Physical Home Environment as a Determinant of Aging in Place for Different Types of Elderly Households

The aim of this research was to investigate the relationship between physical housing features and home modifications to aging in place or precipitating a housing transition among elderly households. Data was taken from two waves (1998 and 2000) of the Health and Retirement Survey. Univariate, bivariate, and multivariate analyses were performed. Residing in a multi-family home without an elevator was a predictor for housing transition for couple households, while residing in a home with small interior modifications was a predictor for remaining in place for single households. Implications for policy makers, health care providers, housing industry and elderly are discussed.     

Testing the ‘overburdening’ hypothesis: Do work and school attendance together place youth transitioning from care at risk for negative housing outcomes?

Youth aging out of the foster care system are often placed in the precarious position of both providing for themselves financially and securing their own housing at a young age. Many also choose to take on the difficult tasks of school attendance and work simultaneously during this challenging time in their lives. The current study tests the ‘overburdening’ hypothesis that examines whether taking on the demands of work and school at the same time could overwhelm and actually hinder the healthy development of youth as they transition from foster care. This question was addressed using longitudinal administrative data from 2913 youth enrolled in a transitional living program at a national nonprofit organization serving youth aging out of foster care in five states between October 2010 and July 2014. Random-intercept and lagged regression models were used to examine the association between school attendance, employment, and housing insecurity. Individually, both school attendance and employment placed youth at decreased risk for housing insecurity and little evidence emerged to support the ‘overburdening’ hypothesis. Results from lagged models suggest that the single best predictor of housing insecurity is a previous episode of housing insecurity. The evidence presented here suggests that for some youth, the decision to attend school and find employment may be a symptom, rather than a cause, of their housing insecurity. Results highlight the importance of practitioners' use of research evidence together with sound clinical judgment to support youth as they navigate the challenging developmental task of transitioning into adulthood.     

Housing first: paradigm or program?

Sobriety, treatment compliance and celibacy have traditionally been behavioral requirements for housing persons who are homeless, regardless of the circumstances leading to loss of home. This remnant of the British Poor Laws is based on the premise that personal and behavioral flaws lead to housing loss and must be remediated before a person can live in permanent housing. A recent approach has reversed this logic and predicates the ability to change based on first providing stable and long-term housing. Termed “housing first,” it is both a housing philosophy or paradigm that everyone deserves a home of their own, regardless of personal circumstances, prior to engaging in any rehabilitative efforts, it also describes specific program models. A review of the research indicates that the success of “housing first” relies more on political support than wide-spread scientific evidence of “best practices”. This report examines the development and scientific evidence for “housing first” programs in North America and suggests that future housing first research examine modifications necessary for distinct geographies and groups of homeless persons.     

Assisted Living for Lower-Income and Frail Older Persons from the Housing and Built Environment Perspective

Abstract

This paper examines the linkages between housing and supportive services from the built environmental perspective. When it comes to linking supportive services, it is usually true that the wealthier an individual is the more private resources he or she has available to define a personal support system at every step in the aging process; the poorer the individual is, the fewer choices she or he has and the successful linkages of government subsidized housing, health and supportive services become more important to successful aging of that person. Low-income and aging individuals are the real testing ground for whether current policy allows holistic support linkages to occur and whether programs are available in both the quantity and quality to empower low-income older persons with options and support choices.

The discussion that follows is limited to supportive services and aging in place in conventional housing and affordable purpose built assisted living programs and facilities; it omits institutional living. For low-income older persons, institutional care provides few if any housing choices or individual power to control support delivery, and thus linkages between cooperating support professionals and programs becomes increasingly moot.     

Bureaucratic encounters “after neoliberalism”: Examining the supportive turn in social housing governance

It is well established that encounters between welfare bureaucracies and their clients have been reconfigured under neoliberalism to address the problem of “welfare dependency.” Contemporary bureaucratic encounters therefore entail measures to activate clients’ entrepreneurial/self-governing capacities, and conditionality/sanctioning practices to deal with clients who behave “irresponsibly.” Despite the dominance of the neoliberal model, recent research has identified a counter-trend in the practices of housing services away from entrepreneurializing and punitive strategies and towards a more supportive approach. This paper examines this counter-trend and its implications for neoliberal welfare governance. To do this, it presents findings from research into social housing governance in Queensland, Australia, where the neoliberal focus on welfare independence, conditionality and sanctioning has been tempered by a new supportive approach focused on assisting vulnerable clients to maintain and benefit from access to welfare/housing support. Following Larner, we argue that this shift signals the emergence of an “after neoliberal” governmental formation, wherein key features of neoliberal governmentality are replaced by, or redeployed in the service of, progressive initiatives that address neoliberalism’s failings at the street level, but leave broader neoliberal policy settings undisturbed. We also challenge recent sociological accounts that construe supportive welfare practices as a function of an all-encompassing neoliberal project, arguing instead for appreciation of the contingency of these developments and the progressive political affordances that they entail.     

Accessibility Improvement Models for Typical Flats: Mass-Customizable Design for Individual Circumstances

ABSTRACT

Elderly housing policies in Finland emphasize aging in place and preparing the existing housing stock for the predicted increase in the aged population. Timely home modifications that enhance mobile accessibility are a focal target for these policies. This article introduces the idea of mass-customizable architectural accessibility improvement models (AIMs) that have been developed for typical Finnish flats. The applicability and generalizability of an AIM designed for an archetypal two-room flat is tested by applying it to nine case buildings in the city of Tampere. The model was found to be beneficial for 42 of the 45 rooms in the research material.     

Housing tenure,structure, and crowding among Latino households

This article examines the effect of federal housing and public assistance programs on the housing quality of different Latino households. The research tests models of crowding and housing tenure and structure for Latino households. The data for this research are from the 1990 Latino National Political Survey-Panel Study of Income Dynamics (LNPS-PSID). Findings reveal that housing and public assistance programs do help alleviate crowding among the Latino population, but they do not help Latino households achieve ownership of a single-family home. All the demographic variables in the model contribute to the explanation of crowding, and a majority also significantly explain housing tenure and structure. Significant differences are found among Latino subgroups in the explanatory variables for crowding, tenure, and structure. She is also the director of the Center for the Study of Aging at Illinois State. Her research interests include housing of minority households and congregate housing for the elderly. She received her Ph.D. from Iowa State University. Her research interests include housing needs of Latino households, resource management of female-headed Puerto Rican households, fertility decisions of Puerto Rican women, and student labor force participation. She received her Ph.D. from the University of Illinois.     

The association between aging inmate housing management models and non-geriatric health services in state correctional institutions

One of the current debates in the literature on aging inmates asks, what is the most efficient housing/health care model for this "special needs" population? State and federal correctional systems place elderly inmates either in specialized segregated housing units away from the general inmate population, consolidate elderly inmates in housing units within the prison, or provide a combination of both models. In general, proponents of the segregated housing model argue that aging inmates will receive specialized medical services in geriatric units. However, proponents of consolidated housing model argue that aging inmates will have the benefit of both geriatric and non-geriatric health services. This paper examines the association between the type of housing management model for aging inmates and the availability of non-geriatric physical and mental health services. Data for the analysis come from the 2000 Bureau of Justice Statistics Census of State and Federal Adult Correctional Facilities. The results suggest that institutions offering consolidated geriatric care provide more mental health services and that these effects are independent of the characteristics of prison facility.     

Mobility Intentions of Rural Elderly and Non-Elderly

Although mobility investigations in urban areas indicate an overwhelming desire of older persons to age in place, such studies in rural areas are scarce. This study of 198 rural residents assesses the differences between elderly and younger respondents for socio-demographic and housing characteristics, as well as housing attitudes. Findings indicate rural elderly prefer to remain in their present home and are significantly different from their younger counterparts in socio-demographic characteristics. Recommendations are made for planned housing and for services to assist aging in place.     

The Continuation of Dwelling: Safety as a Situated Effect of Multi-Actor Interactions Within Extra-Care Housing in Sweden

This article examines the space–time situatedness of residing within extra-care housing (ECH) in Sweden. EHC constitutes an example of ordinary housing but is often categorized, along with senior housing, as “in-between housing.” What differentiates the extra-care housing from the ordinary is an age limit for moving in, the provision of communal facilities, and the presence of staff at certain times each week. Two housings with different environmental and architectural conditions have been analyzed through spatial analyses, observations, and interviews with residents (n?=?18). The article concludes that the two different assemblings enabled two very different possibilities for accessing “safe aging.” One offered opportunities for the continuation of identities which contributed to feelings of safety, and one demanded the reconstitution of identities for developing meaning in the new housing.     

Marriage and the housing careers of naval wives

The analysis of female biography is problematic, straddling as it does the public world of work and the private domain of home. In recent years the development of life course analysis has encouraged a greater awareness of the variability and complexity of most women's lives. Within this context discussions of the home have centred on domestic relationships, on marriage and parenting. Less discussed have been the implications of tenure and accommodation for domestic responsibility and domestic labour. The home is an arena for family life. Housing is the basis of home-making and many of the responsibilities of housework and maintenance devolve on women as home-makers. The interrelationship between housing and the domestic relationships of women was explored in a research project concerned with the wives of Royal Navy personnel. The marriage patterns and housing careers of these women revealed a biographical pattern that was distinctive and largely uniform. This pattern was the product of an occupationally-related structure of housing options and the wider pressures towards home-ownership. This pattern shaped the domestic responsibilities of the naval wives and their relationships with husbands and children and had implications for their patterns of employment and family formation.     

Caring by Silence: How (Un)documented Brazilian Migrants Enact Silence as a Care Practice for Aging Parents

ABSTRACT

While existing work on transnational aging and care has largely focused on the substance of transnational communication and what is being said, this article examines what is being ‘silenced’ during transnational exchange. I argue that to better understand aging and intergenerational caregiving we need to pay careful attention to what is not being said during transnational contacts, suggesting that silence and ‘communication voids’ are often formulated and enacted as a care practice. Drawing on ethnographic research with Brazilian migrants in the United States whose aging parents live in Brazil, I illustrate how migrants curate their lives abroad and sieve their lived experiences as an act of care for their aging parents back home. In so doing, I reveal the significance of faith as a coping strategy in the process of silencing and concealing emotions and as a means to fight loneliness, cope with adversity, and protect family exchanges.     

Private space, shared space and private housing prices in Hong Kong: An exploratory study

This exploratory study examines the relationship between internal space, shared space and private housing prices. Housing floor area is an ambiguous concept in Hong Kong because it covers a possible exaggeration of the amount of ‘private space’ exclusively enjoyed by the owner and an unidentifiable portion of ‘public space’ shared with other owners within the development. Using hedonic pricing models, this study has found that different distributions between private and shared space command different values from the housing buyers. Shared communal space generally exerts a downward pressure on housing prices. The buyers are willing to pay more for the private space and some desirable forms of communal space. A higher willingness-to-pay for the desirable attributes such as clubhouse indicates that the Hong Kong people are increasingly concerned about the quality of living space in the built environment. This study suggests a need of further research into the exact measurement and the different forms of housing space rather than simply taking the stated floor space figures for granted.     

Exiting or retaining owner-occupied housing in the United States 1999–2009: How do social programs matter?

This research examines exits from homeownership in the United States between 1999 and 2009 using data from the Panel Study of Income Dynamics. We first document the extent to which homeowners exited owned housing (to a rental unit or a rent-free unit) during that time period. Second, we examine how socio-demographic characteristics, housing characteristics, debt levels, and receipt of public and private transfers are associated with exiting (or retaining) homeownership, with a particular focus on whether transfers counteract earnings decreases and/or housing cost increases to assist homeowners in retaining their homes. We also investigate whether these associations differ for several subgroups of homeowners defined by their location in the income distribution and race. Findings from regression models that include individual, year, and state fixed effects highlight the role of both labor markets and housing markets in influencing exits from homeownership. More generous and universal public transfers (such as OASDI) appear to help owners retain homes, whereas less generous and means-tested transfers do not. At the same time, the influences of universal transfers on retaining a home are small in magnitude compared to those of decreases in earnings and home values as well as increases in payment-to-income and consumer debt-to-income ratios.     

Moving Past Picket Fences: The Meaning of “Home” for Public Housing Residents

The literature on the meaning of “home” has generally focused on creating lists without giving much attention to the context that shapes meanings. Recently, scholars have argued that to understand “home” it is important to know the range of meanings that different people in different contexts give it. In this article, we focus on the meaning of “home” for public housing residents and consider how they construct the meaning of “home” and if they find that meaning in public housing. Our findings suggest that respondents consider their public housing residences to be “home,” and they construct this meaning using the dimensions of home identified in the literature. However, how respondents used these dimensions were, in some ways, different because of the context of living in public housing. Respondents emphasized the social dimension, and this dimension appeared to organize the other dimensions. As such, our findings support arguments that context matters to the meaning of “home.” They also suggest that policymakers need to broaden their understandings of public housing, as places that can be “home,” and use this understanding when making decisions about housing transformations.     

New working conditions and consequences on activity of home healthcare workers

Home healthcare is steadily growing in Europe. There are a number of reasons for this development: aging population, rising hospital costs, preference to stay in one's own home. Nevertheless, it has been known that home healthcare workers are frequently exposed to a variety of potentially serious occupational hazards. Furthermore, emotional labor is frequently high in this profession. This paper describes an ergonomic study conducted at a home healthcare service. The research focuses on analyzing working conditions of home healthcare aides and nurses, as well as the impacts of their work in terms of job satisfaction, well-being, emotions at work, relationships with the others and occupational stress. The study show that employee strategies are specifically centered around preserving the relationship between patients and workers and coping with the job demands. This paper also shows that home healthcare workers express emotions and conceal them from others. Finally, recommendations discussed with the manager and workers to improve working conditions in this sector led to practical proposals: for example, implementing certain equipment items better suited to difficult care, encouraging assistance between healthcare workers when operations require this through adequate organizational measures, extending work emotion-focused discussion groups with management involvement.     

From a culture of homeownership to generation rent: housing discourses of young adults in Spain

Across many advanced economies, changing housing dynamics have destabilized traditional adulthood transitions. This article examines how such transformations, especially in the aftermath of the economic crisis, affect fundamental societal expectations and aspirations surrounding tenure choices and home leaving. Through a series of discussion groups and interviews among young adults in Spain – a salient context of embedded homeownership culture – the study reveals how the crisis has undermined life-course transitions and upended discourses surrounding tenure norms. Homeownership has transformed from a dominant symbol of stability and security to one of dispossession and financial risk. Conversely, where pre-crisis discourses dismissed rental, the tenure is portrayed as providing more security in the face of necessary flexibility. Our research reveals that, although traditional ‘homeownership culture’ has not disappeared from the collective imaginary and appears nuanced by social class, it has become increasingly detached from leaving the parental home. The paper exposes the extent to which dominant housing discourses may be upended even within the context of a particularly embedded Southern European homeowner society. We contend that when housing dynamics are coupled with underlying transformations in aspirations and norms, there may be significant societal outcomes.     

Aging in Which Place? Connecting Aging in Place with Individual Responsibility,Housing Markets,and the Welfare State

This article proposes an analytical framework for the understanding of aging in place, and asks: Which housing alternatives are compatible with aging in place? Who are responsible for providing housing in old age? A literature review demonstrates that there is no agreement on the “place” in aging in place, but that aging in place policies entail joint individual and public responsibility for housing. An empirical example demonstrates different policy expressions of aging in place at national and local government levels in Norway. The article questions whether a need to move to receive care is compatible with aging in place.     

Housing the urban poor in West Malaysia: The role of the private sector *

At present the private sector in the Third World does not play an important role in housing the urban poor, nor is it generally considered to have much potential in this field. The paper queries this assumption and examines the scope for private sector participation in low-cost housing construction in West Malaysia. The results indicate that the potential of the private sector is considerable, although strongly dependent upon government intervention in various forms. It is also clear that the nature of private sector activity in this sphere will be different between large and small towns, and that further research is needed before either national or international policy guidelines can be drawn up.     

Gender and Race in the History of Housing Policy and Research: From Industrialization to Hurricane Katrina

This study examines how gender and race have shaped housing policy and research. In it, I analyze the history of housing policies and practices in the United States. Concurrently, I analyze the academic literature related to housing throughout these same time periods to understand issues relating to women, race, and housing. The primary goal of this article is to understand how intersecting oppressions have disadvantaged various groups of women, especially poor women of color, in the realm of housing. This study also provides a context for examining the problematic housing policies that were developed for those affected by Hurricane Katrina, who were predominately poor people of color. The widespread housing problems faced by Katrina survivors revealed a significant mismatch between housing policies and the needs of populations marginalized by gender, race, and class. I conclude with a call for a renewed consideration of housing issues among gender and race sociologists, and recommendations for studying post-Katrina housing policies.