title: Loneliness and nursing home admission among rural older adults.
abstract: In this study, the authors tested the relation between loneliness and subsequent admission to a nursing home over a 4-year time period in a sample of approximately 3,000 rural older Iowans. Higher levels of loneliness were found to increase the likelihood of nursing home admission and to decrease the time until nursing home admission. The influence of extremely high loneliness on nursing home admission remained statistically significant after controlling for other variables, such as age, education, income, mental status, physical health, morale, and social contact, that were also predictive of nursing home admission. Several mechanisms are proposed to explain the link between extreme loneliness and nursing home admission. These include loneliness as a precipitant of declines in mental and physical health and nursing home placement as a strategy to gain social contact with others. Implications for preventative interventions are discussed.
authors.affiliation: Department of Psychology, Iowa State University, Ames 50011-3180, USA. drussell@iastate.edu
authors.forename: D W
authors.initials: DW
authors.lastname: Russell
authors.forename: C E
authors.initials: CE
authors.lastname: Cutrona
authors.forename: A
authors.initials: A
authors.lastname: de la Mora
authors.forename: R B
authors.initials: RB
authors.lastname: Wallace
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged / Q000523:psychology* / Q000706:statistics & numerical data; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology; D016009:Chi-Square Distribution; D003071:Cognition / Q000502:physiology; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D007484:Iowa / Q000453:epidemiology; D016015:Logistic Models; D008132:Loneliness; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data*; D015985:Precipitating Factors; D011446:Prospective Studies; D012307:Risk Factors; D012423:Rural Health; D012934:Social Isolation; D012944:Social Support; D016019:Survival Analysis