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友好型环境与安老宜居:潜在剖面分析的发现。

Age-friendly Environment and Aging in Place: Finding from Latent Profile Analysis.

机构信息

School of Social Work, Virginia Commonwealth University, Richmond, USA.

School of Social Welfare, Gyeongsang National University, Jinju, The Republic of Korea.

出版信息

Int J Aging Hum Dev. 2024 Jun;98(4):499-514. doi: 10.1177/00914150231194236. Epub 2023 Aug 16.

Abstract

Older adults prefer ageing in place (AIP) rather than institutionalized facilities. Although its advantages, AIP can be challenging when communities are unable to meet residents' needs. This study aims to identify the relationship between the level of age-friendliness of community and AIP. We used AARP Age-friendly Community Survey data with 6670 older adults in the USA. We used responses from 63 items assessing various aspects of a community's age-friendliness to identify different types of age-friendly communities (AFCs) through latent profile analysis (LPA). We then ran multinomial logistic regression to examine whether the types of AFC were associated with AIP. LPA revealed three types of AFC: Underdeveloped, developing, and developed. Regression results showed older adults living in underdeveloped and developing communities are less likely to AIP compared to those in the developed community. These results show a positive impact of AFC on intention to AIP. Policymakers should consider expanding AFC initiatives for the growing number of older adults.

摘要

老年人更喜欢在原地(AIP)养老,而不是在机构化设施中养老。尽管 AIP 有很多好处,但当社区无法满足居民的需求时,AIP 可能会面临挑战。本研究旨在确定社区的老龄化友好程度与 AIP 之间的关系。我们使用了美国 AARP 老龄化友好社区调查的数据,其中包括 6670 名老年人。我们使用了 63 项评估社区老龄化友好程度的各个方面的回答,通过潜在剖面分析(LPA)来确定不同类型的老龄化友好社区(AFC)。然后,我们进行了多项逻辑回归分析,以检验 AFC 类型是否与 AIP 相关。LPA 揭示了三种类型的 AFC:欠发达、发展中和发达。回归结果表明,与生活在发达社区的老年人相比,生活在欠发达和发展中社区的老年人不太可能选择 AIP。这些结果表明 AFC 对 AIP 意愿有积极影响。政策制定者应该考虑扩大 AFC 计划,以满足越来越多的老年人的需求。

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