ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2021
Revisiting the Role of Gender and Marital Status as Risk Factors for Nursing Home Entry.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Social inequity in ageing in place among older adults in Organisation for Economic Cooperation and Development countries: a mixed studies systematic review.Age and ageing · 2024Pooled it
- Who wants to pay more taxes for better long-term care services: evidence from OECD surveys.Health economics review · 2026Article
- Reasons for long-term care need: analyzing combinations of health limitations in Germany.Zeitschrift fur Gerontologie und Geriatrie · 2026Article
- Spouses of individuals living with mild cognitive impairment or dementia in the United States: A descriptive, population-based study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Paid Care Services and Transitioning out of the Community Among Black and White Older Adults With Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Predictors of nursing home admission in the older population in Belgium: a longitudinal follow-up of health interview survey participants.BMC geriatrics · 2022Article
- Cross-National Comparisons of Social and Economic Contexts of Aging.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
Abstract
objectiveTo study the role of gender and marital status as risk factors for nursing home entry in the United States.
methodThe paper uses data from the Health and Retirement Study, a nationally representative survey of the older population in the United States. Multivariate logit models of the risk of nursing home entry over a 2-year follow-up period were estimated for noninstitutionalized individuals over the age of 65. A multiple imputation procedure was used to explore the sensitivity of the results to alternative assumptions about the data-generating process of missing outcome values.
resultsIn an analysis based on complete observations, women exhibited the same risk of nursing home entry as men (risk ratio [RR] = 1.01; CI: 0.90, 1.13). However, after expanding the sample to include information on nursing home use for individuals who died during the follow-up period, women were found to have a statistically lower risk of nursing home entry (RR = 0.85; CI: 0.79, 0.92). The latter result was robust to alternative assumptions about the nature of missing data. The type of sample used in the analysis did not affect the conclusions regarding the role of marital status. Divorced and widowed individuals were found to be at higher risk of nursing home admissions than married individuals in all specifications. DISCUSSION: The findings clarify the role of gender as a predictor of nursing home admissions and may provide useful prognostic information for clinicians and caregivers regarding nursing home entry risk. The study also sheds light on how conclusions about predictors of nursing home risk obtained from prospective studies with long follow-up periods can be affected by the treatment of missing outcomes due to death or attritions.
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