Please use this identifier to cite or link to this item: https://doi.org/10.3390/ijerph16081384
Title: Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore
Authors: Wee, Liang En
Tsang, Yun Ying Tammy
Tay, Sook Muay
Cheah, Andre
MARK EDWARD PUHAINDRAN 
Yee, Jaime
Lee, Shannon
Oen, Kellynn
Koh, G.C.-H. 
Keywords: Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
neighborhood environment
public housing
Asian
health behaviors
OLDER-ADULTS
SOCIOECONOMIC-STATUS
PHYSICAL-ACTIVITY
BUILT ENVIRONMENT
BASE-LINE
COMMUNITY
QUALITY
BEHAVIOR
LIFE
Issue Date: 2-Apr-2019
Publisher: MDPI
Citation: Wee, Liang En, Tsang, Yun Ying Tammy, Tay, Sook Muay, Cheah, Andre, MARK EDWARD PUHAINDRAN, Yee, Jaime, Lee, Shannon, Oen, Kellynn, Koh, G.C.-H. (2019-04-02). Perceived Neighborhood Environment and Its Association with Health Screening and Exercise Participation amongst Low-Income Public Rental Flat Residents in Singapore. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 16 (8). ScholarBank@NUS Repository. https://doi.org/10.3390/ijerph16081384
Abstract: 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.
Source Title: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
URI: https://scholarbank.nus.edu.sg/handle/10635/209485
ISSN: 1661-7827
1660-4601
DOI: 10.3390/ijerph16081384
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