Longitudinal associations between neighbourhood physical environments and depressive symptoms of older adults in Hong Kong: The moderating effects of terrain slope and declining functional abilities

Yuqi Liu; Shiyu Lu; Yingqi Guo; Hung Chak Ho; Yimeng Song; Wei Cheng; Cheryl Hiu Kwan Chui; On Fung Chan; Rebecca Lai Har Chiu; Chris Webster; Terry Yat Sang Lum

doi:10.1016/j.healthplace.2021.102585

Longitudinal associations between neighbourhood physical environments and depressive symptoms of older adults in Hong Kong: The moderating effects of terrain slope and declining functional abilities

Yuqi Liu, Shiyu Lu, Yingqi Guo, Hung Chak Ho, Yimeng Song, Wei Cheng, Cheryl Hiu Kwan Chui, On Fung Chan, Rebecca Lai Har Chiu, Chris Webster, Terry Yat Sang Lum^*

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › peer-review

9 Citations (Scopus)

Abstract

Little is known about the accumulative impacts of neighbourhood physical environments on older adults’ depressive symptoms over time. Based on a cohort study of 2081 older adults in Hong Kong, this study examined longitudinal relationships between neighbourhood physical environments and depressive symptoms among older adults, with a particular focus on the moderating effects of terrain slope and individual functional ability using latent growth curve modelling. Results indicated that the availability of community centres and passive leisure facilities reduced depressive symptoms over time. The protective effects of residential surrounding greenness on depressive symptoms among older adults differed by the terrain slope types. Longitudinal associations between neighbourhood physical environments and depressive symptoms varied between older adults with and without functional limitations. This study has implications for the Ecological Theory of Ageing by identifying the dynamic interplay of environment demands and individual functional ability. Planning policies for building age-friendly neighbourhoods are discussed.

Original language	English
Article number	102585
Number of pages	12
Journal	Health and Place
Volume	70
Early online date	17 May 2021
DOIs	https://doi.org/10.1016/j.healthplace.2021.102585
Publication status	Published - Jul 2021
Externally published	Yes

Scopus Subject Areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

User-Defined Keywords

Depressive symptoms
Neighbourhood physical environments
Terrain slope
Functional abilities
Older adults
Cohort study

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10.1016/j.healthplace.2021.102585

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Liu, Y., Lu, S., Guo, Y., Ho, H. C., Song, Y., Cheng, W., Chui, C. H. K., Chan, O. F., Chiu, R. L. H., Webster, C., & Lum, T. Y. S. (2021). Longitudinal associations between neighbourhood physical environments and depressive symptoms of older adults in Hong Kong: The moderating effects of terrain slope and declining functional abilities. Health and Place, 70, [102585]. https://doi.org/10.1016/j.healthplace.2021.102585

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title = "Longitudinal associations between neighbourhood physical environments and depressive symptoms of older adults in Hong Kong: The moderating effects of terrain slope and declining functional abilities",

abstract = "Little is known about the accumulative impacts of neighbourhood physical environments on older adults{\textquoteright} depressive symptoms over time. Based on a cohort study of 2081 older adults in Hong Kong, this study examined longitudinal relationships between neighbourhood physical environments and depressive symptoms among older adults, with a particular focus on the moderating effects of terrain slope and individual functional ability using latent growth curve modelling. Results indicated that the availability of community centres and passive leisure facilities reduced depressive symptoms over time. The protective effects of residential surrounding greenness on depressive symptoms among older adults differed by the terrain slope types. Longitudinal associations between neighbourhood physical environments and depressive symptoms varied between older adults with and without functional limitations. This study has implications for the Ecological Theory of Ageing by identifying the dynamic interplay of environment demands and individual functional ability. Planning policies for building age-friendly neighbourhoods are discussed.",

keywords = "Depressive symptoms, Neighbourhood physical environments, Terrain slope, Functional abilities, Older adults, Cohort study",

author = "Yuqi Liu and Shiyu Lu and Yingqi Guo and Ho, {Hung Chak} and Yimeng Song and Wei Cheng and Chui, {Cheryl Hiu Kwan} and Chan, {On Fung} and Chiu, {Rebecca Lai Har} and Chris Webster and Lum, {Terry Yat Sang}",

note = "Funding Information: The authors would like to thank the Hong Kong Housing Society for funding this project (Longitudinal Study on Ageing-in-Place Scheme at HKHS Rental Estates: 4-Year Outcome, Grant Number: RS160139). The study has been approved by the Human Research Ethics Committee of the University of Hong Kong (reference number: EA050814 & EA1610004). The authors would like to extend their sincere thanks to the many individuals without whose support this study would not have been completed successfully. Publisher copyright: {\textcopyright} 2021 Elsevier Ltd.",

year = "2021",

month = jul,

doi = "10.1016/j.healthplace.2021.102585",

language = "English",

volume = "70",

journal = "Health and Place",

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Liu, Y, Lu, S, Guo, Y, Ho, HC, Song, Y, Cheng, W, Chui, CHK, Chan, OF, Chiu, RLH, Webster, C & Lum, TYS 2021, 'Longitudinal associations between neighbourhood physical environments and depressive symptoms of older adults in Hong Kong: The moderating effects of terrain slope and declining functional abilities', Health and Place, vol. 70, 102585. https://doi.org/10.1016/j.healthplace.2021.102585

TY - JOUR

T1 - Longitudinal associations between neighbourhood physical environments and depressive symptoms of older adults in Hong Kong

T2 - The moderating effects of terrain slope and declining functional abilities

AU - Liu, Yuqi

AU - Lu, Shiyu

AU - Guo, Yingqi

AU - Ho, Hung Chak

AU - Song, Yimeng

AU - Cheng, Wei

AU - Chui, Cheryl Hiu Kwan

AU - Chan, On Fung

AU - Chiu, Rebecca Lai Har

AU - Webster, Chris

AU - Lum, Terry Yat Sang

N1 - Funding Information: The authors would like to thank the Hong Kong Housing Society for funding this project (Longitudinal Study on Ageing-in-Place Scheme at HKHS Rental Estates: 4-Year Outcome, Grant Number: RS160139). The study has been approved by the Human Research Ethics Committee of the University of Hong Kong (reference number: EA050814 & EA1610004). The authors would like to extend their sincere thanks to the many individuals without whose support this study would not have been completed successfully. Publisher copyright: © 2021 Elsevier Ltd.

PY - 2021/7

Y1 - 2021/7

N2 - Little is known about the accumulative impacts of neighbourhood physical environments on older adults’ depressive symptoms over time. Based on a cohort study of 2081 older adults in Hong Kong, this study examined longitudinal relationships between neighbourhood physical environments and depressive symptoms among older adults, with a particular focus on the moderating effects of terrain slope and individual functional ability using latent growth curve modelling. Results indicated that the availability of community centres and passive leisure facilities reduced depressive symptoms over time. The protective effects of residential surrounding greenness on depressive symptoms among older adults differed by the terrain slope types. Longitudinal associations between neighbourhood physical environments and depressive symptoms varied between older adults with and without functional limitations. This study has implications for the Ecological Theory of Ageing by identifying the dynamic interplay of environment demands and individual functional ability. Planning policies for building age-friendly neighbourhoods are discussed.

AB - Little is known about the accumulative impacts of neighbourhood physical environments on older adults’ depressive symptoms over time. Based on a cohort study of 2081 older adults in Hong Kong, this study examined longitudinal relationships between neighbourhood physical environments and depressive symptoms among older adults, with a particular focus on the moderating effects of terrain slope and individual functional ability using latent growth curve modelling. Results indicated that the availability of community centres and passive leisure facilities reduced depressive symptoms over time. The protective effects of residential surrounding greenness on depressive symptoms among older adults differed by the terrain slope types. Longitudinal associations between neighbourhood physical environments and depressive symptoms varied between older adults with and without functional limitations. This study has implications for the Ecological Theory of Ageing by identifying the dynamic interplay of environment demands and individual functional ability. Planning policies for building age-friendly neighbourhoods are discussed.

KW - Depressive symptoms

KW - Neighbourhood physical environments

KW - Terrain slope

KW - Functional abilities

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AN - SCOPUS:85106216852

SN - 1353-8292

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Longitudinal associations between neighbourhood physical environments and depressive symptoms of older adults in Hong Kong: The moderating effects of terrain slope and declining functional abilities

Abstract

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