Homebound older persons: Prevalence, characteristics, and longitudinal predictors

Jiska Cohen-Mansfield; Dov Shmotkin; Haim Hazan

doi:10.1016/j.archger.2011.02.016

Homebound older persons: Prevalence, characteristics, and longitudinal predictors

Jiska Cohen-Mansfield
, Dov Shmotkin
, Haim Hazan

Research output: Contribution to journal › Article › peer-review

78 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	55-60
Number of pages	6
Journal	Archives of Gerontology and Geriatrics
Volume	54
Issue number	1
DOIs	https://doi.org/10.1016/j.archger.2011.02.016
State	Published - Jan 2012
Externally published	Yes

Bibliographical note

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.

Funding

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.

Funders	Funder number
Department of Clinical Epidemiology
National Institute on Aging	R01-5885-06, R01AG005885, R01-5885-03
Israel National Institute for Health Policy Research	A/2/1998

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Homebound status
Israel
Mental health

Access to Document

10.1016/j.archger.2011.02.016

Cite this

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title = "Homebound older persons: Prevalence, characteristics, and longitudinal predictors",

abstract = "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.",

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Homebound older persons: Prevalence, characteristics, and longitudinal predictors

Abstract

Bibliographical note

Funding

UN SDGs

Keywords

Access to Document

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