Functioning, Forgetting, or Failing Health: Which Factors Are Associated With a Community-Based Move Among Older Adults?
Functioning, Forgetting, or Failing Health: Which Factors Are Associated With a Community-Based Move Among Older Adults?
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DOI：
10.1093/geronb/gbv075
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发表时间：
2016-11-01
影响因子：
6.2
通讯作者：
Escarce, Jose
中科院分区：
文献类型：
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作者：
Friedman, Esther M.;Weden, Margaret M.;Escarce, Jose
旨在检查中老年人的健康和功能是否与社区搬迁可能性增加相关。健康与退休研究 (HRS) 中 51 岁及以上成年人的两年期数据和离散时间生存模型被用来评估 2000 年至 2010 年社区搬迁的可能性，作为 11 项健康和功能指标的函数。被诊断患有心脏病、中风、高血压、肺病和精神问题的受访者更多与没有此类诊断的人相比，在研究期间更有可能搬家。日常生活活动和日常生活功能的工具性活动、认知障碍和跌倒的变化也与研究期间搬家的可能性增加有关。尽管糖尿病与局部搬家的可能性增加有关，但癌症和糖尿病与整体搬家无关。在大多数情况下，与搬家可能性显着相关的是长期存在的而非最近的诊断。尽管某些健康状况会促使中老年人搬家，但其他健康状况却不会。这项工作对于理解健康和功能的不同方面在老年人迁移可能性中的作用具有重要意义。
To examine whether the health and functioning of middle-aged and older adults are associated with an increased likelihood of community-based moves.Biennial data from adults aged 51 and older in the Health and Retirement Study (HRS) and discrete-time survival models were used to assess the likelihood of community-based moves from 2000 to 2010 as a function of 11 measures of health and functioning.Respondents diagnosed with heart disease, stroke, hypertension, lung disease, and psychiatric problems were more likely to move during the study period than those with no such diagnosis. Changes in activities of daily living and instrumental activities of daily living functioning, cognitive impairment, and falls were also related to a greater likelihood of moving during the study period. Cancer and diabetes were not related to overall moves, although diabetes was associated with an increased likelihood of local moves. For the most part, it was longstanding not recent diagnoses that were significantly related to the likelihood of moving.Although some health conditions precipitate moves among middle-aged and older adults, others do not. This work has important implications for understanding the role of different aspects of health and functioning in the likelihood of migration among older adults.