Characteristics of the personal and environmental components of person-environment fit in very old age: a comparison between people with self-reported Parkinson’s disease and matched controls

Slaug, Björn; Nilsson, Maria H; Iwarsson, Susanne

doi:10.1007/s40520-013-0165-z

Cited by 18 publications

(23 citation statements)

References 24 publications

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“…The present study pinpoints the environmental barriers that are particularly important to consider in the home-setting and close exterior surrounding. The most prominent barriers differed, however, from previous explorative findings, 12 which highlights the importance of replicating studies with sufficient sample sizes and to include persons with a verified PD diagnosis.…”

Section: Discussioncontrasting

confidence: 63%

“…In a previous study, accessibility problems were explored in a sample of very old single-living people in urban environments 11 ; it compared 20 individuals with self-reported PD with matched controls. 12 Although the study had notable limitations, it delivered interesting results. For instance, the environmental barriers that generated the most problems seemed to be more often located to the exterior surroundings for people with self-reported PD compared to controls.…”

Section: Introductionmentioning

confidence: 99%

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Housing accessibility problems for people with Parkinson's disease

et al. 2017

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Section: Discussioncontrasting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Housing accessibility problems for people with Parkinson's disease

et al. 2017

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“…However, because the number of functional limitations tends to increase with advancing age and results in more complex functional profiles, actual accessibility does not improve even when very old people move to dwellings with fewer environmental barriers. In line with previous research, this finding can be explained by the fact that accessibility is highly dependent on each person's profile of functional limitations (Slaug, Nilsson, & Iwarsson, 2013). Therefore, the functional decline that often occurs in very old age increases the demands for barrier-free housing options.…”

Section: Discussionsupporting

confidence: 88%

Community Relocation in Very Old Age: Changes in Housing Accessibility

Granbom

Slaug

Löfqvist

et al. 2016

The American Journal of Occupational Therapy

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“…That is, some environmental barriers important to one person may not be important to others rendering the meaningful interpretation potentially challenging. More specific analyses require additional in-depth descriptive analyses [40], being beyond the scope of the present study.…”

Section: Discussionmentioning

confidence: 99%

Environmental barriers, person-environment fit and mortality among community-dwelling very old people

et al. 2013

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BackgroundEnvironmental barriers are associated with disability-related outcomes in older people but little is known of the effect of environmental barriers on mortality. The aim of this study was to examine whether objectively measured barriers in the outdoor, entrance and indoor environments are associated with mortality among community-dwelling 80- to 89-year-old single-living people.MethodsThis longitudinal study is based on a sample of 397 people who were single-living in ordinary housing in Sweden. Participants were interviewed during 2002–2003, and 393 were followed up for mortality until May 15, 2012.Environmental barriers and functional limitations were assessed with the Housing Enabler instrument, which is intended for objective assessments of Person-Environment (P-E) fit problems in housing and the immediate outdoor environment. Mortality data were gathered from the public national register. Cox regression models were used for the analyses.ResultsA total of 264 (67%) participants died during follow-up. Functional limitations increased mortality risk. Among the specific environmental barriers that generate the most P-E fit problems, lack of handrails in stairs at entrances was associated with the highest mortality risk (adjusted RR 1.55, 95% CI 1.14-2.10), whereas the total number of environmental barriers at entrances and outdoors was not associated with mortality. A higher number of environmental barriers indoors showed a slight protective effect against mortality even after adjustment for functional limitations (RR 0.98, 95% CI 0.96-1.00).ConclusionSpecific environmental problems may increase mortality risk among very-old single-living people. However, the association may be confounded by individuals’ health status which is difficult to fully control for. Further studies are called for.

show abstract

Characteristics of the personal and environmental components of person-environment fit in very old age: a comparison between people with self-reported Parkinson’s disease and matched controls

Cited by 18 publications

References 24 publications

Housing accessibility problems for people with Parkinson's disease

Housing accessibility problems for people with Parkinson's disease

Community Relocation in Very Old Age: Changes in Housing Accessibility

Environmental barriers, person-environment fit and mortality among community-dwelling very old people

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