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Cited by 117Geriatric Care and Nursing HomesDementia and Cognitive Impairment ResearchPalliative Care and End-of-Life Issues

The Transition From Home to Nursing Home Mortality Among People With Dementia

Aneshensel, C. S., Pearlin, L. I., Levy-Storms, L., Schuler, R. H.·2000·The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
DOI 10.1093/geronb/55.3.s152
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Abstract

OBJECTIVES: This article examines the impact of nursing home admission on mortality among persons with dementia, comparing social selection and social causation explanations of excess deaths occurring immediately after relocation. METHODS: Data from a multiwave panel survey of caregivers to persons with Alzheimer's Disease (N = 555) are analyzed with proportional hazard models of time from illness onset to death of the care recipient and, for those admitted to a nursing home (N = 272), time from admission until death (N = 272). RESULTS: Relocation is associated with a two-fold increase in mortality risk net of health status. Social selection effects were found for poor health, advanced age, being male, and being White. Patients admitted for reasons other than poor health also experienced elevated mortality immediately following admission, which is inconsistent with a social selection interpretation. However, none of the specific indicators of stressful admission or unsatisfactory nursing home conditions are significantly related to mortality. DISCUSSION: These data demonstrate selection processes for postadmission mortality, but indicate that the admission of patients in poor health may not fully account for the elevation in mortality that occurs immediately following admission.

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  • Worsening psychological and physical health in caregivers can adversely impact the individual with dementia, for example by increasing the likelihood of institutionalization of the person with dementia.

    “In addition, worsening psychological and physical health in caregivers can adversely impact the individual with dementia—for example, they increase the likelihood of institutionalization of the person with dementia, which is associated with decreased psychological and physical health and increased mortality in individuals with dementia [11], [12], [13], [14].”

    From A novel two-day intervention reduces stress in caregivers of persons with dementia (2018) · cites this paper as [11]

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Authors
Aneshensel, C. S., Pearlin, L. I., Levy-Storms, L., & Schuler, R. H.
Affiliations
University of California, Los Angeles (US)
Corresponding author
Aneshensel, C. S.
Venue
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Publisher
Oxford University Press (OUP)
Published
2000-05-01
Volume
55
Issue
3
Pages
S152-S162
ISSN
  • 1079-5014 (ISSN-L)
  • 1758-5368
DOI
10.1093/geronb/55.3.s152
OpenAlex
W2153837391
Cited by
117
References
54
Citations by year
2026: 2 · 2025: 4 · 2024: 1 · 2023: 6 · 2022: 3 · 2021: 7 · 2020: 13 · 2019: 6 · 2018: 4 · 2017: 4 · 2016: 6 · 2015: 6 · 2014: 2 · 2013: 9 · 2012: 1
FWCI
0.83
Type
journal article
Language
en
Open access
closed
Locations
  • The Journals of Gerontology Series B (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r37mh042122-12)
  • National Institute of Mental Health (2R37 MH42122)
Topics
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
dementia, nursing home admission, mortality, Alzheimer's disease, social selection, social causation, excess mortality, caregiver perspectives, health status
MeSH terms
Aged, Aged, 80 and over, Alzheimer Disease, California, Female, Homes for the Aged, Humans, Male, Nursing Homes, Patient Admission, Causality, Survival Rate

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