Rights statement: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Age and Ageing following peer review. The definitive publisher-authenticated versionBarbara Hanratty, Daniel Stow, Danni Collingridge Moore, Nicole K Valtorta, Fiona Matthews, Loneliness as a risk factor for care home admission in the English Longitudinal Study of Ageing, Age and Ageing, Volume 47, Issue 6, November 2018, Pages 896–900, https://doi.org/10.1093/ageing/afy095 is available online at: https://academic.oup.com/ageing/article/47/6/896/5051695
Accepted author manuscript, 1.19 MB, PDF document
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Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
| <mark>Journal publication date</mark> | 1/11/2018 |
|---|---|
| <mark>Journal</mark> | Age and Ageing |
| Issue number | 6 |
| Volume | 47 |
| Number of pages | 5 |
| Pages (from-to) | 896-900 |
| Publication Status | Published |
| Early online date | 10/07/18 |
| <mark>Original language</mark> | English |
Background: loneliness has an adverse effect on health and well-being, and is common at older ages. Evidence that it is a risk factor for care home admission is sparse.
Objective: to investigate the association between loneliness and care home admission.
Setting: English Longitudinal Study of Ageing (ELSA).
Participants: two-hundred fifty-four individuals across seven waves (2002-15) of ELSA who moved into care homes were age, sex matched to four randomly selected individuals who remained in the community.
Methods: logistic regression models examined associations between loneliness, socio-demographic factors, functional status and health on moving into care homes.
Results: loneliness (measured by the University of California, Los Angeles (UCLA) Loneliness Scale and a single-item question from the Center for Epidemiological Studies Depression Scale (CES-D)) was associated with moving into a care home (CES-D OR 2.13, 95% CI 1.43-3.17, P = 0.0002, UCLA OR 1.81, 95% CI 1.01-3.27, P = 0.05). The association persisted after adjusting for established predictors (age, sex, social isolation, depression, memory problems including diagnosis of Alzheimer's disease, disability, long-term physical health and wealth). The impact of loneliness (measured by CES-D) on admission accounted for a population attributable fraction of 19.9% (95% CI 7.8-30.4%).
Conclusions: loneliness conveys an independent risk of care home admission that, unlike other risk factors, may be amenable to modification. Tackling loneliness amongst older adults may be a way of enhancing wellbeing and delaying or reducing the demand for institutional care.