Robards James, Evandrou Maria, Falkingham Jane, Vlachantoni Athina
EPSRC Care Life Cycle, Social Sciences, University of Southampton, , Southampton, Hampshire, UK.
J Epidemiol Community Health. 2014 Jun;68(6):524-9. doi: 10.1136/jech-2013-203097. Epub 2014 Mar 17.
The study examines the relationship between transitions to residential and sheltered housing and mortality. Past research has focused on housing moves over extended time periods and subsequent mortality. In this paper, annual housing transitions allow the identification of the patterning of housing moves, the duration of stay in each sector and the assessment of the relationship of preceding moves to a heightened risk of dying.
The study uses longitudinal data constructed from pooled observations from the British Household Panel Survey (waves 1993-2008). Records were pooled for all cases where the survey member is 65 years or over and living in private housing at baseline and observed at three consecutive time points, including baseline (N=23 727). Binary logistic regression (death as outcome three waves after baseline) explored the relative strength of different housing transitions, controlling for sociodemographic predictors.
(1) Transition to residential housing within the previous 12 months was associated with the highest mortality risk. (2) Results support existing findings showing an interaction between marital status and mortality, whereby unmarried persons were more likely to die. (3) Higher male mortality was observed across all housing transitions.
An older person's move to residential housing is associated with a higher risk of mortality within 12 months of the move. Survivors living in residential housing for more than a year, show a similar probability of dying to those living in sheltered housing. Results highlight that it is the type of accommodation that affects an older person's mortality risk, and the length of time they spend there.
本研究探讨了向住宅式和庇护式住房过渡与死亡率之间的关系。以往的研究主要关注较长时间段内的住房变动及其随后的死亡率。在本文中，年度住房过渡情况有助于确定住房变动的模式、在每个住房类型中的居住时长，并评估先前的住房变动与死亡风险增加之间的关系。
本研究使用了从英国家庭调查面板（1993 - 2008年各波次）的汇总观察数据构建的纵向数据。对所有调查对象为65岁及以上且在基线时居住在私人住房、并在包括基线在内的三个连续时间点接受观察的案例进行了数据汇总（N = 23727）。二元逻辑回归（以基线后三波次的死亡情况为结果）在控制社会人口统计学预测因素的情况下，探讨了不同住房过渡情况的相对强度。
（1）前12个月内过渡到住宅式住房与最高的死亡风险相关。（2）研究结果支持了现有研究结果，即婚姻状况与死亡率之间存在相互作用，未婚者更易死亡。（3）在所有住房过渡情况下均观察到男性死亡率较高。
老年人搬入住宅式住房与搬入后12个月内较高的死亡风险相关。在住宅式住房中居住超过一年的幸存者，其死亡概率与居住在庇护式住房中的人相似。研究结果突出表明，影响老年人死亡风险的是住房类型以及他们在该住房类型中居住的时长。
