Socioeconomic disadvantage and disorder in the residential neighborhood have been linked to multiple health risks, but less is known about the relevance of other spaces of daily life. This article considers whether disadvantage and disorder in the immediate context—within or outside of the residential neighborhood—is associated with physiological symptoms indicative of stress and strain. We use data from a study of 61 older adults in four New York City neighborhoods. Participants carried smartphones to capture GPS locations and ecological momentary assessments during the study week. We find that instantaneous exposure to disorder is associated with momentary spikes in pain and fatigue. This is not explained by cumulative exposure to disorder or concurrent stress or fear. Rather, disordered spaces may be physically and cognitively taxing for older adults in real time. We urge further research on short- and long-term health consequences of activity spaces.

居民区的社会经济劣势和混乱与多种健康风险有关，但人们对日常生活其他空间的相关性知之甚少。本文考虑了直接环境中的劣势和障碍（住宅区内部或外部）是否与表示压力和紧张的生理症状有关。我们使用来自纽约市四个社区的 61 名老年人的研究数据。在研究周期间，参与者携带智能手机捕捉 GPS 位置和生态瞬时评估。我们发现瞬间暴露于障碍与疼痛和疲劳的瞬间峰值有关。这不能通过累积暴露于障碍或同时发生的压力或恐惧来解释。相当，无序的空间可能会实时对老年人造成身体和认知上的负担。我们敦促进一步研究活动空间的短期和长期健康后果。