Pub Date : 2021-11-22DOI: 10.1080/26892618.2021.2001709
Yuxin Cao, C. Heng, John Chye Fung
Abstract Out-of-home activities are critical for older adults’ health and quality of life. Using field observations and interviews, this study investigated what neighborhood environmental characteristics influence older adults’ out-of-home activities in a high-rise, high-density neighborhood in Singapore. Except for individual characteristics, this study revealed four environmental themes (i.e., physical environment, social environment, service environment/management, information and technological systems) and 18 subthemes affecting older adults’ out-of-home activities. It highlights the importance of neighborhood spaces for encouraging active and healthy aging. To further encourage out-of-home activities, neighborhood planning and design should protect the public domain and pay more attention to the pedestrian circulation system and design details.
{"title":"Older Adults’ Out-of-Home Activities in a Super-Aged High-Rise, High-Density Neighborhood: A Qualitative Study†","authors":"Yuxin Cao, C. Heng, John Chye Fung","doi":"10.1080/26892618.2021.2001709","DOIUrl":"https://doi.org/10.1080/26892618.2021.2001709","url":null,"abstract":"Abstract Out-of-home activities are critical for older adults’ health and quality of life. Using field observations and interviews, this study investigated what neighborhood environmental characteristics influence older adults’ out-of-home activities in a high-rise, high-density neighborhood in Singapore. Except for individual characteristics, this study revealed four environmental themes (i.e., physical environment, social environment, service environment/management, information and technological systems) and 18 subthemes affecting older adults’ out-of-home activities. It highlights the importance of neighborhood spaces for encouraging active and healthy aging. To further encourage out-of-home activities, neighborhood planning and design should protect the public domain and pay more attention to the pedestrian circulation system and design details.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"37 1","pages":"100 - 125"},"PeriodicalIF":2.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44024415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-17DOI: 10.1080/26892618.2021.2001706
S. Dys, A. Steeves-Reece, P. Carder
Abstract Housing has long been considered a social determinant of individual and population health. Older adults with low incomes face several challenges to maintaining stable, affordable housing. Using data from a previous explanatory study of older adults waitlisted for housing assistance (n = 267), we explore individual characteristics and themes associated with older adults’ perceived housing instability and risk of future homelessness. This mixed-methods study identifies salient themes of financial insecurity, age discrimination, employment and health, interpersonal relationships, and trauma. Our analysis and findings highlight experiences of instability over the life course related to older adults’ current housing circumstances.
{"title":"Lifelong Instability and Perceived Risk of Future Homelessness in Older Adults","authors":"S. Dys, A. Steeves-Reece, P. Carder","doi":"10.1080/26892618.2021.2001706","DOIUrl":"https://doi.org/10.1080/26892618.2021.2001706","url":null,"abstract":"Abstract Housing has long been considered a social determinant of individual and population health. Older adults with low incomes face several challenges to maintaining stable, affordable housing. Using data from a previous explanatory study of older adults waitlisted for housing assistance (n = 267), we explore individual characteristics and themes associated with older adults’ perceived housing instability and risk of future homelessness. This mixed-methods study identifies salient themes of financial insecurity, age discrimination, employment and health, interpersonal relationships, and trauma. Our analysis and findings highlight experiences of instability over the life course related to older adults’ current housing circumstances.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"37 1","pages":"46 - 64"},"PeriodicalIF":2.0,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49633536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-11DOI: 10.1080/26892618.2021.2001707
Eva Dahlkvist, M. Wallhagen, E. Bergsten, J. Larsson, I. Enmarker
Abstract This study explored first-line managers’ leadership behavior profiles regarding their goals for utilizing the garden at residential care facilities for older people. Semi-structured interviews were conducted with a convenience sample of first-line managers (n = 12) in Sweden. Data were analyzed using deductive content analysis theoretically guided by the Three-dimensional Leadership Model. The results showed that the main leadership behavior profiles were related to the dimensions structure, relation and change. The managers emphasized workplace regulations and goals. They allowed staff to make decisions and encouraged them to see problems and opportunities.
{"title":"First-Line Managers’ Leadership Behavior Profiles and Use of Gardens in Residential Care Facilities: An Interview Study","authors":"Eva Dahlkvist, M. Wallhagen, E. Bergsten, J. Larsson, I. Enmarker","doi":"10.1080/26892618.2021.2001707","DOIUrl":"https://doi.org/10.1080/26892618.2021.2001707","url":null,"abstract":"Abstract This study explored first-line managers’ leadership behavior profiles regarding their goals for utilizing the garden at residential care facilities for older people. Semi-structured interviews were conducted with a convenience sample of first-line managers (n = 12) in Sweden. Data were analyzed using deductive content analysis theoretically guided by the Three-dimensional Leadership Model. The results showed that the main leadership behavior profiles were related to the dimensions structure, relation and change. The managers emphasized workplace regulations and goals. They allowed staff to make decisions and encouraged them to see problems and opportunities.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"37 1","pages":"65 - 84"},"PeriodicalIF":2.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42039904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-16DOI: 10.1080/26892618.2021.1987371
J. Koller, B. L. Hutchings, Joelle Zabotka
Abstract This cross-sectional study explored the experiences of older adults in cohousing communities in the United States during the COVID-19 pandemic. Cohousing- an intentionally designed collaborative housing community- provides opportunities for social support. Restrictions due to the pandemic may be associated with less opportunities for social and physical connectedness. Most participants did not feel lonely or left out but did feel isolated. Feeling lonely or left out were associated with poor health status, living alone, being single, and having less contact outside of the community. It was unclear if feeling isolated was a result of or was intensified due to the pandemic.
{"title":"Older Adult Residents in Cohousing Communities: Impact and Response to the COVID-19 Pandemic","authors":"J. Koller, B. L. Hutchings, Joelle Zabotka","doi":"10.1080/26892618.2021.1987371","DOIUrl":"https://doi.org/10.1080/26892618.2021.1987371","url":null,"abstract":"Abstract This cross-sectional study explored the experiences of older adults in cohousing communities in the United States during the COVID-19 pandemic. Cohousing- an intentionally designed collaborative housing community- provides opportunities for social support. Restrictions due to the pandemic may be associated with less opportunities for social and physical connectedness. Most participants did not feel lonely or left out but did feel isolated. Feeling lonely or left out were associated with poor health status, living alone, being single, and having less contact outside of the community. It was unclear if feeling isolated was a result of or was intensified due to the pandemic.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"37 1","pages":"19 - 45"},"PeriodicalIF":2.0,"publicationDate":"2021-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48167320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract With the advent of aging population, the quality of life of older adults has become an ever more imperative focus of research. However, the impact of a sense of home on the quality of life of older adults has not received the full recognition it deserves yet. The present study is based on the following assumptions (1) older adults living in residential care facilities would have a better understanding of how it feels like to live in one’s home precisely because of living away from home; (2) older adults living at home would be affected in terms of quality of life by their subconscious perceptions of sense of home despite lacking an explicit familiarity with the concept. This study aims to identify the concept of a sense of home and evaluate its impact on the quality of life of older adults. To this end, through a qualitative analysis of participant interviews, we extracted the main themes of a sense of home for older adults dwelling in residential care facilities in Tabriz, Iran. Also, to ensure reliability, we tested the extracted themes quantitatively and interviewed a questionnaire in a wider statistical population. Our findings indicate that on the one hand, older adults feel satisfied with the residential aspect of where they live if they are provided with privacy, easily navigable routes, collective spaces, mental health. On the other, they can also achieve physical, social, and mental health and feel satisfied with the care provision dimension of where they live if they are provided with internal and external facilities such as easily walkable paths to avoid collapsing or injury, accessible health care options, chances of social interaction, as well as peace and serenity. The conclusion is that by providing a context for privacy, social interaction, independence, and memorability, a place can leave a positive impact on self-esteem, happiness, life satisfaction, and ultimately quality of life among older adults.
{"title":"The Impact of the Sense of Home on the Quality of Life of Older Adults in Tabriz, Iran","authors":"Minou Gharebaglou, Hamed Beyti, Shole Rezaei Zunuz","doi":"10.1080/26892618.2021.1987370","DOIUrl":"https://doi.org/10.1080/26892618.2021.1987370","url":null,"abstract":"Abstract With the advent of aging population, the quality of life of older adults has become an ever more imperative focus of research. However, the impact of a sense of home on the quality of life of older adults has not received the full recognition it deserves yet. The present study is based on the following assumptions (1) older adults living in residential care facilities would have a better understanding of how it feels like to live in one’s home precisely because of living away from home; (2) older adults living at home would be affected in terms of quality of life by their subconscious perceptions of sense of home despite lacking an explicit familiarity with the concept. This study aims to identify the concept of a sense of home and evaluate its impact on the quality of life of older adults. To this end, through a qualitative analysis of participant interviews, we extracted the main themes of a sense of home for older adults dwelling in residential care facilities in Tabriz, Iran. Also, to ensure reliability, we tested the extracted themes quantitatively and interviewed a questionnaire in a wider statistical population. Our findings indicate that on the one hand, older adults feel satisfied with the residential aspect of where they live if they are provided with privacy, easily navigable routes, collective spaces, mental health. On the other, they can also achieve physical, social, and mental health and feel satisfied with the care provision dimension of where they live if they are provided with internal and external facilities such as easily walkable paths to avoid collapsing or injury, accessible health care options, chances of social interaction, as well as peace and serenity. The conclusion is that by providing a context for privacy, social interaction, independence, and memorability, a place can leave a positive impact on self-esteem, happiness, life satisfaction, and ultimately quality of life among older adults.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"36 1","pages":"410 - 432"},"PeriodicalIF":2.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44839868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-06DOI: 10.1080/26892618.2021.1987372
C. Nord
Abstract This ethnographic study explores an old age home in a former township in Walvis Bay, Namibia as an institution to investigate its potential to be interwoven in community care services for older adults. Interviews with older adults from the community revealed highly negative opinions about the residence that equated it to an institution. These opinions are compared with conditions in the OAH and the residents’ views. The old age home was much more heterogenous as regards the composition of residents than what was perceived by older adults who lived in the community, who considered the home an option only for people who were childless or had been abandoned. Older adults who voluntarily lived alone in the home represented a new lifestyle that challenged the traditional family care practice that is the norm in later life. There was however some truth to the interviewees’ perceptions of coercive elements, both in terms of practices and architectural design. The paper argues that it is necessary to reduce the stigma that prevents residential care from being an accepted part of community care and a housing option in the future. The study result shows a number of potentialities that can contribute to this.
{"title":"Institutional Traits in an African Residence for Older Adults: An Obstacle to Community Care?","authors":"C. Nord","doi":"10.1080/26892618.2021.1987372","DOIUrl":"https://doi.org/10.1080/26892618.2021.1987372","url":null,"abstract":"Abstract This ethnographic study explores an old age home in a former township in Walvis Bay, Namibia as an institution to investigate its potential to be interwoven in community care services for older adults. Interviews with older adults from the community revealed highly negative opinions about the residence that equated it to an institution. These opinions are compared with conditions in the OAH and the residents’ views. The old age home was much more heterogenous as regards the composition of residents than what was perceived by older adults who lived in the community, who considered the home an option only for people who were childless or had been abandoned. Older adults who voluntarily lived alone in the home represented a new lifestyle that challenged the traditional family care practice that is the norm in later life. There was however some truth to the interviewees’ perceptions of coercive elements, both in terms of practices and architectural design. The paper argues that it is necessary to reduce the stigma that prevents residential care from being an accepted part of community care and a housing option in the future. The study result shows a number of potentialities that can contribute to this.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"19 3","pages":"433 - 449"},"PeriodicalIF":2.0,"publicationDate":"2021-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41295483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-03DOI: 10.1080/26892618.2021.1963386
Maria Kulander, Mats Wilhelmsson
Abstract As in many other countries, the population of Sweden is getting older. This means that the number of older people in society will increase in absolute numbers and relative terms. Consequently, the need for elderly housing will increase, and the cost of these investments will be high. The following study aims to perform a quantitative analysis of the spatial distribution of the number and size of housing units for the elderly in Sweden in 2013–2018. The number of elderly housing units per capita is not evenly distributed, and a large part of the explanation is, of course, that the number of older people is not evenly distributed between municipalities. Nevertheless, we can also state that the municipality’s income level and tax base, as well as the geographical size and degree of urbanization, play a role. If the municipality has a surplus or deficit in the supply of special housing for the elderly, it does not correlate with the distribution of COVID-19 cases.
{"title":"What Determines the Supply of Housing for the Elderly, and How Is it Related to the Spread of COVID-19?","authors":"Maria Kulander, Mats Wilhelmsson","doi":"10.1080/26892618.2021.1963386","DOIUrl":"https://doi.org/10.1080/26892618.2021.1963386","url":null,"abstract":"Abstract As in many other countries, the population of Sweden is getting older. This means that the number of older people in society will increase in absolute numbers and relative terms. Consequently, the need for elderly housing will increase, and the cost of these investments will be high. The following study aims to perform a quantitative analysis of the spatial distribution of the number and size of housing units for the elderly in Sweden in 2013–2018. The number of elderly housing units per capita is not evenly distributed, and a large part of the explanation is, of course, that the number of older people is not evenly distributed between municipalities. Nevertheless, we can also state that the municipality’s income level and tax base, as well as the geographical size and degree of urbanization, play a role. If the municipality has a surplus or deficit in the supply of special housing for the elderly, it does not correlate with the distribution of COVID-19 cases.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"36 1","pages":"357 - 380"},"PeriodicalIF":2.0,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45156381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-26DOI: 10.1080/26892618.2021.1963387
Helen R. Lam, Kelly Fleming, Jeff Lee, Th Li, Nisha Mendonca
Abstract Older adults with dementia or cognitive impairment face unique challenges to living safely and independently in subsidized housing. This scoping review summarizes previous studies to develop an understanding of the challenges faced by older populations with dementia or cognitive impairment. Three medical databases, five social science databases, and two gray literature databases were searched. Six themes emerged: tenants’ demographic profile, physical challenges, mental/social/psychological challenges, behavioral challenges, inadequate services/environment, and barriers posed by policy and practice. We conclude that housing providers and practitioners should collaborate in ensuring tenants with dementia or cognitive impairment in subsidized housing are well supported, and we suggest areas for future research.
{"title":"Challenges Experienced by Subsidized Housing Residents with Dementia or Cognitive Impairment: A Scoping Review","authors":"Helen R. Lam, Kelly Fleming, Jeff Lee, Th Li, Nisha Mendonca","doi":"10.1080/26892618.2021.1963387","DOIUrl":"https://doi.org/10.1080/26892618.2021.1963387","url":null,"abstract":"Abstract Older adults with dementia or cognitive impairment face unique challenges to living safely and independently in subsidized housing. This scoping review summarizes previous studies to develop an understanding of the challenges faced by older populations with dementia or cognitive impairment. Three medical databases, five social science databases, and two gray literature databases were searched. Six themes emerged: tenants’ demographic profile, physical challenges, mental/social/psychological challenges, behavioral challenges, inadequate services/environment, and barriers posed by policy and practice. We conclude that housing providers and practitioners should collaborate in ensuring tenants with dementia or cognitive impairment in subsidized housing are well supported, and we suggest areas for future research.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"36 1","pages":"381 - 409"},"PeriodicalIF":2.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43423792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-26DOI: 10.1080/26892618.2021.1955806
S. Canham, C. Walsh, T. Sussman, Joe Humphries, Lara Nixon, Victoria F. Burns
Abstract Limited research has identified the types of shelter/housing and supports for the growing population of older people experiencing homelessness (OPEH) and the extent to which existing models align with their needs. To redress this gap, we conducted an environmental scan and three World Café workshops to identify and characterize shelter/housing models for OPEH in Montreal, Calgary, and Vancouver (Canada). Fifty-two models were identified and categorized into six shelter/housing types based on the program length of stay and level of health and social supports provided onsite: (1) Emergency, transitional, or temporary shelter/housing with supports; (2) Independent housing with offsite community-based supports; (3) Supported independent housing with onsite, non-medical supports; (4) Permanent supportive housing with onsite medical support and/or specialized services; (5) Long-term care for individuals with complex health needs and; (6) Palliative care/hospice, offering end-of-life services. Models that met the unique needs of OPEH had coordinated supports, social and recreational programming, assistance with daily tasks, and had a person-centered, harm-reduction approach to care. This typology of shelter/housing models offers a basis from which local and regional governments can audit their existing shelter/housing options and determine where there may be gaps in supporting OPEH.
{"title":"Identifying Shelter and Housing Models for Older People Experiencing Homelessness","authors":"S. Canham, C. Walsh, T. Sussman, Joe Humphries, Lara Nixon, Victoria F. Burns","doi":"10.1080/26892618.2021.1955806","DOIUrl":"https://doi.org/10.1080/26892618.2021.1955806","url":null,"abstract":"Abstract Limited research has identified the types of shelter/housing and supports for the growing population of older people experiencing homelessness (OPEH) and the extent to which existing models align with their needs. To redress this gap, we conducted an environmental scan and three World Café workshops to identify and characterize shelter/housing models for OPEH in Montreal, Calgary, and Vancouver (Canada). Fifty-two models were identified and categorized into six shelter/housing types based on the program length of stay and level of health and social supports provided onsite: (1) Emergency, transitional, or temporary shelter/housing with supports; (2) Independent housing with offsite community-based supports; (3) Supported independent housing with onsite, non-medical supports; (4) Permanent supportive housing with onsite medical support and/or specialized services; (5) Long-term care for individuals with complex health needs and; (6) Palliative care/hospice, offering end-of-life services. Models that met the unique needs of OPEH had coordinated supports, social and recreational programming, assistance with daily tasks, and had a person-centered, harm-reduction approach to care. This typology of shelter/housing models offers a basis from which local and regional governments can audit their existing shelter/housing options and determine where there may be gaps in supporting OPEH.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"36 1","pages":"204 - 225"},"PeriodicalIF":2.0,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/26892618.2021.1955806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48096725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-23DOI: 10.1080/26892618.2021.1942382
T. Bucy, P. Carder, Ozcan Tunalilar
Abstract Hospice use among assisted living residents may support aging in place. A cross-sectional survey was used to characterize variation in the health and personal care needs of Oregon assisted living and residential care (AL/RC) residents who did and did not receive hospice services. All AL communities licensed in Oregon as of fall 2019 were asked to answer questions about three randomly selected residents. A final sample of 998 residents was included in the analysis. Multiple variable logistic regression was used to examine associations between resident- and community-level characteristics and hospice use. While hospice services provide supplemental support for AL residents’ end-of-life process, our findings show that residents often receive continued assistance from AL staff as their condition deteriorates.
{"title":"Dying in Place: Factors Associated with Hospice Use in Assisted Living and Residential Care Communities in Oregon","authors":"T. Bucy, P. Carder, Ozcan Tunalilar","doi":"10.1080/26892618.2021.1942382","DOIUrl":"https://doi.org/10.1080/26892618.2021.1942382","url":null,"abstract":"Abstract Hospice use among assisted living residents may support aging in place. A cross-sectional survey was used to characterize variation in the health and personal care needs of Oregon assisted living and residential care (AL/RC) residents who did and did not receive hospice services. All AL communities licensed in Oregon as of fall 2019 were asked to answer questions about three randomly selected residents. A final sample of 998 residents was included in the analysis. Multiple variable logistic regression was used to examine associations between resident- and community-level characteristics and hospice use. While hospice services provide supplemental support for AL residents’ end-of-life process, our findings show that residents often receive continued assistance from AL staff as their condition deteriorates.","PeriodicalId":36333,"journal":{"name":"Journal of Aging and Environment","volume":"36 1","pages":"339 - 356"},"PeriodicalIF":2.0,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/26892618.2021.1942382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44786070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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