| Literature DB >> 33344399 |
Sinan Zhong1, Chanam Lee1, Hanwool Lee1.
Abstract
Background: Intergenerational interactions and walking are two of the most beneficial forms of activities for older adults. As older adults spend most of their time at or near home, the characteristics of the proximate residential environments are particularly important for supporting those activities. This study aims to (1) explore places used for various social interactions older adults engage in, (2) examine specific neighborhood environmental features associated with intergenerational interactions, and (3) compare similarities and differences in environmental correlates of intergenerational interactions vs. walking.Entities:
Keywords: interactions with children; intergenerational communities; intergenerational interactions; older adults; recreational walking; transportation walking
Mesh:
Year: 2020 PMID: 33344399 PMCID: PMC7744414 DOI: 10.3389/fpubh.2020.587363
Source DB: PubMed Journal: Front Public Health ISSN: 2296-2565
Figure 1Conceptual framework for environmental correlates of intergenerational interactions vs. walking among older adults.
Figure 2Survey data collection and screening process.
Study characteristics.
| Age (years) | 455 | 73.06 (6.19) | General health condition: Poor | 449 | 7 (1.6%) |
| 65-95 | Fair | 54 (12.0%) | |||
| Gender: Male | 455 | 127 (27.9%) | Good | 159 (35.4%) | |
| Female | 328 (72.1%) | Very Good | 160 (35.6%) | ||
| Race and ethnicity: Non-Hispanic White | 452 | 329 (72.8%) | Excellent | 69 (15.4%) | |
| Others | 123 (27.2%) | Income: Low income (below $20,000) | 455 | 65 (14.3%) | |
| Marital status: Married or unmarried couple | 453 | 205 (45.3%) | Lower-middle income ($20,000-$39,999) | 86 (18.9%) | |
| Others | 248 (54.7%) | Upper-middle income ($40,000-$79,999) | 125 (27.5%) | ||
| Education: Less than high school | 455 | 8 (1.8%) | High income ($80,000 or more) | 99 (21.8%) | |
| Some high school, but no degree | 12 (2.6%) | Don't know/prefer not to answer/missing | 80 (17.6%) | ||
| High school diploma/GED | 45 (9.9%) | Having a dog in the household: Yes | 455 | 113 (24.8%) | |
| Some college | 64 (14.1%) | No (or missing) | 342 (75.2%) | ||
| Associate degree | 27 (5.9%) | Mobility aid: Yes | 441 | 56 (12.7%) | |
| Bachelor's degree | 122 (26.8%) | No | 385 (87.3%) | ||
| Master's degree | 110 (24.2%) | Personal illness: Yes | 448 | 192 (42.9%) | |
| Professional degree | 25 (5.5%) | No | 256 (57.1%) | ||
| Doctorate degree | 42 (9.2%) | Daily sleep time (hours) | 444 | 7.25 (1.36) | |
| Employment status: Employed | 455 | 82 (18.0%) | 2–16 | ||
| Not employed | 373 (82.0%) | Difficulty walking: Yes/don't know/prefer not to answer | 453 | 103 (22.7%) | |
| Housing type: One-family detached house | 455 | 344 (75.6%) | No | 350 (77.3%) | |
| Others | 111 (24.4%) | ||||
| Diversity of age groups: Not at all important | 455 | 115 (25.3%) | Neighborhood environments (factor scores) | 455 | 0.00 (0.99) |
| Slightly important | 106 (23.3%) | −2.71–1.54 | |||
| Moderately important | 144 (31.6%) | Close to public transportation: Not at all important | 455 | 172 (37.8%) | |
| Very important | 90 (19.8%) | Others | 283 (62.2%) | ||
| Social cohesion and support (factor scores) | 455 | 0.00 (0.99) | Social media (i.e., Nextdoor, Facebook): Yes | 454 | 78 (17.2%) |
| −1.74–2.40 | No | 376 (82.8%) | |||
| Social interactions with children: Yes | 453 | 127 (28.0%) | Transportation walking: Yes | 441 | 193 (43.8%) |
| No | 326 (72.0%) | No | 248 (56.2%) | ||
| Intergenerational interactions: Yes | 453 | 363 (80.1%) | Recreational walking: Yes | 442 | 324 (73.3%) |
| No | 90 (19.9%) | No | 118 (26.7%) | ||
| Newly built neighborhood: Yes | 455 | 50 (11.0%) | Neighborhood aesthetics (factor scores) | 455 | 0.00 (1.00) |
| No (or missing) | 405 (89.0%) | −3.22–1.31 | |||
| Neighborhood walkability (factor scores) | 455 | 0.00 (1.00) | Traffic safety (factor scores) | 455 | 0.00 (1.00) |
| −1.50–1.94 | −2.47–1.61 | ||||
| Benches on most of the sidewalks | 455 | 149 (32.7%) | |||
| No | 306 (67.3%) | ||||
| Street length (miles) | 453 | 6.69 (3.01) | Number of Intersections with 3 or more ways (n) | 453 | 44.77 (25.01) |
| 0.36–15.53 | 0–129 | ||||
| Sidewalk length (miles) | 453 | 11.04 (5.08) | Density of intersections with 3 or more ways (n/acre) | 453 | 6.43 (1.39) |
| 0.24–24.93 | 0–9.55 | ||||
| Length of high–speed streets (>30 mph) (miles) | 453 | 2.79 (1.67) | |||
| 0.00–11.17 | Area of offices (acres): 0 | 453 | 140 (30.9%) | ||
| Percentage of high-speed streets | 453 | 42.2% (17.8%) | >0– <1.5 | 155 (34.2%) | |
| (>30 mph) | 0.0–100.0% | ≥1.5 | 158 (34.9%) | ||
| Number of transit stops (n): 0 | 453 | 105 (23.2%) | Percentage of offices: 0% | 453 | 140 (30.9%) |
| 1–5 | 121 (26.7%) | >0% – <2% | 210 (46.4%) | ||
| 6–10 | 100 (22.1%) | ≥2% | 103 (22.7%) | ||
| 11 or more | 127 (28.0%) | Presence of food stores: Yes | 453 | 160 (35.3%) | |
| Density of transit stops (n/100 acres): | 453 | No | 293 (64.7%) | ||
| Lower density: 0 – <10 | 349 (77.0%) | Presence of religious destinations: Yes | 453 | 195 (43.0%) | |
| Higher density: ≥10 | 104 (23.0%) | No | 258 (57.0%) | ||
| Number of total transit routes (n) | 453 | 3.80 (4.43) | Presence of trails in parks: Yes | 453 | 161 (35.5%) |
| 0–35 | No | 292 (64.5%) | |||
| Number of stop signs (n) | 453 | 45.53 (35.09) | Presence of sports and fitness destinations: Yes | 453 | 115 (25.4%) |
| 0–184 | No | 338 (74.6%) | |||
| Density of stop signs (n/acre) | 453 | 6.14 (2.58) | Presence of locally undesirable destinations: Yes | 453 | 203 (44.8%) |
| 0–15.02 | No | 250 (55.2%) | |||
| Number of intersections with stop signs (n) | 453 | 25.53 (17.99) | |||
| 0–97 | Area of tree canopies (acres) | 453 | 42.46 (23.48) | ||
| Percentage of intersections with stop signs | 453 | 53.5% (19.9%) | 2.37–122.42 | ||
| 0.0–92.9% | |||||
| Presence of greenbelts: Yes | 453 | 191 (42.2%) | Presence of water bodies: Yes | 453 | 53 (11.7%) |
| No | 262 (57.8%) | No | 400 (88.3%) | ||
| Number of parks, excluding natural | 453 | 2.35 (1.97) | |||
| preserved and greenbelt types (n) | 0–11 | Number of all development permits issued in 2019 [ln(n)] | 442 | 3.80 (1.50) | |
| 0.00–6.74 | |||||
| Net population density (n/acre) | 453 | 18.31 (9.32) | Commercial permits issued in 2019: Yes | 453 | 199 (43.9%) |
| 2.84–82.68 | No | 254 (56.1%) | |||
| Gross population density (n/acre) | 453 | 8.24 (3.69) | Residential permits issued in 2019: Yes | 453 | 345 (76.2%) |
| 1.17–28.36 | No | 108 (23.8%) | |||
| Proximity to the closest transit stop [ln(miles)] | 450 | −1.36 (1.16) | Proximity to the closest food store (miles) | 455 | 0.65 (0.50) |
| −8.72–1.60 | 0.00–5.11 | ||||
| Proximity to the closest rail station [ln(miles)] | 452 | 1.26 (0.77) | Proximity to the closest park with/next to a water | 452 | 0.81 (1.27) |
| −2.59–2.83 | body [ln(miles)] | −5.07–2.71 | |||
| Transit routes at the closest stop (n): 1 | 455 | 283 (62.2%) | |||
| 2 or more | 172 (37.8%) | ||||
| Walk Score (0–100) | 455 | 44.03 (23.73) | Bike Score (0–100) | 453 | 59.13 (20.29) |
| 0–92 | 2–99 | ||||
| Transit Score (0–100) | 455 | 35.45 (15.47) | |||
| 0–69 | |||||
Four-point Likert scale recoding: yes = somewhat disagree + somewhat agree + strongly agree, no = strongly disagree.
Figure 3Days of intergenerational and other social activities in a typical week in the neighborhood.
Figure 4Places for visiting and social interactions at least once a week.
Figure 5Places for intergenerational and peer interactions at least once a week.
Figure 6Days of transportation and recreational walking in a typical week.
Perceived environmental correlates of intergenerational interactions vs. walking, from partially adjusted models.
| Newly built neighborhood (yes vs. no) | 0.460 | 0.047 | ||||||
| Neighborhood walkability (factor scores; unit: 1) | 1.461 | 0.013 | 1.428 | 0.005 | ||||
| Benches on most of the sidewalks | 1.966 | 0.024 | ||||||
| Neighborhood aesthetics (factor scores; unit: 1) | 1.401 | 0.023 | ||||||
| Traffic safety (factor scores; unit: 1) | 0.676 | 0.009 | ||||||
p < 0.05,
p < 0.01, OR: Odds Ratio.
Results from one-by-one tests where physical environmental variables were added to the base models one at a time.
The base model for social interactions with children included nine demographic and socioeconomic variables (i.e., age, gender, race and ethnicity, marital status, education, income, general health conditions, mobility aid, and personal illness) and two residential self-selection variables (i.e., diversity of age groups, social cohesion and support).
The base model for social interactions with children, teenagers, or adults included eight demographic and socioeconomic variables (i.e., age, gender, race and ethnicity, marital status, education, income, general health conditions, and employment status) and two residential self-selection variables (i.e., diversity of age groups, social cohesion and support).
The base model for transportation walking included 12 demographic and socioeconomic variables (i.e., age, gender, race and ethnicity, marital status, education, income, general health conditions, housing type, having a dog in the household, employment status, daily sleep time, and mobility aids) and two residential self-selection variables (i.e., neighborhood environments, close to public transportation).
The base model for recreational walking included 10 demographic and socioeconomic variables (i.e., age, gender, race and ethnicity, marital status, education, income, general health conditions, difficulty walking, having a dog in the household, and employment status), two residential self-selection variables (i.e., neighborhood environments, close to public transportation), and one recruitment channel variable (i.e., recruited from social media).
Four-point Likert scale recoding: yes = somewhat disagree + somewhat agree + strongly agree, no = strongly disagree.
Objective environmental correlates of intergenerational interactions vs. walking, from partially adjusted models.
| Street length (miles; unit: 1) | ||||||||
| Sidewalk length (miles; unit: 1) | ||||||||
| Number of Intersections with 3 or more ways ( | ||||||||
| Density of intersections with 3 or more ways (n/acre; unit: 1) | ||||||||
| Number of stop signs ( | ||||||||
| Density of stop signs (n/acre; unit: 1) | ||||||||
| Number of intersections with stop signs ( | ||||||||
| Percentage of intersections with stop signs (%; unit: 1%) | ||||||||
| Length of high-speed streets (>30 mph) (miles; unit: 1) | ||||||||
| Percentage of high-speed streets (>30 mph) (%; unit: 10%) | ||||||||
| Number of transit stops ( | 1.010 | 0.977 | ||||||
| 6–10 (vs. 0) | 1.927 | 0.107 | ||||||
| 11 or more (vs. 0) | ||||||||
| Density of transit stops (≥10/100 acres vs. <10/100 acres) | ||||||||
| Proximity to the closest transit stop [ln(miles); unit: 1] | ||||||||
| Proximity to the closest rail station [ln(miles); unit: 1] | ||||||||
| Number of total transit routes (n; unit: 1) | ||||||||
| Number of transit routes at the closest stop (1 route vs. 2 or more routes) | ||||||||
| Area of offices (acres): >0– <1.5 (vs. 0) | 1.340 | 0.360 | 1.389 | 0.242 | ||||
| ≥1.5 (vs. 0) | ||||||||
| Percentage of offices (%): >0%– <2% (vs. 0%) | 1.476 | 0.198 | 1.536 | 0.104 | ||||
| ≥2% (vs. 0%) | ||||||||
| Presence of food stores (yes vs. no) | ||||||||
| Proximity to the closest food store (miles; unit: 1) | ||||||||
| Presence of religious destinations (yes vs. no) | ||||||||
| Presence of sports and fitness destinations (yes vs. no) | ||||||||
| Presence of greenbelts (yes vs. no) | ||||||||
| Number of parks, excluding natural preserved and greenbelt types (n; unit: 1) | ||||||||
| Presence of trails in parks (yes vs. no) | ||||||||
| Proximity to the closest park with/next to a water body [ln(miles); unit: 1] | ||||||||
| Presence of locally undesirable destinations (yes vs. no) | ||||||||
| Area of tree canopies (acres; unit: 10) | ||||||||
| Presence of water bodies (yes vs. no) | ||||||||
| Net population density (n/acre; unit: 1) | ||||||||
| Gross population density (n/acre; unit: 1) | ||||||||
| Number of all development permits issued in 2019 [ln( | ||||||||
| Commercial permits issued in 2019 (yes vs. no) | ||||||||
| Residential permits issued in 2019 (yes vs. no) | ||||||||
| Walk Score (scores; unit: 10) | ||||||||
| Transit Score (scores; unit: 10) | ||||||||
| Bike Score (scores; unit: 10) | ||||||||
p < 0.05,
p < 0.01,
p < 0.001, OR: Odds Ratio.
Significant (p < 0.05) correlations are highlighted in bold.
Results from one-by-one tests where physical environmental variables were added to the base models one at a time.
The base model for social interactions with children included nine demographic and socioeconomic variables (i.e., age, gender, race and ethnicity, marital status, education, income, general health conditions, mobility aid, and personal illness) and two residential self-selection variables (i.e., diversity of age groups, social cohesion and support).
The base model for social interactions with children, teenagers, or adults included eight demographic and socioeconomic variables (i.e., age, gender, race and ethnicity, marital status, education, income, general health conditions, and employment status) and two residential self-selection variables (i.e., diversity of age groups, social cohesion and support).
The base model for transportation walking included 12 demographic and socioeconomic variables (i.e., age, gender, race and ethnicity, marital status, education, income, general health conditions, housing type, having a dog in the household, employment status, daily sleep time, and mobility aids) and two residential self-selection variables (i.e., neighborhood environments, close to public transportation).
The base model for recreational walking included 10 demographic and socioeconomic variables (i.e., age, gender, race and ethnicity, marital status, education, income, general health conditions, difficulty walking, having a dog in the household, and employment status), two residential self-selection variables (i.e., neighborhood environments, close to public transportation), and one recruitment channel variable (i.e., recruited from social media).
Consistent correlates of intergenerational interactions and walking.
| Neighborhood perceptions | Neighborhood walkability (S) | ||
| Transportation | Street length (O) | ||
| Sidewalk length (O) | |||
| Street connectivity (O) | |||
| Stop signs (O) | |||
| Number of intersections with stop signs | |||
| Transit stops (O) | |||
| Density of transit stops | |||
| Land uses | Office land use (O) | ||
| Food stores (O) | |||
| Proximity to the closest food store | |||
| Religious destinations (O) | |||
| Greenbelts (O) | |||
| Parks, excluding natural preserved and greenbelt types (O) | |||
| Trails in parks (O) | |||
| Population densities | Net population density (O) |
(S): Subjective Measures, (O): Objective Measures, .
The odds ratio of < 1 is considered as having a “positive” correlation with the outcomes as a shorter distance means closer proximity and higher accessibility.
Inconsistent correlates of intergenerational interactions and walking.
| Neighborhood Perceptions | Newly built neighborhood (S) | ||
| Neighborhood aesthetics (S) | |||
| Transportation | Benches on sidewalks (S) | ||
| Stop signs (O) | |||
| Number of stop signs | |||
| Density of stop signs | |||
| Percentage of intersections with stop signs | |||
| Traffic safety (S) | |||
| Traffic speed (O) | |||
| Length of high-speed streets | |||
| Percentage of high-speed streets | |||
| Transit stops (O) | |||
| Number of transit stops | |||
| Proximity to the closest transit stop | |||
| Proximity to the closest rail station | |||
| Number of total transit routes | |||
| Number of transit routes at the closest stop | |||
| Land Uses | Food stores (O) | ||
| Presence of food stores | |||
| Sports and fitness destinations (O) | |||
| Locally undesirable destinations (O) | |||
| Parks with/next to a water body | |||
| Land Covers | Tree canopies (O) | ||
| Water bodies (O) | |||
| Population Densities and | Gross population density (O) | ||
| Development Activities | Development permits (O) | ||
| Composite Scores | Walk Score (O) | ||
| Transit Score (O) | |||
| Bike Score (O) |
(S): Subjective Measures, (O): Objective Measures, .
The odds ratio of < 1 is considered as having a “positive” correlation with the outcomes as a shorter distance means closer proximity and higher accessibility.