Predictors of nursing home admission in a biracial population.
Author(s) -
Marcel E. Salive,
Kelly Collins,
Daniel J. Foley,
L K George
Publication year - 1993
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.83.12.1765
Subject(s) - institutionalisation , gerontology , nursing homes , activities of daily living , cohort , demography , medicine , population , cohort study , environmental health , psychiatry , nursing , sociology , pathology
Racial differences in predictors of institutionalization were studied in a biracial North Carolina cohort (n = 4074). During 3 years of follow-up, 8.5% of Whites and 6.4% of African Americans were admitted to nursing homes. African Americans were one half as likely as Whites to be institutionalized after adjustment for other risk factors. Among Whites, impaired activities of daily living and cognition were the strongest predictors; among African Americans, impaired instrumental activities of daily living and prior history of nursing home use were strongest. Racial differences in nursing home use were not explained by financial and social support or physical and cognitive impairment.
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