Racial and ethnic variances in preparedness for aging in place among US adults ages 50-80

Sheria G Robinson-Lane; Florence U Johnson; Marie Jeanne Tuyisenge; Matthias Kirch; Loretta L Christensen; Preeti N Malani; Erica Solway; Dianne C Singer; Jeffrey T Kullgren; Antonios M Koumpias

doi:10.1016/j.gerinurse.2023.09.010

Racial and ethnic variances in preparedness for aging in place among US adults ages 50-80

Geriatr Nurs. 2023 Nov-Dec:54:357-364. doi: 10.1016/j.gerinurse.2023.09.010. Epub 2023 Oct 4.

Affiliations

¹ Department of Systems, Populations, and Leadership, School of Nursing, University of Michigan, Ann Arbor, MI, USA. Electronic address: grices@umich.edu.
² Department of Systems, Populations, and Leadership, School of Nursing, University of Michigan, Ann Arbor, MI, USA.
³ Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA.
⁴ Indian Health Services, U.S. Department of Health and Human Services, Rockville, MD, USA.
⁵ Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA; Department of Internal Medicine, Division of Infectious Diseases, University of Michigan, Ann Arbor, MI, USA.
⁶ Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, MI, USA.
⁷ Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA; Departments of Internal Medicine and Health Management and Policy, University of Michigan, Ann Arbor, MI, USA.
⁸ Department of Social Sciences, University of Michigan - Dearborn, Dearborn, MI, USA.

PMID: 37802755
DOI: 10.1016/j.gerinurse.2023.09.010

Abstract

Objectives: To investigate the preparations made by adults to age in place and identify disparities.

Methods: A cross-sectional survey was conducted among U.S. adults ages 50-80 years old (n = 2277). Individual, environmental, social, and community factors influencing readiness for aging in place were examined using chi-square tests and logistic regression.

Results: Income, disability status, and household composition, emerged as influential factors, often negatively affecting minority aging. Participants' consideration of aging in place was related to their disability status (OR 1.80 [1.32, 2.45]) and age (OR age 60-69 2.06 [1.54, 2.74], age 70-80 (OR 1.98 [1.46,2.67]), compared with age 50-59). Indigenous and Black older adults reported significantly higher levels of consideration for aging in place than White older adults (Indigenous OR 7.89 [2.35, 26.42], Black OR 1.71 [1.11, 2.64]).

Conclusion: Aging in place is best facilitated by inclusive communities that prioritize adaptive homes and accessible community services.

Keywords: Disabled persons; Health equity; Home environment; Questionnaires; Retirement; Social support; Surveys.

MeSH terms

Aged
Aged, 80 and over
Aging
Cross-Sectional Studies
Humans
Income
Independent Living*
Racial Groups*
United States