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Only community dwelling participants, aged \u226565\u2009years at the time of the survey were included in this study (<jats:italic>n<\/jats:italic>\u00a0=\u20091930). Participants were followed until NHA, death or end of study period, i.e., December 31, 2018. The risk of NHA was calculated using a competing risk analysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Over the follow-up period (median 5.29\u2009years), 226 individuals were admitted to a NH and 268 died without admission to a NH. The overall cumulative risk of NHA was 1.4, 5.7 and 13.1% at respectively 1\u2009year, 3\u2009years and end of follow-up period. After multivariable adjustment, higher age, low educational attainment, living alone and use of home care services were significantly associated with a higher risk of NHA. A number of need factors (e.g., history of falls, suffering from urinary incontinence, depression or Alzheimer\u2019s disease) were also significantly associated with a higher risk of NHA. On the contrary, being female, having multimorbidity and increased contacts with health care providers were significantly associated with a decreased risk of NHA. Perceived health and limitations were both significant determinants of NHA, but perceived health was an effect modifier on limitations and vice versa.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our findings pinpoint important predictors of NHA in older adults, and offer possibilities of prevention to avoid or delay NHA for this population. Practical implications include prevention of falls, management of urinary incontinence at home and appropriate and timely management of limitations, depression and Alzheimer\u2019s disease. Focus should also be on people living alone to provide more timely contacts with health care providers. Further investigation of predictors of NHA should include contextual factors such as the availability of nursing-home beds, hospital beds, physicians and waiting lists for NHA.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12877-022-03496-4","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T13:04:27Z","timestamp":1666271067000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Predictors of nursing home admission in the older population in Belgium: a longitudinal follow-up of health interview survey participants"],"prefix":"10.1186","volume":"22","author":[{"given":"Finaba","family":"Berete","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefaan","family":"Demarest","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana","family":"Charafeddine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"De Ridder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Vanoverloop","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herman","family":"Van Oyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Bruy\u00e8re","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Van der Heyden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,10,20]]},"reference":[{"key":"3496_CR1","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1159\/000339729","volume":"33","author":"M Luppa","year":"2012","unstructured":"Luppa M, Riedel-Heller SG, Stein J, Leicht H, K\u00f6nig H-H, van den Bussche H, et al. 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J Am Geriatr Soc. 2006;54:593\u20137.","journal-title":"J Am Geriatr Soc"}],"container-title":["BMC Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12877-022-03496-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12877-022-03496-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12877-022-03496-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T14:04:30Z","timestamp":1666274670000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgeriatr.biomedcentral.com\/articles\/10.1186\/s12877-022-03496-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,20]]},"references-count":53,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["3496"],"URL":"https:\/\/doi.org\/10.1186\/s12877-022-03496-4","relation":{},"ISSN":["1471-2318"],"issn-type":[{"value":"1471-2318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,20]]},"assertion":[{"value":"14 December 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 October 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was carried out through an individual linkage between the BHIS 2013 data and the BCHI data. The BHIS 2013 was carried out in line with the Belgian privacy legislation. The BHIS 2013 has been approved by the ethics committee of the University hospital of Ghent on October 1st, 2012 (advice EC UZG 2012\/658). The participation to the BHIS is voluntary. There was no formal written and signed consent foreseen. Participation was equivalent to giving consent. This is in compliance with the Good epidemiological practice \u2013 IEA (International Epidemiological Association) Guidelines for proper conduct of epidemiological research: \u201cFormal written consent is unnecessary if the research is carried out in settings that pose no threat to the potential participants, when it is stated that taking part is voluntary and it is obvious that no benefits are at risk of being lost if potential participants refuse to take part.\u201d . Such situations often arise in studies based on self-administered questionnaires or telephone interviews where providing the data involves giving de facto consent, such as BHIS. This consent approach was approved by the aforementioned ethics committee of the University hospital of Ghent. The selected households where notified about the survey, its practical organization, the institution in charge, the commissioners of the survey and its content via a letter and an information leaflet personally addressed to them. It was also clearly stipulated in the letter and the leaflet that participation is voluntary. All data were fully anonymized before their access. Data linkage was authorized by the Information Security Committee (local reference: Deliberation No. 17\/119 of December 19, 2017, amended on September 3, 2019). All methods were performed in accordance with the Declarations of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"807"}}