The Impact of Cognitive Impairment on Life Satisfaction in Older Adults: Examining the Double Mediating Roles of Neighborhood Satisfaction and Social Participation

The environment plays an integral role in the lives of individuals with cognitive decline. This study analyzed data from the National Survey of Older Koreans (2020) (9,885 older Koreans). The results showed that cognitively impaired group had lower community environment satisfaction than the cognitively healthy group, which led to lower social participation and lower life satisfaction, and the double mediation effect was significant (B = -.001, <i>p</i> < .001). However, there was no direct effect of cognitive status on life satisfaction (B = .004, <i>p</i> = .759). The findings highlight the imperative for the development of neighborhood environments that foster social engagement among older adults experiencing cognitive decline.