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Influence of
Built Environment Quality and Social Capital
on Mental Health of
Residents of Assisted Living Communities
in Louisville, Kentucky
PubMed Link
AGENDA
• What did we want to learn?
• What did we learn?
• How did we learn it?
• What’s next?
What did we want to learn?
Increased built environment quality and increased
social capital would be positively associated with
mental well-being for older adult residents of
assisted living communities.
Hypothesis I
Why?
Gap in literature
What is
built environment quality?
Access
What is
social capital?
Neighborliness & Social Support
What did we learn?
Increased built environment quality and increased
social capital would be positively associated with
mental well-being for older adult residents of
assisted living communities.
Hypothesis I
Social capital explains 20%
of the variation in quality
of life scores and appears
to be an important
predictor of mental health
for older adults.
…and built environment quality?
How did we learn it?
Study methods
Built Environment – Revised Senior Walking
Environmental Assessment Tool
- One eighth of a mile radius
- Four domains of walkability
*No survey questions around importance of outdoors or built environment
Social Capital - Collective Efficacy Scale
- Informal social control section
- Social cohesion and trust section
*Survey designed for low income neighborhoods
Mental Health – Quality of Life Inventory
- Importance attached to 16 life domains
- Satisfaction scores for each domain
Additional Survey – Health Self Rating
- Single question
- Reliable indicator of health status
Study limitations?
Study Design
- Limited Geography
- Volunteer Subject Sampling
- Self Reported Data
Study Participants
- 80% Female
- 75% White
- 72% Reported “Good or Better Health”
What’s next?
Now that we know this,
what else do we want to know?
Maybe join the email list, yea?

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City on Science - Jan 2020