2023-09-28 14:46:10 +00:00
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abstract: 'This article evaluates the influence of local district conditions on
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subjective quality of life of older South African adults. Policymakers
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increasingly recognize that ``successful{''''} aging policies must not
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only address physical health needs but also factors that influence
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subjective well-being.
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To investigate the influence of area-level distribution of ``public
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goods{''''} on well-being in a low- and middle-income setting, nationally
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representative WHO-Study of Global AGEing and Adult Health (WHO-SAGE)
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survey data is combined with district-level data that captures built
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resources and health system distribution. Multilevel regression modeling
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is utilized to explore how community context, including built resources
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and health infrastructure quality, influence older persons'' quality of
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life and how chronic health conditions may moderate this relationship
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while controlling for important individual characteristics.
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While controlling for individual and district level factors, it is found
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community level provision of built resources of basic services (i.e.,
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water, sanitation, electricity, housing) has a modest but significant
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impact on older persons'' subjective well-being. Further, this effect on
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older persons'' perceptions of quality of life is moderated by individual
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chronic health status; individuals with a chronic health condition do
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not receive an equivalent benefit from district built condition like
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those without an illness do.
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This work adds to the literature concerning the effect of environments
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in low- and middle-income countries on older adults'' subjective
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well-being. It also adds to the growing literature on the complex
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relationship between subjective well-being and health in diverse
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contexts.'
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affiliation: 'Ralston, M (Corresponding Author), 201 Bowen Hall,456 Hardy Rd, Mississippi
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State, MS 39862 USA.
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Ralston, Margaret, Mississippi State Univ, Dept Sociol, Mississippi State, MS 39762
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USA.'
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author: Ralston, Margaret
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author-email: mr1636@msstate.edu
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author_list:
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- family: Ralston
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given: Margaret
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da: '2023-09-28'
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doi: 10.1093/geront/gnx091
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eissn: 1758-5341
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files: []
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issn: 0016-9013
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journal: GERONTOLOGIST
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keywords: Community context; Health; South Africa; Subjective well-being
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keywords-plus: 'SELF-RATED HEALTH; QOL 8-ITEM INDEX; INCOME INEQUALITY; ADULT HEALTH;
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PSYCHOMETRIC PROPERTIES; UNITED-STATES; PRIMARY-CARE; WHOQOL-BREF; US
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STATES; DEPRESSION'
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language: English
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month: FEB
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number: '1'
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number-of-cited-references: '66'
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pages: 111-120
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papis_id: 9d52c0c21fcee20aacdb380d38f54f82
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ref: Ralston2018roleolder
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times-cited: '20'
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title: 'The Role of Older Persons'' Environment in Aging Well: Quality of Life, Illness,
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and Community Context in South Africa'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000423309900012
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usage-count-last-180-days: '2'
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usage-count-since-2013: '23'
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volume: '58'
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web-of-science-categories: Gerontology
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year: '2018'
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