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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
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.
0770-3198
1-9
Timmermans, Erik J.
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van der Pas, Suzan
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Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Shaap, Laura A.
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Edwards, Mark H.
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Deeg, Dorly J.H.
e3d22d07-f66c-4582-bb4c-cdef30e97d6b
Gale, Catharine R.
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Dennison, Elaine M.
ee647287-edb4-4392-8361-e59fd505b1d1
Timmermans, Erik J.
0ebf8273-3f05-4925-bb79-f7db1b55dd29
van der Pas, Suzan
eeed262d-8106-4a78-8439-826b2d99bc78
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Shaap, Laura A.
80e0cca1-3df4-40c2-8ba7-a95eff379939
Edwards, Mark H.
b81ff294-1d16-4a1b-af14-9374c5989d4c
Deeg, Dorly J.H.
e3d22d07-f66c-4582-bb4c-cdef30e97d6b
Gale, Catharine R.
5bb2abb3-7b53-42d6-8aa7-817e193140c8
Dennison, Elaine M.
ee647287-edb4-4392-8361-e59fd505b1d1

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, 1-9. (doi:10.1007/s10067-016-3388-5). (PMID:27567628)

Record type: Article

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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More information

Accepted/In Press date: 17 August 2016
e-pub ahead of print date: 27 August 2016
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 399913
URI: http://eprints.soton.ac.uk/id/eprint/399913
ISSN: 0770-3198
PURE UUID: 24c5546f-29af-49da-adc4-d7c068dc53e9
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Catharine R. Gale: ORCID iD orcid.org/0000-0002-3361-8638
ORCID for Elaine M. Dennison: ORCID iD orcid.org/0000-0002-3048-4961

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Date deposited: 05 Sep 2016 09:19
Last modified: 18 Feb 2021 16:48

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