Chen Qingru, Amano Takashi, Park Sojung, Kim Borin
Medical Social Work Department, Huadong Hospital affiliated to Fudan University , Shanghai , China.
Brown School, Washington University in St. Louis , St. Louis , MO , USA.
J Gerontol Soc Work. 2019 Oct;62(7):708-727. doi: 10.1080/01634372.2019.1639094. Epub 2019 Jul 11.
Little evidence exists regarding the role of Home and Community-Based Services (HCBS) utilization on life satisfaction among older people who are both homebound and low-income. Guided by the personal-environment (-E) fit perspective, this study aims to: (1) describe characteristics of older people with homebound and low-income status; (2) investigate how the combination of homebound and low-income status is associated with life satisfaction; and (3) examine whether HCBS utilization moderates the association between homebound and low-income status and life satisfaction. Data were drawn from the 2012 Health and Retirement Study, and the sample included respondents who were 51+ years who completed a questionnaire for HCBS utilization (= 1,662). Results describe sociodemographic, health-related, and environmental characteristics of older adults. Combined homebound and low-income status was a significant predictor of lower life satisfaction ( = -0.15, < .05), but better life satisfaction when they used HCBS ( 0.33, .10). These findings suggest that promoting HCBS utilization is a promising strategy to enhance well-being among those homebound and poor. Further studies are needed to test the effectiveness of HCBS with longitudinal data and to investigate the details of effective HCBS utilization such as frequency of use and types of services.
关于居家和社区服务（HCBS）的使用对居家且低收入老年人生活满意度的作用，现有证据很少。本研究以个人 - 环境（-E）适配视角为指导，旨在：（1）描述居家且低收入老年人的特征；（2）调查居家和低收入状况的组合与生活满意度之间的关联；（3）检验HCBS的使用是否调节了居家和低收入状况与生活满意度之间的关联。数据取自2012年健康与退休研究，样本包括51岁及以上完成了HCBS使用情况问卷的受访者（= 1,662）。结果描述了老年人的社会人口学、健康相关和环境特征。居家和低收入状况的组合是生活满意度较低的一个显著预测因素（= -0.15，<.05），但当他们使用HCBS时生活满意度更高（0.33，.10）。这些发现表明，促进HCBS的使用是提高居家贫困者幸福感的一个有前景的策略。需要进一步的研究来用纵向数据检验HCBS的有效性，并调查有效使用HCBS的细节，如使用频率和服务类型。
