Property Location And Community Services: Availability Of Parks, Libraries, And Community Centers – Correction: Mahmood et al. Aging in place for older adults experiencing housing insecurity: An environmental assessment of a temporary housing program. You. J. Environment. Rice Public Health 2022, 19, 14857

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Property Location And Community Services: Availability Of Parks, Libraries, And Community Centers

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By Myong Sun Cho Myong Sun Cho Scilit Preprints.org Google Scholar 1 and Mi Young Kwon Mi Young Kwon Scilit Preprints.org Google Scholar 2, *

Received: 19 October 2022 / Revised: 29 December 2022 / Accepted: 4 January 2023 / Published: 3 February 2023

(This article is part of the Special Issue of Age-Friendly Residential Environments in Places with Autonomy and Independence)

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As the baby boom generation begins to turn 65 in 2020, South Korea is expected to become a super-aged society by 2025. This makes it the fastest transforming aging society in the world. Aging in place (AIP) became a political direction aimed at preparing for an aging society and improving the quality of life of the elderly. It addresses the ability of older adults to remain in their homes and communities as they age, allowing them to stay in their preferred location and access the services they need to improve their quality of life. A cross-sectional study design was employed using data sampled from the Korean National Survey on Aging 2020. A total of 9930 older adults (aged 65 to 99 years) participated. The results confirm that the intention to follow the AIP is related to personal factors (education, income, home ownership, smoking, exercise, depression), interpersonal factors, and community (health care needs not satisfied, need for home care services, family communication) and politics. level factors (basic pensioners, long-term care services) using an ecological model. These findings can promote individual health behaviors and help fill the gap between unmet health care needs and community care services that positively influence adults of ‘ AIP year.

In 2021, it is expected that the population aged 65 and over will amount to 16.5% of the Korean population. Korea is predicted to become a super-aged society by 2025, when the elderly population will reach 20.6% of the total population [1, 2]. Globally, older adults have higher rates of health problems such as back pain, osteoarthritis, chronic obstructive pulmonary disease, diabetes, depression and dementia, and these health conditions are the factors that most affect the -happiness and satisfaction of their life [3].

In 2020, the average number of chronic diseases per adult over 65 years old in Korea was 1.9, and 54.9% were patients with multiple comorbidities and two or more chronic diseases. The prevalence according to the type of disease was high blood pressure (56.8%), followed by diabetes (24.2%), hyperlipidemia (17.1%), and osteoarthritis or rheumatoid arthritis (16.5%) [4].

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Due to the health problems of the elderly, medical costs in South Korea’s health insurance for those aged 65 and over increased from 10.49 trillion won in 2008 to 21.36 trillion won in 2015. and 40.61 trillion won in 2021, an increase of 8.4%. from last year. Therefore, 43.4% of South Korea’s total medical expenses are spent on the elderly and are expected to increase to 65.4% by 2030, increasing the burden on national medical expenses [5].

The World Health Organization (WHO) recommends Age-Friendly Cities and Communities (AFCC) to encourage local communities to come together to consider and solve problems from a preventive and proactive perspective so that all countries around the world can they accept “aging” naturally and the elderly can live actively. alive [6]. The Global Network of Age-Friendly Cities covers eight interconnected sectors: communities and healthcare, transport, housing, social participation, outdoor spaces and buildings, respect and social inclusion, civic engagement and employment, media and information [6 ].

Aging in place (AIP) refers to an approach in which older adults continue to live in familiar homes and communities by receiving appropriate support and services, despite their disability or limitations [7]. Promote the ability of the elderly to participate and contribute to their communities and society, by providing primary and integrated care services tailored to individual needs and providing access to services Long-term care for the elderly in need is important In 2020, the period from 2021 to 2030 was declared by the United Nations General Assembly as the “Decade of Healthy Aging” [7].

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AIP policies are supported by extensive documentation demonstrating the preference of older adults to remain in their homes as they age. It is a universal trend even in countries that experienced an aging population before Korea [8].

Due to the growing elderly population and the burden of medical costs, a change in policy has been made so that the elderly can receive the necessary services independently and continue to live in the fields instead of in facilities or hospitals. Therefore, in terms of costs, continuing to live in the same place is considered more cost-effective than care services in hospitals or elderly care facilities [9].

Therefore, the policy for the AIP must meet several conditions to be realized. In other words, various services such as housing, medical care and daily care need to be provided in an appropriate way so that the elderly can live at home safely and these services must satisfy changing needs [10]. Continuity of care must also be ensured so that the different services are provided through the integration between professionals and care systems [11].

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Since 2018, the Korean government has promoted the Integrated Community Care policy to provide housing, medical care, nursing care, and daily care in local communities to build an environmental community for AIP [12] . In a 2020 survey of older adults, 88.6% of them responded that they planned to continue living at home [4] and the Korean government is seeking policies to increase community prevention services to support AIP and improve access to health for older adults [12] .

For the elderly living in the community, preventive services such as health care, dementia prevention and emotional support are provided in an integrated way according to the functional state and health of the person so that they can maintain a healthy life in old age without the need. to go to hospitals or facilities.

In previous studies, factors that influence the continued residence of the elderly in the community have been identified as follows: demographic factors including gender [13], age [14, 15, 16], educational level [14] , financial status [17], and home ownership and satisfaction [13, 18, 19]; Factors related to physical and psychological health include independent activities of daily living (IADL) [11, 20], chronic illness and depression [21], health behaviors such as smoking and exercise [22], and self-esteem [23]; and social and environmental factors including social contact with family, friends and neighbors [21], community satisfaction [17], unmet medical needs [19], safety and security as well as residence satisfaction [24]. In addition, basic pensions and non-contributory pensions have shown positive effects on mental health and a reduction in psychosocial stress related to financial hardship. It also increases the likelihood of independent living [25].

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Therefore, AIP, an important strategy to ensure a healthy and fulfilling life for the elderly, has a complex impact on many different aspects such as health behaviour, the state of physical and mental health, the physical environment as well as the living in addition to demographic factors of the elderly. . [26, 27].

To date, studies on continuous residence in local communities in Korea have mainly been conducted in one area and promoted continuous community residence. These studies focus on analysis of needs [28] and environmental factors that influence attitudes towards continued residence [13, 17, 29]. Recent research has found stronger associations between physical and psychological health and AIP [30]. Current studies on AIP in Korea have studied a variety of housing welfare services focusing on economic dependence and dependence on daily life in terms of housing and welfare, geriatrics (defining the meaning and application of AIP in the Korean context), housing, urban planning, welfare needs and satisfaction, among others.

In particular, in terms of health care, few studies have examined older adults’ AIP intentions and related factors. Although many studies have investigated the preferences of older adults for AIP, little is known about the factors associated with health [30]. so, there

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