■主页修改和功能,例如,使用轮椅的人的扶手或坡道,应该允许功能有限的居民保持社会参与,健康,和健康的老化到位。然而,几乎没有证据表明塑造这种基于技术的家庭改造的个人特征。当前的研究通常集中在描述某些实施方式在家庭中的分布,但没有提供有关预测实施方式的因素的信息,也没有提供与老年用户特征关联的详细和多方面的数据。这篇文章,因此,检查使用完善的技术辅助工具和家庭改造(例如,坡道,扶手,自动门,浴室或厨房改造,升降椅,和警报设备)在欧洲老年人的家庭中。我们参考了Lawton和Nahemow的个人环境契合概念,并描述了在18个国家/地区使用技术辅助工具的情况。分析与个体特征和社会资源的关联,并比较第三年龄的老年人(“年轻人”,65-79岁)和第四岁的老年人(“老年”,80+).
■根据健康调查的代表性数据,老龄化,和欧洲退休(SHARE),第6波,总共N=38,553名65-105岁的老年人(M=74.4岁,SD=7.1;55%的女性)通过进行分层逻辑回归分析。
■功能指标解释了最高比例的方差,其次是社会资源,第四年龄的方差解释高于第三年龄。特别是,有身体限制的老年人,一个更大的社交网络,那些从家庭外的孩子那里得到照顾的人更有可能安装家庭改造。
该研究概述了各种变量与家庭中的辅助设备和修改的关联,可以作为有关65岁及以上人群异质性的公共卫生活动的起点。
Home modifications and features, e.g., handrails or ramps for people using wheelchairs, should allow residents with functional limitations to maintain social participation, health, and wellbeing for aging in place. However, there is little evidence in relation to the individual characteristics shaping this implementation of technology-based home modifications. Current studies often focus on describing the distribution of certain implementations in households but do not provide information on factors predicting the implementation or detailed and multifaceted data on associations with characteristics of the older user. This article, therefore, examines the use of well-established technological aids and home modifications (e.g., ramps, handrails, automatic doors, bathroom or kitchen modifications, chair lifts, and alerting devices) in the households of older adults in Europe. We refer to Lawton\'s and Nahemow\'s concept of personal-environment fit and describe the use of technical aids across 18 countries, analyze associations with individual characteristics and social resources, and compare those associations and variance explanation between older adults in their third age (\"young-old\", 65-79 years) and older adults in their fourth age (\"old-old\", 80+).
Drawing on representative data from the Survey of Health, Ageing, and Retirement in Europe (SHARE), wave 6, a total of N = 38,553 older adults aged 65-105 years (M = 74.4 years, SD = 7.1; 55% women) were analyzed by performing hierarchical logistic regression analyses.
Indicators of functioning explained the highest proportion of variance, followed by social resources, and variance explanation was higher for the fourth age than for the third age. In particular, older adults with physical limitations, a larger social network, and those who received care from a child outside the household were more likely to have home modifications installed.
The study provides an overview of associations of diverse variables with assistive devices and modifications in the home and can serve as a starting point for public health activities concerning the heterogeneity of people aged 65 years and older.