ArticleJournal of affective disorders2017
Micro-scale environment and mental health in later life: Results from the Cognitive Function and Ageing Study II (CFAS II).
Article in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Neighbourhood-built environment and cognitive or social health in older adults with mild cognitive impairment or dementia: an umbrella review.BMC geriatrics · 2025Pooled it
- The key values and factors identified by older adults to promote physical activity and reduce sedentary behaviour using co-production approaches: a scoping review.BMC geriatrics · 2023Article
- Community indicators for mental health in Europe: a scoping review.Frontiers in public health · 2023Article
- Green spaces and the impact on cognitive frailty: a scoping review.Frontiers in public health · 2023Article
- Urbanicity-Perspectives from Neuroscience and Public Health: A Scoping Review.International journal of environmental research and public health · 2022Article
- The Influence of Emotional Health on the Activity Characteristics of the Elderly and the Selection of Environmental Quality Factors in Residential Areas.International journal of environmental research and public health · 2021Article
- Editorial: Urbanization and Ageing Health Outcomes.The journal of nutrition, health & aging · 2020Article
- Association of Environmental Features and the Risk of Alzheimer's Dementia in Older Adults: A Nationwide Longitudinal Case-Control Study.International journal of environmental research and public health · 2019Article
- The Text4HealthyAging Program: An Evidence-Based Text Messaging Innovation to Support Healthy Urban Aging in Canada and Australia.Gerontology & geriatric medicineArticle
- Rural-urban disparities of Alzheimer's disease and related dementias: A scoping review.Alzheimer's & dementia (New York, N. Y.)Review
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Authors and funding
7 authors.
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Abstract
backgroundPoor micro-scale environmental features, such as graffiti and broken windows, have been associated with crime and signs of social disorder with a potential impact on mental health. The aim of this study is to investigate the association between micro-scale environment and mental health problems in later life, including cognitive (cognitive impairment and dementia) and common mental disorders (depressive and anxiety symptoms).
methodsThe method of visual image audits was used to collect micro-scale environmental data for 3590 participants in the Cognitive Function and Ageing Study II, a population-based multicentre cohort of people aged 65 or above in England. Multilevel logistic regression was used to examine the associations between the quality of micro-scale environment and mental health problems taking into account urban/rural difference.
resultsPoor quality of micro-scale environment was associated with nearly 20% increased odds of depressive (OR: 1.19; 95% CI: 0.99, 1.44) and anxiety symptoms (OR: 1.17; 95% CI: 0.99, 1.38) while the direction of association for cognitive disorders differed across urban and rural settings. Although higher odds of cognitive disorders were found in rural settings, living in a poor quality environment was associated with nearly twice higher odds of cognitive impairment (OR: 1.88; 95% CI: 1.18, 2.97) in urban conurbations but 20% lower odds in rural areas (OR: 0.80; 95% CI: 0.57, 1.11). LIMITATIONS: The causal direction could not be fully determined due to the cross-sectional nature of the data. The visual nature of the environmental assessment tool means it likely does not fully capture features related to the availability of local support services, or opportunities for social participation and interaction.
conclusionsThe quality of micro-scale environment appears to be important to mental health in older people. Interventions may incorporate the environmental aspect to reduce cognitive and common mental disorders.
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