The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study
Objectives The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas. Methods The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural...
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doaj-2bbe359c83454a86ac3875e504d0a6da2020-11-24T21:50:32ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-452152640541510.3961/jpmph.19.1662048The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional StudyMi-Ji Kim0Sung-Hyo Seo1Ae-Rim Seo2Bo-Kyoung Kim3Gyeong-Ye Lee4Yeun-Soon Choi5Jin-Hwan Kim6Jang-Rak Kim7Yune-Sik Kang8Baek-Geun Jeong9Ki-Soo Park10 Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea Center for Farmer’s Safety and Health, Gyeongsang National University Hospital, Jinju, Korea Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea Department of Preventive Medicine and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, KoreaObjectives The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas. Methods The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants’ frailty. Results The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy. Conclusions More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty.http://www.jpmph.org/upload/pdf/jpmph-52-6-405.pdffrailtybuilt environmentenvironmental pollutionrural populationfrail elderlykorea |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mi-Ji Kim Sung-Hyo Seo Ae-Rim Seo Bo-Kyoung Kim Gyeong-Ye Lee Yeun-Soon Choi Jin-Hwan Kim Jang-Rak Kim Yune-Sik Kang Baek-Geun Jeong Ki-Soo Park |
spellingShingle |
Mi-Ji Kim Sung-Hyo Seo Ae-Rim Seo Bo-Kyoung Kim Gyeong-Ye Lee Yeun-Soon Choi Jin-Hwan Kim Jang-Rak Kim Yune-Sik Kang Baek-Geun Jeong Ki-Soo Park The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study Journal of Preventive Medicine and Public Health frailty built environment environmental pollution rural population frail elderly korea |
author_facet |
Mi-Ji Kim Sung-Hyo Seo Ae-Rim Seo Bo-Kyoung Kim Gyeong-Ye Lee Yeun-Soon Choi Jin-Hwan Kim Jang-Rak Kim Yune-Sik Kang Baek-Geun Jeong Ki-Soo Park |
author_sort |
Mi-Ji Kim |
title |
The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study |
title_short |
The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study |
title_full |
The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study |
title_fullStr |
The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study |
title_full_unstemmed |
The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study |
title_sort |
association of perceived neighborhood walkability and environmental pollution with frailty among community-dwelling older adults in korean rural areas: a cross-sectional study |
publisher |
Korean Society for Preventive Medicine |
series |
Journal of Preventive Medicine and Public Health |
issn |
1975-8375 2233-4521 |
description |
Objectives The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas. Methods The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants’ frailty. Results The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy. Conclusions More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty. |
topic |
frailty built environment environmental pollution rural population frail elderly korea |
url |
http://www.jpmph.org/upload/pdf/jpmph-52-6-405.pdf |
work_keys_str_mv |
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