{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:16:10Z","timestamp":1790766970270,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["DA6\u2010184677"],"award-info":[{"award-number":["DA6\u2010184677"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Naturally occurring retirement communities (NORCs) are geographic areas (generally high\u2010rise buildings or neighborhoods) that have a high concentration of individuals 65\u2009years 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\u2010 and neighborhood\u2010level factors associated with NH wait\u2010list status in NORC residents in Ontario.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a population\u2010based, cross\u2010sectional study of Ontario adults 65\u2009years of age or older living in a NORC building as of January 1, 2020, by linking a provincial registry of NORC high\u2010rise buildings with health administrative data. Older adults were classified as being on the NH wait\u2010list 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\u2010 and neighborhood\u2010level factors associated with NH wait\u2010list 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\u201380 and 80+ years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 220,864 NORC residents, 4710 individuals (2.1%) were on the NH wait\u2010list. 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\u2010list status. Several neighborhood\u2010level variables were associated with a significantly increased likelihood of wait\u2010list status, including low income, high dependency, high ethnic diversity, and living in a building with supports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NORC supportive service programs can be tailored to account for the factors associated with NH wait\u2010list status, allowing NORC residents who are living in the community to age in their desired place and achieve optimal health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19038","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T09:07:06Z","timestamp":1718701626000},"page":"88-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Factors associated with transition to a nursing home in older adults living in naturally occurring retirement communities"],"prefix":"10.1111","volume":"73","author":[{"given":"Maya S.","family":"Sheth","sequence":"first","affiliation":[{"name":"Women's Age Lab Women's College Hospital  Toronto Ontario Canada"},{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"},{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5973-4151","authenticated-orcid":false,"given":"Paula A.","family":"Rochon","sequence":"additional","affiliation":[{"name":"Women's Age Lab Women's College Hospital  Toronto Ontario Canada"},{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"},{"name":"ICES  Toronto Ontario Canada"},{"name":"Institute of Health Policy, Management and Evaluation University of Toronto  Toronto Ontario Canada"},{"name":"Division of Geriatric Medicine, Department of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azmina","family":"Altaf","sequence":"additional","affiliation":[{"name":"ICES  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2939-1431","authenticated-orcid":false,"given":"Alexa","family":"Boblitz","sequence":"additional","affiliation":[{"name":"ICES  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7341-0655","authenticated-orcid":false,"given":"Susan E.","family":"Bronskill","sequence":"additional","affiliation":[{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"},{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"},{"name":"ICES  Toronto Ontario Canada"},{"name":"Institute of Health Policy, Management and Evaluation University of Toronto  Toronto Ontario Canada"},{"name":"Sunnybrook Research Institute Sunnybrook Health Sciences Centre  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"},{"name":"Public Health Ontario  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoshana","family":"Hahn\u2010Goldberg","sequence":"additional","affiliation":[{"name":"NORC Innovation Centre University Health Network  Toronto Ontario Canada"},{"name":"Leslie Dan Faculty of Pharmacy University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tai","family":"Huynh","sequence":"additional","affiliation":[{"name":"NORC Innovation Centre University Health Network  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha E.","family":"Lewis\u2010Fung","sequence":"additional","affiliation":[{"name":"NORC Innovation Centre University Health Network  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Feng","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management and Evaluation University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2746-373X","authenticated-orcid":false,"given":"Rachel D.","family":"Savage","sequence":"additional","affiliation":[{"name":"Women's Age Lab Women's College Hospital  Toronto Ontario Canada"},{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"},{"name":"ICES  Toronto Ontario Canada"},{"name":"Institute of Health Policy, Management and Evaluation University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,18]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Vertical Aging: The Future of Aging in Place in Urban Canada","author":"Recknagel J"},{"key":"e_1_2_11_3_1","unstructured":"Health Quality Ontario.Quality monitor. 2012. 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