Oswald Frank, Wahl Hans-Werner
German Centre for Research on Ageing at the University of Heidelberg, Department of Social and Environmental Gerontology, Germany.
Rev Environ Health. 2004 Jul-Dec;19(3-4):223-52.
The goal of this paper is to compile recent data on the housing and health in old age, with special emphasis on geropsychological and gerontological studies. The authors first introduce their understanding of both housing and health. Second, theoretical models that are important to understand better the relation between housing- and health-related outcomes are incorporated into an analytic scheme. Third, data on objective and subjective aspects of housing in old age in relation to health-related outcomes are presented. Among the objective functional housing aspects are health-relevant micro-environmental indicators like housing hazards and amenities, retrofitting and assistive devices, as well as meso- and macro-environmental indicators like housing type, neighborhood conditions, or urban-rural differences. Relocation is a classic field in environmental gerontology in which drastic environmental change has been linked to health outcomes. Among subjective housing aspects are residential satisfaction, housing-related control beliefs, and meaning of home. Direct health-related outcomes, such as physical and mental diseases and functional limitations, as well as indirect health-related outcomes like satisfaction or well-being receive attention. We conclude with a discussion addressing the environment and health dynamics of aging in the future.
本文的目的是汇编有关老年人住房与健康的最新数据,特别侧重于老年心理学和老年学研究。作者首先介绍他们对住房和健康的理解。其次,将有助于更好理解住房与健康相关结果之间关系的理论模型纳入一个分析框架。第三,展示了与健康相关结果相关的老年住房客观和主观方面的数据。在住房客观功能方面,有与健康相关的微观环境指标,如住房危险因素和便利设施、改造和辅助设备,以及中观和宏观环境指标,如住房类型、邻里条件或城乡差异。搬迁是环境老年学中的一个经典领域,在该领域中,剧烈的环境变化与健康结果相关联。在住房主观方面,有居住满意度、与住房相关的控制信念以及家的意义。直接的健康相关结果,如身心疾病和功能限制,以及间接的健康相关结果,如满意度或幸福感都受到关注。我们最后讨论了未来老龄化的环境与健康动态。