Factors Associated with Nursing Home Admission after Stroke in Older Women

Christina L. Bell, Andrea Z. LaCroix, Manisha Desai, Haley Hedlin, Stephen R. Rapp, Crystal Cene, Jyoti Savla, Tetyana Shippee, Sylvia Wassertheil-Smoller, Marcia L. Stefanick, Kamal Masaki

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background We examined the social and economic factors associated with nursing home (NH) admission in older women, overall and poststroke. Methods The Women's Health Initiative (WHI) included women aged 50-79 years at enrollment (1993-1998). In the WHI Extension Study (2005-2010), participants annually reported any NH admission in the preceding year. Separate multivariate logistic regression models analyzed social and economic factors associated with long-term NH admission, defined as an admission on 2 or more questionnaires, overall and poststroke. Results Of 103,237 participants, 8904 (8.6%) reported NH admission (2005-2010); 534 of 2225 (24.0%) women with incident stroke reported poststroke NH admission. Decreased likelihoods of NH admission overall were demonstrated for Asian, Black, and Hispanic women (versus whites, adjusted odds ratio [aOR] =.35-.44, P

Original languageEnglish (US)
Pages (from-to)2329-2337
Number of pages9
JournalJournal of Stroke and Cerebrovascular Diseases
Volume24
Issue number10
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

Keywords

  • Disability
  • ethnicity
  • institutionalization
  • long-term care
  • race
  • social support

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Rehabilitation
  • Cardiology and Cardiovascular Medicine

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    Bell, C. L., LaCroix, A. Z., Desai, M., Hedlin, H., Rapp, S. R., Cene, C., Savla, J., Shippee, T., Wassertheil-Smoller, S., Stefanick, M. L., & Masaki, K. (2015). Factors Associated with Nursing Home Admission after Stroke in Older Women. Journal of Stroke and Cerebrovascular Diseases, 24(10), 2329-2337. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.06.013