|
|
THE IMPACT OF COMMUNITY BUILT ENVIRONMENT ON THE HEALTH CONDITIONS OF OLDER ADULTS: A MEDIATING EFFECT BASED ON DAILY LEISURE ACTIVITIES |
HAN Hui-ran, ZHANG Zhao-di, ZHOU Lu-ting, CHENG Shu-xian, YANG Cheng-feng |
School of Geography and Tourism, Anhui Normal University, Wuhu 241000, China |
|
|
Abstract Rapid urbanization has led to great changes in residents' lifestyles, with chronic diseases becoming a major problem troubling urban public health. Carrying out daily leisure activities has become a critical strategy for improving the health conditions of older adults. Taking Hefei City as a case study, this study deploys a structural equation model(SEM) with daily leisure activities as the mediating variable to explore the mediating role of daily leisure activities in the relationship between the community built environment and the health conditions of older adults.The study aims to clarify the pathways through which the community built environment impacts the health conditions of older adults. The key empirical results are as follows. 1) older adults in Hefei exhibit high satisfaction with their self-rated health status. A significant negative correlation is observed between the prevalence of chronic diseases and self-rated physical health, with Body Mass Index (BMI)being positively associated with chronic disease prevalence. 2)The objective built environment, perceived built environment, and daily leisure activities all have significant positive impacts on the health conditions of older adults, among which the perceived built environment plays the most contributory role. 3) The influence of the community built environment on the health conditions of older adults exerts through three main pathways.
|
Received: 18 July 2024
|
|
Corresponding Authors:
10.13959/j.issn.1003-2398.2025.03.002
E-mail: phoenixycf@163.com
|
|
|
|
[1] |
邱国玉,张晓楠.21世纪中国的城市化特点及其生态环境挑战[J]. 地球科学进展,2019,34(6):640-649. [Qiu Guoyu, Zhang Xiaonan. China's urbanization and its ecological environment challenges in the 21st century[J]. Advances in Earth Science, 2019,34(6):640-649.]
|
[2] |
联合国.世界人口老龄化,应重新考虑社会保障问题[EB/OL]. (2023- 01-12) [2024-11-10]. https://news.un.org/zh/story/2023/01/1114127. [United Nations. UN report calls for rethinking social protection as the world ages. [EB/OL]. (2023-01-12) [2024-11-10]. https://news.un.org/zh/story/2023/01/1114127.]
|
[3] |
国家统计局. 中华人民共和国2023年国民经济和社会发展统计公报[EB/OL]. (2024-02-29)[2024-11-10]. https://www.stats.gov.cn/xxgk/sjfb/tjgb2020/202402/t20240229_1947923.html. [National Bureau of Statistics. Statistical communiqué of the People's Republic of China on the 2023 national economic and social development[EB/ OL]. (2024-02-29) [2024-11-10]. https://www.stats.gov.cn/xxgk/sjfb/tjgb2020/202402/t20240229_1947923.html.]
|
[4] |
于一凡.建成环境对老年人健康的影响:认识基础与方法探讨[J]. 国际城市规划,2020,35(1):1-7. [Yu Yifan. Health effect of the built environment on the older adults: Fundamental understanding and research approach[J]. Urban Planning International, 2020,35(1):1-7.]
|
[5] |
王兰,廖舒文,赵晓菁.健康城市规划路径与要素辨析[J]. 国际城市规划,2016,31(4):4-9. [Wang Lan, Liao Shuwen, Zhao Xiaojing. Exploration of approaches and factors of healthy city planning[J]. Urban Planning International, 2016,31(4):4-9.]
|
[6] |
Frank L D, Schmid T L, Sallis J F, et al. Linking objectively measured physical activity with objectively measured urban form: Findings from SMARTRAQ[J]. American Journal of Preventive Medicine, 2005,28(2):117-125.
|
[7] |
Nieuwenhuijsen M J, Khreis H, Verlinghieri E, et al.Transport and health: A marriage of convenience or an absolute necessity[J]. Environment International, 2016,88:150-152.
|
[8] |
李经纬,田莉.土地利用对公共健康影响的研究进展综述[J]. 城市与区域规划研究,2020,12(1):136-154. [Li Jingwei, Tian Li. Literature review of the impact of land use on public health[J]. Journal of Urban and Regional Planning, 2020,12(1):136-154.]
|
[9] |
Spring A. Short-and long-term impacts of neighborhood built environment on self-rated health of older adults[J]. The Gerontologist, 2018,58(1):36-46.
|
[10] |
Sallis J F, Cerin E, Kerr J, et al. Built environment, physical activity, and obesity: Findings from the international physical activity and environment network(IPEN) adult study[J]. Annual Review of Public Health, 2020,41(1):119-139.
|
[11] |
张琳,周素红,郑重,等.日常活动环境暴露对流动与户籍人口心理健康的影响差异[J]. 地理科学进展,2024,43(8):1570-1584. [Zhang Lin, Zhou Suhong, Zheng Zhong, et al. Impacts of environmental exposures on the mental health of floating and registered populations from the perspective of daily activities[J]. Progress in Geography, 2024,43(8):1570-1584.]
|
[12] |
Xu F, Li J Q, Liang Y Q, et al. Residential density and adolescent overweight in a rapidly urbanizing region of mainland China[J]. Journal of Epidemiology and Community Health, 2010,64(11):1017- 1021.
|
[13] |
王兰,孙文尧,吴莹.主观感知的城市环境对居民健康的影响研究——基于全国60个县市的大样本调查[J]. 人文地理,2020,35(2): 55-64. [Wang Lan, Sun Wenyao, Wu Ying. Study on the impact of subjective perception of urban environment on residents' health: Based on a large sample survey of 60 counties and cities in China [J]. Human Geography, 2020,35(2):55-64.]
|
[14] |
魏越,杨东峰.邻里目的地建成环境对老年主动式健康的差异性影响——基于设施类型和服务半径的分析[J]. 新建筑,2023(1): 118-123. [Wei Yue, Yang Dongfeng. Differential impact of neighborhood destination built environments on active health of the elderly: An analysis based on facility types and service radius[J]. New Architecture, 2023(1):118-123.]
|
[15] |
Song S, Yap W, Hou Y, et al. Neighborhood built environment, physical activity, and physical health among older adults in Singapore: A simultaneous equations approach[J]. Journal of Transport & Health, 2020,18:100881. https://doi.org/10.1016/j.jth.2020.100881.
|
[16] |
Leslie E, Cerin E. Are perceptions of the local environment related to neighborhood satisfaction and mental health in adults? [J]. Preventive Medicine, 2008,47(3):273-278.
|
[17] |
张延吉,邓伟涛,赵立珍,等. 城市建成环境如何影响居民生理健康?——中介机制与实证检验[J]. 地理研究,2020,39(4):822-835. [Zhang Yanji, Deng Weitao, Zhao Lizhen, et al. How urban built environment affects residents' physical health? Mediating mechanism and empirical test[J]. Geographical Research, 2020,39(4):822-835.]
|
[18] |
Huber M, Knottnerus J A, Green L, et al. How should we define health? [J]. Bmj British Medical Journal, 2011, 343: d4163. https:// doiorg/10.1136/bmj.d4163.
|
[19] |
Hofman A, Grobbee D E, De J P, et al. Determinants of disease and disability in the elderly: The Rotterdam elderly study[J]. European Journal of Epidemiology, 1991,7(4):403-422.
|
[20] |
Sikkes S A, Rotrou J D. A qualitative review of instrumental activities of daily living in dementia: What's cooking?[J]. Neurodegenerative Disease Management, 2014,4(5):393-400.
|
[21] |
Tey N P, Lai S L, Teh J K. The debilitating effects of chronic diseases among the oldest old in China[J]. Maturitas, 2016,94:39-45.
|
[22] |
孙斌栋,阎宏,张婷麟.社区建成环境对健康的影响——基于居民个体超重的实证研究[J]. 地理学报,2016,71(10):1721-1730. [Sun Bindong, Yan Hong, Zhang Tinglin. Impact of community built environment on residents' health: A case study on individual overweight[J]. Acta Geographica Sinica, 2016,71(10):1721-1730.]
|
[23] |
袁媛,陈玉洁,刘晔,等.广州社区绿化环境对居民自评健康的邻里影响[J]. 地理学报,2021,76(8):1965-1975. [Yuan Yuan, Chen Yujie, Liu Ye, et al. The neighborhood effect of residential greenery on residents' self-rated health: A case study of Guangzhou, China[J]. Acta Geographica Sinica, 2021,76(8):1965-1975.]
|
[24] |
曹阳,甄峰,姜玉培.基于活动视角的城市建成环境与居民健康关系研究框架[J]. 地理科学,2019,39(10):1612-1620. [Cao Yang, Zhen Feng, Jiang Yupei. The framework of relationship between built environment and residents' healthy based on activity perspective[J]. Scientia Geographica Sinica, 2019,39(10):1612-1620.]
|
[25] |
董玉萍,刘合林,齐君.城市绿地与居民健康关系研究进展[J]. 国际城市规划,2020,35(5):70-79. [Dong Yuping, Liu Helin, Qi Jun. Progress of studies on the relationship between urban green space and public health[J]. Urban Planning International, 2020,35(5):70-79.]
|
[26] |
陈玉洁,袁媛,周钰荃,等.蓝绿空间暴露对老年人健康的邻里影响——以广州市为例[J]. 地理科学,2020,40(10):1679-1687. [Chen Yujie, Yuan Yuan, Zhou Yuquan, et al. The neighborhood effect of exposure to green and blue space on the elderly's health: A case study of Guangzhou, China[J]. Scientia Geographica Sinica, 2020, 40(10):1679-1687.]
|
[27] |
冯建喜,黄旭,汤爽爽.客观与主观建成环境对老年人不同体力活动影响机制研究——以南京为例[J]. 上海城市规划,2017(3):17- 23. [Feng Jianxi, Huang Xu, Tang Shuangshuang. Comparing the influences of objective and subjective built environments on physical activities participation among the elderly: A case study of Nanjing, China[J]. Shanghai Urban Planning Review, 2017(3):17-23.]
|
[28] |
Burton E. Streets ahead? The role of the built environment in healthy ageing[J]. Perspect Public Health, 2012,132(4):161-162.
|
[29] |
陈春,陈勇,于立,等.为健康城市而规划:建成环境与老年人身体质量指数关系研究[J]. 城市发展研究,2017,24(4):7-13. [Chen Chun, Chen Yong, Yu Li, et al. Planning for healthy city: The influence of the built environment on the body mass index of the elderly [J]. Urban Development Studies, 2017,24(4):7-13.]
|
[30] |
陈春,塔吉努尔·海力力,陈勇.女性老年人肥胖的建成环境影响因素及规划响应研究[J]. 人文地理,2018,33(4):76-81. [Chen Chun, HaililiTajnur, Chen Yong. Built environment's influence on obesity of the older women and its planning responses[J]. Human Geography, 2018,33(4):76-81.]
|
[31] |
刘盼,吴文武.休闲娱乐活动参与缓解了我国老年人健康脆弱性吗?[J]. 南京医科大学学报(社会科学版),2024,24(1):30-36,74. [Liu Pan, Wu Wenwu. Do leisure and recreational activities participation alleviate the health vulnerability of older adults in China? [J]. Journal of Nanjing Medical University(Social Sciences), 2024, 24(1):30-36,74.]
|
[32] |
马明,周靖,蔡镇钰.健康为导向的建成环境与体力活动研究综述及启示[J]. 西部人居环境学刊,2019,34(4):27-34. [Ma Ming, Zhou Jing, Cai Zhenyu. Summary and enlightenment of research on improving health-oriented built environment and physical activity[J]. Journal of Human Settlements in West China, 2019,34(4):27-34.]
|
[33] |
Guo Y, Shi H, Yu D, et al. Health benefits of traditional Chinese sports and physical activity for older adults: A systematic review of evidence[J]. Journal of Sport and Health Science, 2016, 5(3): 270- 280.
|
[34] |
李珊,张林,李建军,等.建成环境影响公共健康的国内外比较研究及启示[J]. 热带地理,2024,44(4):569-582. [Li Shan, Zhang Lin, Li Jianjun, et al. Comparison of domestic and foreign studies on the impact of built environment on public health and its implications [J]. Tropical Geography, 2024,44(4):569-582.]
|
[35] |
郑振华,彭希哲.社区环境对老年人行为与健康的影响研究——不同年龄阶段老年人的群组比较[J]. 地理研究,2019,38(6):1481-1496. [Zheng Zhenhua, Peng Xizhe. The impact of community environment on behavior and health of the elderly: Group comparison of different ages[J]. Geographical Research, 2019,38(6):1481-1496.]
|
[36] |
吴志建,倪军,王竹影.城市建成环境与体力活动对老年人健康影响的社区分异[J]. 体育学研究,2023,37(5):49-61. [Wu Zhijian, Ni Jun, Wang Zhuying. Community differentiation of the impact of urban built environment and physical activity on the health of the elderly[J]. Journal of Sports Research, 2023,37(5):49-61.]
|
[37] |
Yang W, Yang R, Guo Y, et al. Examining the effects of neighborhood walking environments and green spaces on the likelihood of residents being obese: A residential self-selection perspective[J]. Cities, 2024, 155:105422. https://doi.org/10.1016/j.cities.2024.105422.
|
[38] |
黄建中,吴萌.特大城市老年人出行特征及相关因素分析——以上海市中心城为例[J]. 城市规划学刊,2015(2):93-101. [Huang Jianzhong, Wu Meng. An investigation and analysis of travel characteristics and related factors of the elderly population in megacities: The case of the central area in Shanghai[J]. Urban Planning Forum, 2015(2):93-101.]
|
[39] |
Prithviraj D, Sundaram L. Exploring the walkability of senior citizens in a densely populated neighborhood of Chennai, India: A structural equation modeling approach[J]. Sustainability, 2023,15(18):13868. https://doi.org/10.3390/su151813868.
|
[40] |
罗勇.中国城市化面临的健康问题及对策[J]. 中国公共卫生,2010, 26(12):1532-1534. [Luo Yong. Health problems and counter measures of urbanization in China[J]. Chinese Journal of Public Health, 2010,26(12):1532-1534.]
|
[41] |
Cheng L, Shi K, Vos J D, et al. Examining the spatially heterogeneous effects of the built environment on walking among older adults[J]. Transport Policy, 2021,100:21-30.
|
[42] |
周素红,彭伊侬,柳林,等.日常活动地建成环境对老年人主观幸福感的影响[J]. 地理研究,2019,38(7):1625-1639. [Zhou Suhong, Peng Yinong, Liu Lin, et al. The impact of built environment on well-being of older adults under different geographic contexts[J]. Geographical Research, 2019,38(7):1625-1639.]
|
[43] |
温忠麟,张雷,侯杰泰,等.中介效应检验程序及其应用[J]. 心理学报,2004(5):614-620. [Wen Zhonglin, Zhang Lei, Hou Jietai, et al. Testing and application of the mediating effects[J]. Acta Psychologica Sinica, 2004(5):614-620.]
|
[44] |
Cao X J. How does neighborhood design affect life satisfaction? Evidence from twin cities[J]. Travel Behaviour and Society, 2015, 51:68-76.
|
[45] |
姜玉培,甄峰,孙鸿鹄.基于健康影响的城市居民日常活动与活动环境特征识别[J]. 地理科学进展,2024,43(7):1429-1440. [Jiang Yupei, Zhen Feng, Sun Honghu. Identification of urban residents' daily activities and activity environment characteristics based on health impact[J]. Progress in Geography, 2024,43(7):1429-1440.]
|
[46] |
Chaudhury H, Campo M, Michael Y, et al. Neighbourhood environment and physical activity in older adults[J]. Social Science & Medicine, 2016,149(1):104-113.
|
[47] |
李宇涵,申悦.健康视角下社区环境对休闲性体力活动的影响研究进展[J]. 科技导报,2024,42(3):63-74. [Li Yuhan, Shen Yue. A review of neighborhood environment effects on leisure time physical activity from a health perspective[J]. Science & Technology Review, 2024,42(3):63-74.]
|
|
|
|