Correlates of neighborhood social cohesion among older adults in Iran.

STATISTICS; BUILT environment; CROSS-sectional method; INTERVIEWING; REGRESSION analysis; ACTIVITIES of daily living; SOCIAL cohesion; SOCIOECONOMIC factors; INDEPENDENT living; DESCRIPTIVE statistics; EMPLOYMENT; MARITAL status; GROCERY industry; DATA analysis software

Despite growing attention to the relationship between social cohesion and health outcomes, very few studies have focused on correlates of social cohesion especially in developing countries. This study sought to identify the factors related to neighborhood social cohesion among the older adults in Tehran, Iran. The sample consisted of 1280 community-dwelling older adults aged 60 and over. Face-to-face interviews were administrated to gather data from residents of selected neighborhoods. Bivariate analyses and hierarchical regression analysis were done to reveal the relations between perceived neighborhood social cohesion and independent variables. The mean age of the participants was 70.90 years (SD = 8.07 years) and more than half of them (57.9%) lived in the mid-advantage areas. The mean social cohesion score was 7.32 (SD = 2.13) and the mean percentage score was 61.08 (SD = 17.75). Results showed that marital status, employment status, independent daily living, and perceived health status, availability of shopping center, cleanness of the neighborhood, security for walking and area-level advantage, significantly related to higher neighborhood social cohesion (F = 10.382, R2 = 14.8). Environmental characteristics included cleanness, security, and advantage of the neighborhood had the greatest effect on the neighborhood social cohesion. The significant change in R Squared showed that the addition of environmental characteristics accounted for an amount of variance in neighborhood social cohesion (∆F = 11.46, ∆R2 = 0.054), after controlling for confounding variables. The study findings underscore the importance of improving environmental aspects of neighborhood to develop older adults' social cohesion. Developing the infrastructures for neighborhood accessibility, cleanliness, and security can lead to higher levels of social cohesion. [ABSTRACT FROM AUTHOR]

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