Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-25T04:57:07.388Z Has data issue: false hasContentIssue false
  • English
  • Français

Gender differences in predictors of nursing home placement in the elderly: a systematic review

Published online by Cambridge University Press:  10 July 2009

Melanie Luppa ,
Tobias Luck ,
Siegfried Weyerer ,
Hans-Helmut König  and
Steffi G. Riedel-Heller
Melanie Luppa*
Affiliation:
Department of Psychiatry, Public Health Research Unit, University of Leipzig, Leipzig, Germany
Tobias Luck
Affiliation:
Department of Psychiatry, Public Health Research Unit, University of Leipzig, Leipzig, Germany
Siegfried Weyerer
Affiliation:
Central Institute for Mental Health, Mannheim, Germany
Hans-Helmut König
Affiliation:
Department of Psychiatry, Health Economics Research Unit, University of Leipzig, Germany
Steffi G. Riedel-Heller
Affiliation:
Department of Psychiatry, Public Health Research Unit, University of Leipzig, Leipzig, Germany
*
Correspondence should be addressed to: Melanie Luppa, Department of Psychiatry, Public Health Research Unit, University of Leipzig, Semmelweisstraße 10, D-04103 Leipzig, Germany. Phone: +49-341-9724534, Fax: +49-341-9724539. Email: [email protected].
Get access

Abstract

Background: In recent decades a substantial number of studies have examined predictors of nursing home placement (NHP) in the elderly. This study provides a systematic review of gender-differences in predictors of NHP from population-based, longitudinal studies worldwide.

Methods: Relevant articles were identified by a systematic search of literature. The articles based on prospective studies with representative samples of community-living elders identified predictors by gender-specific multivariate analyses.

Results: Eleven studies were identified. We found gender differences in the prediction of NHP for marital status, living situation, housing and car availability and urinary incontinence. For both genders the risk of NHP did not differ substantially for age, functional impairment, cognitive impairment, dementia, and depression. The male to female ratio of admission rates ranged between 1 to 1.4 and 1 to 1.6.

Conclusions: Only a few studies analyzed gender-specific predictors of NHP, probably owing to the associated statistical difficulties. However, gender differences in prediction of NHP do actually exist, and this should encourage further research activities in this area using appropriate statistical methods.

Keywords

genderinstitutionalizationnursing home placementnursing home admissionreview
Type
Review Article
Information
International Psychogeriatrics , Volume 21 , Issue 6 , December 2009 , pp. 1015 - 1025
Copyright
Copyright © International Psychogeriatric Association 2009

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

Achterberg, W., Pot, A. M., Kerkstra, A. and Ribbe, M. (2006). Depressive symptoms in newly admitted nursing home residents. International Journal of Geriatric Psychiatry, 21, 1156–1162.Google Scholar
Arber, S. and Ginn, J. (1993). Gender and inequalities in health in later life. Social Science and Medicine, 36, 33–46.Google Scholar
Breeze, E., Sloggett, A. and Fletcher, A. (1999). Socioeconomic and demographic predictors of mortality and institutional residence among middle aged and older people: results from the Longitudinal Study. Journal of Epidemiology and Community Health, 53, 765–774.CrossRefGoogle ScholarPubMed
Chenier, M. C. (1997). Review and analysis of caregiver burden and nursing home placement. Geriatric Nursing, 18, 121–126.CrossRefGoogle ScholarPubMed
D'Agostino, R. B., Belanger, A. J., Markson, E. W., Kelly-Hayes, M. and Wolf, P. A. (1995). Development of health risk appraisal functions in the presence of multiple indicators: the Framingham Study nursing home institutionalization model. Statistics in Medicine, 14, 1757–1770.Google Scholar
Dale, M. C., Burns, A., Panter, L. and Morris, J. (2001). Factors affecting survival of elderly nursing home residents. International Journal of Geriatric Psychiatry, 16, 70–76.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
Drageset, J. et al. (2008). Differences in health-related quality of life between older nursing home residents without cognitive impairment and the general population of Norway. Journal of Clinical Nursing, 17, 1227–1236.Google Scholar
Fahey, T., Montgomery, A. A., Barnes, J. and Protheroe, J. (2003). Quality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study. British Medical Journal, 326, 580.Google Scholar
Freedman, V. A., Berkman, L. F., Rapp, S. R. and Ostfeld, A. M. (1994). Family networks: predictors of nursing home entry. American Journal of Public Health, 84, 843–845.Google Scholar
Gaugler, J. E., Duval, S., Anderson, K. A. and Kane, R. L. (2007). Predicting nursing home admission in the U.S: a meta-analysis. BMC Geriatrics, 7, 13.CrossRefGoogle ScholarPubMed
Gonyea, J. (1997). The emergence of the oldest-old: challenges for public policy. In Hudson, R. (ed.), The Future of Age Based Public Policy. Baltimore: Johns Hopkins University Press.Google Scholar
Grundy, E. and Glaser, K. (1997). Trends in, and transitions to, institutional residence among older people in England and Wales, 1971–91. Journal of Epidemiology and Community Health, 51, 531–540.Google Scholar
Himes, C. L., Wagner, G. G., Wolf, D. A., Aykan, H. and Dougherty, D. D. (2000). Nursing home entry in Germany and the United States. Journal of Cross-Cultural Gerontology, 15, 99–118.Google Scholar
Jones, R. N., Marcantonio, E. R. and Rabinowitz, T. (2003). Prevalence and correlates of recognized depression in U.S. nursing homes. Journal of the American Geriatrics Society, 51, 1404–1409.CrossRefGoogle ScholarPubMed
Katz, S. J., Kabeto, M. and Langa, K. M. (2000). Gender disparities in the receipt of home care for elderly people with disability in the United States. The Journal of the American Medical Association, 284, 3022–3027.Google Scholar
Langa, K. M., Fultz, N. H., Saint, S., Kabeto, M. U. and Herzog, A. R. (2002). Informal caregiving time and costs for urinary incontinence in older individuals in the United States. Journal of the American Geriatrics Society, 50, 733–737.Google Scholar
Lapane, K. L., Gambassi, G., Landi, F., Sgadari, A., Mor, V. and Bernabei, R. (2001). Gender differences in predictors of mortality in nursing home residents with AD. Neurology, 56, 650–654.Google Scholar
Lee, D. T., Woo, J. and Mackenzie, A. E. (2002). A review of older people's experiences with residential care placement. Journal of Advanced Nursing, 37, 19–27.Google Scholar
Luppa, M., Luck, T., Weyerer, S., König, H.-H., Brähler, E. and Riedel-Heller, S. (2009). Prediction of institutionalization in the elderly: a systematic review. (submitted to International Journal of Geriatric Psychology)Google Scholar
Matsumoto, M. and Inoue, K. (2007). Predictors of institutionalization in elderly people living at home: the impact of incontinence and commode use in rural Japan. Journal of Cross-Cultural Gerontology, 22, 421–432.CrossRefGoogle ScholarPubMed
Miller, E. A. and Weissert, W. G. (2000). Predicting elderly people's risk for nursing home placement, hospitalization, functional impairment, and mortality: a synthesis. Medical Care Research and Review, 57, 259–297.Google Scholar
Ness, J., Ahmed, A. and Aronow, W. S. (2004). Demographics and payment characteristics of nursing home residents in the United States: a 23-year trend. Journal of Gerontology: Series A, Biological Sciences and Medical Sciences, 59, 1213–1217.Google ScholarPubMed
Nihtilä, E. and Martikainen, P. (2008). Why older people living with a spouse are less likely to be institutionalized: the role of socioeconomic factors and health characteristics. Scandinavian Journal of Public Health, 36, 35–43.Google Scholar
Nuotio, M., Tammela, T. L., Luukkaala, T. and Jylha, M. (2003). Predictors of institutionalization in an older population during a 13-year period: the effect of urge incontinence. Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 58, 756–762.Google Scholar
Pollak, C. P., Perlick, D., Linsner, J. P., Wenston, J. and Hsieh, F. (1990). Sleep problems in the community elderly as predictors of death and nursing home placement. Journal of Community Health, 15, 123–135.Google Scholar
Russell, L. B., Valiyeva, E., Roman, S. H., Pogach, L. M., Suh, D. C. and Safford, M. M. (2005). Hospitalizations, nursing home admissions, and deaths attributable to diabetes. Diabetes Care, 28, 1611–1617.Google Scholar
Sagnier, P. P., MacFarlane, G., Teillac, P., Botto, H., Richard, F. and Boyle, P. (1995). Impact of symptoms of prostatism on level of bother and quality of life of men in the French community. Journal of Urology, 153, 669–673.Google Scholar
Teresi, J., Abrams, R., Holmes, D., Ramirez, M. and Eimicke, J. (2001). Prevalence of depression and depression recognition in nursing homes. Social Psychiatry and Psychiatric Epidemiology, 36, 613–620.Google Scholar
Thom, D. H., Haan, M. N. and Van Den Eeden, S. K. (1997). Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age and Ageing, 26, 367–374.Google Scholar
Tomiak, M., Berthelot, J. M., Guimond, E. and Mustard, C. A. (2000). Factors associated with nursing-home entry for elders in Manitoba, Canada. Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 55, M279–M287.Google Scholar
van Dijk, P. T., van de Sande, H. J., Dippel, D. W. and Habbema, J. D. (1992).The nature of excess mortality in nursing home patients with dementia. Journal of Gerontology, 47, M28–M34.Google Scholar
Wancata, J., Musalek, M., Alexandrowicz, R. and Krautgartner, M. (2003). Number of dementia sufferers in Europe between the years 2000 and 2050. European Psychiatry, 18, 306–313.CrossRefGoogle ScholarPubMed
Wingard, D. L., Jones, D. W. and Kaplan, R. M. (1987). Institutional care utilization by the elderly: a critical review. Gerontologist, 27, 156–163.Google Scholar
Wolinsky, F. D., Callahan, C. M., Fitzgerald, J. F. and Johnson, R. J. (1992). The risk of nursing home placement and subsequent death among older adults. Journal of Gerontology, 47, S173–S182.Google Scholar