دورية أكاديمية
أعرض في EDS

Factors associated with transition to a nursing home in older adults living in naturally occurring retirement communities.

التفاصيل البيبلوغرافية
العنوان: Factors associated with transition to a nursing home in older adults living in naturally occurring retirement communities.
المؤلفون: Sheth MS; Women's Age Lab, Women's College Hospital, Toronto, Ontario, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Rochon PA; Women's Age Lab, Women's College Hospital, Toronto, Ontario, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada., Altaf A; ICES, Toronto, Ontario, Canada., Boblitz A; ICES, Toronto, Ontario, Canada., Bronskill SE; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada., Brown KA; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Public Health Ontario, Toronto, Ontario, Canada., Hahn-Goldberg S; NORC Innovation Centre, University Health Network, Toronto, Ontario, Canada.; Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada., Huynh T; NORC Innovation Centre, University Health Network, Toronto, Ontario, Canada., Lewis-Fung SE; NORC Innovation Centre, University Health Network, Toronto, Ontario, Canada., Feng P; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada., Savage RD; Women's Age Lab, Women's College Hospital, Toronto, Ontario, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
المصدر: Journal of the American Geriatrics Society [J Am Geriatr Soc] 2024 Jun 18. Date of Electronic Publication: 2024 Jun 18.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5415 (Electronic) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE
أسماء مطبوعة: Publication: Malden, MA : Blackwell Science
Original Publication: New York [etc.]
مستخلص: Background: Naturally occurring retirement communities (NORCs) are geographic areas (generally high-rise buildings or neighborhoods) that have a high concentration of individuals 65 years and older. Supportive service programs in NORCs can address resident needs and delay nursing home (NH) admission but understanding what factors are associated with NORC residents requiring NH admission is needed to tailor such programs. Our aim was to examine individual- and neighborhood-level factors associated with NH wait-list status in NORC residents in Ontario.
Methods: We conducted a population-based, cross-sectional study of Ontario adults 65 years of age or older living in a NORC building as of January 1, 2020, by linking a provincial registry of NORC high-rise buildings with health administrative data. Older adults were classified as being on the NH wait-list if they had an open application for a NH on the index date. We conducted a multilevel logistic regression analysis using generalized estimating equations to determine individual- and neighborhood-level factors associated with NH wait-list status, including sociodemographic, clinical, healthcare use, and building factors. We explored the role of sex and age through stratification by sex (male, female) and age (65-80 and 80+ years).
Results: Among 220,864 NORC residents, 4710 individuals (2.1%) were on the NH wait-list. Female sex, older age, immigrant status, dementia diagnosis, receiving homecare, multimorbidity, and polypharmacy (five or more unique drug names) were associated with an increased odds of wait-list status. Several neighborhood-level variables were associated with a significantly increased likelihood of wait-list status, including low income, high dependency, high ethnic diversity, and living in a building with supports.
Conclusion: NORC supportive service programs can be tailored to account for the factors associated with NH wait-list status, allowing NORC residents who are living in the community to age in their desired place and achieve optimal health outcomes.
(© 2024 The Author(s). Journal of the American Geriatrics Society published by Wiley Periodicals LLC on behalf of The American Geriatrics Society.)
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معلومات مُعتمدة: DA6-184677 Canada CAPMC CIHR
فهرسة مساهمة: Keywords: nursing home; older adults; supportive environments
تواريخ الأحداث: Date Created: 20240618 Latest Revision: 20240618
رمز التحديث: 20240619
DOI: 10.1111/jgs.19038
PMID: 38888381
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-5415
DOI:10.1111/jgs.19038