Cross-sectional study of individual and environmental factors associated with life-space mobility among community-dwelling independent older people.
10.1186/s12199-021-00936-2
- Author:
Tomoha MIYASHITA
1
;
Etsuko TADAKA
2
;
Azusa ARIMOTO
2
Author Information
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.
- Publication Type:Journal Article
- Keywords:
Community;
Cross-sectional study;
Environment;
Independent older people;
Individuality;
Life;
Mobility;
Primary prevention
- MeSH:
Aged;
Aged, 80 and over;
Cross-Sectional Studies;
Female;
Humans;
Independent Living/statistics & numerical data*;
Japan;
Male
- From:Environmental Health and Preventive Medicine
2021;26(1):9-9
- CountryJapan
- Language:English
-
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.
