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Prerequisites for a healthy and independent life among older people: a Delphi study
- Authors:
- GUSDAL Annelie K., et al
- Journal article citation:
- Ageing and Society, 41(9), 2021, pp.2171-2187.
- Publisher:
- Cambridge University Press
The number of older people (aged 65+) will more than double by 2050 in Sweden. The ageing population is an increasing concern due to rising health-care costs and a shortage of health professionals. Older people generally prefer ageing in place, as long as they feel confident and comfortable. However, preventive and supportive measures are needed to maintain older people's independence and active participation in society. The aim of this study is to explore the prerequisites for a healthy and independent life among older people in Sweden. A Delphi study was conducted in three rounds. In round 1, seven focus group interviews were performed with older persons aged 65–79, older persons aged ⩾80, next of kin of older persons, health professionals in primary and home health care, assistant nurses in home care, care managers and local politicians. The data were analysed using thematic analysis, resulting in 35 statements of the prerequisites needed for a healthy and independent life. These statements were sent to the participants from round 1, who were asked to evaluate the degree to which they agreed with each statement in round 2, and again in round 3. There was an agreement of at least 80 per cent for 31 of the 35 statements. When asked to identify the three prerequisites of most importance for a healthy and independent life, most participants stated: to have a social life, to have freedom of choice and power over one's own situation, and to have the possibility to choose independently one's type of housing. There was an overall high group agreement on the prerequisites needed for a healthy and independent life among older people. The main areas of importance were to have a social life, several dimensions of feeling safe and to retain one's personal control. (Edited publisher abstract)
Sustainability and Transformation Plans: analysis of extent to which housing and ageing are mentioned in STPs
- Author:
- CARE AND REPAIR ENGLAND
- Publisher:
- Care and Repair England
- Publication year:
- 2017
- Pagination:
- 19
- Place of publication:
- Nottingham
Briefing paper providing an outline explanation of Sustainability and Transformation Plans (STPs), commenting on why housing is so critical to achieving the future vision for the NHS and the importance of addressing population ageing. Based on a search of all 44 STPs, it includes a summary table which shows the wide disparities with regard to inclusion of any references to housing and ageing, ranging from zero in a number of areas, to a few which are far ahead in terms of integrated analysis and cross sector planning. The briefing is for those who plan, commission and provide health care, social care and/or housing related provision. (Edited publisher abstract)
Housing conditions and non-communicable diseases among older adults in Ireland
- Authors:
- GIBNEY Sarah, WARD Mark, SHANNON Sinead
- Journal article citation:
- Quality in Ageing and Older Adults, 19(3), 2018, pp.191-204.
- Publisher:
- Emerald
Purpose: Housing quality across the life course is an important health determinant. The purpose of this paper is to profile the current housing conditions of older adults in Ireland, and to investigate the association between housing conditions and heating problems and two types of non-communicable diseases: respiratory health problems and bone and joint conditions. Design/methodology/approach: Data are from the Healthy and Positive Ageing Initiative Age-friendly Cities and Counties Survey, a random-sample, population representative survey of 10,540 adults aged 55 and older collected in 2015–2016. Mixed-effects logistic regression analysis was used to investigate the association between poor housing (leaks, rot and damp) and poor heating (unable to keep the home adequately warm) and the likelihood of having a respiratory health problem or a bone or joint condition. Results are reported as odds ratios with 95% confidence intervals. Findings: Overall, 10.2 per cent had poor housing and 10.4 per cent had poor heating. Poor housing and poor heating were strongly associated with respiratory health problems and there was a strong association between poor housing and bone and joint conditions. These associations were not explained by health behaviours or socio-demographic characteristics. Originality/value: Despite a number of publicly funded schemes available to assist in upgrading and maintaining housing, a considerable number of adults aged 55 years and older continue to report problems which are associated with an increased likelihood of respiratory health problem and bone and joint conditions and present a considerable threat to healthy ageing in place.
Health, wellbeing, and the older people housing agenda: briefing paper
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2012
- Pagination:
- 15p.
- Place of publication:
- London
This paper is 1 of 3 which explore the practicalities of delivering housing for older people and maximising the benefits to their health and wellbeing. Poor housing can be a contributory factor to acerbating a number of health conditions, just as good housing may help to limit the effects or incidence of other conditions. Housing factors that influence older people’s health include: cold weather; indoor air quality; house type and design; and neighbourhood effects. The paper is aimed primarily at Health and Wellbeing Board members and seeks to support them in their understanding of: the impact of poor housing on the health and wellbeing outcomes of older people; and the strategic approaches they can take to influence the provision of housing and housing related services to improve the health and wellbeing of their older population. Health and Wellbeing Boards need to establish a shared understanding of health and wellbeing outcomes for their local populations, including the variations in outcome for different groups such as older people. The challenge is to understand how housing contributes to the delivery of these outcomes, and what measures indicate that current housing services are not delivering locally. Development of a strategic approach towards health and wellbeing in older people will require better partnership between housing, health and social care.
The forgotten age: understanding poverty and social exclusion in later life
- Authors:
- MCKEE Sara, (chair)
- Publisher:
- Centre for Social Justice
- Publication year:
- 2010
- Pagination:
- 251p., bibliog.
- Place of publication:
- London
In this interim report the Centre for Social Justice Older Age Working Group presents an analysis of the nature and scale of the challenge the government faces in tackling poverty and social exclusion among older people in the UK. The review included analysis of statistics, gathered evidence from a range of stakeholders, and commissioned internet-based public polling. It identified several key indicators concerning the poorest older people in society which are used as core report themes. These are: money (including pensioner poverty, impact of the recession, the state pension and state benefits, and fuel poverty), community and lifestyle (including community and neighbourhoods, crime, transport, health, volunteering and digital exclusion), housing (including housing standards, design, adaptation and improvement, sheltered and retirement housing, and old age homelessness), and care (including social care, unpaid care, state provision of care, care at home, and care homes). The Working Group's second and final report, to be published in 2011, will set out a range of policy recommendations based on this analysis.
Situation of the elderly in the Himalayan Kingdom of Nepal
- Authors:
- CHALISE Hom Nath, SHRESHTA Sajan
- Journal article citation:
- Indian Journal of Social Work, 66(3), April 2005, pp.136-143.
- Publisher:
- Tata Institute of Social Sciences
This article examines the socioeconomic and health status of the elderly in Nepal. A total of 121 older people were interviewed in Kathmandu. The findings show that the majority reported serious health problems in the last year; most lived with their children; a significantly higher number of elderly women lived alone as compared to men; and the monthly income of the elderly was significantly low.
Housing and health: working together
- Author:
- JELLINGS Vicki
- Journal article citation:
- Working with Older People, 10(3), September 2006, pp.37-39.
- Publisher:
- Emerald
Home improvement agencies are a recognised part of the preventative jigsaw, enabling older homeowners to remain living at home safely and independently. The author explains about the 'Healthy Homes, Healthier Lives' programme that promotes the connection between good housing and good health, to health and social care professionals.
The shifting sands of time: results from the English longitudinal study of ageing on multiple transitions in later life
- Authors:
- HYDE Martin, HIGGS Paul
- Journal article citation:
- Ageing International, 29(4), 2004, pp.317-332.
- Publisher:
- Springer
- Place of publication:
- New York
Old age is becoming a time of transitions (and instability) as the labour market participation and the family arrangements of older people become more varied and as older people themselves become more mobile and healthier than ever before. Many studies exist that illustrate the improving health of the older population, their changing patterns of work, residence and family. However few studies have had the opportunity to look at how changes in one dimension are related to changes in others. The English Longitudinal Study of Ageing (ELSA) is the largest study of older people in England and contains data on the demographic, employment, housing and health characteristics of over 11,000 people aged 50 and over. Using data from the first wave of data collection and baseline data from the Health Surveys for England (from which the ELSA sample was drawn) the authors have looked at transitions over five dimensions amongst the over 50s in England: transitions in labour market position, health status, marital status, household composition and residential location. Transitions in each of the dimensions were explored for the sample as a whole and then by sex and by cohort. Finally the relations between the different transitions were explored. The results show the majority of the sample experience change in at least one dimension and around one quarter in two dimensions. There were few differences between the sexes, although women were more likely to experience a change in labour market position. However there were differences between the age groups. Those in the older groups were less likely to experience transitions, apart from transitions in health statuses. Overall the data confirm that later life is a dynamic portion of the life course.
Home or hell: older tenants' experiences in the private rented sector
- Authors:
- FEAR Tina, et al
- Journal article citation:
- Journal of Adult Protection, 6(2), September 2004, pp.15-20.
- Publisher:
- Emerald
Examines some of the findings of a research project exploring harassment and abuse of older tenants in the private rented sector, which looked at older people's experiences and raising important links between health and housing. The research was supported by Help the Aged and undertaken in 2001. Highlights financial abuse directed towards these older people and examines implications for professionals and agencies.
Single older men in disadvantaged households: narratives of meaning around everyday life
- Authors:
- RUSSELL Cherry, PORTER Maree
- Journal article citation:
- Ageing International, 28(4), 2003, pp.359-371.
- Publisher:
- Springer
- Place of publication:
- New York
Draws on in-depth interview data from the Ageing Men's Health Project, a three-year ethnographic study of the health, housing and service use of low income, single, non-homeowning men of 50 years and over, living in the inner city of Sydney, Australia. The men were asked to describe an average day and otherwise elaborate on the everyday circumstances of their lives. Findings highlight the extent to which the men's everyday lives are constrained and curtailed by economic disadvantage and health deficits. At the same time, the men invest their activities with a range of sociocultural meanings that do not always match professionally constructed categories and misunderstandings. In particular, social relationships with other men appear to be central to the meanings they confer on everyday life.