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Built Environment Accessibility and Disability as Predictors of Well-Being among Older Adults

A Norwegian Cross-Sectional Study

Bibliographic Data

ID15461177
AuthorsG Forster (0009-0009-2275-5862, Norwegian Institute of Public Health, corresponding author), Leif Edvard Aarø (0000-0001-5027-3611, Norwegian Institute of Public Health), Maria Nordheim Alme (0000-0002-0469-771X, Western Norway University of Applied Sciences), Thomas Hansen (0000-0001-7587-9337, Norwegian Institute of Public Health), Thomas Sevenius Nilsen (0000-0002-8127-8965, Norwegian Institute of Public Health), Øystein Vedaa (0000-0003-2719-2375, Norwegian Institute of Public Health)
Year2023
Volume20
Issue10
Pages5898-5898
Publication date2023-05-20
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20105898
PMID37239625
OpenAlexW4377288199
LanguageEN
Citations received7
References cited42

Knowledge about the influence environmental factors have on well-being is important to deliver policies supporting healthy ageing and sustainable health equity. An under-researched question is whether and how the built environment plays a role on well-being among older adults with disabilities. This study explores the relationship between built environment accessibility and disability on psychosocial well-being among older adults. Data were used from the Norwegian Counties Public Health Survey collected during February 2021 in Møre and Romsdal county ( N = 8274; age = 60-97, mean = 68.6). General linear modelling was performed to examine the relationship and interaction between built environment accessibility (services, transportation, and nature) and disability on psychosocial well-being (quality of life, thriving, loneliness, and psychological distress). Higher levels of disability and poorer accessibility were each significantly related to lower psychosocial well-being across all variables ( p F (8, 5936) = 4.97, p 2 = 0.006) and psychological distress ( F (8, 5957) = 3.09, p = 0.002, η 2 = 0.004). No significant interaction effects were found for quality of life and loneliness. These findings indicate good built environment accessibility is associated with thriving and reduces psychological distress among older adults with disabilities. This study supports and extends previous findings on the importance of accessible and equipped environments for well-being and may aid policy makers when planning built environments to foster healthy ageing among this population group

Built environment · Distress · Environmental health · Loneliness · Norwegian · Population · Psychiatry · Psychosocial · Quality of life (healthcare · Thriving · Clinical Psychology · Engineering · Health disparities and outcomes · Medicine · Psychology · Social Psychology · Urban Green Space and Health · Urban Transport and Accessibility · Gerontology

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Citations per year7
Citation span2025 - 2026 (2)
Highly citedNo

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