COMMUNITY-BASED SERVICES AND RESOURCES IN A RESIDENTIAL SETTING: LOCATION MATTERS

Abstract

One key component to facilitate an older adult’s ability to remain in the community is provision of formal services in their residence. However, service-accessible housing options are often limited to those with financial means, and many older adults remain in housing that is considered “service-poor.” The study examines the disparity of services availability by types of residence. Using cross-sectional data from Wave 2 of the Pathways to Life Quality dataset, we examined the sociodemographic characteristics, health status, and social support by residence for adults aged 50 and older. Data were categorized by elders living in their own home in the community (N=347), independent elders living in service-rich housing (Continuing Care Retirement Community residents; N=188) and elders living in service-poor housing (government subsidized housing; N=137). Data were analyzed across groups using ANOVA. The sample was a majority female, with an average age of 76 (range 50–101). Older adults living in the service poor residences had lower socioeconomic resources (lower education levels, less income; p-values<.000), worse health (higher functional limitations, more chronic conditions; p-values<.000), and less social resources (less social integration, less social support, lower marriage rates; p-values<.000) compared to those in service-rich residences or living in the community. These data suggest that elders living in service-poor areas are not only vulnerable due to lower service availability, but also have high social, economic, and health vulnerability. It is particularly important to identify groups that are most vulnerable in order to target interventions efficiently. Recommendations for policy and practice will be discussed.