# Aging in Place and Healthcare Equity: Using Community Partnerships to Influence Health Outcomes

## TL;DR

This paper explores how community-based home repairs help older adults stay in their homes, especially in underserved Black communities facing housing instability.

## Contribution

The study highlights how community partnerships address structural barriers to aging in place that clinical interventions alone overlook.

## Key findings

- Home modifications in high-eviction areas primarily benefit Black or African American older adults and individuals with disabilities.
- Structural repairs outnumber occupational modifications, reflecting community needs and organizational goals.
- Collaboration between healthcare and community organizations is crucial for equitable aging in place.

## Abstract

Background and Objective: Aging in place (AIP) refers to the ability to remain in one’s home and community as one ages. While AIP is widely regarded as beneficial, disparities in housing stability, accessibility, and affordability create inequitable barriers. Current clinical AIP interventions focus on individual-level solutions, often overlooking broader socio-economic and structural determinants.This study examines how community-based interventions, particularly those from Rebuilding Together Richmond (RT-R), address these gaps through home modifications and critical repairs. Methods: Using the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework, demographic and service data from home modifications from a community-based organization, RT-R was analyzed. Descriptive statistics assessed the characteristics of homeowners served, the types of repairs performed, and their potential impact on AIP. Repairs were categorized as structural or occupational to evaluate their contributions to home safety and accessibility. Results: RT-R provided repairs for 33 homes, benefiting 47 individuals all of whom were Black or African American living in a ZIP code with high eviction rates. The majority (63.8%) were female, and 51% were older adults and/or had a disability. Structural repairs were more frequent than occupational modifications reflecting both homeowner needs, service availability, and community organizational goals. Conclusions: Housing stability is a critical yet overlooked factor in AIP. Integrating clinical AIP interventions with community-based solutions can more effectively address health disparities, reduce institutionalization risks, and improve long-term livability. Partnerships between healthcare practitioners and organizations like Rebuilding Together are essential to advancing equity in AIP. Access to housing is not accessible housing, and to remove barriers, practitioners and community-based organizations should expand their appreciation of obstacles to include historical, contemporary, economic, and environmental factors to work toward equity in aging in place for all.