Thordardottir Björg, Chiatti Carlos, Ekstam Lisa, Malmgren Fänge Agneta
Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, Lund 221 00, Sweden.
Italian National Research Center on Aging, Via S. Margherita 5, Ancona 60124, Italy.
Int J Environ Res Public Health. 2015 Dec 29;13(1):91. doi: 10.3390/ijerph13010091.
The aim of the paper was to explore the heterogeneity among housing adaptation clients. Cluster analysis was performed using baseline data from applicants in three Swedish municipalities. The analysis identified six main groups: "adults at risk of disability", "young old with disabilities", "well-functioning older adults", "frail older adults", "frail older with moderate cognitive impairments" and "resilient oldest old". The clusters differed significantly in terms of participation frequency and satisfaction in and outside the home as well as in terms of self-rated health. The identification of clusters in a heterogeneous sample served the purpose of finding groups with different characteristics, including participation and self-rated health which could be used to facilitate targeted home-based interventions. The findings indicate that housing adaptions should take person/environment/activity specific characteristics into consideration so that they may fully serve the purpose of facilitating independent living, as well as enhancing participation and health.
本文的目的是探讨住房适应性客户群体之间的异质性。使用来自瑞典三个城市的申请人的基线数据进行聚类分析。分析确定了六个主要群体：“有残疾风险的成年人”、“残疾的年轻老年人”、“功能良好的老年人”、“体弱的老年人”、“有中度认知障碍的体弱老年人”和“有复原力的高龄老人”。这些聚类在家庭内外的参与频率和满意度以及自评健康方面存在显著差异。在异质样本中识别聚类有助于找到具有不同特征的群体，包括参与度和自评健康，这些特征可用于促进有针对性的居家干预。研究结果表明，住房改造应考虑个人/环境/活动的特定特征，以便它们能够充分实现促进独立生活以及提高参与度和健康水平的目的。
