Examining Community-Based Housing Models to Support Aging in Place: A Scoping Review

Gerontologist. 2022 Mar 28;62(3):e178-e192. doi: 10.1093/geront/gnaa142.

Abstract

Background and objectives: With the global population aging, there is a demand for older adults to age in place, that is, to live and age well in their home and community with some level of independence. Community-based housing models exist and may support this process. This scoping review aimed to describe and synthesize the ways in which community-based housing models relate to older adults' aging in place and identify strengths and gaps in the literature.

Research design and methods: The housing models explored were villages, naturally occurring retirement communities, congregate housing and cohousing, sheltered housing, and continuing care retirement communities. This exploratory scoping review examined international peer-reviewed literature published from 2004 to 2019. Six databases were searched using terms related to housing models and older adults. Forty-six articles met the inclusion criteria. Descriptive numerical summary and thematic analysis were used to synthesize study characteristics and findings.

Results: Our analysis revealed 4 themes relating to aging in place in the housing models: Social Relations, Health and Well-being, Sense of Self and Autonomy, and Activity Participation. Further analysis identified housing-specific characteristics that appeared to pose barriers to, or enable, aging in place.

Discussion and implications: To best support aging in place, the findings of the review suggest multiple characteristics worth considering when developing or relocating to a community-based housing model. Further research is required to understand how facilitating characteristics can promote aging in place for community-dwelling older adults.

Keywords: Cohousing; Congregate housing; Continuing care retirement community; Naturally occurring retirement community; Sheltered housing; Village.

Publication types

  • Review

MeSH terms

  • Aged
  • Aging
  • Housing*
  • Humans
  • Independent Living*