Differential Aging in Place and Depressive Symptoms: Interplay Among Time, Income, and Senior Housing

Res Aging. 2018 Mar;40(3):207-231. doi: 10.1177/0164027517697106. Epub 2017 Mar 20.

Abstract

Objective: We examined cumulative and differential experiences of aging in place.

Method: Data came from the 2002 and 2010 wave of the Health Retirement Study. We modeled the trajectory of later-life depressive symptoms, and how senior-housing environments moderate the negative association between economic disadvantages and depressive symptoms.

Results: At baseline, economically disadvantaged older adults were more likely to exhibit depressive symptoms. However, detrimental effects of income group (non-low income vs. moderate income; non-low income vs. low income) on depressive symptoms did not significantly change over time. The age-leveler hypothesis may account for nonsignificant effects of disadvantaged income groups over time.

Discussion: Findings suggest that moderate-income seniors may experience positive differentials if they age in place in a supportive senior-housing environment. Moderate-income seniors may have broader opportunities in senior housing compared to private-home peers. Senior housing might partially counter risks such as low mental health, emerging from life-course disadvantage.

Keywords: aging in place; later-life depressive symptoms; life course; low income; person–environment fit.

MeSH terms

  • Activities of Daily Living / psychology
  • Aged
  • Aged, 80 and over
  • Depression / psychology*
  • Economic Status*
  • Female
  • Health Surveys
  • Housing for the Elderly / economics
  • Housing for the Elderly / statistics & numerical data
  • Humans
  • Independent Living / economics
  • Independent Living / psychology*
  • Male
  • Vulnerable Populations / psychology