PDF(Pubmed)
Abstract：
UNASSIGNED: Walkable neighborhoods are closely related to an increase in walking frequency and the strengthening of social cohesion. These factors, in turn, contribute to lower BMI and other positive health-related outcomes. However, with a rapid increase in aging populations in China and the fact that women are facing more challenges than men as they age, especially mobility challenges because they tend to live longer leading to probabilities to become widowed. Nevertheless, less attention has been paid to understanding the gender difference between these relationships.
UNASSIGNED: Based on a survey of 533 older adults in Dalian, China, this study tried to investigate the intertwined relationship between perceived walkability, social cohesion, walking frequency, and BMI. A Structural Equation Model (SEM) and multiple-group analysis were applied to test the proposed framework.
UNASSIGNED: First, results show that gender differences existed among the above interrelationships, and the most substantial gender gap was found in effects of social cohesion on BMI. Second, perceived walkability only has a direct effect (0.149) on walking frequencies for female seniors. Third, although the relationships between perceived walkability and BMI are not directly related in both male and female models, the indirect connection (-0.053) is substituted for female seniors. Besides, the inhibiting effect of walking on BMI, which is -0.511, is also valid for female seniors. Finally, in terms of the role of social cohesion, both the positive impacts of perceived walkability on it (0.225 for males and 0.325 for females) and its promoting effects on walking have been confirmed in male (0.142) and female models (0.103). The negative direct effect of social cohesion on BMI (-0.083) is only confirmed in male seniors.
UNASSIGNED: Insights derived from this analysis can help bring forward gender-specific interventions to build a more inclusive walkable and social environment to improve the mobility and physical health of older adults.
UNASSIGNED: Based on a survey of 533 older adults in Dalian, China, this study tried to investigate the intertwined relationship between perceived walkability, social cohesion, walking frequency, and BMI. A Structural Equation Model (SEM) and multiple-group analysis were applied to test the proposed framework.
UNASSIGNED: First, results show that gender differences existed among the above interrelationships, and the most substantial gender gap was found in effects of social cohesion on BMI. Second, perceived walkability only has a direct effect (0.149) on walking frequencies for female seniors. Third, although the relationships between perceived walkability and BMI are not directly related in both male and female models, the indirect connection (-0.053) is substituted for female seniors. Besides, the inhibiting effect of walking on BMI, which is -0.511, is also valid for female seniors. Finally, in terms of the role of social cohesion, both the positive impacts of perceived walkability on it (0.225 for males and 0.325 for females) and its promoting effects on walking have been confirmed in male (0.142) and female models (0.103). The negative direct effect of social cohesion on BMI (-0.083) is only confirmed in male seniors.
UNASSIGNED: Insights derived from this analysis can help bring forward gender-specific interventions to build a more inclusive walkable and social environment to improve the mobility and physical health of older adults.
摘要：
■步行社区与步行频率的增加和社会凝聚力的增强密切相关。这些因素,反过来,有助于降低BMI和其他积极的健康相关结果。然而,随着中国老龄化人口的迅速增加，女性在年龄上比男性面临更多的挑战，特别是流动性挑战，因为他们往往活得更长，导致成为寡妇的可能性。然而，人们对理解这些关系之间的性别差异的关注较少。
■根据对大连市533名老年人的调查，中国,这项研究试图调查感知步行能力之间的交织关系，社会凝聚力,行走频率,BMI。采用结构方程模型（SEM）和多组分析对所提出的框架进行了测试。
■首先，结果表明，上述相互关系之间存在性别差异，最大的性别差距是社会凝聚力对BMI的影响。第二,感知步行能力仅对女性老年人的步行频率有直接影响(0.149)。第三，尽管感知步行能力和BMI之间的关系在男性和女性模型中都没有直接关系，间接联系(-0.053)代替女性老年人。此外,步行对BMI的抑制作用，这是-0.511，也适用于女性老年人。最后,就社会凝聚力的作用而言，在男性（0.142）和女性模型（0.103）中已经证实了感知步行能力对其的积极影响（男性为0.225，女性为0.325）及其对步行的促进作用。社会凝聚力对BMI（-0.083）的负面直接影响仅在男性老年人中得到证实。
■由此分析得出的见解可以帮助提出针对性别的干预措施，以建立更具包容性的步行和社会环境，以改善老年人的行动能力和身体健康。
■根据对大连市533名老年人的调查，中国,这项研究试图调查感知步行能力之间的交织关系，社会凝聚力,行走频率,BMI。采用结构方程模型（SEM）和多组分析对所提出的框架进行了测试。
■首先，结果表明，上述相互关系之间存在性别差异，最大的性别差距是社会凝聚力对BMI的影响。第二,感知步行能力仅对女性老年人的步行频率有直接影响(0.149)。第三，尽管感知步行能力和BMI之间的关系在男性和女性模型中都没有直接关系，间接联系(-0.053)代替女性老年人。此外,步行对BMI的抑制作用，这是-0.511，也适用于女性老年人。最后,就社会凝聚力的作用而言，在男性（0.142）和女性模型（0.103）中已经证实了感知步行能力对其的积极影响（男性为0.225，女性为0.325）及其对步行的促进作用。社会凝聚力对BMI（-0.083）的负面直接影响仅在男性老年人中得到证实。
■由此分析得出的见解可以帮助提出针对性别的干预措施，以建立更具包容性的步行和社会环境，以改善老年人的行动能力和身体健康。
