Department of Epidemiology, School of Public Health, 1259University of Michigan, Ann Arbor, MI, USA.
Department of Social Work, College for Health, Community and Policy, 12346University of Texas at San Antonio, San Antonio, TX, US.
J Aging Health. 2022 Dec;34(9-10):1163-1177. doi: 10.1177/08982643221103359. Epub 2022 May 22.
To examine the associations between neighborhood environment-perceived neighborhood social cohesion and perceived neighborhood physical environment-and physical activity (PA) and whether these associations differ by race/ethnicity. We analyzed data from the Health and Retirement Study, a longitudinal study of US adults aged 50+ from 2006 to 2014 ( = 17,974), using multivariate mixed-effects linear models. PA was repeatedly measured using metabolic equivalent of task estimated values accounting for the vigor and frequency of self-reported PA. In multivariate models, higher levels of PA were positively associated with higher rated neighborhood social cohesion and neighborhood physical environment scores. The effects of social cohesion were stronger among non-Hispanic Whites than among non-Hispanic Black and Hispanic/Latinx participants, while race/ethnicity did not moderate the association between PA and physical environment. Intervention strategies that address social and physical barriers of neighborhoods could promote PA in older adults. Key implications for future research are discussed.
本研究旨在探讨社区环境(感知到的社区社会凝聚力和感知到的社区物质环境)与体力活动(PA)之间的关联,并分析这些关联是否因种族/民族而异。我们分析了美国健康与退休研究(Health and Retirement Study)的数据,该研究是一项针对 50 岁及以上美国成年人的纵向研究,涵盖了 2006 年至 2014 年期间的参与者(n=17974),采用多元混合效应线性模型进行分析。使用代谢当量(metabolic equivalent of task)估计值来重复测量 PA,该值考虑了自我报告的 PA 的活力和频率。在多元模型中,较高水平的 PA 与较高的社区社会凝聚力和社区物质环境评分呈正相关。社会凝聚力的影响在非西班牙裔白人和非西班牙裔黑人和西班牙裔/拉丁裔参与者之间存在差异,而非种族/民族差异则调节了 PA 与物理环境之间的关联。针对社区社会和物理障碍的干预策略可以促进老年人的 PA。讨论了对未来研究的重要意义。