HwaJung Choi1, Robert F Schoeni, Kenneth M Langa2, Michele M Heisler3. 1. Department of Internal Medicine, School of Medicine, hwajungc@umich.edu. 2. Department of Internal Medicine, School of Medicine, Institute for Social Research. 3. Department of Internal Medicine, School of Medicine, Ann Arbor Veterans Affairs Center for Clinical Management Research, Ann Arbor, Michigan. Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor.
Abstract
OBJECTIVES: To examine the potential role of child and spousal availability in facilitating community-based care for disabled older adults. METHOD: We used the Health and Retirement Study, a nationally representative longitudinal study of older adults. The analysis sample included older adults who were nondisabled at baseline, but who then developed at least one activity of daily living (ADL) limitation over the subsequent 2-year period (N = 2,094). Using multivariate, multinomial logistic regression, we examined the association of child and spouse availability prior to disablement of the older adults with ADL care receipt status after the onset of disablement, after adjusting for other sociodemographic and clinical characteristics. RESULTS: Lower socioeconomic status (SES) was associated with less availability of a spouse but greater availability of children at baseline. Compared with older adults who had no children nearby (i.e., all children lived further than 30 miles), older adults who had at least one child living with or near them prior to the onset of the ADL limitation were less likely to go to a nursing home (adjusted odds ratio [AOR]: 0.26 for coresident; AOR: 0.44 for 1- 30 miles) and less likely to depend on formal care (AOR: 0.39 for coresident; AOR: 0.51 for 1-30 miles) after the onset of new ADL limitation/s. DISCUSSION: Understanding SES variations in the informal care resources, and potential role of child geographic availability, may inform the development of cost-effective community-based care programs and policies.
OBJECTIVES: To examine the potential role of child and spousal availability in facilitating community-based care for disabled older adults. METHOD: We used the Health and Retirement Study, a nationally representative longitudinal study of older adults. The analysis sample included older adults who were nondisabled at baseline, but who then developed at least one activity of daily living (ADL) limitation over the subsequent 2-year period (N = 2,094). Using multivariate, multinomial logistic regression, we examined the association of child and spouse availability prior to disablement of the older adults with ADL care receipt status after the onset of disablement, after adjusting for other sociodemographic and clinical characteristics. RESULTS: Lower socioeconomic status (SES) was associated with less availability of a spouse but greater availability of children at baseline. Compared with older adults who had no children nearby (i.e., all children lived further than 30 miles), older adults who had at least one child living with or near them prior to the onset of the ADL limitation were less likely to go to a nursing home (adjusted odds ratio [AOR]: 0.26 for coresident; AOR: 0.44 for 1- 30 miles) and less likely to depend on formal care (AOR: 0.39 for coresident; AOR: 0.51 for 1-30 miles) after the onset of new ADL limitation/s. DISCUSSION: Understanding SES variations in the informal care resources, and potential role of child geographic availability, may inform the development of cost-effective community-based care programs and policies.
Authors: J A Hayman; K M Langa; M U Kabeto; S J Katz; S M DeMonner; M E Chernew; M B Slavin; A M Fendrick Journal: J Clin Oncol Date: 2001-07-01 Impact factor: 44.544
Authors: Kenneth M Langa; A Mark Fendrick; Kevin R Flaherty; Ferndando J Martinez; Mohammed U Kabeto; Sanjay Saint Journal: Chest Date: 2002-12 Impact factor: 9.410
Authors: Susan M Allen; Julie C Lima; Frances K Goldscheider; Jason Roy Journal: J Gerontol B Psychol Sci Soc Sci Date: 2012-04-05 Impact factor: 4.077
Authors: Esther M Friedman; Margaret M Weden; Regina A Shih; Stephanie Kovalchik; Reema Singh; Jose Escarce Journal: J Gerontol B Psychol Sci Soc Sci Date: 2015-10-08 Impact factor: 4.077
Authors: Deborah A Levine; Kenneth M Langa; Andrzej Galecki; Mohammed Kabeto; Lewis B Morgenstern; Darin B Zahuranec; Bruno Giordani; Lynda D Lisabeth; Brahmajee K Nallamothu Journal: J Gen Intern Med Date: 2019-08-13 Impact factor: 5.128
Authors: HwaJung Choi; Michele Heisler; Edward C Norton; Kenneth M Langa; Tsai-Chin Cho; Cathleen M Connell Journal: Health Aff (Millwood) Date: 2021-09 Impact factor: 9.048
Authors: Maria Gabriella Melchiorre; Barbara D'Amen; Sabrina Quattrini; Giovanni Lamura; Marco Socci Journal: Int J Environ Res Public Health Date: 2022-06-16 Impact factor: 4.614
Authors: HwaJung Choi; Robert F Schoeni; Kenneth M Langa; Michele M Heisler Journal: J Gerontol B Psychol Sci Soc Sci Date: 2014-06-18 Impact factor: 4.077
Authors: Deborah A Levine; Andrzej T Galecki; Brenda L Plassman; Angela Fagerlin; Lauren P Wallner; Kenneth M Langa; Rachael T Whitney; Brahmajee K Nallamothu; Lewis B Morgenstern; Bailey K Reale; Emilie M Blair; Bruno Giordani; Kathleen Anne Welsh-Bohmer; Mohammed U Kabeto; Darin B Zahuranec Journal: J Gen Intern Med Date: 2021-05-07 Impact factor: 6.473