Is neighbourhood social cohesion associated with subjective well-being for older Chinese people? The neighbourhood social cohesion study
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摘要Objectives To evaluate the psychometric properties of the Hong Kong version of Neighbourhood Cohesion Instrument (HK-NCI) and examine whether neighbourhood social cohesion as measured using HK-NCI would be associated with evaluative, hedonic and eudaemonic wellbeing.

Design A validation analysis followed by a cross-sectional analysis of a community-based survey.

Setting Communities in two districts (Sha Tin and Tai Po) in Hong Kong.

Participants 301 community-dwelling Chinese men and women aged 60 years and older normally residing in Sha Tin or Tai Po for not less than six consecutive months at the time of participation in the study were interviewed.

Measurements Neighbourhood social cohesion was measured using the 15-item HK-NCI. The Social Cohesion Scale (SCS) and the Brief Sense of Community Scale (BSCS) were administered for assessing the validity of the HK-NCI. Evaluative (life satisfaction), hedonic (feelings of happiness) and eudaemonic well-being (sense of purpose and meaning in life) were examined. Socio-demographic characteristics, lifestyle and health behaviours, medical history, and neighbourhood characteristics were used as covariates.

Results For homogeneity, internal consistency of HK-NCI (a= 0.813) was good. For stability (test-retest reliability), the averages of mean scores of the 15 items suggested an acceptable repeatability with an intra-class correlation coefficient=0.701(95% CI 0.497 to 0.832). HK-NCI was correlated with SCS (r=0.515-0.635, p<0.001) and BSCS (r=0.500-0.612, p<0.001). Neighbourhood social cohesion was positively and independently associated with life satisfaction, feelings of happiness and sense of purpose and meaning in life (all p values <0.05). Stratified analyses indicated that neighbourhood social cohesion was more strongly associated with all dimensions of subjective wellbeing in 'young-old' subgroup, and with sense of purpose and meaning in life for women.

Conclusion The HK-NCI has adequate levels of internal consistency and test-retest reliability. In addition, higher levels of neighbourhood social cohesion were associated with better subjective well-being among older Chinese people.
出版社接受日期25.02.2019
著者Yu R, Cheung O, Leung J, Tong C, Lau K, Cheung J, Woo J
期刊名稱BMJ Open
出版年份2019
月份5
卷號9
期次5
出版社BMJ Publishing Group: Open Access / BMJ Publishing Group
文章號碼e023332
國際標準期刊號2044-6055
語言英式英語

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