We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Correlates of institutionalization among the oldest old-Evidence from the multicenter AgeCoDe-AgeQualiDe study.
- Authors
Hajek, André; Luppa, Melanie; Brettschneider, Christian; der Leeden, Carolin; van den Bussche, Hendrik; Oey, Anke; Wiese, Birgitt; Weyerer, Siegfried; Werle, Jochen; Fuchs, Angela; Pentzek, Michael; Löbner, Margrit; Stein, Janine; Weeg, Dagmar; Bickel, Horst; Heser, Kathrin; Wagner, Michael; Scherer, Martin; Maier, Wolfgang; Riedel‐Heller, Steffi G.
- Abstract
<bold>Objectives: </bold>There is a lack of studies identifying the correlates of institutionalization specifically among the oldest old. Therefore, our aim was to fill this gap in knowledge.<bold>Methods: </bold>Cross-sectional data (Follow up wave 9; n = 633 observations in the analytical sample) were used from the multicenter prospective cohort study "Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" Correlates of institutionalization among the oldest old-Evidence from a multicenter cohort study. The sample consists of primary care patients aged 86 years and over (mean 90.5 years, SD: 2.9 years). Sociodemographic and health-related independent variables were included in our regression model. Institutionalization was defined as living in a nursing home or an old-age home (not including assisted living facilities).<bold>Results: </bold>Out of the 633 participants, 502 individuals (79.3%) did not live in an institutionalized setting, whereas 73 individuals (20.7%) lived in an institutionalized setting. Multiple logistic regressions showed that the likelihood of institutionalization increased with being divorced/widowed/single (compared to being married; OR: 5.35 [95% CI: 1.75-16.36]), the presence of social isolation (OR: 2.07 [1.20-3.59]), more depressive symptoms (OR: 1.11 [1.01-1.23]), increased cognitive impairment (OR: 1.67 [1.31-2.15]) and higher levels of frailty (OR: 1.48 [1.07-2.06]).<bold>Conclusion: </bold>The study findings identified various sociodemographic and health-related factors associated with institutionalization among the oldest old. Longitudinal studies are required to gain further insights into these associations.
- Subjects
CONGREGATE housing; COGNITION disorders; QUALITY of life; PRIMARY care; SOCIAL isolation; RESEARCH; CROSS-sectional method; RESEARCH methodology; EVALUATION research; COMPARATIVE studies; RESEARCH funding; INSTITUTIONAL care; LONGITUDINAL method
- Publication
International Journal of Geriatric Psychiatry, 2021, Vol 36, Issue 7, p1095
- ISSN
0885-6230
- Publication type
journal article
- DOI
10.1002/gps.5548