Access to Neighborhood Amenities and Services and the Risk of 2-Year Nursing Home Placement Among Persons Living With Dementia.

IF 4.9 3区 医学 Q1 GERIATRICS & GERONTOLOGY
Innovation in Aging Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI:10.1093/geroni/igaf011
Yeon Jin Choi, Gillian Fennell, Jennifer A Ailshire
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引用次数: 0

Abstract

Background and objectives: Older adults prefer to age in their homes and communities, but due to increased care needs associated with dementia, persons living with dementia are much more likely to move into nursing homes. Living in communities with greater access to neighborhood amenities and supports may reduce the risk of nursing home placement by helping persons living with dementia maintain their health and independence and lowering caregiving burden and stress. This study aims to identify neighborhood amenities and services that are associated with nursing home transitions among persons living with dementia.

Research design and methods: We used data from the 2004-2016 waves of the Health and Retirement Study (HRS), which includes 3 507 older adults with dementia, linked with the HRS Contextual Data Resource and the National Neighborhood Data Archive. Logistic regression models were estimated adjusting for sociodemographic and neighborhood characteristics.

Results: Findings suggest that access to more park areas, healthy food outlets, and home health services was associated with a lower risk of 2-year nursing home placement.

Discussion and implications: These findings emphasize the importance of neighborhood amenities and services as essential components of supportive communities, enabling persons living with dementia to age in place.

痴呆症患者获得社区设施和服务的机会以及在养老院安置2年的风险。
背景和目的:老年人更喜欢在家中和社区中安度晚年,但由于与痴呆症相关的护理需求增加,痴呆症患者更有可能搬进养老院。生活在更容易获得社区便利设施和支持的社区,可以帮助痴呆症患者保持健康和独立性,减轻护理负担和压力,从而降低入住养老院的风险。本研究的目的是确定社区设施和服务,与老年痴呆症患者的养老院过渡有关。研究设计和方法:我们使用了2004-2016年健康与退休研究(HRS)的数据,其中包括3507名老年痴呆症患者,与HRS背景数据资源和国家社区数据档案相关联。根据社会人口统计学和邻里特征对逻辑回归模型进行了估计。结果:研究结果表明,获得更多的公园区域,健康食品商店和家庭健康服务与2年养老院安置的风险较低有关。讨论和影响:这些发现强调了社区设施和服务作为支持性社区的重要组成部分的重要性,使痴呆症患者能够在适当的地方养老。
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来源期刊
Innovation in Aging
Innovation in Aging GERIATRICS & GERONTOLOGY-
CiteScore
4.10
自引率
0.00%
发文量
72
审稿时长
15 weeks
期刊介绍: Innovation in Aging, an interdisciplinary Open Access journal of the Gerontological Society of America (GSA), is dedicated to publishing innovative, conceptually robust, and methodologically rigorous research focused on aging and the life course. The journal aims to present studies with the potential to significantly enhance the health, functionality, and overall well-being of older adults by translating scientific insights into practical applications. Research published in the journal spans a variety of settings, including community, clinical, and laboratory contexts, with a clear emphasis on issues that are directly pertinent to aging and the dynamics of life over time. The content of the journal mirrors the diverse research interests of GSA members and encompasses a range of study types. These include the validation of new conceptual or theoretical models, assessments of factors impacting the health and well-being of older adults, evaluations of interventions and policies, the implementation of groundbreaking research methodologies, interdisciplinary research that adapts concepts and methods from other fields to aging studies, and the use of modeling and simulations to understand factors and processes influencing aging outcomes. The journal welcomes contributions from scholars across various disciplines, such as technology, engineering, architecture, economics, business, law, political science, public policy, education, public health, social and psychological sciences, biomedical and health sciences, and the humanities and arts, reflecting a holistic approach to advancing knowledge in gerontology.
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