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Träfflista för sökning "hsv:(MEDICAL AND HEALTH SCIENCES) ;pers:(Iwarsson Susanne)"

Sökning: hsv:(MEDICAL AND HEALTH SCIENCES) > Iwarsson Susanne

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  • Andersson, Nilla, et al. (författare)
  • Environmental barriers and housing accessibility problems for people with Parkinson’s disease : A three-year perspective
  • 2023
  • Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 30:5, s. 661-672
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Although housing accessibility is associated with important health outcomes in other populations, few studies have addressed this in a Parkinson’s disease population. Aim: To determine the most severe environmental barriers in terms of housing accessibility problems and how these evolved over 3 years among people with Parkinson’s disease. Material and Methods: 138 participants were included (men = 67%; mean age = 68 years). The most severe environmental barrier were identified by the Housing Enabler instrument and ranked in descending order. The paired t-test was used to analyse changes in accessibility problems over time. Results: The top 10 barriers remained largely unchanged over 3 years, but with notable changes in order and magnitude. ‘No grab bar in hygiene area’ and ‘Stairs only route’ were top-ranked in generating accessibility problems at baseline but decreased significantly (p = 0.041; p = 0.002) at follow-up. ‘Difficulties to reach refuse bin’ was top-ranked at follow-up, with a significant increase (p < 0.001) of related accessibility problems. Conclusions and Significance: The new knowledge about how accessibility problems evolve over time could be used by occupational therapists to recommend more effective housing adaptations taking the progressive nature of Parkinson’s disease into account. On societal level, the results could be used to address accessibility problems systematically.
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  • Benzinger, P., et al. (författare)
  • The association between the home environment and physical activity in community-dwelling older adults
  • 2014
  • Ingår i: Aging clinical and experimental research. - : Springer Science and Business Media LLC. - 1720-8319. ; 26:4, s. 377-385
  • Tidskriftsartikel (refereegranskat)abstract
    • Physical activity (PA) decreases with increasing age despite the fact that PA exerts beneficial effects on many age-related diseases and conditions. Consequently, there is an interest in modifiable factors that may influence PA among older persons. The purpose of this study was to examine the association between PA and the home environment in wellfunctioning older community-dwelling persons. Method This study used a person-environment (P-E) fit perspective to the home environment, operationalized by means of assessment of functional limitations in 81 community- dwelling persons (median age 79 years) as well as environmental barriers in their home environments and the nearby exterior surroundings. The interaction between functional limitations and environmental barriers generated a score expressing the magnitude of P-E fit problems in their home environment. PA was rated with a questionnaire covering household-related and recreational activities. Results We found a significant association between PA and the magnitude of P-E fit problems that explained 3.9 % of the variance of PA. The number of environmental barriers per se was not significantly associated with PA, while functional limitations explained 6.8 % of the variance of PA. Conclusion In well-functioning older persons living in the community environmental aspects of housing demonstrated a weak association with PA.
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  • Carlsson, Gunilla, et al. (författare)
  • Towards a screening tool for housing accessibility problems: a reduced version of the Housing Enabler.
  • 2009
  • Ingår i: Journal of Applied Gerontology. - : SAGE Publications. - 1552-4523 .- 0733-4648. ; 28:1, s. 59-80
  • Tidskriftsartikel (refereegranskat)abstract
    • To present a reduced version of the Housing Enabler, useful as a screening tool in practice contexts and in research, this study identifies the core items of the environmental component of the instrument, that is, the items most important in terms of the instrument's overall validity to measure accessibility problems. Utilizing cross-national data and interdisciplinary knowledge through an iterative process, a set of core items was identified. The environmental component of the reduced version comprises 61 items, compared to 188 in the original instrument. The rank correlation between the accessibility scores generated by the original and reduced versions was r ≥ .97 (p < .001). Based on comprehensive empirical research in three countries, the reduced version of the Housing Enabler is a time-efficient and valid screening instrument. It is a powerful tool for research and interventions focusing on housing accessibility problem identification.
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  • Ekström, Henrik, et al. (författare)
  • Home and health among different sub-groups of the ageing population : A comparison of two cohorts living in ordinary housing in Sweden
  • 2016
  • Ingår i: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318. ; 16:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: At present a majority of older people remain in their ordinary homes. Research has generated knowledge about home and health dynamics and increased the awareness of the complexity of housing as related to ageing. As this knowledge is based mainly on research on very old, single-living people in ordinary housing there is a need to study other sub-groups of the ageing population. Thus, the aim of the present descriptive study was to compare a younger old cohort with a very old cohort living in ordinary housing in Sweden in order to shed new light on home and health dynamics in different sub-groups of the ageing population. Methods: Cross-sectional study of two population-based cohorts: one aged 67-70 years (n = 371) and one aged 79-89 years (n = 397) drawn from existing Swedish databases. Structured interviews and observations were conducted to collect data about socio-demographics, aspects of home, and symptoms. Besides descriptive statistics we computed tests of differences using the Chi-squared test and Mann-Whitney U-test. Results: Accessibility was significantly lower in the very old cohort compared to the younger old cohort even though the former were objectively assessed to have fewer environmental barriers. Those in the very old cohort perceived aspects of their housing situation as worse and were more dependent on external influences managing their housing situation. Although a larger proportion of the very old cohort had more functional limitations 22% were independent in ADL. In the younger old cohort 17% were dependent in ADL. Conclusions: Keeping in mind that there were cohort differences beyond that of age, despite fewer environmental barriers in their dwellings the very old community-living cohort lived in housing with more accessibility problems compared to those of the younger old cohort, caused by their higher prevalence of functional limitations. Those in the very old cohort perceived themselves in a less favourable situation, but still as satisfied with housing as those in the younger old cohort. This kind of knowledge is indicative for prevention and intervention in health care and social services as well as for housing provision and societal planning. Further studies based on truly comparable cohorts are warranted.
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  • Eriksson, Erik, et al. (författare)
  • Associations of Meaning of Home and Housing-Related Control Beliefs with Changes in Symptoms and Quality of Life : A Prospective Study Among Younger-Old Adults in Sweden
  • Ingår i: Journal of Aging and Environment. - 2689-2618. ; , s. 1-20
  • Tidskriftsartikel (refereegranskat)abstract
    • Feeling in control of one’s environment and perceiving one’s home as meaningful have been found to be associated with health and well-being among older adults. As longitudinal studies of younger-old adults are lacking, this study aimed to investigate whether this association exists over time among older adults around retirement age. Longitudinal data from a random cohort of community-dwelling older adults, ages 65–76 years (N = 329), was collected from 2010 to 2016. The Meaning of Home questionnaire and the Housing-Related Control Beliefs questionnaire assessed perceived housing. Outcomes were change scores from a symptom checklist and the Short-Form 12, analyzed by stepwise general linear regression. Housing-related control beliefs were not significantly associated with changes in quality of life. Meaning of home was significantly associated with changes in gastrointestinal (B = 0.039, p = 0.031) and metabolism (B = 0.084, p < 0.000) symptoms. However, there were inconsistencies among the subscales of the instrument, as some were negatively associated and others were positively associated with the changes. The findings suggest that the perceived home environment does not prevent symptoms or maintain or improve quality of life among older adults around retirement age. This finding is of importance to further develop theoretical understandings of the environments’ role in healthy aging.
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