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Are Obese Residents More Likely to Be Admitted to Nursing Homes That Have More Deficiencies in Care?
Author(s) -
Zhang Ning,
Li Yue,
RodriguezMonguio Rosa,
Barenberg Andrew,
TemkinGreener Helena,
Gurwitz Jerry
Publication year - 2016
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.14105
Subject(s) - medicine , obesity , body mass index , quartile , gerontology , nursing homes , logistic regression , health care , odds ratio , pediatrics , nursing , confidence interval , economics , economic growth
Objectives To determine whether obese older adults who qualify for nursing home ( NH ) placement are as likely as nonobese adults to be admitted to NH s that provide adequate quality of care. Design Retrospective study. Setting NH s in New York State. Participants Individuals aged 65 and older newly admitted to a NH in New York State in 2006–07. Measurements Total and healthcare‐related deficiency citations for each facility were obtained from the Online Survey, Certification, and Reporting file. Bivariate and multivariate regression analyses were used to assess the association between obesity (body mass index ( BMI ) 30.0–39.9 kg/m 2 ) and morbid obesity ( BMI ≥ 40.0 kg/m 2 ) separately and admission to facilities with more deficiencies. Results NH s that admitted a higher proportion of morbidly obese residents were more likely to have more deficiencies, whether total or healthcare related. These NH s also had greater odds of having severe deficiencies, or falling in the top quartile ranking of total deficiencies. After sequentially controlling for the choice of facilities within the inspection region, resident characteristics, and facility covariates, the association between morbid obesity and admission to higher‐deficiency NH s persisted. Conclusion Residents with morbid obesity were more likely to be admitted to NH s of poorer quality based on deficiency citations. The factors driving these disparities and their impact on the care of obese NH residents require further elucidation.