Health profile of residents of retirement villages in Auckland, New Zealand: findings from a cross-sectional survey with health assessment

TitleHealth profile of residents of retirement villages in Auckland, New Zealand: findings from a cross-sectional survey with health assessment
Publication TypeJournal Article
Year of Publication2020
AuthorsBroad JB, Wu Z, Bloomfield K, Hikaka J, Bramley D, Boyd M, Tatton A, Calvert C, Peri K, Higgins A-M, Connolly MJ
JournalBMJ open
Volume10
Issue9
Paginatione035876
Date PublishedSep 18
ISBN Number2044-6055 (Electronic)<br/>2044-6055 (Linking)
Accession Number32948550
Keywords*retirement, Aged, Aged, 80 and over, Cohort Studies, Cross-Sectional Studies, Epidemiology, Female, geriatric medicine, Humans, Longitudinal Studies, Male, New Zealand/epidemiology, organisation of health services, preventive medicine, primary care
Abstract

Objectives Retirement villages (RV) have expanded rapidly, now housing perhaps one in eight people aged 75+ years in New Zealand. Health service initiatives might better support residents and offer cost advantages, but little is known of resident demographics, health status or needs. This study describes village residents—their demographics, socio-behavioural and health status—noting differences between participants who volunteered and those who were sampled.Design Cross-sectional study of village residents. The cohort formed will also be used for a longitudinal study and a randomised controlled trial. Village managers (sometimes after consulting residents) decided if representative sampling could be undertaken in each village. Where sampling was not approved, volunteers were sought.Setting 33 RV were included from a total of 65 villages in Auckland, New Zealand.Participants Residents (n=578) were recruited either by sampling (n=217) or as volunteers (n=361) during 2016–2018. Each completed a survey and an International Resident Assessment Instrument (interRAI) health needs assessment with a gerontology nurse specialist.Results Median age of residents was 82 years, 158 (27%) were men; 61% lived alone. Downsizing (77%), less stress (63%) and access to healthcare assistance (61%) were most common reasons for entry. During the 2 weeks prior to survey, 34% received home supports and 10% personal care. Hypertension, heart disease, arthritis and pain were reported by over 40%. Most common unmet needs related to managing cardiorespiratory symptoms (50%) and pain (48%). Volunteers and sampled residents differed significantly, mainly in socio-behavioural respects.

DOI10.1136/bmjopen-2019-035876
Custom 1

Competing interests: None declared.

PMCID

PMC7511621

Short TitleBMJ Open