title: The neighbourhood environment and use of neighbourhood resources in older adults with and without lower limb osteoarthritis: results from the Hertfordshire Cohort Study.
abstract: This study aimed to examine the associations of perceptions of neighbourhood cohesion and neighbourhood problems and objectively measured neighbourhood deprivation with the use of neighbourhood resources by older adults with and without lower limb osteoarthritis (LLOA), and to assess whether these relationships are stronger in older persons with LLOA than in those without the condition. Data from the Hertfordshire Cohort Study were used. American College of Rheumatology classification criteria were used to diagnose clinical LLOA (knee and/or hip osteoarthritis). Use of neighbourhood resources was assessed using the Home and Community Environment instrument. Participants were asked about their perceptions of neighbourhood cohesion and neighbourhood problems. Objective neighbourhood deprivation was assessed using the Index of Multiple Deprivation score based on 2010 census data. Of the 401 participants (71-80 years), 74 (18.5 %) had LLOA. The neighbourhood measures were not significantly associated with use of resources in the full sample. A trend for a negative association between use of public transport and perceived neighbourhood problems was observed in participants with LLOA (OR = 0.77, 99 % CI = 0.53-1.12), whereas a trend for a positive association between perceived neighbourhood problems and use of public transport was found in participants without LLOA (OR = 1.18, 99 % CI = 1.00-1.39). The perception of more neighbourhood problems seems only to hinder older adults with LLOA to make use of public transport. Older adults with LLOA may be less able to deal with neighbourhood problems and more challenging environments than those without the condition.
authors: Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Centre, De Boelelaan 1089A, 1081 HV, Amsterdam, The Netherlands. ej.timmermans@vumc.nl.
authors: Erik J
authors: EJ
authors: Timmermans
authors: Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Centre, De Boelelaan 1089A, 1081 HV, Amsterdam, The Netherlands.
authors: Suzan
authors: S
authors: van der Pas
authors: MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.|NIHR Musculoskeletal Biomedical Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
authors: Cyrus
authors: C
authors: Cooper
authors: Department of Health Sciences, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, the Netherlands.
authors: Laura A
authors: LA
authors: Schaap
authors: MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.
authors: Mark H
authors: MH
authors: Edwards
authors: Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Centre, De Boelelaan 1089A, 1081 HV, Amsterdam, The Netherlands.
authors: Dorly J H
authors: DJ
authors: Deeg
authors: MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.|Centre for Cognitive Ageing & Cognitive Epidemiology, Department of Psychology, University of Edinburgh, Edinburgh, UK.
authors: Catharine R
authors: CR
authors: Gale
authors: MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.|School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand.
authors: Elaine M
authors: EM
authors: Dennison
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004779:Environment Design; D005260:Female; D006295:Health Resources / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D015207:Osteoarthritis, Hip; D020370:Osteoarthritis, Knee; D012111:Residence Characteristics; D012931:Social Environment; D014186:Transportation
keywords: Neighbourhood environment; Older population; Osteoarthritis