The Intersectionality of Person, Space, and Time for Understanding Aging in Place

Abstract Aging in place is interpreted differently across times and disciplines in the literature. Multiple interpretations of aging in place can lead to differences in expectations and goals when planning products, services, and technologies for older adults. We conducted a historical review across databases in the fields of anthropology, architecture, gerontol-ogy, medicine, psychology, and sociology to explore the evolution of ‘aging in place’ term across time and disciplines. We included articles that used the terminology “aging in place” or “ageing in place” in titles, abstracts, keywords, or subject. From the aging in place definition excerpts collected, we identified the preliminary themes and grouped them into three main themes: people, space, and time. Although the narrative of aging in place is highly related to living spaces, the cause and influencing factors are tied beyond the space. Person and time-related factors that are related to the aging experience im-pact the way aging in place is defined. When designing products, services, and technolo-gies to support successful aging in place, designers, researchers, policymakers, and care-givers should be aware that aging in place is at the intersection of personal, spatial, and temporal elements of older adults’ lives. Based on the multiple perspectives of disci-plines, we concluded that aging in place is beyond the matter of location, but also takes into account the person’s capacity and the changes over the person’s lifespan. Founda-tional understanding of the multiple factors that influence aging in place is critical to support older adults to have a healthy and optimal aging experience.

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Is Parental Longevity Associated With the Cardiovascular Risk and the Successful Aging of Their Offspring? Results From the Multinational MEDIS Study

Angiology ◽

10.1177/0003319716642140 ◽

2016 ◽

Vol 68 (2) ◽

pp. 124-131 ◽

Cited By ~ 2

Author(s):

Stefanos Tyrovolas ◽

Evangelos Polychronopoulos ◽

Anargiros Mariolis ◽

Suzanne Piscopo ◽

Giuseppe Valacchi ◽

...

Keyword(s):

Older Adults ◽

Successful Aging ◽

Mediterranean Islands ◽

Cvd Risk ◽

Related Factors ◽

Aging Index ◽

The Mediterranean ◽

Parental Longevity ◽

The Mediterranean Basin

The aim of the present study was to evaluate the role of parental longevity and parental cardiovascular disease (CVD) history in CVD risk and successful aging of a random sample of older adults living in the Mediterranean basin and who participated in the MEDiterranean Islands (MEDIS) study. During 2005 to 2011, 2663 elders were voluntarily enrolled. A multidimensional successful aging index consisting of 10 components was used. Paternal and maternal longevity was defined as those older participants of whom both parents lived above the age of 90. The burden of CVD-related factors (CVD-RFs) was calculated as the total score of 4 major CVD-RFs (range 0-4). After adjustment, parental longevity was inversely associated with the burden of CVD-RFs ( P = .04). Moreover, parental longevity was positively associated with the older adults’ successful aging score (β-coefficient [95% confidence interval]: .38 [0.06-0.71]). Parent’s long living was revealed as an important factor for successful aging and for reduced CVD risk, suggesting that further research is needed in the genetic predisposition of longevity.

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Older Adults with Hoarding Behaviour Aging in Place: Looking to a Collaborative Community-Based Planning Approach for Solutions

Journal of Aging Research ◽

10.1155/2012/205425 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 2

Author(s):

Kyle Y. Whitfield ◽

Jason S. Daniels ◽

Keri Flesaker ◽

Doneka Simmons

Keyword(s):

Older Adults ◽

Successful Aging ◽

Aging In Place ◽

Community Support ◽

Community Response ◽

Valuable Insight ◽

Collaborative Community ◽

Significant Addition ◽

New Research ◽

Community Collaborative

This paper reports on and synthesizes new research that examines how a collaborative community response can promote successful aging in place for older adults with hoarding behaviour. Through interviews with older adults with hoarding behaviour, who used a particular community support and a focus group interview with members of the community collaborative that directed supports for this population, our findings suggest that there were valuable outcomes for both groups. These older adults with hoarding behaviour were able to remain in their own homes, their safety was enhanced, their sense of isolation was minimized, empowerment was fostered, and they gained valuable insight into their behaviour. The members of the community collaborative were able to access the expertise of other professionals, maximize their own expertise, and they generated an enhanced understanding of the experience of older adults living with hoarding behaviour in Edmonton. This study is a significant addition to the much too sparse literature about the community planning needs of older adults with hoarding behaviour. It offers knowledge that is integral to theories and principles of better aging in place but attempts to translate this into practice.

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Age-Friendly Communities and Aging in Place: Findings From Latent Profile Analysis

Innovation in Aging ◽

10.1093/geroni/igab046.2136 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 559-560

Author(s):

Seon Kim ◽

Kyeongmo Kim ◽

Junpyo Kim

Keyword(s):

Older Adults ◽

Successful Aging ◽

Latent Profile Analysis ◽

Profile Analysis ◽

Multinomial Logistic Regression ◽

Aging In Place ◽

Community Or ◽

Current Residence ◽

The Cost ◽

Latent Profile

Abstract Older adults prefer to live in their current home or community and ‘Aging in place’ has been shown to reduce the cost of caring for older adults and help their successful aging. Although age-friendly communities (AFC) initiatives have been helpful to aging in place, little has been known about the relationship between the types of AFC and aging in place. Using the 2017 AARP Age-Friendly Community Survey, we included 1,079 adults aged 65 or older. We measured aging in place as ‘move to a different community’, ‘move into a different residence within your current community’, and ‘stay in your current residence’, and included eight AFC constructs. We identified the type of AFC using Latent Profile Analysis: low-friendly, mid-friendly, and high-friendly. We also ran multinomial logistic regression to examine whether the types of AFC were associated with aging in place. Of the total participants, 26.0% lived in the low-friendly community, 23.7% in the mid-friendly community, and 50.3% in the high-friendly community. Older adults living in the high-friendly community were more likely to stay in the current residence (64.7%) than those in the low-friendly (47.1%) (χ2=28.680, p<.001). Also, older adults living in the low-friendly community (OR=3.05, p<.001) and the mid-friendly community (OR=1.42, p<.10) were more likely to move to a different community compared to those living in the high-friendly community. This result suggests that it is important to build an AFC to promote aging in place. For the growing number of older adults' lives, policymakers should consider expanding the AFC initiatives.

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Community-based older adults' perceptions of factors that influence successful aging in place

10.25148/etd.fi13101604 ◽

2002 ◽

Author(s):

Michele Rosemarie Alonso

Keyword(s):

Older Adults ◽

Successful Aging ◽

Aging In Place ◽

Community Based

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Types of Late-Life Challenges to Aging in Place

Innovation in Aging ◽

10.1093/geroni/igab046.2140 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 560-561

Author(s):

Kyeongmo Kim

Keyword(s):

Older Adults ◽

Sex Education ◽

Latent Class ◽

Aging In Place ◽

Late Life ◽

Cost Of Living ◽

Supportive Services ◽

Related Factors ◽

Life Challenges ◽

Using Data

Abstract Many older adults prefer to live within their community because they have built strong relationships with their neighbors and neighborhood. Although housing-related factors promote aging in place, findings on the relationships of late-life challenges to aging in place (e.g., cost of living, autonomy) and relocation are mixed. Less is known about the types of challenges to aging in place and about the relationship between the types of challenges and relocation. Using data from the AARP 2015 Age-Friendly Community Surveys (N=3,190 adults aged 65 and older), this study examined the intersection of challenges to aging in place (e.g., home size, cost, safety, independence, family, transportation) and relocation (i.e., move to a different home outside of their community). Using latent class analysis (LCA), we identified five subgroups of late-life challenges to aging in place: multifaceted challenges, cost of living, independence, social connection, no concern. Findings from LCA with a distal outcome showed that older adults with multifaceted challenges (b=0.77, p<.001), were more likely to move out of their community, compared to those with lower levels of challenges, even after adjusting for age, sex, education, income, and chronic diseases. Also, those with challenges regarding the cost of living (b=0.84, p<.001), independence (b=0.64, p<.001), and family connection (b=0.45, p<.001) were more likely to expect to move out of their community. The findings highlight that older adults have different types of challenges to aging in place. Practitioners and policymakers should provide more individualized supportive services, considering the types of challenges to promote aging in place.

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A Scoping Review: Social Participation as a Cornerstone of Successful Aging in Place among Rural Older Adults

Geriatrics ◽

10.3390/geriatrics3040075 ◽

2018 ◽

Vol 3 (4) ◽

pp. 75 ◽

Cited By ~ 11

Author(s):

Lisa Carver ◽

Rob Beamish ◽

Susan Phillips ◽

Michelle Villeneuve

Keyword(s):

Older Adults ◽

Rural Communities ◽

Social Participation ◽

Scoping Review ◽

Successful Aging ◽

Aging In Place ◽

Health Care Facilities ◽

Local Health ◽

Community Activities ◽

Local Health Care

Despite obstacles, many rural-dwelling older adults report that positive aspects of rural residence, such as attachment to community, social participation, and familiarity, create a sense of belonging that far outweighs the negative. By being part of a community where they are known and they know people, rural elders continue to find meaning, the key to achieving successful aging in this last stage of life. This scoping review explored factors influencing social participation and, through it, successful aging among rural-dwelling older adults. We sought to answer the question: what factors enhance or detract from the ability of rural-dwelling older adults to engage in social participation in rural communities? The scoping review resulted in 19 articles that highlight the importance of supports to enable older people to spend time with others, including their pets, engage in volunteer and community activities, and help maintain their home and care for their pets. Overall, the lack of services, including local health care facilities, was less important than the attachment to place and social capital associated with aging in place.

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