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A Case Control Study of the Risks for Institutionalization of Elderly People in Nova Scotia*

Published online by Cambridge University Press:  29 November 2010

Katherine Glazebrook ,
Kenneth Rockwood ,
Paul Stolee ,
John Fisk  and
J. M. Gray
Katherine Glazebrook
Affiliation:
Dalhousie University
Kenneth Rockwood
Affiliation:
Dalhousie University
Paul Stolee
Affiliation:
University of Waterloo and Dalhousie University
John Fisk
Affiliation:
Dalhousie University
J. M. Gray
Affiliation:
Dalhousie University
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Abstract

Few studies of the risks of institutionalization of the elderly have had fully specified models using multivariate analysis, and several studies have examined highly selected populations, making their generalizability uncertain. We set out to examine the risks of institutionalization in elderly people in Nova Scotia. A case-control study, executed as part of the Canadian Study of Health and Aging examined 108 incident institutional cases and 533 community-dwelling elderly controls, using a standardized assessment interview conducted by trained interviewers. Multiple logistic regression analysis showed that advancing age, presence of dementia, functional impairment, poor self-rated health, recent hospital admission, and absence of a caregiver were important risks for entry into long term care. Institutions providing long-term care for the elderly need to be able to look after populations with a high prevalence of dementia and functional impairment.

Résumé

De rares études sur les risques de placer les aînés en établissement ont utilisé des modèles d'analyse multifactorielle, tandis que plusieurs se sont concentrées sur des groupes très précis, ce qui rend leurs généralisations incertaines. Nous avons tenté d'examiner les facteurs de risque inhérents au placement en établissement d'aînés en Nouvelle-Écosse. Une étude de cas témoins, effectuée dans le cadre de «l'Enquête canadienne sur la santé et le vieillissement,» a examiné 108 cas expérimentaux et 533 cas témoins dans des habitations pour aînés au sein de la communauté, au moyen d'une entrevue d'évaluation normalisée menée par des enquêteurs formés. Une analyse de régression logistique multiple a révélé qu'un âge avancé, une manifestation de démence sénile, une incapacité fonctionnelle, la perception d'une mauvaise santé, une récenté hospitalisation et l'absence d'un pourvoyeur de soins représentaient d'importants facteurs de risque quant au placement dans un établissement de soins de longue durée. Les établissements offrant ce type de service aux aînés doivent être en mesure de prendre soin de populations affichant un taux élevé de démence senile et d'incapacité fonctionnelle.

Keywords

AgedInstitutionalizationCSHADementia.AînéplacementE.C.S.V.démence.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 13 , Issue 1 , Printemps/Spring 1994 , pp. 104 - 117
Copyright
Copyright © Canadian Association on Gerontology 1994

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