Living arrangements, relationship to people in the household and admission to care homes for older people

McCann, M., Donnelly, M., & O'Reilly, D. (2011) Age and Ageing, 40(3), 358-363 [NILS]

Other information:

Objective: to assess the separate contributions of marital status, living arrangements and the presence of children to subsequent admission to a care home.

Design and methods: a longitudinal study derived from the health card registration system and linked to the 2001 Census, comprising 28% of the Northern Ireland population was analysed using Cox regression to assess the likelihood of admission for 51,619 older people in the 6 years following the census. Cohort members’ age, sex, marital and health status and relationship to other household members were analysed.

Results: there were 2,138 care home admissions; a rate of 7.4 admissions per thousand person years. Those living alone had the highest likelihood of admission [hazard ratio (HR) compared with living with partner 1.66 (95% CI 1.48, 1.87)] but there was little difference between the never-married and the previously married. Living with children offered similar protection as living with a partner (HR 0.97; 95% CI 0.81, 1.16). The presence of children reduced admissions especially for married couples (HR 0.67 95% CI 0.54, 0.83; models adjusting for age, gender and health). Women were more likely to be admitted, though there were no gender differences for people living alone or those co-habiting with siblings.

Implications: presence of potential caregivers within the home, rather than those living elsewhere, is a major factor determining admission to care home. Further research should concentrate on the health and needs of these co-residents.

Available online: Age and Ageing,
Output from project: 007


Recent News

Upcoming Events

Population fact or fake news: you decide!

November 4, 2019 at New Register House (The Dome), 3 West Register Street, Edinburgh EH1 3YT

An introduction to using the UK Census Longitudinal Studies (UKcenLS)

November 6, 2019 at UCL Christopher Ingold Building, 20 Gordon Street, Kings Cross, London, WC1H 0AJ

Latest Tweets