title: Alternative sources of social support and their impacts on institutional risk.
abstract: We examined the direct and buffering effects of different dimensions of social support on the risk of being institutionalized over a 2-year period. Multivariate analyses indicated that specific aspects of social support, such as having a spouse or adult child caregiver, or having a caregiving relationship of at least 3 years' duration, moderated the impact of one type of stress (being highly dependent on others for care) on the risk of entering a nursing home. Networks that included a paid provider modestly offset the impact that multiple IADL impairments had on being admitted at least once to a nursing home.
authors.affiliation: Brookdale Center on Aging, Hunter College, New York, NY 10010.
authors.forename: D N
authors.initials: DN
authors.lastname: Pearlman
authors.forename: W H
authors.initials: WH
authors.lastname: Crown
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D017028:Caregivers; D005260:Female; D016330:Frail Elderly / Q000523:psychology*; D006707:Homes for the Aged / Q000706:statistics & numerical data; D006801:Humans; D007326:Institutionalization; D015999:Multivariate Analysis; D009735:Nursing Homes / Q000706:statistics & numerical data; D012307:Risk Factors; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology