Okoye Safiyyah M, Samuel Laura J, Fabius Chanee D, Ortiz Kasim, Pollack Craig E, Gitlin Laura N, Szanton Sarah L, Wolff Jennifer L
Department of Graduate Nursing, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA; Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Department of Graduate Nursing, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA; Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Geriatr Nurs. 2025 Mar-Apr;62(Pt B):175-181. doi: 10.1016/j.gerinurse.2025.01.042. Epub 2025 Feb 11.
Housing is relevant to quality-of-life for older adults with and without disabilities, particularly those with limited financial resources. Among 4,898 low- and moderate-income community-living National Health and Aging Trends Study respondents, we describe and examine differences in housing characteristics of older adults with (n = 2774) and without disability (n = 2124). Next, among those with disability (self-care, household-activity, or mobility limitations), we examine associations of housing characteristics with adverse consequences due to unmet care needs, including soiling oneself or having to stay inside. In descriptive analyses, those with disability (vs without) more commonly rented, lived in subsidized housing, lived in apartments or mobile homes, and with home disorder, home disrepair, and street disorder. In adjusted logistic regressions among the subgroup with disability, several housing characteristics were statistically significantly associated with adverse consequences. Policy, programmatic, and clinical interventions that account for housing as an important social determinant of older adult quality-of-life should be advanced.
住房对于有无残疾的老年人的生活质量都很重要,尤其是那些经济资源有限的老年人。在4898名参与国家健康与老龄化趋势研究的中低收入社区居住受访者中,我们描述并研究了有残疾(n = 2774)和无残疾(n = 2124)的老年人在住房特征方面的差异。接下来,在那些有残疾(自我护理、家务活动或行动不便)的人中,我们研究了住房特征与因未满足护理需求而产生的不良后果之间的关联,包括弄脏自己或不得不待在室内。在描述性分析中,有残疾的人(与无残疾的人相比)更常租房、居住在补贴住房中、住在公寓或移动房屋里,并且住房杂乱、年久失修,周边街道也杂乱。在有残疾的亚组人群的调整逻辑回归分析中,几个住房特征与不良后果在统计学上有显著关联。应推进将住房视为老年人生活质量重要社会决定因素的政策、方案和临床干预措施。