Post-Disaster Crisis Intervention with Older Adults in Public Housing Communities

2003 ◽  
Vol 6 (3) ◽  
pp. 171-184 ◽  
Author(s):  
STAN L. BOWIE
2018 ◽  
Vol 74 (6) ◽  
pp. 1041-1052 ◽  
Author(s):  
Alexis A Merdjanoff ◽  
Rachael Piltch-Loeb ◽  
Sarah Friedman ◽  
David M Abramson

Abstract Objectives This study explores the effects of social and environmental disruption on emergency housing transitions among older adults following Hurricane Sandy. It is based upon the Sandy Child and Family Health (S-CAFH) Study, an observational cohort of 1,000 randomly sampled New Jersey residents living in the nine counties most affected by Sandy. Methods This analysis examines the post-Sandy housing transitions and recovery of the young-old (55–64), mid-old (65–74), and old-old (75+) compared with younger adults (19–54). We consider length of displacement, number of places stayed after Sandy, the housing host (i.e., family only, friends only, or multi-host), and self-reported recovery. Results Among all age groups, the old-old (75+) reported the highest rates of housing damage and were more likely to stay in one place besides their home, as well as stay with family rather than by themselves after the storm. Despite this disruption, the old-old were most likely to have recovered from Hurricane Sandy. Discussion Findings suggest that the old-old were more resilient to Hurricane Sandy than younger age groups. Understanding the unique post-disaster housing needs of older adults can help identify critical points of intervention for their post-disaster recovery.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S180-S180
Author(s):  
Brooke Wagen ◽  
Whitney Williams ◽  
Jan Bennett ◽  
Elizabeth A Jacobs

Abstract In the coming decades, the population of adults over 65 in the US will increase dramatically. Many older adults live at or below the poverty level, and the growing lack of affordable housing combined with fixed incomes promises to increase the number of older adults facing combined housing and health challenges. Despite their vulnerability, little is known about the lived experiences of older adults aging in place in public housing. We conducted semi-structured qualitative interviews with 27 older adults at two public housing sites in Austin, Texas to gain an understanding of their thoughts on health, aging, home, community, and problem solving. We conducted interviews in Spanish (n=10) and English (n=17) with 16 female and 11 male interviewees with a mean age of 71.7 years (range 65-85 years). We systematically coded transcribed interviews and used grounded theory to analyze the data. Participants described feeling isolated due to language barriers, cultural perceptions about neighbors, and previous problematic experiences with neighbors leading to intentional isolation for safety. Some, however, spoke of how they acted as community connectors or responded to connectors in the community in ways that reduced their isolation. Participants framed individual problem-solving and personal choices as central to health and wellness. Our findings suggest a way forward for housing authorities, communities, and health systems working together to provide services to these adults. Incorporating their points of view and even co-creating interventions to enhance their health and well-being will make these interventions more successful and welcome.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Melissa Pirrie ◽  
Guneet Saini ◽  
Ricardo Angeles ◽  
Francine Marzanek ◽  
Jenna Parascandalo ◽  
...  

Abstract Background Falls in older adults is a widely researched topic. However, older adults residing in public housing are a vulnerable population that may have unique risk factors for falls. This study aims to describe the prevalence and risk factors for falls, fear of falling, and seeking medical attending for falls in this population. Methods Sociodemographic and health-related data was collected as part of a community-based health assessment program with older adults in public housing. Three pre-screening questions identified individuals at potential risk for falls; individuals who screened positive performed the objective Timed Up and Go (TUG) test. Logistic regression was used to evaluate risk factors for four outcome variables: falls in the past year, seeking medical attention for falls, fear of falling, and objectively measured fall risk via TUG test. Results A total of 595 participants were evaluated, of which the majority were female (81.3%), white (86.7%), did not have a high school diploma (50.0%), and reported problems in mobility (56.2%). The prevalence of falls in the past year was 34.5%, seeking medical attention for falls was 20.2% and fear of falling was 38.8%. The TUG test was completed by 257 participants. Notably, males had significantly reduced odds of seeking medical attention for a fall (OR = 0.50, 95%CI 0.25–0.98) and having a fear of falling (OR = 0.42, 95%CI 0.24–0.76); daily fruit and vegetable consumption was associated with decreased odds of having a fall in the past year (OR = 0.55, 95%CI 0.37–0.83), and alcohol consumption was associated with increased odds of fear of falling (OR = 1.72, 95%CI 1.03–2.88). Conclusion Older adults residing in public housing have unique risk factors associated with social determinants of health, such as low fruit and vegetable consumption, which may increase their risk for falls. The findings of this study can be used to inform falls interventions for this population and identify areas for further research.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S173-S173
Author(s):  
Nia Reed

Abstract Atlanta was the first major city to offer federally-funded public housing and it is one of the first to demolish it. Unlike other cities undergoing public housing transformation through demolition under Housing for People Everywhere Program (HOPE VI), the Atlanta Housing Authority (AHA) targeted senior housing as part of the demolition process. Investigators conducting the Urban Health Initiative (UHI) study collected three waves of data (baseline, 6-month post-relocation, and 24-month post-relocation) from relocated seniors and a comparison group of seniors who aged-in-place. To understand the interactions between public housing residents and varied components of their environments, including social networks and neighborhood satisfaction, I will use place attachment theory to frame my research, as sense of place is rooted within the interplay of community cultural wealth components. I will also use aging-in-place theory, which refers to individuals’ ability to grow old in their own homes and communities, while adjusting to needed modifications associated with aging and mobility. Analysis of Covariance will be applied to understand the relationship between social networks, relocation, and neighborhood satisfaction among older adults who age-in-place, compared to those who relocated.


2014 ◽  
Vol 91 (6) ◽  
pp. 1033-1047 ◽  
Author(s):  
Amanda E. Schneider ◽  
Nancy Ralph ◽  
Carolyn Olson ◽  
Anne-Marie Flatley ◽  
Lorna Thorpe

2012 ◽  
Vol 20 (5) ◽  
pp. 441-451 ◽  
Author(s):  
Adam Simning ◽  
Edwin van Wijngaarden ◽  
Susan G. Fisher ◽  
Thomas M. Richardson ◽  
Yeates Conwell

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