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Article: Neighborhood built environment and late-life depression: A multilevel path analysis in a Chinese society

TitleNeighborhood built environment and late-life depression: A multilevel path analysis in a Chinese society
Authors
Issue Date2021
PublisherOxford University Press. The Journal's web site is located at http://www.gerontologyjournals.org
Citation
Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 2021, Epub 2021-03-01, p. article no. gbab037 How to Cite?
AbstractObjective Neighborhood built environments (BEs) are increasingly recognized as being associated with late-life depression. However, their pathways are still understudied. This study investigates the mediating effects of physical, social activities (PA & SA) and functional ability (FA) in the relationships between BEs and late-life depression. Method We conducted a cross-sectional analysis with data from 2,081 community-dwellers aged 65 years and above in Hong Kong in 2014. Two road-network-based service area buffers (200- and 500-meter buffers) adjusted by terrain and slope from participants' residences were created to define the scope of neighborhoods. BEs comprised population density in District Council Constituency Areas (DCCAs), urban greenness, land use diversity, and neighborhood facilities within 200- and 500-meter buffers. Multilevel path analysis models were used. Results More urban greenness within both buffers and more commercial facilities within a 500-meter buffer were directly associated with fewer depressive symptoms. SA mediated the relationship between the number of community facilities and depressive symptoms within a 200-meter buffer. Neighborhood urban greenness and the number of commercial facilities had indirect associations on depressive symptoms within a 500-meter buffer, which were mediated by FA. Conclusion Our findings have implications for the ecological model of aging. The mediating effects of SA and FA underscore the importance of promoting active social lifestyles and maintaining FA for older adults' mental health in high-density cities. Policy implications on how to build age-friendly communities are discussed.
Persistent Identifierhttp://hdl.handle.net/10722/297171
ISSN
2023 Impact Factor: 4.8
2023 SCImago Journal Rankings: 2.305
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLu, S-
dc.contributor.authorLiu, Y-
dc.contributor.authorGuo, Y-
dc.contributor.authorHo, HC-
dc.contributor.authorSong, Y-
dc.contributor.authorCheng, W-
dc.contributor.authorChui, C-
dc.contributor.authorChan, OF-
dc.contributor.authorWebster, C-
dc.contributor.authorChiu, RLH-
dc.contributor.authorLum, TY-
dc.date.accessioned2021-03-08T07:15:10Z-
dc.date.available2021-03-08T07:15:10Z-
dc.date.issued2021-
dc.identifier.citationJournals of Gerontology Series B: Psychological Sciences & Social Sciences, 2021, Epub 2021-03-01, p. article no. gbab037-
dc.identifier.issn1079-5014-
dc.identifier.urihttp://hdl.handle.net/10722/297171-
dc.description.abstractObjective Neighborhood built environments (BEs) are increasingly recognized as being associated with late-life depression. However, their pathways are still understudied. This study investigates the mediating effects of physical, social activities (PA & SA) and functional ability (FA) in the relationships between BEs and late-life depression. Method We conducted a cross-sectional analysis with data from 2,081 community-dwellers aged 65 years and above in Hong Kong in 2014. Two road-network-based service area buffers (200- and 500-meter buffers) adjusted by terrain and slope from participants' residences were created to define the scope of neighborhoods. BEs comprised population density in District Council Constituency Areas (DCCAs), urban greenness, land use diversity, and neighborhood facilities within 200- and 500-meter buffers. Multilevel path analysis models were used. Results More urban greenness within both buffers and more commercial facilities within a 500-meter buffer were directly associated with fewer depressive symptoms. SA mediated the relationship between the number of community facilities and depressive symptoms within a 200-meter buffer. Neighborhood urban greenness and the number of commercial facilities had indirect associations on depressive symptoms within a 500-meter buffer, which were mediated by FA. Conclusion Our findings have implications for the ecological model of aging. The mediating effects of SA and FA underscore the importance of promoting active social lifestyles and maintaining FA for older adults' mental health in high-density cities. Policy implications on how to build age-friendly communities are discussed.-
dc.languageeng-
dc.publisherOxford University Press. The Journal's web site is located at http://www.gerontologyjournals.org-
dc.relation.ispartofJournals of Gerontology Series B: Psychological Sciences & Social Sciences-
dc.rightsPost-print: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in [insert journal title] following peer review. The definitive publisher-authenticated version [insert complete citation information here] is available online at: xxxxxxx [insert URL that the author will receive upon publication here].-
dc.titleNeighborhood built environment and late-life depression: A multilevel path analysis in a Chinese society-
dc.typeArticle-
dc.identifier.emailLu, S: sylu@hku.hk-
dc.identifier.emailLiu, Y: yuqiliu6@hku.hk-
dc.identifier.emailGuo, Y: yingqi@hku.hk-
dc.identifier.emailHo, HC: hcho21@hku.hk-
dc.identifier.emailSong, Y: ymsong@HKUCC-COM.hku.hk-
dc.identifier.emailChui, C: chkchui@hku.hk-
dc.identifier.emailChan, OF: ofchan@hku.hk-
dc.identifier.emailWebster, C: cwebster@hku.hk-
dc.identifier.emailChiu, RLH: rlhchiu@hku.hk-
dc.identifier.emailLum, TY: tlum@hku.hk-
dc.identifier.authorityLu, S=rp02609-
dc.identifier.authorityHo, HC=rp02482-
dc.identifier.authorityChui, C=rp02254-
dc.identifier.authorityWebster, C=rp01747-
dc.identifier.authorityChiu, RLH=rp00997-
dc.identifier.authorityLum, TY=rp01513-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/geronb/gbab037-
dc.identifier.pmid33674824-
dc.identifier.scopuseid_2-s2.0-85107967107-
dc.identifier.hkuros321655-
dc.identifier.volumeEpub 2021-03-01-
dc.identifier.spagearticle no. gbab037-
dc.identifier.epagearticle no. gbab037-
dc.identifier.isiWOS:000728438000023-
dc.publisher.placeUnited States-

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