Aging in Place of Vulnerable Older Adults: Person-Environment Fit Perspective

J Appl Gerontol. 2017 Nov;36(11):1327-1350. doi: 10.1177/0733464815617286. Epub 2015 Nov 26.

Abstract

Based on the premise that the experience of aging in place is different for vulnerable subgroups of older adults compared with less vulnerable subgroups, we focus on low-income older adults as a vulnerable subgroup and senior housing as an alternative to a conventional, private home environment. Using the 2008 and 2010 waves of the Health Retirement Study, regression models determined the impact of person-environment (P-E) fit between poverty status and residence in senior housing on self-rated health. Consistent with the environmental docility hypothesis, findings show that, among low-income individuals, the supportive environment of senior housing plays a pronounced compensating role and may be a key to successful adaptation in aging. As the first research effort to empirically demonstrate the positive health effects of senior housing among socioeconomically vulnerable elders, our findings provide a much-needed theoretical and practical underpinning for policy-making efforts regarding vulnerable elders.

Keywords: aging in place; person–environment fit; vulnerable elders.

MeSH terms

  • Adaptation, Psychological*
  • Aged
  • Aged, 80 and over
  • Environment
  • Female
  • Housing / statistics & numerical data*
  • Humans
  • Independent Living / statistics & numerical data*
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Poverty / statistics & numerical data*
  • Regression Analysis
  • United States
  • Vulnerable Populations*