Perceived and objective neighborhood environment attributes and health related quality of life among the elderly in Bogotá, Colombia |
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| Authors: | Diana C. Parra Luis F. Gomez Olga L. Sarmiento David Buchner Ross Brownson Thomas Schimd Viviola Gomez Felipe Lobelo |
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| Affiliation: | 1. Washington University in St. Louis, George Warren Brown School of Social Work, Prevention Research Center in St. Louis, St. Louis, MO, USA;2. Fundacion FES Social, Health Division, Bogotá, Colombia;3. Universidad Javeriana, School of Medicine, Bogota, Colombia;4. Universidad de los Andes, School of Medicine, Bogotá, Colombia;5. University of Illinois at Urbana-Champaign, Department of Kinesiology and Community Health, Champaign, IL, USA;6. Washington University in St. Louis, School of Medicine, Department of Surgery and Alvin J. Siteman Cancer Center, St. Louis, MO, USA;g Centers for Disease Control and Prevention, Division of Nutrition and Physical Activity, Atlanta, GA, USA;h Universidad de los Andes, Faculty of Social Sciences, Department of Psychology, Bogotá, Colombia |
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| Abstract: | This study examines associations between neighborhood environment attributes and health related quality of life (HRQOL) and self-rated health (SRH) among older adults (60 years and over) in Bogotá, Colombia. Perceived and objective neighborhood environmental characteristics were assessed in a cross sectional multilevel design with 1966 older adults within 50 neighborhoods. Outcome variables included HRQOL (physical and mental dimensions) and SRH measured with the Spanish version of the Short Form 8 (SF-8). Independent variables included perceived and objective neighborhood characteristics as well as self-reported levels of walking. Hierarchical linear and logistic regression models were used for the analysis. Among perceived neighborhood characteristics, safety from traffic was positively associated with both HRQOL dimensions and SRH. Having safe parks was positively associated with the mental dimension of HRQOL and with SRH. Street noise was negatively associated with both HRQOL dimensions. Regarding objective neighborhood characteristics, residing in areas with more than eight percent of land covered by public parks was positively associated with SRH. Objective and perceived neighborhood characteristics could provide insight into potential interventions among older adults from rapidly urbanizing settings in Latin America. |
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| Keywords: | Health related quality of life Neighborhood environment Walking Older adults Colombia Perceived environmental indicators |
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