Older Adults' Residential Proximity to Their Children: Changes After Cardiovascular Events.

TitleOlder Adults' Residential Proximity to Their Children: Changes After Cardiovascular Events.
Publication TypeJournal Article
Year of Publication2015
AuthorsChoi, H, Schoeni, RF, Langa, KM, Heisler, M
JournalJournals of Gerontology Series B: Psychological Sciences and Social Sciencess
Volume70
Issue6
Pagination995-1004
Date Published2015 Nov
ISSN Number1758-5368
KeywordsCardiovascular health, Heart disease, Older Adults, Proximity, Social Support
Abstract

OBJECTIVES: To assess changes in family residential proximity after a first cardiovascular (CV) event among older adults and to identify families most likely to experience such moves.

METHOD: Using a nationally representative longitudinal study of older adults in the United States, we identified respondents with no prior diagnosis of CV disease (CVD). We examined subsequent development of stroke, heart attack, and/or heart failure among these older adults and examined changes in their residential proximity to their closest child before and after the CV event. We then compared the likelihood of changes in proximity between families with and without CV events. Finally, we determined which types of families are most likely to relocate following a CV event.

RESULTS: Having a first CV event increases the 2-year predicted probability of children and adult parents moving in with and closer to each other (relative risk ratio = 1.61 and 1.55, respectively). Families are especially likely to move after a first CV event if the older person experiencing the event is spouseless or has a daughter.

DISCUSSION: CVD is a leading cause of disability, which in turn creates a significant need for personal care among older adults. Assessment of changes in family residential proximity responding to CV events is important to fully understand the consequences of older adults' CV events including the cost of caregiving.

DOI10.1093/geronb/gbu076
Alternate JournalJ Gerontol B Psychol Sci Soc Sci
Citation Key8925
PubMed ID24942973
PubMed Central IDPMC4817072
Grant ListP30 AG024824 / AG / NIA NIH HHS / United States
P30DK092926 / DK / NIDDK NIH HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States