The dynamics of being homebound over time: A prospective study of Medicare beneficiaries, 2012-2018.
The dynamics of being homebound over time: A prospective study of Medicare beneficiaries, 2012-2018.
复制标题
DOI：
10.1111/jgs.17086
复制
发表时间：
2021-06
影响因子：
6.3
通讯作者：
Ornstein KA
中科院分区：
文献类型：
--
作者：
Ankuda CK;Husain M;Bollens-Lund E;Leff B;Ritchie CS;Liu SH;Ornstein KA
大约有200万人，即美国老年人的6%，呆在家里。在横断面研究中，呆在家里的老年人的发病率和死亡率很高，但几乎没有证据表明呆在家里后的纵向结果。这项研究的目的是前瞻性地评估6年来新近在家居住的社区老年人的居家状况、持续的社区居住和死亡的动态。前瞻性队列研究使用了2011-2018年来自国家健康和老龄化趋势研究(NHATS)的数据，NHATS是一项关于美国老龄化的年度、具有全国代表性的纵向研究。2012年，267名新回家的老年人。居家状态通过自我报告定义为居住在社区，但在前一个月很少/从未离开家。半居家被定义为只有在有困难或帮助的情况下才离开家。在新回家一年后，33.1%的人仍然呆在家里，22.8%的人完全独立，23.8%的人半在家，2.2%的人住养老院，18.0%的人死亡。返乡状态是高度动态的；在返家6年后，13.5%的人仍然呆在家里，65.0%的人已经死亡。在1岁时从家庭生活中恢复过来与较年轻的年龄和较低的在日常生活活动，特别是洗澡方面接受帮助的基线比率有关。归家状态是一种动态状态。即使是短暂的，呆在家里也与功能衰退和死亡密切相关。需要优先确定新回家的老年人，并制定干预措施以减轻相关的负面后果。
Approximately 2 million people, or 6% of older adults in the United States, are homebound. In cross-sectional studies, homebound older adults have high levels of morbidity and mortality, but there is little evidence of longitudinal outcomes after becoming homebound. The aim of this research is to prospectively assess over 6 years the dynamics of homebound status, ongoing community residence, and death in a population of community-dwelling older adults who are newly homebound. Prospective cohort study using 2011–2018 data from the National Health and Aging Trends Study (NHATS), an annual, nationally-representative longitudinal study of aging in the United States. Two hundred and sixty seven newly homebound older adults in 2012. Homebound status was defined via self-report as living in the community but rarely/never leaving home in the prior month. Semi-homebound was defined as leaving the house only with difficulty or help. One year after becoming newly homebound, 33.1% remained homebound, 22.8% were completely independent, 23.8% were semi-homebound, 2.2% were in a nursing home, and 18.0% died. Homebound status is highly dynamic; 6 years after becoming homebound, 13.5% remained homebound and 65.0% had died. Recovering from being homebound at 1 year was associated with younger age and lower baseline rates of receiving help with activities of daily living, in particular, with bathing. Homebound status is a dynamic state. Even if transient, becoming homebound is strongly associated with functional decline and death. Identifying newly homebound older adults and developing interventions to mitigate associated negative consequences needs to be prioritized.
登录
查看更多内容
影响因子：
5.1
作者：
Miller, Nancy A.;Kirk, Adele
通讯作者：
Kirk, Adele
影响因子：
6.3
作者：
Edes, Thomas;Kinosian, Bruce;Hossain, Monir
通讯作者：
Hossain, Monir
影响因子：
39.2
作者：
Leff, B;Burton, L;Burton, JR
通讯作者：
Burton, JR
影响因子：
6.3
作者：
Segelman, Micah;Szydlowski, Jill;Greener, Helena Temkin
通讯作者：
Greener, Helena Temkin
影响因子：
6.3
作者：
Qiu WQ;Dean M;Liu T;George L;Gann M;Cohen J;Bruce ML
通讯作者：
Bruce ML