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邻里环境影响老年人生活质量相关研究进展
冷 红1, 张雪瑶2,3, 袁 青4
1.哈尔滨工业大学建筑与设计学院,自然 资源部寒地国土空间规划与生态保护修 复重点实验室,教授,博士生导师;2.哈尔滨工业大学建筑与设计学院,自然 资源部寒地国土空间规划与生态保护修 复重点实验室,硕士;3.浙江省城乡规划 设计研究院,助理工程师;4.( 通讯作者):哈尔滨工业大学建筑与设计 学院,自然资源部寒地国土空间规划与 生态保护修复重点实验室,教授,博士生 导师,hityq@126.com
摘要:
我国人口老龄化进入新的加速阶段, 预期寿命不断提高,慢性退行性疾病患病率及 其残疾率有所增长,人类晚年生活质量受到严 重挑战。邻里环境是老年人日常生活中的主要 环境之一,对老年人的健康和福祉有重大影响。 大量既有文献表明,城市规划有能力通过提高 邻里环境的支持性使老年人获得更好的生活质 量。为了更好地实现邻里环境的可持续发展以及 保障老年人晚年的生活质量,探究邻里环境如 何影响老年人的行为及其生活质量是至关重要 的。本文从相关概念、指标测度、研究进程、影 响因素、作用路径、总结与展望六个方面进行分 析评述。最后,从研究对象、研究方法、研究视 角、研究内容四个角度提出未来研究展望,以期 为国内外开展该领域的实证研究及规划实践提 供支持与借鉴。
关键词:  健康城市  邻里环境  老年人  健康老龄化  生活质量
DOI:10.13791/j.cnki.hsfwest.20240507
分类号:
基金项目:国家自然科学基金面上项目(51978192)
Research progress on neighborhood environmental impact on the quality of life of the elderly
LENG Hong,ZHANG Xueyao,YUAN Qing
Abstract:
The aging of the population in China has entered a new accelerated stage, with life expectancy continuously extended, and the prevalence and disability rate of chronic degenerative diseases are also rising. The quality of life in later years has been severely challenged. Neighborhood environment is one of the main living environments for elderly people in their daily lives, which has a significant impact on their health and well-being. A large amount of existing literature indicates that urban planning has the ability to improve the quality of life of the elderly by strengthening the support of the neighborhood environment. It is crucial to explore how the neighborhood environment affects the behavior and quality of life of the elderly in order to achieve sustainable development of the neighborhood environment and ensure their quality of life in their later years. This article analyzes and comments on six aspects: related concepts, indicator measurement, research process, inf luencing factors, action paths, summary, and outlook. Analyze and explain concepts and indicator measurement methods related to neighborhood environment and quality of life. Analyzing the research progress at home and abroad, it can be found that relevant studies abroad have earlier focused on quality of life, expanding the research scope of elderly health from multiple aspects such as physiology, psychology, and society, and the research content is rich. The comparative research process is similar both domestically and internationally, but the overall research process in China lags behind. With the rapid development of China’s economy and society, the deepening of population aging, and the change of diet structure, chronic diseases have become an important public health problem threatening the life and health of our people. Although domestic research has begun to focus on the impact of different scales of building environments on the subjective well-being and quality of life of elderly people, establishing comprehensive models, exploring internal relationships, and investigating mediating factors, this is still limited. It is currently unclear which factors can affect a person’s quality of life, HRQoL, and the extent of their impact in later life. Although many studies have confirmed the significant impact of neighborhood environment on the quality of life of elderly people and explored the complex relationships between these effects, existing research still has some shortcomings in analyzing the factors that affect related studies. One is the lack of in-depth exploration of research effectiveness, mainly manifested in the relatively wide scope of existing research subjects, and subjective questionnaires are also used to measure neighborhood environment and quality of life, with insufficient accuracy. The second issue is that the impact of different inf luencing factors on different quality of life and the determinants of high quality of life have not been fully explored. The causal relationship between neighborhood environment and qualitxy of life is a challenge for future research. In addition, current research on the impact of neighborhood environment on HRQoL is limited, with a single research perspective. However, as the impact of chronic diseases on the elderly deepens, HRQoL will be a focus of future research. Finally, future research prospects were proposed from four aspects: research objects, research methods, research perspectives, and research content. Studies have shown that we should capture neighborhood environmental factors, pay attention to group differences and vulnerable social classes, focus on longitudinal and comparative research, supplement diverseresearch perspectives and interdisciplinary research, strengthen exploration of impact mechanisms and future practices, and provide support and reference for empirical research and planning practices in this field at home and abroad.
Key words:  healthy city  neighborhood environment  older adults  healthy aging  quality of life