| |
Centre for Policy on Ageing | |
 | |
|
| The transition from home to nursing home mortality among people with dementia | | Author(s) | Carol S Aneshensel, Leonard I Pearlin, Lené Levy-Storms |
| Journal title | Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 55B, no 3, May 2000 |
| Pages | pp S152-S162 |
| Keywords | Dementia ; Living in the community ; Admission [nursing homes] ; Death rate [statistics] ; United States of America. |
| Annotation | Social selection and social causation explanations are used in this study of excess deaths of people with dementia immediately after their relocation from home to a nursing home. 555 caregivers - 300 from San Francisco Bay Area and 255 from greater Los Angeles - were interviewed, using three separate but overlapping questionnaires tailored (as appropriate) to the circumstances of continuing care at home, institutional care, or bereavement. Relocation was found to be associated with a two-fold increase in mortality risk net of health status. Social selection effects were found for poor health, advanced age, being male, and being white. There was also increased likelihood of death immediately after admission for patients admitted for reasons other than poor health, which is inconsistent with a social selection interpretation. However, none of the specific indicators of stressful admission or unsatisfactory nursing home conditions are significantly related to mortality. The data demonstrate selection processes for post-admission mortality, but indicate that admission of patients in poor health may not fully account for increased mortality immediately following admission. (RH). |
| Accession Number | CPA-000825231 A |
| Classmark | EA: K4: LHB:QKH: S5: 7T |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|