Abstract
As the population ageing worldwide is rapidly accelerating, these groups’ functions and wellbeing must be considered more in the urban interventions. The aim of this research, hence, was investigating the impact of environmental features on these group vulnerabilities and mental disorders. The sample was composed of 411 participants aged 60 and more. After data gathering via cross-sectional study, factor analysis extracted 8 factors from the neighborhood environmental attributes which were categorized into two main environmental factors: social and spatial. The multivariate linear regressions revealed that social environment factors (social cohesion, trust and support) had stronger impact on the senior’s wellbeing. Regarding spatial factors, walkability and stimulation could reduce the depression disorder symptoms more, whereas safety and comprehension had this role for anxiety symptoms. The operationalized indicators of each factor should be used in development of the urban residential areas, especially in societies with high proportion of the aging groups.
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Angevaren, M., Aufdemkampe, G., Verhaar, H. J. J., Aleman, A., Vanhees, L. (2008). P2-386: Physical activity and enhanced fitness improve cognitive function in older people without known cognitive impairment: A Cochrane systematic review. Alzheimer's & Dementia, 4(4):T486.
Araya, R., Wynn, R., & Lewis, G. (1992). Comparison of two self-administered psychiatric questionnaires (GHQ-12 and SRQ-20) in primary care in Chile. Social Psychiatry and Psychiatric Epidemiology, 27, 168–173. https://doi.org/10.1007/BF00789001.
Babisch, W., Beule, B., Schust, M., Kersten, N., & Ising, H. (2005). Traffic noise and risk of myocardial infarction. Epidemiology, 16, 33–40.
Baker, L. D., Frank, L. L., Foster-Schubert, K., Green, P. S., Wilkinson, C. W., McTiernan, A., Plymate, S. R., Fishel, M. A., Watson, G. S., Cholerton, B. A., Duncan, G. E., Mehta, P. D., & Craft, S. (2010). Effects of Aerobic Exercise on Mild Cognitive Impairment a Controlled Trial. Archives of Neurology, 67, 71–79.
Bahrainy, H., & Khosravi, H. (2013). The impact of urban design features and qualities on walkability and health in under-construction environments: The case of Hashtgerd New Town in Iran. Cities, 31, 17–28.
Bahrainy, H., Khosravi, H., Aliakbari, F. & Khosravi, F. (2015). The impact of built environment on walkability: Case study: North-West of Shiraz. Journal of Armanshahr and Urban Development, 8(14), 105–117.
Balfour, J. L., & Kaplan, G. A. (2002). Neighborhood environment and loss of physical function in older adults: evidence from the Alameda County study. American Journal of Epidemiology, 155, 507–515.
Bates, S. L., & Wolbers, T. (2014). How cognitive aging affects multisensory integration of navigational cues. Neurobiology of Aging. https://doi.org/10.1016/j. neurobiol aging. 2014.04.003.
Beard, J. R., et al. (2009). Neighborhood characteristics and change in depressive symptoms among older residents of New York City. American Journal of Public Health, 99, 1308–1314.
Berke, E. M., Gottlieb, L. M., Moudon, A. V., & Larson, E. B. (2007). Protective Association between Neighborhood Walkability and Depression in Older Men. Journal of American Geriatrics Society, 55, 526–533.
Bluhm, G., Berglind, N., Nordling, E., & Rosenlund, M. (2007). Road traffic noise and hypertension. Occupational and Environmental Medicine, 64, 122–126.
Borst, H. C., de Vries, S. I., Graham, J. M. A., van Dongen, J. E. F., Bakker, I., & Miedema, H. M. E. (2009). Influence of environmental street characteristics on walking route choice of elderly people. Journal of Environmental Psychology, 29, 477–484.
Broese van Groenou, M. I., & Van Tilburg, T. (1996). Network analysis. In J. E. Birren (Ed.), Encyclopedia of gerontology: Age, aging, and the aged (Vol. 2, pp. 197–210). San Diego: Academic Press.
Brown, S. C., Mason, C. A., Lombard, J. L., Martinez, F., Plater-Zyberk, E., Spokane, A. R., Newman, F. L., Pantin, H., & Szapocznik, J. (2009). The Relationship of Built Environment to Perceived Social Support and Psychological Distress in Hispanic Elders: The Role of “Eyes on the Street. Journal of Gerontology: Social Sciences, 64B, 234–246.
Cacioppo, J. T., Hawkley, L. C., & Berntson, G. G. (2003). The anatomy of loneliness. Current Directions in Psychological Science, 12, 71–74.
CDC (Centers for Disease Control) and Prevention and the Merck Company Foundation. (2007). The State of Aging and Health in America 2007. Whitehouse Station: The Merck.
Chaix, B., Rosvall, M., & Merlo, J. (2007). Neighborhood socioeconomic deprivation and residential instability: Effects on incidence of ischemic heart disease and survival after myocardial infarction. Epidemiology, 18, 104–111.
Champelovier, P., Lambert, J., Hugot, M., Maillard, J., & Martin, J. 2005. Interactions between sound perception and visual perception of road infrastructure. In: Proceedings of the 2005 International Congress and Exhibition on NoiseControl Engineering, Inter Noise 2005, Rio de Janeiro, Brazil, August 7–10 (Conference Proceedings on CD-ROM).
Chiu, Y. C., Algase, D., Whall, A., Liang, J., Liu, H. C., Lin, K. N., & Wang, P. N. (2004). Getting lost: Directed attention and executive functions in early Alzheimer’s disease patients. Dementia and Geriatric Cognitive Disorders, 17, 174–180. https://doi.org/10.1159/000076353.
Clouston, S. A. P., et al. (2013). The Dynamic Relationship Between Physical Function and Cognition in Longitudinal Aging Cohorts. Epidemiologic Reviews, 35, 33–50. https://doi.org/10.1093/epi rev/mxs004.
Cohen, S., & Lemay, E. (2007). Why would social networks be linked to affect and health practices? Health Psychology, 26, 410–417.
Cohen, S., Gottlieb, B. H., & Underwood, L. G. (2000). Social relationships and health. In S. Cohen, L. G. Underwood, & B. H. Gottileb (Eds.), Social support measurement and intervention (pp. 3–25). New York: Oxford University Press.
Colton, C. W., & Manderscheid, R. W. (2006). Congruencies in increased mortality rates years of potential life lost and causes of death among public mental health clients in eight states. Preventing Chronic Disease, 3, A42.
Conklin, J. E. (1975). The Impact of Crime. New York: Macmillan.
Crews, D. E. (2003). Human Senescence: Evolutionary and Bio-cultural Perspectives. New-York: Cambridge University Press.
Daley, A., & Daley, A. (2008). Exercise and depression: A review of reviews. Journal of Clinical Psychology in Medical Settings, 15, 140–147.
Dewey, M. E., & Saz, P. (2001). Dementia, cognitive impairment and mortality in persons aged 65 and over living in the community: a systematic review of the literature. International Journal of Geriatric Psychiatry, 16(8), 751–761.
Elreedy, S., et al. (1999). Relations between individual and neighborhood-based measures of socioeconomic position and bone lead concentrations among community-exposed men. American Journal of Epidemiology, 150, 129–141.
Evans, G. M. (2003). The built environment and mental health. Journal of Urban Health, 80, 536–555.
Filinson, R. (1993). The effect of age desegregation on environmental quality for elderly living in public/publicly subsidized housing. Journal of Aging & Social Policy, 5(3), 77–93.
Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5, 363–389.
Fried, L. P., & Guralnik, J. M. (1997). Disability in older adults: Evidence regarding significance, etiology, and risk. Journal of the American Geriatrics Society, 45, 92–100.
Galea, S., Ahern, J., Rudenstine, S., Wallace, Z., & Vlahov, D. (2005). Urban built environment and depression: A multilevel analysis. Journal of Epidemiology and Community Health, 59, 822–827.
Gibson, J. J. (1979). The ecological approach to visual perception. Boston: Houghton Mifflin.
Glass, T., & Balfour, J. L. (2003). Neighborhoods, aging and functional limitation. In I. Kawachi & L. F. Berkman (Eds.), Neighborhoods and health (pp. 303–334). New York: Oxford University Press.
Gluth, S., Ebner, N. C., & Schmiedek, F. (2017). Attitudes toward younger and older adults: The German aging semantic differential. International Journal of Behavioral Development, 34(2), 147–158.
Golant, S. (2003). Conceptualizing time and behavior in environmental gerontology: A pair of old issues deserving new thought. The Gerontologist, 43, 638–648.
Harting, T. A., Evans, G. W., Jamner, L. D., Davis, D. S., & Garling, T. (2003). Tracking restoration in natural and urban field settings. Journal of Environmental Psychology, 23, 109–123.
Head, D., & Isom, M. (2010). Age effects on wayfinding and route learning skills. Behavioral Brain Research, 209, 49–58. https://doi.org/10.1016/j.bbr.2010.01.012.
Hoehner, C. M., Brennan Ramirez, L. K., Elliott, M. B., Handy, S. L., & Brownson, R. C. (2005). Perceived and Objective Environmental Measures and Physical Activity among Urban Adults. American Journal of Preventive Medicine, 28, 105–116.
House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545.
Hunter, R., Potts, S., Beyerle, R., Stollof, E., Lee, C., Duncan, R., et al. (2013). Pathways to better community wayfinding. Seattle: CDC Healthy Aging Research Network and Easter Seals Project ACTION.
Iran Census of Population and Housing. (2011). A selection of socioeconomic and cultural criteria and indicators of Khorasan, Bureau of Statistics data and GIS of Mashhad (In Persian).
Jenkins, R., Meltzer, H., Jones, P.B., Brugha, T., Bebbington, P., Farrell, M., Crepaz-Keay, D., & Knapp, M. (2008). Foresight Mental Capital and Wellbeing Project. Mental health: Future challenges. The Government Office for Science, London.
Kaiser, H. F. (1960). The application of electronic computers to factor analysis. Educational and Psychological Measurement, 20, 141–151.
Kawachi, I., & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health, 78, 458–446.
Kessler RC, Berglund PA, Zhao S, et al. (1996) The 12-month prevalence and correlates of serious mental illness, In Manderscheid RW, Sonnenschein MA, (Eds.). Mental health, United States. Washington, DC: US Government Printing Office; 1996. DHHS publication no. (SMA) 96–3098.
Kessler, R., Berglund, P., Demler, O., et al. (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289, 3095–3105.
Kessler, R. C., Chiu, W. T., Demler, O., & Walter, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–709.
Khosravi, H., Gharai, F., & Taghavi, S. (2015). The impact of local built environment attributes on the elderly sociability. International Journal of Architectural Engineering & Urban Planning, 25, 21–30.
Kim, D. (2008). Blues from the neighborhood? Neighborhood characteristics and depression. Epidemiologic Reviews, 30, 101–117.
King, A. C., Castro, C., King, A. C., et al. (2000). Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of US middle-aged and older-aged women. Health Psychology, 19, 354–364.
Kinsella, K., & Phillips, D. (2005). Global Aging: The Challenge of Success. Population Reference Bureau; Washington, DC. Population Bulletin 60, no. 1.
Kizilbash, A., Vanderploeg, R., & Curtiss, G. (2002). The effects of depression and anxiety on memory performance. Archives of Clinical Neuropsychology, 17, 57–67.
Klencklen, G., Despres, O., & Dufour, A. (2012). What do we know about aging and spatial cognition? Reviews and perspectives. Ageing Research Reviews, 11, 123–135. https://doi.org/10.1016/j.arr.2011.10.001.
Kogan, S. M., & Brody, G. H. (2010). Linking parenting and informal mentor processes to depressive symptoms among rural African American young adult men. Cultural Diversity and Ethnic Minority Psychology, 16, 299–306. https://doi.org/10.1037/a0018672.
Krause, N. (1993). Neighborhood deterioration and social isolation in later life. International Journal of Aging & Human Development, 11, 342–52.
Lamont, D., Kenyon, S., & Lyons, G. (2013). Dyslexia and mobility-related social exclusion: The role of travel information provision. Journal of Transport Geography, 26, 147–157. https://doi.org/10.1016/j.jtrangeo.2012.08.013.
Lawton, M. P., & Simon, B. (1968). The ecology of social relationships in housing for the elderly. The Gerontologist, 8, 108–115.
Lawton, M. P., & Nahemow, L. (1973). Ecology and the aging process. In C. Eisdorfer & M. P. Lawton (Eds.), The psychology of adult development and aging (pp. 619–674). Washington DC: American Psychological Association. https://doi.org/10.1037/10044-020.
Lawton, M. P., Kleban, M. H., Rajagopal, D., & Dean, J. (1992). Dimensions of affective experience in three age groups. Psychology and Aging, 7, 171–184.
Lynch, K. (1960). 7ke Image of the Ci&. Cambridge: MIT Press.
Mair, C., Roux, A. V. D., & Galea, S. (2008). Are neighborhood characteristics associated with depressive symptoms? A review of evidence. Journal of Epidemiology and Community Health, 62, 940–946.
Maller, C., Townsend, M., Pryor, A., Brown, P., & St Leger, L. (2006). Healthy nature healthy people: ‘contact with nature’ as an upstream health promotion intervention for populations. Health Promotion International, 21(1), 45–54.
Manton, K. G., & Land, K. C. (2000). Active life expectancy estimates for the US elderly population: a multidimensional continuous-mixture model of functional change applied to completed cohorts, 1982–1996. Demography, 37, 253–265.
Mashhad Comprehensive Growth and Development Plan. (2016). Ministry of Housing and Urban Development, Farnahad Consulting Architects and Urban Planners.
Martinsen, E. W. (2008). Physical activity in the prevention and treatment of anxiety and depression. Nordic Journal of Psychiatry, 62(Suppl 47), 25–29.
Matheson, F. I., Moineddin, R., Dunn, J. R., Creatore, M. I., Gozdyra, P., & Glazier, R. H. (2006). Urban neighborhoods, chronic stress, gender and depression. Social Science & Medicine, 63(10), 2604–2616.
Meyer, T. D., et al. (2010). Cognitive style and depressive symptoms in elderly people -Extending the empirical evidence for the cognitive vulnerability stress hypothesis. Behavior Research and Therapy, 48, 1053–1057. https://doi.org/10.1016/j.brat.2010.06.003.
Michael, Y. L., Green, M. K., & Farquhar, S. A. (2006). Neighborhood Design and Active Aging. Health & Place, 12, 34–40.
Moos, R. H., & Lemke, S. (1980). Assessing the physical and architectural features of sheltered care facilities. Journal of Gerontology, 35, 571–583.
Moudon, A. V., Lee, C., Cheadle, A. D., Garvin, C., Johnson, D., Schmid, T. L., Weathers, R. D., & Lin, L. (2006). Operational Definitions of Walkable Neighborhood: Theoretical and Empirical Insights. Journal of Physical Activity and Health, 3, S99–117.
Nahemow, L. (2000). The ecological theory of aging: Powell Lawton’s legacy. In R. Rubenstein, M. Moss, & M. Kleban (Eds.), The many dimensions of aging (pp. 22–40). New York: Springer.
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., Macera, C. A., & Castandeda-Sceppa, C. (2007). Physical Activity and Public Health in Older Adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39, 1435–1445.
Ohrström, E. (2004). Longitudinal surveys on effects of changes in road traffic noise—annoyance, activity disturbances and psycho-social well-being. The Journal of the Acoustical Society of America, 115, 719–729.
Paczkowski, M. M., & Galea, S. (2010). Sociodemographic characteristics of the neighborhood and depressive symptoms. Current Opinion in Psychiatry, 23, 337–341.
Paveza, G., Vande Weerd, C., & Laumann, E. (2008). Elder self-neglect: A discussion of social typology. Journal of the American Geriatrics Society, 56, S271–S275.
Perkins, D. D., & Taylor, R. B. (1996). Ecological Assessments of Community Disorder: Their Relationship to Fear of Crime and Theoretical Implications. American Journal of Community Psychology, 24, 63–107.
Pikora, T. J., Gilles-Corti, B., Knuiman, M. W., Bull, F. C., Jamrozik, K., & Donovan, R. J. (2006). Neighbourhood environmental factors correlated with walking near home: Using SPACES. Medicine & Science in Sports & Exercise, 38, 708–714.
Pirkl, J., & Pulos, A. (1997). Trans generational Design: Products for an Aging Population. New York: James Wiley & Sons.
Pollet, D., & Haskell, P. C. (1979). Sign systems for libraries: Solving the wayfinding problem. New York: R. R. Bowker Company.
Röcke, C., & Lachman, M. E. (2008). Perceived trajectories of life satisfaction across past, present, and future: Profi les and correlates of subjective change in young, middle-aged, and older adults. Psychology and Aging, 23, 833–847.
Ross, C. E. (1993). Fear of Victimization and Health. Journal of Quantitative Criminology, 9, 159–175.
Ross, C. E., & Mirowsky, J. (2001). Neighborhood disadvantage, disorder, and health. Journal of Health and Social Behavior, 42, 258–276.
Rotabi, K. S. (2008). Ecological Theory Origin from Natural to Social Science or Vice Versa? A Brief Conceptual History for Social Work. Advances in Social Work, 8, 113–129.
Saelens, B. E., & Handy, S. L. (2008). Built Environment Correlates of Walking: A Review. Medicine and Science in Sports and Exercise, 40, S550–S566.
Sallis, J. F., Johnson, M., Calfas, K., Caparos, S., & Nichols, J. (1997). Assessing perceived physical environmental variables that may influence physical activity. Research Quarterly for Exercise and Sport, 68, 345–351.
Sartorius, N., & Janca, A. (1996). Psychiatric assessment instruments developed by the World Health organization. Social Psychiatry and Psychiatric Epidemiology, 31(2), 55–69.
Scheidt, R. J., & Norris-Baker, C. (2003). The general ecological model revisited: Evolution, current status, and continuing challenges. In H.-W. Wahl, R. Scheidt, & P. Windley (Eds.), Environments, gerontology and old age. Annual review of gerontology and geriatrics (pp. 34–58). New York: Springer.
Sharma, S. (1996). Applied multivariate techniques (p. 512). New York: Wiley, University of South Carolina ISBN: 978-0-471-31064-8.
Shaw, B. A., Krause, N., Liang, J., & Bennett, J. (2007). Tracking changes in social relations throughout late life. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62(2), S90–S99.
Singleton, N., Bumpstead, R., O'Brien, M., Lee, A., & Meltzer, H. (2003). Psychiatric morbidity among adults living in private households, 2000. International Review of Psychiatry, 15(1–2), 65–73.
Skogan, W. G. (1990). Disorder and decline: Crime and the spiral of decay in American neighborhood. Berkeley: University of California Press.
Smalbrugge, M., Jongenelis, L., Pot, A. M., et al. (2005). Comorbidity of depression and anxiety in nursing home patients. International Journal of Geriatric Psychiatry, 20, 218–226.
Studenski, S., Perera, S., Patel, K., et al. (2011). Gait speed and survival in older adults. Journal of the American Medical Association, 305(1), 50–58.
Taylor, R. B., & Covington, J. (1993). Community Structural Change and Fear of Crime. Social Problems, 40, 374–395.
Thompson, E. E., & Krause, N. (1998). Living alone and neighborhood characteristics as predictors of social support in late life. Journals of Gerontology: Social Sciences, 53, S354–S364.
Troped, P. J., Saunders, R. P., Pate, R. R., Reininger, B., Ureda, J. R., & Thompson, S. J. (2001). Associations between Self-Reported and Objective Physical Environment Factors and Use of a Community Rail-Trail. Preventive Medicine, 32, 191–200.
Viollon, S., Lavandier, C., & Drake, C. (2002). Influence of visual setting on sound ratings in an urban environment. Applied Acoustics, 63, 493–511.
von Bonsdorff, M., Rantanen, T., Laukkanen, P., Suutama, T., & Heikkinen, E. (2006). Mobility limitations and cognitive deficits as predictors of institutionalization among community-dwelling older people. Gerontology, 52, 359–365.
Von Faber, M., Bootsma-van der Wiel, A., Van Exel, E., Gussekloo, J., Lagaay, A. M., Van Dongen, E., Knook, D. L., Van der Geest, S., & Westendorp, R. G. J. (2001). Successful aging in the oldest-old: Who can be characterized as successfully aged? Archives of Internal Medicine, 161, 2694–2700.
Wahl, H.-W., & Weisman, G. D. (2003). Environmental gerontology at the beginning of the new millennium: Reflections on its historical, empirical and theoretical development. The Gerontologist, 43, 616–627.
Welsh, B., & Farrington, D. (2008). Effects of improved street lighting on crime. Campbell Systematic Reviews, 13, 1–51. https://doi.org/10.4073/csr.2008.13.
Wilkniss, S. M., Jones, M. G., Korol, D. L., Gold, P. E., & Manning, C. A. (1997). Age- related differences in an ecologically based study of route learning. Psychology and Aging, 12, 372–375.
Wood, J. M., Anstey, K. J., Lacherez, P. F., Kerr, G. K., Mallon, K., & Lord, S. R. (2009). The on-road difficulties of older drivers and their relationship with self-reported motor vehicle crashes. Journal of the American Geriatrics Society, 57, 2062–2069. https://doi.org/10.1111/j.1532-5415.2009.02498.x.
World Health Organization. (2007). Global age-friendly cities: A guide. Geneva: Author.
Yen, I. H., Michael, Y. L., & Perdue, L. (2009). “Neighborhood Environment in Studies of Health of Older Adults: A Systematic Review. American Journal of Preventive Medicine, 37, 455–463.
Yen, I. H., Scherzer, T., Cubbin, C., Gonzalez, A., & Winkleby, M. (2007). Women’s perceptions of neighborhood resources and hazards related to chronic disease risk factors: focus group results from economically diverse neighborhoods in a mid-sized U.S. city. American Journal of Health Promotion, 22(2), 98–106.
Zimring, C. M. (1981). Stress and the designed environment. Journal of Social Issues, 37, 145–171.
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Khosravi, H., Tehrani, S.O. Local Environment, Human Functions and the Elderly Depression and Anxiety. Ageing Int 44, 170–188 (2019). https://doi.org/10.1007/s12126-017-9312-8
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DOI: https://doi.org/10.1007/s12126-017-9312-8