Universität zu Köln

Zimmermann, Jaroslava ORCID: 0000-0003-1202-2103 (2024). Impact of neighborhood context on self-rated health among very old adults living in Germany: a cross-sectional representative study. BMC Geriatrics, 24 (1). pp. 1-10. Springer Nature. ISSN 1471-2318

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Abstract

Background: Increasingly, evidence has shown that different aspects of neighborhood context play a significant role in self-rated health, one of the key health indicators in advanced age. Nevertheless, very old adults are often under represented or excluded from such research. Therefore, the first aim of this study was to examine whether social, socioeconomic, and physical neighborhood context is associated with self-rated health in the very old population of Germany. The second objective was to explore whether the link of socioeconomic and physical neighborhood context with self-rated health is moderated by availability of social resources in neighborhoods. Methods: Data from the representative survey, “Old Age in Germany” (D80+) were employed. In total, the study sample of D80+ included 10,578 individuals aged 80 years and over. Additionally, the D80+ data were matched with the freely accessible regional dataset of the Federal Institute for Research on Building, Urban Affairs, and Spatial Development. Two self-rated items (place attachment and social cohesion) were used to assess social neighborhood context. Socioeconomic context of neighborhoods was operationalized by German index of socioeconomic deprivation. To evaluate physical context, perceived measures of building conditions and walkability were included. Using the maximum likelihood estimator with robust standard errors, logistic regression models were estimated to analyze the relationship between neighborhood context (social, socioeconomic, and physical context, as well as their interactions) and self-rated health. Results: Including 8,066 participants in the analysis, the findings showed that better condition of residential building, higher walkability, being closely attached to outdoor places, and higher social cohesion were associated with higher chance to report good self-rated health of very old adults. In the adjusted models, the German socioeconomic deprivation index was not related to self-rated health. The effect of socioeconomic and physical neighborhood context on self-rated health did not differ according available neighborhood social resources. Conclusions: The results indicate that especially more favorable conditions in social and physical neighborhood context are associated with good self-rated health in the very old population of Germany. Further studies should consider multiple aspects of neighborhood context as well as their interplay when examining the neighborhood impact on self-rated health in older populations.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Zimmermann, Jaroslava UNSPECIFIED https://orcid.org/0000-0003-1202-2103 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-814553
Identification Number:	10.1186/s12877-024-05175-y
Journal or Publication Title:	BMC Geriatrics
Volume:	24
Number:	1
Page Range:	pp. 1-10
Number of Pages:	10
Date:	5 July 2024
Publisher:	Springer Nature
ISSN:	1471-2318
Language:	English
Faculty:	Central Institutions / Interdisciplinary Research Centers
Divisions:	CERES - Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health
Subjects:	Social sciences
Uncontrolled Keywords:	Keywords Language Oldest old ; Physical environment ; Socioeconomic deprivation ; Social cohesion ; Place attachment ; Walkability ; Germany English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81455