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[老年期的居住流动性。适宜老年人的住房作为一种初级预防策略]

[Residential mobility in old age. Age-appropriate housing as a primary preventive strategy].

作者信息

Teti A, Grittner U, Kuhlmey A, Blüher S

出版信息

Z Gerontol Geriatr. 2014 Jun;47(4):320-8. doi: 10.1007/s00391-013-0538-0.

Abstract

BACKGROUND

Unfavorable living conditions in old age have negative physical, psychological and social implications and increase the risk of institutionalization. The aim of this study is to examine older adults’ readiness to relocate to age-appropriate housing versus the wish to stay where they are.

METHODS

A total of 103 older men and women were questioned prospectively, face-to-face, regarding their readiness to relocate. In addition to assessing several established predictors of residential mobility, data on objective living situations were collected. The data were subjected to bi- and multivariate analysis.

RESULTS

At 70.9%, the proportion of respondents who are not willing to move (stayers) far exceeds the proportion of those who are (movers, 29.1%). Older respondents are more satisfied with their living situation and less likely to move. This study provides empirical evidence for the "satisfaction paradox" with respect to living conditions and for the importance of the subjective standard of living for quality of life in old age.

CONCLUSION

Modern housing counseling should more strongly reflect the variety of needs, requirements and living situations of older people today than it has done in the past. It is therefore recommended that the currently dominating paradigm of "aging in place" be critically re-evaluated.

摘要

背景

老年时不利的生活条件会对身体、心理和社会产生负面影响,并增加入住养老机构的风险。本研究的目的是调查老年人对搬迁至适合其年龄的住房的意愿与留在原地的意愿。

方法

前瞻性地对103名老年男性和女性进行面对面询问,了解他们的搬迁意愿。除了评估几个既定的居住流动性预测因素外,还收集了客观生活状况的数据。对数据进行了双变量和多变量分析。

结果

70.9%的受访者不愿意搬家(留守者),这一比例远远超过愿意搬家的受访者比例(搬迁者,29.1%)。年长的受访者对自己的生活状况更满意,搬家的可能性更小。本研究为生活条件方面的“满意度悖论”以及主观生活水平对老年生活质量的重要性提供了实证依据。

结论

与过去相比,现代住房咨询应更强烈地反映当今老年人的各种需求、要求和生活状况。因此,建议对当前占主导地位的“就地养老”模式进行批判性重新评估。

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