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Age-Friendly Environment and Health Among Older Americans- [electronic resource]
Age-Friendly Environment and Health Among Older Americans- [electronic resource]

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자료유형  
 학위논문
Control Number  
0016932487
International Standard Book Number  
9798379759698
Dewey Decimal Classification Number  
618.97
Main Entry-Personal Name  
Cheung, Ethan Siu Leung.
Publication, Distribution, etc. (Imprint  
[S.l.] : Columbia University., 2023
Publication, Distribution, etc. (Imprint  
Ann Arbor : ProQuest Dissertations & Theses, 2023
Physical Description  
1 online resource(126 p.)
General Note  
Source: Dissertations Abstracts International, Volume: 84-12, Section: A.
General Note  
Advisor: Liu, Jinyu.
Dissertation Note  
Thesis (Ph.D.)--Columbia University, 2023.
Restrictions on Access Note  
This item must not be sold to any third party vendors.
Summary, Etc.  
요약My dissertation focuses on investigating the associations of neighborhood environments - namely, built and social environments-with health among community-dwelling older Americans. The first paper examines groupwide variations in social participation patterns among older adults before and during the COVID-19 pandemic, and if community social cohesion and health during the pandemic were significantly associated with social participation patterns. Using Rounds 9 and 10 longitudinal data from the National Health and Aging Trend Study, I employed latent class analysis to identify the presence of groupwide variations in social participation, before and during the pandemic. I used logistic and linear regressions to examine the associations between social participation patterns, community social cohesion, and health during the pandemic. Results suggested two participation patterns, active and selective participants. Compared to active participants, older adults who were selective in their social participation were more likely to live in less socially cohesive communities and report substantial depressive and anxiety symptoms. In the second paper, I examined cross-sectional and longitudinal relationships between neighborhood physical disorder, low social cohesion, and sleep problems among older Americans. Mediators of health behaviors (i.e., lack of physical activity and social participation) and mental health (i.e., depressive and anxiety symptoms) were also tested in these relationships. Data were derived from three rounds of panel data (Rounds 7-9) from the National Health and Aging Trends Study, involving a sample of 4,029 Americans aged 65 or older. I found statistically significant cross-sectional and longitudinal associations between physical disorder and low social cohesion, and late-life sleep problems. Only cross-sectional mediation effects of health behaviors and mental health were found in the relationship of physical disorder and sleep problems, whereas both cross-sectional and longitudinal associations between low social cohesion and sleep problems were significantly mediated by health behaviors and mental health.In the third paper, I used annual data from the 2015-16 Poverty Tracker study to examine the roles of distance to grocery stores, neighborhood disadvantage, and social cohesion in explaining food insecurity among older adults in New York City. Multiple logistic regressions were conducted to assess these relationships. Results showed that greater distance to grocery stores (0.26-0.75 miles vs. 0.00-0.25 miles) and living in more disadvantaged neighborhoods increased the odds of food insecurity. Community social cohesion was a marginally significant protective factor against food insecurity.  The findings of these papers highlighted the associations between the neighborhood environment, social health, sleep quality, and food security status among older adults. These papers also emphasized the potential for environmental policy and social work program interventions to improve the well-being and quality of life among community-dwelling older adults. 
Subject Added Entry-Topical Term  
Aging.
Subject Added Entry-Topical Term  
Gerontology.
Subject Added Entry-Topical Term  
Mental health.
Subject Added Entry-Topical Term  
Social work.
Index Term-Uncontrolled  
Health behaviors
Index Term-Uncontrolled  
Older adults
Index Term-Uncontrolled  
Food insecurity
Index Term-Uncontrolled  
Community social cohesion
Index Term-Uncontrolled  
Older Americans
Added Entry-Corporate Name  
Columbia University Social Work
Host Item Entry  
Dissertations Abstracts International. 84-12A.
Host Item Entry  
Dissertation Abstract International
Electronic Location and Access  
로그인을 한후 보실 수 있는 자료입니다.
Control Number  
joongbu:642967

MARC

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■006m          o    d                
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■020    ▼a9798379759698
■035    ▼a(MiAaPQ)AAI30493480
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a618.97
■1001  ▼aCheung,  Ethan  Siu  Leung.
■24510▼aAge-Friendly  Environment  and  Health  Among  Older  Americans▼h[electronic  resource]
■260    ▼a[S.l.]▼bColumbia  University.  ▼c2023
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2023
■300    ▼a1  online  resource(126  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  84-12,  Section:  A.
■500    ▼aAdvisor:  Liu,  Jinyu.
■5021  ▼aThesis  (Ph.D.)--Columbia  University,  2023.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aMy  dissertation  focuses  on  investigating  the  associations  of  neighborhood  environments  -  namely,  built  and  social  environments-with  health  among  community-dwelling  older  Americans.  The  first  paper  examines  groupwide  variations  in  social  participation  patterns  among  older  adults  before  and  during  the  COVID-19  pandemic,  and  if  community  social  cohesion  and  health  during  the  pandemic  were  significantly  associated  with  social  participation  patterns.  Using  Rounds  9  and  10  longitudinal  data  from  the  National  Health  and  Aging  Trend  Study,  I  employed  latent  class  analysis  to  identify  the  presence  of  groupwide  variations  in  social  participation,  before  and  during  the  pandemic.  I  used  logistic  and  linear  regressions  to  examine  the  associations  between  social  participation  patterns,  community  social  cohesion,  and  health  during  the  pandemic.  Results  suggested  two  participation  patterns,  active  and  selective  participants.  Compared  to  active  participants,  older  adults  who  were  selective  in  their  social  participation  were  more  likely  to  live  in  less  socially  cohesive  communities  and  report  substantial  depressive  and  anxiety  symptoms. In  the  second  paper,  I  examined  cross-sectional  and  longitudinal  relationships  between  neighborhood  physical  disorder,  low  social  cohesion,  and  sleep  problems  among  older  Americans.  Mediators  of  health  behaviors  (i.e.,  lack  of  physical  activity  and  social  participation)  and  mental  health  (i.e.,  depressive  and  anxiety  symptoms)  were  also  tested  in  these  relationships.  Data  were  derived  from  three  rounds  of  panel  data  (Rounds  7-9)  from  the  National  Health  and  Aging  Trends  Study,  involving  a  sample  of  4,029  Americans  aged  65  or  older.  I  found  statistically  significant  cross-sectional  and  longitudinal  associations  between  physical  disorder  and  low  social  cohesion,  and  late-life  sleep  problems.  Only  cross-sectional  mediation  effects  of  health  behaviors  and  mental  health  were  found  in  the  relationship  of  physical  disorder  and  sleep  problems,  whereas  both  cross-sectional  and  longitudinal  associations  between  low  social  cohesion  and  sleep  problems  were  significantly  mediated  by  health  behaviors  and  mental  health.In  the  third  paper,  I  used  annual  data  from  the  2015-16  Poverty  Tracker  study  to  examine  the  roles  of  distance  to  grocery  stores,  neighborhood  disadvantage,  and  social  cohesion  in  explaining  food  insecurity  among  older  adults  in  New  York  City.  Multiple  logistic  regressions  were  conducted  to  assess  these  relationships.  Results  showed  that  greater  distance  to  grocery  stores  (0.26-0.75  miles  vs.  0.00-0.25  miles)  and  living  in  more  disadvantaged  neighborhoods  increased  the  odds  of  food  insecurity.  Community  social  cohesion  was  a  marginally  significant  protective  factor  against  food  insecurity.  The  findings  of  these  papers  highlighted  the  associations  between  the  neighborhood  environment,  social  health,  sleep  quality,  and  food  security  status  among  older  adults.  These  papers  also  emphasized  the  potential  for  environmental  policy  and  social  work  program  interventions  to  improve  the  well-being  and  quality  of  life  among  community-dwelling  older  adults. 
■590    ▼aSchool  code:  0054.
■650  4▼aAging.
■650  4▼aGerontology.
■650  4▼aMental  health.
■650  4▼aSocial  work.
■653    ▼aHealth  behaviors
■653    ▼aOlder  adults
■653    ▼aFood  insecurity
■653    ▼aCommunity  social  cohesion
■653    ▼aOlder  Americans
■690    ▼a0493
■690    ▼a0347
■690    ▼a0452
■690    ▼a0351
■71020▼aColumbia  University▼bSocial  Work.
■7730  ▼tDissertations  Abstracts  International▼g84-12A.
■773    ▼tDissertation  Abstract  International
■790    ▼a0054
■791    ▼aPh.D.
■792    ▼a2023
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16932487▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
■980    ▼a202402▼f2024

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