Stability and changes in living arrangements: relationship to nursing home admission and timing of placement. J Gerontol B Psychol Sci Soc Sci 2010 Nov;65(6):783-91
Date
05/06/2010Pubmed ID
20442211Pubmed Central ID
PMC2954324DOI
10.1093/geronb/gbq023Scopus ID
2-s2.0-77958196227 (requires institutional sign-in at Scopus site) 26 CitationsAbstract
OBJECTIVES: To examine whether stability of living arrangements and changes in household composition-both types and frequency-influence nursing home placement or timing to entry among older people.
METHODS: Data from the first 5 waves of the Assets and Health Dynamics of the Elderly (1993-2002) on 8,093 persons aged 70 years or older at baseline are used in probit and hazard models to predict nursing home entry and time to entry.
RESULTS: Stable living arrangements carry different risks of institutionalization. Those living continuously alone or with others were at highest risk; at lowest risk were those living continuously with a spouse or the same child (lowest overall). Changes in household composition were protective against nursing home entry and slowed time to entry; types of change were not influential when number of changes was taken into account.
DISCUSSION: Results suggest that stability of living arrangements in and of itself is not protective against institutionalization. Having options that allow one to change living arrangements over time in response to changing needs for assistance is of importance if the goal is to avoid institutional care or extend community residence prior to entry.
Author List
Kasper JD, Pezzin LE, Rice JBAuthor
Liliana Pezzin PhD, JD Professor in the Institute for Health and Equity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedAged, 80 and over
Family Characteristics
Female
Health Status
Homes for the Aged
Humans
Institutionalization
Male
Marital Status
Multivariate Analysis
Nursing Homes
Risk Factors
Single Person
Socioeconomic Factors
Time Factors
United States
