scholarly journals Predicting mental well-being in assisted living communities : the roles of social capital and the built environment.

2013 ◽  
Author(s):  
Sarah Walsh
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S637-S638
Author(s):  
Sarah D Holmes ◽  
Elizabeth Galik ◽  
Barbara Resnick

Abstract The assisted living (AL) environment plays an important role in supporting residents’ life satisfaction and helping them to age in place. Guided by ecological theory, the AL environment is multidimensional and has many interrelated components including staffing (e.g. direct care workers, nursing, activity staff), services provided (e.g. medical, mental health, pharmacy), amenities offered at the setting (e.g. beauty salon, computer room, exercise facilities), and built environment features (e.g. walkability). Moreover, evidence suggests that aspects of the AL environment can enhance or detract from the physical function, well-being, social engagement, and behavioral outcomes among residents. The purpose of this study was to develop and test an integrative AL environment measurement model that includes indicators of staffing, services, amenities, and the built environment. Baseline data was used from a study testing the Dissemination and Implementation of Function Focused Care in AL. A total of 54 AL facilities across three states were included in the sample. Settings ranged in size from 31 to 164 beds with an average size of 82.2 (SD=26.2) beds and the majority were for profit facilities (n=41, 74.5%). Structural equation modeling was used to test the proposed model. Results showed that the model fit the data (chi-squared/df=1.86, p<.05; CFI=.858, RMSEA=.126). Having an integrative AL environment measurement model will advance future research that explores the impact of the environment on resident outcomes. In addition, findings from this study can inform interventions and programs designed to modify AL environments to optimize residents’ ability to age in place.


2019 ◽  
Vol 34 (3) ◽  
pp. 285-293 ◽  
Author(s):  
César Escobar-Viera ◽  
Ariel Shensa ◽  
Megan Hamm ◽  
Eleanna M. Melcher ◽  
Daniel I. Rzewnicki ◽  
...  

Purpose: Although there is evidence of associations between social media (SM) use and mental well-being among the general population, these associations among lesbian, gay, and bisexual (LGB) persons are poorly understood. This study compared the influence of SM experiences on mental well-being between LGB and non-LGB persons. Design and Setting: Online cross-sectional survey. Participants: National sample of 2408 US adults aged 18 to 30 years. Method: We asked participants to provide examples of when SM affected their well-being separately in good and bad ways. We coded, summed, and used rate ratios (RRs) to compare responses of LGB and non-LGB individuals. Thematically similar codes were described and grouped into categories. Results: Most responses described positive SM effects. However, of 6 codes that were significantly more frequent among LGB respondents, only social capital (RR = 1.58, 95% confidence interval [CI], 1.17-2.12) described a positive effect. Five codes described negative effects of SM for LGB users: negative emotional contagion (RR = 1.28, 95% CI, 1.04-1.58), comparison with others (RR = 1.28, 95% CI, 1.01-1.62), real-life repercussions (RR = 1.86, 95% CI, 1.18-2.94), envy (RR = 2.49, 95% CI, 1.48-4.19), and need for profile management (RR = 2.32, 95% CI, 1.07-5.03). Conclusion: These findings suggest that, for LGB persons, gaining social capital from SM is valuable for establishing and maintaining connections. Increased negative SM experiences may pose a risk for the mental well-being of LGB individuals.


2012 ◽  
Vol 64 (4) ◽  
pp. 357-379 ◽  
Author(s):  
Marjolein Missler ◽  
Margaret Stroebe ◽  
Lilian Geurtsen ◽  
Mirjam Mastenbroek ◽  
Sara Chmoun ◽  
...  

Given the growing number of elderly persons in society and concerns about their health and well-being, the aim was to review the available literature on their death anxiety, and to explore features of this experience among a small sample of older men and women in care facilities. In both the review and empirical parts of this study, components and correlates of death anxiety were investigated. The review revealed limited research focus on death anxiety among the elderly, particularly among those in institutions, but suggested both components and correlates for inclusion in our empirical study. Results showed that, among our elderly participants in an assisted living facility (N = 49; age range: 60–96 years), there were higher levels of fear for others and of the dying process than for fear of the unknown. Notably, among the correlates identified, fear for significant others was associated with poor physical health; fear of the dying process was related to low self-esteem, little purpose in life, and poor mental well-being. Gender differences in death anxiety were found: women showed greater fear for the death of loved ones and for the consequences of their own death on these loved ones, than did men. These patterns are discussed in the light of concerns about the welfare of elderly persons; scientific implications are also considered.


2020 ◽  
pp. jech-2020-215188
Author(s):  
Christopher W N Saville

BackgroundSocial capital may be a social good in health terms, but it is not necessarily a universal good. Several studies have shown that while there is a positive association between ecological social capital and health in people with high individual-level social capital, this relationship is weaker or even reversed in those with low individual-level social capital. Such studies, however, have used relatively coarse levels of geography for quantifying ecological social capital. The present study looks at this relationship at a more fine-grained spatial scale.MethodsData from the National Survey for Wales (n=27 828, weighted mean age=48.4) were linked to previously published small-area estimates (n=410) of ecological social capital for Wales. Mixed effects models were then used to assess whether the relationship between mental well-being and self-reported health on one hand, and ecological social capital (sense of belonging) on the other, was moderated by individual-level social capital.ResultsThe models found the same moderation of the relationship that has been demonstrated previously: Although ecological social capital is positively associated with health in respondents with high individual-level social capital, the relationship is negative in those with low individual-level social capital.ConclusionThis study replicates this association at a spatial scale orders of magnitude more fine-grained than had been shown previously. Ecological social capital is not an unambiguously positive factor for public health, and may be a risk factor for marginalised people.


2021 ◽  
Author(s):  
◽  
Grace Turner

<p>A neighbourhood with a well-designed and high-quality built environment has been shown to have a positive impact on residents’ physical and social wellbeing, and their overall quality of life. There is a plethora of research demonstrating how walkable, dense, connected, and mix land-use neighbourhoods improve people’s physical health however, empirical evidence supporting the built environment’s association with social well-being and social capital remains somewhat elusive. Interest in the relationship between walkability and social capital is growing momentum but considerations of other features of the built environment, such as third places remains sparse. Empirical assessments of the built environment and social capital have been conducted in Europe, North America or Australia, and studies of this relationship in a New Zealand context are almost non-existent.  This thesis aims to address these gaps by investigating the association between residents’ perceptions of third places in their neighbourhood and two dimensions of social capital: sense of community (SoC) and neighbouring in three neighbourhoods in Wellington, New Zealand. Specifically, this thesis’ core objectives are to identify what types of places New Zealanders perceive as third places, the meaning and value they attach to third places, and to explore the association between SoC, neighbouring and people’s perceptions of third places.  Data was obtained from a cross-sectional survey (n=160) and analysed using linear regression. Respondents most commonly perceive third places as either places of nature or as places that host activities and facilitate social interaction. For residents, it is important that third places are inclusive and accessible. The perceived quality of third places was significantly and positively associated with SoC. This relationship appears to be unaffected by demographic variables. The findings of this study provide scope for local policy makers and planners to provide for the presence of high-quality third places that are of nature or host activities to encourage social interaction between residents in new neighbourhoods.</p>


2021 ◽  
Author(s):  
◽  
Grace Turner

<p>A neighbourhood with a well-designed and high-quality built environment has been shown to have a positive impact on residents’ physical and social wellbeing, and their overall quality of life. There is a plethora of research demonstrating how walkable, dense, connected, and mix land-use neighbourhoods improve people’s physical health however, empirical evidence supporting the built environment’s association with social well-being and social capital remains somewhat elusive. Interest in the relationship between walkability and social capital is growing momentum but considerations of other features of the built environment, such as third places remains sparse. Empirical assessments of the built environment and social capital have been conducted in Europe, North America or Australia, and studies of this relationship in a New Zealand context are almost non-existent.  This thesis aims to address these gaps by investigating the association between residents’ perceptions of third places in their neighbourhood and two dimensions of social capital: sense of community (SoC) and neighbouring in three neighbourhoods in Wellington, New Zealand. Specifically, this thesis’ core objectives are to identify what types of places New Zealanders perceive as third places, the meaning and value they attach to third places, and to explore the association between SoC, neighbouring and people’s perceptions of third places.  Data was obtained from a cross-sectional survey (n=160) and analysed using linear regression. Respondents most commonly perceive third places as either places of nature or as places that host activities and facilitate social interaction. For residents, it is important that third places are inclusive and accessible. The perceived quality of third places was significantly and positively associated with SoC. This relationship appears to be unaffected by demographic variables. The findings of this study provide scope for local policy makers and planners to provide for the presence of high-quality third places that are of nature or host activities to encourage social interaction between residents in new neighbourhoods.</p>


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