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Viewpoints of Older People Toward the Features of Age-Friendly Communities: Map for Charting Progress in Tabriz, Iran 老年人对老年友好社区特征的看法:伊朗大不里士进步地图
IF 2 Q2 Social Sciences Pub Date : 2020-12-09 DOI: 10.1080/26892618.2020.1859037
Siros Samei Sis, Abdolrasoul Safaeeian, Akbar Azizi Zeinalhajlou, H. Matlabi
Abstract The number of older people living in urban environments is growing dramatically. Adhering to a set of standards is essential to achieve a desirable living setting. In order to assess strengths and deficiencies, older people described how the checklist of essential features of age-friendly cities matches their own experiences. The descriptive study was conducted with the participation of 384 older people from Tabriz, Iran, who were selected randomly, from all over the city. The degree of conformity of city characteristics was described with the standards with a score of 0–100. The mean age of participants was 68.2 ± 0.35 years. More than half of the respondents (56.5%) were men and approximately one-third of the participants were illiterate and 80% were married respectively. The most satisfying dimension was the outdoor spaces and buildings (32.06 ± 11.94) and the least one was the communication and information (9 ± 0.27). Fragmented systems and services were a general challenge. Inadequate coordination between the public service organizations and consumers prevented the area’s wealth of resources from reaching their full potential.
摘要生活在城市环境中的老年人数量正在急剧增长。坚持一套标准对于实现理想的生活环境至关重要。为了评估优势和不足,老年人描述了老年友好城市的基本特征清单如何与他们自己的经历相匹配。这项描述性研究由384名来自伊朗大不里士的老年人参与,他们是从该市各地随机选择的。城市特征的符合程度与标准进行了描述,得分为0-100。参与者的平均年龄为68.2岁 ± 0.35 年。超过一半的受访者(56.5%)是男性,约三分之一的参与者是文盲,80%的参与者是已婚人士。最令人满意的维度是室外空间和建筑(32.06 ± 11.94),其中至少一个是通信和信息(9 ± 0.27)。分散的系统和服务是一个普遍的挑战。公共服务组织和消费者之间的协调不足,阻碍了该地区丰富的资源发挥其全部潜力。
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引用次数: 1
Public Housing With Services for Older Adults With Developmental Disabilities: Differences in Efficacy Among Asian and White Communities 为有发育障碍的老年人提供服务的公共住房:在亚裔和白人社区中效果的差异
IF 2 Q2 Social Sciences Pub Date : 2020-11-19 DOI: 10.1080/26892618.2020.1846104
Junghee Lee, W. Donlan, P. Carder, L. Grover, Insik Hwang, YoungHwan Kim, G. Luhr
Abstract This study examined the efficacy of a culturally responsive housing with services model for Asian-American older adults and persons with developmental disabilities separately, and with both for an interaction effect. Study participants, including 278 Whites and 75 Asian Americans, lived in 10 properties of public housing with services in Portland, OR. All Asian-American participants (except four) were immigrants from China, Korea, and Vietnam, and were well connected through community-based health and social services that were delivered onsite and at a nearby center by staff members who were also immigrants from these three countries. Asian-American participants were older, very poor, with limited English proficiency, but, reported stronger family connection and satisfaction with the living environment, which reflected in lower health care needs and utilization, and better quality of life. Participants with developmental disabilities comprised 27 individuals who reported greater health care needs, service utilization, and food insecurity. Asian-American participants with developmental disabilities reported stronger family connections. Regression analyses found level of health care needs was consistently the strongest predictor, followed by food insecurity and family connection, in predicting perceived quality of life. Findings offer insight into a culturally responsive housing services model where minority culture is no longer a risk factor and limited English language proficiency is no longer a cause of isolation.
摘要本研究分别考察了文化响应性住房与服务模式对亚裔美国老年人和发育障碍者的效果,以及两者的相互作用效应。研究参与者包括278名白人和75名亚裔美国人,他们住在俄勒冈州波特兰市10处提供服务的公共住房中。所有亚裔美国人参与者(除四名外)都是来自中国、韩国和越南的移民,他们通过现场和附近中心由同样来自这三个国家的移民的工作人员提供的以社区为基础的健康和社会服务建立了良好的联系。亚裔美国参与者年龄较大,非常贫穷,英语水平有限,但报告了更强的家庭联系和对生活环境的满意度,这反映在较低的医疗保健需求和利用上,以及更好的生活质量。发育性残疾的参与者包括27人,他们报告了更大的卫生保健需求、服务利用和粮食不安全。有发育障碍的亚裔美国参与者报告了更强的家庭联系。回归分析发现,在预测感知生活质量方面,医疗保健需求水平始终是最强的预测因子,其次是食品不安全和家庭联系。研究结果提供了一种对文化敏感的住房服务模式的见解,在这种模式中,少数民族文化不再是一个风险因素,有限的英语能力也不再是孤立的原因。
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引用次数: 0
Development and Validation of a Checklist to Assess the Elderly Attitude toward the Environmental Indicators (EA-EIs) of Nursing Home Facilities 评估长者对安老院舍环境指标态度的检查表之编制及验证
IF 2 Q2 Social Sciences Pub Date : 2020-10-24 DOI: 10.1080/26892618.2020.1834054
M. Malek, M. Mozafari, Sanaz Aazami, Golnaz Azami
Abstract Introduction Long term care public centers have not been fully established in Iran; elderly patients still cannot obtain the necessary care in their community. The main aim of this study was to develop and validate a checklist for assessing the elderly attitude toward the environmental indicators of public long-term care facilities. Method The tool contains 46 items across six domains developed through semi-structured interviews with the elderly attending public places across the city. In total, 400 elderly patients aged ≥60 years living in Ilam city selected through purposive sampling design. Six subscales, including medical facilities, health facilities, welfare, independence, control, and human relation, were driven. The elderly's attitude toward the environmental indicators of long-term care facilities checklist (EA-EIs) internal consistency, test-retest reliability, and factorial validity was analyzed. Results Explanatory factor analysis confirmed the presumed theoretical model correctly and the following six factors identified through the tool: (a) medical facilities (7 items), (b) health facilities (4 items), (c) welfare (14 items), (d) independence (10 items), (e) control (7 items), and (f) human relation (4 items). Internal consistency yielded high Cronbach alpha values for all six domains and the total overall, suggesting a stable and reliable measure. Two weeks of test-retest reliability for the tool found to be acceptable. Conclusion The present study provides preliminary evidence that (EA-EIS) is a reliable and valid instrument to the efficient assessment of elderly attitude toward the environmental indicators of public nursing home facilities. This instrument should be valuable for public health research as well as health service use.
伊朗长期护理公共中心尚未完全建立;老年病人仍然无法在他们的社区获得必要的护理。本研究的主要目的是开发并验证一份评估老年人对公共长期照护机构环境指标态度的清单。方法该工具包含6个领域的46个项目,通过对城市公共场所老年人的半结构化访谈开发而成。通过目的抽样设计,选取伊拉姆市≥60岁的老年患者400例。以医疗设施、卫生设施、福利、独立性、控制、人际关系等六个分量表为驱动力。分析老年人对长期照护设施环境指标表(EA-EIs)内部一致性、重测信度和析因效度的态度。结果解释因子分析正确地证实了假设的理论模型,并通过工具确定了以下六个因素:(a)医疗设施(7个项目),(b)卫生设施(4个项目),(c)福利(14个项目),(d)独立性(10个项目),(e)控制(7个项目)和(f)人际关系(4个项目)。内部一致性产生高Cronbach alpha值为所有六个领域和总体,表明一个稳定和可靠的测量。经过两周的重新测试,发现该工具的可靠性是可以接受的。结论(EA-EIS)是一种可靠、有效的工具,可以有效地评估老年人对公办养老院环境指标的态度。这一工具对于公共卫生研究和卫生服务的使用应该是有价值的。
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引用次数: 0
Elderly Mobility and Architectural Factors in Apartment Units: A Hierarchical Regression Analysis 老年人流动性与公寓建筑因素的层次回归分析
IF 2 Q2 Social Sciences Pub Date : 2020-10-21 DOI: 10.1080/26892618.2020.1834053
Sana Masoumi, A. Emami, Leila Mirsaeedie
Abstract According to the World Health Organization, the elderly need to keep their mobility level to maintain their level of health. Many studies have been performed on the mobility of the elderly in the urban context. However, increasing age makes older people spend more time in their homes, so it calls for further work on the issue within their houses. Besides, the role of architectural variables in indoor mobility has not been examined as much as individual characteristics. Accordingly, our research seeks to bridge such gaps by considering apartment units and examining the role of physical factors. In this respect, the researchers reviewed the related literature and devised a researcher-developed questionnaire. The population included three residential neighborhoods in Mashhad, Iran, among which 436 older people were selected for the study. After controlling the impact of variables related to individual characteristics and living conditions at home, the effect of architectural features on the mobility of the elderly was indicated. The findings revealed the influence of distance and access of architectural variables on the mobility of the elderly only in spacious units.
摘要根据世界卫生组织的说法,老年人需要保持他们的行动水平,以保持他们的健康水平。已经对城市环境中老年人的流动性进行了许多研究。然而,随着年龄的增长,老年人在家里的时间越来越多,因此需要在家里进一步解决这个问题。此外,建筑变量在室内流动性中的作用还没有像个人特征那样得到研究。因此,我们的研究试图通过考虑公寓单元和考察物理因素的作用来弥合这些差距。在这方面,研究人员回顾了相关文献,并设计了一份由研究人员编制的问卷。该人群包括伊朗马什哈德的三个居民区,其中436名老年人被选中进行研究。在控制了与个人特征和家庭生活条件相关的变量的影响后,指出了建筑特征对老年人流动性的影响。研究结果揭示了建筑变量的距离和通道对仅在宽敞单元中的老年人流动性的影响。
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引用次数: 1
Identity Narration and Negotiation among Older Adults Experiencing Homelessness 老年人无家可归的身份叙事与协商
IF 2 Q2 Social Sciences Pub Date : 2020-10-19 DOI: 10.1080/26892618.2020.1834051
K. Melekis, J. Gonyea
Abstract To be old and homeless is to face multiple stigmatized identities simultaneously. This qualitative study explored how older homeless adults construct their personal and social identities to manage this stigma. A series of semi-structured in-depth interviews and field observations were conducted over a period of two years with twenty homeless older adults affiliated with an outreach program in a Northeastern U.S. city. Results revealed three typologies of identity narration strategies that the participants used in their processes of identity negotiation and stigma resistance: (1) illumination of positive identities, (2) differentiation and hierarchy, and (3) adoption of other stigmatized but more “deserving” identities. Three case narratives are presented here as a means of illustrating the constructed typology of identity narration and negotiation strategies among older adults experiencing homelessness. Findings suggest ways we might honor individual narratives to eliminate the dividing practice of homelessness as “other” and reframe the discourse to better address older homelessness.
摘要年老和无家可归意味着同时面临多重被污名化的身份。这项定性研究探讨了无家可归的老年人如何构建他们的个人和社会身份来管理这种污名。在美国东北部一个城市的外展项目中,对20名无家可归的老年人进行了为期两年的半结构化深入访谈和实地观察。结果揭示了参与者在身份协商和抵制污名化过程中使用的三种类型的身份叙述策略:(1)正面身份的阐明,(2)分化和等级制度,以及(3)采用其他污名化但更“值得”的身份。本文提出了三个案例叙事,以说明无家可归的老年人的身份叙事和谈判策略的构建类型。研究结果表明,我们可以尊重个人叙事,以消除将无家可归者视为“其他人”的分裂做法,并重新构建话语,更好地解决老年人无家可归的问题。
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引用次数: 0
Housing Assessment Tools Developed or Adapted for Use in East and Southeast Asia: A Scoping Review 在东亚和东南亚开发或适应使用的住房评估工具:范围审查
IF 2 Q2 Social Sciences Pub Date : 2020-10-15 DOI: 10.1080/26892618.2020.1833397
Rumiko Tsuchiya-Ito, Mikio Tajima, B. Slaug
Abstract An overview of housing assessment tools developed or adapted for research use in East and Southeast Asia is currently lacking. A scoping review was conducted to address this knowledge gap. PubMed, Web of Science and CINAHL were searched for relevant scientific literature, and 22 articles were selected. Besides study-specific checklists, two assessment tools validated for use in Asia and three validated in other countries were identified. The tools were limited in scope and mostly concerned potential injury hazards. Issues such as indoor temperature and housing accessibility also need to be included to comprehensively assess the home environment in Asian countries.
在东亚和东南亚开发或适应研究使用的住房评估工具的概述目前缺乏。进行了范围审查,以解决这一知识差距。检索PubMed、Web of Science、CINAHL等相关科学文献,筛选出22篇。除了特定于研究的检查清单外,还确定了两个在亚洲得到验证的评估工具和三个在其他国家得到验证的评估工具。这些工具的范围有限,主要涉及潜在的伤害危险。室内温度和住房可及性等问题也需要包括在内,以全面评估亚洲国家的家庭环境。
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引用次数: 2
Forming and Living in a Seniors’ Cohousing: The Impact on Older Adults’ Healthy Aging in Place 老年人群体的形成和生活:对老年人健康老龄化的影响
IF 2 Q2 Social Sciences Pub Date : 2020-07-02 DOI: 10.1080/02763893.2019.1656134
Vivian Puplampu
Older adults in the twenty-first century are engaging in different activities to promote their healthy aging in place. The purpose of this article is to describe older adults’ experiences of formin...
二十一世纪的老年人正在从事各种活动,以促进他们的健康老龄化。这篇文章的目的是描述老年人的经验formin。。。
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引用次数: 8
The Landscape of “Aging in Place” in Gerontology Literature: Emergence, Theoretical Perspectives, and Influencing Factors 老年学文献中的“就地老龄化”景观:出现、理论视角与影响因素
IF 2 Q2 Social Sciences Pub Date : 2020-07-02 DOI: 10.1080/02763893.2019.1638875
C. Bigonnesse, H. Chaudhury
The literature on the concept of “aging in place” covers a wide range of areas; however, there is no consensus on how it should be defined or on the influencing factors. This literature review aime...
关于“原地老化”概念的文献涵盖了广泛的领域;然而,对于如何定义它或其影响因素尚未达成共识。这篇文献综述的目的是…
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引用次数: 41
Informing Best Practice for Supportive Housing with Care for Older Adults: A Qualitative Investigation of Service User Views 为老年人提供支持性住房的最佳实践:对服务使用者意见的定性调查
IF 2 Q2 Social Sciences Pub Date : 2020-06-04 DOI: 10.1080/26892618.2020.1772442
F. L. Finn, C. O’Gorman, S. Denieffe, Majella McCarthy
The older adult population is increasing, with subsequent socioeconomic challenges worldwide. Internationally, a well-recognised model that enables healthy ageing is ‘supportive housing with care’ which provides basic care for older adults that require minimal support.
老年人口正在增加,随之而来的是世界范围内的社会经济挑战。在国际上,实现健康老龄化的一种公认模式是"有照料的支助性住房",它为需要最低限度支助的老年人提供基本照料。
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引用次数: 1
Reflections on Cross-Cultural Comparison of the Impact of Housing Modification/Adaptation* for Supporting Older People at Home: A Discussion 住房改造/适应*对居家养老影响的跨文化比较思考
IF 2 Q2 Social Sciences Pub Date : 2020-03-31 DOI: 10.1080/26892618.2020.1743513
S. Peace, R. Darton
Home modification or adaptation is an important global issue, especially for older people living with disabilities in ordinary housing of varying ages, and pre-dating concerns about accessibility in design. Comparisons of research from five developed nations identify common themes: variation in integrated service development; public and private financial investment; deferred health costs; workforce expansion and training; and the value of the user perspective. Further discussion identifies the importance of retrofitting alongside new build, and argues for sustainable housing that recognizes population aging but also issues of climate change and the need for more inclusive design of housing for all ages.
家庭改造或改造是一个重要的全球问题,尤其是对于居住在不同年龄的普通住房中的残疾老年人,以及约会前对设计无障碍性的担忧。对五个发达国家的研究进行比较,确定了共同的主题:综合服务发展的差异;公共和私人金融投资;递延医疗费用;劳动力扩充和培训;以及用户视角的价值。进一步的讨论确定了在新建的同时进行改造的重要性,并主张可持续住房,既要认识到人口老龄化,也要认识到气候变化问题,以及为所有年龄段的人设计更具包容性的住房的必要性。
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引用次数: 4
期刊
Journal of Aging and Environment
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