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Park S, Park S, Ryu B, Baek J, Amano T, Kim B. Subsidized Senior Housing in the US: A Scoping Review. J Appl Gerontol 2024; 43:814-828. [PMID: 38116663 DOI: 10.1177/07334648231223028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023] Open
Abstract
Subsidized senior housing (SSH) is important to support healthy aging among vulnerable subgroups of older adults, yet progress in developing and expanding SSH has been limited. This scoping review had two research questions: (1) What are the trends in SSH empirical studies? (2) What are the main topics in the existing literature on SSH in the US? We reviewed a total of 61 articles and found several notable trends, including a focus on racial and ethnic minorities, cognitive impairment among SSH residents, and collaborative partnerships between housing operators and healthcare providers. More than half of the studies were quantitative, while the rest were qualitative or mixed-methods. The lack of longitudinal or causal design research reflects the limited empirical knowledge of SSH. Four themes emerged: health and well-being, healthcare use and health behaviors, social relations, and housing relocation. We discussed implications for future research and program development efforts in SSH.
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Affiliation(s)
- Sojung Park
- Brown School of Social Work, Washington University in St Louis, St Louis, MO, USA
| | - Soobin Park
- Brown School of Social Work, Washington University in St Louis, St Louis, MO, USA
| | - Byeongju Ryu
- School of Social Work, Boston College, Chestnut Hill, MA, USA
| | - Jihye Baek
- Brown School of Social Work, Washington University in St Louis, St Louis, MO, USA
| | - Takashi Amano
- School of Arts and Sciences, Rutgers University, Newark, NJ, USA
| | - Borin Kim
- School of Social Work, University of New Hampshire, Durham, NH, USA
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Pietrzak B, Kujawa J, Lipert A. Depressive Disorders, Cognitive and Physical Function of Older People in Early Dementia Detection. Life (Basel) 2023; 13:2010. [PMID: 37895392 PMCID: PMC10608476 DOI: 10.3390/life13102010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 09/29/2023] [Accepted: 10/01/2023] [Indexed: 10/29/2023] Open
Abstract
BACKGROUND Aging is associated with cognitive decline, leading to cognitive and physical impairments, which are risk factors for loss of independence and dementia development. Early diagnosis is beneficial for both, the patient and their family, to avoid long-term consequences. The aim of this study was to analyze the frequency of depressive disorders and their influence on cognitive and physical function of older people in early dementia detection. METHODS There were 852 patients, aged at least 60 years, from the Central Teaching Hospital. The study was conducted between September 2022 and June 2023. The qualified participants were examined using four tools: Geriatric Depression Scale (GDS), Instrumental Activities of Daily Living (IADL), Timed Up and Go (TUG) and Schulman's Clock-Drawing Test. RESULTS Over one-third had depressive disorders. A relationship with p < 0.05 was observed between GDS and IADL: r = -0.61. A relationship with p > 0.05 was observed between GDS and TUG: r = -024. A relationship with p < 0.05 was observed between GDS and CDT: r = 0.74. CONCLUSIONS The first signs of depressive disorders in older people may be considered an indication for further diagnosis of dementia.
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Affiliation(s)
- Beata Pietrzak
- Department of Medical Rehabilitation, Medical University of Lodz, 92-213 Lodz, Poland; (B.P.); (J.K.)
| | - Jolanta Kujawa
- Department of Medical Rehabilitation, Medical University of Lodz, 92-213 Lodz, Poland; (B.P.); (J.K.)
| | - Anna Lipert
- Department of Sports Medicine, Medical University of Lodz, 92-213 Lodz, Poland
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Lam HR, Fleming K, Lee J, Li TCF, Mendonca N. Challenges Experienced by Subsidized Housing Residents with Dementia or Cognitive Impairment: A Scoping Review. JOURNAL OF AGING AND ENVIRONMENT 2021. [DOI: 10.1080/26892618.2021.1963387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Helen R. Lam
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
| | - Kelly Fleming
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
| | - Jeff Lee
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
| | | | - Nisha Mendonca
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
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Sharpley CF, Murcell N, Anderson M, Bitsika V, Fourie PJ, Agnew LL. An exploration of recent life stress, psychological resilience, purpose in life, and optimism as correlates of depression in social housing residents in rural Australia. INTERNATIONAL JOURNAL OF MENTAL HEALTH 2021. [DOI: 10.1080/00207411.2021.1896079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Christopher F. Sharpley
- Brain-Behaviour Research Group, School of Science and Technology, University of New England, Armidale, Australia
| | | | - Mark Anderson
- Brain-Behaviour Research Group, School of Science and Technology, University of New England, Armidale, Australia
| | - Vicki Bitsika
- Brain-Behaviour Research Group, School of Science and Technology, University of New England, Armidale, Australia
| | - Phillip J. Fourie
- Brain-Behaviour Research Group, School of Science and Technology, University of New England, Armidale, Australia
| | - Linda L. Agnew
- Brain-Behaviour Research Group, School of Science and Technology, University of New England, Armidale, Australia
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Sum G, Tan YR, Hong SI, Koh GCH. Psychosocial and physical factors associated with depression in older adults living in studio apartments: A cross-sectional study of a multi-ethnic Asian population. PROCEEDINGS OF SINGAPORE HEALTHCARE 2019. [DOI: 10.1177/2010105819860853] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Background: There is a rapidly ageing population globally, leading to a rise in subsidised public housing in many countries for older adults. According to the World Health Organisation, depression is the most prevalent mental disorder in older adults. There is a gap in literature on the factors associated with depression in those residing in studio apartments for older adults, characterised by small living spaces and isolated community settings. Objective: The aim of this study was to examine the associations between socio-demographic variables, social support, self-perceived health and mental status, life satisfaction, exercise, physical functioning, chronic conditions, and the use of eldercare services, with depressive symptoms. Methods: We utilised a cross-sectional study of older adults aged ⩾55 years residing in Singapore’s studio apartments. Multivariable logistic regression was applied. Results: Widowhood was associated with depressive symptoms, compared to being married or having a domestic partner (adjusted odds ratio (AOR) = 1.70, 95% confidence interval (CI) = 1.01 to 2.86). Odds of depressive symptoms were associated with difficulty bathing and showering (AOR = 3.74, 95% CI = 1.06 to 13.21). Depressive symptoms were associated with cataract (AOR = 1.67, 95% CI = 1.01 to 2.77) and urinary tract disorder (AOR = 4.70, 95% CI = 1.21 to 18.26). There were dose-response relationships between higher odds of depressive symptoms and poorer social support, self-perceived mental health, life satisfaction, and exercise behaviour ( p for trend < 0.001). Conclusion: Factors including widowhood, physical functioning difficulty, chronic conditions, low social support, low self-perceived mental health, poor life satisfaction, and lack of exercise behaviour, were associated with depressive symptoms in older adults residing in studio apartments. More attention is needed to care for the psychosocial and physical needs of older adults in studio apartments.
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Affiliation(s)
- Grace Sum
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Yun Ru Tan
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Song-Iee Hong
- Department of Social Welfare, Dongguk University, South Korea
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VanRavenstein K, Davis BH. When More Than Exercise Is Needed to Increase Chances of Aging in Place: Qualitative Analysis of a Telehealth Physical Activity Program to Improve Mobility in Low-Income Older Adults. JMIR Aging 2018; 1:e11955. [PMID: 31518250 PMCID: PMC6715103 DOI: 10.2196/11955] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Revised: 11/21/2018] [Accepted: 12/04/2018] [Indexed: 12/04/2022] Open
Abstract
Background A telehealth-delivered physical activity program was implemented within two low-income older adult housing properties utilizing the Otago exercise program, a physical therapy program endorsed by the Centers for Disease Control and Prevention to improve balance and strengthening in community dwelling older adults and by the National Council on Aging as the highest level of evidence for fall prevention programs. Participants were also given Fitbit activity monitors to help track their activity. Objective The goal of this project was to increase older adults’ daily physical activity in hopes of decreasing chronic disease morbidity, disability, and falls, and decrease social isolation. Methods The Otago exercise program was conducted via telehealth twice weekly for 12 weeks. Participants also wore Fitbit activity trackers to encourage physical activity outside of the group classes. Postintervention qualitative interviews were conducted, recorded, transcribed, and analyzed using discourse analysis. Results Twenty-one older adult participants from two low-income properties in Charleston, SC, participated in the 12-week telehealth physical therapy program. Postintervention qualitative interviews revealed that the two sites were very different in their participation in the program and their main concerns surrounding aging in place. One site had a community-oriented outlook and enjoyed participating in physical activity together; whereas, the other site had very few participants and referenced depression and social isolation as main concerns. Conclusions A telehealth physical therapy-led intervention to increase physical activity in low-income older adults aging in place was successfully implemented and attended; however, it became clear in postintervention qualitative interviews that social isolation and depression were prevalent and mental health needs to be addressed along with physical health to encourage successful aging in place.
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Affiliation(s)
- Kathy VanRavenstein
- College of Nursing, Medical University of South Carolina, Charleston, SC, United States
| | - Boyd H Davis
- Applied Linguistics, Department of English, University North Carolina Charlotte, Charlotte, NC, United States
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Gonyea JG, Curley A, Melekis K, Lee Y. Perceptions of neighborhood safety and depressive symptoms among older minority urban subsidized housing residents: the mediating effect of sense of community belonging. Aging Ment Health 2018; 22:1564-1569. [PMID: 29125319 DOI: 10.1080/13607863.2017.1383970] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVES Older minority subsidized housing residents represent a population that is particularly vulnerable to depression. Although research suggests that neighborhood characteristics influence older adults' mental health, it has not been explored in this target population. Drawing on social disorganization and social capital theories, this study's aim was to explore if perceptions of neighborhood safety are associated with depressive symptoms; and, whether a sense of community belonging has a mediating effect on this potential relationship. METHODS The data are from interviews with 216 older adults (50% Black, 45% Latino/a) living in a U.S. urban subsidized housing development. RESULTS Among participants, 80% identified feeling 'very safe' during the day while 63% expressed feeling 'very safe' at night in their neighborhood. Approximately 60% possessed a stronger sense of community belonging and 26% had clinically relevant depressive symptoms. Hierarchical regression analyses revealed that perceptions of feeling less safe in one's neighborhood were significantly associated with elevated levels of depressive symptoms; however, a greater sense of community belonging buffered (or had a significant mediating effect on) this relationship. CONCLUSION The findings suggest the importance of continued exploration of the role of social capital in relation to feelings of safety in later life.
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Affiliation(s)
- Judith G Gonyea
- a Social Research Department, School of Social Work , Boston University , Boston , MA , United States
| | - Alexandra Curley
- b The American City Coalition (TACC) , Roxbury , MA , United States
| | - Kelly Melekis
- c Social Work Department , Skidmore College , Saratoga Springs , NY , United States
| | - Yeonjung Lee
- a Social Research Department, School of Social Work , Boston University , Boston , MA , United States
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Taylor HO, Wang Y, Morrow-Howell N. Loneliness in senior housing communities. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2018; 61:623-639. [PMID: 29791279 PMCID: PMC6938254 DOI: 10.1080/01634372.2018.1478352] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- Harry Owen Taylor
- The Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA
| | - Yi Wang
- The Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA
| | - Nancy Morrow-Howell
- The Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA
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Gonyea JG, Curley A, Melekis K, Levine N, Lee Y. Loneliness and Depression Among Older Adults in Urban Subsidized Housing. J Aging Health 2016; 30:458-474. [DOI: 10.1177/0898264316682908] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: Depression is particularly prevalent in low-income and disabled older adults, and minority populations face a greater risk of poverty and earlier disability onset. Yet, little is known about the mental health of older subsidized housing residents, a population which is disproportionately composed of persons of color. The study’s aim was therefore to explore the prevalence and correlates of depression in this target population, with a particular focus on the role of loneliness. Method: Data are from interviews with 216 older subsidized housing residents, of which 50% identified as Black and 45% self-identified as Latino. Results: About 26% of participants met the criterion for depression. The hierarchical regression supported our hypothesis; after controlling for demographic, health, and stress variables, loneliness explained almost half of the total 49% of variance in depression. Discussion: Care models addressing social risk factors are needed to meet the aging-in-place challenges of subsidized housing residents.
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Choi NG, DiNitto DM. Correlates of Worry About Health Care Costs Among Older Adults. J Appl Gerontol 2016; 37:763-782. [PMID: 27220868 DOI: 10.1177/0733464816650803] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Although older adults in the United States incur more health care expenses than younger adults, little research has been done on their worry about health care costs. Using data from the 2013 National Health Interview Survey ( n = 7,253 for those 65+ years), we examined factors associated with older adults' health care cost worries, defined as at least a moderate level of worry, about ability to pay for normal health care and/or for health care due to a serious illness or accident. Bivariate analyses were used to compare worriers and nonworriers. Binary logistic regression analysis was used to examine the association of income, health status, health care service use, and insurance type with worry status. Older age and having Medicaid and Veterans Affairs (VA)/military health benefits were associated with lower odds of worry, while low income, chronic pain, functional limitations, psychological distress, and emergency department visits were associated with higher odds. Practice and policy implications for the findings are discussed.
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