Tomoha Miyashita1, Etsuko Tadaka2, Azusa Arimoto2. 1. Health and Welfare Center, Totsuka Ward Office, 16-17 Totsukacho, Totsuka-ku, Yokohama, 244-0003, Japan. miyakuro31@gmail.com. 2. Department of Community Health Nursing, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Abstract
BACKGROUND: Life-space mobility is reflected in comprehensive longevity and health outcomes and is also an important indicator for preventing mortality and decline in well-being among older people. However, a comprehensive framework of life-space mobility and modifiable individual and environmental factors has not been well validated among community-dwelling independent older people, for primary prevention. We examined individual and environmental factors affecting life-space mobility among community-dwelling independent older people. METHODS: This cross-sectional study included 3500 community-dwelling independent older people randomly selected using the National Basic Resident Registration System in Japan. Life-space mobility was measured using the Japanese version of the Life-Space Assessment (LSA) instrument, which is used to assess an individual's pattern of mobility. Negative multivariate binomial regression analysis was performed in a final sample of 1258 people. Individual factors (including physical, mental, and social characteristics) and environmental factors (including the social and material environment) were measured and analyzed as potential factors. RESULTS: Negative multivariable binomial regression analysis, adjusted for demographics, showed that LSA score was associated with locomotive syndrome (β = - 0.48, 95% confidence interval [CI] = - 0.24 to - 0.73), depression (β = - 0.29, 95% CI = - 0.03 to - 0.55), health literacy (β = 0.20, 95% CI = 0.39-0.01), and participation in community activities (β = 0.23, 95% CI = 0.03-0.43) among individual factors, and receipt of social support (β = - 0.19, 95% CI = 0.00 to - 0.38) and social network (β = 0.29, 95% CI = 0.48-0.10) among environmental factors. CONCLUSIONS: Our findings suggest that modifiable individual factors and environmental factors are related to life-space mobility among community-dwelling older people.
BACKGROUND: Life-space mobility is reflected in comprehensive longevity and health outcomes and is also an important indicator for preventing mortality and decline in well-being among older people. However, a comprehensive framework of life-space mobility and modifiable individual and environmental factors has not been well validated among community-dwelling independent older people, for primary prevention. We examined individual and environmental factors affecting life-space mobility among community-dwelling independent older people. METHODS: This cross-sectional study included 3500 community-dwelling independent older people randomly selected using the National Basic Resident Registration System in Japan. Life-space mobility was measured using the Japanese version of the Life-Space Assessment (LSA) instrument, which is used to assess an individual's pattern of mobility. Negative multivariate binomial regression analysis was performed in a final sample of 1258 people. Individual factors (including physical, mental, and social characteristics) and environmental factors (including the social and material environment) were measured and analyzed as potential factors. RESULTS: Negative multivariable binomial regression analysis, adjusted for demographics, showed that LSA score was associated with locomotive syndrome (β = - 0.48, 95% confidence interval [CI] = - 0.24 to - 0.73), depression (β = - 0.29, 95% CI = - 0.03 to - 0.55), health literacy (β = 0.20, 95% CI = 0.39-0.01), and participation in community activities (β = 0.23, 95% CI = 0.03-0.43) among individual factors, and receipt of social support (β = - 0.19, 95% CI = 0.00 to - 0.38) and social network (β = 0.29, 95% CI = 0.48-0.10) among environmental factors. CONCLUSIONS: Our findings suggest that modifiable individual factors and environmental factors are related to life-space mobility among community-dwelling older people.
Authors: Lisa L Barnes; Robert S Wilson; Julia L Bienias; Carlos F Mendes de Leon; Hye-Jin Nicole Kim; Aron S Buchman; David A Bennett Journal: Exp Aging Res Date: 2007 Jan-Mar Impact factor: 1.645
Authors: Maria do Socorro Mp Simões; Isabel Ff Garcia; Lucíola da Cm Costa; Adriana C Lunardi Journal: Geriatr Gerontol Int Date: 2018-01-26 Impact factor: 2.730
Authors: A Kuspinar; C P Verschoor; M K Beauchamp; J Dushoff; J Ma; E Amster; C Bassim; V Dal Bello-Haas; M A Gregory; J E Harris; L Letts; S E Neil-Sztramko; J Richardson; R Valaitis; B Vrkljan Journal: BMC Geriatr Date: 2020-01-31 Impact factor: 3.921
Authors: Emily J Smail; Christopher N Kaufmann; Kira E Riehm; Mamoun T Mardini; Erta Cenko; Chen Bai; Todd M Manini Journal: J Am Geriatr Soc Date: 2022-05-26 Impact factor: 7.538