Longitudinal Predictors of Institutionalization in Old Age
| Autor: | Hajek, André, Brettschneider, Christian, Stein, Janine, Luck, Tobias, Bickel, Horst, Mösch, Edelgard, Wagner, Michael, Jessen, Frank, Maier, Wolfgang, Scherer, Martin, Riedel-Heller, Steffi G, König, Hans-Helmut, Lange, Carolin, Group, AgeCoDe Study, Abholz, Heinz-Harald, Bachmann, Cadja, Blank, Wolfgang, van den Bussche, Hendrik, Eifflaender-Gorfer, Sandra, Eisele, Marion, Ernst, Annette, Posselt, Tina, Fuchs, Angela, Heser, Kathrin, Kaduszkiewicz, Hanna, Kaufeler, Teresa, Köhler, Mirjam, Koppara, Alexander, Leicht, Hanna, Wiese, Birgitt, Luppa, Melanie, Mayer, Manfred, Olbrich, Julia, Pentzek, Michael, Prokein, Jana, Schumacher, Anna, Riedel-Heller, Steffi, Steinmann, Susanne, Tebarth, Franziska, Weckbecker, Klaus, Weeg, Dagmar, Werle, Jochen, Weyerer, Siegfried, Wolfsgruber, Steffen, Zimmermann, Thomas |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Gerontology Activities of daily living physiopathology [Depression] lcsh:Medicine statistics & numerical data [Homes for the Aged] Personality Assessment Logistic regression Germany Activities of Daily Living Homes for the Aged Longitudinal Studies diagnosis [Hearing Loss] lcsh:Science Depression (differential diagnoses) Aged 80 and over education.field_of_study Multidisciplinary Depression Institutionalization physiopathology [Dementia] physiopathology [Hearing Loss] statistics & numerical data [Nursing Homes] ddc Spouse Marital status Female Personality Assessment Inventory statistics & numerical data [Marital Status] Psychology Research Article Population diagnosis [Depression] medicine Humans Dementia statistics & numerical data [Institutionalization] ddc:610 Mobility Limitation Hearing Loss education Aged Probability Marital Status lcsh:R medicine.disease Nursing Homes diagnosis [Dementia] Logistic Models lcsh:Q |
| Zdroj: | PLoS ONE, Vol 10, Iss 12, p e0144203 (2015) PLOS ONE 10(12), e0144203 (2015). doi:10.1371/journal.pone.0144203 PLoS ONE |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0144203 |
| Popis: | Objective To investigate time-dependent predictors of institutionalization in old age using a longitudinal approach. Methods In a representative survey of the German general population aged 75 years and older predictors of institutionalization were observed every 1.5 years over six waves. Conditional fixed-effects logistic regressions (with 201 individuals and 960 observations) were performed to estimate the effects of marital status, depression, dementia, and physical impairments (mobility, hearing and visual impairments) on the risk of admission to old-age home or nursing home. By exploiting the longitudinal data structure using panel econometric models, we were able to control for unobserved heterogeneity such as genetic predisposition and personality traits. Results The probability of institutionalization increased significantly with occurrence of widowhood, depression, dementia, as well as walking and hearing impairments. In particular, the occurrence of widowhood (OR = 78.3), dementia (OR = 154.1) and substantial mobility impairment (OR = 36.7) were strongly associated with institutionalization. Conclusion Findings underline the strong influence of loss of spouse as well as dementia on institutionalization. This is relevant as the number of old people (a) living alone and (b) suffering from dementia is expected to increase rapidly in the next decades. Consequently, it is supposed that the demand for institutionalization among the elderly will increase considerably. Practitioners as well as policy makers should be aware of these upcoming challenges. |
| Databáze: | OpenAIRE |
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