scholarly journals Green spaces, subjective health and depressed affect in middle-aged and older adults: a cross-country comparison of four European cohorts

2021 ◽  
pp. jech-2020-214257
Author(s):  
J Mark Noordzij ◽  
Marielle A Beenackers ◽  
Joost Oude Groeniger ◽  
Erik Timmermans ◽  
Basile Chaix ◽  
...  
Keyword(s):  
Older Adults ◽  
Green Space ◽  
Subjective Health ◽  
Green Spaces ◽  
Middle Aged ◽  
Self Rated Health ◽  
Depressed Affect ◽  
Individual Participant ◽  
One Step ◽  
Meta Analyses

BackgroundStudies on associations between urban green space and mental health have yielded mixed results. This study examines associations of green space exposures with subjective health and depressed affect of middle-aged and older adults in four European cohorts.MethodsData came from four Western-European and Central-European ageing cohorts harmonised as part of the Mindmap project, comprising 16 189 adults with an average age of 50–71 years. Green space exposure was based on the distance to the nearest green space and the amount of green space within 800 m buffers around residential addresses. Cohort-specific and one-step individual participant data (IPD) meta-analyses were used to examine associations of green space exposures with subjective health and depressed affect.ResultsThe amount of green spaces within 800 m buffers was lowest for Residential Environment and CORonary heart Disease (Paris, 15.0 hectares) and highest for Health, Alcohol and Psychosocial factors In Eastern Europe (Czech Republic, 35.9 hectares). IPD analyses indicated no evidence of an association between the distance to the nearest green space and depressed affect (OR 0.98, 95% CI 0.96 to 1.00) or good self-rated health (OR 1.01, 95% CI 0.99 to 1.02). Likewise, the amount of green space within 800 m buffers did not predict depressed affect (OR 0.98, 95% CI 0.96 to 1.00) or good self-rated health (OR 1.01, 95% CI 0.99 to 1.02). Findings were consistent across all cohorts.ConclusionsData from four European ageing cohorts provide no support for the hypothesis that green space exposure is associated with subjective health or depressed affect. While longitudinal evidence is required, these findings suggest that green space may be less important for older urban residents.

scholarly journals The effects of social comparisons on subjective age and self-rated health

2021 ◽  
pp. 1-14
Author(s):  
Maayan Sayag ◽  
Gitit Kavé
Keyword(s):  
Older Adults ◽  
Comparison Group ◽  
Peer Group ◽  
Social Comparisons ◽  
Subjective Health ◽  
Subjective Age ◽  
Negative Effects ◽  
Younger Adults ◽  
Self Rated Health ◽  
Selection Of

Abstract Older adults consistently report young subjective age and provide high ratings of their subjective health. The current research examined which social comparisons older adults make when they assess their subjective age and health, as well as the effects of experimentally manipulated social comparisons on these assessments. In Study 1, 146 participants (aged 60 and over) reported to whom they compared themselves when assessing their subjective age or health. In Study 2, 100 participants (aged 60 and over) reported their subjective age and health after receiving feedback that compared them to younger adults or to their peers. Study 1 shows that participants compared themselves primarily to their peer group. Yet, individuals who selected a younger comparison group when assessing subjective age reported a younger subjective age, better self-rated health and more positive expectations regarding ageing relative to those who selected their peers as a comparison group. No equivalent differences emerged in any of the measures when participants were divided by their selection of comparison group after providing their self-rated health ratings. In Study 2, feedback that emphasised the performance of younger people led to reports of younger subjective age relative to feedback that emphasised peer performance, with no equivalent difference for self-rated health. These findings help explain why older adults feel younger and healthier than they actually are. We suggest that older adults use social comparisons as a strategy that protects them from the negative effects of ageing on self-perception.

Educational Differences in Self-Rated Health Trends Among Middle-Aged and Older Adults Living Alone, 1972–2018

2022 ◽  
pp. 089826432110527
Author(s):  
Esther O. Lamidi
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Living Alone ◽  
Middle Aged ◽  
Older Americans ◽  
Health Trends ◽  
Self Rated Health ◽  
Educational Differences ◽  
Middle Aged Adults

Objectives: This study examines educational differences in living alone and in self-rated health trends among middle-aged and older adults. Methods: We used logistic regression to analyze data from the 1972–2018 National Health Interview Survey ( n = 795,239 aged 40–64; n = 357,974 aged 65–84). Results: Between 1972–1974 and 2015–2018, living alone became more prevalent, particularly among men and at lower levels of education. Self-rated health trends varied by living arrangement and education. We found self-rated health declines among middle-aged adults having no college degree and living alone, but trends in self-rated health were mostly stable or even improved among middle-aged adults living with others. Among older adults, self-rated health improved over time, but for the least-educated older Americans living alone, the probability of reporting fair or poor health increased between 1972–1974 and 2015–2018. Discussion: The findings suggest growing disparities by social class, in living arrangements and in self-rated health.

scholarly journals Residential exposure to natural outdoor environments and general health among older adults in Shanghai, China

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Baishi Huang ◽  
Ye Liu ◽  
Zhiqiang Feng ◽  
Jamie R. Pearce ◽  
Ruoyu Wang ◽  
...  
Keyword(s):  
High School ◽  
Older Adults ◽  
Elementary School ◽  
Junior High School ◽  
School Education ◽  
High School Education ◽  
Green Spaces ◽  
Self Rated Health ◽  
Outdoor Environments ◽  
Non Local

Abstract Background Exposure to natural outdoor environments (NOE) has been shown to be beneficial to older adults’ health and functioning, yet this assertion has rarely been tested in China. We investigated the relationships between exposure to NOE and older adults’ self-rated health in Shanghai, China and examined whether these relationships varied by sex, age, education and hukou status. Method This cross-sectional study used micro-data sample of the 2010 Shanghai population census, including 7962 older adults nested within 3345 neighbourhoods. Self-rated health was the outcome variable. Four NOE exposure indicators were calculated for each neighbourhood: the amount of surrounding greenness/blueness and proximity to large green/blue spaces. Multilevel logistic regression was employed to explore the association between natural outdoor environment exposure and self-rated health, adjusting for individual-level and neighbourhood-level covariates. Stratified analyses were used to examine variations by sex, age, education and hukou status. Results Older adults living in neighbourhoods with higher surrounding greenness and higher proximity to both green spaces and blue spaces were more likely to report good health. Residential surrounding blueness was not significantly related to self-rated health. Females, those aged 60–69 years, those who had elementary school or junior high school education and those with non-local hukou benefit more from residential surrounding greenness, and those aged 70–79 years and who had elementary school or junior high school education benefit more from residential proximity to blue spaces. Conclusions Higher residential greenness and proximity to both green spaces and blue spaces were associated with better self-rated health, particularly for females, younger older adults, the low educated and non-local hukou holders. Our findings suggest that urban green spaces and urban blue spaces have different effects on health among Chinese older adults and that the assessment of exposure matters to the investigation of NOE-health relationships.

scholarly journals Dietary Patterns and Quality of Life in Older Adults: A Systematic Review

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 971 ◽  
Author(s):  
Thara Govindaraju ◽  
Berhe Sahle ◽  
Tracy McCaffrey ◽  
John McNeil ◽  
Alice Owen
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Older Adults ◽  
Dietary Patterns ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Set Inclusion ◽  
Demographic Shifts ◽  
Meta Analyses

Dietary patterns may be related to quality of life (QoL) of older adults, although evidence from literature is conflicting. The demographic shifts toward ageing populations in many countries increases the importance of understanding the relationship between diet and QoL in older adults. This review was designed to investigate associations between dietary patterns and QoL in older adults. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eight electronic databases were searched to identify articles published in English from January 1975 to March 2018 that investigated associations between dietary patterns and QoL in older adults. Relevant studies were identified based on set inclusion and exclusion criteria, data were extracted and analysed to examine the relationships and possible implications for public health recommendations. The systematic review included 15 articles (One randomized control trial, six prospective cohorts and eight cross sectional). The studies looked at correlations between different dietary patterns and/or adherence to particular dietary patterns and self-reported QoL or self-rated health status. Excluding two studies which showed no significant association, healthy dietary patterns were associated with better self-rated health and QoL in one or more domains, and adherence to healthy dietary patterns like the Mediterranean diet were significantly associated with improvement in at least one of the QoL domains.

scholarly journals Substance-use coping and self-rated health among US middle-aged and older adults

2015 ◽  
Vol 42 ◽  
pp. 96-100 ◽  
Author(s):  
Pia M. Mauro ◽  
Sarah L. Canham ◽  
Silvia S. Martins ◽  
Adam P. Spira
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Middle Aged ◽  
Self Rated Health

scholarly journals Older Adults’ Outdoor Walking and Inequalities in Neighbourhood Green Spaces Characteristics

2019 ◽  
Vol 16 (22) ◽  
pp. 4379 ◽  
Author(s):  
Razieh Zandieh ◽  
Javier Martinez ◽  
Johannes Flacke
Keyword(s):  
Older Adults ◽  
Green Space ◽  
Secondary Data ◽  
Personal Characteristics ◽  
Green Spaces ◽  
Spatial Inequalities ◽  
Space Networks ◽  
High Deprivation ◽  
Outdoor Walking ◽  
Large Neighbourhood

Outdoor walking has considerable benefits for healthy ageing and older adults are recommended to walk regularly. However, older adults living in high-deprivation areas walk less than those living in low-deprivation areas. Previous research has shown that the characteristics of neighbourhood green spaces (i.e., proximity, attractiveness, size, and number) may influence outdoor walking. This study examines spatial inequalities in the characteristics of neighbourhood green spaces in high- versus low-deprivation areas and their possible influences on disparities in older adults’ outdoor walking levels. For this purpose, it included a sample of 173 participants (≥65 years) and used secondary data and a geographic information system (GIS) to objectively measure neighbourhood green spaces characteristics. Geographic positioning system (GPS) technology was used to objectively measure outdoor walking levels. Data on participants’ personal characteristics were collected by questionnaire. The results indicate that one characteristic of neighbourhood green spaces (i.e., size) is positively related to outdoor walking levels. They show that inequalities in neighbourhood green spaces’ size in high- versus low-deprivation areas may influence disparities in older adults’ outdoor walking levels. Despite inequalities in other neighbourhood green space characteristics (e.g., proximity, attractiveness, and number) in high- versus low-deprivation areas, no relationship was found between these neighbourhood green space characteristics and participants’ outdoor walking levels. Enhancing the distribution or creation of large neighbourhood green spaces (e.g., through creating green space networks) may enhance outdoor walking among older residents, especially in high-deprivation areas.

Internal Migration and the Health of Middle-Aged and Older Persons in China: The Healthy Migrant Effect Reconsidered

2020 ◽  
pp. 016402752095876
Author(s):  
Li Gao ◽  
Margaret J. Penning ◽  
Zheng Wu ◽  
Shannon João Sterrett ◽  
Shuzhuo Li
Keyword(s):  
Older Adults ◽  
Internal Migration ◽  
Rural Areas ◽  
The Self ◽  
Urban Migration ◽  
Middle Aged ◽  
Positive Effects ◽  
Self Rated Health ◽  
Internal Migrants ◽  
Migration And Health

This study investigates associations between internal migration and health among middle-aged and older adults in China, including variations associated with type of migration (rural-to-urban, urban-to-rural, rural-to-rural, urban-to-urban). Data were drawn from China’s Health and Retirement Longitudinal Study (2011, 2013, 2015). Lagged panel and fixed-effect regression models address associations between migration and health outcomes (self-rated health, depression) while controlling for pre-migration and post-migration selection effects. The results reveal the positive implications of rural-to-urban migration for the self-rated health of middle-aged but not older adults. They also point to the positive effects of migration within and to rural areas for the self-rated and mental health of older adults. Overall, although migration may be beneficial to the health of internal migrants in China, complexities associated with age, type of migration, and the health outcome involved need to be taken into account.

Sexual satisfaction of middle-aged and older adults: longitudinal findings from a nationally representative sample

2020 ◽  
Author(s):  
Elżbieta Buczak-Stec ◽  
Hans-Helmut König ◽  
André Hajek
Keyword(s):  
Older Adults ◽  
Sexual Satisfaction ◽  
Age Groups ◽  
Sociodemographic Factors ◽  
Community Dwelling ◽  
Middle Aged ◽  
Random Coefficient Models ◽  
Self Rated Health ◽  
Nationally Representative ◽  
German Ageing Survey

Abstract Background whilst previous studies have investigated the determinants of sexual satisfaction (i) using longitudinal data or (ii) among older adults, only a few studies have done both at the sametime. Objective the purpose of this study was to investigate the determinants of sexual satisfaction longitudinally among middle-aged and older adults. Design nationally representative longitudinal study (German Ageing Survey—DEAS). Setting community-dwelling individuals in Germany. Data drawn from three waves (2002, 2008, 2011). Subjects individuals aged 40–95 (36.9% age group 65+). At wave 2 in the year 2002, n = 3,843 individuals took part. Methods well-established and widely used scales were used to quantify the independent variables. We included variables such as sociodemographic factors, self-rated health, physical functioning, depression and loneliness in our analysis. Sexual satisfaction was our outcome measure. Results were stratified by age (40–64, 65+). To take into account the multilevel data structure, we used random coefficient models. Results random-effects regressions showed that increased sexual satisfaction was consistently associated with the following variables in both age groups: lower number of physical illnesses, β = −0.03, P < 0.001 (betas coefficients given for individuals 65 years and over); better self-rated health, β = −0.06, P < 0.001; absence of depression, β = −0.16, P < 0.01; and higher importance of sexuality and intimacy, β = 0.08, P < 0.001. Moreover, sexual satisfaction was associated with having a partner: β = 0.16, P < 0.001; living with a partner in the same household, β = 0.26, P < 0.001; and a lower score of loneliness, β = −.28, P < 0.001. In contrast, sexual satisfaction was, for example, not associated with cognitive functioning. Conclusions the most surprising findings were that among both middle-aged and older adults, almost the same determinants (with exception of sociodemographic factors) were associated with satisfaction with sexlife.

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