Cited by 246Urban Transport and AccessibilityUrban Green Space and HealthAging, Elder Care, and Social Issues

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Environmental influences on healthy and active ageing: a systematic review

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ANNEAR, MICHAEL, KEELING, SALLY, WILKINSON, TIM, CUSHMAN, GRANT, GIDLOW, BOB, HOPKINS, HEATHER·2014·Ageing and Society

DOI 10.1017/s0144686x1200116x

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Abstract

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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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
ORCID: ANNEAR, MICHAEL
KEELING, SALLY
WILKINSON, TIM
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
DOI: 10.1017/s0144686x1200116x
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: cc-by
www.cambridge.org/core/terms (unspecified)
Locations: Ageing and Society (publishedVersion)
eCite Digital Repository (University of Tasmania) (submittedVersion)
Figshare (submittedVersion, cc-by)
Topics: Social Sciences › Transportation › Urban Transport and Accessibility
Social Sciences › Urban Studies › Urban Green Space and Health
Social Sciences › Life-span and Life-course Studies › 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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Environmental influences on healthy and active ageing: a systematic review

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