{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:40:49Z","timestamp":1791243649880,"version":"4.1.0"},"reference-count":45,"publisher":"SAGE Publications","issue":"5-6","license":[{"start":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T00:00:00Z","timestamp":1547769600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"KfH Foundation of Preventive Medicine"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>Background: Rising life expectancy in Western societies is accompanied by a rising incidence of care dependency (CD) among older people. Objective: The aim of the study was to examine which health-related and social determinants were associated with CD. Method: We used cross-sectional data from the first follow-up ( N = 1,699) of a prospective, population-based cohort study of older participants (\u226570 years). CD was assessed if participants required substantial assistance in at least two activities of daily living for 90+ minutes daily. Multivariate logistic regressions were applied. Results: Participants\u2019 mean age was 82 years; 18.9% were care-dependent. CD was significantly associated with older age, urinary incontinence, stroke, falls, cancer, diabetes, education level, having no partner, limited mobility, and limited physical activity. Discussion: Our research highlights the importance of promoting mobility, even in care-dependent people. Further research should investigate the role of partnership in terms of the prevention and delay of CD.<\/jats:p>","DOI":"10.1177\/0898264318822364","type":"journal-article","created":{"date-parts":[[2019,1,19]],"date-time":"2019-01-19T01:59:51Z","timestamp":1547863191000},"page":"352-360","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":38,"title":["Risk Profiles for Care Dependency: Cross-Sectional Findings of a Population-Based Cohort Study in Germany"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3871-7053","authenticated-orcid":false,"given":"Susanne","family":"Schnitzer","sequence":"first","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Bl\u00fcher","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Teti","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke","family":"Schaeffner","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Ebert","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Martus","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum T\u00fcbingen, Baden-W\u00fcrttemberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Suhr","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Qualit\u00e4t in der Pflege \/ Centre for Quality in Care (ZQP), Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adelheid","family":"Kuhlmey","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,1,18]]},"reference":[{"key":"bibr1-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000047852.05842.3C"},{"key":"bibr2-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/657508"},{"key":"bibr3-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-531-91014-7_8."},{"key":"bibr4-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-41816-7_3"},{"key":"bibr5-0898264318822364","first-page":"129","volume":"23","author":"Cleeland C. S.","year":"1994","journal-title":"Annals of the Academy of Medicine, Singapore"},{"key":"bibr6-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfw079"},{"key":"bibr7-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"bibr8-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-111841"},{"key":"bibr9-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-015-1166-5"},{"key":"bibr10-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0146967"},{"key":"bibr11-0898264318822364","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2011.628243"},{"key":"bibr12-0898264318822364","volume-title":"Soziale Ungleichheit in Deutschland","author":"Hradil S.","year":"2001","edition":"8"},{"key":"bibr13-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)17867-2"},{"key":"bibr14-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/10.1_Part_1.20"},{"key":"bibr15-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1802-172"},{"key":"bibr16-0898264318822364","first-page":"271","volume":"57","author":"Kharicha K.","year":"2007","journal-title":"The British Journal of General Practice: The Journal of the Royal College of General Practitioners"},{"key":"bibr17-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-14-70"},{"key":"bibr18-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-531-90357-6_21"},{"key":"bibr19-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/9.3_Part_1.179"},{"key":"bibr20-0898264318822364","first-page":"61","volume":"14","author":"Mahoney F. I.","year":"1965","journal-title":"Maryland State Medical Journal"},{"key":"bibr21-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71146-6"},{"key":"bibr22-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2005.00116.x"},{"key":"bibr23-0898264318822364","doi-asserted-by":"publisher","DOI":"10.29115\/SP-2008-0006"},{"key":"bibr24-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1177\/0898264309359684"},{"key":"bibr25-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-7-38"},{"key":"bibr26-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb01616.x"},{"key":"bibr27-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(99)00064-0"},{"key":"bibr28-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2008.09.006"},{"key":"bibr29-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1007\/s00115-002-1324-1"},{"key":"bibr30-0898264318822364","volume-title":"Das Roper-Logan-Tierney-Modell.Basierend auf Lebensaktivit\u00e4ten","author":"Roper N.","year":"2009"},{"key":"bibr31-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(01)00329-8"},{"key":"bibr32-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-010-9424-x"},{"key":"bibr33-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-015-0130-0"},{"key":"bibr34-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2017.1305645"},{"key":"bibr35-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(89)90065-6"},{"key":"bibr36-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/80.9.896"},{"key":"bibr37-0898264318822364","volume-title":"Pflegestatistik 2013","author":"Statistisches Bundesamt","year":"2015"},{"key":"bibr38-0898264318822364","volume-title":"Pflegestatistik 2015","author":"Statistisches Bundesamt","year":"2017"},{"key":"bibr39-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-11-78"},{"key":"bibr40-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-658-11490-9_9"},{"key":"bibr41-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-013-0519-3"},{"key":"bibr42-0898264318822364","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.51.5.730"},{"key":"bibr43-0898264318822364","doi-asserted-by":"publisher","DOI":"10.2307\/146279"},{"key":"bibr44-0898264318822364","unstructured":"World Health Organization. (2018). Social determinants of health. Retrieved from http:\/\/www.who.int\/social_determinants\/en"},{"key":"bibr45-0898264318822364","volume-title":"Global recommendations on physical activity for health","author":"World Health Organization","year":"2010"}],"container-title":["Journal of Aging and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0898264318822364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0898264318822364","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0898264318822364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:36:26Z","timestamp":1777491386000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0898264318822364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,18]]},"references-count":45,"journal-issue":{"issue":"5-6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1177\/0898264318822364"],"URL":"https:\/\/doi.org\/10.1177\/0898264318822364","relation":{},"ISSN":["0898-2643","1552-6887"],"issn-type":[{"value":"0898-2643","type":"print"},{"value":"1552-6887","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,18]]}}}