{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T17:43:42Z","timestamp":1788198222276,"version":"build-2803163510"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T00:00:00Z","timestamp":1663718400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32AG000221"],"award-info":[{"award-number":["T32AG000221"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["U01AG32947"],"award-info":[{"award-number":["U01AG32947"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000053","name":"National Eye Institute","doi-asserted-by":"publisher","award":["K23EY027848"],"award-info":[{"award-number":["K23EY027848"]}],"id":[{"id":"10.13039\/100000053","id-type":"DOI","asserted-by":"publisher"}]},{"name":"John Hopkins University"},{"DOI":"10.13039\/100007270","name":"University of Michigan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007270","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,9]]},"abstract":"Abstract<\/jats:title>\n \n Background and Objectives<\/jats:title>\n Understanding how neighborhood-level factors moderate the relationship between visual health and activity limitations could inform strategies for successful aging in place among older adults with sensory impairments. Guided by a vision loss impact framework, this study aims to examine whether neighborhood social cohesion and physical disorder moderate the association between visual difficulty and activity limitation.<\/jats:p>\n <\/jats:sec>\n \n Research Design and Methods<\/jats:title>\n Secondary analyses were conducted using data from Round 5 of the National Health and Aging Trend Study. A\u00a04-level indicator was used to indicate the visual difficulty. Neighborhood social cohesion and physical disorder were each measured using a 3-item scale. Summary scores were created for daily activity limitations. Ordinary least squares regressions were performed to test the study hypotheses. The complex survey design factors were applied. Missing data were handled using multiple imputations.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Older adults reporting any type of visual difficulty experienced more limitations in self-care tasks, household activities, and mobility than those without visual difficulty. Neighborhood physical disorder moderated visual difficulty and activity limitations. Specifically, visual difficulty was associated with higher risk of activity limitations among participants perceiving physical disorder in the neighborhood compared to those perceiving no physical disorder.<\/jats:p>\n <\/jats:sec>\n \n Discussion and Implications<\/jats:title>\n The study findings suggest that the vision loss impact framework provides an integrative approach to identify the health needs of older adults with visual difficulty. Future research is needed to further understand the role of neighborhood in independent living among older adults with visual difficulty and to inform community-level interventions.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/geront\/gnac143","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T16:58:49Z","timestamp":1663693129000},"page":"762-772","source":"Crossref","is-referenced-by-count":9,"title":["Self-Reported Visual Difficulty and Daily Activity Limitations: The Moderating Role of Neighborhood Characteristics"],"prefix":"10.1093","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3404-5499","authenticated-orcid":false,"given":"Weidi","family":"Qin","sequence":"first","affiliation":[{"name":"Population Studies Center, University of Michigan , Ann Arbor, Michigan , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4925-2968","authenticated-orcid":false,"given":"Philippa\u00a0J","family":"Clarke","sequence":"additional","affiliation":[{"name":"Institute for Social Research, University of Michigan , Ann Arbor, Michigan , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0607-3564","authenticated-orcid":false,"given":"Joshua\u00a0R","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"Institute for Social Research, University of Michigan , Ann Arbor, Michigan , USA"},{"name":"Department of Ophthalmology and Visual Sciences, University of Michigan , Ann Arbor, Michigan , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,9,21]]},"reference":[{"key":"2023050911034204000_CIT0001","volume-title":"Code of the street: Decency, violence, and the moral life of the inner city","author":"Anderson","year":"1999"},{"issue":"6","key":"2023050911034204000_CIT0002","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1111\/jgs.17086","article-title":"The dynamics of being homebound over time: A\u00a0prospective study of Medicare beneficiaries, 2012\u20132018","volume":"69","author":"Ankuda","year":"2021","journal-title":"Journal of the American Geriatrics Society"},{"issue":"6","key":"2023050911034204000_CIT0003","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1093\/aje\/155.6.507","article-title":"Neighborhood environment and loss of physical function in older adults: Evidence from the Alameda County Study","volume":"155","author":"Balfour","year":"2002","journal-title":"American Journal of Epidemiology"},{"issue":"2","key":"2023050911034204000_CIT0004","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1093\/geronb\/gbn018","article-title":"Neighborhood characteristics and disability in older adults","volume":"64","author":"Beard","year":"2009","journal-title":"The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences"},{"issue":"5","key":"2023050911034204000_CIT0005","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1177\/0898264308317534","article-title":"The association between low vision and function","volume":"20","author":"Berger","year":"2008","journal-title":"Journal of Aging and Health"},{"issue":"12","key":"2023050911034204000_CIT0006","doi-asserted-by":"crossref","first-page":"e780","DOI":"10.1016\/S2666-7568(21)00249-X","article-title":"Sex differences in functional limitations and the role of socioeconomic 
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