The neighbourhood environment and use of neighbourhood resources in older adults with and without lower limb osteoarthritis: results from the Hertfordshire Cohort Study
The neighbourhood environment and use of neighbourhood resources in older adults with and without lower limb osteoarthritis: results from the Hertfordshire Cohort Study
This study aimed to examine the associations of perceptions of neighbourhood cohesion and neighbourhood problems and objectively measured neighbourhood deprivation with the use of neighbourhood resources by older adults with and without lower limb osteoarthritis (LLOA), and to assess whether these relationships are stronger in older persons with LLOA than in those without the condition. Data from the Hertfordshire Cohort Study were used. American College of Rheumatology classification criteria were used to diagnose clinical LLOA (knee and/or hip osteoarthritis). Use of neighbourhood resources was assessed using the Home and Community Environment instrument. Participants were asked about their perceptions of neighbourhood cohesion and neighbourhood problems. Objective neighbourhood deprivation was assessed using the Index of Multiple Deprivation score based on 2010 census data. Of the 401 participants (71–80 years), 74 (18.5 %) had LLOA. The neighbourhood measures were not significantly associated with use of resources in the full sample. A trend for a negative association between use of public transport and perceived neighbourhood problems was observed in participants with LLOA (OR = 0.77, 99 % CI = 0.53–1.12), whereas a trend for a positive association between perceived neighbourhood problems and use of public transport was found in participants without LLOA (OR = 1.18, 99 % CI = 1.00–1.39). The perception of more neighbourhood problems seems only to hinder older adults with LLOA to make use of public transport. Older adults with LLOA may be less able to deal with neighbourhood problems and more challenging environments than those without the condition.
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Timmermans, Erik J.
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van der Pas, Suzan
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Cooper, Cyrus
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Shaap, Laura A.
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Edwards, Mark H.
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Deeg, Dorly J.H.
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Gale, Catharine R.
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Dennison, Elaine M.
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Timmermans, Erik J.
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van der Pas, Suzan
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Cooper, Cyrus
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Shaap, Laura A.
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Edwards, Mark H.
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Deeg, Dorly J.H.
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Gale, Catharine R.
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Dennison, Elaine M.
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Timmermans, Erik J., van der Pas, Suzan, Cooper, Cyrus, Shaap, Laura A., Edwards, Mark H., Deeg, Dorly J.H., Gale, Catharine R. and Dennison, Elaine M.
(2016)
The neighbourhood environment and use of neighbourhood resources in older adults with and without lower limb osteoarthritis: results from the Hertfordshire Cohort Study.
Clinical Rheumatology, .
(doi:10.1007/s10067-016-3388-5).
(PMID:27567628)
Abstract
This study aimed to examine the associations of perceptions of neighbourhood cohesion and neighbourhood problems and objectively measured neighbourhood deprivation with the use of neighbourhood resources by older adults with and without lower limb osteoarthritis (LLOA), and to assess whether these relationships are stronger in older persons with LLOA than in those without the condition. Data from the Hertfordshire Cohort Study were used. American College of Rheumatology classification criteria were used to diagnose clinical LLOA (knee and/or hip osteoarthritis). Use of neighbourhood resources was assessed using the Home and Community Environment instrument. Participants were asked about their perceptions of neighbourhood cohesion and neighbourhood problems. Objective neighbourhood deprivation was assessed using the Index of Multiple Deprivation score based on 2010 census data. Of the 401 participants (71–80 years), 74 (18.5 %) had LLOA. The neighbourhood measures were not significantly associated with use of resources in the full sample. A trend for a negative association between use of public transport and perceived neighbourhood problems was observed in participants with LLOA (OR = 0.77, 99 % CI = 0.53–1.12), whereas a trend for a positive association between perceived neighbourhood problems and use of public transport was found in participants without LLOA (OR = 1.18, 99 % CI = 1.00–1.39). The perception of more neighbourhood problems seems only to hinder older adults with LLOA to make use of public transport. Older adults with LLOA may be less able to deal with neighbourhood problems and more challenging environments than those without the condition.
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Accepted/In Press date: 17 August 2016
e-pub ahead of print date: 27 August 2016
Organisations:
Faculty of Medicine
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Local EPrints ID: 399913
URI: http://eprints.soton.ac.uk/id/eprint/399913
ISSN: 0770-3198
PURE UUID: 24c5546f-29af-49da-adc4-d7c068dc53e9
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Date deposited: 05 Sep 2016 09:19
Last modified: 18 Mar 2024 05:07
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Author:
Erik J. Timmermans
Author:
Suzan van der Pas
Author:
Laura A. Shaap
Author:
Mark H. Edwards
Author:
Dorly J.H. Deeg
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