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Updated: Sep 24, 2025
04:57
Establishing a Competing Risk Regression Nomogram Model for Survival Data
Published on: October 23, 2020
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Competing Risk Analysis of Time to Communal Residence for Elder Orphans
Regina Roofeh1,2, Sean A P Clouston3, Dylan M Smith3
1Program in Public Health, 12301Stony Brook Medicine, Stony Brook, NY, USA.
Summary
Elder Orphans, isolated seniors without care, face a higher risk of moving to residential care. Those at risk of becoming elder orphans showed a decreased risk of relocation, highlighting the importance of caregiving support for aging in place.
Area of Science:
- Gerontology
- Sociology
- Public Health
Background:
- Elder Orphans are older adults lacking social and physical caregiving support.
- The absence of caregivers may compel Elder Orphans to relocate to residential care facilities instead of aging in place.
Purpose of the Study:
- To investigate the risk of residential care relocation for Elder Orphans and those at risk of becoming elder orphans.
- To analyze the impact of caregiving support on relocation decisions among older adults.
Main Methods:
- Utilized data from the National Health and Aging Trends Study (NHATS) spanning nine waves (2011-2019).
- Employed Competing Risk Survival Analyses to assess relocation risks.
Main Results:
- Elder Orphans demonstrated a significantly higher risk of moving to residential care facilities (adjusted SHR = 1.571; p = 0.043).
- Individuals at risk of becoming elder orphans exhibited a significantly decreased risk of residential care placement (adjusted SHR = 0.726; p = 0.037).
Conclusions:
- Lack of caregiving support significantly increases relocation risk for Elder Orphans.
- Understanding and addressing the caregiving needs of older adults is crucial for supporting aging in place and improving health outcomes.
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