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健康和住房属性会促使中国老年人搬家吗?来自一项8年随访研究的证据。

Do Health and Housing Attributes Motivate Residential Moves Among Older Chinese Adults? Evidence From an 8‑Year Follow‑up Study.

作者信息

Zhang Ziqi

机构信息

Department of Architecture, School of Design, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Innov Aging. 2024 May 14;8(6):igae049. doi: 10.1093/geroni/igae049. eCollection 2024.

Abstract

BACKGROUND AND OBJECTIVES

Despite the widespread belief in aging-in-place as the preferred housing arrangement for older adults, they are increasingly embracing moving. The person-environment fit theory explains that environmental changes due to residential moves can pose health risks, discouraging older people from moving. However, it also suggests that moves may be suitable when living conditions no longer meet their physical needs. The correlation between older people's health, housing, and their subsequent moving or staying actions in China remains underexplored.

RESEARCH DESIGN AND METHODS

Using alternative operating variables of key concepts and the China Family Panel Studies 2012-2018 data sets, this study examines the effects of health and housing status on older people's residential moves in China. The study outlines changes in health indicators and housing characteristics during multiple moves, as well as examines the relationship between the health and housing status of older adults and moving over a relatively long period of time using both regression models with lagged explanatory variables and fixed effects binary choice models.

RESULTS

The results reveal that: (1) higher rates of subsequent moves were observed among older adults with better self-rated health, positive self-rated health changes, and no ADL impairment, but no significant associations were found between most health variables and moving; and (2) the correlation between older persons' house ownership/type and their residential moves was significant and consistent over time, steady and lasting.

DISCUSSION AND IMPLICATIONS

Potential mechanisms explaining the association between specific housing types and ownership statuses on moving are discussed. The findings encourage a focus on the positive benefits of moving in later life and how to provide additional housing options for older individuals.

摘要

背景与目标

尽管人们普遍认为就地养老是老年人首选的居住安排,但他们越来越倾向于搬家。人-环境适配理论解释说,因居住迁移导致的环境变化可能会带来健康风险,从而阻碍老年人搬家。然而,该理论也表明,当生活条件不再满足他们的身体需求时,搬家可能是合适的。在中国,老年人的健康、住房与他们随后的搬家或留居行为之间的相关性仍未得到充分研究。

研究设计与方法

本研究使用关键概念的替代操作变量以及2012 - 2018年中国家庭追踪调查数据集,考察健康和住房状况对中国老年人居住迁移的影响。该研究概述了多次搬家过程中健康指标和住房特征的变化,并使用带有滞后解释变量的回归模型和固定效应二元选择模型,在相对较长的时间段内考察老年人的健康和住房状况与搬家之间的关系。

结果

结果显示:(1)自评健康状况较好、自评健康状况有积极变化且无日常生活活动能力障碍的老年人后续搬家率较高,但大多数健康变量与搬家之间未发现显著关联;(2)老年人的房屋所有权/类型与他们的居住迁移之间的相关性在不同时间是显著且一致的,稳定且持久。

讨论与启示

讨论了解释特定住房类型和所有权状况与搬家之间关联的潜在机制。研究结果鼓励关注晚年搬家的积极益处以及如何为老年人提供更多住房选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f1/11167399/4b3f340b86fd/igae049_fig1.jpg

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