Coward R T, Horne C, Peek C W
University of Florida Health Science Center, USA.
Gerontologist. 1995 Dec;35(6):732-43. doi: 10.1093/geront/35.6.732.
Whether or not rates of nursing home admissions among elders with urinary incontinence varied by their place of residence was investigated. We also examined whether any observed residential differences could be accounted for by factors other than incontinence that are known to influence rates of institutionalization. Data from the Longitudinal Study on Aging (1984-1990) were used to examine a sample who at baseline lived in community settings and reported problems with urinary incontinence (n = 719). Analyses indicate that residents of less urbanized and thinly populated nonmetropolitan counties were more likely to have a nursing home admission than elders in any other residential context. More importantly, these residential differences persisted in multivariate logistic regression models after controls were introduced for sociodemographic characteristics, measures of health status, and indicators of the social support networks of the elders.
我们调查了尿失禁老年人的养老院入住率是否因居住地点而异。我们还研究了除尿失禁外，是否有其他已知会影响机构化率的因素可以解释所观察到的居住差异。利用老龄化纵向研究（1984 - 1990年）的数据，对基线时居住在社区环境且报告有尿失禁问题的样本（n = 719）进行了研究。分析表明，与其他居住环境中的老年人相比，城市化程度较低、人口稀少的非大都市县的居民更有可能入住养老院。更重要的是，在对社会人口学特征、健康状况指标以及老年人社会支持网络指标进行控制后，这些居住差异在多变量逻辑回归模型中仍然存在。
