Home safety, accessibility, and elderly health

Evidence from falls

Michael D. Eriksen, Nadia Greenhalgh-Stanley, Gary Engelhardt

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This article presents estimates of the impact of home safety and accessibility features on the prevention of serious, non-fatal falls for elderly widowed individuals. As these features are not randomly assigned across homes, we develop an instrumental variable (IV) strategy that relies on the differential decline in the health and functional status of spouses to identify impacts. Specifically, we use the deceased spouse's functional status when alive, as measured by limits to Activities of Daily Living (ADLs), as an IV for the presence of home safety and accessibility features for the surviving spouse in the years after widowhood, and then estimate the effect of these features on the likelihood of a serious fall for the widow using rich longitudinal data from the Health and Retirement Study. The presence of such features reduces the likelihood of a fall requiring medical treatment by 20 percentage points, a substantial effect. However, falls are not the type of health shock that is a main driver of housing tenure transitions among the elderly. Although somewhat speculative, cost-benefit estimates suggest that investments in home safety for the elderly may generate in the short run as much as a dollar-for-dollar reduction in medical expenditures.

Original languageEnglish (US)
Pages (from-to)14-24
Number of pages11
JournalJournal of Urban Economics
Volume87
DOIs
StatePublished - May 1 2015

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accessibility
spouse
safety
dollar
health
evidence
widow
retirement
physician's care
expenditure
expenditures
driver
housing
costs
Safety
Health
Spouses
Accessibility
effect
Instrumental variables

Keywords

  • Elderly
  • Health
  • Housing

ASJC Scopus subject areas

  • Economics and Econometrics
  • Urban Studies

Cite this

Home safety, accessibility, and elderly health : Evidence from falls. / Eriksen, Michael D.; Greenhalgh-Stanley, Nadia; Engelhardt, Gary.

In: Journal of Urban Economics, Vol. 87, 01.05.2015, p. 14-24.

Research output: Contribution to journalArticle

Eriksen, Michael D. ; Greenhalgh-Stanley, Nadia ; Engelhardt, Gary. / Home safety, accessibility, and elderly health : Evidence from falls. In: Journal of Urban Economics. 2015 ; Vol. 87. pp. 14-24.
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