Preference to Age in Place in Low-Income Senior Housing

Low-income senior housing provided through the Section 202 Supportive Housing for the Elderly program is a critical site for aging in place, and many of these properties have hired service coordinators to monitor residents' quality of life, provide access to services, and promote their ability to age in place. To address gaps in the limited literature on Section 202 buildings, this study examined the association between service coordination and low-income senior housing residents' preference to age in place with particular attention to the most economically vulnerable. We analyzed data from 255 older adults living in eight Section 202 buildings in Southeastern Michigan using logistic regression. Self-perceived economic vulnerability moderated the relationship between service coordination and preference to age in place. Among those who had not received service coordination, the high economic vulnerability group was more likely to prefer to age in place compared to more economically secure residents. Among those who received assistance from a service coordinator, economically vulnerable residents were less likely to express a preference to age in place compared to other residents. Findings indicate a complex relationship between service coordination, economic resources, and preference to age in place in senior housing, and suggest areas for future research.

[1]  Sojung Park,et al.  The Role of Senior Housing in Hospitalizations Among Vulnerable Older Adults With Multiple Chronic Conditions: A Longitudinal Perspective , 2018, The Gerontologist.

[2]  N. Morrow-Howell,et al.  Loneliness in senior housing communities , 2018, Journal of gerontological social work.

[3]  K. Melekis,et al.  Loneliness and Depression Among Older Adults in Urban Subsidized Housing , 2018, Journal of aging and health.

[4]  N. Castle,et al.  Service-Enriched Housing , 2016, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[5]  Amanda J. Lehning,et al.  Do Age-Friendly Characteristics Influence the Expectation to Age in Place? A Comparison of Low-Income and Higher Income Detroit Elders , 2015, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[6]  V. Freedman,et al.  The residential continuum from home to nursing home: size, characteristics and unmet needs of older adults. , 2014, The journals of gerontology. Series B, Psychological sciences and social sciences.

[7]  U.S. Department of Housing and Urban Development Worst Case Housing Needs 2011: Report to Congress - Summary , 2014 .

[8]  J. Wiles,et al.  The meaning of "aging in place" to older people. , 2012, The Gerontologist.

[9]  D. Ekerdt,et al.  Older Adults’ Expectations to Move: Do They Predict Actual Community-Based or Nursing Facility Moves Within 2 Years? , 2010, Journal of aging and health.

[10]  Elizabeth A Vanner,et al.  Relationships Among Active Engagement in Life Activities and Quality of Life for Assisted-Living Residents , 2010 .

[11]  Bruce Leff,et al.  The ironic business case for chronic care in the acute care setting. , 2009, Health affairs.

[12]  Don E. Bradley,et al.  Actuation of mobility intentions among the young-old: an event-history analysis. , 2008, The Gerontologist.

[13]  Joseph J. Sabia There's No Place Like Home , 2008 .

[14]  F. D. Wolinsky,et al.  Reported expectations for nursing home placement among older adults and their role as risk factors for nursing home admissions. , 2006, The Gerontologist.

[15]  D. Kent,et al.  Predicting Nursing Home Admission: Estimates From a 7-Year Follow-up of a Nationally Representative Sample of Older Americans , 2004, Alzheimer disease and associated disorders.

[16]  H. Dodge,et al.  Predictors of Nursing Facility Admission: A 12‐Year Epidemiological Study in the United States , 2004, Journal of the American Geriatrics Society.

[17]  Karen M. Gibler,et al.  Aging Subsidized Housing Residents: A Growing Problem in U.S. Cities , 2007 .

[18]  Milan J. Dluhy,et al.  Choosing the Rowers , 2001 .

[19]  R. Wiseman,et al.  Why Older People Move , 1980 .