Age-friendly cities and communities and cognitive health among Chinese older adults: Evidence from the China Health and Retirement Longitudinal Studies

被引：20

作者：

Shi, Jiaming ^{[1
]}

Liu, Xiaoting ^{[1
,2
]}

Feng, Zhixin ^{[3
,4
,5
]}

机构：

[1] Zhejiang Univ, Sch Publ Affairs, Ctr Social Welf & Governance, Hangzhou, Peoples R China

[2] Zhejiang Univ, Inst Wenzhou, Wenzhou, Peoples R China

[3] Sun Yat Sen Univ, Sch Geog Planning, 132 Waihuan East Rd,Univ Town, Guangzhou, Peoples R China

[4] Sun Yat Sen Univ, Guangdong Key Lab Urbanizat & Geosimulat, Guangzhou, Peoples R China

[5] Guangdong Prov Engn Res Ctr Publ Secur & Disaster, Guangzhou, Peoples R China

来源：

CITIES | 2023年 / 132卷

基金：

中国国家自然科学基金;

关键词：

Cognitive health; Age friendliness; Environments; Older adults; China; LIFE-COURSE; NEIGHBORHOOD; ENVIRONMENT; DECLINE; FAMILY; DEMENTIA; CONTEXT;

D O I：

10.1016/j.cities.2022.104072

中图分类号：

TU98 [区域规划、城乡规划];

学科分类号：

0814 ; 082803 ; 0833 ;

摘要：

The idea of the environment as a determinant of cognitive health for older adults has been widely accepted. The concept of the "Ageing-Friendly City and Community" (AFCC), which emphasises the importance of both social environment (SE) and built environment (BE) and encompasses environments at both community and city levels, has been proposed by the World Health Organization, to improve older adults' wellbeing. Using data from the China Health and Retirement Longitudinal Studies, this study explored the effects of the AFCC at both community and city levels on older adults' cognitive health. It also investigated the effects of the AFCC on two special domains of cognitive health: mental intactness and episodic memory. Multilevel regression models were applied. The results show that SE with better community support and social participation, and BE with a higher level of community safety and better housing and transportation at a community level, were both significantly associated with better cognitive health. Meanwhile, an AFCC at a city level was not significantly associated with cognitive health. Older adults' social activities and depression symptoms were mediators to explain the effects of the AFCC on their cognitive health. An AFCC significantly moderated the effects of social activities and depression symptoms on episodic memory, but no significant moderating effects were found for mental intactness.

引用

页数：13