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- Title
Environmental Factors Associated With Social Participation of Older Adults Living in Metropolitan, Urban, and Rural Areas: The NuAge Study.
- Authors
Levasseur, Mélanie; Cohen, Alan A.; Dubois, Marie-France; Généreux, Mélissa; Richard, Lucie; Therrien, France-Hélène; Payette, Hélène
- Abstract
Objectives. We compared the social participation of older adults living in metropolitan, urban, and rural areas, and identified associated environmental factors. Methods. From 2004 to 2006, we conducted a cross-sectional study using an age-, gender-, and area-stratified random sample of 1198 adults (aged 67-82 years). We collected data via interviewer-administered questionnaires and derived from Canadian censuses. Results. Social participation did not differ across living areas (P= .09), but after controlling for potential confounding variables, we identified associated area-specific environmental variables. In metropolitan areas, higher social participation was associated with greater proximity to neighborhood resources, having a driver's license, transit use, and better quality social network (R² = 0.18). In urban areas, higher social participation was associated with greater proximity to neighborhood resources and having a driver's license (R² = 0.11). Finally, in rural areas, higher social participation was associated with greater accessibility to key resources, having a driver's license, children living in the neighborhood, and more years lived in the current dwelling (R² = 0.18). Conclusions. To enhance social participation of older adults, public health interventions need to address different environmental factors according to living areas.
- Subjects
CANADA; SOCIAL isolation; COMMUNITIES; CONFIDENCE intervals; HEALTH services accessibility; LEISURE; METROPOLITAN areas; MULTIVARIATE analysis; OARS Multidimensional Functional Assessment Questionnaire; POPULATION geography; PSYCHOLOGICAL tests; QUESTIONNAIRES; RESEARCH funding; RURAL conditions; SOCIAL participation; SUBURBS; MULTIPLE regression analysis; GERIATRIC Depression Scale; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; OLD age; PSYCHOLOGY
- Publication
American Journal of Public Health, 2015, Vol 105, Issue 8, p1718
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2014.302415