{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T21:33:37Z","timestamp":1791149617106,"version":"4.1.0"},"reference-count":17,"publisher":"American Public Health Association","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1982,12]]},"abstract":"<jats:p> A statewide probability sample of 1,625 elders living in Massachusetts are studied prospectively to identify key determinants of long-term care (LTC) institutionalization. One-hundred forty-seven elders, 9 per cent of the original cohort, entered a LTC institution during the six-year investigation. Using logistic multiple regression, we examine the predictive power of 19 independent variables grouped into six categories: demographic characteristics, attitude, social context, long-term care needs, physical disability, and mental\/emotional disability. Five variables are significantly related to institutionalization: advancing age, using ambulatory aids, mental disorientation, living alone, and using assistance to perform \"instrumental\" ADL (activities of daily living). These results may be helpful to those trying to target non-institutional services to elders for use as substitutes for institutional long-term care. They may also help explain why recent experimental tests of substituting non-institutional care for institutional services have been less than successful. <\/jats:p>","DOI":"10.2105\/ajph.72.12.1373","type":"journal-article","created":{"date-parts":[[2008,11,27]],"date-time":"2008-11-27T05:16:35Z","timestamp":1227762995000},"page":"1373-1379","source":"Crossref","is-referenced-by-count":317,"title":["A prospective study of long-term care institutionalization among the aged."],"prefix":"10.2105","volume":"72","author":[{"given":"L G","family":"Branch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A M","family":"Jette","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.71.9.991"},{"key":"p_2","unstructured":"Weissert W, Wan T. Livieratos B: Effects and Costs of Day Care and Homemaker Services for the Chronically Ill: A Randomized Experiment. National Center for Health Services Research, DHEW Pub. No. (PHS) 79-3250, 1979."},{"key":"p_3","unstructured":"Townsend P: The effects of family structure on the likelihood of admission to an institution in old age: the application of a general theory. In: Shanas E, Streib G (eds): Social Structure and the Family. Englewood Cliffs: Prentice-Hall, 1965."},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/9.3_Part_1.187"},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1976.tb04282.x"},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/18.6.556"},{"key":"p_7","doi-asserted-by":"publisher","DOI":"10.1300\/J027v01n01_04"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.62.8.1094"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/16.6.504"},{"key":"p_10","unstructured":"Branch LG, Fowler FJ: The Health Care Needs of the Elderly and Chronically Disabled in Massachusetts. Boston: Center for Survey Research Monograph, University of Massachusetts and the Joint Center for Urban Studies of MIT and Harvard University, 1975."},{"key":"p_11","unstructured":"Branch LG: Understanding the Health and Social Service Needs of People Over 65. Boston: Center for Survey Research Monograph, University of Massachusetts and the Joint Center for Urban Studies of MIT and Harvard University, 1977."},{"key":"p_12","unstructured":"Branch LG, Jette AM: The Massachusetts Health Care Panel Study: Third Wave Descriptive Findings. Boston: Division on Aging Monograph, Harvard Medical School, 1982."},{"key":"p_13","unstructured":"Branch LG: Vulnerable Elders. Gerontological Monographs No. 6, Washington, DC: Gerontological Society, 1980."},{"key":"p_14","unstructured":"Reinhardt PS (ed): The SAS Supplemental Library User's Guide. Cary, NC: SAS Institute, Inc., 1980, pp 83-89."},{"key":"p_15","unstructured":"US General Accounting Office: Home Health-The Need for a National Policy to Better Provide for the Elderly. Washington, DC: GAO, HRD-78-19, 1977."},{"key":"p_16","first-page":"65","volume":"1","year":"1980","journal-title":"Home Health Care Services Q"},{"key":"p_17","first-page":"33","volume":"2","author":"Weiler P","year":"1978","journal-title":"Forum"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.72.12.1373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T19:22:25Z","timestamp":1652124145000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.72.12.1373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,12]]},"references-count":17,"journal-issue":{"issue":"12","published-print":{"date-parts":[[1982,12]]}},"alternative-id":["10.2105\/AJPH.72.12.1373"],"URL":"https:\/\/doi.org\/10.2105\/ajph.72.12.1373","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1982,12]]}}}