Problemas de accesibilidad del espacio público y aislamiento social de personas mayores con discapacidad en Hermosillo, México

  1. María Trinidad García-Valdez
  2. Diego Sánchez-González
  3. Rosario Román-Pérez
  4. Elisa Pozo-Menendez
Revista:
Revista de Geografía Norte Grande

ISSN: 0718-3402

Any de publicació: 2023

Número: 85

Pàgines: 1-27

Tipus: Article

DOI: 10.4067/S0718-34022023000200103 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Altres publicacions en: Revista de Geografía Norte Grande

Resum

Resumen: El estudio examina la asociación entre los problemas de accesibilidad del espacio público y el aislamiento social de las personas mayores con discapacidad. La metodología se basa en un análisis estadístico multivariado (regresión logística binaria, componentes principales, clúster) de los datos de una encuesta a 381 adultos mayores con discapacidad y una auditoría ambiental de segmentos de calles en el centro de la ciudad de Hermosillo, México. Se utiliza una escala de accesibilidad del espacio público para evaluar los indicadores de funcionalidad, comodidad, seguridad y destino. Los resultados indicaron que el riesgo de aislamiento social está asociado con baja capacidad funcional, enfermedades cardiovasculares, problemas psicológicos, menor movilidad fuera del hogar, escasas redes sociales y problemas de accesibilidad del espacio público. En los barrios con alto riesgo de aislamiento social se registraron mayores problemas de accesibilidad percibida (mal estado de calles y aceras, iluminación, inseguridad) y accesibilidad objetiva (grado de accesibilidad, funcionalidad y destino) en el espacio público, y menor capacidad funcional. Las modificaciones de las características ambientales que determinan la accesibilidad del espacio público podrían redefinir el comportamiento y prevenir el aislamiento social de los adultos mayores con discapacidad, promoviendo ciudades y comunidades amigables con el envejecimiento activo y saludable.

Referències bibliogràfiques

  • ANDERSSON, JE.. (2014). Usefulness in architecture accessibility, inclusion, and usability as spatial sensory experiences. Universal Design. 365
  • BORST, H.C.,MIEDEMA, H.M.E.,DE VRIES, S.I.,GRAHAM, J.M.A.,VAN DONGEN, J.E.F.. (2008). Relationships between street characteristics and perceived attractiveness for walking reported by elderly people. Journal of Environmental Psychology. 353
  • BROWNSON, R.C.,HOEHNER, C.M.,BRENNAN, L.K.,COOK, R.A.,ELLIOTT, M.B.,MCMULLEN, K.M.. (2004). Reliability of 2 instruments for auditing the environment for physical activity. Journal of Physical Activity and Health. 191-208
  • BURNS, V.F.,LAVOIE, J.P.,ROSE, D.. (2012). Revisiting the Role of Neighbourhood Change in Social Exclusion and Inclusion of Older People. Journal of Aging Research.
  • BURTON, E.,MITCHELL, L.,STRIDE, C.B.. (2011). Good places for ageing in place: development of objective built environment measures for investigating links with older people's wellbeing. BMC Public Health. 1-13
  • CHOI, Y.J.,MATZ-COSTA, C.. (2018). Perceived Neighborhood Safety, Social Cohesion, and Psychological Health of Older Adults. The Gerontologist. 196-206
  • CLARK, C.R.,KAWACHI, I.,RYAN, L.,ERTEL, K.,FAY, ME.,BERKMAN, LF.. (2009). Perceived neighborhood safety and incident mobility disability among elders: the hazards of poverty. BMC Public Health.
  • CLARKE, P.,GALLAGHER, N.A.. (2013). Optimizing mobility in later life: The role of the urban built environment for older adults aging in place. Journal of Urban Health. 997-1009
  • CLOUTIER-FISHER, D.,KOBAYASHI, K.M.. (2009). Examining social isolation by gender and geography: conceptual and operational challenges using population health data in Canada. Gender, Place & Culture. 181
  • COHEN-MANSFIELD, J.,HAZAN, H.,LERMAN, Y.,SHALOM, V.. (2016). Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insights. International psychogeriatrics. 557
  • CORNWELL, E.Y.,WAITE, L.J.. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior. 31-48
  • COURTIN, E.,KNAPP, M.. (2017). Social isolation, loneliness and health in old age: A scoping review. Health and Social Care in the Community. 799-812
  • CURL, A.,THOMPSON, C.W.,ASPINALL, P.,ORMEROD, M.. (2016). Developing an audit checklist to assess outdoor falls risk. Proceedings of the Institution of Civil Engineers. Urban Design and Planning. 138
  • DAY, K.,BOARNET, M.,ALFONZO, M.,FORSYTH, A.. (2006). The Irvine-Minnesota inventory to measure built environments: development. American Journal of Preventive Medicine. 144
  • DÍEZ, J.,CONDE, P.,SANDIN, M.,URTASUN, M.,LÓPEZ, R.,CARRERO, J.L.,GITTELSOHN, J.,FRANCO, M.. (2017). Understanding the local food environment: A participatory photovoice project in a low-income area in Madrid, Spain. Health & Place. 95-103
  • DOMÈNECH-ABELLA, J.,MUNDÓ, J.,LEONARDI, M.,CHATTERJI, S.,TOBIASZ-ADAMCZYK, B.,KOSKINEN, S.,AYUSO-MATEOS, JL.,HARO, B.. (2020). Loneliness and depression among older European adults: The role of perceived neighborhood built environment. Health & Place.
  • EMLET, C.A.,MOCERI, J.T.. (2012). The importance of social connectedness in building age-friendly communities. Journal of Aging Research. 1-9
  • GARCÍA-PEÑA, C.,SÁNCHEZ-GARRIDO, N.,WYNNE-BANNISTER, EG.,MORENO-PENICHE, MU.. (2017). Collective violence and the health of the elderly: a cross-sectional analysis of a population-based national survey in Mexico. Pan American Journal of Public Health.
  • GARCÍA-VALDEZ, M.T.,SÁNCHEZ-GONZÁLEZ, D.,ROMÁN-PÉREZ, R.. (2019). Envejecimiento y estrategias de adaptación a los entornos urbanos desde la gerontología ambiental. Estudios Demográficos y Urbanos. 101
  • GILES-CORTI, B.,DONOVAN, RJ.. (2002). The relative influence of individual, social and physical environment determinants of physical activity. Social science & medicine. 1793
  • GEBEL, K.,BAUMAN, A.,OWEN, N.. (2009). Correlates of Non-Concordance between Perceived and Objective Measures of Walkability. Annals of Behavioral Medicine. 228
  • GOLANT, S.M.. (2015). Aging in the right place. Health Professions Press. Maryland.
  • HOEHNER, C.M.,BRENNAN, L.K.,ELLIOTT, M.B.,HANDY, S.L.,BROWNSON, R.C.. (2005). Perceived and objective environmental measures and physical activity among urban adults. American Journal of Preventive Medicine. 105
  • (2020). INEGI Censo de población y vivienda 2020. INEGI. México.
  • IWARSSON, S.. (1999). The Housing Enabler: An objective tool for assessing accessibility. The British Journal of Occupational Therapy. 491
  • IWARSSON, S.,STÅHL, A.. (2003). Accessibility, usability and universal design-positioning and definition of concepts describing person-environment relationships. Disability and Rehabilitation. 57-66
  • LASH, T.L.,FINK, A.K.. (2003). Re: Neighborhood environment and loss of physical function in older adults: evidence from the Alameda County Study. American Journal of Epidemiology. 472
  • LAWTON, M.P.,BRODY, E.M.. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 179
  • LI, Y.,HSU, J.A.,FERNIE, G.. (2013). Aging and the use of pedestrian facilities in winter-the need for improved design and better technology. Journal of Urban Health. 602
  • LIEN, L.L.,STEGGELL, C.D.,IWARSSON, S.. (2015). Adaptive strategies and person-environment fit among functionally limited older adults aging in place: A mixed methods approach. International Journal of Environmental Research and Public Health. 11954
  • LUCAS, K.,VAN WEE, B.,MAAT, K.. (2016). A method to evaluate equitable accessibility: Combining ethical theories and accessibility-based approaches. Transportation. 473
  • MACHIELSE, A.. (2015). The heterogeneity of socially isolated older adults: A social isolation typology. Journal of Gerontological Social Work. 338
  • MICHAEL, Y.L.,KEAST, E.M.,CHAUDHURY, H.,DAY, K.,MAHMOOD, A.,SARTE, A.F.. (2009). Revising the senior walking environmental assessment tool. Preventive Medicine. 247
  • MILES, R.,COUTTS, C.,MOHAMADI, A.. (2012). Neighborhood urban form, social environment, and depression. Journal of Urban Health. 1-18
  • MIYAWAKI, CE.. (2015). Association of social isolation and health across different racial and ethnic groups of older Americans. Ageing and Society. 2201
  • NECKA, E.A.,ROWLAND, L.M.,EVANS, J.D.. (2020). Social Disconnection in Late Life Mental Illness - Commentary from the National Institute of Mental Health. The American Journal of Geriatric Psychiatry. 10647481. 30464
  • NEWTON, R.,ORMEROD, M.,BURTON, E.,MITCHELL, L.,WARD-THOMPSON, C.. (2010). Increasing independence for older people through good street design. Journal of Integrated Care. 24
  • NICHOLSON, N.. (2012). A review of social isolation: An important but under-assessed condition in older adults. The Journal of Primary Prevention. 137
  • PÁRAMO, P.,BURBANO, A.,JIMÉNEZ-DOMÍNGUEZ, B.,BARRIOS, V.,PASQUALI, C.,VIVAS, F.,MOROS, O.,ALZATE, M.,JARAMILLO, J.C.,MOYANO, E.. (2018). La habitabilidad del espacio público en las ciudades de América Latina. Avances en Psicología Latinoamericana. 345
  • PARK, S.,SMITH, J.,DUNKLE, R.E.,INGERSOLL-DAYTON, B.,ANTONUCCI, T.C.. (2019). Health and social-Physical environment profiles among older adults living alone: Associations with depressive symptoms. The Journals of Gerontology: Series B. 675
  • PARRA, D.C.,GOMEZ, L.F.,SARMIENTO, O.L.,BUCHNER, D.,BROWNSON, R.,SCHIMD, T.,GOMEZ, V.,LOBELO, F.. (2010). Perceived and objective neighborhood environment attributes and health related quality of life among the elderly in Bogotá, Colombia. Social Science & Medicine. 1070
  • PHILLIPS, J.,WALFORD, N.,HOCKEY, A.,FOREMAN, N.,LEWIS, M.. (2013). Older people and outdoor environments: Pedestrian anxieties and barriers in the use of familiar and unfamiliar spaces. Geoforum. 113
  • PIKORA, T.J.,BULL, F.C.,JAMROZIK, K.,KNUIMAN, M.,GILES-CORTI, B.,DONOVAN, R.J.. (2002). Developing a reliable audit instrument to measure the physical environment for physical activity. American Journal of Preventive Medicine. 187
  • PORTEGIJS, E.,KESKINEN, K.E.,ERONEN, J.,SAAJANAHO, M.,RANTAKOKKO, M.,RANTANEN, T.. (2020). Older Adults' Physical Activity and the Relevance of Distances to Neighborhood Destinations and Barriers to Outdoor Mobility. Frontiers in Public Health.
  • PRATTLEY, J.,BUFFEL, T.,MARSHALL, A.,NAZROO, J.. (2020). Area effects on the level and development of social exclusion in later life. Social Science & Medicine.
  • RANTAKOKKO, M.,IWARSSON, S.,VAHALUOTO, S.,PORTEGIJS, E.,VILJANEN, A.,RANTANEN, T.. (2014). Perceived environmental barriers to outdoor mobility and feelings of loneliness among community-dwelling older people. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 1562
  • RANTAKOKKO, M.,PORTEGIJS, E.,VILJANEN, A.,IWARSSON, S.,KAUPPINEN, M.,RANTANEN, T.. (2017). Perceived environmental barriers to outdoor mobility and changes in sense of autonomy in participation outdoors among older people: a prospective two-year cohort study. Aging & Mental Health. 805
  • RICO-URIBE, L.A.,CABALLERO, F.F.,OLAYA, B.,TOBIASZ-ADAMCZYK, B.,KOSKINEN, S.,LEONARDI, M.,HARO, J.M.,CHATTERJI, S.,AYUSO-MATEOS, J.L.,MIRET, M.. (2016). Loneliness, social networks, and health: A cross-sectional study in three countries. PLoS One.
  • RODRÍGUEZ-RODRÍGUEZ, V.,SÁNCHEZ-GONZÁLEZ, D.. (2016). Environmental Gerontology in Europe and Latin America. Springer. Cham.
  • ROJAS, C.I.,GARCÍA, H.E.. (2013). Diseño inclusivo: La participación activa de las personas en las soluciones de diseño. Kepes. 297-314
  • RONZI, S.,ORTON, L.,BUCKNER, S.,BRUCE, N.,POPE, D.. (2020). How is Respect and Social Inclusion Conceptualised by Older Adults in an Aspiring Age-Friendly City? A Photovoice Study in the North-West of England. International Journal of Environmental Research and Public Health.
  • SAELENS, B.E.,SALLIS, J.F.,BLACK, J.B.,CHEN, D.. (2003). Neighborhood-based differences in physical activity: an environment scale evaluation. American Journal of Public Health. 1552
  • SÁNCHEZ-GONZÁLEZ, D.. (2007). Envejecimiento demográfico urbano y sus repercusiones socioespaciales en México. Retos de la planeación gerontológica. Revista de Geografía Norte Grande. 45-61
  • SÁNCHEZ-GONZÁLEZ, D.. (2009). Geografía del envejecimiento vulnerable y su contexto ambiental en la ciudad de Granada: Discapacidad, dependencia y exclusión social. Cuadernos Geográficos. 107
  • SÁNCHEZ-GONZÁLEZ, D.. (2015). Ambiente físico-social y envejecimiento de la población desde la gerontología ambiental y geografía. Implicaciones socioespaciales en América Latina. Revista de Geografía Norte Grande. 97-114
  • SÁNCHEZ-GONZÁLEZ, D.,ROJO, F.,RODRÍGUEZ, V.,FERNÁNDEZ-MAYORALAS, G.. (2020). Environmental and Psychosocial Interventions in Age-Friendly Communities and Active Ageing: A Systematic Review. International Journal of Environmental Research and Public Health. 17. 1-35
  • SCHREMPFT, S.,JACKOWSKA, M.,HAMER, M.,STEPTOE, A.. (2019). Associations between social isolation, loneliness, and objective physical activity in older men and women. BMC Public Health.
  • SHIODA, A.,YAMAUCHI, K.. (2020). Community integration and related factors among people with mental illness in Japan: Multiple regression analysis stratified by social isolation level. The International Journal of Social Psychiatry. 614
  • SILTANEN, S.,TOURUNEN, A.,SAAJANAHO, M.,PALMBERG, L.,PORTEGIJS, E.,RANTANEN, T.. (2020). Psychological resilience and active aging among older people with mobility limitations. European Journal of Ageing. 65-74
  • SKANTZ, H.,RANTANEN, T.,RANTALAINEN, T.,KESKINEN, K.E.,PALMBERG, L.,PORTEGIJS, E.,ERONEN, J.,RANTAKOKKO, M.. (2020). Associations between Perceived Outdoor Environment and Walking Modifications in Community-Dwelling Older People: A Two-Year Follow-Up Study. Journal of Aging and Health. 1538
  • SKINNER, M.W.,ANDREWS, G.J.,CUTCHIN, M.P.. (2018). Geographical Gerontology: Perspectives, Concepts, Approaches. Routledge. New York.
  • SMITH, K.J.,VICTOR, C.. (2019). Typologies of loneliness, living alone and social isolation, and their associations with physical and mental health. Ageing & Society. 1709
  • STAHL, S.T.,BEACH, S.R.,MUSA, D.,SCHULZ, R.. (2017). Living alone and depression: the modifying role of the perceived neighborhood environment. Aging & Mental Health. 1065
  • STEPTOE, A.,SHANKAR, A.,DEMAKAKOS, P.,WARDLE, J.. (2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences of the United States of America. 5797
  • STROM, S.,NATHAN, K.,WOLAND, J.. (2013). Site engineering for landscape architects. John Wiley and Sons. New Jersey.
  • SYED, MA.,MCDONALD, L.,SMIRLE, C.,LAU, K.,MIRZA, R.M.,HITZIG, S.L.. (2017). Social Isolation in Chinese Older Adults: Scoping Review for Age-Friendly Community Planning. Canadian Journal on Aging. 223
  • TAKANO, T.,NAKAMURA, K.,WATANABE, M.. (2002). Urban residential environments and senior citizens’ longevity in megacity areas: the importance of walkable green spaces. Journal of Epidemiology and Community Health. 913
  • TOST, H.,REICHERT, M.,BRAUN, U.,REINHARD, I.,PETERS, R.,LAUTENBACH, S.,HOELL, A.,SCHWARZ, E.,EBNER-PRIEMER, U.,ZIPF, A.,MEYER-LINDENBERG, A.. (2019). Neural correlates of individual differences in affective benefit of real-life urban green space exposure. Nature Neuroscience. 1389
  • URIARTE, J.D.. (2010). Psicología Positiva y sus dificultades. La resiliencia comunitaria en situaciones catastróficas y de emergencia. International Journal of Developmental and Educational Psychology. 687
  • VAN HOLLE, V.,VAN CAUWENBERG, J.,VAN DYCK, D.,DEFORCHE, B.,VAN DE WEGHE, N.,DE BOURDEAUDHUIJ, I.. (2014). Relationship between neighborhood walkability and older adults' physical activity: results from the Belgian Environmental Physical Activity Study in Seniors. The International Journal of Behavioral Nutrition and Physical Activity.
  • WALSH, K.,SCHARF, T.,KEATING, N.. (2016). Social exclusion of older persons: A scoping review and conceptual framework. European Journal of Ageing. 81-98
  • WARD-THOMPSON, C.,CURL, A.,ASPINALL, P.,ALVES, S.,ZUIN, A.. (2012). Do changes to the local street environment alter behaviour and quality of life of older adults? The ‘DIY Streets’ intervention. British Journal of Sports Medicine. 1-8
  • WEN, M.,HAWKLEY, L.C.,CACIOPPO, J.T.. (2006). Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois. Social Science & Medicine. 2575
  • WEYERS, S.,DRAGANO, N.,MOBUS, S.,BECK, E.M.,STANG, A.,MOHLENKAMP, S.,JÖCKEL, KH.,ERBEL, R.,SIEGRIST, J.. (2010). Poor social relations and adverse health behaviour: Stronger associations in low socioeconomic groups?. International Journal of Public Health. 17-23
  • (2018). WHO The Global Network for Age-Friendly Cities and Communities Looking Back over the Last Decade, Looking Forward to the Next. World Health Organization. Geneva.
  • WINTERS, M.,VOSS, C.,ASHE, MC.,GUTTERIDGE, K.,MCKAY, H.,SIMS-GOULD, J.. (2015). Where do they go and how do they get there? Older adults' travel behaviour in a highly walkable environment. Social Science & Medicine. 304
  • YEN, I.H.,FANDEL-FLOOD, J.,THOMPSON, H.,ANDERSON, L.A.,WONG, G.. (2014). How design of places promotes or inhibits mobility of older adults: realist synthesis of 20 years of research. Journal of Aging and Health. 1340
  • YIP, J.,HERBANE, H.,POLDMA, T.,ROUSSEAU, J.. (2015). Exploring the frames of construction of accessibility ramps. Canadian Journal on Aging. 457