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  4. Social Integration among Adults Aging with Spinal Cord Injury: The Role of Features in the Built and Natural Environment

Social Integration among Adults Aging with Spinal Cord Injury: The Role of Features in the Built and Natural Environment

J Aging Environ, 2024 · DOI: 10.1080/26892618.2023.2203178 · Published: January 1, 2024

Spinal Cord InjuryAgingPublic Health

Simple Explanation

This study looks at how the environment around us affects the social lives of adults who have been living with spinal cord injuries (SCI) as they get older. The study found that having more accessible features in the community, like curb cuts and automatic doors, made it easier for people with SCI to participate in social activities. The study also found that environmental barriers, like gravel surfaces and winter weather, made it harder for people with SCI to be socially active.

Study Duration
January 1, 2019 and September 30, 2020
Participants
182 community dwelling adults aging with SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Facilitating features in the community built environment were associated with almost a two-fold higher odds of regularly engaging in informal social activities.
  • 2
    Fewer limiting features in the natural environment were associated with over a five-fold higher odds of engaging in regular informal social integration
  • 3
    More facilitating features in the community built environment were associated with over a two-fold higher odds of engaging in more frequent formal social integration

Research Summary

This study assessed subjective perceptions of facilitators and barriers in community built and natural environments and examined their association with the frequency of engagement in social activities. Curb cuts, ramps, automatic doors, elevators, paved surfaces, and flat terrain were identified as facilitating features, and were associated with more frequent social integration. Conversely, limiting features in the natural environment (winter weather, rain, crowds, and gravel surfaces) were associated with less frequent social integration.

Practical Implications

Accessible Community Design

Communities should prioritize accessible infrastructure (curb cuts, ramps, automatic doors) to support social integration for adults aging with SCI.

Environmental Barrier Mitigation

Address environmental barriers such as gravel surfaces and snow/ice to facilitate social participation, especially during winter months.

Policy and Urban Planning

Implement policies for snow removal and create accessible public spaces to encourage social connectedness for individuals with SCI.

Study Limitations

  • 1
    Cross-sectional design limits understanding of aging as a process.
  • 2
    Sample predominantly non-Hispanic White and male, limiting generalizability.
  • 3
    Potential unmeasured effects of the COVID-19 pandemic on social integration.

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