Barbara Hanratty
Loneliness as a risk factor for care home admission in the english longitudinal study of ageing
Hanratty, Barbara; Stow, Daniel; Moore, Danni Collingridge; Valtorta, Nicole K.; Matthews, Fiona
Authors
Daniel Stow
Danni Collingridge Moore
Nicole K. Valtorta
Professor Fiona Matthews F.Matthews@hull.ac.uk
Pro-Vice-Chancellor Research and Enterprise
Abstract
Background: loneliness has an adverse effect on health and well-being, and is common at older ages. Evidence that it is a risk factor for care home admission is sparse. Objective: to investigate the association between loneliness and care home admission. Setting: English Longitudinal Study of Ageing (ELSA). Participants: two-hundred fifty-four individuals across seven waves (2002–15) of ELSA who moved into care homes were age, sex matched to four randomly selected individuals who remained in the community. Methods: logistic regression models examined associations between loneliness, socio-demographic factors, functional status and health on moving into care homes. Results: loneliness (measured by the University of California, Los Angeles (UCLA) Loneliness Scale and a single-item question from the Center for Epidemiological Studies Depression Scale (CES-D)) was associated with moving into a care home (CES-D OR 2.13, 95% CI 1.43–3.17, P = 0.0002, UCLA OR 1.81, 95% CI 1.01–3.27, P = 0.05). The association persisted after adjusting for established predictors (age, sex, social isolation, depression, memory problems including diagnosis of Alzheimer’s disease, disability, long-term physical health and wealth). The impact of loneliness (measured by CES-D) on admission accounted for a population attributable fraction of 19.9% (95% CI 7.8–30.4%). Conclusions: loneliness conveys an independent risk of care home admission that, unlike other risk factors, may be amenable to modification. Tackling loneliness amongst older adults may be a way of enhancing wellbeing and delaying or reducing the demand for institutional care.
Citation
Hanratty, B., Stow, D., Moore, D. C., Valtorta, N. K., & Matthews, F. (2018). Loneliness as a risk factor for care home admission in the english longitudinal study of ageing. Age and ageing, 47(6), 896-900. https://doi.org/10.1093/ageing/afy095
Journal Article Type | Article |
---|---|
Publication Date | Nov 1, 2018 |
Deposit Date | Dec 8, 2023 |
Journal | Age and Ageing |
Print ISSN | 0002-0729 |
Electronic ISSN | 1468-2834 |
Publisher | Oxford University Press |
Volume | 47 |
Issue | 6 |
Pages | 896-900 |
DOI | https://doi.org/10.1093/ageing/afy095 |
Public URL | https://hull-repository.worktribe.com/output/4452568 |
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