18/06/2026
📖New publication alert!
Our latest systematic review, “How is housing insecurity measured among older adults?” is now published in The Gerontologist
Housing insecurity is a key social determinant of health, yet older adults remain a critically underserved group in measurement research. Our team systematically reviewed 13 studies across five databases, asking: how is housing insecurity actually measured for this population, and how well?
Key findings:
🔴 Six core dimensions were identified: housing unaffordability, instability, poor physical quality, inadequacy, lack or disrepair of housing durables, and poor neighborhood quality.
🔴 Age-friendly housing features (e.g., grab bars, accessible pathways) were absent in nearly all reviewed tools, presenting a notable gap given the distinct needs of aging populations.
🔴 Psychometric reporting was sparse across reviewed studies: no study reported test-retest reliability, and validity evidence was largely confined to informal content justifications.
The takeaway: the field urgently needs purpose-built, rigorously validated housing insecurity instruments designed specifically for older adults, with aging-specific dimensions and cross-cultural adaptability built in.
First author: Tianxin Cai (PhD student, Department of Social Work and Social Administration and Sau Po Centre on Ageing, HKU). Co-authors: Peng Cheng (Wuhan University) and Sin Yu Lam (HKU). Corresponding author: Prof. Peiyi Lu (Assistant Professor, Department of Social Work and Social Administration and Sau Po Centre on Ageing, HKU). This work was supported by the Early Career Scheme of the Research Grants Council of Hong Kong.
Read the full paper (Open Access): https://doi.org/10.1093/geront/gnag130