Relations of the neighbourhood socio-economic and physical environment with 3-year changes in health-related quality of life among community-dwelling older adults in Belgium

Current evidence on the relations between neighbourhood environments and older adults' health-related quality of life (HRQoL) relies mainly cross-sectional studies. This longitudinal study aimed to examine socio-economic status (SES) objective perceived physical environmental factors with 3-year changes in mental HRQoL. Baseline three-year follow-up data were collected 503 Belgian adults. Generalized linear mixed models applied. Participants living low compared high SES neighbourhoods experienced stronger decreases Shorter distances nearest private recreational facility park better aesthetics associated weaker Independent time, higher safety from crime was related Unexpectedly, levels access facilities, land use mix diversity, connectivity traffic To prevent HRQoL, policies should prioritize adults provide aesthetically pleasing safe nearby parks facilities. Future research is needed clarify observed unanticipated effects mediating pathways