Friendly Residential Environments That Generate Autonomy in Older Persons

Bibliographic Data

ID15467474
AuthorsAlejandra Segura Cardona (0000-0002-1624-0952, Clínica CES), Doris Cardona-Arango (0000-0003-4338-588X, Clínica CES, corresponding author), Angela María Segura-Cardona (0000-0002-0010-1413, Clínica CES), Carlos Arturo Robledo Marín (0000-0002-6944-561X, Fundación Opción Colombia (FUNDACOL), Medellín 050001, Colombia), Diana Isabel Muñoz-Rodríguez (0000-0003-4255-4813, Clínica CES)
Year2022
Volume20
Issue1
Pages409-409
Publication date2022-12-27
Peer ReviewedYes
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/ijerph20010409
OpenAlexW4313260876
LanguageEN
Citations received4
References cited40

Objective: This study aimed to explore the housing and residential environment conditions associated with functional autonomy in older persons. Methods: A quantitative cross-sectional study was conducted, including 175 individuals over the age of 60. Participants were non-institutionalized urban residents of Medellín, Colombia, selected by random two-stage sampling (neighborhoods and blocks). Analysis was done according to functional autonomy of action (dependent variable); and demographic conditions, housing, and the physical and social environment suggested by the World Health Organization (WHO) in the strategy of age-friendly cities (independent variables). Univariate, bivariate, and multivariate analyses were performed with these variables, where the odds ratio (OR), association hypothesis test, and confidence intervals were estimated, using logistic regression models. Results: 89.7% of older persons had moderate physical performance. The performance of intergenerational activities (OR = 5.28) and community actions (OR = 11.28) were part of social environments. The adaptations in public transport (OR = 90.33), sanitary services (OR = 4.1), and lighting in parks (OR = 19.9) of the physical environment were the associations found with functional autonomy. Conclusions: Exploring how the physical and social environments surrounding housing are associated with the functional performance of older persons can generate useful information to support public health and city infrastructure strategies that improve their physical performance and maintain autonomy

Aging in place · Autonomy · Bivariate analysis · Built environment · Confidence interval · Cross-sectional study · Environmental health · Level design · Logistic regression · Multilevel model · Multivariate analysis · Multivariate statistics · Odds · Odds ratio · Public health · Statistics · Univariate · Walkability · Aging, Health, and Disability · Engineering · Health disparities and outcomes · Medicine · Migration, Aging, and Tourism Studies · Psychology · Gerontology

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