摘要
【Abstract】【Background】Naturally occurring retirement communities (NORCs) are geographic areas (generally high‐rise buildings or neighborhoods) that have a high concentration of individuals 65 years and older. Supportive service programs in NORCs can address resident needs and delay nursing home (NH) admission but understanding what factors are associated with NORC residents requiring NH admission is needed to tailor such programs. Our aim was to examine individual‐ and neighborhood‐level factors associated with NH wait‐list status in NORC residents in Ontario.【Methods】We conducted a population‐based, cross‐sectional study of Ontario adults 65 years of age or older living in a NORC building as of January 1, 2020, by linking a provincial registry of NORC high‐rise buildings with health administrative data. Older adults were classified as being on the NH wait‐list if they had an open application for a NH on the index date. We conducted a multilevel logistic regression analysis using generalized estimating equations to determine individual‐ and neighborhood‐level factors associated with NH wait‐list status, including sociodemographic, clinical, healthcare use, and building factors. We explored the role of sex and age through stratification by sex (male, female) and age (65–80 and 80+ years).【Results】Among 220,864 NORC residents, 4710 individuals (2.1%) were on the NH wait‐list. Female sex, older age, immigrant status, dementia diagnosis, receiving homecare, multimorbidity, and polypharmacy (five or more unique drug names) were associated with an increased odds of wait‐list status. Several neighborhood‐level variables were associated with a significantly increased likelihood of wait‐list status, including low income, high dependency, high ethnic diversity, and living in a building with supports.【Conclusion】NORC supportive service programs can be tailored to account for the factors associated with NH wait‐list status, allowing NORC residents who are living in the community to age in their desired place and achieve optimal health outcomes.
摘要译文
【摘要】【背景】自然发生的退休社区（NORC）是地理区域（通常是高层建筑物或社区），其个人浓度高65岁及以上。NORC中的支持服务计划可以满足居民需求并延迟疗养院（NH）的入学，但是了解与NOC居民有关的因素需要哪些因素来量身定制此类计划。我们的目的是检查安大略省NORC居民的NH等待名单与NH等待名单有关的个人和社区水平。如果老年人在索引日期已开放申请NH，则将其归类为NH等待名单。我们使用广义估计方程进行了多层次的逻辑回归分析，以确定与NH候补状态相关的个体和邻里级别的因素，包括社会人口统计学，临床，医疗保健和建筑因素。我们通过性别（男性，女性）和年龄分层（65-80和80多年）探讨了性别和年龄的作用。结果】在220,864名NORC居民中，有4710名个人（2.1％）在NH等待名单上。女性，年龄较大，移民状况，痴呆诊断，接受家庭护理，多种病态和多疗法（五个或更多独特的药物名称）与等待名单状态的几率增加有关。几个邻里级别的变量与等待名单的可能性显着增加，包括低收入，高依赖性，高种族多样性以及生活在建筑物中的建筑物中。
Maya S. Sheth [1];Paula A. Rochon (0000-0002-5973-4151) [2];Azmina Altaf [3];Alexa Boblitz (0000-0003-2939-1431) [4];Susan E. Bronskill (0000-0002-7341-0655) [5];Kevin A. Brown [6];Shoshana Hahn‐Goldberg [7];Tai Huynh [8];Samantha E. Lewis‐Fung [9];Patrick Feng [10];Rachel D. Savage (0000-0002-2746-373X) [11];. Factors associated with transition to a nursing home in older adults living in naturally occurring retirement communities[J]. Journal of the American Geriatrics Society, 2025,73(1): 88-100