Background Most older adults wish to remain in their homes and communities as they age. Despite this widespread preference, disparities in health outcomes and access to healthcare and social support may create inequities in the ability to age in place. Our objectives were to synthesise evidence of social inequity in ageing in place among older adults using an intersectional lens and to evaluate the methods used to define and measure inequities. Methods We conducted a mixed studies systematic review. We searched MEDLINE, EMBASE, PsycINFO, CINAHL and AgeLine for quantitative or qualitative literature that examined social inequities in ageing in place among adults aged 65 and older in Organisation for Economic Co-operation and Development (OECD) member countries. Results of included studies were synthesised using qualitative content analysis guided by the PROGRESS-Plus framework. Results Of 4874 identified records, 55 studies were included. Rural residents, racial/ethnic minorities, immigrants and those with higher socioeconomic position and greater social resources are more likely to age in place. Women and those with higher educational attainment appear less likely to age in place. The influence of socioeconomic position, education and social resources differs by gender and race/ethnicity, indicating intersectional effects across social dimensions. Conclusions Social dimensions influence the ability to age in place in OECD settings, likely due to health inequalities across the lifespan, disparities in access to healthcare and support services, and different preferences regarding ageing in place. Our results can inform the development of policies and programmes to equitably support ageing in place in diverse populations.

中文翻译：

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经济合作与发展组织 （OECD） 国家老年人就地老龄化的社会不平等：一项混合研究系统评价


背景 大多数老年人希望随着年龄的增长而留在家中和社区。尽管有这种普遍的偏好，但健康结果以及获得医疗保健和社会支持的机会方面的差异可能会造成就地养老能力的不平等。我们的目标是使用交叉镜头综合老年人就地老龄化社会不平等的证据，并评估用于定义和衡量不平等的方法。方法 我们进行了混合研究的系统评价。我们检索了MEDLINE、EMBASE、PsycINFO、CINAHL和AgeLine，以查找定量或定性文献，这些文献研究了经济合作与发展组织（OECD）成员国65岁及以上成年人在居家老龄化方面的社会不平等。纳入研究的结果是在 PROGRESS-Plus 框架指导下使用定性内容分析进行综合的。结果 在 4874 篇已确定的记录中，共纳入 55 篇研究。农村居民、少数种族/族裔、移民以及社会经济地位较高、社会资源较多的人更有可能就地养老。女性和受教育程度较高的人似乎不太可能在原地养老。社会经济地位、教育和社会资源的影响因性别和种族/民族而异，表明跨社会维度的交叉效应。结论 在经合组织环境中，社会维度会影响就地养老的能力，这可能是由于整个生命周期中的健康不平等、获得医疗保健和支持服务的差异以及对就地养老的不同偏好。我们的研究结果可以为制定政策和计划提供信息，以公平地支持不同人群的就地老龄化。