Next Article in Journal
Increase of Elderly Population in the Rainstorm Hazard Areas of China
Next Article in Special Issue
Peri-Urbanism in Globalizing India: A Study of Pollution, Health and Community Awareness
Previous Article in Journal
Social Environment of Older People during the First Year in Senior Housing and Its Association with Physical Performance
Previous Article in Special Issue
Constancy and Change: Key Issues in Housing and Health Research, 1987–2017
Article Menu
Issue 9 (September) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2017, 14(9), 964; https://doi.org/10.3390/ijerph14090964

Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains

1
Department of Health Sciences & Centre for Ageing and Supportive Environments (CASE), Lund University, SE-221 00 Lund, Sweden
2
Interdisciplinary Ageing Research, Faculty of Educational Sciences, Goethe University, 60323 Frankfurt am Main, Germany
3
Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, 50923 Cologne, Germany
*
Author to whom correspondence should be addressed.
Received: 30 June 2017 / Revised: 12 August 2017 / Accepted: 24 August 2017 / Published: 26 August 2017
(This article belongs to the Special Issue Housing and Health)
View Full-Text   |   Download PDF [657 KB, uploaded 26 August 2017]   |  

Abstract

The physical housing environment is important to facilitate activities of daily living (ADL) for older people. A hindering environment may lead to ADL dependence and thus increase the need for home services, which is individually restricting and a growing societal burden. This study presents simulations of policy changes with regard to housing accessibility that estimates the potential impact specifically on instrumental activities of daily living (I-ADL), usage of home services, and related costs. The models integrate empirical data to test the hypothesis that a policy providing funding to remove the five most severe environmental barriers in the homes of older people who are at risk of developing dependence in I-ADL, can maintain independence and reduce the need for home services. In addition to official statistics from state agencies in Sweden and Germany, we utilized published results from the ENABLE-AGE and other scientific studies to generate the simulations. The simulations predicted that new policies that remove potentially hindering housing features would improve I-ADL performance among older people and reduce the need for home services. Our findings suggest that a policy change can contribute to positive effects with regard to I-ADL independence among older people and to a reduction of societal burden. View Full-Text
Keywords: ageing society; ADL; housing adaptations; environmental barriers; simulations ageing society; ADL; housing adaptations; environmental barriers; simulations
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Slaug, B.; Chiatti, C.; Oswald, F.; Kaspar, R.; Schmidt, S.M. Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains. Int. J. Environ. Res. Public Health 2017, 14, 964.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top