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Centre for Policy on Ageing | |
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Nursing home admission for African Americans with Alzheimer's disease | Author(s) | Susan C Miller, Thomas R Prohaska, Sylvia E Furner |
Journal title | The Journals of Gerontology Series A: Biological sciences and Medical Sciences, vol 54A, no 7, July 1999 |
Pages | pp M365-369 |
Keywords | Black people ; Dementia ; Admission [nursing homes] ; Longitudinal surveys ; United States of America. |
Annotation | For African Americans with Alzheimer's disease (AD), little is known about the time to, and risk factors for, nursing home admission (NHA). Using Consortium to Establish a Registry for Alzheimer's Disease (CERAD) data, this longitudinal study followed 122 subject for up to 7 years, and used survival analysis methodology and variable values at baseline and follow-up to identify NHA risk factors. Studied were sociodemographic variables, physical symptoms, and disease status variables, and scores from the Blessed Dementia Rating Scale (including sub-scores), the Clinical Dementia Rating (CDR), and the Mini-Mental State Examination (MMSE). Only 25% of African Americans were estimated to have had a NHA by 3.4 years. Being unmarried resulted in a five times earlier admission, and each unit increase in the CDR resulted in a 74% earlier NHA. In the absence of CDR, limitation of activities of daily living (ADLs) were associated with earlier NHA. Findings suggest that African Americans with AD living in the community for a substantial time before NHA - longer than observed in similar studies of whites - raising questions of possible unmet needs and caregiver burden. (RH). |
Accession Number | CPA-991220232 A |
Classmark | TKE: EA: LHB:QKH: 3J: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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