Correlates of institutionalization among the oldest old—Evidence from the multicenter AgeCoDe‐AgeQualiDe study
| Autor: | Jochen Werle, Christian Brettschneider, Dagmar Weeg, Martin Scherer, Melanie Luppa, Kathrin Heser, Carolin van der Leeden, Birgitt Wiese, Michael Pentzek, André Hajek, Margrit Löbner, Hans-Helmut König, Michael Wagner, Janine Stein, Steffi G. Riedel-Heller, Siegfried Weyerer, Anke Oey, Wolfgang Maier, Horst Bickel, Angela Fuchs, Hendrik van den Bussche |
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| Rok vydání: | 2021 |
| Předmět: |
social isolation
frailty Logistic regression Cohort Studies old age home 03 medical and health sciences 0302 clinical medicine Quality of life medicine Humans Dementia ddc:610 Prospective Studies Social isolation Prospective cohort study Depression (differential diagnoses) Aged 80 and over oldest old 030214 geriatrics business.industry social exclusion Institutionalization Regression analysis medicine.disease ddc nursing home Psychiatry and Mental health Cross-Sectional Studies depression Quality of Life Geriatrics and Gerontology medicine.symptom business dementia Demography Cohort study |
| Zdroj: | International journal of geriatric psychiatry 36(7), 1095-1102 (2021). doi:10.1002/gps.5548 |
| ISSN: | 1099-1166 0885-6230 |
| DOI: | 10.1002/gps.5548 |
| Popis: | OBJECTIVES 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. METHODS 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). RESULTS 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]). CONCLUSION 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. |
| Databáze: | OpenAIRE |
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