제목

 Can Age-Friendly Planning Promote Equity in Community Health Across the Rural-Urban Divide in the US?

International Journal of Environmental Research and Public Health, Vol 17, Iss 4, p 1275 (2020)

 저자

 발행기관

 Series/Report no.

 발행일

17 February 2020

 키워드

community health, rural–urban divide, livability, age-friendly planning, social and built environment

 Abstract

 In the US, rural communities face challenges to meet the community health needs of older adults and children. Meanwhile, rural areas lag in age-friendly built environment and services. AARP, a US based organization promoting livability for all ages, has developed a Livability Index based on the World Health Organization’s (WHO) domains of age-friendly communities: health, housing, neighborhood, transportation, environment, engagement, and opportunity.

This study links the 2018 AARP Livability Index categories with demographic structure and socio-economic factors from the American Community Survey at the county level in the US to examine if the physical, built and social environment differentiate communities with better community health across the rural–urban divide.

Results show that the neighborhood built environment has the largest impact on community health for all county types. Although rural areas lag in community health, those which give more attention to engagement and opportunity rank higher. Rural communities with more African Americans, children, and poor Whites, rank lower on community health. While neighborhood characteristics have the strongest link to community health, a broader approach with attention to age, race, poverty and engagement and opportunity is needed for rural areas.

Health disparities는 인종, 성별, 소득 및 개인 수준의 교육과 관련이 있을 뿐만 아니라 지리적 위치, 이웃, 건축 환경 및 지역 사회 서비스 제공과 관련된 장소 기반 문제이기도 합니다. 농촌 지역은 노령 친화적인 건축 환경과 서비스가 뒤떨어져 있습니다. 미국의 모든 연령대의 거주 가능성을 촉진하는 조직인AARP는 건강,주택,이웃,교통,환경,참여 및 기회와 같은 노인 친화적인 커뮤니티의세계 보건기구(WHO) 도메인을 기반으로 생활 가능성 지수를 개발했습니다. 이 연구는 Health disparities를 유발하는 요인과 농촌-도시 분할에 걸친 지역 사회 건강,물리적,건축 및 사회적 환경,사회 경제적 조건 간의 관계를 살펴봅니다.미국 카운티 수준의AARP Livability Index를 사용하여 건강, 물리적 및 건축 환경 (주택, 이웃, 교통) 및 사회적 환경 (참여 및 기회)의 시골-도시 차이를 탐색합니다.