Housing characteristics of low and moderate income older adults with and without disabilities

被引:0
|
作者
Okoye, Safiyyah M. [1 ,2 ]
Samuel, Laura J. [1 ,3 ]
Fabius, Chanee D. [4 ]
Ortiz, Kasim
Pollack, Craig E. [3 ,4 ]
Gitlin, Laura N. [3 ,5 ]
Szanton, Sarah L. [3 ]
Wolff, Jennifer L. [4 ]
机构
[1] Drexel Univ, Coll Nursing & Hlth Profess, Dept Grad Nursing, 60 N 36th St,Room 10W61, Philadelphia, PA 19104 USA
[2] Drexel Univ, Dornsife Sch Publ Hlth, Dept Hlth Management & Policy, Philadelphia, PA USA
[3] Johns Hopkins Univ, Sch Nursing, Baltimore, MD USA
[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA
[5] Drexel Univ, Coll Nursing & Hlth Profess, Philadelphia, PA USA
关键词
Housing; Older adults; Disability; Quality of life; Adverse consequences of unmet care needs; Low income; Moderate income; Community living; NATIONAL-HEALTH; UNMET NEED; CARE NEEDS; CONSEQUENCES; MORTALITY; EDUCATION; MOBILITY; AGE;
D O I
10.1016/j.gerinurse.2025.01.042
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Housing is relevant to quality-of-life for older adults with and without disabilities, particularly those with limited financial resources. Among 4,898 low- and moderate-income community-living National Health and Aging Trends Study respondents, we describe and examine differences in housing characteristics of older adults with (n = 2774) and without disability (n = 2124). Next, among those with disability (self-care, household-activity, or mobility limitations), we examine associations of housing characteristics with adverse consequences due to unmet care needs, including soiling oneself or having to stay inside. In descriptive analyses, those with disability (vs without) more commonly rented, lived in subsidized housing, lived in apartments or mobile homes, and with home disorder, home disrepair, and street disorder. In adjusted logistic regressions among the subgroup with disability, several housing characteristics were statistically significantly associated with adverse consequences. Policy, programmatic, and clinical interventions that account for housing as an important social determinant of older adult quality-of-life should be advanced. (c) 2025 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
引用
收藏
页码:175 / 181
页数:7
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