Associations of Perceived and Objective Neighborhood Environment Attributes with Walking in Older Adults: A Cross-Sectional Study
Publication: Journal of Urban Planning and Development
Volume 149, Issue 2
Abstract
This study explores the perceived and objective neighborhood environment (NE) attributes affecting the elderly’s walking levels in Isfahan, a historical city in Iran. A total of 603 older adults out of 874 potential participants [mean age 79.27 (±9.26) years; 56% women] were recruited from 124 neighborhoods—stratified by moderate socioeconomic status levels and quintiles of walkability levels—and individually interviewed. Participants were asked to report the frequency and duration of their walking in the past week. As for participants’ perceptions of the NE and social dimension, valid questionnaires including Neighborhood Environment Walkability Scale and multidimensional measure of neighboring were used, respectively. Five objective GIS-derived NE attributes, including land-use mix, intersection density, housing unit density, and distance to public transportation and parks, were measured in the 500-m network buffer of each participant’s home. Using the multivariate logistic regression, both unadjusted and adjusted models were calculated for 150+ min/week walkers. Results indicate that the likelihood of meeting the walking recommendations is significantly greater for those who live in neighborhoods with a higher level of sociability. Also, those who lived in more dense areas closer to parks and perceived their neighborhoods as safe, diverse, accessible, facilitated, and with higher aesthetic values were significantly more engaged in adequate walking. Our findings, contributing to the literature and practice, highlight the importance of safe and activity-friendly policymaking and community design.
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Acknowledgments
The authors would like to thank the senior organizations’ staff and participants for their valuable contributions to the study.
References
Alalhesabi, M., M. Behzadfar, and F. Behnamifard. 2021. “Cooperation of ordinary citizens with urban management in the third wave of COVID-19 outbreak in Iran: Based on personal and socioeconomic characteristics of citizens.” Int. Rev. Spatial Plann. Sustainable Dev. 9 (4): 31–49. https://doi.org/10.14246/irspsd.9.4_31.
An, H.-Y., W. Chen, C.-W. Wang, H.-F. Yang, W.-T. Huang, and S.-Y. Fan. 2020. “The relationships between physical activity and life satisfaction and happiness among young, middle-aged, and older adults.” Int. J. Environ. Res. Public Health 17 (13): 4817. https://doi.org/10.3390/ijerph17134817.
Baghiani Moghaddam, M. H., F. Bakhtiari Aghdam, M. Asgari Jafarabadi, H. Allahverdipour, S. Dabagh Nikookheslat, and S. Safarpour. 2012. “The Iranian Version of International Physical Activity Questionnaire (IPAQ) in Iran: content and construct validity, factor structure, internal consistency and stability.” World Appl. Sci. J. 18 (8): 1073–1080.
Barnett, A., E. Cerin, C. J. Zhang, C. H. Sit, J. M. Johnston, M. M. Cheung, and R. S. Lee. 2016. “Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: The ALECS cross-sectional study.” Int. J. Behav. Nutr. Phys. Act. 13 (1): 1–13. https://doi.org/10.1186/s12966-016-0377-7.
Barnett, D. W., A. Barnett, A. Nathan, J. Van Cauwenberg, and E. Cerin. 2017. “Built environmental correlates of older adults’ total physical activity and walking: A systematic review and meta-analysis.” Int. J. Behav. Nutr. Phys. Act. 14 (1): 1–24. https://doi.org/10.1186/s12966-017-0558-z.
Behnamifard, F., and M. Habibi. 2018. “Evaluating the effectiveness of environmental factors on increasing the activity of adolescent girls and boys in urban spaces (case study: Azadi Street of Karaj).” Motaleate Shahri 7 (27): 17–27.
Bödeker, M. 2018. “Walking and walkability in pre-set and self-defined neighborhoods: A mental mapping study in older adults.” Int. J. Environ. Res. Public Health 15 (7): 1363. https://doi.org/10.3390/ijerph15071363.
Bohannon, R. W. 1997. “Comfortable and maximum walking speed of adults aged 20–79 years: Reference values and determinants.” Age Ageing 26 (1): 15–19. https://doi.org/10.1093/ageing/26.1.15.
Brookfield, K., and S. Tilley. 2016. “Using virtual street audits to understand the walkability of older adults’ route choices by gender and age.” Int. J. Environ. Res. Public Health 13 (11): 1061. https://doi.org/10.3390/ijerph13111061.
Brown, S. C., S. Huang, T. Perrino, P. Surio, R. Borges-Garcia, K. Flavin, C. H. Brown, H. Pantin, and J. Szapocznik. 2011. “The relationship of perceived neighborhood social climate to walking in Hispanic older adults: A longitudinal, cross-lagged panel analysis.” J. Aging Health 23 (8): 1325–1351. https://doi.org/10.1177/0898264311418502.
Caspersen, C. J., K. E. Powell, and G. M. Christenson. 1985. “Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research.” Public Health Rep. 100 (2): 126–131.
Chang, S.-H., R. Rutherford, M.-C. Hsueh, Y.-C. Yu, J.-H. Park, S. Wang, and Y. Liao. 2021. “Neighborhood environment and objectively measured sedentary behavior among older adults: A cross-sectional study.” Front. Public Health 8: 552198. https://doi.org/10.3389/fpubh.2020.552198.
Cuignet, T., C. Perchoux, G. Caruso, O. Klein, S. Klein, B. Chaix, Y. Kestens, and P. Gerber. 2020. “Mobility among older adults: Deconstructing the effects of motility and movement on wellbeing.” Urban Stud. 57 (2): 383–401. https://doi.org/10.1177/0042098019852033.
Deputy of Urban Planning and Architecture. 2016. Population characteristics of Isfahan in 2016. Isfahan Municipality, Isfahan: Deputy of Urban Planning and Architecture.
de Souza Moreira, B., A. C. de Souza Andrade, L. de Souza Braga, A. de Carvalho Bastone, J. L. Torres, M. F. F. Lima-Costa, and Caiaffa, W. T. (2020). “Perceived neighborhood and walking among older Brazilian adults living in urban areas: A national study (ELSI-Brazil).” J. Aging Phys. Act. 29 (3), 431–441.
Ding, D., J. F. Sallis, G. J. Norman, L. D. Frank, B. E. Saelens, J. Kerr, T. L. Conway, K. Cain, M. F. Hovell, and C. R. Hofstetter. 2014. “Neighborhood environment and physical activity among older adults: Do the relationships differ by driving status?” J. Aging Phys. Act. 22 (3): 421–431. https://doi.org/10.1123/JAPA.2012-0332.
Edwards, P., and A. D. Tsouros. 2006. Promoting physical activity and active living in urban environments: The role of local governments. WHO Regional Office Europe. Copenhagen, Denmark: WHO.
Feng, J., S. Tang, and X. Chuai. 2018. “The impact of neighbourhood environments on quality of life of elderly people: Evidence from Nanjing, China.” Urban Stud. 55 (9): 2020–2039. https://doi.org/10.1177/0042098017702827.
Frank, L. D., J. Kerr, D. Rosenberg, and A. King. 2010a. “Healthy aging and where you live: Community design relationships with physical activity and body weight in older Americans.” J. Phys. Act. Health 7: S82–S90. https://doi.org/10.1123/jpah.7.s1.s82.
Frank, L. D., J. F. Sallis, B. E. Saelens, L. Leary, K. Cain, T. L. Conway, and P. M. Hess. 2010b. “The development of a walkability index: Application to the Neighborhood Quality of Life Study.” Br. J. Sports Med. 44 (13): 924–933. https://doi.org/10.1136/bjsm.2009.058701.
Frank, L. D., T. L. Schmid, J. F. Sallis, J. Chapman, and B. E. Saelens. 2005. “Linking objectively measured physical activity with objectively measured urban form: Findings from SMARTRAQ.” Am. J. Prev. Med. 28 (s2): 117–125. https://doi.org/10.1016/j.amepre.2004.11.001.
Giehl, M. W. C., P. C. Hallal, C. W. Corseuil, I. J. C. Schneider, and E. d’Orsi. 2016. “Built environment and walking behavior among Brazilian older adults: A population-based study.” J. Phys. Act. Health 13 (6): 617–624. https://doi.org/10.1123/jpah.2015-0355.
Gómez, L. F., D. C. Parra, D. Buchner, R. C. Brownson, O. L. Sarmiento, J. D. Pinzón, M. Ardila, J. Moreno, M. Serrato, and F. Lobelo. 2010. “Built environment attributes and walking patterns among the elderly population in Bogotá.” Am. J. Prev. Med. 38 (6): 592–599. https://doi.org/10.1016/j.amepre.2010.02.005.
Guthold, R., G. A. Stevens, L. M. Riley, and F. C. Bull. 2018. “Worldwide trends in insufficient physical activity from 2001 to 2016: A pooled analysis of 358 population-based surveys with 1.9 million participants.” Lancet Global Health 6 (10): e1077–e1086. https://doi.org/10.1016/S2214-109X(18)30357-7.
Habibi, M., and F. Behnamifard. 2016a. “Exploring the level of urban spaces’ responsiveness to adolescents’ needs: Case study: Azadi Street in Karaj.” J. Archit. Urban Plann. 9 (17): 139–154.
Habibi, M., and F. Behnamifard. 2016b. “The status of virtual space of internet and urban open space in the leisure pattern of today’s adolescents (case study: Adolescents of Rajaeishahr neighborhood in the city of Karaj).” Urban Stud. 6 (20): 99–130.
Hakimian, P., and A. Lak. 2016. “Adaptation and reliability of neighborhood environment walkability scale (NEWS) for Iran: A questionnaire for assessing environmental correlates of physical activity.” Med. J. Islamic Republic Iran 30: 427.
Hall, K. S., and E. McAuley. 2010. “Individual, social environmental and physical environmental barriers to achieving 10 000 steps per day among older women.” Health Educ. Res. 25 (3): 478–488. https://doi.org/10.1093/her/cyq019.
Han, A., J. Kim, and J. Kim. 2021. “A study of leisure walking intensity levels on mental health and health perception of older adults.” Gerontol. Geriatr. Med. 7: 1–8.
Haughton McNeill, L., K. W. Wyrwich, R. C. Brownson, E. M. Clark, and M. W. Kreuter. 2006. “Individual, social environmental, and physical environmental influences on physical activity among black and white adults: A structural equation analysis.” Ann. Behav. Med. 31 (1): 36–44. https://doi.org/10.1207/s15324796abm3101_7.
Herbolsheimer, F., A. Mahmood, N. Ungar, Y. L. Michael, F. Oswald, and H. Chaudhury. 2021. “Perceptions of the neighborhood built environment for walking behavior in older adults living in close proximity.” J. Appl. Gerontol. 40 (12): 1697–1705. https://doi.org/10.1177/0733464820979258.
Hino, K., E. Ikeda, S. Sadahiro, and S. Inoue. 2021. “Associations of neighborhood built, safety, and social environment with walking to and from school among elementary school-aged children in Chiba, Japan.” Int. J. Behav. Nutr. Phys. Act. 18 (1): 1–13. https://doi.org/10.1186/s12966-021-01202-y.
Inoue, S., Y. Ohya, Y. Odagiri, T. Takamiya, K. Ishii, M. Kitabayashi, K. Suijo, J. F. Sallis, and T. Shimomitsu. 2010. “Association between perceived neighborhood environment and walking among adults in 4 cities in Japan.” J. Epidemiol. 20 (4): 277–286. https://doi.org/10.2188/jea.JE20090120.
Inoue, S., Y. Ohya, Y. Odagiri, T. Takamiya, M. Kamada, S. Okada, K. Oka, Y. Kitabatake, T. Nakaya, and J. F. Sallis. 2011. “Perceived neighborhood environment and walking for specific purposes among elderly Japanese.” J. Epidemiol. 21 (6): 481–490. https://doi.org/10.2188/jea.JE20110044.
Iran’s Ministry of ICT. 2018. “Protection of personal data.” Accessed September 20, 2021. https://www.ict.gov.ir/fa/newsagency/21691/.
Joseph, A., and C. Zimring. 2007. “Where active older adults walk: Understanding the factors related to path choice for walking among active retirement community residents.” Environ. Behav. 39 (1): 75–105. https://doi.org/10.1177/0013916506295572.
Kerr, J., G. Norman, R. Millstein, M. A. Adams, C. Morgan, R. D. Langer, and M. Allison. 2014. “Neighborhood environment and physical activity among older women: Findings from the San Diego Cohort of the Women’s Health Initiative.” J. Phys. Act. Health 11 (6): 1070–1077. https://doi.org/10.1123/jpah.2012-0159.
Kerr, J., D. Rosenberg, and L. Frank. 2012. “The role of the built environment in healthy aging: Community design, physical activity, and health among older adults.” J. Plann. Lit. 27 (1): 43–60. https://doi.org/10.1177/0885412211415283.
Keykhosravi Beygzadeh, Z., A. Rezaei, and Y. Khalouei. 2015. “The relationship between social support and life satisfaction with happiness among home-dwelling older adults in Shiraz.” Iran. J. Ageing 10 (2): 172–179.
Khosravi, A., M. Selk Ghaffari, B. Hassanmirzaei, R. Kelishadi, M. Qorbani, E. Ahmadnehzhad, and R. Kordi. 2020. Health-enhancing physical activity monograph in the Islamic Republic of Iran. Comprehensive Rep. Tehran, Iran: National Institute of Health Research of the Islamic Republic of Iran.
Kim, M.-J., S.-H. Seo, A.-R. Seo, B.-K. Kim, G.-Y. Lee, Y.-S. Choi, J.-H. Kim, J.-R. Kim, Y.-S. Kang, and B.-G. Jeong. 2019. “The association of perceived neighborhood walkability and environmental pollution with frailty among community-dwelling older adults in Korean rural areas: A cross-sectional study.” J. Prev. Med. Public Health 52 (6): 405–415. https://doi.org/10.3961/jpmph.19.166.
Klenk, J., D. Dallmeier, M. D. Denkinger, K. Rapp, W. Koenig, D. Rothenbacher, and ActiFE Study Group. 2016. “Objectively measured walking duration and sedentary behaviour and four-year mortality in older people.” PLoS One 11 (4): e0153779. https://doi.org/10.1371/journal.pone.0153779.
LaCroix, A. Z., S. G. Leveille, J. A. Hecht, L. C. Grothaus, and E. H. Wagner. 1996. “Does walking decrease the risk of cardiovascular disease hospitalizations and death in older adults?” J. Am. Geriatr. Soc. 44 (2): 113–120. https://doi.org/10.1111/j.1532-5415.1996.tb02425.x.
Lee, C., C. Lee, O. T. Stewart, H. A. Carlos, A. Adachi-Mejia, E. M. Berke, and M. P. Doescher. 2021. “Neighborhood environments and utilitarian walking among older vs. younger rural adults.” Front. Public Health 9: 634751. https://doi.org/10.3389/fpubh.2021.634751.
Lee, H.-S., and E.-Y. Park. 2015. “Associations of neighborhood environment and walking in Korean elderly women: A comparison between urban and rural dwellers.” Asian Women 31 (4): 1–21. https://doi.org/10.14431/aw.2015.12.31.4.1.
Lee, J. H., and T. H. Tan. 2019. “Neighborhood walkability or third places? Determinants of social support and loneliness among older adults.” J. Plann. Educ. Res. 1–14.
Li, F., K. J. Fisher, R. C. Brownson, and M. Bosworth. 2005. “Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults.” J. Epidemiol. Community Health 59 (7): 558–564. https://doi.org/10.1136/jech.2004.028399.
Lindsay Smith, G., L. Banting, R. Eime, G. O’Sullivan, and J. G. Van Uffelen. 2017. “The association between social support and physical activity in older adults: A systematic review.” Int. J. Behav. Nutr. Phys. Act. 14 (1): 1–21. https://doi.org/10.1186/s12966-017-0509-8.
Liu, Y., M. Dijst, and S. Geertman. 2017. “The subjective well-being of older adults in Shanghai: The role of residential environment and individual resources.” Urban Stud. 54 (7): 1692–1714. https://doi.org/10.1177/0042098016630512.
Lotfi, S., and M. J. Koohsari. 2011. “Neighborhood walkability in a city within a developing country.” J. Urban Plann. Dev. 137 (4): 402–408. https://doi.org/10.1061/(ASCE)UP.1943-5444.0000085.
Manoochehry, S., and H. R. Rasouli. 2017. “Iranian population policy and aging: New health concerns.” Int. J. Travel Med. Global Health 5 (2): 70–71. https://doi.org/10.15171/ijtmgh.2017.14.
Mao, S., and J. Chen. 2021. “Neighborhood-based social capital and depressive symptoms among adults: Evidence from Guangzhou, China.” Int. J. Environ. Res. Public Health 18 (21): 11263. https://doi.org/10.3390/ijerph182111263.
Mendes de Leon, C. F., K. A. Cagney, J. L. Bienias, L. L. Barnes, K. A. Skarupski, P. A. Scherr, and D. A. Evans. 2009. “Neighborhood social cohesion and disorder in relation to walking in community-dwelling older adults: A multilevel analysis.” J. Aging Health 21 (1): 155–171. https://doi.org/10.1177/0898264308328650.
Moeini, B., M. Barati, M. Farhadian, and M. H. Ara. 2018. “The association between social support and happiness among elderly in Iran.” Korean J. Fam. Med. 39 (4): 260. https://doi.org/10.4082/kjfm.17.0121.
Montazeri, A., M. Vahdaninia, S. J. Mousavi, and S. Omidvari. 2009. “The Iranian version of 12-item Short Form Health Survey (SF-12): Factor structure, internal consistency and construct validity.” BMC Public Health 9 (1): 1–10. https://doi.org/10.1186/1471-2458-9-341.
Mooney, S. J., S. Joshi, M. Cerdá, G. J. Kennedy, J. R. Beard, and A. G. Rundle. 2017. “Contextual correlates of physical activity among older adults: A Neighborhood Environment-Wide Association Study (NE-WAS).” Cancer Epidemiol. Biomarkers Prev. 26 (4): 495–504. https://doi.org/10.1158/1055-9965.EPI-16-0827.
Motamedi, S., J. Ezhey, P. Fallah, and A. Kiamanesh. 2002. “The role of social support on life satisfaction, general health and loneliness among the elderly over 60 years old.” J. Psychol. 6 (2): 115–133.
Nagel, C. L., N. E. Carlson, M. Bosworth, and Y. L. Michael. 2008. “The relation between neighborhood built environment and walking activity among older adults.” Am. J. Epidemiol. 168 (4): 461–468. https://doi.org/10.1093/aje/kwn158.
Nakhostin Ansari, N., S. Naghdi, S. Hasson, L. Valizadeh, and S. Jalaie. 2010. “Validation of a Mini-Mental State Examination (MMSE) for the Persian population: A pilot study.” Appl. Neuropsychol. 17 (3): 190–195. https://doi.org/10.1080/09084282.2010.499773.
Nyunt, M. S. Z., F. K. Shuvo, J. Y. Eng, K. B. Yap, S. Scherer, L. M. Hee, S. P. Chan, and T. P. Ng. 2015. “Objective and subjective measures of neighborhood environment (NE): Relationships with transportation physical activity among older persons.” Int. J. Behav. Nutr. Phys. Act. 12 (1): 1–10. https://doi.org/10.1186/s12966-014-0159-z.
Okuyama, K., T. Abe, S. Yano, K. Sundquist, and T. Nabika. 2020. “Neighborhood environment and muscle mass and function among rural older adults: A 3-year longitudinal study.” Int. J. Health Geographics 19 (1): 1–12. https://doi.org/10.1186/s12942-020-00247-9.
Pelclová, J., K. Frömel, L. Bláha, I. Zając-Gawlak, and L. Tlučáková. 2012. “Neighborhood environment and walking for transport and recreation in central European older adults.” Acta Gymnica 42 (4): 49–56. https://doi.org/10.5507/ag.2012.023.
Peters, M., S. Muellmann, L. Christianson, I. Stalling, K. Bammann, C. Drell, and S. Forberger. 2020. “Measuring the association of objective and perceived neighborhood environment with physical activity in older adults: Challenges and implications from a systematic review.” Int. J. Health Geographics 19 (1): 1–20. https://doi.org/10.1186/s12942-020-00243-z.
Phillips, D. R., O.-L. Siu, G.-O. Y. Anthony, and K. H. Cheng. 2004. “Ageing and the urban environment.” In Ageing and place, edited by G. J. Andrews and D. R. Phillips, 163–179. London: Routledge.
Saelens, B. E., J. F. Sallis, J. B. Black, and D. Chen. 2003. “Neighborhood-based differences in physical activity: An environment scale evaluation.” Am. J. Public Health 93 (9): 1552–1558. https://doi.org/10.2105/AJPH.93.9.1552.
Sallis, J. F., R. B. Cervero, W. Ascher, K. A. Henderson, M. K. Kraft, and J. Kerr. 2006. “An ecological approach to creating active living communities.” Annu. Rev. Public Health 27: 297–322. https://doi.org/10.1146/annurev.publhealth.27.021405.102100.
Satariano, W. A., S. L. Ivey, E. Kurtovich, M. Kealey, A. E. Hubbard, C. M. Bayles, L. L. Bryant, R. H. Hunter, and T. R. Prohaska. 2010. “Lower-body function, neighborhoods, and walking in an older population.” Am. J. Prev. Med. 38 (4): 419–428. https://doi.org/10.1016/j.amepre.2009.12.031.
Saxena, S., M. Van Ommeren, K. C. Tang, and T. P. Armstrong. 2005. “Mental health benefits of physical activity.” J. Mental Health 14 (5): 445–451. https://doi.org/10.1080/09638230500270776.
SCI (Statistical Centre of Iran). 2016. IRI Census Data of 2016. Tehran, Iran: SCI.
Shafieiyoun, Z., and B. Zamani. 2021. “An evaluation of the impact of the urban form objective measures on the neighborhood residents’ walkability, case study: 14th district of Isfahan.” Spatial Plann. 11 (1): 133–150.
Skjaeveland, O., T. Gärling, and J. G. Maeland. 1996. “A multidimensional measure of neighboring.” Am. J. Community Psychol. 24 (3): 413–435. https://doi.org/10.1007/BF02512029.
Soltani, T., M. S. S. Mazloomy, S. M. A. Morowati, H. Fallahzadeh, and A. Jafari. 2015. “Social support and its relation with daily activities among elderly people of Yazd.” J. Community Health Res. 3 (4): 270–277.
Stokols, D. 1992. “Establishing and maintaining healthy environments: Toward a social ecology of health promotion.” Am. Psychol. 47 (1): 6. https://doi.org/10.1037/0003-066X.47.1.6.
Strath, S., R. Isaacs, and M. J. Greenwald. 2007. “Operationalizing environmental indicators for physical activity in older adults.” J. Aging Phys. Act. 15 (4): 412–424. https://doi.org/10.1123/japa.15.4.412.
Sun, F., I. J. Norman, and A. E. While. 2013. “Physical activity in older people: A systematic review.” BMC Public Health 13 (1): 1–17. https://doi.org/10.1186/1471-2458-13-1.
Thompson, C. W., A. Curl, P. Aspinall, S. Alves, and A. Zuin. 2014. “Do changes to the local street environment alter behaviour and quality of life of older adults? The ‘DIY Streets’ intervention.” Br. J. Sports Med. 48 (13): 1059–1065. https://doi.org/10.1136/bjsports-2012-091718.
Timperio, A., J. Veitch, and A. Carver. 2015. “Safety in numbers: Does perceived safety mediate associations between the neighborhood social environment and physical activity among women living in disadvantaged neighborhoods?” Prev. Med. 74: 49–54. https://doi.org/10.1016/j.ypmed.2015.02.012.
Towne, S. D., J. Won, S. Lee, M. G. Ory, S. N. Forjuoh, S. Wang, and C. Lee. 2016. “Using Walk Score™ and neighborhood perceptions to assess walking among middle-aged and older adults.” J. Community Health 41 (5): 977–988. https://doi.org/10.1007/s10900-016-0180-z.
Troped, P. J., K. Tamura, M. H. McDonough, H. A. Starnes, P. James, E. Ben-Joseph, E. Cromley, R. Puett, S. J. Melly, and F. Laden. 2017. “Direct and indirect associations between the built environment and leisure and utilitarian walking in older women.” Ann. Behav. Med. 51 (2): 282–291. https://doi.org/10.1007/s12160-016-9852-2.
UN-Habitat. 2014. A new strategy of sustainable neighbourhood planning: Five principles. Nairobi, Kenya: United Nations Human Settlements Programme.
UN (United Nations). 2019. World population ageing 2019: Highlights. Population Division of the Department of Economic and Social Affairs. New York: UN
Wang, R., H. Chen, Y. Liu, Y. Lu, and Y. Yao. 2019. “Neighborhood social reciprocity and mental health among older adults in China: The mediating effects of physical activity, social interaction, and volunteering.” BMC Public Health 19 (1): 1–10. https://doi.org/10.1186/s12889-018-6343-3.
Wen, M., L. C. Hawkley, and J. T. Cacioppo. 2006. “Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois.” Social Sci. Med. 63 (10): 2575–2590. https://doi.org/10.1016/j.socscimed.2006.06.025.
WHO (World Health Organization). 2019. Global action plan on physical activity 2018–2030: More active people for a healthier world. Geneva: WHO.
Wilson-Genderson, M., and R. Pruchno. 2013. “Effects of neighborhood violence and perceptions of neighborhood safety on depressive symptoms of older adults.” Social Sci. Med. 85: 43–49. https://doi.org/10.1016/j.socscimed.2013.02.028.
Winer, E. 2017. The influence of the built environment on walking among urban, community-dwelling older adults in the United States: A systematic review and thematic synthesis. New York: Mailman School of Public Health, Columbia Univ.
Yu, J., C. Yang, X. Zhao, Z. Zhou, S. Zhang, D. Zhai, and J. Li. 2021. “The associations of built environment with older people recreational walking and physical activity in a Chinese small-scale city of Yiwu.”’ Int. J. Environ. Res. Public Health 18 (5): 2699. https://doi.org/10.3390/ijerph18052699.
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Journal of Urban Planning and Development
Volume 149 • Issue 2 • June 2023
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© 2023 American Society of Civil Engineers.
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Received: Jul 20, 2022
Accepted: Jan 6, 2023
Published online: Feb 21, 2023
Published in print: Jun 1, 2023
Discussion open until: Jul 21, 2023
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