Identifying the long-term care beneficiaries: differences between risk factors of nursing homes and community-based services admissions

Lopes, Hugo; Mateus, Céu; Rosati, Nicoletta

doi:10.1007/s40520-019-01418-w

Cited by 3 publications

(4 citation statements)

References 29 publications

(136 reference statements)

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“…These ndings have been corroborated by a number of studies published elsewhere. Old age and being single or widowed have been shown to be signi cantly associated with an increased risk of institutionalization [2,4,10]. Furthermore, when comparing groups of institutionalized elders, the average age does not exceed 71 years; this result does not corroborate with those in the literature [12,13].…”

Section: Socio-demographic and Economic Characteristicsmentioning

confidence: 73%

“…In addition, the absence of children was relevant in the institutionalization process, as elderly people may have di culties in daily life to receive care at home due to changes in the family pro le (Absent or emigrated children). The decision to remain single, widowed, or divorced increases the risk of institutionalization [2,4,10,12]. People living alone are more likely to be institutionalized.…”

Section: Socio-demographic and Economic Characteristicsmentioning

confidence: 99%

“…Previous studies showed that predictors of institutionalization include being an older woman, being single, not having family or neighbourhood support, being illiterate, and having cognitive or physical impairment [4,10]. Thus, institutionalized elders were more likely to have lower socioeconomic status and to be widowed or single, uninsured, malnourished, and suffering from chronic diseases that made them dependent in their daily lives [4,10].…”

Section: Introductionmentioning

confidence: 99%

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Self-reported Morbidities, Nutritional Characteristics, and associated factors in Institutionalized and Non-Institutionalized Elderly

Benksim

Rachid

Khalloufi³

et al. 2021

Preprint

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Background: As the world's population ages and people live longer, it seems important to ensure that older people have a good quality of life and positive subjective well-being. The objective of this study is to determine socio-economic, health and nutritional characteristics of institutionalized and non-institutionalized elders in the province of Marrakech.Methods: This study was conducted among 368 elderly people in the province of Marrakech between March 2017 and June 2019. Of all participants, 180 elderly people reside in a public establishment and 188 of them live at home. Data on health conditions, nutritional status, functional and socio-economic characteristics were collected. Statistical analysis used SPSS software.Results: Institutionalized elders were illiterate (80.0%), had low incomes (95.5%), and unmarried (73.3%).They reported no children (56.1%) and no health insurance (98.9%). Institutional residents suffered from malnutrition (22.2%), hearing impairments (35.6%) and severe edentulism (43.3%). There was no significant difference between both groups on daily activities and depression. A multivariate analysis identified a model with three significant variables associated with non-institutionalized elders: health insurance (P=0.001; OR=107.49), number of children (P=0.001; OR=1.74) and nutritional status (p=0.001; OR=3.853). The data were analyzed by using SPSS version 16.0. Statistical significance was set at p<0.05.Conclusions: This study shows that the institutionalization of the elderly is considerably induced by various factors such as nutritional problems, lack of health insurance and family structure. To mitigate the effects of this phenomenon, home care strategies and preventive actions should be carried out to delay the referral of the elderly to institutions and to keep them socially active.

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Section: Socio-demographic and Economic Characteristicsmentioning

confidence: 73%

Section: Socio-demographic and Economic Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Self-reported Morbidities, Nutritional Characteristics, and associated factors in Institutionalized and Non-Institutionalized Elderly

Benksim

Rachid

Khalloufi³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…In this context, some studies have investigated the risk factors of admission LTC facilities, analyzing the socio-demographic characteristics, the clinical condition, and the dependence level on performing the activity [ 5 , 6 , 7 ]. For example, it was widely known internationally that older age [ 8 , 9 ], gender [ 10 ], and social support [ 7 , 11 , 12 ] were significant in predicting the risk of institutionalization.…”

Section: Introductionmentioning

confidence: 99%

Admission to the Long-Term Care Facilities and Institutionalization Rate in Community-Dwelling Frail Adults: An Observational Longitudinal Cohort Study

et al. 2022

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The worldwide aging and the increase of chronic disease impacted the Health System by generating an increased risk of admission to Long-Term Care (LTC) facilities for older adults. The study aimed to evaluate the admission rate to LTC facilities for community-dwelling older adults and investigate factors associated with these admissions. A secondary data analysis stemming from an observational longitudinal cohort study (from 2014 to 2017) was performed. The sample was made up by 1246 older adults (664 females and 582 males, mean age 76.3, SD ± 7.1). The LTC facilities access rate was 12.5 per 1000 observations/ year. Multivariable Linear Regression identified frailty, cardiovascular disease, and incapacity to take medicine and manage money as predictors of the LTC facilities’ access rate. The Multiple Correspondence Analysis identified three clusters: those living at home with comorbidities; those living in LTC facilities who are pre-frail or frail; those very frail but not linked to residential LTC. The results indicate that access to LTC facilities is not determined by severe disability, severe comorbidity, and higher frailty levels. Instead, it is related to moderate disability associated with a lack of social support. Therefore, the care policies need to enhance social interventions to integrate medical, nursing, and rehabilitative care.

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Self-reported morbidities, nutritional characteristics, and associated factors in institutionalized and non-institutionalized older adults

et al. 2021

View full text Add to dashboard Cite

Background As the world’s population ages and people live longer, it seems important to ensure that older people have a good quality of life and positive subjective well-being. The objective of this study is to determine socio-economic, health and nutritional characteristics of institutionalized and non-institutionalized elders in the province of Marrakech. Methods This study was conducted among 368 older adults in the province of Marrakech between March 2017 and June 2019. Of all participants, 180 older adults reside in a public institution and 188 of them live in their own homes. Data on health conditions, nutritional status, functional and socio-economic characteristics were collected. Data was analyzed using SPSS Statistics for Windows, Version 16.0. Statistical significance was set at p < 0.05. Results Institutionalized elders were illiterate (80.0%), had low incomes (95.5%), and unmarried (73.3%), they reported also no children (56.1%) and no health insurance (98.9%). Institutional residents suffered from malnutrition (22.2%), hearing impairments (35.6%) and severe edentulism (43.3%). There was no significant difference between both groups on daily activities and depression. A multivariate analysis identified a model with three significant variables associated with non-institutionalized elders: health insurance (P = 0.001; OR = 107.49), number of children (P = 0.001; OR = 1.74) and nutritional status (p = 0.001; OR = 3.853). Conclusions This study shows that the institutionalization of older adults is considerably induced by various factors such as nutritional problems, lack of health insurance and family structure. To mitigate the effects of this phenomenon, home care strategies and preventive actions should be implemented to delay the institutionalization of older adults and therefore keep them socially active in their own homes.

show abstract

Identifying the long-term care beneficiaries: differences between risk factors of nursing homes and community-based services admissions

Cited by 3 publications

References 29 publications

Self-reported Morbidities, Nutritional Characteristics, and associated factors in Institutionalized and Non-Institutionalized Elderly

Self-reported Morbidities, Nutritional Characteristics, and associated factors in Institutionalized and Non-Institutionalized Elderly

Admission to the Long-Term Care Facilities and Institutionalization Rate in Community-Dwelling Frail Adults: An Observational Longitudinal Cohort Study

Self-reported morbidities, nutritional characteristics, and associated factors in institutionalized and non-institutionalized older adults

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