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Aspects of social participation and neighborhood perception

Fabiane Ribeiro Ferreira · Cibele Comini César · Fabíola Bof de Andrade · Paulo Roberto Borges de Souza Júnior · Maria Fernanda Lima‐Costa · Fernando Augusto Proietti

32 citations0/0 files storedRevista de Saúde Pública

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Urban Transport and Accessibility Aging, Health, and Disability Health disparities and outcomes

Abstract

OBJECTIVE: To determine the impact of the physical and social surroundings of the neighborhood, which are presented as facilitators or barriers for the social participation of Brazilian older adults. METHODS: The study was conducted in a probabilistic representative sample of the Brazilian population aged 50 years and older and who lived in urban areas (n = 7,935). The response variable was social participation, which was defined from two questions about activities performed with other persons: visited friends or relatives in their homes in the last 12 months (yes, no); went out with other persons to public places, such as restaurant, movies, club, park, in the last 12 months (yes, no). The explanatory variables included fear of falling because of defects in sidewalks, concern about the difficulty to get on a bus, subway, or train, difficulty to cross streets, and perception of violence in the neighborhood. Potential confounding variables included age, marital status, education level, self-rated health, living in an asphalted or paved street, time living in the municipality, and socioeconomic position score. Prevalence ratios and respective confidence intervals were estimated using Poisson regression. RESULT: Difficulty to cross streets presented an independent association with restricted social participation (PR = 0.95; 95%CI 0.93-0.98) among both women (PR = 0.96; 95%CI 0.92-0.99) and men (PR = 0.94; 95%CI 0.90-0.99). Concern about the difficulty to get on a bus, subway, or train was associated with the outcome only among men (PR = 0.95; 95%CI 0.91-0.99). The fear of falling because of defects in sidewalks and the perception of violence in the neighborhood were not associated with social participation. CONCLUSIONS: Urban characteristics that hinder the crossing of streets and accessibility to public transport can be inferred as important barriers for the social participation of Brazilian older adults.

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References

2010Inventory and analysis of definitions of social participation found in the aging literature: Proposed taxonomy of social activities 2006Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois 2009Changes in Social Participation and Volunteer Activity Among Recently Widowed Older Adults 2017Trajectories of social participation in old age: a systematic literature review 2017Walking speed of older people and pedestrian crossing time 2013Multiple standards of aging: gender-specific age stereotypes in different life domains 2008Saúde urbana: "a cidade é uma estranha senhora, que hoje sorri e amanhã te devora"

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2022Perceived Characteristics of the Built Neighborhood Environment and Negative Self-Rated Health in Brazilian Community-Dwelling Older Adults

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