Trends in the Use of Residential Settings Among Older Adults.

TitleTrends in the Use of Residential Settings Among Older Adults.
Publication TypeJournal Article
Year of Publication2022
AuthorsToth, M, Palmer, L, Bercaw, LE, Voltmer, H, Karon, S
JournalThe Journals of Gerontology: Series B
ISSN Number1758-5368
KeywordsActivities of Daily Living, Aged, Comorbidity, Cross-Sectional Studies, Dementia, Female, Health Status Disparities, Health Transition, Homes for the Aged, Humans, Independent Living, Male, Medicare, Nursing homes, United States

OBJECTIVES: As the U.S. population ages, the prevalence of disability and functional limitations, and demand for long-term services and supports (LTSS), will increase. This study identified the distribution of older adults across different residential settings, and how their health characteristics have changed over time.

METHODS: A cross-sectional analysis of older adults residing in traditional housing, community-based residential facilities (CBRFs), and nursing facilities using 3 data sources: the Medicare Current Beneficiary Survey (MCBS), 2008 and 2013; the Health and Retirement Study (HRS), 2008 and 2014; and the National Health and Aging Trends Study, 2011 and 2015. We calculated the age-standardized prevalence of older adults by setting, functional limitations, and comorbidities and tested for health characteristics changes relative to the baseline year (2002).

RESULTS: The proportion of older adults in traditional housing increased over time, relative to baseline (p < .05), while the proportion of older adults in CBRFs was unchanged. The proportion of nursing facility residents declined from 2002 to 2013 in the MCBS (p < .05). The prevalence of dementia and functional limitations among traditional housing residents increased, relative to the baseline year in the HRS and MCBS (p < .05).

DISCUSSION: The proportion of older adults residing in traditional housing is increasing, while the nursing facility population is decreasing. This change may not be due to better health; rather, older adults may be relying on noninstitutional LTSS.

Citation Key12246
PubMed ID33999126
Grant ListHHSP233201600021I / HH / HHS / United States