How is housing insecurity measured among older adults? A systematic review.

Background and Objectives Housing insecurity is an established social determinant of health, with older adults being disproportionately vulnerable. Despite growing research attention, no studies have reviewed the measurement tools existing specifically for this population. This systematic review syn...

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Publicado en:Gerontologist Vol. 66; no. 7; pp. 1 - 19
Autores principales: Cai, Tianxin, Cheng, Peng, Lam, Sin Yu, Lu, Peiyi
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        10.1093/geront/gnag130
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          Cai, Tianxin
          Cheng, Peng
          Lam, Sin Yu
          Lu, Peiyi
        affil:
          Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, ChinaSau Po Centre on Ageing, The University of Hong Kong, Hong Kong SAR, China
          School of Political Science and Public Administration, Wuhan University, Wuhan, China
          Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, China
      su:
        Social determinants of health
        Senior housing
        Psychometrics
        Research funding
        Descriptive statistics
        Systematic reviews
        MEDLINE
        Housing stability
        Online information services
        Psychology information storage & retrieval systems
        Neighborhood characteristics
      sug:
        subj:
          Social determinants of health
          Senior housing
          Psychometrics
          Assisted Living Facilities for the Elderly
          Research funding
          Descriptive statistics
          Systematic reviews
          MEDLINE
          Housing stability
          Online information services
          Psychology information storage & retrieval systems
          Neighborhood characteristics
      keyword:
        Age-friendly housing
        aged
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        housing
        Housing insecurity measurement
        housing instability
        https://dx.doi.org/10.1093/geront/gnag130
        inLanguage:en
        Psychometric properties
        psychometrics
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42286787/
        Systematic review
        Age-friendly housing
        aged
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        housing
        Housing insecurity measurement
        housing instability
        https://dx.doi.org/10.1093/geront/gnag130
        inLanguage:en
        Psychometric properties
        psychometrics
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42286787/
        Systematic review
      ab: Background and Objectives Housing insecurity is an established social determinant of health, with older adults being disproportionately vulnerable. Despite growing research attention, no studies have reviewed the measurement tools existing specifically for this population. This systematic review synthesizes quantitative measures of housing insecurity used among older adults, examines their dimensional structures, and evaluates their psychometric properties. Research Design and Methods Following PRISMA 2020 guidelines, a systematic search was conducted across 5 electronic databases with no date restrictions. Eligible studies were required to include samples of older adults or mixed-age adults without an upper age limit, employ quantitative housing insecurity measures, and report psychometric evaluation. Results A total of 1,310 articles were retrieved initially, and 13 studies were included in the final review. Most studies constructed composite indices from secondary survey data rather than purpose-built instruments. Six core dimensions were identified: housing unaffordability, instability, poor physical quality, inadequacy, lack or disrepair of housing durables, and poor neighborhood quality. Age-friendly housing characteristics were incorporated in only one study. Internal consistency was reported in two studies and test-retest reliability in none, with validity evidence largely confined to informal content justifications. Discussion and Implications The reviewed tools showed considerable fragmentation in measurement approaches, uneven dimensional coverage, and insufficient psychometric reporting. The near-universal absence of age-friendly indicators across reviewed tools presents a notable gap. Future research may benefit from developing purpose-built, comprehensively validated instruments that integrate aging-specific dimensions across diverse policy and cultural contexts.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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