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Journal of Aging and Health
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Contribution of Residential Relocation and Lifestyle to the Structure of Health Trajectories

Song-Iee Hong, MA, PhD

National University of Singapore, Singapore, swkhs{at}nus.edu.sg

Li-Mei Chen, MSW, PhD

Kwansei Gakuin University, Nishinomiya-Shi, Japan

Objectives: Underlining ecological theories of aging, we assessed the impact of relocation, residential type, and individual lifestyle factors on the structure of health status overtime. Methods: From the data of Longitudinal Study on Aging II, we included older adults aged 70 and older (N = 5,294). To analyze individual longitudinal trajectories of health outcomes, Latent Growth Curve Modeling (LGCM) was employed. Results: LGCMs supported that older adults' residential relocation and health-related lifestyles were important in preserving better health outcomes. Multiple structural equations corroborated the causal chains in the multidimensionality of health structure. Discussion: These findings suggest a necessity to design policies for older adults to create a synergy between housing and health care and to translate meaningful health-related lifestyles into diverse long-term care settings.

Key Words: health structure • person—environment fit • ecological theory • residential relocation • lifestyle

This version was published on April 1, 2009

Journal of Aging and Health, Vol. 21, No. 2, 244-265 (2009)
DOI: 10.1177/0898264308328960
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