Aging with health: aging in place strategies of a Portuguese population aged 65 years or older
DOI:
https://doi.org/10.11606/s1518-8787.2020054001942Keywords:
Ageing in Place, Housing, Residence Characteristics, Independent LivingAbstract
OBJECTIVE: To identify the strategies developed by people in the aging process to keep living in their own home, despite the weaknesses and difficulties they face. METHODS: The research was carried out based on a survey of population aged 65 years or older in the Portuguese municipality of Portimão. Data were collected by questionnaire, in 2017, and submitted to statistical and content analysis. RESULTS: Most respondents own their household, where they feel safe and satisfied, and they show awareness and concern about the changes they have to make in their home to stay there. In addition to housing and livability conditions, health, economic resources, social network, and available services play a major role in the community. CONCLUSIONS: We identified several strategies used by older adults to stay in their households as they age and the ways they mobilize their available resources, as well as constraints of aging in place.
References
Kickbush I. Approaches to an ecological base for public health. Health Promotion International. 1989;4(4):265-8. https://doi.org/10.1093/heapro/4.4.265
Walker A. Why the UK needs a social policy on ageing. Journal of Social Policy. 2018;47(2):253-73. https://doi.org/10.1017/S0047279417000320
Fernandes A. Questões demográficas: demografia e sociologia da população. Lisboa: Colibri, Faculdade de Ciências Sociais e Humanas da UNL; 2008.
Ministério da Solidariedade. Carta Social: rede de serviços e equipamentos. 2015. Disponível em: http://gep.mtsss.gov.pt/cartasocial/index.html
Lini E, Portella M, Doring M. Fatores associados à institucionalização de idosos: estudo casocontrole. Rev. bras. geriatr. gerontol. 2016;19(6):1004-14. http://dx.doi.org/10.1590/1981-22562016019.160043
Matsumoto H, Naruse T, Sakai M, Nagata S. Who prefers to age in place?: cross-sectional survey of middle-aged people in Japan. Geriatric Gerontololy International. 2016;16(5):631-7. https://doi.org/10.1111/ggi.12503
Eckert JK, Morgan LA, Swamy N. Preferences for receipt of care among community-dwelling adults. Journal of Aging and Social Policy. 2004;16(2):49-65. https://doi.org/10.1300/J031v16n02_04
Zimmerman S, Sloane, PD, Eckert JK. Assisted living: needs, practices, and policies in residential care for the elderly. Baltimore: Johns Hopkins University Press; 2001.
Iecovich, E. Ageing in place: from theory to practice. Anthropological Notebooks. 2014;20(1):21-33. 10. WHO. World report on ageing and health. Genebra: World Health Organization; 2015. [citado 23 out 2020]. Disponível em: http://www.who.int/ageing/events/world-report-2015-launch/en/
Dalmer, NK. A logic of choice: problematizing the documentary reality of Canadian aging in place policies. Journal of Aging Studies. 2019;48:40-9. https://doi.org/10.1016/j.jaging.2019.01.002
Pynoos J, Caraviello R, Cicero C. Lifelong housing: the anchor in aging-friendly communities. Generations: Journal of the American Society on Aging. 2009;33(2):26-32. https://www.jstor.org/stable/26555647
Martin I, Santinha G, Rito S, Almeida R. Habitação para pessoas idosas: problemas e desafiosem contexto português. Revista da Faculdade de Letras da Universidade do Porto. 2012; Número temático: Envelhecimento demográfico:177-203.
Tomasini S, Alves S. Envelhecimento bem-sucedido e o ambiente das instituições de longa permanência. Revista Brasileira de Ciências do Envelhecimento Humano. 2007;4(1):88-102. https://doi.org/10.5335/rbceh.2012.119
Wiles J, Leibing A, Guberman N, Reeve J, Allen R. The meaning of “aging in place” to older people. The Gerontologist. 2011;52(3):357-66. https://doi.org/10.1093/geront/gnr098
Glass TA, Balfour J L. Neighborhoods, aging, and functional limitations. In: Kawachi I, Berkman LF (editors). Neighborhoods and health. Oxford: OUP; 2003. p.303-34.
OECD. Ageing, housing and urban development. Organisation for Economic Co-operation and Development; 2002. https://doi.org/10.1787/9789264176102-en
Satariano, WA. Epidemiology of aging: an ecological approach. London: Jones and Bartlett Publishers; 2006.
Wang S, Bolling K, Mao W, Reichstadt J, Jeste D, Kim HC, Nebeker C. Technology to support aging in place: older adults’ Perspectives. Healthcare. 2019;7(60). https://doi:10.3390/healthcare7020060
WHO. World report on ageing and health. Luxembourg: World Health Organization; 2015. [citado 23 out 2020]. Disponível em: http://www.who.int/ageing/events/world-report-2015-launch/en/
Fernandes AA. Velhice e sociedade: demografia, família e políticas sociais em Portugal. Oeiras: Celta; 1997.
Fonseca, A. Desenvolvimento psicológico e processos de transição-adaptação no decurso do envelhecimento. In: Paúl C, Ribeiro O. Manual de gerontologia. Lisboa: Lidel; 2012. p. 95-106.
Paúl C. Tendências atuais e desenvolvimentos futuros da gerontologia. In: Paúl C, Ribeiro O. Manual de gerontologia. Lisboa: Lidel; 2012. p. 1-17.
WHO. Housing and health guidelines. Genebra: World Health Organization; 2018. [citado 23 out 2020]. Disponível em: https://www.who.int/publications-detail/who-housing-andhealth-guidelines
OECD. How’s life?: 2020 measuring well-being. Organisation for Economic Co-operation and Development; 2018. [citado 23 out 2020]. Disponível em: http://www.oecd.org/sdd/how-slife-23089679.htm
Fernandes A, Burnay R. Homens saudáveis, mulheres doentes?: um estudo sobre a esperança de vida e a saúde da população portuguesa. Revista Brasileira de Pesquisa em Saúde. 2019;21(2):17-28.
Davey J. “Ageing in place”: the views of older homeowners about housing maintenance, renovation and adaptation. Social Policy Journal of New Zealand. 2006;27:128-41.
Wahl H-W, Weisman GD. Environmental gerontology at the beginning of the new millennium: reflections on its historical, empirical, and theoretical development. The Gerontologist. 2003;43(5):616-27. https://doi.org/10.1093/geront/43.5.616
WHO. Guia global das cidades amigas das pessoas idosas. Versão portuguesa de Global agefriendly cities: a guide. World Health Organization; 2009. [citado 23 out 2020]. Disponível em: http://www.fbb.pt/sos/wp-content/uploads/sites/10/2014/05/ProjIdosos_GuiaCidades2009.pdf
Means R. Safe as houses?: ageing in place and vulnerable older people in the UK. Social Policy and Administration. 2007;41(1):65-85. https://doi.org/10.1111/j.1467-9515.2007.00539.x
Grabowski DC. The cost-effectiveness of non-institutional long-term care services: review and synthesis of the most recent evidence. Medical Care Research and Review. 2006;63(1):3-28. https://doi.org/10.1177/1077558705283120
Fonseca, A. Boas práticas de ageing in place: divulgar para valorizar. Guia de boas práticas. Lisboa: Fundação Calouste Gulbenkian; 2018. [citado 23 out 2020]. Disponível em: https://gulbenkian.pt/publication/boas-praticas-de-ageing-in-place-divulgar-para-valorizar/
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