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高龄老人客观住房状况与主观住房感受之间的关系。

Relationships between objective and perceived housing in very old age.

作者信息

Nygren Carita, Oswald Frank, Iwarsson Susanne, Fänge Agneta, Sixsmith Judith, Schilling Oliver, Sixsmith Andrew, Széman Zsuzsa, Tomsone Signe, Wahl Hans-Werner

机构信息

Research Unit of Occupational Therapy, Institute of Public Health, University of Southern Denmark, Winsløws vej 9B 5000, Odense C, Denmark.

出版信息

Gerontologist. 2007 Feb;47(1):85-95. doi: 10.1093/geront/47.1.85.

Abstract

PURPOSE

Our purpose in this study was to explore relationships between aspects of objective and perceived housing in five European samples of very old adults, as well as to investigate whether cross-national comparable patterns exist.

DESIGN AND METHODS

We utilized data from the first wave of the ENABLE-AGE Survey Study. The five national samples totalled 1,918 individuals aged 75 to 89 years. Objective assessments of the home environment covered the number of environmental barriers as well as the magnitude of accessibility problems (an aspect of person-environment fit). To assess perceptions of housing, we used instruments on usability, meaning of home, and housing satisfaction. We also assessed housing-related control.

RESULTS

Overall, the results revealed that the magnitude of accessibility problems, rather than the number of physical environmental barriers, was associated with perceptions of activity-oriented aspects of housing. That is, very old people living in more accessible housing perceived their homes as more useful and meaningful in relation to their routines and everyday activities, and they were less dependent on external control in relation to their housing. The patterns of such relationships were similar in the five national samples.

IMPLICATIONS

Objective and perceived aspects of housing have to be considered in order to understand the dynamics of aging in place, and the results can be used in practice contexts that target housing for senior citizens.

摘要

目的

本研究的目的是探讨欧洲五个高龄老年人样本中客观住房状况与主观住房感受各方面之间的关系,并调查是否存在跨国可比模式。

设计与方法

我们使用了ENABLE-AGE调查研究第一波的数据。这五个国家的样本共有1918名年龄在75至89岁之间的个体。对家庭环境的客观评估涵盖了环境障碍的数量以及无障碍问题的严重程度(人-环境适配的一个方面)。为了评估对住房的看法,我们使用了关于可用性、家的意义和住房满意度的工具。我们还评估了与住房相关的控制权。

结果

总体而言,结果显示无障碍问题的严重程度而非物理环境障碍的数量与对住房中以活动为导向方面的看法相关。也就是说,居住在无障碍程度更高住房中的高龄老年人认为他们的家对于他们的日常事务和日常活动更有用且更有意义,并且他们在住房方面对外部控制的依赖程度更低。这种关系模式在五个国家的样本中是相似的。

启示

为了理解就地养老的动态变化,必须考虑住房的客观和主观方面,并且这些结果可用于针对老年人住房的实践场景。

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