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Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore

Background: In Singapore, an Asian city-state, more than 80% live in public housing. While the majority (90%) own their homes, a needy minority lives in rental flats. Public rental flats are built in the same location as owner-occupied blocks. We evaluated factors associated with perceptions of the...

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Autores principales: Wee, Liang En, Tsang, Yun Ying Tammy, Tay, Sook Muay, Cheah, Andre, Puhaindran, Mark, Yee, Jaime, Lee, Shannon, Oen, Kellynn, Koh, Choon Huat Gerald
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517983/
https://www.ncbi.nlm.nih.gov/pubmed/30999641
http://dx.doi.org/10.3390/ijerph16081384
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author Wee, Liang En
Tsang, Yun Ying Tammy
Tay, Sook Muay
Cheah, Andre
Puhaindran, Mark
Yee, Jaime
Lee, Shannon
Oen, Kellynn
Koh, Choon Huat Gerald
author_facet Wee, Liang En
Tsang, Yun Ying Tammy
Tay, Sook Muay
Cheah, Andre
Puhaindran, Mark
Yee, Jaime
Lee, Shannon
Oen, Kellynn
Koh, Choon Huat Gerald
author_sort Wee, Liang En
collection PubMed
description Background: In Singapore, an Asian city-state, more than 80% live in public housing. While the majority (90%) own their homes, a needy minority lives in rental flats. Public rental flats are built in the same location as owner-occupied blocks. We evaluated factors associated with perceptions of the neighborhood environment and its association with exercise and health screening participation. Methods: Logistic regression was used to identify associations between perceptions of the neighborhood environment (overall perceived neighborhood disadvantage, safety, and convenience) and sociodemographic factors, as well as exercise and screening participation, amongst residents aged ≥60 years in two Singaporean public housing precincts in 2016. Results: Our response rate was 62.1% (528/800). Staying in a rental flat independently was associated with increased neighborhood disadvantage (adjusted odds ratio, aOR = 1.58, 95%CI = 1.06–2.35). Staying in a stand-alone block (as opposed to staying in a mixed block comprised of both rental and owner-occupied units) was associated with perceptions of a poorer physical environment (aOR = 1.81, 95%CI = 1.22–2.68) and lower perceived proximity to recreational areas (aOR = 1.14, 95%CI = 1.04–1.25). Perceptions of neighborhood disadvantage were independently associated with reduced exercise participation (aOR = 0.67, 95%CI = 0.45–0.98) and reduced participation in diabetes screening (aOR = 0.63, 95%CI = 0.41–0.95). Conclusion: Despite sharing the same built environment, differences in the perception of the neighborhood environment between low-socioeconomic status (SES) and high-SES communities persist. Perceived neighborhood disadvantage is associated with lower participation in regular exercise and diabetes screening.
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spelling pubmed-65179832019-05-31 Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore Wee, Liang En Tsang, Yun Ying Tammy Tay, Sook Muay Cheah, Andre Puhaindran, Mark Yee, Jaime Lee, Shannon Oen, Kellynn Koh, Choon Huat Gerald Int J Environ Res Public Health Article Background: In Singapore, an Asian city-state, more than 80% live in public housing. While the majority (90%) own their homes, a needy minority lives in rental flats. Public rental flats are built in the same location as owner-occupied blocks. We evaluated factors associated with perceptions of the neighborhood environment and its association with exercise and health screening participation. Methods: Logistic regression was used to identify associations between perceptions of the neighborhood environment (overall perceived neighborhood disadvantage, safety, and convenience) and sociodemographic factors, as well as exercise and screening participation, amongst residents aged ≥60 years in two Singaporean public housing precincts in 2016. Results: Our response rate was 62.1% (528/800). Staying in a rental flat independently was associated with increased neighborhood disadvantage (adjusted odds ratio, aOR = 1.58, 95%CI = 1.06–2.35). Staying in a stand-alone block (as opposed to staying in a mixed block comprised of both rental and owner-occupied units) was associated with perceptions of a poorer physical environment (aOR = 1.81, 95%CI = 1.22–2.68) and lower perceived proximity to recreational areas (aOR = 1.14, 95%CI = 1.04–1.25). Perceptions of neighborhood disadvantage were independently associated with reduced exercise participation (aOR = 0.67, 95%CI = 0.45–0.98) and reduced participation in diabetes screening (aOR = 0.63, 95%CI = 0.41–0.95). Conclusion: Despite sharing the same built environment, differences in the perception of the neighborhood environment between low-socioeconomic status (SES) and high-SES communities persist. Perceived neighborhood disadvantage is associated with lower participation in regular exercise and diabetes screening. MDPI 2019-04-17 2019-04 /pmc/articles/PMC6517983/ /pubmed/30999641 http://dx.doi.org/10.3390/ijerph16081384 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wee, Liang En
Tsang, Yun Ying Tammy
Tay, Sook Muay
Cheah, Andre
Puhaindran, Mark
Yee, Jaime
Lee, Shannon
Oen, Kellynn
Koh, Choon Huat Gerald
Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore
title Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore
title_full Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore
title_fullStr Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore
title_full_unstemmed Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore
title_short Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore
title_sort perceived neighborhood environment and its association with health screening and exercise participation amongst low-income public rental flat residents in singapore
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517983/
https://www.ncbi.nlm.nih.gov/pubmed/30999641
http://dx.doi.org/10.3390/ijerph16081384
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