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Homebound older persons: prevalence, characteristics, and longitudinal predictors.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cohen-Mansfield, Jiska Shmotkin, Dov Hazan, Haim
Spatial Coverage	Israel
Description	Country affiliation: Israel Author Affiliation: Cohen-Mansfield J ( The Herczeg Institute on Aging, Tel Aviv University, P.O.B. 39040, Ramat Aviv, Tel Aviv 69978, Israel. jiska@post.tau.ac.il)
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.
File Format	HTM / HTML
ISSN	01674943
e-ISSN	18726976
DOI	10.1016/j.archger.2011.02.016
Journal	Archives of Gerontology and Geriatrics
Issue Number	1
Volume Number	54
Language	English
Publisher	Elsevier
Publisher Date	2012-01-01
Publisher Place	Netherlands
Access Restriction	Open
Subject Keyword	Discipline Geriatrics Homebound Persons Statistics & Numerical Data Aging Cross-sectional Studies Health Status Israel Longitudinal Studies Research Support, N.i.h., Extramural Research Support, U.s. Gov't, Non-p.h.s.
Content Type	Text
Resource Type	Article
Subject	Aging Health (social science) Gerontology Geriatrics and Gerontology

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