How can urban environments support dementia risk reduction? A qualitative study

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dc.citation.issue1
dc.citation.volume37
dc.contributor.authorRöhr S
dc.contributor.authorRodriguez FS
dc.contributor.authorSiemensmeyer R
dc.contributor.authorMüller F
dc.contributor.authorRomero-Ortuno R
dc.contributor.authorRiedel-Heller SG
dc.coverage.spatialEngland
dc.date.accessioned2023-11-23T00:15:55Z
dc.date.accessioned2024-07-25T06:50:42Z
dc.date.available2021-10-05
dc.date.available2023-11-23T00:15:55Z
dc.date.available2024-07-25T06:50:42Z
dc.date.issued2021-12-28
dc.description.abstractObjective Interventions to reduce the risk of cognitive decline and dementia largely focus on individual-level strategies. To maximize risk reduction, it is also necessary to consider the environment. With the majority of older people living in cities, we explored how urban environments could support risk reduction. Materials and Methods In our qualitative study, we conducted semi-structured interviews with community members aged ≥65 years and stakeholders, all living in Leipzig, Germany. Interview guides were informed by the framework on modifiable risk factors for dementia of the Lancet Commission on Dementia Prevention, Intervention, and Care. Interviews were audio-recorded, verbatim-transcribed, and thematically analysed. Results Community members (n = 10) were M = 73.7 (SD = 6.0) years old and 50% were women. Stakeholders (n = 10) were aged 39–72 years, and 70% were women. Stakeholders' fields included architecture, cultural/arts education, environmental sciences, geriatrics, health policy, information and technology, philosophy, psychology, public health, and urban sociology. Across interviews with both older individuals and stakeholders, three main themes were identified: (i) social participation and inclusion (emphasizing social contacts, social housing, intergenerationality, neighbourhood assistance, information and orientation, digital and technological literacy, lifelong learning, co-creation/co-design), (ii) proximity and accessibility (emphasizing proximity and reachability, mobility, affordability, access to health care, access to cultural events, public toilets), (iii) local recreation and wellbeing (emphasizing safety in traffic, security, cleanliness and environmental protection, urban greenery, climate change and heat waves, outdoor physical activity). Discussion The design of urban environments holds large potential to create favourable conditions for community-dwelling individuals to practice lifestyles that promote brain health. Public policy should involve community members in co-creating such environments.
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/34571579
dc.identifier.citationRöhr S, Rodriguez FS, Siemensmeyer R, Müller F, Romero-Ortuno R, Riedel-Heller SG. (2022). How can urban environments support dementia risk reduction? A qualitative study.. Int J Geriatr Psychiatry. 37. 1.
dc.identifier.doi10.1002/gps.5626
dc.identifier.eissn1099-1166
dc.identifier.elements-typejournal-article
dc.identifier.issn0885-6230
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70998
dc.languageeng
dc.publisherJohn Wiley and Sons Ltd
dc.relation.isPartOfInt J Geriatr Psychiatry
dc.rights(c) 2021 The Author/s
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.en
dc.subjectcity
dc.subjectdementia
dc.subjectenvironment
dc.subjectprevention
dc.subjectqualitative study
dc.subjectrisk reduction
dc.subjecturban
dc.subjectAged
dc.subjectDementia
dc.subjectFemale
dc.subjectHumans
dc.subjectIndependent Living
dc.subjectQualitative Research
dc.subjectResidence Characteristics
dc.subjectRisk Reduction Behavior
dc.titleHow can urban environments support dementia risk reduction? A qualitative study
dc.typeJournal article
pubs.elements-id455058
pubs.organisational-groupOther
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