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Home and health among different sub-groups of the ageing population: a comparison of two cohorts living in ordinary housing in Sweden.

https://arctichealth.org/en/permalink/ahliterature277620
Source
BMC Geriatr. 2016 Apr 26;16:90
Publication Type
Article
Date
Apr-26-2016
Author
Henrik Ekström
Steven M Schmidt
Susanne Iwarsson
Source
BMC Geriatr. 2016 Apr 26;16:90
Date
Apr-26-2016
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Aging - psychology
Cohort Studies
Cross-Sectional Studies
Environment
Female
Health status
Housing - standards
Humans
Male
Perception
Personal Satisfaction
Population Surveillance - methods
Sweden - epidemiology
Abstract
At present a majority of older people remain in their ordinary homes. Research has generated knowledge about home and health dynamics and increased the awareness of the complexity of housing as related to ageing. As this knowledge is based mainly on research on very old, single-living people in ordinary housing there is a need to study other sub-groups of the ageing population. Thus, the aim of the present descriptive study was to compare a younger old cohort with a very old cohort living in ordinary housing in Sweden in order to shed new light on home and health dynamics in different sub-groups of the ageing population.
Cross-sectional study of two population-based cohorts: one aged 67-70 years (n = 371) and one aged 79-89 years (n = 397) drawn from existing Swedish databases. Structured interviews and observations were conducted to collect data about socio-demographics, aspects of home, and symptoms. Besides descriptive statistics we computed tests of differences using the Chi-squared test and Mann-Whitney U-test.
Accessibility was significantly lower in the very old cohort compared to the younger old cohort even though the former were objectively assessed to have fewer environmental barriers. Those in the very old cohort perceived aspects of their housing situation as worse and were more dependent on external influences managing their housing situation. Although a larger proportion of the very old cohort had more functional limitations 22% were independent in ADL. In the younger old cohort 17% were dependent in ADL.
Keeping in mind that there were cohort differences beyond that of age, despite fewer environmental barriers in their dwellings the very old community-living cohort lived in housing with more accessibility problems compared to those of the younger old cohort, caused by their higher prevalence of functional limitations. Those in the very old cohort perceived themselves in a less favourable situation, but still as satisfied with housing as those in the younger old cohort. This kind of knowledge is indicative for prevention and intervention in health care and social services as well as for housing provision and societal planning. Further studies based on truly comparable cohorts are warranted.
Notes
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PubMed ID
27117314 View in PubMed
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Home and health in the third age - methodological background and descriptive findings.

https://arctichealth.org/en/permalink/ahliterature260797
Source
Int J Environ Res Public Health. 2014 Jul;11(7):7060-80
Publication Type
Article
Date
Jul-2014
Author
Maya Kylén
Henrik Ekström
Maria Haak
Sölve Elmståhl
Susanne Iwarsson
Source
Int J Environ Res Public Health. 2014 Jul;11(7):7060-80
Date
Jul-2014
Language
English
Publication Type
Article
Keywords
Accidental Falls
Activities of Daily Living
Aged
Attitude to Health
Depression
Environment Design
Female
Health status
Housing
Humans
Male
Personal Satisfaction
Sweden
Abstract
The understanding of the complex relationship between the home environment, well-being and daily functioning in the third age is currently weak. The aim of this paper is to present the methodological background of the Home and Health in the Third Age Study, and describe a sample of men and women in relation to their home and health situation.
The study sample included 371 people aged 67-70, living in ordinary housing in the south of Sweden. Structured interviews and observations were conducted to collect data about objective and perceived aspects of home and health.
The majority of the participants were in good health and had few functional limitations. Women had more functional limitations and reported more symptoms than men. Environmental barriers were found in every home investigated; the most were found in the kitchen and hygiene area. Environmental barriers were more common in multi-family than in one-family dwellings.
This study will increase our knowledge on home and health dynamics among people in the third age. The results have potential to contribute to societal planning related to housing provision, home care and social services for senior citizens.
Notes
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Cites: Gerontologist. 2003 Oct;43(5):628-3714570959
Cites: Disabil Rehabil. 2003 Dec 2;25(23):1316-2514617438
Cites: Aging Clin Exp Res. 2004 Apr;16(2):158-6815195992
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Cites: Gerontologist. 2007 Feb;47(1):85-9517327544
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Cites: Scand J Occup Ther. 2007;14(1):3-1517366073
Cites: Scand J Occup Ther. 2007;14(1):33-4317366076
PubMed ID
25019267 View in PubMed
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Life satisfaction in older women in Latvia and Sweden-relations to standard of living, aspects of health and coping behaviour.

https://arctichealth.org/en/permalink/ahliterature121006
Source
J Cross Cult Gerontol. 2012 Dec;27(4):391-407
Publication Type
Article
Date
Dec-2012
Author
Vibeke Horstmann
Maria Haak
Signe Tomsone
Susanne Iwarsson
Anne Gräsbeck
Author Affiliation
Department of Health Sciences (Institutionen för hälsa, vård och samhälle), Faculty of Medicine, Lund University, Box 157, SE-221 00, Lund, Sweden. vibeke.horstmann@med.lu.se
Source
J Cross Cult Gerontol. 2012 Dec;27(4):391-407
Date
Dec-2012
Language
English
Publication Type
Article
Keywords
Activities of Daily Living - psychology
Adaptation, Psychological
Aged
Aged, 80 and over
Cross-Cultural Comparison
Cross-Sectional Studies
Female
Geriatric Assessment
Health status
Housing for the Elderly
Humans
Latvia
Logistic Models
Personal Satisfaction
Quality of Life
Questionnaires
Single Parent
Socioeconomic Factors
Sweden
Abstract
To study and compare associations between life satisfaction and standard of living, health, and coping behaviour in older single-living women in two countries with different political, economical and cultural situations: Latvia and Sweden. Cross sectional data included 260 Latvian and 288 Swedish women, aged 75-84 and 80-89, from the ENABLE-AGE Survey Study. Life satisfaction was assessed by the question: All in all, how satisfied are you with your life? Standard of living was assessed by economic and housing conditions, and health by perceived and objective health and activities in daily living. Three factors, Fight, Helplessness, and Distraction, were obtained from the Coping Patterns Schedule. Correlations between Life satisfaction and standard of living, health, and coping were calculated. The variance in Life satisfaction explained by these variables was obtained in each sample by ordinal regression models. Life satisfaction was significantly lower in the Latvian sample than in the Swedish. Standard of living was lower and health poorer in the younger Latvian sample than in the Swedish, but more of the variance in Life satisfaction was explained in the Latvian sample by standard of living (18% vs 2%) and less by health (6% vs 15%). Coping factors explained 29% of the variation in Life satisfaction in the Latvian sample as opposed to 15% in the Swedish. For single-living older women low standard of living seems to be a more serious obstacle than poor health, making it difficult to obtain a reasonable life satisfaction.
PubMed ID
22948614 View in PubMed
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Relationships between perceived aspects of home and symptoms in a cohort aged 67-70.

https://arctichealth.org/en/permalink/ahliterature270198
Source
Arch Gerontol Geriatr. 2015 Nov-Dec;61(3):529-34
Publication Type
Article
Author
Maria Haak
Maya Kylén
Henrik Ekström
Steven M Schmidt
Vibeke Horstmann
Sölve Elmståhl
Susanne Iwarsson
Source
Arch Gerontol Geriatr. 2015 Nov-Dec;61(3):529-34
Language
English
Publication Type
Article
Keywords
Activities of Daily Living - psychology
Aged
Aging - psychology
Depression
Female
Health status
Health Surveys
Housing for the Elderly
Humans
Independent Living - psychology
Interviews as Topic
Male
Perception
Personal Satisfaction
Sweden
Abstract
The importance of the home environment increases with age. Perceived aspects of home influence life satisfaction, perceived health, independence in daily activities and well-being among very old people. However, research on health and perceived aspects of home among senior citizens in earlier phases of the aging process is lacking. Therefore, the main aim was to explore whether perceived aspects of home are related to number of and specific domains of symptoms in a cohort of people aged 67-70. Interview and observation data on aspects of home and health, collected with 371 individuals living in ordinary housing in urban as well as rural areas in southern Sweden, were used. Descriptive statistics, correlations, multiple linear and logistic regression models were employed. The results showed that the median number of symptoms was 6.0. Reporting fewer reported symptoms was associated with a higher meaning of home (p=0.003) and lower external housing related control beliefs (p=0.001) but not with usability in the home. High external control beliefs were significantly associated with symptoms from head (p=0.014), gastrointestinal (p=0.014) and tension symptoms (p=0.001). Low meaning of home was significantly associated with heart-lung symptoms (p=0.007), and low usability was associated with depressive symptoms (p=0.003). In conclusion, showing that perceived aspects of home are important for health in terms of physical and mental symptoms, this study contributes to the knowledge on the complex interplay of health and home in the third age.
PubMed ID
26199206 View in PubMed
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