Correlates of institutionalization among the oldest old - Evidence from the multicenter AgeCoDe-AgeQualiDe study
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Correlates of institutionalization among the oldest old - Evidence from the multicenter AgeCoDe-AgeQualiDe study. / Hajek, André; Luppa, Melanie; Brettschneider, Christian; van 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; König, Hans-Helmut.
In: INT J GERIATR PSYCH, Vol. 36, No. 7, 07.2021, p. 1095-1102.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Correlates of institutionalization among the oldest old - Evidence from the multicenter AgeCoDe-AgeQualiDe study
AU - Hajek, André
AU - Luppa, Melanie
AU - Brettschneider, Christian
AU - van der Leeden, Carolin
AU - van den Bussche, Hendrik
AU - Oey, Anke
AU - Wiese, Birgitt
AU - Weyerer, Siegfried
AU - Werle, Jochen
AU - Fuchs, Angela
AU - Pentzek, Michael
AU - Löbner, Margrit
AU - Stein, Janine
AU - Weeg, Dagmar
AU - Bickel, Horst
AU - Heser, Kathrin
AU - Wagner, Michael
AU - Scherer, Martin
AU - Maier, Wolfgang
AU - Riedel-Heller, Steffi G
AU - König, Hans-Helmut
N1 - © 2021 The Authors. International Journal of Geriatric Psychiatry published John Wiley & Sons Ltd.
PY - 2021/7
Y1 - 2021/7
N2 - 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.
AB - 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.
U2 - 10.1002/gps.5548
DO - 10.1002/gps.5548
M3 - SCORING: Journal article
C2 - 33772875
VL - 36
SP - 1095
EP - 1102
JO - INT J GERIATR PSYCH
JF - INT J GERIATR PSYCH
SN - 0885-6230
IS - 7
ER -