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A prospective study of long-term care institutionalization among the aged

Author

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  • Branch, L.G.
  • Jette, A.M.

Abstract

A statewide probability sample of 1,625 elders living in Massachusetts are studied prospectively to identify key determinants of long-term care (LTC) institutionalization. One-hundred forty-seven elders, 9 per cent of the original cohort, entered a LTC institution during the six-year investigation. Using logistic multiple regression, we examine the predictive power of 19 independent variables grouped into six categories: demographic characteristics, attitude, social context, long-term care needs, physical disability, and mental/emotional disability. Five variables are significantly related to institutionalization: advancing age, using ambulatory aids, mental disorientation, living alone, and using assistance to perform "instrumental" ADL (activities of daily living). These results may be helpful to those trying to target non-institutional services to elders for use as substitutes for institutional long-term care. They may also help explain why recent experimental tests of substituting non-institutional care for institutional services have been less than successful.

Suggested Citation

  • Branch, L.G. & Jette, A.M., 1982. "A prospective study of long-term care institutionalization among the aged," American Journal of Public Health, American Public Health Association, vol. 72(12), pages 1373-1379.
    • Handle: RePEc:aph:ajpbhl:1982:72:12:1373-1379_1
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    Cited by:

    1. Jason Shafrin & Jeff Sullivan & Dana P Goldman & Thomas M Gill, 2017. "The association between observed mobility and quality of life in the near elderly," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-13, August.
    2. Kathryn H. Dansky & Cheryl Dellasega & Teresa Shellenbarger & Patricia Clark Russo, 1996. "After Hospitalization," Clinical Nursing Research, , vol. 5(2), pages 185-198, May.
    3. Rogers, Carolyn C., 1992. "Health and social characteristics of the nonmetro elderly," Agricultural Outlook Forum Archive 1923 - 1997 326822, United States Department of Agriculture, Agricultural Outlook Forum.
    4. Orfila, Francesc & Ferrer, Montserrat & Lamarca, Rosa & Tebe, Cristian & Domingo-Salvany, Antonia & Alonso, Jordi, 2006. "Gender differences in health-related quality of life among the elderly: The role of objective functional capacity and chronic conditions," Social Science & Medicine, Elsevier, vol. 63(9), pages 2367-2380, November.
    5. Davin, Bérengère & Paraponaris, Alain & Verger, Pierre, 2009. "Socioeconomic determinants of the need for personal assistance reported by community-dwelling elderly: Empirical evidence from a French national health survey," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 38(1), pages 138-146, January.
    6. Alan M. Garber, 1989. "Long-Term Care, Wealth, and Health of the Disabled Elderly Living in the Community," NBER Chapters, in: The Economics of Aging, pages 255-278, National Bureau of Economic Research, Inc.
    7. Alan M. Garber, 1994. "Financing Health Care for Elderly Americans in the 1990s," NBER Chapters, in: Aging in the United States and Japan: Economic Trends, pages 175-194, National Bureau of Economic Research, Inc.
    8. Douglas Wolf & Beth Soldo, 1988. "Household composition choices of older unmarried women," Demography, Springer;Population Association of America (PAA), vol. 25(3), pages 387-403, August.

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