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. 2017 Apr 6;14(4):387.
doi: 10.3390/ijerph14040387.

Relative Association of Multi-Level Supportive Environments on Poor Health among Older Adults

Nelda Mier  1 , Marcia G Ory  2 , Samuel D Towne  3 , Matthew Lee Smith  4   5
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Relative Association of Multi-Level Supportive Environments on Poor Health among Older Adults

Nelda Mier et al. Int J Environ Res Public Health. .

Abstract

Background: The aging of the United States population poses significant challenges to American healthcare and informal caregiving systems. Additional research is needed to understand how health promotion programs and policies based on a socio-ecological perspective impact the health and well-being of older persons. The purpose of this study was to investigate personal characteristics and supportive environments associated with poor health among older individuals aged 65 and over. Methods: This study used a cross-sectional design and was guided by a conceptual framework developed by the authors to depict the relationship between personal characteristics and environments associated with poor health status. Environment types included in this study were family, home, financial, neighborhood, and healthcare. The sample was comprised of 1319 adults aged 65 years and older residing in Central Texas. From a random selection of households, participants were administered a mail-based survey created by a community collaborative effort. Descriptive statistics and three binary logistic regression models were fitted to examine associations with poor health status (i.e., physical, mental, and combined physical/mental). Results: Two personal characteristics (number of chronic conditions and educational level) were consistently related (p < 0.05) to health outcomes. Supportive family, home, financial, neighborhood, and health care environmental factors were shown to be related (p < 0.05) to various aspects of physical or mental health outcomes. Conclusions: Multidimensional factors including personal characteristics and protective environments are related to health status among older individuals. The unique roles of each environment can help inform public health interventions to create and enhance support for older adults to engage in healthful activities and improve their physical and mental health.

Keywords: United States of America; aging; health status; mental health; older adult; physical health; supportive environments.

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Conflict of interest statement

The authors declare no conflict of interest.

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Figure 1
Conceptual Framework of personal characteristics and environments associated with poor health status.
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References

    1. Ortman J.M., Velkoff V.A., Hogan H. U.S.C. Bureau; Washington, DC, USA: 2014. An Aging Nation: The Older Population in the United States. Population Estimates and Projections.
    1. Administration on Aging. A Profile of Older Americans: 2014. Administration for Community Living. U.S. Department of Health and Human Services; Atlanta, GA, USA: 2014.
    1. National Center for Health Statistics Health, United States, 2015. Older Population. Life Expectancy at Birth and at Age 65, by Sex. Organization for Economic Co-Operation and Development (OECD) Countries, Selected Years 1980–2013. [(accessed on 15 October 2016)]; Available online: https://www.cdc.gov/nchs/data/hus/2015/014.pdf.
    1. Mirel L.B., Carper K. Trends in Health Care Expenditures for the Elderly, Age 65 and over: 2001, 2006, and 2011. [(accessed on 31 March 2017)]; Available online: https://meps.ahrq.gov/data_files/publications/st429/stat429.pdf.
    1. Pfizer . Pfizer Facts. The Health Status of Older Adults, Findings from the National Health and Nutrition Examination Survey (NHANES) 1999–2004, the National Health Interview Survey (NHIS) 2005, and the Compressed Mortality File (CMF) 2003. Pfizer; New York, NY, USA: 2007.

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