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DETERMINANTS OF LIVING ARRANGEMENTS FOR ELDERS TRANSITIONING FROM A NURSING HOME INTO THE COMMUNITY

机译:老人从疗养院过渡到社区的生活安排的决定因素

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摘要

The Money Follows the Person (MFP) Demonstration allows nursing facility residents to transition into community living arrangements. Research has shown racial differences in living arrangements – Blacks are more likely than Whites to live in multigenerational households. Transitioning into the community may also be accompanied by challenges (i.e. lack of housing). This study examines the influence of race, choice, and transition challenges on living arrangements in N=659 (n=495, 75% White, n=164, 25% Black) older (aged 65+) MFP participants in Connecticut. Multinomial and binomial regression models predicted living arrangements in unmarried and married participants. Findings show that among unmarried participants, Blacks are more likely to live alone or with family, and Whites are more likely to live with a live-in caregiver/supervised housing. White participants were also more likely to report having helped choose their home. Women and participants with more functional needs are more likely to live with family as well as with a live-in caregiver/supervised housing compared to those living alone. Having service challenges was a negative predictor of living with family, and having financial challenges was a negative predictor of living with a live-in caregiver/supervised housing compared to living alone. Among married participants, having more functional needs predicts living with a spouse, while those with housing challenges are less likely to live with a spouse. Research should further explore the impact of transition challenges on rebalancing programs. Findings can influence community housing plans and inform the field of gerontology with respect to cultural patterns in housing and service use.
机译:金钱跟随人(MFP)演示使护理机构居民能够过渡到社区生活安排。研究表明,生活安排上存在种族差异-黑人比白人更有可能居住在多代家庭中。过渡到社区可能还会遇到挑战(即缺乏住房)。这项研究调查了康涅狄格州N = 659(n = 495、75%白人,n = 164、25%黑人)年龄(65岁以上)MFP参与者中种族,选择和过渡挑战对生活安排的影响。多项式和二项式回归模型可预测未婚和已婚参与者的生活安排。研究结果表明,在未婚参与者中,黑人更有可能独自生活或与家人一起生活,而白人则更有可能居住在有保姆/有监督者的住所中。白人参与者也更有可能报告曾帮助选择自己的住所。与单身者相比,具有更多功能需求的妇女和参与者更有可能与家人以及住家保姆/有监督的住房一起生活。与独自生活相比,服务挑战是与家人同住的消极预测,而经济挑战则是与照料者/有监督的住所住在一起的消极预测。在已婚参与者中,具有更多功能需求的人可以预测与配偶同住,而那些住房有困难的人则不太可能与配偶同住。研究应进一步探讨过渡挑战对再平衡计划的影响。这些发现可以影响社区的住房计划,并在住房和服务使用中的文化模式方面为老年医学领域提供信息。

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    C. Fabius; J.T. Robison;

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  • 年(卷),期 -1(1),Suppl 1
  • 年度 -1
  • 页码 564
  • 总页数 1
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