ArticleBMC geriatrics2022
Aging-in-place preferences and institutionalization among Japanese older adults: a 7-year longitudinal study.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Loneliness and Sleep Quality Among Older Adults Living in Nursing Homes.Nursing reports (Pavia, Italy) · 2026Article
- Article
- Factors associated with admission to elderly medical-welfare facilities in South Korea: a cross-sectional machine-learning study.BMJ open · 2025Article
- Stay Active, Stay Healthy: A Cross-Sectional View of the Impact of Physical Activity Levels on Health Parameters of Older Adults Institutionalized in Nursing Homes of Barcelona.Life (Basel, Switzerland) · 2025Article
- Central Sensitization-Related Symptoms and Influencing Factors on Health-Related Quality of Life among Frail Older Adults in Senior Day Care Centers: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Comparative Analysis of Social Networks in Institutionalized Older Adults versus Aging-in-Place Scenarios.Geriatrics (Basel, Switzerland) · 2024Article
- Does the community service environment affect the willingness of older adults people to socialize for older adults care?Frontiers in public health · 2024Article
- "What If I Die and No One Notices?" A Qualitative Study Exploring How Living Alone and in Poverty Impacts the Health and Well-Being of Older People in Hong Kong.International journal of environmental research and public health · 2022Article
- Aspects of cognition that impact aging-in-place and long-term care planning.Journal of the American Geriatrics Society · 2022Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Asia, where autonomous decision-making is not well accepted, little is known about whether and how individuals' preferences are considered when deciding where they receive care. This study examined whether individuals preferring to age in place if confined to bed were less likely to be institutionalized, using longitudinal data of Japanese older adults.
methodsWe analyzed nationally representative data of 1,290 community-dwelling older adults aged 70 and above. Baseline data were collected in 1999, shortly before the long-term care insurance system was introduced. The outcome was measured as self- or proxy-reported years of institutionalization over seven years. The explanatory variable was whether individuals preferred to age in place if they were confined to bed. Participants were asked about their desired place of care (facility, home, or other) if confined to bed. Covariates were sociodemographic and health-related factors. We used Cox proportional hazards models and calculated hazard ratios (HRs) with 95% confidence intervals (CIs) to evaluate the association of aging-in-place preferences if confined to bed with institutionalization. We applied multiple imputation to deal with missing data.
resultsSeventy-eight respondents (6.0%) were institutionalized during the follow-up period. Compared to individuals preferring to reside in long-term care facilities if confined to bed (48.7%), those preferring to stay in their homes (39.6%) were less likely to be institutionalized, even after adjusting for relevant covariates (HR = 0.47, 95% CI 0.27-0.79 for model 1 including residential status; HR = 0.45, 95% CI 0.27-0.76 for model 2 including marital status and co-resident children).
conclusionsOur findings suggest that individuals' aging-in-place preferences tend to be considered under the long-term care insurance system. Individuals' preferences should be shared with families and clinicians when deciding the place of care.
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