Why older people living with a spouse are less likely to be institutionalized: the role of socioeconomic factors and health characteristics

Scandinavian Journal of Public Health
Elina Nihtilä, Pekka Martikainen

Abstract

To examine whether the lower risk of institutionalization among older adults living with a spouse as compared with those living alone or with other persons could be explained by socioeconomic factors, housing, and chronic medical conditions. We used population-based follow-up data on Finnish adults aged 65 years and over (N=280,722), covering the period from January 1998 to September 2003, to analyse the risk of entering into long-term institutional care by living arrangements. Kaplan-Meier estimates and Cox regression models were applied. Among men, those living alone had a 70% higher risk and those living with other persons a 56% higher risk of being institutionalized than those living with a spouse, independently of age, region, and urbanicity. The corresponding figures for women were 29% and 21%. Among men, the lower risk of institutionalization among those living with a spouse than among those living alone was partly explained by higher educational level, occupation-based social class, household income, home ownership, house type, better housing conditions, and lower likelihood of having depressive symptoms. Almost the same factors helped to explain the lower risk among women, except that those living with a spouse were no...Continue Reading

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Citations

Jul 11, 2009·International Psychogeriatrics·Melanie LuppaSteffi G Riedel-Heller
May 8, 2009·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Heta Moustgaard, Pekka Martikainen
Jan 1, 2014·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Pekka MartikainenMike Murphy
Jun 5, 2014·Journal of General Internal Medicine·Stephanie K EnnisElizabeth A Phelan
Mar 31, 2015·European Journal of Public Health·Clément PimouguetWeili Xu
Sep 14, 2015·Enfermería clínica·Sandra Pinzón-PulidoFederico Alonso Trujillo
Jul 25, 2009·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Alice O AndrewsWilliam J Peacock
Jan 27, 2012·International Journal of Older People Nursing·Solveig T TomstadOlle Söderhamn
Mar 27, 2015·Health & Social Care in the Community·Jutta PulkkiPekka Rissanen
Oct 12, 2013·Australasian Journal on Ageing·Shinichi TaniharaHiroshi Une
Apr 9, 2014·Health Economics·Pieter BakxEddy van Doorslaer
Mar 9, 2012·Gerontology·Bart H L AmentGertrudis I J M Kempen
Sep 28, 2017·Journal of the American Geriatrics Society·Takahiro NakamuraYuji Nishiwaki
Dec 10, 2017·Aging Clinical and Experimental Research·Maarit KauppiMarja Jylhä
Oct 9, 2018·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Kazumi OtaToshihiko Matsumoto
May 14, 2009·Age and Ageing·Sheelah Connolly, Dermot O'Reilly
Jul 10, 2010·European Journal of Ageing·Mari AaltonenMarja Jylhä

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