支持健康老龄化的住房与社区：住房与独立生活研究（HAIL）的结果
Supporting housing and neighbourhoods for healthy ageing: findings from the Housing and Independent Living Study (HAIL).
作者信息
Byles Julie E, Mackenzie Lynette, Redman Sally, Parkinson Lynne, Leigh Lucy, Curryer Cassie
机构信息
Research Centre for Gender, Health and Ageing, University of Newcastle, Newcastle, New South Wales, Australia; Hunter Medical Research Institute Public Health Capacity Building Group, University of Newcastle, Newcastle, New South Wales, Australia; Australian Longitudinal Study on Women's Health, University of Newcastle, Newcastle, New South Wales, Australia.
出版信息
Australas J Ageing. 2014 Mar;33(1):29-35. doi: 10.1111/j.1741-6612.2012.00646.x. Epub 2012 Oct 25.
AIM
To identify the extent to which homes and neighbourhoods of older community-dwelling people are 'supportive'.
METHOD
Cross-sectional survey, in-home observation and interviews involving 202 participants (75-79 years). Measures included SF-36 health-related quality of life and Late Life Function and Disability Instrument (LLFDI) scores, and self-reported home usability, access, safety and neighbourhood. Associations between home and neighbourhood characteristics were assessed using χ(2) -tests, t-tests and Pearson correlations.
RESULTS
Older people rated neighbourhood satisfaction highly (3.0 men, 3.2 women; 4 being the highest score). Many homes failed objective adaptability and safety ratings, particularly bathrooms (80% did not have a shower grab rail, 77% did not have non-slip floors); 27% of homes scored ≥8 of 25 possible hazards. There were significant correlations between perceptions of housing and neighbourhood and SF-36 and disability scores.
CONCLUSION
Many homes and neighbourhoods may not accommodate increased frailty or disability of older people into the future.
目的
确定社区中老年人的家庭和社区环境“支持性”的程度。
方法
对202名参与者（75 - 79岁）进行横断面调查、家庭观察和访谈。测量指标包括SF - 36健康相关生活质量、晚年功能与残疾量表（LLFDI）得分，以及自我报告的家庭可用性、便利性、安全性和社区环境。使用χ(2)检验、t检验和Pearson相关性分析评估家庭和社区特征之间的关联。
结果
老年人对社区环境满意度较高（男性评分为3.0，女性评分为3.2；满分4分）。许多家庭在客观适应性和安全评级方面未达标，尤其是浴室（80%没有淋浴扶手，77%没有防滑地板）；27%的家庭在25种可能的危险因素中得分≥8分。住房和社区环境的认知与SF - 36得分及残疾得分之间存在显著相关性。
结论
未来许多家庭和社区环境可能无法适应老年人日益增加的虚弱或残疾状况。
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