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Abstract

Abstract Senior living has emerged as an alternative solution to public health and social policy challenges amid the global acceleration of aging. Traditionally perceived as a last resort, life in senior living facilities is shaped by evolving dynamics in health, family, and society. This scoping review explores the key factors influencing older adults' decisions to reside in senior living communities during their later years. Utilizing Andersen’s Behavioral Model of Health Service Use as a theoretical framework, the review was conducted following PRISMA-ScR guidelines. Articles published between 2019 and 2024 were identified through searches in PubMed, Scopus, ProQuest, and Taylor & Francis, yielding 42 articles encompassing various geographical contexts. Predisposing factors included declining independence with age, female gender, and higher educational attainment. Enabling factors involved the absence of caregivers, financial readiness, and urban residence. Need-related factors consistently reported chronic illnesses and multimorbidity as primary reasons for choosing senior living. These findings provide valuable insights to inform decision-makers concerned with the well-being of the elderly.

Bahasa Abstract

Senior living muncul sebagai alternatif solusi atas masalah kesehatan publik dan kebijakan sosial seiring percepatan penuaan secara global. Meskipun secara tradisional dianggap sebagai pilihan terakhir, kehidupan di senior living dibentuk oleh dinamika kesehatan, keluarga, dan masyarakat yang terus berkembang. Scoping review ini mengeksplorasi faktor-faktor utama yang mempengaruhi keputusan lansia memilih senior living dalam menghabiskan masa tuanya. Menggunakan Model Perilaku Andersen tentang penggunaan layanan kesehatan sebagai kerangka teori, scoping review dilakukan dengan mengikuti pedoman PRISMA-ScR. Artikel yang diterbitkan dari tahun 2019 hingga 2024 diidentifikasi melalui penelusuran di PubMed, Scopus, Proquest dan Taylor & Francis. Sebanyak 42 artikel diikutsertakan yang mencakup berbagai konteks geografis. Faktor predisposisi meliputi menurunnya kemandirian seiring penuaan, jenis kelamin perempuan, dan pendidikan tinggi. Faktor pendukung meliputi tidak tersedianya pengasuh, kesiapan finansial, dan domisili perkotaan. Faktor terkait kebutuhan melaporkan penyakit kronis dan multimorbiditas secara konsisten menjadi faktor utama untuk memilih senior living.

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