Document Type




Format of Original

8 p.

Publication Date



Informa Healthcare

Source Publication

Issues in Mental Health Nursing

Source ISSN


Original Item ID

doi: 10.3109/01612840.2013.842620


Worldwide, the population of elders is increasing significantly. Relocation can be a positive or a negative experience, depending on many factors, including culture. The purpose of this study is to compare individual characteristics (age, gender, marital status, education, perceived health status, activities of daily living), relocation factors (movement preparation, time passed since relocation, closeness of prior home to the present, and whether relocation was from home or another facility), and adjustment in relocated American and Egyptian elders. This secondary analysis study merged data from two cross-sectional descriptive studies of a 104 elders relocated to retirement communities in Northeast Ohio and 94 elders relocated to retirement communities in Alexandria, Egypt. Our findings indicated that American elders have greater independence in daily activities (t (161.23) = −3.03, p = .003); better perceived health (χ2[3, N = 198] = 53.21, p < .001), better education (χ2[1, N = 198] = 47.28, p < .001), better preparation before the move (χ2[1, N = 198] = 40.58, p < .001), and better relocation adjustment (t (196) = 9.42, p < .001) than relocated Egyptian elders. Our results indicate that culture should be taken into account when caring for older adults who relocate to retirement communities. Additionally, interventions, such as counseling, and preparation before relocation are needed to help elders adjust to relocation.


Accepted version. Issues in Mental Health Nursing, Vol. 35, No. 2 (February 2014): 80-87. DOI. © 2014 Taylor & Francis. Used with permission.

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