The Association between Perceived Housing Environment and Health and Satisfaction among the Older Adults during the COVID-19 Pandemic: A Cross-Sectional Survey in Northern China

Author:

Liu Fang1,Li Yafei1,Gao Xuezhi1,Du Jiangtao2ORCID

Affiliation:

1. School of Environment and Energy Engineering, Beijing University of Civil Engineering and Architecture, Beijing 100044, China

2. Liverpool School of Architecture, University of Liverpool, Liverpool L69 7ZN, UK

Abstract

China lacks design strategies to improve home-based care environments for its older adults. This study investigated the perception of indoor environmental quality in housing environments and analyzed its impact on health and satisfaction among home-living older adults. A cross-sectional survey in Northern China was conducted during the COVID-19 pandemic (October 2021–March 2022) to test the effects of five housing environmental factors on home-living older adults’ health and satisfaction, including noise, lighting and view, temperature and humidity, air quality, and maintenance and cleanliness. A total of 356 home-living adults aged 60 years and older participated in the survey. The 12-item Short Form Health Survey was used to measure health-related quality of life among respondents. Using multiple regression analyses, we found that overall satisfaction can be positively predicted by four housing environmental qualities: lighting and view, temperature and humidity, air quality, and maintenance and cleanliness. Air quality was found to be a predictor of respondents’ physical health. Only noise had a significant predictive effect on respondents’ mental health. Age, marital status, and health status (cardiovascular and chronic diseases) were significantly correlated with the physical health of the respondents, whereas educational status, monthly income, and alcohol consumption could predict their mental health.

Funder

Research and application of rehabilitation environment construction technology for old people with Venous Thromboembolism

BUCEA Postgraduate Innovation Project

Publisher

MDPI AG

Subject

Building and Construction,Civil and Structural Engineering,Architecture

Reference83 articles.

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2. World Health Organization (WHO) (2023, May 01). World Report on Ageing and Health. Available online: https://apps.who.int/iris/handle/10665/186463.

3. World Health Organization (WHO) (2023, May 01). National Programmes for Age-Friendly Cities and Communities: A Guide. Switzerland. Available online: https://www.who.int/teams/social-determinants-of-health/demographic-change-and-healthy-ageing/age-friendly-environments/national-programmes-afcc.

4. National Bureau of Statistics of China (2022, October 01). China Statistical Yearbook 2021, Available online: http://www.stats.gov.cn/tjsj/ndsj/2021/indexch.htm.

5. Ministry of Housing and Urban-Rural Development of the People’s Republic of China (2016). Code for Design of Residential Building for the Aged (GB50340P-2016), China Architecture Building Press.

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