Abstract
This article addresses the importance and meanings of formal and informal social support relationships and neighbourhood ties for older adults ‘ageing in place’ in urban neighbourhoods in two different welfare state settings: Portland (Oregon, the United States) and Amsterdam (the Netherlands). The rising number of people growing old(er) in urban environments raises new demands and pressing challenges for urban development. The majority of older adults are and will be ageing in their homes and communities, as opposed to institutionalized care facilities and settings. At the same time, the provision of formal and public care is being increasingly challenged by government cutbacks. On top of this, the formerly strong welfare states in many European countries have weakened. In-depth interviews with 40 older adults and key informants in two neighbourhoods in each city provide the empirical basis for this study. In Portland, there are widespread local civic initiatives related to care provision for older adults. The city has a long tradition both of individual responsibility and community culture, which has emerged from and appears to compensate for the overall lack of state services and support. Amsterdam has a long tradition of state provision, but is experiencing a policy shift towards a stronger reliance on private market-led services, and an emphasis on family and community as providers of support. Although a few emerging local initiatives for elderly care in Amsterdam were identified, it is unclear whether this form of community support can compensate for decreasing state provision in Amsterdam. This study raises concerns about the future of care provision for older adults living in unsupportive urban neighbourhoods, without financial resources or nearby relatives.
Similar content being viewed by others
Notes
The ‘Beacon Hill Village’ was founded around 2000 in the Beacon Hill neighbourhood in downtown Boston. As the co-chairman McWhinney-Morse (2009: 85) elaborates, the village “is a grassroots membership organization created by and for people age 50 and over, not just the very old, the fragile or the wealthy. (…) In order to promote healthy ageing, the Village offers programs and services that address not only medical and housing needs but social, physical, emotional, and intellectual needs as well”. In 2013, membership costs ranged between $675 (individual) to $975 (couple) per year. See: http://www.beaconhillvillage.org/.
For more information about the Eastside Village Portland (PDX) movement, see: http://villagesnw.org/.
References
Andonian, L., & MacRae, A. (2011). Well older adults within an urban context: Strategies to create and maintain social participation. British Journal of Occupational Therapy, 74(1), 2–11.
Beard, J. R., & Petitot, C. (2010). Ageing and urbanization: Can cities be designed to foster active ageing? Public Health Reviews, 32(2), 427–550.
Bonsang, E. (2009). Does informal care from children to their elderly parents substitute for formal care in Europe? Journal of Health Economics, 28(1), 243–254.
Buffel, T., Phillipson, C., & Scharf, T. (2012). Ageing in urban environments: Developing ‘age-friendly’ cities. Critical Social Policy, 32(4), 597–617.
Clarke, P., & Nieuwenhuijsen, E. (2009). Environments for healthy ageing: A critical review. Maturitas, 64(1), 14–19.
Cramm, J., van Dijk, H., & Nieboer, A. (2012). The importance of neighbourhood social cohesion and social capital for the well being of older adults in the community. The Gerontologist, 53(1), 142–150.
Daly, M., & Lewis, J. (2000). The concept of social care and the analysis of contemporary welfare states. British Journal of Sociology, 51(2), 281–298.
Davies, A., & James, A. (2011). Geographies of ageing. Social processes and the spatial unevenness of population ageing. Aldershot: Ashgate.
Ellen, I., & Turner, M. (1997). Does neighbourhood matter? Assessing recent evidence. Housing Policy Debate, 8(4), 833–866.
Esping-Andersen, G. (2006). The Three Worlds of Welfare Capitalism. In C. Pierson & F. Castles (Eds.), The welfare state: A reader (pp. 160–174). Cambridge, UK: Polity Press.
Estes, C., & Wallace, P. (2010). Globalization, social policy, and ageing: A north American perspective. In D. Dannefer & C. Phillipson (Eds.), The sage handbook of social gerontology (pp. 513–524). Thousand Oaks, California: Sage.
Gardner, P. (2011). Natural neighborhood networks—important social networks in the lives of older adults aging in place. Journal of Aging Studies, 25(3), 263–271.
Gerring, J. (2007). Case study research. Principles and practices. New York: Cambridge University Press.
Gläser, J., & Laudel, G. (1999). Theoriegeleitete Textanalyse? Das Potential einer variabelenorientierten qualitativen Inhaltsanalyse. Berlin: Wissensschaftszentrum Berlin für Sozialforschung GmbH.
Howden-Chapman, P., Signal, L., & Crane, J. (1999). Housing and health in older people: Ageing in place. Social Policy Journal of New Zealand, 1(13), 14–30.
Iwarsson, S., Wahl, H., Nygren, C., Oswald, F., Sixsmith, A., Sixsmith, J., et al. (2007). Importance of the home environment for healthy aging: Conceptual and methodological background of the European ENABLE–AGE project. The Gerontologist, 47(1), 78–84.
Kellaher, L., Peace, S., & Holland, C. (2004). Environment, identity and old age-quality of life or a life of quality? In A. Walker & C. H. Hennessy (Eds.), Growing older: Quality of life in older age (pp. 60–80). Maidenhead, London: Open University Press.
Kohlbacher, F. (2006). The use of qualitative content analysis in case study research. Forum: Qualitative Social Research, 7(1), 5–8.
Lang, I., Llewellyn, D., Kenneth, L., Wallace, R., Huppert, F., & Melzer, D. (2008). Neighbourhood deprivation, individual socioeconomic status, and cognitive function in older people: Analyses from the english longitudinal study of ageing. Journal of the American Geriatrics Society, 56(2), 191–198.
Lawler, K. (2001). Aging in place: Coordinating housing and health care provision for America’s growing elderly population. Washington, DC: Joint Center for Housing Studies of Harvard University & Neighbourhood Reinvestment Corporation.
Lawton, M. P. (1980). Environment and Aging. Monterey, CA: Brooks/Cole.
McWhinney-Morse, S. (2009). Beacon hill village. Generations - Journal of the American Society of Aging, 33(2), 85–86.
Means, R. (2007). Safe as houses? Ageing in place and vulnerable older people in the UK. Social Policy & Administration, 41(1), 65–85.
Menec, V., Means, R., Keating, N., Parkhurst, G., & Eales, J. (2011). Conceptualizing age-friendly communities. Canadian Journal on Aging, 30(3), 479–493.
Milligan, C. (2009). There is no place like home: People, place and care in an ageing society. Aldershot: Ashgate.
Milligan, C., & Wiles, J. (2010). Landscapes of care. Progress in Human Geography, 34(6), 736–754.
Morel, N. (2007). From subsidiarity to ‘free choice’: Child-and elder-care policy reforms in France, Belgium, Germany and the Netherlands. Social Policy & Administrations, 41(6), 618–637.
Musterd, S., Murie, A., & Kesteloot, C. (2006). Neighbourhoods of poverty. Urban exclusion and integration in Europe. Hampshire: Palgrave MacMillan.
Musterd, S., & Salet, W. (2003). The emergence of the regional city spatial configuration and institutional dynamics. In S. Musterd & W. Salet (Eds.), Amsterdam human capital (pp. 13–27). Amsterdam: Amsterdam University Press.
Nocon, A., & Pearson, M. (2000). The roles of friends and neighbours in providing support for older adults. Ageing and Society, 20(3), 341–367.
Oswald, F., Jopp, D., Rott, C., & Wahl, H.-W. (2010). Is aging in place a resource for or risk to life satisfaction? The Gerontologist, 51(2), 238–250.
Phillips, D. R., Siu, O.-L., Yeh, A. G.-O., & Cheng, K. H. C. (2005). Ageing and the urban environment. In G. J. Andrews & D. R. Phillips (Eds.), Ageing and place (pp. 147–163). Abington: Routledge.
Phillipson, C., Bernard, M., Phillips, J., & Ogg, J. (1999). Older people’s experiences of community life: Patterns of neighbouring in three urban areas. The Sociological Review, 47(4), 715–743.
Richard, L., Gauvin, R., Gosselin, C., & Laforest, G. (2008). Staying connected: neighbourhood correlates of social participation among older adults living in an urban environment in Montreal, Quebec. Health Promotion International, 24(1), 46–56.
Rowles, G. (1978). Prisoners of space? Boulder, CO: Westview.
Rowles, G. D. (1993). Evolving images of place in aging and ‘aging in place’. Generations, 17(2), 65–70.
Sampson, R., Morenoff, J., & Gannon-Rowley, T. (2002). Assessing “neighbourhood effects”: Social processes and new directions in research. Annual Review of Sociology, 28, 443–478.
Scharf, T. (2010). Social policies for ageing societies: Perspectives from europe. In D. Dannefer & C. Phillipson (Eds.), Handbook of Social Gerontology (pp. 497–512). New York: Sage.
Scharf, T., & de Jong Gierveld, J. (2008). Loneliness in urban neighbourhoods: an Anglo-Dutch comparison. European Journal of Ageing, 5(2), 103–115.
Scharf, T., Phillipson, C., & Smith, A., (2003). Older People’s Perception of the Neighbourhood: Evidence from Socially Deprived Urban Areas. Sociological Research Online 8(4). [http://www.socresonline.org.uk/8/4/scharf.html], [accessed 10.03.2013].
Scharf, T., Phillipson, C., & Smith, A. (2005). Social exclusion of older people in deprived urban communities of England. European Journal of Ageing, 2(2), 76–87.
Scheidt, R. J., & Windley, P. G. (2006). Environmental gerontology: Progress in the post-Lawton era. In J. Birren & K. Schaie (Eds.), Handbook of the psychology of aging (6th ed., pp. 105–125). Burlington, MA: Elsevier.
Smith, A. (2009). Ageing in urban neighbourhoods: Place attachment and social exclusion. Bristol: The Policy Press.
Suanet, B., Van Groenou, M., & Van Tilburg, T. (2012). Informal and formal home-care use among older adults in Europe: Can cross-national differences be explained by societal context and composition? Ageing & Society, 32(3), 491–515.
Sundström, G., Johansson, L., & Hassing, L. (2002). The shifting balance of long-term care in Sweden. The Gerontologist, 42(3), 350–355.
Thomas, W., & Blanchard, J. (2009). Moving beyond place: Aging in community. Generations—Journal of the American Society on Ageing, 33(2), 12–17.
Van der Meer, M., Droogleever Fortuijn, J., & Thissen, F. (2008). Vulnerability and environmental stress of older adults in deprived neighbourhoods in The Netherlands. Tijdschrift voor Economische en Sociale Geografie, 99(1), 53–64.
Van Marissing, E. (2005). Citizen participation in the Netherlands. Motives to involve citizens in planning processes. Paper prepared for ENHR conference “Housing: New Challenges and innovations in Tomorrow’s Cities”. Reykjavik, Iceland.
Van Oorschot, W. (2006). The Dutch welfare state: Recent trends and challenges in historical perspective. European Journal of Social Security, 8(1), 57–76.
Vasunilashorn, S., Steinman, B., Liebig, P., & Pynoos, J. (2012). Aging in place: Evolution of a research topic whose time has come. Journal of Aging Research. doi:10.1155/2012/120952.
Wahl, H.-W., Iwarsson, S., & Oswald, F. (2012). Aging well and the environment: Toward an integrated model and research agenda for the future. The Gerontologist, 52(1), 306–313.
Wahl, H.-W., & Oswald, F. (2010). Environmental perspectives on aging. In D. Dannefer & C. Phillipson (Eds.), International handbook of social gerontology (pp. 111–124). London: Sage.
Weicht, B. (2013). The making of ‘the elderly’: Constructing the subject of care. Journal of Aging Studies, 27(2), 188–197.
Wiles, J. L. (2005). Conceptualising place in the care of older people: The contributions of geographical gerontology. International Journal of Older People Nursing, 14(8), 100–108.
Wiles, J., Leibing, A., Guberman, N., Reeve, J., & Allen, R. (2011). The meaning of “aging in place” to older people. The Gerontologist, 52(3), 357–366.
World Health Organization. (2007). Global age-friendly cities: a guide. Geneva: WHO Press.
Yin, R. (1984). Case study research: design and methods. Newbury Park: Sage.
Ypeij, A., Snel, E., & Engbersen, G. (2002). Armoede in Amsterdam-Noord. Eerste deelstudie van project ‘Landschappen van armoede’. Rotterdam: RISBO Contractresearch BV/Erasmus Universiteit Rotterdam.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dobner, S., Musterd, S. & Droogleever Fortuijn, J. ‘Ageing in place’: experiences of older adults in Amsterdam and Portland. GeoJournal 81, 197–209 (2016). https://doi.org/10.1007/s10708-014-9613-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10708-014-9613-3