Neighborhood Qualities Are Related to Better Mental Health, Quality of Life, and Loneliness Over 6 Years: Pathways Through Social Engagement and Social Support to Aging Well

社区环境与6年内更好的心理健康、生活质量和孤独感相关:通过社会参与和社会支持实现健康老龄化的途径

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Abstract

BACKGROUND AND OBJECTIVES: Growing research evidence supports the importance of neighborhoods for the well-being of older people. The aim of this study was to investigate key pathways (social engagement and social support) through which neighborhood qualities (accessibility, safety, and social cohesion) may affect older people's mental well-being (mental health, quality of life, and loneliness) over 6 years. RESEARCH DESIGN AND METHODS: A structural equation model was used to test the model while controlling for individual limitations such as physical health and socioeconomic status. The population sample included 2,750 New Zealanders over the age of 55 (M = 65.64 ± 6.30) years who responded to Health, Work and Retirement (HWR) longitudinal surveys in 2016 and 2022. RESULTS: The results showed that greater neighborhood accessibility to important facilities in 2016 predicted better mental health and quality of life and less loneliness in 2022 through provision of social support. Neighborhood social cohesion predicted social engagement, which was related to higher social support predicting better mental health and quality of life and less loneliness in 2022. DISCUSSION AND IMPLICATIONS: These findings confirm a body of research highlighting the importance of neighborhood qualities and show the socially oriented pathways through which neighborhoods support aging well. These findings have direct implications for the development of social policy that focuses on the development of housing situations to support healthy aging.

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