Association of Age-Friendly Communities With Health and Well-Being Among Older Adults: An Ecological and Multilevel Analysis From the Japan Gerontological Evaluation Study.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-06-25 DOI:10.1177/07334648251352306

Taiji Noguchi, Satoko Fujihara, Kazushige Ide, Seungwon Jeong, Tami Saito, Katsunori Kondo, Toshiyuki Ojima

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Abstract

This cross-sectional study examined the association of age-friendly communities (AFC) with health and well-being among older adults, using the Japan Gerontological Evaluation Study 2016 data. Ecological and multilevel analyses of 71,824 older adults across 145 communities revealed that the community's age-friendliness consistently showed associations with health and well-being. Age-friendly physical environments (accessibility to barrier-free outdoor spaces, buildings, and transportation resources) exhibited an inverse association with functional health deficits. Social engagement and communication (participation in community groups, volunteer engagement, and information use) were inversely associated with depressive symptoms. Social inclusion and dementia-friendliness (respect and inclusion for older adults and positive attitudes toward people with dementia) were positively associated with happiness. Community's age-friendliness is well-linked to the multiple aspects of older adults' health and well-being, underscoring the AFC promotion for healthy aging.

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老年友好社区与老年人健康和幸福的关系：来自日本老年学评估研究的生态和多层次分析。

这项横断面研究使用2016年日本老年学评估研究的数据，研究了老年人友好社区（AFC）与老年人健康和福祉的关系。对145个社区71824名老年人的生态和多层次分析显示，社区的年龄友好性始终与健康和福祉有关。老年人友好型物理环境（无障碍室外空间、建筑物和交通资源的可及性）与功能性健康缺陷呈负相关。社会参与和沟通（参与社区团体、志愿者参与和信息使用）与抑郁症状呈负相关。社会包容和痴呆症友好（对老年人的尊重和包容以及对痴呆症患者的积极态度）与幸福感呈正相关。社区对老年人的友好关系与老年人的健康和福祉的多个方面密切相关，强调了亚足联促进健康老龄化的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.