A multilevel model of life satisfaction among old people: individual characteristics and neighborhood physical disorder

BMC Public Health

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[1] 0000 0001 2181 4888, grid.8430.f, Faculty of Medicine, Federal University of Minas Gerais, Avenida Alfredo Balena 190, 30130-100, Belo Horizonte, Brazil;Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, 30130-100, Belo Horizonte, Brazil;0000 0001 2181 4888, grid.8430.f, Faculty of Medicine, Federal University of Minas Gerais, Avenida Alfredo Balena 190, 30130-100, Belo Horizonte, Brazil;Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, 30130-100, Belo Horizonte, Brazil;0000 0001 2322 4953, grid.411206.0, Institute of Public Health, Federal University of Mato Grosso, Avenida Fernando Corrêa 2367, 78060-900, Cuiabá, Brazil;Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, 30130-100, Belo Horizonte, Brazil;Faculty of Health and Human Ecology, Rua São Paulo 958, 33200-000, Vespasiano, Brazil;Department of Physical Therapy, Federal University of Juiz de Fora - Campus Governador Valadares, Rua São Paulo 745, 35010-180, Governador Valadares, Brazil;0000 0001 2181 4888, grid.8430.f, Faculty of Medicine, Federal University of Minas Gerais, Avenida Alfredo Balena 190, 30130-100, Belo Horizonte, Brazil;Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, 30130-100, Belo Horizonte, Brazil;

关键词: Aged;    Built environment;    Urban health;    Multilevel analysis;   

DOI  :  10.1186/s12889-019-7228-9

来源: publisher

【 摘 要 】

BackgroundConsidering the lack of studies that examine built environmental factors associated with life satisfaction among old people in developing countries, particularly those focused on Brazil, the aim of this study was to estimate the prevalence of life satisfaction among old adults residents in a Brazilian urban center and to investigate its association with individual characteristics and objective measures of the built environment.MethodsA household survey (N = 832) in Belo Horizonte, Minas Gerais, Brazil (2008–2009) and a Systematic Social Observation (SSO) was used in this study. Life satisfaction was assessed through Self-Anchoring Ladder Scale, developed by Cantril, in 1965. Participants’ answers were categorized as satisfied (rungs 6–10) and dissatisfied (rungs 0–5). A Multilevel Poisson regression analysis with robust variance was performed.ResultsThe prevalence of satisfaction with life was approximately 82%. Higher prevalence of life satisfaction was significantly associated with old people who reported higher incomes, higher religious participation, who practice physical activity and who perceive their health as good and very good. In contextual level, results showed that when the contextual features were adjusted separately by the individual characteristics they were no longer significant. The results also showed a lower prevalence of life satisfaction among those living in neighborhoods with higher physical disorder, even after adjusting for individual and other contextual characteristics.ConclusionsThe present findings suggest that life satisfaction should be assessed whenever evaluating urban redevelopment programs designed to improve neighborhood characteristics, reducing physical disorder, especially among old adults.

【 授权许可】

CC BY