Where do community-dwelling older adults with disabilities live? Distribution of disability in the United States of America by household composition and housing type

2016 ◽  
Vol 37 (6) ◽  
pp. 1227-1248 ◽  
Author(s):  
CARRIE HENNING-SMITH
Keyword(s):  
Older Adults ◽  
United States Of America ◽  
Living Arrangements ◽  
The United States ◽  
Household Composition ◽  
Single Family ◽  
Apartment Building ◽  
Housing Type ◽  
Gender And Age ◽  
Family Home

ABSTRACTThere is limited research on the living arrangements of older adults with disabilities, especially research that combines household composition and housing characteristics. This paper addresses that gap with two complementary sets of logistic regression models: first, estimating the odds of disability by household composition and housing type and, second, estimating the odds of disability by living arrangement within gender and age sub-groups. Data come from the 2012 American Community Survey (N = 504,371 respondents aged 65 and older), which includes six measures of disability: cognitive, ambulatory, independent living, self-care, vision and hearing. Living alone, with children or with others was associated with higher odds of any disability, compared with living with a spouse only. Compared to those living in a single-family home, living in a mobile home or other temporary structure, or large apartment building was associated with higher odds of disability. Having a disability was associated with lower rates of living with a spouse only, alone, in a single-family home or in a small or mid-sized apartment building and higher rates of all other living arrangements. Sub-group analyses revealed differences in the relationship between living arrangements and disability by gender and age group. This information provides a baseline from which to observe trends in living arrangements and disability for older adults in the United States of America.

scholarly journals Household Accessibility and Residential Relocation in Older Adults

2018 ◽  
Vol 74 (7) ◽  
pp. e72-e83 ◽  
Author(s):  
Marianne Granbom ◽  
Nancy Perrin ◽  
Sarah Szanton ◽  
Thomas K.M. Cudjoe ◽  
Laura N Gitlin
Keyword(s):  
Older Adults ◽  
Environmental Factors ◽  
Residential Care ◽  
The United States ◽  
Multinomial Regression ◽  
Housing Type ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Nationally Representative ◽  
Safety Features

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.

Women as Migrants and Missionaries

2014 ◽  
Vol 31 (3) ◽  
pp. 319-339
Author(s):  
Rose Uchem
Keyword(s):  
United States ◽  
United States Of America ◽  
Social Economic ◽  
The United States ◽  
Women Migrants ◽  
Gender Perspective ◽  
The World ◽  
Family Home ◽  
And Migration ◽  
Experiences Of Women

There are some commonalities in the experiences of women, migrants and missionaries.In many cultures of the world marriage makes women leave home, father, mother,brothers, sisters and land “for the sake of the gospel (of love);” though with less assuranceof the manifold blessings and eternal bliss promised the missionary (Mark 10:29).Again like migrants, women leave their own family home and go and make anotherhome in another land. In a few cases, marriage and migration bring improved socialstatus for some though not for others. However, when things go wrong whether in thefamily or in the community women, like migrants, get the blame and the shame fromthe wider population. While always free in theory to go back to their original homes, inreality just as migrants and missionaries, women are not all that free to move at will.Intricate social, economic and psychological ties bind many and limit their options forescape. Against this background and from a gender perspective, this paper examinesthe missiological significance of women’s experiences in a given Nigerian immigrantChristian community in the United States of America.

scholarly journals Ageing-friendly communities and social inclusion in the United States of America

2012 ◽  
Vol 33 (1) ◽  
pp. 110-136 ◽  
Author(s):  
ANDREW E. SCHARLACH ◽  
AMANDA J. LEHNING
Keyword(s):  
United States ◽  
Older Adults ◽  
Social Capital ◽  
United States Of America ◽  
Social Inclusion ◽  
Basic Needs ◽  
The United States ◽  
Social Infrastructure ◽  
Significant Relationships ◽  
The Social

ABSTRACTSynthesising the social capital and ageing-friendly communities literature, this paper describes how efforts to make communities more ageing-friendly can promote social inclusion among older adults. Making existing communities more ageing-friendly involves physical and social infrastructure changes that enable older adults to pursue lifelong activities, meet their basic needs, maintain significant relationships, participate in the community in personally and socially meaningful ways, and develop new interests and sources of fulfilment. Such efforts can enhance bonding, bridging and linking capital, and thereby promote social inclusion. The authors discuss the link between ageing-friendly communities and social inclusion, and provide examples of programmes with potential to change existing communities into ones that promote the social inclusion of older adults.

scholarly journals Racial and Ethnic Digital Divides in Posting COVID-19 Content on Social Media Among US Adults: Secondary Survey Analysis (Preprint)

2020 ◽  
Author(s):  
Celeste Campos-Castillo ◽  
Linnea I. Laestadius
Keyword(s):  
Older Adults ◽  
Social Media ◽  
Ethnic Minority ◽  
Race And Ethnicity ◽  
Minority Groups ◽  
The United States ◽  
Ethnic Minority Groups ◽  
Digital Divides ◽  
Gender And Age ◽  
Racial And Ethnic Minority

BACKGROUND Public health surveillance experts are leveraging user-generated content on social media to track the spread and effects of COVID-19. However, racial and ethnic digital divides, which are disparities among people who have internet access and post on social media, can bias inferences. This bias is particularly problematic in the context of the COVID-19 pandemic because due to structural inequalities, members of racial and ethnic minority groups are disproportionately vulnerable to contracting the virus and to the deleterious economic and social effects from mitigation efforts. Further, important demographic intersections with race and ethnicity, such as gender and age, are rarely investigated in work characterizing social media users; however, they reflect additional axes of inequality shaping differential exposure to COVID-19 and its effects. OBJECTIVE The aim of this study was to characterize how the race and ethnicity of US adults are associated with their odds of posting COVID-19 content on social media and how gender and age modify these odds. METHODS We performed a secondary analysis of a survey conducted by the Pew Research Center from March 19 to 24, 2020, using a national probability sample (N=10,510). Respondents were recruited from an online panel, where panelists without an internet-enabled device were given one to keep at no cost. The binary dependent variable was responses to an item asking whether respondents “used social media to share or post information about the coronavirus.” We used survey-weighted logistic regressions to estimate the odds of responding in the affirmative based on the race and ethnicity of respondents (white, black, Latino, other race/ethnicity), adjusted for covariates measuring sociodemographic background and COVID-19 experiences. We examined how gender (female, male) and age (18 to 30 years, 31 to 50 years, 51 to 64 years, and 65 years and older) intersected with race and ethnicity by estimating interactions. RESULTS Respondents who identified as black (odds ratio [OR] 1.29, 95% CI 1.02-1.64; <i>P</i>=.03), Latino (OR 1.66, 95% CI 1.36-2.04; <i>P</i>&lt;.001), or other races/ethnicities (OR 1.33, 95% CI 1.02-1.72; <i>P</i>=.03) had higher odds than respondents who identified as white of reporting that they posted COVID-19 content on social media. Women had higher odds of posting than men regardless of race and ethnicity (OR 1.58, 95% CI 1.39-1.80; <i>P</i>&lt;.001). Among men, respondents who identified as black, Latino, or members of other races/ethnicities were significantly more likely to post than respondents who identified as white. Older adults (65 years or older) had significantly lower odds (OR 0.73, 95% CI 0.57-0.94; <i>P</i>=.01) of posting compared to younger adults (18-29 years), particularly among those identifying as other races/ethnicities. Latino respondents were the most likely to report posting across all age groups. CONCLUSIONS In the United States, members of racial and ethnic minority groups are most likely to contribute to COVID-19 content on social media, particularly among groups traditionally less likely to use social media (older adults and men). The next step is to ensure that data collection procedures capture this diversity by encompassing a breadth of search criteria and social media platforms.

Integrative Nursing in Senior Living

2018 ◽  
pp. 474-490
Author(s):  
Laura N. Kirk ◽  
Rachel Trelstad Porter ◽  
Amy Quarberg ◽  
Linda Halcon
Keyword(s):  
Quality Of Life ◽  
United States ◽  
Older Adults ◽  
Chronic Disease ◽  
Living Arrangements ◽  
The United States ◽  
Living Environment ◽  
Care Models ◽  
Health Function

The aging of the population, both nationally and globally, necessitates the development of innovative care models and living arrangements that will allow older adults to maintain health, function, engagement, and purpose even as they encounter increases in chronic disease and disability. Approximately 15% of adults ≥65 years of age in the United States reside in settings other than traditional community housing. The implementation of care practices guided by the principles of integrative nursing provides a unique and profound opportunity to enhance the quality of life of individuals within the senior living environment. Several case studies are presented, including the Hacienda in Arizona, The Waters Senior Living, and Woodbury Senior Living.

Characterising older adults’ engagement in age-friendly community initiatives: perspectives from core group leaders in the Northeast United States of America

2020 ◽  
pp. 1-20
Author(s):  
Emily A. Greenfield ◽  
Laurent Reyes
Keyword(s):  
United States ◽  
Older Adults ◽  
United States Of America ◽  
The United States ◽  
Community Change ◽  
Structured Interviews ◽  
Community Initiatives ◽  
Core Group ◽  
The Core ◽  
Group Members

Abstract Researchers and programme champions alike have identified older adults as key contributors to age-friendly community change efforts. There has been very little scholarship, however, to characterise the nature of older adults’ engagement in age-friendly community initiatives (AFCIs). To help address this gap, we drew on five waves of data from semi-structured interviews with core group members of eight AFCIs in a Northeast region of the United States of America. Interviews were conducted as part of a multi-year, community-engaged study on the development of philanthropically supported AFCIs. We iteratively coded segments of the interviews in which core group members described the involvement of older adults, as well as their efforts to engage older adults in the initiatives. This analysis resulted in an inductive-analytic typology with five qualitatively distinct categories, including older adults as: (a) consumers (receiving information, goods and services through the AFCI), (b) informants (sharing perspectives on ageing in the community with the core group), (c) task assistants (assisting with project-oriented tasks under the direction of the core group), (d) champions (contributing ideas and implementing action on their own initiative), and (e) core group members (holding primary responsibility for driving the work of the AFCI forward). We discuss implications of the typology for research on AFCI implementation and evaluation, as well as opportunities for AFCIs to enhance the engagement of older adults from historically marginalised groups.

Perceptions of inter- and intra-generational communication in the United States of America and the People's Republic of China: Implications for Self-Esteem and Life Satisfaction

1999 ◽  
Vol 10 (1) ◽  
pp. 120-135 ◽  
Author(s):  
Kimberly A. Noels ◽  
Howard Giles ◽  
Deborah Cai ◽  
Lisa Turay
Keyword(s):  
United States ◽  
Older Adults ◽  
Psychological Health ◽  
United States Of America ◽  
The United States ◽  
People’S Republic Of China ◽  
People's Republic Of China ◽  
Younger Adults ◽  
Chinese Sample ◽  
Republic Of China

ABSTRACTThe present investigation examined older people's views on communication with younger and older adults to determine if older people's perceptions parallel research findings that suggest that young adults view intra-generational communication more positively than inter-generational communication. Additionally, drawing upon the Communication Predicament of Aging model (Ryan, Giles, Bartolucci, & Henwood, 1986), it considers how these perceptions relate to psychological health. In a first study, older and younger adults from the United States of America responded to a questionnaire survey about their experiences of talking to older and younger adults. The results of analyses of variance suggested that younger adults have less positive perceptions of inter-generational communication than older adults. Regression analyses examined the link between communication climate and psychological health indices, and suggested that psychological health is related to inter-generational and intra-generational communication variables for older participants. In a second study, variations in older adults' intra- and intergroup perceptions were compared across the United States and the People's Republic of China. Unlike their American peers, intergenerational communication was not a significant correlate of adjustment in the Chinese sample, although intragenerational variables were again implicated.

Capitalizing on Collapse: An Analysis of Institutional Single-Family Rental Investors

2020 ◽  
pp. 107808742092291
Author(s):  
Gregg Colburn ◽  
Rebecca J. Walter ◽  
Deirdre Pfeiffer
Keyword(s):  
Growth And Development ◽  
Qualitative Data ◽  
The United States ◽  
Single Family ◽  
Community Effects ◽  
Publicly Traded ◽  
Foreclosure Crisis ◽  
Housing Recovery ◽  
Community Impacts ◽  
Family Home

A well-documented consequence of the recent foreclosure crisis was a pronounced dislocation in the single-family home market. Large institutional buyers emerged to capitalize on this dislocation. These firms acquired hundreds of thousands of single-family homes to create a pool of single-family rentals (SFRs) in markets across the United States. Existing analyses of institutional investors focus on their aggregate characteristics and associated community effects, showing faster housing recovery in places hard hit by foreclosure but also increases in evictions and home prices. Relatively little is known about individual firms’ strategies or how they have evolved over time—knowledge that is critical to understanding the diversity of these actors and establishing causal links to community impacts. We help fill this gap by using quantitative and qualitative data from the corporate filings of publicly traded SFR companies to understand the industry’s birth, growth and development, strategies and approaches, and points of differentiation.

Relationship quality and functional limitations among older adults with cardiovascular disease in the United States of America

2019 ◽  
Vol 40 (8) ◽  
pp. 1694-1717 ◽  
Author(s):  
Yan-Liang Yu ◽  
Zhenmei Zhang
Keyword(s):  
United States ◽  
Cardiovascular Disease ◽  
Older Adults ◽  
Relationship Quality ◽  
United States Of America ◽  
Functional Limitations ◽  
Negative Relationship ◽  
The United States ◽  
Functional Health ◽  
Disablement Process

AbstractSubstantial research shows that cardiovascular disease is a major cause of disability in the United States of America (USA) and worldwide. Despite the well-documented significance of intimate partnerships for cardiovascular health and disease management, how relationship quality contributes to the functional health of older adults diagnosed with cardiovascular disease is much less understood than mental health and mortality risk. Informed by the disablement process model and the lifecourse perspective, this study examines the association between relationship quality and functional limitations among partnered older adults aged 50 years and older diagnosed with cardiovascular disease in the USA. Data are from the Health and Retirement Study, 2006–2012 (N = 1,355). Multi-level linear regression analyses show that baseline negative relationship quality is significantly associated with increased functional limitations over the two- and four-year follow-ups. Additionally, the link between negative relationship quality and functional limitations is stronger among older adults with lower household income over a two-year span, compared to their higher-income counterparts, suggesting that these older adults are doubly disadvantaged by higher relationship strains and limited economic resources. Our findings demonstrate the significance of relationship quality for the functional health of older adults with cardiovascular disease and shed light on the importance of marriage/partnerships as an important social context for a critical stage in the disablement process (i.e. functional limitations).

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