Social network moderators of the association between Ghanaian older adults' neighbourhood walkability and social activity

Health Promot Int. 2021 Oct 13;36(5):1357-1367. doi: 10.1093/heapro/daaa156.

Abstract

This study examined the moderating influences of active social networks (ASN), sedentary social networks (SSN) and ASN lost on the relationship between neighbourhood walkability and social activity in community-dwelling older adults aged 60 years or more in Accra, Ghana. A total of 863 individuals participated after G*Power 3.1 was utilized to calculate the minimum sample size. We analysed the data with Pearson's correlation test and hierarchical linear regression models. A sensitivity analysis was conducted to select the ultimate confounding variables. The study found a positive influence of neighbourhood walkability on social activity after the covariate adjustment (β = 0.18; t = 5.2; p = 0.000). The positive influence of neighbourhood walkability on social activity was significantly reduced by ASN lost and SSN. ASN did not have a significant moderating influence on the primary relationship. The study concludes that the positive influence of walkable neighbourhoods on social activity decreases as SSN and ASN lost increase.

Keywords: confounding variables; neighbourhood walkability; older adults; social activity; social capital; social networks.

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Environment Design*
  • Ghana
  • Humans
  • Residence Characteristics
  • Social Networking
  • Walking*