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, MM
JournalJ Gerontol B Psychol Sci Soc Sci
Date Published2015 May
ISSN Number1758-5368
KeywordsActivities of Daily Living, Adult children, Aged, Aged, 80 and over, Aging, Disabled Persons, Female, Home Nursing, Humans, Male, Middle Aged, Nursing homes, Residence Characteristics, Social Class, Spouses

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.

User Guide Notes


Endnote Keywords

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

Endnote ID


Alternate JournalJ Gerontol B Psychol Sci Soc Sci
Citation Key8166
PubMed ID24607786
PubMed Central IDPMC5584809
Grant ListP30 DK092926 / DK / NIDDK NIH HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States