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Associations among housing accessibility, housing-related control beliefs and independence in activities of daily living : a cross-sectional study among younger old in Sweden

Gefenaite, Giedre LU orcid ; Björk, Jonas LU ; Schmidt, Steven M. LU orcid ; Slaug, Björn LU orcid and Iwarsson, Susanne LU (2020) In Journal of Housing and the Built Environment 35(3). p.867-877
Abstract

There is some evidence that housing accessibility, external housing-related control beliefs (HCB) and activities of daily living (ADL) are associated in complex ways; however, these pathways have not been explored in younger old. The aim was to assess the role of external HCB in the relationship between housing accessibility and ADL by applying moderation and mediation models. This was a cross-sectional study involving 366 community-living 67–70 years old participants from the Skåne part of the Swedish National Study of Aging and Care. We assessed moderation by including an interaction term in a logistic regression analysis (significant if p value < 0.05). We assessed mediation with a series of regression analyses with effect size... (More)

There is some evidence that housing accessibility, external housing-related control beliefs (HCB) and activities of daily living (ADL) are associated in complex ways; however, these pathways have not been explored in younger old. The aim was to assess the role of external HCB in the relationship between housing accessibility and ADL by applying moderation and mediation models. This was a cross-sectional study involving 366 community-living 67–70 years old participants from the Skåne part of the Swedish National Study of Aging and Care. We assessed moderation by including an interaction term in a logistic regression analysis (significant if p value < 0.05). We assessed mediation with a series of regression analyses with effect size measures expressed as proportion mediated and its 95% confidence interval (CI). In the absence of statistically significant interaction there was no support for external HCB as a moderator. There was evidence for partial mediation as external HCB was associated with ADL when controlled for housing accessibility, while housing accessibility remained associated with independence in ADL when adjusted for external HCB. The proportion mediated was 6% (95% CI 1; 14). While the results did not support external HCB as a moderator, external HCB mediated the association between housing accessibility and ADL. These results were different from previous findings suggesting that external HCB plays a marginally significant moderating and mediating role among very old. Such differences call for further studies that would allow further exploration and validation of the findings at different stages of the ageing process, preferably utilizing longitudinal study designs.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Community-living, Function, Housing, Independence, Third age
in
Journal of Housing and the Built Environment
volume
35
issue
3
pages
11 pages
publisher
Springer
external identifiers
  • scopus:85075143147
ISSN
1566-4910
DOI
10.1007/s10901-019-09717-4
project
Home, Health and Disability along the Process of Ageing
Sustainable outdoor living environments – systematic interdisciplinary studies of health effects and impact on social inequalities
language
English
LU publication?
yes
id
1c5c8684-59f2-4ced-9f97-20fec43c67d8
date added to LUP
2019-12-03 12:34:14
date last changed
2022-05-04 02:41:41
@article{1c5c8684-59f2-4ced-9f97-20fec43c67d8,
  abstract     = {{<p>There is some evidence that housing accessibility, external housing-related control beliefs (HCB) and activities of daily living (ADL) are associated in complex ways; however, these pathways have not been explored in younger old. The aim was to assess the role of external HCB in the relationship between housing accessibility and ADL by applying moderation and mediation models. This was a cross-sectional study involving 366 community-living 67–70 years old participants from the Skåne part of the Swedish National Study of Aging and Care. We assessed moderation by including an interaction term in a logistic regression analysis (significant if p value &lt; 0.05). We assessed mediation with a series of regression analyses with effect size measures expressed as proportion mediated and its 95% confidence interval (CI). In the absence of statistically significant interaction there was no support for external HCB as a moderator. There was evidence for partial mediation as external HCB was associated with ADL when controlled for housing accessibility, while housing accessibility remained associated with independence in ADL when adjusted for external HCB. The proportion mediated was 6% (95% CI 1; 14). While the results did not support external HCB as a moderator, external HCB mediated the association between housing accessibility and ADL. These results were different from previous findings suggesting that external HCB plays a marginally significant moderating and mediating role among very old. Such differences call for further studies that would allow further exploration and validation of the findings at different stages of the ageing process, preferably utilizing longitudinal study designs.</p>}},
  author       = {{Gefenaite, Giedre and Björk, Jonas and Schmidt, Steven M. and Slaug, Björn and Iwarsson, Susanne}},
  issn         = {{1566-4910}},
  keywords     = {{Community-living; Function; Housing; Independence; Third age}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{867--877}},
  publisher    = {{Springer}},
  series       = {{Journal of Housing and the Built Environment}},
  title        = {{Associations among housing accessibility, housing-related control beliefs and independence in activities of daily living : a cross-sectional study among younger old in Sweden}},
  url          = {{http://dx.doi.org/10.1007/s10901-019-09717-4}},
  doi          = {{10.1007/s10901-019-09717-4}},
  volume       = {{35}},
  year         = {{2020}},
}