Journal Article

DZNE-2021-00899

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Correlates of institutionalization among the oldest old-Evidence from the multicenter AgeCoDe-AgeQualiDe study.

Hajek, A. ; Luppa, M. ; Brettschneider, C. ; van der Leeden, C. ; van den Bussche, H. ; Oey, A. ; Wiese, B. ; Weyerer, S. ; Werle, J. ; Fuchs, A. ; Pentzek, M. ; Löbner, M. ; Stein, J. ; Weeg, D. ; Bickel, H. ; Heser, K.Extern* ; Wagner, M.DZNE* ; Scherer, M. ; Maier, W.DZNE* ; Riedel-Heller, S. G. ; König, H.-H.

2021
Wiley Chichester [u.a.]

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Please use a persistent id in citations: doi:10.1002/gps.5548

Abstract: 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.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).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]).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.

Keyword(s): Aged, 80 and over (MeSH) ; Cohort Studies (MeSH) ; Cross-Sectional Studies (MeSH) ; Humans (MeSH) ; Institutionalization (MeSH) ; Prospective Studies (MeSH) ; Quality of Life (MeSH) ; dementia ; depression ; frailty ; institutionalization ; nursing home ; old age home ; oldest old ; social exclusion ; social isolation

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Contributing Institute(s):

1. Clinical Research Coordination (AG Klockgether)
2. Neuropsychology (AG Wagner)

Research Program(s):

1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

Appears in the scientific report 2021

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; ; ; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Current Contents - Social and Behavioral Sciences ; DEAL Wiley ; Ebsco Academic Search ; Essential Science Indicators ; IF < 5 ; JCR ; Nationallizenz ; SCOPUS ; Science Citation Index Expanded ; Social Sciences Citation Index ; Web of Science Core Collection

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