ArticleBMC public health2013
Environmental barriers, person-environment fit and mortality among community-dwelling very old people.
Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
19 citing papers in PubMed, 54 citations in OpenAlex.
- Unwanted loneliness among older adults in rural areas: associated factors and guidelines for community intervention.Frontiers in aging · 2026Article
- The relationship between home modifications and frailty among older adults: a scoping review protocol.PloS one · 2025Article
- Estimating Accessibility Problems in the Swedish Housing Stock Using Citizen Science: The Housing Experiment 2021.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Neighborhood social environment and mental health of older adults in China: the mediating role of subjective well-being and the moderating role of green space.Frontiers in public health · 2024Article
- Exploring the Role of the Built Environment on the Functional Ability and Social Participation in Community-dwelling Older Adults.Acta medica Philippina · 2024Article
- Housing Accessibility at Home and Rehabilitation Outcomes After a Stroke: An Explorative Study.HERD · 2023Article
- Relationship between person, environmental factors, and activities of daily living performance among physically disabled older adults living at home: a structural equation model.BMC geriatrics · 2023Article
- Ageing Well in Small Villages: What Keeps Older Adults Happy? Environmental Indicators of Residential Satisfaction in Four Dutch Villages.International journal of environmental research and public health · 2022Article
- Exploring housing policies in five Swedish municipalities: alternatives and priorities.BMC public health · 2022Article
- The Feasibility of Information-Entropy-Based Behavioral Analysis for Detecting Environmental Barriers.International journal of environmental research and public health · 2021Article
- Age-Friendly Features in Home and Community and the Self-Reported Health and Functional Limitation of Older Adults: the Role of Supportive Environments.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- Multifaceted interventions for supporting community participation among adults with disabilities: A systematic review.Campbell systematic reviews · 2020Review
- Predictors of Satisfaction with Care Services among Family Members of Older Adult Residents of Long-Term Care Facilities.International journal of environmental research and public health · 2020Article
- Environmental Challenges in the Home for Ageing Societies: a Comparison of Sweden and Japan.Journal of cross-cultural gerontology · 2019Article
- A new approach for investigation of person-environment interaction effects in research involving health outcomes.European journal of ageing · 2019Article
- A need to improve the assessment of environmental hazards for falls on stairs and in bathrooms: results of a scoping review.BMC geriatrics · 2018Article
- The association of the neighbourhood built environment with objectively measured physical activity in older adults with and without lower limb osteoarthritis.BMC public health · 2016Article
- Identifying the content of home-based health behaviour change interventions for frail older people: a systematic review protocol.Systematic reviews · 2015Article
- Autonomy and Housing Accessibility Among Powered Mobility Device Users.The American journal of occupational therapy : official publication of the American Occupational Therapy AssociationArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnvironmental barriers are associated with disability-related outcomes in older people but little is known of the effect of environmental barriers on mortality. The aim of this study was to examine whether objectively measured barriers in the outdoor, entrance and indoor environments are associated with mortality among community-dwelling 80- to 89-year-old single-living people.
methodsThis longitudinal study is based on a sample of 397 people who were single-living in ordinary housing in Sweden. Participants were interviewed during 2002-2003, and 393 were followed up for mortality until May 15, 2012.Environmental barriers and functional limitations were assessed with the Housing Enabler instrument, which is intended for objective assessments of Person-Environment (P-E) fit problems in housing and the immediate outdoor environment. Mortality data were gathered from the public national register. Cox regression models were used for the analyses.
resultsA total of 264 (67%) participants died during follow-up. Functional limitations increased mortality risk. Among the specific environmental barriers that generate the most P-E fit problems, lack of handrails in stairs at entrances was associated with the highest mortality risk (adjusted RR 1.55, 95% CI 1.14-2.10), whereas the total number of environmental barriers at entrances and outdoors was not associated with mortality. A higher number of environmental barriers indoors showed a slight protective effect against mortality even after adjustment for functional limitations (RR 0.98, 95% CI 0.96-1.00).
conclusionSpecific environmental problems may increase mortality risk among very-old single-living people. However, the association may be confounded by individuals' health status which is difficult to fully control for. Further studies are called for.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.