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Factors associated with long-term institutionalization of older people with dementia
 — data from the Canadian Study of Health and Aging
Author(s)Réjean Hébert, Marie-France Dubois, Christina Wolfson
Journal titleJournals of Gerontology: Series A, Biological Sciences and Medical Sciences, vol 56A, no 11, November 2001
Pagespp M693-M699
KeywordsDementia ; Nursing homes ; Informal care ; Longitudinal surveys ; Canada.
AnnotationIn Canada, half of those with dementia live in institutions. Factors associated with institutionalisation should be identified, with the goal of implementing strategies not only to permit those with dementia to stay in their own homes for as long as is feasible, but also to ensure timely institutionalisation when appropriate. Informal caregivers of 326 people with dementia living in the community were identified and interviewed as part of the Canadian Study of Health and Aging (CSHA). They were contacted again 2.5 and 5 years later for information regarding their care recipients. Over the 5-year period, 166 people with dementia (50.9%) were institutionalised; median time to admission was 41 months. Factors associated with institutionalisation were: type of dementia; severity of disability; caregiver's age over 60; caregiver not a spouse or child; and severe caregiver burden. Screening caregivers for burden and depression and designing interventions to decrease the consequences of behavioural disturbances on caregivers would be relevant avenues to explore, to decrease institutionalisation of those with dementia. (RH).
Accession NumberCPA-020107207 A
ClassmarkEA: LHB: P6: 3J: 7S

Data © Centre for Policy on Ageing

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