Risk of behavior problems among nursing home residents in the United States

Mary E. Jackson, William D. Spector, Peter V Rabins

Research output: Contribution to journalArticle

Abstract

This study identified personal risk factors associated with behavior problems among nursing home residents using data based on a national survey of nursing home residents. Data are based on the Institutional Population Component of the 1987 National Medical Expenditure Survey and include nursing home residents living in licensed facilities on January 1, 1987. Multiple regression analyses were conducted to examine characteristics of residents that place them at risk of behavior problems. Independent variables include physical functioning, sensory impairment, cognitive impairment, psychiatric diagnoses, and demographics. Eleven behavior problems grouped into four categories based on factor analysis serve as dependent variables: wandering/safety, aggressive behaviors, collecting behaviors, and delusions/hallucinations. Risk factors emerging as predictors included sex (male), cognitive impairment, ADL dependency, incontinence, psychiatric history, receptive communication, walking, and difficulty seeing. Risk factors differ by type of behavior problem. Results suggest a multiple etiology in which biological, psychological, and sociocultural factors all play a role in generating behavior problems in the long-term care setting.

Original languageEnglish (US)
Pages (from-to)451-472
Number of pages22
JournalJournal of Aging and Health
Volume9
Issue number4
DOIs
StatePublished - 1997

Fingerprint

Risk-Taking
nursing home
Nursing Homes
resident
Mobility Limitation
Delusions
Hallucinations
Long-Term Care
Activities of Daily Living
Health Expenditures
Mental Disorders
Statistical Factor Analysis
Psychiatry
biological factors
delusion
sociocultural factors
psychological factors
Communication
aggressive behavior
Regression Analysis

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Aging
  • Health(social science)
  • Health Professions(all)

Cite this

Risk of behavior problems among nursing home residents in the United States. / Jackson, Mary E.; Spector, William D.; Rabins, Peter V.

In: Journal of Aging and Health, Vol. 9, No. 4, 1997, p. 451-472.

Research output: Contribution to journalArticle

Jackson, Mary E. ; Spector, William D. ; Rabins, Peter V. / Risk of behavior problems among nursing home residents in the United States. In: Journal of Aging and Health. 1997 ; Vol. 9, No. 4. pp. 451-472.
@article{ed12eef8e2874c1d8c28769af87307b1,
title = "Risk of behavior problems among nursing home residents in the United States",
abstract = "This study identified personal risk factors associated with behavior problems among nursing home residents using data based on a national survey of nursing home residents. Data are based on the Institutional Population Component of the 1987 National Medical Expenditure Survey and include nursing home residents living in licensed facilities on January 1, 1987. Multiple regression analyses were conducted to examine characteristics of residents that place them at risk of behavior problems. Independent variables include physical functioning, sensory impairment, cognitive impairment, psychiatric diagnoses, and demographics. Eleven behavior problems grouped into four categories based on factor analysis serve as dependent variables: wandering/safety, aggressive behaviors, collecting behaviors, and delusions/hallucinations. Risk factors emerging as predictors included sex (male), cognitive impairment, ADL dependency, incontinence, psychiatric history, receptive communication, walking, and difficulty seeing. Risk factors differ by type of behavior problem. Results suggest a multiple etiology in which biological, psychological, and sociocultural factors all play a role in generating behavior problems in the long-term care setting.",
author = "Jackson, {Mary E.} and Spector, {William D.} and Rabins, {Peter V}",
year = "1997",
doi = "10.1177/089826439700900402",
language = "English (US)",
volume = "9",
pages = "451--472",
journal = "Journal of Aging and Health",
issn = "0898-2643",
publisher = "SAGE Publications Inc.",
number = "4",

}

TY - JOUR

T1 - Risk of behavior problems among nursing home residents in the United States

AU - Jackson, Mary E.

AU - Spector, William D.

AU - Rabins, Peter V

PY - 1997

Y1 - 1997

N2 - This study identified personal risk factors associated with behavior problems among nursing home residents using data based on a national survey of nursing home residents. Data are based on the Institutional Population Component of the 1987 National Medical Expenditure Survey and include nursing home residents living in licensed facilities on January 1, 1987. Multiple regression analyses were conducted to examine characteristics of residents that place them at risk of behavior problems. Independent variables include physical functioning, sensory impairment, cognitive impairment, psychiatric diagnoses, and demographics. Eleven behavior problems grouped into four categories based on factor analysis serve as dependent variables: wandering/safety, aggressive behaviors, collecting behaviors, and delusions/hallucinations. Risk factors emerging as predictors included sex (male), cognitive impairment, ADL dependency, incontinence, psychiatric history, receptive communication, walking, and difficulty seeing. Risk factors differ by type of behavior problem. Results suggest a multiple etiology in which biological, psychological, and sociocultural factors all play a role in generating behavior problems in the long-term care setting.

AB - This study identified personal risk factors associated with behavior problems among nursing home residents using data based on a national survey of nursing home residents. Data are based on the Institutional Population Component of the 1987 National Medical Expenditure Survey and include nursing home residents living in licensed facilities on January 1, 1987. Multiple regression analyses were conducted to examine characteristics of residents that place them at risk of behavior problems. Independent variables include physical functioning, sensory impairment, cognitive impairment, psychiatric diagnoses, and demographics. Eleven behavior problems grouped into four categories based on factor analysis serve as dependent variables: wandering/safety, aggressive behaviors, collecting behaviors, and delusions/hallucinations. Risk factors emerging as predictors included sex (male), cognitive impairment, ADL dependency, incontinence, psychiatric history, receptive communication, walking, and difficulty seeing. Risk factors differ by type of behavior problem. Results suggest a multiple etiology in which biological, psychological, and sociocultural factors all play a role in generating behavior problems in the long-term care setting.

UR - http://www.scopus.com/inward/record.url?scp=0030780065&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030780065&partnerID=8YFLogxK

U2 - 10.1177/089826439700900402

DO - 10.1177/089826439700900402

M3 - Article

C2 - 10182388

AN - SCOPUS:0030780065

VL - 9

SP - 451

EP - 472

JO - Journal of Aging and Health

JF - Journal of Aging and Health

SN - 0898-2643

IS - 4

ER -