Evidence map›Paper›PMID 39138405›Full record

ArticleBMC geriatrics2024

Neighborhood environment and quality of life of older adults in eastern Nepal: findings from a cross-sectional study.

Krishna Prasad Sapkota, Aman Shrestha, Saruna Ghimire, Sabuj Kanti Mistry, Krishna Kumar Yadav, Shubash Chandra Yadav, Ranju Kumari Mehta, Rubina Quasim, Man Kumar Tamang, Devendra Raj Singh and 3 more

Abstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Observational
  3. A Typology of Livable Communities and Older Adults' Health in the U.S.International journal of environmental research and public health · 2025
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Krishna Prasad SapkotaDepartment of Sociology & Gerontology and Scripps Gerontology Center, Miami University, Oxford, OH, USA.
Aman ShresthaDivision of Gerontology, Department of Epidemiology and Public Health, School of Medicine, University of Maryland Baltimore, Maryland, USA.
Saruna GhimireDepartment of Sociology & Gerontology and Scripps Gerontology Center, Miami University, Oxford, OH, USA.
Sabuj Kanti MistrySchool of Population Health, University of New South Wales, Sydney, Australia.
Krishna Kumar YadavDepartment of Public Health, Nobel College, Kathmandu, Nepal.
Shubash Chandra YadavCollege of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Ranju Kumari MehtaAnweshan Private Limited, Lalitpur, Nepal.
Rubina QuasimDow Institute of Nursing and Midwifery, Dow University of Health Sciences, Karachi, Pakistan.
Man Kumar TamangQueensland Brain Institute, The University of Queensland, Queensland, Australia.
Devendra Raj SinghSchool of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
Om Prakash YadavMinistry of Health, Koshi Province, Biratnagar, Nepal.
Suresh MehataMinistry of Health, Koshi Province, Biratnagar, Nepal.
Uday Narayan YadavNational Centre for Epidemiology and Population Health, The Australian National University, Canberra, ACT, Australia. uday.yadav@anu.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionQuality of life (QoL) is a subjective measure reflecting individuals' evaluations based on their personal goals and values. While global research shows the role of neighborhood factors like ethnic diversity and socio-cultural dynamics on QoL, these are unexplored in the Nepali context. Therefore, this study examined the relationship between neighborhood environment and QoL among Nepali older adults in eastern Nepal.

methodsThis cross-sectional study involved 847 non-institutionalized older adults (aged ≥ 60 years) from two districts in eastern Nepal. QoL was evaluated using the 13-item brief Older People's Quality of Life questionnaire, where a mean score of < 3 indicated low/poor QoL. The neighborhood environment, conceptualized across three domains (demographic, socio-cultural, and built environment), included ethnic diversity, connections with family, friends, and neighbors, cultural ties, residential stability, and rurality. Their association with QoL was examined using multivariable logistic regression.

resultsAround 20% of older adults reported poor QoL. Higher ethnic diversity (adjusted Odds Ratio [aOR] = 0.12, 95% confidence interval [CI]: 0.04-0.36), moderate contact with family and relatives (aOR = 0.26, CI: 0.11-0.61), and high contact with neighbors (aOR = 0.09, CI: 0.03-0.21) were associated with lower odds of poor QoL. Conversely, high contact with friends (aOR = 2.29, CI: 1.30-4.04) and unstable residence (OR = 6.25, CI: 2.03-19.23) increased the odds of poor QoL. Additionally, among the covariates, chronic disease, tobacco use, unemployment, and lack of education were also significantly associated with poor QoL.

conclusionOverall, the demographic environment, socio-cultural factors, and the built environment of the neighborhood influence QoL. Therefore, diversifying the neighborhood's ethnic composition, promoting social connections such as frequent contact with family, relatives, and neighbors, and ensuring residential stability can enhance the QoL of older adults.

Indexed as

Quality of LifeAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedNeighborhood CharacteristicsNepalResidence CharacteristicsSurveys and QuestionnairesEthnic diversityNeighborhood contextNepalOlder adultsOPQoL-briefQuality of lifeSocial connectedness

Identifiers

PMID39138405
PMCPMC11323633

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LicenceCC BY-NC-ND
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Registered trials

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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.