001-7529-9252</orcidid></search><sort><creationdate>20230520</creationdate><title>Built Environment Accessibility and Disability as Predictors of Well-Being among Older Adults: A Norwegian Cross-Sectional Study</title><author>Forster, Grace Katharine ; 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An under-researched question is whether and how the built environment plays a role on well-being among older adults with disabilities. This study explores the relationship between built environment accessibility and disability on psychosocial well-being among older adults. Data were used from the Norwegian Counties Public Health Survey collected during February 2021 in Møre and Romsdal county (
= 8274; age = 60-97, mean = 68.6). General linear modelling was performed to examine the relationship and interaction between built environment accessibility (services, transportation, and nature) and disability on psychosocial well-being (quality of life, thriving, loneliness, and psychological distress). Higher levels of disability and poorer accessibility were each significantly related to lower psychosocial well-being across all variables (
< 0.001). Significant interaction effects were observed between disability and built environment accessibility on thriving (
(8, 5936) = 4.97,
< 0.001, η
= 0.006) and psychological distress (
(8, 5957) = 3.09,
= 0.002, η
= 0.004). No significant interaction effects were found for quality of life and loneliness. These findings indicate good built environment accessibility is associated with thriving and reduces psychological distress among older adults with disabilities. This study supports and extends previous findings on the importance of accessible and equipped environments for well-being and may aid policy makers when planning built environments to foster healthy ageing among this population group.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>37239625</pmid><doi>10.3390/ijerph20105898</doi><orcidid>https://orcid.org/0009-0009-2275-5862</orcidid><orcidid>https://orcid.org/0000-0001-7529-9252</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
| subjects | Adults Age Aged Aged, 80 and over Aging Built Environment Cross-Sectional Studies Disability Disabled Persons Environment Design Environmental factors Handicapped accessibility Health aspects Health behavior Health care Health disparities Humans Middle Aged Mortality Older people People with disabilities Physically disabled persons Polls & surveys Psychological aspects Psychological stress Public Health Quality of Life Residence Characteristics Social aspects Stress (Psychology) Urban environments Well being |
| title | Built Environment Accessibility and Disability as Predictors of Well-Being among Older Adults: A Norwegian Cross-Sectional Study |
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