O5.2 Housing and living environment
Chair: Hans Christian Sandlie
O5.2.1 Dementia friendly housing – Actors and affordances
Erja Rappe, Jere Rajaniemi, Päivi Topo
Age Institute, Finland
Backround: The ageing in place principle is prevailing in ageing policy and the number of people with dementia living alone is high in Nordic countries. Identifying supportive models of housing for people with memory disorders is increasingly important. In this study we explore factors of successful housing by applying affordance theory and actor network perspective.
Methods: Data was gathered in the research project New Alternatives for Living and Housing (2016–2017). Data consisted of 1. housing alternatives for people with dementia in Finland, Italy, Switzerland and France (9 cases with 11 interviews), 2. six interviews of different experts of housing, and 3. a survey for older residents (n=37). Interview data was analyzed by content analysis and survey by cross tabulation.
Research results: Good housing when living with dementia could be outlined as a network including people, buildings, artefacts, nature, organizations, behavioral cultures, and policies. Different factors were structured in to five dimensions which revealed actors and affordances linked to the successful housing of the people with dementia.
Conclusions: Considering the housing of older adults, it is not enough to address only quality of apartments or housing services. Widening the scope to include a network of affordances and actors associated with housing, possibilities for executing ageing in place policy are enhanced.
O5.2.2 ‘Wet’ facilities for older persons – First findings from care facilities in
Sweden and Denmark
School of Social Work, Lund University, Sweden
Aim: The study aimed to investigate how ‘wet’ housing arrangements for older persons are justified, given that such facilities constitute a breach against traditional policies on alcohol and drug abuse. ‘Wet’ facilities target persons with substance use disorder above the age of 50 years. The goal is not abstinence, treatment is not provided and residents are allowed to consume alcohol to any extent. What are the goals of the facilities and how are these goals achieved – in the absence of abstinence as a goal and treatment as a means?
Data and method: Data consisted of 12 interviews with managers and staff at five wet facilities in Sweden and Denmark. Data was coded thematically, focusing on the question of goals and means.
Results: Positions on the use of alcohol and other drugs were ambiguous and policies on the prevention of facilitation of alcohol consumption differed. Interviewees argued that reduced consumption of alcohol and drugs was a long-term goal, but several stated that the congregation of persons with similar problems made the facilities unsuitable places for anyone who wanted to quit drinking and some drank more in the company of others. Goals were described as “acknowledging the person”, providing a life with “dignity” and a “normal” life during old age, but the meaning of these goals was constructed through references to the problematic life-courses and habits of residents. The study highlights the need to investigate the contextual character of concepts like dignity and normality for older persons with social problems.
O5.2.3 Health status and characteristics of residents living in sheltered housing
Laura Balash1, Sjögren Karin1, Sköldunger Anders1, Hugo Lövheim1, David Edvardsson1,2
1 Umeå University, Sweden, 2 La Trobe University, Australia
In Sweden, sheltered housing is a housing model that provides accessible apartments with elevated social possibilities for older people. Sheltered housing is expected to increase resident health and reduce the need for care services. Currently, there are no studies on the population residing in sheltered housing or on the actualization of the perceived positive aspects of sheltered housing, despite the increasing amount of sheltered housing in Sweden.
To examine self-rated health, functional ability and depressive mood of residents in sheltered housing compared to aging in place.
A cross sectional survey study of older people living in sheltered housing and aging in place in Sweden (n=3805). Descriptive statistics, frequencies, independent t-tests, p-values and effect size were calculated to explore differences between groups.
Analyses showed that older people living in sheltered housing, compared to aging in place, had lower self-reported health (M= 64.68/70.08, p= <.001), lower self-reported quality of life (M=0.73/ 0.81, p= <.001), lower functional status concerning activities of daily living (M=5.19/5.40, p= <.001), lower functional status concerning instrumental activities of daily living (M=4.98/ 5.42 p= <.001,), and higher probability of depressive mood (M=0.80/ 0.58, p= <.001).
It is possible that the population residing in sheltered housing have more support and care needs than those aging in place, influencing their choice to move to housing with more perceived support.
O5.2.4 Empirical findings on perceived aspects of home and health among people aged
Maya Kylén, Henrik Ekström, Maria Haak, Steven Schmidt, Charlotte Löfqvist, Susanne Iwarsson
Lund University, Sweden
Background: Research has shown that perceived aspects of home, such as usability and the meaning of home, are important for very old people’s health, but research on such associations in younger cohorts of ageing people is lacking.
Aims: The aim was to explore associations between perceived aspects of home, health and well-being among younger older people.
Methods and results: This synthesis of quantitative and qualitative findings is based on a survey (N=371) and in-depth interviews (N=13). Participants were aged 67 – 70 years, and lived in ordinary housing in south Sweden. Statistical analyses revealed that participants reporting positive evaluations of perceived aspects of home had better psychological well-being and reported less depressive mood and symptoms. The qualitative analysis revealed additional insights. Perceptions about home become progressively important after retirement, and not only the immediate home environment but also local neighborhoods influence perceptions of home.
Conclusion: By bringing together quantitative and qualitative research we have shown that perceptions about home are associated with health and well-being already in earlier stages of the ageing process. The findings highlight that health implications of housing should not be restricted to physical attributes of the home such as housing standard or environmental barriers but should also consider perceived aspects of home.