Evidence map›Paper›PMID 22484216›Full record

ArticleArchives of physical medicine and rehabilitation2012

Home accessibility, living circumstances, stage of activity limitation, and nursing home use.

Margaret G Stineman, Dawei Xie, Joel E Streim, Qiang Pan, Jibby E Kurichi, John T Henry-Sánchez, Zi Zhang, Debra Saliba

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
  2. Physical Function and Residential Relocation of Older Adults Living With Chronic Conditions.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  3. Article
  4. Household Accessibility and Residential Relocation in Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2019
    Article
  5. Article
  6. Article
  7. Activity Limitation Stages Are Associated With Risk of Hospitalization Among Medicare Beneficiaries.PM & R : the journal of injury, function, and rehabilitation · 2017
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Do elderly people at more severe activity of daily living limitation stages fall more?American journal of physical medicine & rehabilitation · 2012
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Margaret G StinemanDepartment of Biostatistics and Epidemiology, The Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. mstinema@exchange.upenn.edu
Dawei Xie
Joel E Streim
Qiang Pan
Jibby E Kurichi
John T Henry-Sánchez
Zi Zhang
Debra Saliba

Funding

RESEARCH TRAINING IN NEUROLOGIC REHABILITATIONT32HD007425 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI SALCIDO, RICHARD · 1992 to 2011
$2.4M
Impairment Activity StagingR01AG032420 · NIA · UNIVERSITY OF PENNSYLVANIA · PI STINEMAN, MARGARET GRACE · 2009 to 2010
$686k
NIA NIH HHS AG032420-01A1NIA NIH HHS R01 AG032420NICHD NIH HHS T32 HD007425NICHD NIH HHS T32-HD-007425
6 · The paper itself

Abstract

objectiveTo explore the influence of physical home and social environments and disability patterns on nursing home (NH) use.

designLongitudinal cohort study. Self- or proxy-reported perception of home environmental barriers accessibility, 5 stages expressing the severity and pattern of activities of daily living (ADLs) limitations, and other characteristics at baseline were applied to predict NH use within 2 years or prior to death through logistic regression.

settingGeneral community.

participantsPopulation-based, community-dwelling individuals (N=7836; ≥70y) from the Second Longitudinal Study of Aging interviewed in 1994 with 2-year follow-up that was prospectively collected.

interventionsNot applicable.

main outcome measureNH use within 2 years.

resultsPerceptions of home environmental barriers and living alone were both associated with approximately 40% increased odds of NH use after adjustment for other factors. Compared with those with no limitations at ADL stage 0, the odds of NH use peaked for those with severe limitations at ADL stage III (odds ratio [OR]=3.12; 95% confidence interval [CI], 2.20-4.41), then declined sharply for those with total limitations at ADL stage IV (OR=.96; 95% CI, .33-2.81). Sensitivity analyses for missing NH use showed similar results.

conclusionsAccessibility of home environment, living circumstance, and ADL stage represent potentially modifiable targets for rehabilitation interventions for decreasing NH use in the aging U.S. population.

Indexed as

EnvironmentPersons with DisabilitiesResidence CharacteristicsSocial EnvironmentActivities of Daily LivingAgedAged, 80 and overArchitectural AccessibilityChronic DiseaseFemaleHumansLongitudinal StudiesMaleNursing HomesRisk FactorsSocioeconomic Factors

Identifiers

PMID22484216
PMCPMC3461316

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.