Perceived and objective availability of green and blue spaces and quality of life in people with dementia: results from the IDEAL programme.

Perceived and objective availability of green and blue spaces and quality of life in people with dementia: results from the IDEAL programme.
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DOI:
10.1007/s00127-021-02030-y
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发表时间:
2021-09
影响因子:
4.4
通讯作者:
Improving the Experience of Dementia, Enhancing Active Life (IDEAL) Programme
Improving the Experience of Dementia, Enhancing Active Life (IDEAL) Programme
中科院分区:
医学2区
文献类型:
--
作者:
Wu YT;Clare L;Jones IR;Nelis SM;Quinn C;Martyr A;Victor CR;Lamont RA;Rippon I;Matthews FE;Improving the Experience of Dementia, Enhancing Active Life (IDEAL) Programme

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本研究的目的是调查痴呆症患者的生活质量与当地绿色和蓝色空间的感知和客观可用性之间的关联,包括农村/城市环境以及有/没有机会外出的潜在差异。这项研究基于1540名社区居住的痴呆症患者,他们参与了改善痴呆症体验和增强积极生活(IDEAL)计划。生活质量通过阿尔茨海默病生活质量(QoL-AD)量表测量。12种类型的绿色和蓝色空间的列表被用来衡量感知的可用性,而客观的可用性估计使用地理信息系统数据。回归模型被用来研究生活质量与感知和客观的可用性的绿色和蓝色空间,调整个人因素和剥夺水平的关联。与农村/城市地区或户外活动的机会的相互作用条款进行了拟合,以测试这些亚组之间的关联是否存在差异。较高的QoL-AD评分与较高的局部绿色和蓝色空间感知可用性相关(0.82; 95% CI 0.06,1.58),但与客观可用性无关。感知可用性与生活质量之间的正相关性在城市居民中(1.50; 95%CI 0.52,2.48)比农村居民更强,但在有机会和没有机会去户外的参与者之间没有差异。只有感知的可用性与痴呆症患者的生活质量有关。未来的研究可能会调查痴呆症患者如何利用绿色和蓝色空间,并改善这些空间的痴呆友好性。
The aim of this study was to investigate the associations between quality of life and both perceived and objective availability of local green and blue spaces in people with dementia, including potential variation across rural/urban settings and those with/without opportunities to go outdoors. This study was based on 1540 community-dwelling people with dementia in the Improving the experience of Dementia and Enhancing Active Life (IDEAL) programme. Quality of life was measured by the Quality of Life in Alzheimer’s Disease (QoL-AD) scale. A list of 12 types of green and blue spaces was used to measure perceived availability while objective availability was estimated using geographic information system data. Regression modelling was employed to investigate the associations of quality of life with perceived and objective availability of green and blue spaces, adjusting for individual factors and deprivation level. Interaction terms with rural/urban areas or opportunities to go outdoors were fitted to test whether the associations differed across these subgroups. Higher QoL-AD scores were associated with higher perceived availability of local green and blue spaces (0.82; 95% CI 0.06, 1.58) but not objective availability. The positive association between perceived availability and quality of life was stronger for urban (1.50; 95% CI 0.52, 2.48) than rural residents but did not differ between participants with and without opportunities to go outdoors. Only perceived availability was related to quality of life in people with dementia. Future research may investigate how people with dementia utilise green and blue spaces and improve dementia-friendliness of these spaces.
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发表时间: 1996-11-01
影响因子: 6.3
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