Eliciting Life Priorities of Older Adults Living in Permanent Supportive Housing.
Eliciting Life Priorities of Older Adults Living in Permanent Supportive Housing.
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找出居住在永久支持性住房中的老年人的生活优先事项。
DOI：
10.1093/geront/gnz040
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Henwood,BenjaminF
中科院分区：
文献类型：
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作者：
Padgett,DeborahK;Bond,Lynden;Gurdak,Kristen;Henwood,BenjaminF
背景和目的经历过长期无家可归的成年人被认为是“老”的50岁，由于加速老化。虽然已发现永久性支助性住房（PSH）对这些人有效，但PSH对成年人“就地养老”的需求关注有限。本研究探讨了（1）PSH中的老年人如何识别和排列他们的生活优先事项，（2）他们如何用自己的话描述这些优先事项，以及（3）研究设计和方法采用了一种趋同的并行混合方法设计，其中定性的案例研究分析通过生命历程的视角提供了对14个老年人如何更深入地了解PSH的居民认为他们的生活优先级使用定量卡排序排名的12个生活domains.ResultsHousing，家庭，心理健康，身体健康，和合作伙伴是最经常认可的生活优先级。跨案例分析中出现了四个主题：“老化，老化”，“小心恢复关系”，“生活继续”和“住房是根本”。收敛的研究结果表明，生活逆境的社会损失和中断的生活，影响高和低排名的卡排序prioritizations.Discussion和ImplicationsThis研究表明，参与者都知道他们的推进年，但他们寻求克服逆境和损失，通过保持心理健康和清醒，改善身体健康，并谨慎地重建关系。随着无家可归的老年人人数的增加，纳入与年龄有关的服务将是随着年龄增长为居民提供的PSH服务的重要组成部分。
Background and ObjectivesAdults who have experienced chronic homelessness are considered to be “old” by age 50 due to accelerated aging. While permanent supportive housing (PSH) has been found effective for these individuals, there is limited focus on the needs of adults “aging in place” in PSH. This study examined (1) how older adults in PSH identify and rank their life priorities, (2) how they describe these priorities in their own words, and (3) how life course adversity deepens an understanding of these priorities.Research Design and MethodsA convergent parallel mixed methods design was used in which qualitative case study analyses informed by a life course perspective provided a deeper understanding of how 14 older residents of PSH viewed their life priorities using quantitative card-sort rankings of 12 life domains.ResultsHousing, family, mental health, physical health, and partner were the most frequently endorsed life priorities. Four themes emerged from the cross-case analyses: “aging in, aging out,” “carefully restoring relationships,” “life goes on,” and “housing is fundamental.” Convergent findings indicated that life adversity—social losses and interrupted lives—influenced both the high- and low-ranked card-sort priorities.Discussion and ImplicationsThis study demonstrated that participants were aware of their advancing years yet they sought to overcome adversity and losses through maintaining mental health and sobriety, improving physical health, and cautiously rebuilding relationships. As the numbers of older homeless rise, the inclusion of age-related services will be an important component of PSH services for residents as they age.