Slaug Björn, Zingmark Magnus, Granbom Marianne, Björk Jonas, Rantanen Taina, Schmidt Steven M, Iwarsson Susanne
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Health and Social Care Administration, Municipality of Östersund, Östersund, Sweden.
Aging Clin Exp Res. 2024 Aug 1;36(1):159. doi: 10.1007/s40520-024-02810-x.
Active aging is the process through which people strive to maintain wellbeing when growing old. Addressing the lack of research on active aging in the context of housing, the aim was to describe active aging among people aged 55 and older considering relocation and investigate whether perceived housing moderates the relationship between functional limitations and active aging.
We utilized cross-sectional data from a sub-sample (N = 820; mean age = 69.7; 54% women) of the Prospective RELOC-AGE. Functional limitations were reported using 10 dichotomous questions. Active aging was assessed with the University of Jyvaskyla Active Aging Scale (UJACAS; 17 items, self-rated for four perspectives). Perceived housing was self-rated with four usability questions and meaning of home (MOH; 28 items). Cross-sectional associations and interactions were analysed using linear regression models, adjusting for gender and educational level.
Each functional limitation decreased the active aging score by almost five points (p < 0.001). Usability did not moderate that relationship while MOH significantly attenuated the association between functional limitations and active aging (p = 0.039). Those with high MOH had two points less decrease in active aging score compared to those with low MOH.
Having a home with more personal meaning attached to it seems to provide more ability and opportunity for meaningful activities, thus supporting active aging despite functional limitations. This sheds new light on the known association between MOH and different aspects of wellbeing in old age and has relevance for theory development, housing policies and housing counselling targeting younger older adults.
积极老龄化是人们在变老过程中努力保持健康的过程。鉴于在住房背景下对积极老龄化的研究不足，本研究旨在描述55岁及以上考虑搬迁的人群中的积极老龄化情况，并调查感知到的住房状况是否会调节功能受限与积极老龄化之间的关系。
我们使用了前瞻性RELOC-AGE研究的一个子样本（N = 820；平均年龄 = 69.7；54%为女性）的横断面数据。使用10个二分法问题报告功能受限情况。用于韦斯屈莱大学积极老龄化量表（UJACAS；17个项目，从四个维度进行自评）评估积极老龄化情况。用四个关于可用性的问题和家庭意义（MOH；28个项目）对感知到的住房状况进行自评。使用线性回归模型分析横断面关联和相互作用，并对性别和教育水平进行了调整。
每一项功能受限都会使积极老龄化得分降低近5分（p < 0.001）。可用性并未调节这种关系，而家庭意义则显著减弱了功能受限与积极老龄化之间的关联（p = 0.039）。与家庭意义低的人相比，家庭意义高的人积极老龄化得分降低的幅度少2分。
拥有一个更具个人意义的家似乎能为有意义的活动提供更多的能力和机会，从而在功能受限的情况下支持积极老龄化。这为家庭意义与老年生活不同方面的幸福之间的已知关联提供了新的视角，并且对理论发展、住房政策以及针对年轻老年人的住房咨询具有重要意义。
