Older people's decisions regarding ‘ageing in place’: A Western Australian case study

Boldy, Duncan; Grenade, Linda; Lewin, Gill; Karol, Elizabeth; Burton, Elissa

doi:10.1111/j.1741-6612.2010.00469.x

Cited by 131 publications

(129 citation statements)

References 11 publications

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“…These transitions include formation of couple and family households, transitions to civilian employment, retirement and widowhood. These key life events may prompt a housing transition to or from a particular tenure and landlord type or relocation to different areas (Beer & Faulkner, 2011;Boldy, Grenade, Lewin, Karol, & Burton, 2011). Life course theory suggests that quality and duration of exposure to an event is a key factor in determining the effect.…”

Section: Key Life Eventsmentioning

confidence: 99%

“…In Australasian studies, it is commonly defined in terms of time spent in residence or conversely the frequency of moves (Boldy et al, 2011;Judd et al, 2010;Wiles et al, 2011). Research from the United Kingdom found that spending higher proportions of adult life in one residence provided a sense of permanence important for ageing in place (Gilleard, Hyde & Higgs, 2007), while the antithesis, housing instability, is seen by Hulse and Saugeres (2008) as a dimension of housing insecurity.…”

Section: Housing Stabilitymentioning

confidence: 99%

“…Recent Australian research suggests a number of possible explanations for this. Among younger homeowners (aged over 55 years) the reasons for relocation were found to include downsizing and moves in and around retirement from employment, whereas among the older homeowners (aged over 75 years) moves to more supportive care environments were more likely (Boldy et al, 2011;Olsberg & Winter, 2005). In the following sub-section I examine whether the recency of residential relocation is a good indicator of housing stability among ex-service households that have greater propensity for residential mobility associated with early life employment.…”

Section: Equation 81: Ageing In Place Calculationmentioning

confidence: 99%

“…Contemporary housing research has established that duration in current residence is associated with attachment to place (Boldy et al, 2011;Judd et al, 2014;Wiles et al, 2011) while the proportion of adult life spent in current residence is considered a comparative measure of ageing in place (Gilleard et al, 2007). Conversely, frequent mobility is seen as detracting from the likelihood of ageing in place, creating a sense of impermanence of attachment between the individual, household and broader community Olsberg & Winter, 2005).…”

Section: Equation 81: Ageing In Place Calculationmentioning

confidence: 99%

“…In summary, this section identifies that tenure and the type of housing product consumed have implications for the legal rights of the household and size of the dwelling, while its location has implications for access to support services and community infrastructure. The physical form of dwelling has implications for suitability and sustainability of the residence as people age (Boldy et al, 2011;Judd et al, 2010;Olsberg & Winter, 2005). The type of housing has implications for the maintenance of independence and autonomy (Wiles et al, 2011).…”

Section: Housing Product Utilisation and Differences Between Cohortsmentioning

confidence: 99%

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The housing security afforded by later life housing circumstances of ex-service households of Queensland: a life course perspective

Oxlade¹

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This thesis investigates the relationship between service in the Defence Forces, outcomes of that service and later life housing outcomes of ex-service households. In particular, the research focuses on households eligible for Australian Department of Veterans' Affairs (DVA) benefits and support because of the past service of a household member. The outcome of key interest is housing security, defined in this study as the independence, security and control afforded beneficiaries by their household and housing circumstances.The attainment of housing security in later life is of major importance in an ageing Australia as it supports ageing in place, or the desire to remain at home or in a familiar place, and provides a sense of wellbeing and belonging necessary for successful ageing (Australian Institute Health & Welfare, 2013; Boldy et al., 2013;. Without housing security households are at risk of more frequent residential relocation Parkinson, 2010), housing affordability problems and housing stress associated with the escalating costs of maintaining adequate housing as they age (Yates & Bradbury, 2009), and potentially, premature admission to expensive residential aged care settings (Faulkner & Bennett, 2002). Housing security is broader than tenure outcomes alone A cross sectional design with a postal survey method was employed to capture recent and past events and outcomes that influenced current household and housing circumstances, and the housing security afforded the household. The self-administered questionnaire was piloted with a convenience sample of beneficiaries. The research site was Queensland, as it was the iii state with the most ex-service households residing in rental housing (Department of Veteran's Affairs, 2010).In the main study, a systematic random sample of DVA Total Beneficiaries data base of Queensland identified 3000 households for inclusion. One beneficiary from each household was invited to participate with a response rate of 25 per cent. A representative sample of 729 Queensland beneficiary households were analysed.Comparative analysis of the WWII and post WWII households reveals differences within the life domains of health, employment, income and relationships. These four life domains are heavily implicated in the attainment and maintenance of housing security Parkinson, 2010). The use of a purposively designed housing security scale to estimate the level of housing security afforded by housing circumstances provides the means of comparing between and within groups, service effects and other life domains.The majority of ex-service households are securely housed. This is demonstrated by their level of equity in their dwelling and land, and broader housing circumstances. Beneficiaries rate their circumstances as providing moderate to high housing security. While ranking of housing security is closely associated with the level of household equity in their housing, other factors intervene. A series of multiple regression analyses reveal which life course factors are significa...

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Section: Key Life Eventsmentioning

confidence: 99%

Section: Housing Stabilitymentioning

confidence: 99%

Section: Equation 81: Ageing In Place Calculationmentioning

confidence: 99%

Section: Equation 81: Ageing In Place Calculationmentioning

confidence: 99%

Section: Housing Product Utilisation and Differences Between Cohortsmentioning

confidence: 99%

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The housing security afforded by later life housing circumstances of ex-service households of Queensland: a life course perspective

Oxlade¹

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Association between preadmission frailty and care level at discharge in older adults undergoing emergency laparotomy

Carter

Law

Hewitt

et al. 2020

British Journal of Surgery

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Background Older adults undergoing emergency abdominal surgery have significantly poorer outcomes than younger adults. For those who survive, the level of care required on discharge from hospital is unknown and such information could guide decision-making. The ELF (Emergency Laparotomy and Frailty) study aimed to determine whether preoperative frailty in older adults was associated with increased dependence at the time of discharge. Methods The ELF study was a UK-wide multicentre prospective cohort study of older patients (65 years or more) undergoing emergency laparotomy during March and June 2017. The objective was to establish whether preoperative frailty was associated with increased care level at discharge compared with preoperative care level. The analysis used a multilevel logistic regression adjusted for preadmission frailty, patient age, sex and care level. Results A total of 934 patients were included from 49 hospitals. Mean(s.d.) age was 76·2(6·8) years, with 57·6 per cent women; 20·2 per cent were frail. Some 37·4 per cent of older adults had an increased care level at discharge. Increasing frailty was associated with increased discharge care level, with greater predictive power than age. The adjusted odds ratio for an increase in care level was 4·48 (95 per cent c.i. 2·03 to 9·91) for apparently vulnerable patients (Clinical Frailty Score (CFS) 4), 5·94 (2·54 to 13·90) for those mildly frail (CFS 5) and 7·88 (2·97 to 20·79) for those moderately or severely frail (CFS 6 or 7), compared with patients who were fit. Conclusion Over 37 per cent of older adults undergoing emergency laparotomy required increased care at discharge. Frailty scoring was a significant predictor, and should be integrated into all acute surgical units to aid shared decision-making and discharge planning.

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Experiences of ageing in place in Australia and New Zealand: A scoping review

Rose

Kozlowski

Horstmanshof

2022

Community & Applied Soc Psy

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This review aimed to inform a deeper understanding of the varied experiences of ageing in place for older adults in Australia and New Zealand. Ageing in place involves older adults remaining in their own home or community as they age rather than moving into residential care. Our focus was on how ageing in place relates to older adults' mental health, life satisfaction, wellbeing, and overall ability to adapt well to ageing. This paper followed PRISMA‐ScR guidelines. Of the initial 210 papers identified, 20 met inclusion criteria and were retained. Four key themes related to experiences of ageing in place and the skills and strategies utilised to age in place were extracted from these studies. Themes encompassed older adults' individual characteristics and strategies, their connections to community, their home environment, and the appropriateness of support and services. We conclude that ageing in place should not be considered a “one size fits all” approach to ageing. Policymakers, researchers, and governments should acknowledge that older adults are a diverse group. Future ageing policy should strive to accommodate all older adults regardless of their circumstances or ageing preferences and researchers should include older adults from diverse populations and circumstances. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.

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Older people's decisions regarding ‘ageing in place’: A Western Australian case study

Abstract: For varied and complex reasons, many adults choose to move between the ages of 55 and 75. Government policy can further support older Australians to have choices of 'places' to live in that maximise their ability to retain independence.

Cited by 131 publications

References 11 publications

The housing security afforded by later life housing circumstances of ex-service households of Queensland: a life course perspective

The housing security afforded by later life housing circumstances of ex-service households of Queensland: a life course perspective

Association between preadmission frailty and care level at discharge in older adults undergoing emergency laparotomy

Experiences of ageing in place in Australia and New Zealand: A scoping review

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