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Household Accessibility and Residential Relocation in Older Adults

Author

Listed:
  • Marianne Granbom, Reg OT
  • Nancy Perrin
  • Sarah Szanton
  • Thomas K.M. Cudjoe
  • Laura N Gitlin
  • Deborah Carr

Abstract

Objectives It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities. Methods We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights. Results Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After adjusting for demographics and health factors, poor indoor accessibility was found to be associated with moves within the community but not to residential care facilities. No additional home environmental factors were associated with relocation. Discussion One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice.

Suggested Citation

  • Marianne Granbom, Reg OT & Nancy Perrin & Sarah Szanton & Thomas K.M. Cudjoe & Laura N Gitlin & Deborah Carr, 2019. "Household Accessibility and Residential Relocation in Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 74(7), pages 72-83.
    • Handle: RePEc:oup:geronb:v:74:y:2019:i:7:p:e72-e83.
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    File URL: http://hdl.handle.net/10.1093/geronb/gby131
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    Citations

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    Cited by:

    1. Meghan Jenkins Morales & Stephanie A Robert & Deborah Carr, 0. "Black–White Disparities in Moves to Assisted Living and Nursing Homes Among Older Medicare Beneficiaries," Journals of Gerontology: Series B, Gerontological Society of America, vol. 75(9), pages 1972-1982.
    2. Michalis Diakakis & Katerina Papagiannaki, 2021. "Characteristics of Indoor Flood Fatalities: Evidence from Greece," Sustainability, MDPI, vol. 13(15), pages 1-15, August.

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