Difficulty and independence in shopping among older Americans: more than just leaving the house

Publication Abstract

Brenner, Allison, and Philippa J. Clarke. Forthcoming. "Difficulty and independence in shopping among older Americans: more than just leaving the house." Disability and Rehabilitation.

The built, social and economic environments are associated with disability, but knowledge of how these environmental characteristics simultaneously influence older adults' ability to shop independently is limited. We investigated cross-sectional associations between the outdoor home, local neighborhood and macrosocioeconomic levels of the environment and shopping difficulty and interactions between environmental factors and shopping difficulty. Using nationally representative data from a study of Medicare-eligible adults, we conducted a cross-sectional secondary data analysis to examine associations between the environment and difficulty shopping (N = 5504). Sidewalk conditions, broken steps, neighborhood social cohesion and neighborhood socioeconomic disadvantage were associated with more difficulty shopping, although health factors partially accounted for associations between broken steps and disadvantage and shopping difficulty. The association between social cohesion and shopping difficulty also depended on the degree of socioeconomic disadvantage in the neighborhood. Overall, results suggest that factors in the outdoor and local neighborhood environment influence the ability to shop independently for older adults, but that it also may depend on the socioeconomic context of the neighborhood. Interventions aimed at improving the built environment directly outside of older adults' homes and helping increase social cohesion among neighbors, has the potential to reduce difficulty in carrying out this important activity.

DOI:10.1080/09638288.2017.1398785 (Full Text)

Browse | Search : All Pubs | Next

PSC In The News

RSS Feed icon

Raghunathan et al. found behavioral treatment reduces urinary incontinence

PSC trainee Ang with co-author find social media may reduce depression risk for older people with pain

Fusaro, Levy and Shaefer examine racial/ethnic disparities in the lifetime prevalence of homelessness

More News


Kowalski elected to the Board of Directors of the American Society of Health Economists (ASHEcon)

Congratulations to Martha Bailey on being elected to the Executive Committee of the American Economics Association

More Highlights

Connect with PSC follow PSC on Twitter Like PSC on Facebook