Reported expectations for nursing home placement among older adults and their role as risk factors for nursing home admissions.

TitleReported expectations for nursing home placement among older adults and their role as risk factors for nursing home admissions.
Publication TypeJournal Article
Year of Publication2006
AuthorsAkamigbo, AB, Wolinsky, FD
JournalGerontologist
Volume46
Issue4
Pagination464-73
Date Published2006 Aug
ISSN Number0016-9013
Call Numbernewpubs20071203_Akamigbo.pdf
KeywordsAge Factors, Aged, Female, Health Status, Homes for the Aged, Humans, Male, Nursing homes, Patient Admission, Risk Factors, Sex Factors, Social Support, Socioeconomic factors
Abstract

<p><b>PURPOSE: </b>Individual expectations among community-dwelling older adults and their subsequent effect on placement status have recently been considered. Previous studies, however, have been limited by eligibility and exclusion criteria, treating expectations as a continuous measure, omitting potential confounders, and ignoring Race x Gender interactions.</p><p><b>DESIGN AND METHODS: </b>We used data on 6,242 Black or White self-respondents who were 70 years old or older when they were enrolled in the survey of Assets and Health Dynamics Among the Oldest Old. We modeled expectations for nursing home placement over the next 5 years, as well as actual placement status, by using multivariable multinomial and binomial logistic regression models.</p><p><b>RESULTS: </b>Expectations are not normally distributed: 14% of the participants refused to answer, 51% estimated no chance, 10% indicated a 1% to 50% chance, 21% indicated an 11% to 50% chance and 4% indicated a 51% to 100% chance. Age, gender, education, social supports, and health status were associated with expectations, as well as an interaction effect for Black men. Age, social supports, health status, prior hospital or nursing home use, and expectations were associated with subsequent placement.</p><p><b>IMPLICATIONS: </b>Black and White older adults' expectations for nursing home placement rationally reflect their individual risk profiles and are associated with subsequent placement status. The expectations question may facilitate the early identification of high-risk individuals for further evaluation.</p>

URLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1904835/
DOI10.1093/geront/46.4.464
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/16921000?dopt=Abstract

Alternate JournalGerontologist
Citation Key7110
PubMed ID16921000
PubMed Central IDPMC1904835
Grant ListF31 AG024674 / AG / NIA NIH HHS / United States
R01 AG022913 / AG / NIA NIH HHS / United States