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Nursing home admission for African Americans with Alzheimer's disease
BACKGROUND: For African Americans with Alzheimer's disease (AD), little is known about the time to, and risk factors for, nursing home admission (NHA). Using Consortium To Establish a Registry for Alzheimer's Disease (CERAD) data, this study provides information on NHA for African American...
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| Published in: | The journals of gerontology. Series B, Psychological sciences and social sciences Psychological sciences and social sciences, 1999-07, Vol.54B (4), p.M365 |
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| Language: | English |
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| container_issue | 4 |
| container_start_page | M365 |
| container_title | The journals of gerontology. Series B, Psychological sciences and social sciences |
| container_volume | 54B |
| creator | Miller, S C Prohaska, T R Furner SE |
| description | BACKGROUND: For African Americans with Alzheimer's disease (AD), little is known about the time to, and risk factors for, nursing home admission (NHA). Using Consortium To Establish a Registry for Alzheimer's Disease (CERAD) data, this study provides information on NHA for African Americans. METHODS: This longitudinal study followed subjects (N=122) for as long as 7 years and used survival analysis methodology and variable values at baseline and at follow-up to identify NHA risk factors. Studied were sociodemographic variables, physical symptom and disease status variables, the Blessed Dementia Rating Scale (including subscores), the Clinical Dementia Rating (CDR), and the Mini-Mental State Examination. RESULTS: Only 25% of African Americans with AD were estimated to have had a NHA by 3.4 years (confidence interval 2.1, 5.4). Being unmarried resulted in a five times earlier NHA (p< .01), and each unit increase in the CDR resulted in a 74% earlier NHA (p |
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Using Consortium To Establish a Registry for Alzheimer's Disease (CERAD) data, this study provides information on NHA for African Americans. METHODS: This longitudinal study followed subjects (N=122) for as long as 7 years and used survival analysis methodology and variable values at baseline and at follow-up to identify NHA risk factors. Studied were sociodemographic variables, physical symptom and disease status variables, the Blessed Dementia Rating Scale (including subscores), the Clinical Dementia Rating (CDR), and the Mini-Mental State Examination. RESULTS: Only 25% of African Americans with AD were estimated to have had a NHA by 3.4 years (confidence interval 2.1, 5.4). Being unmarried resulted in a five times earlier NHA (p< .01), and each unit increase in the CDR resulted in a 74% earlier NHA (p<.01). In the absence of the CDR, limitation in activities of daily living was associated with earlier NHA (p<.05). CONCLUSIONS: Findings suggest that African Americans with AD spend a substantial time in the community prior to NHA, a longer time than observed in similar studies among whites. This raises public health and clinical concern that African Americans with AD may be residing in the community with substantial unmet needs, and that their caregivers have potentially high levels of burden. The independent associations with time to NHA observed here, although few in number, are consistent with other related research.</description><identifier>ISSN: 1079-5014</identifier><identifier>EISSN: 1758-5368</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><ispartof>The journals of gerontology. Series B, Psychological sciences and social sciences, 1999-07, Vol.54B (4), p.M365</ispartof><rights>Copyright National Library of Medicine - MEDLINE Abstracts Jul 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,30980</link.rule.ids></links><search><creatorcontrib>Miller, S C</creatorcontrib><creatorcontrib>Prohaska, T R</creatorcontrib><creatorcontrib>Furner SE</creatorcontrib><title>Nursing home admission for African Americans with Alzheimer's disease</title><title>The journals of gerontology. Series B, Psychological sciences and social sciences</title><description>BACKGROUND: For African Americans with Alzheimer's disease (AD), little is known about the time to, and risk factors for, nursing home admission (NHA). Using Consortium To Establish a Registry for Alzheimer's Disease (CERAD) data, this study provides information on NHA for African Americans. METHODS: This longitudinal study followed subjects (N=122) for as long as 7 years and used survival analysis methodology and variable values at baseline and at follow-up to identify NHA risk factors. Studied were sociodemographic variables, physical symptom and disease status variables, the Blessed Dementia Rating Scale (including subscores), the Clinical Dementia Rating (CDR), and the Mini-Mental State Examination. RESULTS: Only 25% of African Americans with AD were estimated to have had a NHA by 3.4 years (confidence interval 2.1, 5.4). Being unmarried resulted in a five times earlier NHA (p< .01), and each unit increase in the CDR resulted in a 74% earlier NHA (p<.01). In the absence of the CDR, limitation in activities of daily living was associated with earlier NHA (p<.05). CONCLUSIONS: Findings suggest that African Americans with AD spend a substantial time in the community prior to NHA, a longer time than observed in similar studies among whites. This raises public health and clinical concern that African Americans with AD may be residing in the community with substantial unmet needs, and that their caregivers have potentially high levels of burden. The independent associations with time to NHA observed here, although few in number, are consistent with other related research.</description><issn>1079-5014</issn><issn>1758-5368</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNis0KgkAUhYcoyH7e4dKmlTCjTupSwmjVqr0MOeYVnam5StDTN0QP0Nmcj--cGQtEKrNQxods7pmneSi5SJZsRdRxH5EmASsvkyM0d2jtoEHVAxKhNdBYB0Xj8KYMFIP-AsELxxaK_t1q9G5PUCNpRXrDFo3qSW9_vWa7U3k9nsOHs89J01h1dnLGT1UkuBA8knn81-kD93M7jQ</recordid><startdate>19990701</startdate><enddate>19990701</enddate><creator>Miller, S C</creator><creator>Prohaska, T R</creator><creator>Furner SE</creator><general>Oxford University Press</general><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>19990701</creationdate><title>Nursing home admission for African Americans with Alzheimer's disease</title><author>Miller, S C ; Prohaska, T R ; Furner SE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_2101102593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miller, S C</creatorcontrib><creatorcontrib>Prohaska, T R</creatorcontrib><creatorcontrib>Furner SE</creatorcontrib><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miller, S C</au><au>Prohaska, T R</au><au>Furner SE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nursing home admission for African Americans with Alzheimer's disease</atitle><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle><date>1999-07-01</date><risdate>1999</risdate><volume>54B</volume><issue>4</issue><spage>M365</spage><pages>M365-</pages><issn>1079-5014</issn><eissn>1758-5368</eissn><abstract>BACKGROUND: For African Americans with Alzheimer's disease (AD), little is known about the time to, and risk factors for, nursing home admission (NHA). Using Consortium To Establish a Registry for Alzheimer's Disease (CERAD) data, this study provides information on NHA for African Americans. METHODS: This longitudinal study followed subjects (N=122) for as long as 7 years and used survival analysis methodology and variable values at baseline and at follow-up to identify NHA risk factors. Studied were sociodemographic variables, physical symptom and disease status variables, the Blessed Dementia Rating Scale (including subscores), the Clinical Dementia Rating (CDR), and the Mini-Mental State Examination. RESULTS: Only 25% of African Americans with AD were estimated to have had a NHA by 3.4 years (confidence interval 2.1, 5.4). Being unmarried resulted in a five times earlier NHA (p< .01), and each unit increase in the CDR resulted in a 74% earlier NHA (p<.01). In the absence of the CDR, limitation in activities of daily living was associated with earlier NHA (p<.05). CONCLUSIONS: Findings suggest that African Americans with AD spend a substantial time in the community prior to NHA, a longer time than observed in similar studies among whites. This raises public health and clinical concern that African Americans with AD may be residing in the community with substantial unmet needs, and that their caregivers have potentially high levels of burden. The independent associations with time to NHA observed here, although few in number, are consistent with other related research.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub></addata></record> |
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| identifier | ISSN: 1079-5014 |
| ispartof | The journals of gerontology. Series B, Psychological sciences and social sciences, 1999-07, Vol.54B (4), p.M365 |
| issn | 1079-5014 1758-5368 |
| language | eng |
| recordid | cdi_proquest_journals_210110259 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford Journals Online |
| title | Nursing home admission for African Americans with Alzheimer's disease |
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