Association of Age-Friendly Communities With Health and Well-Being Among Older Adults: An Ecological and Multilevel Analysis From the Japan Gerontological Evaluation Study

被引：0

作者：

Noguchi, Taiji ^{[1
,2
]}

Fujihara, Satoko ^{[3
,4
,5
]}

Ide, Kazushige ^{[5
]}

Jeong, Seungwon ^{[2
,6
]}

Saito, Tami ^{[2
]}

Kondo, Katsunori ^{[2
,3
,5
]}

Ojima, Toshiyuki ^{[1
]}

机构：

[1] Hamamatsu Univ, Sch Med, Dept Community Hlth & Prevent Med, 1-20-1 Handayama,Chuoku, Hamamatsu 4313192, Japan

[2] Natl Ctr Geriatr & Gerontol, Res Inst, Dept Social Sci, 7-430 Morioka, Obu 4748511, Japan

[3] Assoc Hlth Econ Res & Social Insurance & Welf, Inst Hlth Econ & Policy, Minato, Japan

[4] Tokyo Metropolitan Inst Geriatr & Gerontol, Res Team Promoting Independence & Mental Hlth, Tokyo, Japan

[5] Chiba Univ, Ctr Prevent Med Sci, Chiba, Japan

[6] Niimi Univ, Dept Community Welf, Niimi, Japan

来源：

JOURNAL OF APPLIED GERONTOLOGY | 2025年

关键词：

age-friendly communities; dementia-friendly communities; multilevel analysis; well-being; LEVEL FUNCTIONAL-CAPACITY; PEOPLE; ENVIRONMENTS; DEPRESSION; DEMENTIA;

D O I：

10.1177/07334648251352306

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

This cross-sectional study examined the association of age-friendly communities (AFC) with health and well-being among older adults, using the Japan Gerontological Evaluation Study 2016 data. Ecological and multilevel analyses of 71,824 older adults across 145 communities revealed that the community's age-friendliness consistently showed associations with health and well-being. Age-friendly physical environments (accessibility to barrier-free outdoor spaces, buildings, and transportation resources) exhibited an inverse association with functional health deficits. Social engagement and communication (participation in community groups, volunteer engagement, and information use) were inversely associated with depressive symptoms. Social inclusion and dementia-friendliness (respect and inclusion for older adults and positive attitudes toward people with dementia) were positively associated with happiness. Community's age-friendliness is well-linked to the multiple aspects of older adults' health and well-being, underscoring the AFC promotion for healthy aging.

引用

页数：13

共 60 条

[1]

Altzeheimers Disease International, 2016, Dementia friendly communities key principles

[2]

Alzheimer's Society, What is a dementia-friendly community?

[3]

[Anonymous], 2023, National programmes for age-friendly cities and communities: A guide

[4]

[Anonymous], 2021, Towards a dementia inclusive society

[5]