Environmental influences on healthy and active ageing: a systematic review
Open accessAbstract
This paper explores the evidence for environmental influences on older adult health and activity participation, identifies current knowledge gaps and limitations within this literature, and offers recommendations for future research via a systematic appraisal of 83 quantitative and qualitative studies. A Cochrane-type review procedure was followed, which incorporated structured database searches, inclusion and exclusion criteria, quality appraisal of included studies, and peer review. The review findings identify support for both personal and environmental influences on health and activity participation in later life. Reported personal influences include ethnicity and cultural norms, energy and motivation, sex, age, education, genetic heritage, self-efficacy, and personal financial circumstances. Reported environmental influences on activity participation include climate, level of pollution, street lighting, traffic conditions, accessibility and appropriateness of services and facilities, socio-economic conditions, aesthetics, pedestrian infrastructure, community life, exposure to antisocial behaviour, social network participation, environmental degradation, level of urbanism, exposure to natural settings, familiarity with local environment and others. Recommendations for future research include the need for innovative research methods; involvement of older adults as research collaborators; investigation of wider aspects of the active ageing concept; in-depth assessment of the environmental characteristics of areas; investigation of the pathways leading from environment to health and activity participation; and more theoretically informed research or increased contribution of research to theory development.
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The relative importance of the quality versus the quantity of social relationships with respect to this association may vary depending on whether they are between family or friends.
“The relative importance of the quality versus the quantity of such social relationships with respect to this association may vary depending on whether they are between family or friends 23-25 .”
From An overview of systematic reviews on the public health consequences of social isolation and loneliness (2017) · cites this paper as [23]
The overview found an association (+) between social isolation and general health and wellbeing, supported by one review or multiple lower quality reviews.
“| General health & wellbeing (Aminzadeh & Dalziel 2002, Annear et al 2014, Chen et al 2014, Pinquart & Sorensen 2000) | + | + | |”
From An overview of systematic reviews on the public health consequences of social isolation and loneliness (2017) · cites this paper as Annear et al 2014
The overview found an association (+) between loneliness and general health and wellbeing, supported by one review or multiple lower quality reviews.
“| General health & wellbeing (Aminzadeh & Dalziel 2002, Annear et al 2014, Chen et al 2014, Pinquart & Sorensen 2000) | + | + | |”
From An overview of systematic reviews on the public health consequences of social isolation and loneliness (2017) · cites this paper as Annear et al 2014
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- Authors
- ANNEAR, M., KEELING, S., WILKINSON, T., CUSHMAN, G., GIDLOW, B., & HOPKINS, H.
- Affiliations
- University of Otago (NZ)
- Lincoln University (NZ)
- Corresponding author
- ANNEAR, MICHAEL
- Venue
- Ageing and Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-11-06
- Volume
- 34
- Issue
- 4
- Pages
- 590-622
- ISSN
- 0144-686X (ISSN-L)
- 1469-1779
- OpenAlex
- W2097127159
- Cited by
- 246
- References
- 100
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 16 · 2023: 19 · 2022: 34 · 2021: 30 · 2020: 34 · 2019: 19 · 2018: 17 · 2017: 17 · 2016: 9 · 2015: 10 · 2014: 4 · 2013: 2
- FWCI
- 1.35
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Ageing and Society (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Transportation › Urban Transport and Accessibility
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- active ageing, healthy aging, older adults, environmental determinants of health, physical activity participation, built environment, socioeconomic conditions, pedestrian infrastructure, social networks, antisocial behavior, environmental degradation, natural settings, self-efficacy, motivation, accessibility of services
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