Shinan-Altman Shiri, Gum Amber M, Ayalon Liat
Bar-Ilan University, Ramat Gan, Israel.
University of South Florida, Tampa, USA.
J Appl Gerontol. 2020 Nov;39(11):1221-1229. doi: 10.1177/0733464819879015. Epub 2019 Oct 5.
Using the theory of diffusion of innovations, this study examined differences between American and Israeli older adults who decided to move to continuing care retirement communities (CCRC) and American and Israeli older adults who decided to stay at home. A total of 101 American participants (52 residents, 49 nonresidents) and 154 Israeli participants (104 residents, 50 nonresidents) completed measures of attitudes toward CCRCs, well-being, limitations in daily living, health status, proximity to services, and collectivism. Americans were more likely to relocate to CCRCs compared with staying at home when they reported positive attitudes toward CCRCs, higher well-being, and poorer subjective health. Among Israelis, positive attitudes toward CCRCs, better subjective health, and higher collectivism were associated with moving to CCRCs compared with staying at home. This study has implications for facilitating older adults' decision-making and CCRC policies, as findings point to potential sources of influence on older adults' decision to relocate.
本研究运用创新扩散理论,考察了决定搬入持续照料退休社区(CCRC)的美国和以色列老年人与决定居家养老的美国和以色列老年人之间的差异。共有101名美国参与者(52名居民,49名非居民)和154名以色列参与者(104名居民,50名非居民)完成了关于对CCRC的态度、幸福感、日常生活限制、健康状况、服务 proximity(此处原文可能有误,推测为“距离”)以及集体主义的测量。与居家养老相比,当美国人报告对CCRC持积极态度、幸福感较高且主观健康状况较差时,他们更有可能搬入CCRC。在以色列人中,与居家养老相比,对CCRC的积极态度、更好的主观健康状况和更高的集体主义与搬入CCRC相关。本研究对促进老年人的决策和CCRC政策具有启示意义,因为研究结果指出了影响老年人搬迁决策的潜在因素。