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Household Accessibility and Residential Relocation in Older Adults

Granbom, Marianne LU orcid ; Perrin, Nancy ; Szanton, Sarah ; Cudjoe, Thomas TM and Gitlin, Laura N (2019) In Journals of Gerontology - Series B Psychological Sciences and Social Sciences 74(7). p.72-83
Abstract
Objectives
It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities.
Methods
We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights.
Results
Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After... (More)
Objectives
It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities.
Methods
We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights.
Results
Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After adjusting for demographics and health factors, poor indoor accessibility was found to be associated with moves within the community but not to residential care facilities. No additional home environmental factors were associated with relocation.
Discussion
One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice. (Less)
Abstract (Swedish)
Abstract
Objectives
It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities.
Methods
We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights.
Results
Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care... (More)
Abstract
Objectives
It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities.
Methods
We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights.
Results
Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After adjusting for demographics and health factors, poor indoor accessibility was found to be associated with moves within the community but not to residential care facilities. No additional home environmental factors were associated with relocation.
Discussion
One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journals of Gerontology - Series B Psychological Sciences and Social Sciences
volume
74
issue
7
pages
72 - 83
publisher
Oxford University Press
external identifiers
  • pmid:30388250
  • scopus:85069047342
ISSN
1079-5014
DOI
10.1093/geronb/gby131
project
Moving to age-in-place? Building evidence on community-based moves and home modification services as means to improve the home environment and decrease admission to skilled nursing facilities
language
English
LU publication?
yes
id
8defcb48-3090-4e74-8a98-13f4ff3787ca
date added to LUP
2018-12-11 11:04:17
date last changed
2022-04-25 19:24:24
@article{8defcb48-3090-4e74-8a98-13f4ff3787ca,
  abstract     = {{Objectives<br/>It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities.<br/>Methods<br/>We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights.<br/>Results<br/>Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After adjusting for demographics and health factors, poor indoor accessibility was found to be associated with moves within the community but not to residential care facilities. No additional home environmental factors were associated with relocation.<br/>Discussion<br/>One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice.}},
  author       = {{Granbom, Marianne and Perrin, Nancy and Szanton, Sarah and Cudjoe, Thomas TM and Gitlin, Laura N}},
  issn         = {{1079-5014}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{72--83}},
  publisher    = {{Oxford University Press}},
  series       = {{Journals of Gerontology - Series B Psychological Sciences and Social Sciences}},
  title        = {{Household Accessibility and Residential Relocation in Older Adults}},
  url          = {{http://dx.doi.org/10.1093/geronb/gby131}},
  doi          = {{10.1093/geronb/gby131}},
  volume       = {{74}},
  year         = {{2019}},
}