鈥極n the street where you live鈥? Neighbourhood deprivation and quality of life among community-dwelling older people in Edinburgh, Scotland
- 作者：René ; Mõ ; ttusa ; b ; Catharine R. Galea ; c ; John M. Starra ; d ; Ian J. Dearya ; e ; i.deary@ed.ac.uk
- 关键词：Neighbourhood deprivation ; Quality of life ; Wellbeing ; Ageing ; Scotland ; UK
- 刊名：Social Science and Medicine
- 出版年：2012
- 期刊代码：242_02779536
- 类别：med
- 出版时间：May, 2012
- 卷：74
- 期：9
- 页码：1368-1374
- 文件大小：193 K
摘要
It is well established that neighbourhood quality is related to various aspects of people's health and coping, especially in old age. There have also been a few reports on the links between self-reported neighbourhood quality and quality of life in older age. However, it is not clear which aspects of quality of life in particular are related to neighbourhood quality and whether these associations are independent of the roles of cognitive, socioeconomic or health status, or rating biases. Using a large sample of Scots from the Edinburgh area (N聽=聽1091, of whom 548 were men) aged between 68 and 71 years, this study shows direct associations of objectively and comprehensively determined neighbourhood deprivation with self-perceived quality of life in physical and environmental domains, but not in psychological or social relationship domains. In a path model, these associations were independent of the roles of childhood cognitive ability and change in it to age 70, educational attainment, and occupational social class. The count of adverse health conditions (cardiovascular disease, stroke history, high blood pressure, diabetes, or arthritis) was associated with both quality of life and neighbourhood deprivation, and mediated the indirect links from neighbourhood deprivation to physical, psychological and environmental domains of quality of life. It is concluded that the neighbourhood in which older people live plays a role in one of the most important outcomes鈥攈ow satisfied they are with various aspects of their life including physical functioning.