Spouse and Child Availability for Newly Disabled Older Adults: Socioeconomic Differences and Potential Role of Residential Proximity

TitleSpouse and Child Availability for Newly Disabled Older Adults: Socioeconomic Differences and Potential Role of Residential Proximity
Publication TypeJournal Article
Year of Publication2015
AuthorsChoi, H, Schoeni, RF, Langa, KM, Heisler, M
JournalThe Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Volume70
Issue3
Pagination462-469
KeywordsDemographics, Disabilities, Health Conditions and Status, Healthcare
Abstract

Objectives. To examine the potential role of child and spousal availability in facilitating community-based care for disabled older adults.Method. We used the Health and Retirement Study, a nationally representative longitudinal study of older adults. The analysis sample included older adults who were nondisabled at baseline, but who then developed at least one activity of daily living (ADL) limitation over the subsequent 2-year period (N = 2,094). Using multivariate, multinomial logistic regression, we examined the association of child and spouse availability prior to disablement of the older adults with ADL care receipt status after the onset of disablement, after adjusting for other sociodemographic and clinical characteristics.Results. Lower socioeconomic status (SES) was associated with less availability of a spouse but greater availability of children at baseline. Compared with older adults who had no children nearby (i.e., all children lived further than 30 miles), older adults who had at least one child living with or near them prior to the onset of the ADL limitation were less likely to go to a nursing home (adjusted odds ratio AOR : 0.26 for coresident; AOR: 0.44 for 1 30 miles) and less likely to depend on formal care (AOR: 0.39 for coresident; AOR: 0.51 for 1 30 miles) after the onset of new ADL limitation/s.Discussion. Understanding SES variations in the informal care resources, and potential role of child geographic availability, may inform the development of cost-effective community-based care programs and policies.

URLhttp://psychsocgerontology.oxfordjournals.org/content/early/2014/03/06/geronb.gbu015.abstract
DOI10.1093/geronb/gbu015
Endnote Keywords

Disability/Disability/Geographic proximity/Informal care/Socioeconomic status/community-based care/activities of daily living

Endnote ID

999999

Citation Key8166
PubMed ID24607786