Predictors of nursing home admission in a biracial population

Am J Public Health. 1993 Dec;83(12):1765-7. doi: 10.2105/ajph.83.12.1765.


Racial differences in predictors of institutionalization were studied in a biracial North Carolina cohort (n = 4074). During 3 years of follow-up, 8.5% of Whites and 6.4% of African Americans were admitted to nursing homes. African Americans were one half as likely as Whites to be institutionalized after adjustment for other risk factors. Among Whites, impaired activities of daily living and cognition were the strongest predictors; among African Americans, impaired instrumental activities of daily living and prior history of nursing home use were strongest. Racial differences in nursing home use were not explained by financial and social support or physical and cognitive impairment.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Activities of Daily Living
  • African Americans / statistics & numerical data*
  • Aged
  • Aged, 80 and over
  • Cognition
  • European Continental Ancestry Group / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • Forecasting
  • Health Services Research
  • Homes for the Aged / statistics & numerical data*
  • Humans
  • Logistic Models
  • Male
  • North Carolina
  • Nursing Homes / statistics & numerical data*
  • Patient Admission / statistics & numerical data*
  • Patient Readmission / statistics & numerical data
  • Risk Factors