Lehning Amanda J, Smith Richard J, Dunkle Ruth E
University of Michigan, Ann Arbor, MI, USA
Wayne State University, Detroit, MI, USA.
J Appl Gerontol. 2015 Mar;34(2):158-80. doi: 10.1177/0733464813483210. Epub 2013 Apr 15.
Currently there is limited evidence linking age-friendly characteristics to outcomes in elders. Using a representative sample of 1,376 adults aged 60 and older living in Detroit, this study examined the association between age-friendly social and physical environmental characteristics and the expectation to age in place, and the potential differences between low- and higher-income elders. Based on U.S. Environmental Protection Agency's (EPA) age-friendly guide, we identified six factors reflecting age-friendly characteristics. Logistic regression models indicated that regardless of income level only neighborhood problems were significantly associated with expecting to age in place. Low-income elders were more likely to expect to age in place than their higher-income counterparts, and it is unclear whether this resulted from a desire to remain in the home or that there is no place else to go. Future research should address the ways in which financial resources affect the choices, expectations, and outcomes of aging in place.
目前,将利于老年人的特征与老年人的生活结果联系起来的证据有限。本研究以底特律1376名60岁及以上成年人的代表性样本为对象,考察了利于老年人的社会和物理环境特征与就地养老期望之间的关联,以及低收入和高收入老年人之间的潜在差异。基于美国环境保护局(EPA)的利于老年人指南,我们确定了六个反映利于老年人特征的因素。逻辑回归模型表明,无论收入水平如何,只有邻里问题与就地养老期望显著相关。低收入老年人比高收入老年人更有可能期望就地养老,目前尚不清楚这是由于他们希望留在家中,还是因为无处可去。未来的研究应探讨财政资源影响就地养老选择、期望和结果的方式。