scholarly journals Challenges and Supports to Aging in Place in a Gentrifying Context

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 873-873
Author(s):  
Manish Kumar ◽  
Laura Richman
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Affordable Housing ◽  
Low Income ◽  
Healthy Aging ◽  
Aging In Place ◽  
Well Being ◽  
Neighborhood Change ◽  
Structured Interviews ◽  
Age In Place

Abstract Neighborhoods play a central role in healthy aging, with changes to neighborhoods having a profound impact on older adults’ ability to age in place. Using gentrification as an indicator of neighborhood change and applying the theoretical framework of the Environmental Press model (Lawton and Nahemow, 1973), this study examined the relationship between changing environments, affordable housing, and environmental attributes that support and hinder the health and well-being of older adults. A qualitative, case-study approach was used to interview low-income, majority Black older adults in a gentrifying area of Washington DC. 32 individuals (16 in non-profit and 16 in for-profit affordable housing) aged 55 and older participated in semi-structured interviews on perceptions of gentrification, neighborhood change, and challenges and supports to aging in place. Transcripts were then analyzed using the framework method of analysis. Although participants generally reported that gentrification improved their neighborhood’s built environment, many attributed it to a decline in social capital. Affordable housing provided an ability to age in place, though participants expressed uncertainty over their long-term ability to age in the context of continuing change. These findings suggest that while the physical changes accompanying gentrification may support older adults’ ability to age in place, its detrimental impact on social capital further increases their risk for social isolation. While affordable housing may enable older adults to age in place, fostering a greater sense of permanence and well-being will require additional policies that both increase accessibility to the physical amenities provided by gentrification and preserve older adults’ social capital.

scholarly journals Beyond Housing: Perceptions of Indirect Displacement, Displacement Risk, and Aging Precarity as Challenges to Aging in Place in Gentrifying Cities

2019 ◽  
Vol 16 (23) ◽  
pp. 4633 ◽  
Author(s):  
H. Shellae Versey ◽  
Serene Murad ◽  
Paul Willems ◽  
Mubarak Sanni
Keyword(s):  
Older Adults ◽  
New York ◽  
Aging In Place ◽  
Neighborhood Change ◽  
Age In Place ◽  
Unique Character ◽  
Housing Costs ◽  
The Everyday ◽  
The Impact ◽  
Cultural Shifts

Neighborhoods within age-friendly cities and communities are an important factor in shaping the everyday lives of older adults. Yet, less is known about how neighborhoods experiencing change influence the ability to age in place. One type of rapid neighborhood change occurring across major cities nationally and globally is gentrification, a process whereby the culture of an existing neighborhood changes through the influx of more affluent residents and businesses. Few studies have considered the impact of gentrification on older adults, who are among the most vulnerable to economic and social pressures that often accompany gentrification. The current study explores one consequence of gentrification, indirect displacement. While gentrification-induced displacement can refer to the physical (e.g., direct) displacement of residents moving out of a neighborhood due to rising housing costs, it also references the replacement of the unique character and social identity of a neighborhood (e.g., indirect displacement). We examine perceptions of the latter, characterized by perceived cultural shifts and housing concerns among adults aging in place in a gentrifying neighborhood in New York City. The implications of indirect displacement for displacement risk and aging precarity are discussed as potential threats to aging in place in age-friendly cities.

scholarly journals AN ACTING AND IMPROV CLASS: WELL-BEING AND COMMUNITY BELONGING FOR OLDER AFRICAN AMERICANS IN LOW-INCOME HOUSING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S144-S144
Author(s):  
Laura Sutherland ◽  
Ruth E Dunkle ◽  
Garrett T Pace ◽  
Ariel Kennedy ◽  
Pat Baldwin
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Participant Observation ◽  
Well Being ◽  
Community Dwelling ◽  
Structured Interviews ◽  
Public Performance ◽  
Community Belonging ◽  
Community Dwelling Older Adults ◽  
Low Income Housing

Abstract Arts-based interventions can enhance the quality of life of older adults, but community-dwelling older adults may have reduced access to such interventions. The purpose of this study was to examine whether a creative arts program can improve the overall health and well-being of older adults in low-income housing. A university social work department and community agency collaborated in establishing a professionally run theater group of older adults in two low-income housing buildings in an urban area. All residents were encouraged to participate. The study consisted of three twelve-week acting and improvisation courses, focusing on either staged reading of monologues and dialogues, co-writing a script, or staged reading of a complete play. Each class culminated in a public performance for the building. Fourteen participants enrolled, all African American (11 women, 3 men; mean age 66 years; mean ADL = 1.4 (range of 1-2.5)). Attendance on average was 8 classes. Data were collected through pre- and post-test questionnaires, participant observation of class sessions, semi-structured interviews with building managers, and post-session participant reflections. Thematic analysis was performed, and revealed key themes of increased community belonging, increased confidence, and increased daily coping abilities. Additional themes included the gaining of new artistic skills and interest in continuing classes. Barriers to participation included difficulty in recruitment and absence due to ongoing health conditions and caregiving responsibilities. This project has implications for the potential of arts-based programming to increase well-being for underrepresented community-dwelling older adults.

scholarly journals A Peer Intervention Facilitates Trust and Improves Psychosocial Well-Being in Diverse, Low-Income Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 6-6
Author(s):  
Ashwin Kotwal ◽  
Shannon Fuller ◽  
Janet Myers ◽  
Daniel Hill ◽  
Soe Han Tha ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Qualitative Interviews ◽  
Well Being ◽  
Mental Health Training ◽  
Structured Interviews ◽  
Matching Process ◽  
Peer Intervention ◽  
Peer Outreach ◽  
Longitudinal Relationships

Abstract We evaluate a peer outreach intervention to improve the psychosocial well-being of diverse, low-income older adults. Participants (N=74, Age 58-96 years) were recruited from an urban senior center and matched with peers who were >55 years old, received mental health training, and connected participants with health or social activities. We conducted surveys at baseline and 6-month follow-up for 2 years with validated measures of loneliness, social interaction, barriers to socializing, and depression, and thematically analyzed qualitative, semi-structured interviews conducted among a subset of participants (n=15) and peers (n=6). Participants were 58% male, 18% African-American, 19% Latinx, and 8% Asian. Over 2 years, participants experienced sustained reductions in loneliness (p=0.015), depression (p<0.001), and barriers to socializing (p<0.001). Qualitative interviews detailed the role of longitudinal relationships, program flexibility, and the matching process in facilitating trust, motivation, and improved mood. Results can inform larger efficacy studies and implementation of peer-driven community programs.

scholarly journals INTEREST GROUP SESSION—ENVIRONMENTAL GERONTOLOGY: PRECARIOUS AGING IN PLACE? CRITICAL PERSPECTIVES ON AGING IN CONTEXTS OF INSTABILITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S561-S562
Author(s):  
Jessica M Finlay ◽  
Jarmin C Yeh
Keyword(s):  
Older Adults ◽  
Hurricane Katrina ◽  
Low Income ◽  
Aging In Place ◽  
Later Life ◽  
Well Being ◽  
Natural Environments ◽  
Methodological Innovation ◽  
Macro Scale ◽  
Environmental Gerontology

Abstract Population aging and longevity in an era of immense environmental instability raises concerns about the precarity of aging and insecurity in later life. From home- and neighborhood-level insecurities to uncertainties generated by climate change or broad economic and sociopolitical upheaval across the globe, the factors contributing to instabilities relevant to older populations are heterogeneous in scale and cause. This symposium focuses on understanding older people’s needs and experiences in the context of unstable social, economic, political, and natural environments. The first paper investigates effects of socio-environmental disruption on the well-being, recovery, and resilience of older adults in Louisiana and Mississippi deeply affected by Hurricane Katrina. The second paper explores the confinement, exclusion, and loss of autonomy, as well as the creative negotiation and sociopolitical reclamation of space, among disabled older adults experiencing houselessness. The third paper discusses filmmaking with formerly homeless older adults as a method to engage marginalized individuals in community-based participatory research and better understand nuanced meanings of ‘home’. The fourth paper explores how transportation and technology can serve as both facilitators and barriers to accessibility and social connectivity among ethnically diverse low-income older adults. Altogether, the papers critically discuss novel scholarship and applied research in environmental gerontology from the micro to macro scale. The symposium inspires methodological innovation and critical research directions, and informs place-based policymaking to address diverse contexts of aging in place.

scholarly journals User Requirements for Technology to Assist Aging in Place: Qualitative Study of Older People and Their Informal Support Networks (Preprint)

2018 ◽  
Author(s):  
Phoebe Elers ◽  
Inga Hunter ◽  
Dick Whiddett ◽  
Caroline Lockhart ◽  
Hans Guesgen ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Information Needs ◽  
Aging In Place ◽  
Well Being ◽  
Support Networks ◽  
Security And Privacy ◽  
Informal Support ◽  
User Requirements ◽  
Age In Place

BACKGROUND Informal support is essential for enabling many older people to age in place. However, there is limited research examining the information needs of older adults’ informal support networks and how these could be met through home monitoring and information and communication technologies. OBJECTIVE The purpose of this study was to investigate how technologies that connect older adults to their informal and formal support networks could assist aging in place and enhance older adults’ health and well-being. METHODS Semistructured interviews were conducted with 10 older adults and a total of 31 members of their self-identified informal support networks. They were asked questions about their information needs and how technology could support the older adults to age in place. The interviews were transcribed and thematically analyzed. RESULTS The analysis identified three overarching themes: (1) the social enablers theme, which outlined how timing, informal support networks, and safety concerns assist the older adults’ uptake of technology, (2) the technology concerns theme, which outlined concerns about cost, usability, information security and privacy, and technology superseding face-to-face contact, and (3) the information desired theme, which outlined what information should be collected and transferred and who should make decisions about this. CONCLUSIONS Older adults and their informal support networks may be receptive to technology that monitors older adults within the home if it enables aging in place for longer. However, cost, privacy, security, and usability barriers would need to be considered and the system should be individualizable to older adults’ changing needs. The user requirements identified from this study and described in this paper have informed the development of a technology that is currently being prototyped.

Aging Gracefully in Place: An Evaluation of the Capability of the CAPABLE© Approach

2021 ◽  
pp. 073346482110426
Author(s):  
Jill Breysse ◽  
Sherry Dixon ◽  
Jonathan Wilson ◽  
Sarah Szanton
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Aging In Place ◽  
Intervention Group ◽  
Health Improvement ◽  
Control Group ◽  
Adult Health ◽  
Age In Place ◽  
Home Based

As American adults live longer, society must prioritize effective strategies promoting safe aging-in-place and decreasing institutional health care costs. Social determinants of health, especially housing, critically influence older adult health, particularly for disadvantaged, low-income older adults. Johns Hopkins University developed Community Aging in Place—Advancing Better Living for Elders (CAPABLE©), a client-centered, home-based program to improve older adults’ function and capacity to age in place. This evaluation studied CAPABLE’s long-term effectiveness in four distinct locations in California, North Carolina, Pennsylvania, and Vermont. Seven months after CAPABLE, intervention group participants experienced greater improvements than the control group in activities of daily living limitations (2-point vs. 0.7-point improvement, p = .012), falls efficacy (8.9-point improvement vs. 0.1-point worsening, p = .012), depression (1.3-point improvement vs. 0.4-point worsening, p = .021), and pain (1.5-point improvement vs. 0.3-point worsening, p = .002). These results add to existing research on short-term effectiveness in urban locales, showing CAPABLE yields long-term health improvement for older adults in micropolitan and small urban locations, with different implementation organizations, housing stocks, and clients.

scholarly journals Shining Light and Creating Solutions: Health and Social Needs of Older Affordable Housing Residents

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 685-685
Author(s):  
Lori Simon-Rusinowitz ◽  
C Daniel Mullins ◽  
Karen Morales ◽  
Rodney Elliott ◽  
Constance Raab
Keyword(s):  
Social Services ◽  
Affordable Housing ◽  
Low Income ◽  
Well Being ◽  
Social Needs ◽  
Advisory Group ◽  
Service Needs ◽  
Structured Interviews ◽  
Health And Social Services ◽  
Community Advisory Group

Abstract Aging within a community requires access to health and social services. This project lays the groundwork for an innovative, three-part health and social services intervention intended to improve the health and well-being of older affordable housing residents in a low-income, vulnerable Baltimore neighborhood. We will report on the first part, an assessment of residents’ unmet health and social service needs and their ideas for meeting these needs. With guidance from a community advisory group of older residents (a key program component), we are conducting structured interviews with 50 elders to identify residents’ needs and interests. These findings will inform the next project segments: Part 2- exploring how the Village model (in which neighbors identify and offer needed services to help their neighbors age within a community) can be adapted for an affordable housing setting, and Part 3- adapting an evidence-based housing-plus-services model to meet older residents’ unmet needs.

‘Our interests matter’: Puerto Rican older adults in the age of gentrification

Urban Studies ◽  
2017 ◽  
Vol 55 (14) ◽  
pp. 3168-3184 ◽  
Author(s):  
Ivis García ◽  
Mérida M Rúa
Keyword(s):  
Older Adults ◽  
Puerto Rican ◽  
Affordable Housing ◽  
Low Income ◽  
Aging In Place ◽  
Focal Attention ◽  
The Us ◽  
Ethnographic Data ◽  
Us Census

Gentrification scholarship often focuses on the vulnerability of long-term residents in general (for example homeowners, renters, and low-income older adults) to displacement, though not necessarily with focal attention to how this process specifically affects low-income minority older adults. Using ethnographic data, the authors prioritise and examine the experiences of aging low-income Puerto Ricans who, by way of senior-designated affordable housing, remain in some of Chicago’s most rapidly gentrifying communities. Interviews, focus groups, and participant observations are supplemented with data from the US Census from 1970 to 2010 in order to document some of the demographic changes that have been taking place in what were once majority Puerto Rican neighbourhoods. We find that while low-income older Latina and Latino residents are able to stay in a gentrifying neighbourhood, surrounded by new amenities, they still find limited spaces where they feel welcomed, resulting in indirect displacement. We argue that considerations of aging in place should not only include affordable housing, but should also include an accessible neighbourhood in terms of mixed-uses that support the wants and needs of low-income and minority older adults.

scholarly journals Using Smart Speakers in Low-Income Senior Housing to Enhance the Aging in Place Experience: Stakeholder Views

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 663-664
Author(s):  
Jane Chung ◽  
Jodi Winship ◽  
Katherine Falls ◽  
Pamela Parsons ◽  
Michael Bleich
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Low Income ◽  
Aging In Place ◽  
Comparative Approach ◽  
Emotional Wellbeing ◽  
Structured Interviews ◽  
Senior Housing ◽  
Target User ◽  
Voice Technology

Abstract Smart speakers provide a platform that can integrate smart home technology and/or safety devices within the home to enhance quality of life and independent living for older adults. However, few attempts to utilize this technology specifically within low-income senior housing (LISH) residents have been documented. Our purpose was to explore different stakeholder perceptions about the use of smart speakers to support aging in place in older adults living alone in LISH. Smart speakers were deployed in individual LISH apartments, equipped with a voice technology-based aging in place solution for the facility. A qualitative analysis of semi-structured interviews using a constant comparative approach for emerging themes was conducted (n=10: older adult users, n=2: housing staff, n=2: voice technology developers). The three participant groups showed diverging perceptions in terms of benefits, uses, and stakeholder interests. Older adults found smart speakers useful in four main areas: assistance with daily tasks, feeling connected, safety measures, and emotional wellbeing. The two other groups showed a broader interest in the use of the smart speaker device, such as residential management tools and communication channels in addition to its potential use as safety and wellness tools. Older adults experienced significant difficulty setting up desired functions or finding instructions, which restricted utilization of the technology to a limited set of tasks. All stakeholder groups addressed a need for formal training or personalized tech support for older adult users. Findings indicate the importance of developing deployment strategies tailored to the needs and characteristics of the target user group.

scholarly journals New Solutions for “Old” Problems: Implications and Opportunities of Intergenerational HomeSharing

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 782-782
Author(s):  
Raza Mirza ◽  
Jacalyn Tanner ◽  
James Hull ◽  
Taylor Hocking ◽  
Anna Liu ◽  
...  
Keyword(s):  
Older Adults ◽  
Affordable Housing ◽  
Institutional Care ◽  
Well Being ◽  
Social Needs ◽  
Housing Crisis ◽  
Household Tasks ◽  
Age In Place ◽  
The City ◽  
Additional Income

Abstract Across North America, many older adults have expressed their preference to live in their own homes and communities for as long as possible — and to 'age in place'. To address challenges faced by older adults living in the community, home-sharing - an exchange-based intergenerational housing approach, has empowered older adults to ‘thrive in place’ by providing additional income, companionship, and support with household tasks. In 2018, Toronto HomeShare was launched as an intergenerational home-sharing pilot program (n=22), matching older adults (55+) with postsecondary students intending to simultaneously address social isolation and the affordable housing crisis. In 2019, the pilot was adopted as a funded program in the City of Toronto with over 200 participants. Program results highlight unique benefits and challenges for older adults participating in home-sharing: (1) the capacity for intergenerational engagement to fulfill social needs, and (2) the importance of agency facilitation as a determinant of the experience for older adults. Survey findings indicate 88% of participants reported that participation in HomeShare positively impacted their general well-being, 88% reported improved financial security, 94% reported a delay in the need to move out of their community, and 72% felt that participation in HomeShare prevented the need for institutional care. These findings were used to transition Toronto HomeShare into a fully funded program as well as in the development of a national program. Beginning in January 2021 Toronto HomeShare transitioned to Canada HomeShare and will be scaling the program to Vancouver, Winnipeg, Halifax, Calgary, Montreal and other Canadian cities.

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