Revisiting the Role of Gender and Marital Status as Risk Factors for Nursing Home Entry.

The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
Maria Casanova

Abstract

To study the role of gender and marital status as risk factors for nursing home entry in the United States. The 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. In 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 ad...Continue Reading

References

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Citations

Jun 9, 2021·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Jennifer Ailshire, Deborah Carr

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