

Introduction. This empirical paper examines how the Housing Development Board (HDB) public housing neighborhood influences older urban Singaporeans' social interactions and ameliorates social isolation. Methods. Using 4,542 observations of noninstitutionalized urban adults aged 60 and above, ordered logistic regressions are run to determine the predictors of isolation while controlling for physical health and demographics. Results. 87 of older Singaporeans reside in public housing apartments while 13 reside in private market housing. The main predictor of social isolation is living alone and the second main predictor is coresidence with adult children. The relationship between coresidence with adult children and isolation is mediated when controlling for older adult functional limitations. The public apartment neighborhood and daily participation in public neighborhood events have substantial effects on reducing the risk of isolation. Older adult contact with friends alleviates isolation more than contact with non-coresiding relatives. Conclusion. Findings suggest that the public neighborhood-built environment in Singapore plays a positive role in the social interactions of the elderly. Knowledge of the factors that decrease the risk of social isolation will have implications for studying morbidity and mortality among the elderly. © 2012 Treena Wu and Angelique Chan.
| EMTREE medical terms: | agedarticlechildfamilyfriendhealth statushousinghumanneighborhoodpredictionpriority journalSingaporesocial aspectsocial interactionsocial isolationurban area |
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Wu, T.; Health Services and Systems Research, Duke-NUS Graduate Medical School, Level 4, 8 College Road, Singapore;
© Copyright 2012 Elsevier B.V., All rights reserved.