André Hajek1, Melanie Luppa2, Christian Brettschneider1, Carolin van der Leeden3, Hendrik van den Bussche3, Anke Oey4, Birgitt Wiese4, Siegfried Weyerer5, Jochen Werle5, Angela Fuchs6, Michael Pentzek6, Margrit Löbner2, Janine Stein2, Dagmar Weeg7, Horst Bickel8, Kathrin Heser8, Michael Wagner8,9, Martin Scherer3, Wolfgang Maier8,9, Steffi G Riedel-Heller2, Hans-Helmut König1. 1. Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. 2. Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany. 3. Department of Primary Medical Care, Center for Psychosocial Medicin, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. 4. Institute of General Practic, Hannover Medical School, Hannover, Germany. 5. Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany. 6. Institute of General Practice, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany. 7. Department of Psychiatry, Technical University of Munich, Munich, Germany. 8. Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Bonn, Germany. 9. German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Abstract
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.
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.
Authors: Daniele Zaccaria; Stefano Cavalli; Barbara Masotti; Carla Gomes Da Rocha; Armin von Gunten; Daniela S Jopp Journal: Int J Environ Res Public Health Date: 2022-05-13 Impact factor: 4.614
Authors: Elżbieta W Buczak-Stec; André Hajek; Hendrik van den Bussche; Marion Eisele; Anke Oey; Birgitt Wiese; Siegfried Weyerer; Jochen Werle; Angela Fuchs; Michael Pentzek; Melanie Luppa; Margit Löbner; Dagmar Weeg; Edelgard Mösch; Kathrin Heser; Michael Wagner; Steffi G Riedel-Heller; Wolfgang Maier; Martin Scherer; Hans-Helmut König Journal: Front Med (Lausanne) Date: 2022-03-21
Authors: Steffi G Riedel-Heller; Hans-Helmut König; André Hajek; Christian Brettschneider; Tina Mallon; Hanna Kaduszkiewicz; Anke Oey; Birgitt Wiese; Siegfried Weyerer; Jochen Werle; Michael Pentzek; Angela Fuchs; Ines Conrad; Melanie Luppa; Dagmar Weeg; Edelgard Mösch; Luca Kleineidam; Michael Wagner; Martin Scherer; Wolfgang Maier Journal: Qual Life Res Date: 2021-12-22 Impact factor: 3.440
Authors: Elżbieta W Buczak-Stec; André Hajek; Alexander Pabst; Christian Brettschneider; Hendrik van den Bussche; Birgitt Wiese; Siegfried Weyerer; Jochen Werle; Andreas Hoell; Michael Pentzek; Angela Fuchs; Melanie Luppa; Margit Löbner; Janine Stein; Franziska Förster; Dagmar Weeg; Edelgard Mösch; Kathrin Heser; Martin Scherer; Wolfgang Maier; Matthias C Angermeyer; Michael Wagner; Steffi G Riedel-Heller; Hans-Helmut König Journal: Front Med (Lausanne) Date: 2022-09-02