home and health among very old people – latvian and swedish perspectives

21 May 2013 Home and Health Workshop /Susanne Iwarsson

Home and Health among Very Old People – Latvian and Swedish Perspectives

BUILDING UPON RESEARCH COOPERATION BETWEEN LUND UNIVERSITY, SWEDEN & RIGA STRADINS UNIVERSITY, LATVIA SINCE 2002


The ENABLE-AGE Project BackgroundPROFESSOR SUSANNE IWARSSON, LUND UNIVERSITY, SWEDEN

Latvia

Sweden

United Kingdom

Germany

Hungary

The ENABLE-AGE ProjectEnabling Autonomy, Participation, and Well-Being in Old Age:The Home Environment as a Determinant for Healthy Ageing

Main aim

In very old age

In private households

Living alone

Risks andpotentials

HomeEnvironment

(objective,perceived)

“HealthyAgeing”

(autonomy, well-being,participation)

To examine, from a European perspective, the home environment as a determinant for ”Healthy Ageing” Recommendations for evidence-based housing solutions across Europe

Methodological overview

• The ENABLE-AGE Survey Study, N= 1,918• The ENABLE-AGE In-depth Study, N= 189• The ENABLE-AGE Update Review, five

countries• 1,600 variables (survey database)• Interview audio tapes/transcripts in six

languages• Uniquely detailed in data on environmental

aspects • One-year follow-up in all countries• Six-year follow-up in Sweden & Germany• Nine-year follow-up in Sweden, Germany &

Latvia • Ten-year mortality data – with some

challenges

Sample description Sampling in urban regions, stratified for age and gender Community dwelling very old people, living alone (T1, N = 1,918; T2, N = 1,356) Different life expectancy and different onset of “Fourth Age” in Eastern vs.

Western European countries implications for sampling

In-depth studies, N = 189 Diversity sampling based on

survey data

Age (at T1) Gender Sweden Germany United Kingdom

Hungary Latvia Total

Women --- --- --- 145 176 75-79 years old Men --- --- --- 36 21

378

Women 147 165 169 171 92 80-84 years old Men 53 47 76 40 14

974

Women 149 188 94 --- --- 85-89 years old Men 48 50 37 --- ---

566

Total N (T1) 397 450 376 392 303 1918

Total N (T2) 314 322 316 179 225 1356


Thanks to the financers

European CommissionSwedish Research CouncilSwedish Council for Working Life and Social ResearchRibbingska Foundation in Lund, SwedenSwedish Institute – VisbyprogrammetScanBalt Bridge AwardFaculty of Medicine, Lund University

home and health among very old people – latvian and swedish perspectives

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