ArticleThe Gerontologist2022
Environmental Influences on Life Satisfaction and Depressive Symptoms Among Older Adults With Multimorbidity: Path Analysis Through Loneliness in the Canadian Longitudinal Study on Aging.
Article in The Gerontologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Urban environments and depression among older adults: policy implications from the WHO age-friendly cities framework.BMC geriatrics · 2026Article
- Exploring the relationship between residential environment and depressive symptoms among older adults: the mediating pathway of social participation.BMC psychology · 2026Article
- Loneliness as a predictor of quality of life in older adults receiving primary health care in Türkiye: a cross-sectional study.BMC geriatrics · 2026Article
- Water, sanitation, and depressive symptoms in Indonesia: The mediating role of life satisfaction.PloS one · 2026Article
- Multimorbidity and Depressive Symptoms and their Association with Self-Reported Health and Life Satisfaction Among Adults Aged ≥ 50 Years in Mexico.Journal of cross-cultural gerontology · 2025Article
- Identifying the Relationship Between Residential Type and Health Outcomes of the Community-Dwelling Thai Older Adults in the Baseline Analysis of a Cluster-Randomized Controlled Trial.Geriatrics (Basel, Switzerland) · 2024Article
- Urbanization, loneliness and mental health model - A cross-sectional network analysis with a representative sample.Scientific reports · 2024Article
- Article
- Association between Sense of Loneliness and Quality of Life in Older Adults with Multimorbidity.International journal of environmental research and public health · 2023Article
- Trends and patterns of life satisfaction and its relationship with social support in Canada, 2009 to 2018.Scientific reports · 2022Article
- Neighborhood Makes or Breaks Active Ageing? Findings from Cross-Sectional Path Analysis.International journal of environmental research and public health · 2022Article
- Ageing and Mental Health in Canada: Perspectives from Law, Policy, and Longitudinal Research.Journal of population ageing · 2022Article
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3 authors.
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Abstract
BACKGROUND AND
objectivesMore older adults with multimorbidity are aging in place than ever before. Knowing how the environment affects their mental well-being could enhance the efficacy of age-friendly interventions for multimorbidity resilience. With reference to the Transdisciplinary Neighborhood Health Framework, we construct and examine a priori models of environmental influences on life satisfaction and depressive symptoms. RESEARCH DESIGN AND
methodsBaseline and follow-up data (after 3 years) were drawn from the Canadian Longitudinal Study on Aging to identify a subsample (n = 14,301) of participants aged at least 65 years with at least 2 chronic diseases. Path analysis examined sociobehavioral attributes (i.e., social support, social participation, walking) and loneliness as primary and secondary mediators, controlling for age, sex, education, and outcomes during baseline.
resultsGood model fit was found (TFI = 1.00; CFI = 1.00; RMSEA < 0.001; SRMR < 0.001). The total effects of housing quality (rtotal = 0.08, -0.07) and neighborhood cohesion (rtotal = 0.03, -0.06) were weak but statistically significant in the expected direction. The mediators explained 21%-31% of the total effects of housing quality and 67%-100% of the total effects of neighborhood cohesion. Loneliness mediated 27%-29% of these environmental influences on mental well-being, whereas walking mediated a mere 0.4%-0.9% of the total effects. Walking did not explain the relationship between housing quality and mental well-being. DISCUSSION AND IMPLICATIONS: Data supported a priori pathways from environment to mental well-being through sociobehavioral attributes and loneliness. If these pathways from neighborhood cohesion to life satisfaction reflect causal effects, community-based age-friendly interventions should focus on enhancing neighborhood cohesion to mitigate loneliness among multimorbid older adults for their mental well-being.
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