title: Home- and community-based services utilization and aging in place.
abstract: This study examines the relationship between home- and community-based service (HCBS) utilization and perceived service needs for aging in place versus relocation, using the data from the Community Partnership for Older Adults Survey. Among the vulnerable, community-dwelling older adult sample (N = 2,001), users of adult day programs, housekeeping, senior lunch, helpline, or personal assistance services were more likely to indicate they would need regular help to remain living on their own. By contrast, users of senior centers, personal assistance, or visiting nurse services were more likely to indicate they would move out due to health problems. Home repair service users were less likely to perceive the need for relocation. Findings have implications for improving long-term care and supportive service systems to meet the current and future needs of community-dwelling older adults.
authors.affiliation: University of Pittsburgh School of Social Work, Pittsburgh, PA 15260, USA. fet7@pitt.edu
authors.forename: Fengyan
authors.initials: F
authors.lastname: Tang
authors.forename: Yeonjung
authors.initials: Y
authors.lastname: Lee
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006302:Health Services Research; D006304:Health Status; D006699:Home Care Services / Q000706:statistics & numerical data*; D006704:Homemaker Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012111:Residence Characteristics; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology