Improving the Elderly’s Mental Health by Using Public Open Spaces in Disadvantaged Urban Neighborhoods: Tehran, Iran
Abstract Background: Today, the beneficial impact of public open spaces(POS) on the mental and physical health of the elderly is considered worldwide. However, the knowledge about these effects on the mental health of older adults in disadvantaged urban neighborhoods, especially in developing countries, is still insufficient.Methods: This study investigates the relationship between POS use and the mental health status of elderly residents in the disadvantaged neighborhoods of Tehran, the capital of Iran. The data on the frequency of use of public open spaces and the health status include ten items collected from 420 older adults of disadvantaged neighborhoods in District 10 of Tehran. We used exploratory factor analysis to explore the main factors of the elderly mental health in the disadvantaged neighborhood. Finally, the multivariate multiple regression model was used to determine the relationship between the frequency of POS use and mental health status among older seniors.Results: These ten items identified two fundamental characteristics of mental health status, including “feeling worthless” and “social interaction,” using exploratory factor analysis. “Feeling of worthlessness” was negatively significantly associated with the level of gender, marital, occupation, and education, as well as frequently attending in POS. “Social interaction” was influenced by gender, occupation, and marital status, as well as frequent use of POS. The results showed that the frequency of public open space use has a negative correlation with the feeling of worthlessness and a positive correlation with the older residents’ social interactions and contacts.Conclusion: According to the findings, increasing the more senior residents’ access to public open spaces through planning can improve their mental health as well as their social interactions, especially in disadvantaged neighborhoods.