Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-28T12:28:32.176Z Has data issue: false hasContentIssue false

The Association of Disability with Long-Term Care Institutionalization of the Elderly

Published online by Cambridge University Press:  29 November 2010

J. E. Young
Affiliation:
University of Waterloo and Freeport Hospital
W. F. Forbes
Affiliation:
University of Waterloo and Freeport Hospital
J. P. Hirdes
Affiliation:
University of Waterloo and Freeport Hospital

Abstract

Data from the 1986/87 Health and Activity Limitation Survey (HALS) were used to examine the relationship between reported disabilities and institutionalization. Odds ratios obtained through logistic regression analyses were utilized to estimate the strength and direction of the associations between the various disabilities, age, gender, and institutionalization. An analysis of types and combinations of disabilities which are most strongly associated with institutionalization indicate that persons with disabilities regarding agility, mental functioning or speech have higher odds of institutionalization. The analyses of the relationship between number of disabilities and institutionalization suggest an exponential relationship, a greater rate of institutionalization with age and a higher rate for women than for men.

Résumé

Les données de l'Enquête sur la santé et les limites aux activités (ESLA) de 1986–1987 ont été utilisées afin d'étudier la relation entre les déficiences signalées et le placement en établissement. Des rapports de probabilité obtenus au moyen d'analyses de régression logistique ont été utilisés afin de déterminer la force et l'orientation des liens entre les diverses déficiences, l'âge, le sexe et le placement en établissement. Une analyse des types et des combinaisons de déficiences, qui sont le plus étroitement associées au placement en établissement, révèle que les personnes ayant certaines déficiences au plan de la souplesse, des fonctions mentales ou d'élocution risquent davantage d'être placées dans un établissement de soins de longue durée. Une analyse de la relation entre le nombre de déficiences et le placement suggère une relation exponentielle, un taux plus élevé de placements en établissement avec l'âge, et un taux supérieur chez les femmes que chez les hommes.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abramson, J.H. (1988). Making Sense of Data: A Self-Instructional Manual on the Interpretation of Epidemiological data. New York: Oxford University Press.Google Scholar
Almind, G. (1985). Risk Factors in Eighty-Plus Year-Olds Living at Home: An Investigation of a Danish Community. International Journal Aging & Human Development, 21(3), 227234.CrossRefGoogle ScholarPubMed
Branch, L.G., & Jette, A.M. (1982). A Prospective Study of Long-Term Care Insti-tutionalization Among the Aged. American Journal of Public Health, 72(12), 13731379.CrossRefGoogle ScholarPubMed
Braun, K.L., Rose, C.L., & Finch, M.D. (1991). Patient Characteristics and Outcomes in Institutional and Community Long-Term Care. The Gerontologist, 31(5), 648656.CrossRefGoogle ScholarPubMed
Cohen, M.A., Tell, E.J., & Wallack, S.S. (1986). Client-Related Risk Factors of Nursing Home Entry Among Elderly Adults. Journal of Gerontology, 41(6), 785792.CrossRefGoogle ScholarPubMed
Colerick, E.J., & George, L.K. (1986). Predictors of Institutionalization Among Caregivers of Patients with Alzheimer's Disease. Journal of the American Geriatrics Society, 34, 493498.CrossRefGoogle ScholarPubMed
Coughlin, T.A., McBride, T.D., & Liu, K. (1990). Determinants of Transitory and Permanent Nursing Home Admissions. Medical Care, 28(7), 616631.CrossRefGoogle ScholarPubMed
Denton, F.T., Li, S.N., & Spencer, B.G. (1987). “How will Population Aging Affect the Future Costs of Maintaining Health-Care Standards?” In Marshall, V.W. (Ed.), Aging in Canada: Social Perspectives (2nd ed.). Markham, ON: Fitzhenry & Whiteside.Google Scholar
Dolinsky, A.L., & Rosenwaike, I. (1988). The Role of Demographic Factors in the In-stitutionalization of the Elderly. Research on Aging, 10(2), 235257.CrossRefGoogle Scholar
Foley, D.J., Ostfeld, A.M., Branch, L.G., Wallace, R.B., McGloin, J., & Cornoni-Huntley, J.C. (1992). The Risk of Nursing Home Admission in Three Communities. Journal of Aging and Health, 4(2), 155173.CrossRefGoogle ScholarPubMed
Forbes, W.F., Thompson, M.E., Agwani, N., & Hayward, L.M. (1993). A Log-linear Relationship Between Reported Impairments and Age: Implications for the Multistage Hypothesis. Journal of Gerontology: Biological Sciences, 48(1), B3340.CrossRefGoogle ScholarPubMed
Ford, A.B., Roy, A.W., Haug, M.R., Folmar, S.J., & Jones, P.K. (1991). Impaired and Disabled Elderly in the Community. American Journal of Public Health, 81(9), 12071209.CrossRefGoogle ScholarPubMed
Hanley, R.J., Alecxih, L.M.B., Wiener, J.M., & Kenneil, D.L. (1990). Predicting Elderly Nursing Home Admissions: Results from the 1982–1984 National Long-Term Care Survey. Research on Aging, 12(2), 199228.CrossRefGoogle ScholarPubMed
Health and Welfare Canada. (1983). Fact Book on Aging in Canada. Ottawa, ON: Ministry of Supply and Services Canada.Google Scholar
Heyman, A., Wilkinson, W.E., Hurwitz, B.J., Helms, M.J., Haynes, C.S., Utley, C.M., & Gwyther, L.P. (1987). Early-onset Alzheimer's disease: Clinical Predictors of Institutionalization and Death. Neurology, 37, 980984.CrossRefGoogle ScholarPubMed
Jette, A.M., & Branch, L.G. (1983). “Targeting Community Services to High-Risk Elders: Toward Preventing Long-Term Care Institutionalization.” In Simson, S., Wilson, L.B., Hermalin, J., & Hess, R. (Eds.), Aging and Prevention: New Approaches for Preventing Health and Mental Health Problems in Older Adults. New York: The Haworth Press.Google Scholar
Kelsey, J.L., Thompson, W.D., & Evans, A.S. (1986). Methods in Observational Epidemiology. New York: Oxford University Press.Google Scholar
Knopman, D.S., Kitto, J., Deinard, S., & Heiring, J. (1988). Longitudinal Study of Death and Institutionalization in Patients with Primary Degenerative Dementia. Journal of the American Geriatrics Society, 36(2), 108112.CrossRefGoogle ScholarPubMed
Lieberman, M.A., & Kramer, J.H. (1991). Factors Affecting Decisions to Institutionalize Demented Elderly. The Gerontologist, 31(3), 371374.CrossRefGoogle ScholarPubMed
Liu, K., Coughlin, T., & McBride, T. (1991). Predicting Nursing-Home Admission and Length of Stay: A Duration Analysis. Medical Care, 29(2), 125141.CrossRefGoogle ScholarPubMed
McDowell, I. (1988). A Disability Score for the Health and Activity Limitation Survey. Statistics Canada, Contract Number: 82010870385.Google Scholar
McFall, S., & Miller, B.H. (1992). Caregiver Burden and Nursing Home Admission of Frail Elderly Persons. Journal of Gerontology, 47(2), S7379.CrossRefGoogle ScholarPubMed
McPherson, B. (1990). Aging as a Social Process: An Introduction to Individual and Population Aging (2nd ed.). Toronto: Butterworths Canada Ltd.Google Scholar
McWhinnie, J.R. (1981). Disability Assessment in Population Surveys: Results of the OECD Common-Development Effort. Revue d'Épidémiologie et de Santé Publique, 29, 413–19.Google ScholarPubMed
National Advisory Council on Aging. (1987). Housing an Aging Population: Guidelines for Development and Design. Ottawa, ON: Ministry of Supply and Services Canada.Google Scholar
Newman, S.J., & Struyk, R. (1990). Overwhelming Odds: Caregiving and the Risk of Institutionalization. Journal of Gerontology, 45(5), S173183.CrossRefGoogle ScholarPubMed
Ontario, . (1991). Redirection of Long-Term Care and Support Services in Ontario. A Public Consultation Paper. Ministry of Community and Social Services, Ministry of Health & Ministry of Citizenship. Toronto: Queen's Printer for Ontario.Google Scholar
Palmore, E. (1976). Total Chance of Institutionalization Among the Aged. The Gerontologist, 16(6), 504507.CrossRefGoogle ScholarPubMed
Pollak, C.P., Perlick, D., Linsner, J.P., Wenston, J., & Hsieh, F. (1990). Sleep Problems in the Community Elderly as Predictors of Death and Nursing Home Placement. Journal of Community Health, 15(2), 123135.CrossRefGoogle ScholarPubMed
Shapiro, E., & Tate, R.B. (1985). Predictors of Long Term Care Facility Use among the Elderly. Canadian Journal on Aging, 4(1), 1119.CrossRefGoogle Scholar
Shapiro, E., & Tate, R.B. (1988). Who is Really at Risk of Institutionalization? The Gerontologist, 28(2), 237245.CrossRefGoogle ScholarPubMed
Shapiro, E., & Tate, R.B. (1991). The Impact of a Mental Status Score and a Dementia Diagnosis on Mortality and Institutionalization. Journal of Aging and Health, 3(1), 2846.CrossRefGoogle Scholar
Speare, A., Avery, R., & Lawton, L. (1991). Disability, Residential Mobility, and Changes in Living Arrangements. Journal of Gerontology, 46(3), S133142.CrossRefGoogle ScholarPubMed
Statistics Canada (1989). The Health and Activity Limitation Survey: Microdata User's Guide, Adults in Households.Google Scholar
Statistics Canada (1990). The Health and Activity Limitation Survey: Microdata User's Guide, Adults in Institutions.Google Scholar
Teresi, J., Holmes, D., Holmes, M., Bergman, S., King, Y., & Bentur, N. (1989). Factors Relating to Institutional Risk Among Elderly Members of Israeli Kibbutzim. The Gerontologist, 29(2), 203208.CrossRefGoogle ScholarPubMed
Théberge, A. (1987). Weighting for the Health and Activity Limitation Survey. Working document, Statistics Canada.Google Scholar
Vicente, L., Wiley, J.A., & Carrington, R.A. (1979). The Risk of Institutionalization before Death. The Gerontologist, 19(4), 361367.CrossRefGoogle ScholarPubMed
World Health Organization (WHO). (1980). International Classification of Impairments, Disabilities, and Handicaps. Geneva: World Health Organization.Google Scholar