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Living Arrangements
During the later years of the life course, where and with whom one lives greatly influences the quality of one's life. Yet one's living arrangements are not solely the result of individual choices. The options from which an older person can choose are determined by his or her economic and social resources as well as by his or her state of health. The living arrangements and level of independence vary greatly among the elderly. Most older couples live independently in the community, and many widowed individuals continue to live alone well into their 80s and 90s. As their capacity to live independently declines, some move in with their children and others choose to, or are forced to, move to assisted-living environments. Those with the most severe incapacities often have no choice but to enter nursing homes.
Fully 95% of the U.S. population age 65 years and older lives in the community, and three quarters of these individuals own their own homes. Among the oldest old (> 85 years of age), home ownership is less common, as it is among minorities, unmarried individuals, and those with low incomes. Elderly Hispanic and Black metropolitan residents are the least likely of all groups to own their own homes. These differences in home ownership result in large part from a lack of affordable housing, especially for individuals with low retirement incomes.
Today, approximately 54% of individuals age 65 years and older live with their spouses only, 31% live alone, 13% live with relatives, and 2% live with others to whom they are not related. However, significant gender and racial differences exist. Elderly m en are more likely than elderly women to live with their spouses. In 2003, 71.2% of men age 65 years and older lived with their wives, whereas only 41.1% of women still lived with their husbands. Among the unmarried, older Black and Hispanic individuals are less likely than their non-Hispanic White peers to live alone and are more likely to live with others because of economic need as well as the cultural preference to do so. In 2003, approximately one third of Black, Asian, and Hispanic elderly individuals lived with people other than their spouses (33.5%, 35.8%, and 36%, respectively). Similarly, foreign-born elderly individuals who migrated to the United States during late adulthood are more likely to live with others than are those who migrated earlier in life or those who are native born. For elderly Mexican-origin immigrants, the propensity to move in with family often occurs in the event that they suffer a loss in their capacity to care for themselves.
When a spouse dies, most older people tend to live alone and maintain their independence as long as possible. Since 1970, the number of older single individuals has increased and the rate of growth has been particularly high for women, who tend to outlive their husbands. In 2003, 10.5 million, or one third of all elderly individuals, lived alone. In addition to being mostly female, those who live alone tend to be older and to report good health. Elderly people who live alone also have lower incomes than do married couples. As a consequence, poverty rates are high among elderly individuals who live alone. Compared with married couples, twice as many men and four times as many women who live alone had incomes below poverty in 2003. Elderly minority women living alone are particularly vulnerable to poverty. In 2003, 40.3% of Black women lived in poverty, compared with 26.4% of Black men. Among Hispanics, 40.8% of women and 14.7% of men who lived alone had incomes below poverty.
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- Aging and the Brain
- Alzheimer's Disease
- Apolipoprotein E
- Consortium to Establish a Registry for Alzheimer's Disease
- Creutzfeldt–Jakob Disease
- Delirium and Confusional States
- Imaging of the Brain
- Lewy Body Dementia
- Mental Status Assessment
- Mild Cognitive Impairment
- Neurobiology of Aging
- Neurological Disorders
- Pick's Disease
- Stroke
- Syncope
- Vascular Dementia
- Vascular Depression
- Diseases and Medical Conditions
- Accelerated Aging Syndromes
- Anemia
- Aneurysms
- Arrhythmias
- Arthritis and Other Rheumatic Diseases
- Calcium Disorders of Aging
- Cancer
- Cancer Prevention and Screening
- Cancer, Common Types of
- Cataracts
- Cellulitis
- Congestive Heart Failure
- Diabetes
- Ear Diseases
- Eye Diseases
- Foot Problems
- Fractures in Older Adults
- Gastrointestinal Aging
- HIV and AIDS
- Hypertension
- Iatrogenic Disease
- Immune Function
- Incontinence
- Infections, Bladder and Kidney
- Infectious Diseases
- Kidney Aging and Diseases
- Men's Health
- Menopause and Hormone Therapy
- Metabolic Syndrome
- Musculoskeletal Aging: Inflammation
- Musculoskeletal Aging: Osteoarthritis
- Oral Health
- Osteoporosis
- Pneumonia and Tuberculosis
- Pressure Ulcers
- Sarcopenia
- Shingles
- Skin Neoplasms, Benign and Malignant
- Spinal Stenosis
- Systemic Infections
- Temperature Regulation
- Thyroid Disease
- Valvular Heart Disease
- Venous Stasis Ulcers
- Wound Healing
- Drug-Related Issues
- Function and Syndromes
- Mental Health and Psychology
- Agitation
- Alcohol Use and Abuse
- Anxiety Disorders
- Behavioral Disorders in Dementia
- Bereavement and Grief
- Control
- Delirium and Confusional States
- Depression and Other Mood Disorders
- Emotions and Emotional Stability
- Expectations Regarding Aging
- Life Course Perspective on Adult Development
- Loneliness
- Memory
- Mental Status Assessment
- Mild Cognitive Impairment
- Motivation
- Personality Disorders
- Positive Attitudes and Health
- Posttraumatic Stress Disorder
- Pseudodementia
- Psychiatric Rating Scales
- Psychosocial Theories
- Schizophrenia, Paranoia, and Delusional Disorders
- Selective Optimization With Compensation
- Self-Care
- Self-Efficacy
- Self-Rated Health
- Stress
- Subjective Well-Being
- Successful Aging
- Suicide and the Elderly
- Vascular Depression
- Nutritional Issues
- Physical Status
- Allostatic Load and Homeostasis
- Biological Theories of Aging
- Biomarkers of Aging
- Body Composition
- Body Mass Index
- Cardiovascular System
- Compression of Morbidity
- Fluid and Electrolytes
- Hearing
- Men's Health
- Multiple Morbidity and Comorbidity
- Normal Physical Aging
- Perioperative Issues
- Pulmonary Aging
- Skin Changes
- Skin Neoplasms, Benign and Malignant
- Sleep
- Surgery
- Temperature Regulation
- Therapeutic Failure
- Vision and Low Vision
- Women's Health
- Prevention
- Sociodemographic and Cultural Factors
- Active Life Expectancy
- Africa
- African Americans
- Age–Period–Cohort Distinctions
- Asia
- Asian and Pacific Islander Americans
- Australia and New Zealand
- Canada
- Caregiving
- Centenarians
- Compression of Morbidity
- Critical Perspectives in Gerontology
- Demography of Aging
- Disasters and Terrorism
- Disclosure
- Early Adversity and Late-Life Health
- Economics of Aging
- Education and Health
- Elder Abuse and Neglect
- Environmental Health
- Epidemiology of Aging
- Ethical Issues and Aging
- Ethnicity and Race
- Europe
- Expectations Regarding Aging
- Global Aging
- Health Communication
- Hispanics
- Homelessness and Health in the United States
- Latin America and the Caribbean
- Life Course Perspective on Adult Development
- Living Arrangements
- Loneliness
- Longevity
- Marital Status
- Mexico
- Midlife
- Migration
- Multiple Morbidity and Comorbidity
- Native Americans and Alaska Natives
- Negative Interaction and Health
- Oldest Old
- Quality of Life
- Rural Health and Aging Versus Urban Health and Aging
- Social Networks and Social Support
- Socioeconomic Status
- Stress
- Successful Aging
- Work, Health, and Retirement
- Studies of Aging
- Aging in Manitoba Longitudinal Study
- Cardiovascular Health Study
- Clinical Trials
- Critical Perspectives in Gerontology
- Duke Longitudinal Studies
- Epidemiology of Aging
- Established Populations for Epidemiologic Studies of the Elderly
- Government Health Surveys
- Health and Retirement Study
- Hispanic Established Population for Epidemiologic Studies of the Elderly
- Honolulu–Asia Aging Study, Honolulu Heart Program
- Longitudinal Research
- Longitudinal Study of Aging
- MacArthur Study of Successful Aging
- National Health Interview Survey
- National Long Term Care Survey
- Normative Aging Study
- Qualitative Research on Aging
- Twin Studies
- Systems of Care
- Advance Directives
- Advocacy Organizations
- Aging Network
- Assisted Living
- Caregiving
- Complementary and Alternative Medicine
- Continuum of Care
- Death, Dying, and Hospice Care
- Elder Abuse and Neglect
- Ethical Issues and Aging
- Geriatric Profession
- Geriatric Team Care
- Gerontological Nursing
- Health and Public Policy
- Health Care System for Older Adults
- Home Care
- Institutional Care
- Legal Issues
- Long-Term Care
- Long-Term Care Insurance
- Managed Care
- Medicaid
- Medicare
- Minimum Data Set
- National Institute on Aging
- Nursing Roles in Health Care and Long-Term Care
- Outcome and Assessment Information Set (OASIS)
- Palliative Care and the End of Life
- Patient Safety
- Pets in Health Care Settings
- Rehabilitation Therapies
- Self-Care
- Social Work Roles in Health and Long-Term Care
- Telemedicine
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