title: Do age-friendly characteristics influence the expectation to age in place? A comparison of low-income and higher income Detroit elders.
abstract: Currently there is limited evidence linking age-friendly characteristics to outcomes in elders. Using a representative sample of 1,376 adults aged 60 and older living in Detroit, this study examined the association between age-friendly social and physical environmental characteristics and the expectation to age in place, and the potential differences between low- and higher-income elders. Based on U.S. Environmental Protection Agency's (EPA) age-friendly guide, we identified six factors reflecting age-friendly characteristics. Logistic regression models indicated that regardless of income level only neighborhood problems were significantly associated with expecting to age in place. Low-income elders were more likely to expect to age in place than their higher-income counterparts, and it is unclear whether this resulted from a desire to remain in the home or that there is no place else to go. Future research should address the ways in which financial resources affect the choices, expectations, and outcomes of aging in place.
authors.affiliation: University of Michigan, Ann Arbor, MI, USA alehning@umich.edu.
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Lehning
authors.affiliation: Wayne State University, Detroit, MI, USA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Smith
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Ruth E
authors.initials: RE
authors.lastname: Dunkle
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007182:Income / Q000706:statistics & numerical data*; D057187:Independent Living / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D008824:Michigan; D008875:Middle Aged; D011203:Poverty; D012111:Residence Characteristics; D012931:Social Environment
keywords: aging in place; physical environment; social environment