Environmental influences on healthy and active ageing: a systematic review
Environmental influences on healthy and active ageing: a systematic review
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DOI：
10.1017/s0144686x1200116x
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发表时间：
2014-04-01
期刊：
影响因子：
2.5
通讯作者：
Hopkins, Heather
中科院分区：
文献类型：
--
作者：
Annear, Michael;Keeling, Sally;Hopkins, Heather
本文探讨了环境对老年人健康和活动参与影响的证据，确定了当前文献中的知识差距和局限性，并通过对83项定量和定性研究的系统评估，为未来的研究提供了建议。采用cochrane型评价程序，包括结构化数据库检索、纳入和排除标准、纳入研究的质量评价和同行评议。审查结果确定了个人和环境对晚年健康和活动参与的影响。报告的个人影响包括种族和文化规范、精力和动机、性别、年龄、教育程度、遗传遗传、自我效能和个人财务状况。报告的环境对活动参与的影响包括气候、污染水平、街道照明、交通状况、服务和设施的可及性和适当性、社会经济条件、美学、行人基础设施、社区生活、接触反社会行为、社会网络参与、环境退化、城市化水平、接触自然环境、对当地环境的熟悉程度等。对未来研究的建议包括需要创新的研究方法；老年人作为研究合作者的参与；研究积极乐颐年概念的更广泛范畴；深入评估各地区的环境特征；调查从环境到健康和活动参与的途径；以及更多理论性的研究或对理论发展的贡献的增加。
This paper explores the evidence for environmental influences on older adult health and activity participation, identifies current knowledge gaps and limitations within this literature, and offers recommendations for future research via a systematic appraisal of 83 quantitative and qualitative studies. A Cochrane-type review procedure was followed, which incorporated structured database searches, inclusion and exclusion criteria, quality appraisal of included studies, and peer review. The review findings identify support for both personal and environmental influences on health and activity participation in later life. Reported personal influences include ethnicity and cultural norms, energy and motivation, sex, age, education, genetic heritage, self-efficacy, and personal financial circumstances. Reported environmental influences on activity participation include climate, level of pollution, street lighting, traffic conditions, accessibility and appropriateness of services and facilities, socio-economic conditions, aesthetics, pedestrian infrastructure, community life, exposure to antisocial behaviour, social network participation, environmental degradation, level of urbanism, exposure to natural settings, familiarity with local environment and others. Recommendations for future research include the need for innovative research methods; involvement of older adults as research collaborators; investigation of wider aspects of the active ageing concept; in-depth assessment of the environmental characteristics of areas; investigation of the pathways leading from environment to health and activity participation; and more theoretically informed research or increased contribution of research to theory development.