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Predictors of mortality following involuntary interinstitutional relocation
Ann Laughlin1, Mary Parsons, Karl D Kosloski
1School of Nursing, Creighton University, Omaha, NE 68178, USA.
Journal of Gerontological Nursing
|September 29, 2007
Summary
Relocation significantly increases mortality risk in older adults. This study identified involuntary relocation as a key predictor of death, highlighting the need for protective strategies.
Area of Science:
- Gerontology
- Public Health
- Sociology
Background:
- Relocation is a significant stressor for older adults, often leading to negative health outcomes.
- Limited research exists on identifying older adults most vulnerable to adverse effects of relocation.
- Involuntary relocation, such as nursing home closures, presents unique challenges.
Purpose of the Study:
- To determine the impact of relocation on mortality rates among older adults.
- To identify specific risk factors associated with increased mortality following relocation.
- To address the paucity of literature on relocation's negative effects in the elderly.
Main Methods:
- A comparative study design was employed, contrasting residents of a closed nursing home with residents of a control institution.
- Mortality data was collected and analyzed for both groups.
- A Cox regression model was utilized to identify significant predictors of mortality.
Main Results:
- A statistically significant difference in mortality rates was observed between the relocated group and the control group.
- Involuntary relocation itself emerged as the sole significant predictor of mortality in the Cox regression analysis.
- No other demographic or health-related factors reached statistical significance in predicting mortality.
Conclusions:
- Involuntary relocation poses a significant threat to the survival of older adults.
- Further research is imperative to develop and evaluate strategies mitigating the adverse effects of forced relocation.
- Interventions aimed at supporting older adults during relocation are crucial for improving health outcomes.
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