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 journalJournal articlepeer-review

13 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 languageEnglish
Article number102585
Number of pages12
JournalHealth and Place
Volume70
Early online date17 May 2021
DOIs
Publication statusPublished - Jul 2021

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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