{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:36:17Z","timestamp":1764160577806,"version":"3.46.0"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000052","name":"NIH Office of the Director","doi-asserted-by":"publisher","award":["U54CA267735"],"award-info":[{"award-number":["U54CA267735"]}],"id":[{"id":"10.13039\/100000052","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K01AG080072","R01AG069147","U54AG063546\u201005S2","T32AG000247"],"award-info":[{"award-number":["K01AG080072","R01AG069147","U54AG063546\u201005S2","T32AG000247"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Older adults with cognitive impairment (CI) face challenges to aging in the community. Little is known about the housing characteristics of US older adults with CI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>\n                      Using the 2022 National Health and Aging Trends Study, we describe housing characteristics of community\u2010living older adults \u2265 65 years with CI (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0968) using descriptive statistics (frequencies) and conduct chi\u2010squared tests to compare characteristics of those who lived with others (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0707) versus alone (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0261).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Renting (41%), home modifications (59% had \u2265 2), and interior home disorder (45%) were prevalent among older adults with CI. Those living alone more commonly rented, lived in an apartment or mobile home (vs. house), and had more home modifications than those living with others (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Further study should examine how housing characteristics support or deter daily function and inform the long\u2010term services and supports needed by this high\u2010needs, understudied population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>There are 5.5 million older adults living in the community with cognitive impairment (CI).<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Of this population, 26% live alone.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Older adults living alone with CI are primarily female, older, with lower incomes.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Nearly half of older adults living alone with CI are renters.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Home accessibility modifications were very common in this population.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.70841","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:38:02Z","timestamp":1761709082000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Housing characteristics of older adults with cognitive impairment"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4566-4068","authenticated-orcid":false,"given":"Safiyyah M.","family":"Okoye","sequence":"first","affiliation":[{"name":"Department of Graduate Nursing College of Nursing and Health Professions Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5734-6368","authenticated-orcid":false,"given":"Amruta P.","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Graduate Nursing College of Nursing and Health Professions Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2311-3836","authenticated-orcid":false,"given":"Elena","family":"Portacolone","sequence":"additional","affiliation":[{"name":"Institute for Health &amp; Aging University of California San Francisco  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5500-5920","authenticated-orcid":false,"given":"Kate","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Mental Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2869-473X","authenticated-orcid":false,"given":"Laura N.","family":"Gitlin","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Professions Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"issue":"5","key":"e_1_2_9_2_1","article-title":"Alzheimer's disease facts and figures","volume":"21","author":"Alzheimer's Association","year":"2025","journal-title":"Alzheimers Dement"},{"volume-title":"Issue Brief, Research Summit on Dementia Care: Building Evidence for Services and Supports","year":"2017","author":"Lepore M","key":"e_1_2_9_3_1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1420326X18761112"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301217692130"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15093"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2015.016089"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.64.3.257"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40101\u2010021\u201000274\u2010w"},{"key":"e_1_2_9_10_1","first-page":"188","volume-title":"Impact of Technology on Successful Aging","author":"Gitlin LN","year":"2003"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2012.11.005"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02763893.2017.1335666"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1533317509358885"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbu120"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnx193"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2024.2407180"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.7664"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3233\/jad\u2010220172"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.12102"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104161021000013X"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1284"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD\u2010141671"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607869956406"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.JGP.0000230661.32735.c0"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19108"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/25.3.214"},{"volume-title":"National Health and Aging Trends Study User Guide: Rounds 1\u201012 Final Release","year":"2023","author":"Freedman VA","key":"e_1_2_9_27_1"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000172958.95282.2a"},{"key":"e_1_2_9_29_1","first-page":"1","volume-title":"Classification of persons by dementia status in the National Health and Aging Trends Study","author":"Kasper JD","year":"2013"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000247042.15547.eb"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14252"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.01.009"},{"key":"e_1_2_9_33_1","first-page":"2021","article-title":"Accounting for sample design in NHATS and NSOC analyses: frequently asked questions","volume":"23","author":"Freedman VA","year":"2020","journal-title":"NHATS technical paper"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.2307\/2648124"},{"issue":"2","key":"e_1_2_9_35_1","first-page":"25","article-title":"The Never\u2010Married in Old Age: projections and Concerns for the Near Future","volume":"67","author":"Tamborini CR","year":"2007","journal-title":"Social Security Bulletin"},{"key":"e_1_2_9_36_1","unstructured":"Administration of Community Living.2023Profile of Older Americans. 2024. May 2024. Accessed Sep 5 2025.https:\/\/acl.gov\/sites\/default\/files\/Profile%20of%20OA\/ACL_ProfileOlderAmericans2023_508.pdf"},{"key":"e_1_2_9_37_1","unstructured":"Joint Center for Housing Studies of Harvard University.Housing America's Older Adults 2023.2023. Accessed April 16 2025https:\/\/www.jchs.harvard.edu\/sites\/default\/files\/reports\/files\/Harvard_JCHS_Housing_Americas_Older_Adults_2023.pdf"},{"key":"e_1_2_9_38_1","unstructured":"Joint Center for Housing Studies of Harvard University.America's Rental Housing 2022.2022. Accessed May 14 2025.https:\/\/www.jchs.harvard.edu\/sites\/default\/files\/reports\/files\/Harvard_JCHS_Americas_Rental_Housing_2022.pdf"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/08882746.2019.1613880"},{"key":"e_1_2_9_40_1","unstructured":"FiolO GerkenM PopkinSJ.2022. Accessed October 15 2025.https:\/\/www.urban.org\/sites\/default\/files\/2022\u201007\/The%20Future%20of%20Public%20Housing_Special%20Issues%20Facing%20Older%20Adults%20and%20People%20with%20Disabilities%20in%20Public%20Housing.pdf. July 2022."},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw268"},{"key":"e_1_2_9_42_1","unstructured":"Interagency Coordinating Committee on Healthy Aging and Age Friendly Communities.Aging in the United States: A Strategic Framework for a National Plan on Aging.2024.https:\/\/acl.gov\/sites\/default\/files\/ICC\u2010Aging\/StrategicFramework\u2010NationalPlanOnAging\u20102024.pdf"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gby131"},{"key":"e_1_2_9_44_1","doi-asserted-by":"crossref","unstructured":"OvertonJ SteinmanBA NaborsE PynoosJ TerzaghiD Home modification and repairs for older adults\u2014challenges and opportunities for state units on aging [report].2020. Accessed September 4 2025.https:\/\/homemods.org\/acl\/","DOI":"10.1093\/geroni\/igaa057.160"}],"container-title":["Alzheimer's &amp; Dementia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/alz.70841","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:33:32Z","timestamp":1764160412000},"score":1,"resource":{"primary":{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/10.1002\/alz.70841"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":43,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/alz.70841"],"URL":"https:\/\/doi.org\/10.1002\/alz.70841","archive":["Portico"],"relation":{},"ISSN":["1552-5260","1552-5279"],"issn-type":[{"type":"print","value":"1552-5260"},{"type":"electronic","value":"1552-5279"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-05-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70841"}}