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Journal of Aging and Health
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Nursing Home Utilization in Adults

A Prospective Population-Based Study

Deborah L. Wingard, PhD

University of California, San Diego

Denise Williams-Jones

University of California, San Diego

Janice McPhillips, MS

University of California, San Diego

Robert M. Kaplan, PhD

University of California, San Diego

Elizabeth Barret-Connor, MD

University of California, San Diego

Rates of nursing home utilization between 1972 and 1986 were determined for 1,302 men and women living in an upper-middle-class community in Southern California. Leading diagnostic reasons for admission were dementia, cancer, and stroke, and the leading nondiagnostic reason for admission was an inability to carry out activities of daily living. In this cohort, rates of nursing home utilization increased with age. Women at all ages used nursing homes at a higher rate than men, although their probability of survival once admitted was greater. Admission rates were higher over time or prior to death than when observed cross-sectionally. Rates were highest in the year prior to death but declined at time of death.

Journal of Aging and Health, Vol. 2, No. 2, 179-193 (1990)
DOI: 10.1177/089826439000200203
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 GerontologistHome page
G. T. Buhr, M. Kuchibhatla, and E. C. Clipp
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Gerontologist, February 1, 2006; 46(1): 52 - 61.
[Abstract] [Full Text] [PDF]