IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i3p330-d93732.html
   My bibliography  Save this article

Variation in Older Adult Characteristics by Residence Type and Use of Home- and Community-Based Services

Author

Listed:
  • Heidi H. Ewen

    (Institute of Gerontology, College of Public Health, The University of Georgia, 102 Spear Road, Hudson Hall, Athens, GA 30602, USA
    Department of Financial Planning, Housing, and Consumer Economics, The University of Georgia, Athens, GA 30602, USA
    Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA)

  • Tiffany R. Washington

    (School of Social Work, The University of Georgia, Athens, GA 30602, USA)

  • Kerstin G. Emerson

    (Institute of Gerontology, College of Public Health, The University of Georgia, 102 Spear Road, Hudson Hall, Athens, GA 30602, USA
    Department of Health Policy and Management, College of Public Health, The University of Georgia, Athens, GA 30602, USA)

  • Andrew T. Carswell

    (Department of Financial Planning, Housing, and Consumer Economics, The University of Georgia, Athens, GA 30602, USA)

  • Matthew Lee Smith

    (Institute of Gerontology, College of Public Health, The University of Georgia, 102 Spear Road, Hudson Hall, Athens, GA 30602, USA
    Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA
    Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA)

Abstract

Background: The majority of older adults prefer to remain in their homes, or to “age-in-place.” To accomplish this goal, many older adults will rely upon home- and community-based services (HCBS) for support. However, the availability and accessibility of HCBS may differ based on whether the older adult lives in the community or in a senior housing apartment facility. Methods: This paper reports findings from the Pathways to Life Quality study of residential change and stability among seniors in upstate New York. Data were analyzed from 663 older adults living in one of three housing types: service-rich facilities, service-poor facilities, and community-dwelling in single-family homes. A multinomial logistic regression model was used to examine factors associated with residence type. A linear regression model was fitted to examine factors associated with HCBS utilization. Results : When compared to community-dwelling older adults, those residing in service-rich and service-poor facilities were more likely to be older, report more activity limitations, and provide less instrumental assistance to others. Those in service-poor facilities were more likely to have poorer mental health and lower perceived purpose in life. The three leading HCBS utilized were senior centers (20%), homemaker services (19%), and transportation services (18%). More HCBS utilization was associated with participants who resided in service-poor housing, were older, were female, and had more activity limitations. More HCBS utilization was also associated with those who received instrumental support, had higher perceived purpose in life, and poorer mental health. Conclusions : Findings suggest that older adults’ residential environment is associated with their health status and HCBS utilization. Building upon the Person–Environment Fit theories, dedicated efforts are needed to introduce and expand upon existing HCBS available to facility residents to address physical and mental health needs as well as facilitate aging-in-place.

Suggested Citation

  • Heidi H. Ewen & Tiffany R. Washington & Kerstin G. Emerson & Andrew T. Carswell & Matthew Lee Smith, 2017. "Variation in Older Adult Characteristics by Residence Type and Use of Home- and Community-Based Services," IJERPH, MDPI, vol. 14(3), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:3:p:330-:d:93732
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/3/330/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/14/3/330/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Frieder R. Lang, 2001. "Regulation of Social Relationships in Later Adulthood," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(6), pages 321-326.
    2. Frieder R. Lang & Nina Rieckmann & Margret M. Baltes, 2002. "Adapting to Aging Losses," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(6), pages 501-509.
    3. Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, vol. 23(6), pages 1159-1180, November.
    4. Gary W. Evans & Elyse Kantrowitz & Paul Eshelman, 2002. "Housing Quality and Psychological Well-Being Among the Elderly Population," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(4), pages 381-383.
    5. Teresa Seeman & Xinguang Chen, 2002. "Risk and Protective Factors for Physical Functioning in Older Adults With and Without Chronic Conditions," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(3), pages 135-144.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Zan Yang & Yuqi Fu, 2019. "Physical Attributes of Housing and Elderly Health: A New Dynamic Perspective," IJERPH, MDPI, vol. 16(24), pages 1-14, December.
    2. Marcia G. Ory & Matthew Lee Smith, 2017. "What If Healthy Aging Is the ‘New Normal’?," IJERPH, MDPI, vol. 14(11), pages 1-5, November.
    3. Jiaoli Cai & Denise N. Guerriere & Hongzhong Zhao & Peter C. Coyte, 2017. "Socioeconomic Differences in and Predictors of Home-Based Palliative Care Health Service Use in Ontario, Canada," IJERPH, MDPI, vol. 14(7), pages 1-12, July.
    4. Torrini, Irene & Grassetti, Luca & Rizzi, Laura, 2023. "Under-spending, over-spending or substitution among services? Spatial patterns of unexplained shares of health care expenditures," Health Policy, Elsevier, vol. 137(C).
    5. Zhenyu Wang & Hanchun Wei & Zhihan Liu, 2022. "Older Adults’ Demand for Community-Based Adult Services (CBAS) Integrated with Medical Care and Its Influencing Factors: A Pilot Qualitative Study in China," IJERPH, MDPI, vol. 19(22), pages 1-17, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. M. Martin Boyer & Philippe De Donder & Claude Denys Fluet & Marie-Louise Leroux & Pierre-Carl Michaud, 2018. "A Canadian Parlor Room-Type Approach to the Long-Term Care Insurance Puzzle," CIRANO Working Papers 2018s-13, CIRANO.
    2. Rapp, Thomas & Ronchetti, Jérome & Sicsic, Jonathan, 2022. "Impact of formal care consumption on informal care use in Europe: What is happening at the beginning of dependency?," Health Policy, Elsevier, vol. 126(7), pages 632-642.
    3. Tsai, Yuping, 2015. "Social security income and the utilization of home care: Evidence from the social security notch," Journal of Health Economics, Elsevier, vol. 43(C), pages 45-55.
    4. Heather Conde & James Ted McDonald, 2007. "The Health Services Use Among Older Canadians in Rural and Urban Areas," Social and Economic Dimensions of an Aging Population Research Papers 178, McMaster University.
    5. Melinda Heinz & Nicholas Cone & Grace Da Rosa & Alex J. Bishop & Tanya Finchum, 2017. "Examining Supportive Evidence for Psychosocial Theories of Aging within the Oral History Narratives of Centenarians," Societies, MDPI, vol. 7(2), pages 1-21, April.
    6. Marianne Tenand, 2018. "Being dependent rather than handicapped in France: Does the institutional barrier at 60 affect care arrangements?," Working Papers halshs-01889452, HAL.
    7. Sergi Jiménez-Martín & Cristina Prieto, 2012. "The trade-off between formal and informal care in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(4), pages 461-490, August.
    8. Costa-Font, Joan & Jiménez-Martín, Sergi & Vilaplana-Prieto, Cristina, 2022. "Do Public Caregiving Subsidies and Supports affect the Provision of Care and Transfers?," Journal of Health Economics, Elsevier, vol. 84(C).
    9. Julia Chaitin & Rotem Sternberg & Hagar Arad & Lea Barzili & Nira Deray & Shlomit Shinhar, 2013. "“I May Look 75, but I’m Really a Pioneer”: Concept of Self and Resilience Among Israeli Elder Adults Living in a War Zone," Journal of Happiness Studies, Springer, vol. 14(5), pages 1601-1619, October.
    10. Qi Tang & Min Yuan & Wenhui Wu & Huanyun Wu & Cao Wang & Gang Chen & Chengyue Li & Jun Lu, 2022. "Health Status and Individual Care Needs of Disabled Elderly at Home in Different Types of Care," IJERPH, MDPI, vol. 19(18), pages 1-12, September.
    11. Urwin, Sean & Lau, Yiu-Shing & Grande, Gunn & Sutton, Matt, 2021. "The extent and predictors of discrepancy between provider and recipient reports of informal caregiving," Social Science & Medicine, Elsevier, vol. 277(C).
    12. Barigozzi, Francesca & Cremer, Helmuth & Roeder, Kerstin, 2020. "Caregivers in the family: Daughters, sons and social norms," European Economic Review, Elsevier, vol. 130(C).
    13. Philippe De Donder & Marie-Louise Leroux, 2015. "The Political Economy of (in)formal Long Term Care Transfers," Cahiers de recherche 1508, Chaire de recherche Industrielle Alliance sur les enjeux économiques des changements démographiques.
    14. Emmanouil Mentzakis & Mandy Ryan & Paul McNamee, 2011. "Using discrete choice experiments to value informal care tasks: exploring preference heterogeneity," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 930-944, August.
    15. Feifei Bu & Alasdair Rutherford, 2019. "Dementia, home care and institutionalisation from hospitals in older people," European Journal of Ageing, Springer, vol. 16(3), pages 283-291, September.
    16. Johannes Geyer & Thorben Korfhage, 2015. "Long‐term Care Insurance and Carers' Labor Supply – A Structural Model," Health Economics, John Wiley & Sons, Ltd., vol. 24(9), pages 1178-1191, September.
    17. Edward C. Norton & Courtney Harold Van Houtven, 2006. "Inter‐vivos Transfers and Exchange," Southern Economic Journal, John Wiley & Sons, vol. 73(1), pages 157-172, July.
    18. Zhonghua Gou & Xiaohuan Xie & Yi Lu & Maryam Khoshbakht, 2018. "Quality of Life (QoL) Survey in Hong Kong: Understanding the Importance of Housing Environment and Needs of Residents from Different Housing Sectors," IJERPH, MDPI, vol. 15(2), pages 1-16, January.
    19. Brenda Gannon & Bérengère Davin, 2010. "Use of formal and informal care services among older people in Ireland and France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(5), pages 499-511, October.
    20. Yang Xiao & Siyu Miao & Chinmoy Sarkar & Huizhi Geng & Yi Lu, 2018. "Exploring the Impacts of Housing Condition on Migrants’ Mental Health in Nanxiang, Shanghai: A Structural Equation Modelling Approach," IJERPH, MDPI, vol. 15(2), pages 1-14, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:3:p:330-:d:93732. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.