This study, based on data from the 1980 census, is concerned with clarifying the relation of demographic factors to institutionalization of the very old. Particular scrutiny was given to the role of close kin, especially spouses and children, as explanatory variables. Factors significantly associated with institutionalization, as determined through a logit regression model, included the absence of a spouse, the absence of a child, advanced age, and the presence of a disability. Marital status was a more significant factor for males than for females in determining institutionalization.
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References
1.
Aldrich, J. E.
and F. Nelson. 1984. Linear Probability, Logit, and Probit Models. Beverly Hills, CA: Sage.
2.
Beresford, J. C.
and A. M. Rivlin. 1966. "Privacy, Poverty, and Old Age."Demography3:247-258.
3.
Bikson, T. K.
and J. Goodchild. 1978. "Old and Alone." Paper presented at the meeting of the American Psychological Association, Toronto.
4.
Doty, P.1986. "Family Care of the Elderly: The Role of Public Policy."Milbank Memorial Fund Quarterly/ Health and Society64:34-75.
5.
George, L. K.1984. "The Institutionalized." Pp. 339-354 in Handbook on the Aged in the United States, edited by E. B. Palmore. Westport, CT: Academic Press.
6.
Ginsburg, P. B.
and D. M. Koretz. 1983. "Bed Availability and Hospital Utilization: Estimates of the `Roemer Effect."'Health Care Financing Review5(1):87-92.
7.
Gove, W. R.1973. "Sex, Marital Status and Mortality."American Journal of Sociology79:45-67.
8.
Greenblatt, M.
and M. Norman. 1983. "Deinstitutionalization: Health Consequences for the Mentally Ill."Annual Review of Public Health4:131-154.
9.
Gurin, G.
, J. Veroff, and S. Feld. 1960. Americans View Their Mental Health. New York: Basic Books.
10.
Hanushek
, Eric and John Jackson. 1977. Statistical Methods for Social Scientists. New York: Academic Press.
11.
Harrington, C. J.
and J. H. Swan. 1984. "Medicaid Nursing Home Reimbursement Policies, Rates and Expenditures."Health Care Financing Review6(1):39-49.
12.
Kane, R. L.
and R. A. Kane. 1980. "Long-Term Care: Can Our Society Meet the Needs of Its Elderly?"Annual Review of Public Health1:227-253.
13.
Kobrin, F. E.1976. "The Fall in Household Size and the Rise of the Primary Individual in the United States."Demography31:127-138.
14.
Lee, G. R.1980. "Kinship in the Seventies: A Decade Review of Research and Theory."Journal of Marriage and the Family42:923-934.
15.
Levit, K. R.1985. "Personal Health Care Expenditures, By State: 1966-1982."Health Care Financing Review6(4):1-49.
16.
Michael, R. T.
, V. R. Fuchs, and S. R. Scott. 1980. "Changes in the Propensity to Live Alone: 1950-1976."Demography17:39-56.
17.
Ouslander, J. G.
and J. C. Beck. 1982. "Defining the Health Problems of the Elderly."Annual Review of Public Health3:55-83.
18.
Rosenwaike, I.
and B. Logue. 1985. The Extreme Aged in America: A Portrait of an Expanding Population. Westport, CT: Greenwood.
19.
Rowe, J. W.1985. "Health Care of the Elderly."New England Journal of Medicine312:827-835.
20.
Siegel, J. S.
and C. M. Taeuber. 1982. "The 1980 Census and the Elderly: New Data Available to Planners and Practitioners."Gerontologist22:144-150.
21.
Soldo, B. J.1981. "The Living Arrangements of the Elderly in the Near Future." Pp. 491-512 in Aging: Social Change, edited by S. B. Kiesler, J. N. Morgan, and V. K. Oppenheimer. New York: Academic Press.
22.
Soldo, B. J.1985. "In-Home Services for the Dependent Elderly."Research on Aging7:281-304.
23.
Soldo, B. J.
and K. G. Manton. 1985. "Health Status and Service Needs of the Oldest Old: Current Patterns and Future Trends."Milbank Memorial Fund Quarterly/ Health and Society63:286-319.
24.
Townsend, P.1965. "The Effects of Family Structure on the Likelihood of Admission to an Institution in Old Age: The Application of a General Theory."In Social Structure and the Family Generational Relations, edited by E. Shanas and G. Streib. Englewood Cliffs, NJ: Prentice-Hall.
25.
U.S. Bureau of the Census
. 1973. Census of Population: 1970. Persons in Institutions and Other Group Quarters. Final Report P C(2)4E. Washington, DC: Government Printing Office.
26.
U.S. Bureau of the Census
. 1983. "General Social and Economic Characteristics."Chapter C in Census of Population: 1980, Vol. 1, Part 1, U.S. Summary. Washington, DC: Government Printing Office.
27.
U.S. Bureau of the Census
. 1984a. "Projections of the Population of the United States, by Age, Sex, and Race: 1983 to 2080."In Current Population Reports, Series P-25, No. 952. Washington, DC: Government Printing Office.
28.
U.S. Bureau of the Census
. 1984b. "Detailed Population Characteristics."In Census of Population: 1980, Vol. 1, Part 1, U.S. Summary. Washington, DC: Government Printing Office.
29.
Wolf, A. D.1983. Kin Availability and the Living Arrangements of Older Women. Washington, DC: Urban Institute.
