TY - JOUR
T1 - Homebound older persons
T2 - Prevalence, characteristics, and longitudinal predictors
AU - Cohen-Mansfield, Jiska
AU - Shmotkin, Dov
AU - Hazan, Haim
N1 - Funding Information:
The data collection for this work was supported by the U.S. National Institute on Aging [grant numbers R01-5885-03 , R01-5885-06 to the Department of Clinical Epidemiology at the Chaim Sheba Medical Center ]; and the Israel National Institute for Health Policy [grant number A/2/1998 ]. Funding sources had no role in study design; in subject recruitment; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.
PY - 2012/1
Y1 - 2012/1
N2 - The current study examines the prevalence and correlates of homebound status aiming to elucidate the predictors and implications of being homebound. Analyzed sample was drawn from two representative cohorts of older persons in Israel, including 1191 participants (mean age = 83.10 ± 5.3 years) of the first wave of the Cross-Sectional and Longitudinal Aging Study (CALAS) and 418 participants (mean age = 83.13 ± 5.2 years) of the Israeli Multidisciplinary Aging Study (IMAS). Cross-sectional and longitudinal analyses were conducted. Homebound prevalence rates of 17.7-19.5% were found. Homebound participants tended to be older, female, have obese or underweight body mass index (BMI), poorer health, lower functional status, less income, higher depressed affect, were significantly lonelier (in CALAS), and more likely to have stairs and no elevators, than their counterparts. Predictors of becoming homebound include low functional IADL status, having stairs and no elevator (in both cohorts), old age, female gender, and being obese or underweight (in CALAS). The study shows that homebound status is a prevalent problem in old-old Israelis. Economic and socio-demographic resources, environment, and function play a role in determining the older person's homebound status. Implications for preventing homebound status and mitigating its impact with regards to the Israeli context are discussed.
AB - The current study examines the prevalence and correlates of homebound status aiming to elucidate the predictors and implications of being homebound. Analyzed sample was drawn from two representative cohorts of older persons in Israel, including 1191 participants (mean age = 83.10 ± 5.3 years) of the first wave of the Cross-Sectional and Longitudinal Aging Study (CALAS) and 418 participants (mean age = 83.13 ± 5.2 years) of the Israeli Multidisciplinary Aging Study (IMAS). Cross-sectional and longitudinal analyses were conducted. Homebound prevalence rates of 17.7-19.5% were found. Homebound participants tended to be older, female, have obese or underweight body mass index (BMI), poorer health, lower functional status, less income, higher depressed affect, were significantly lonelier (in CALAS), and more likely to have stairs and no elevators, than their counterparts. Predictors of becoming homebound include low functional IADL status, having stairs and no elevator (in both cohorts), old age, female gender, and being obese or underweight (in CALAS). The study shows that homebound status is a prevalent problem in old-old Israelis. Economic and socio-demographic resources, environment, and function play a role in determining the older person's homebound status. Implications for preventing homebound status and mitigating its impact with regards to the Israeli context are discussed.
KW - Homebound status
KW - Israel
KW - Mental health
UR - http://www.scopus.com/inward/record.url?scp=80054934049&partnerID=8YFLogxK
U2 - 10.1016/j.archger.2011.02.016
DO - 10.1016/j.archger.2011.02.016
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
AN - SCOPUS:80054934049
SN - 0167-4943
VL - 54
SP - 55
EP - 60
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
IS - 1
ER -
