title: Determinants of frail elders' lengths of stay in meals on wheels.
abstract: Home-delivered meal programs such as Meals on Wheels are low-cost long-term care services that have potential for contributing to the delay of costly institutionalization and to the maintenance of self-sufficiency and quality of life among community-dwelling frail elders. In this study, reasons for elders' termination from a Meals on Wheels program and determinants of their lengths of stay in the program are analyzed. The findings show that the reasons for elders' termination are largely associated with their deteriorating health. But it was also found that a significantly higher proportion of African American elders than White elders discontinued their participation due to their dissatisfaction with the meals offered or their poor appetite. The Cox proportional hazard regression analysis also confirmed that elders' health status, race, and appetite are significantly associated with the hazard of elders' termination. Strategies to improve the acceptability of the services are discussed.
authors.affiliation: School of Social Work, State University of New York at Buffalo 14260-1050, USA. ngchoi@acsu.buffalo.edu
authors.forename: N G
authors.initials: NG
authors.lastname: Choi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005522:Food Services / Q000706:statistics & numerical data*; D016330:Frail Elderly; D006301:Health Services Needs and Demand; D006299:Health Services for the Aged; D006304:Health Status; D006699:Home Care Services / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017533:Marital Status; D009518:New York; D016016:Proportional Hazards Models; D044469:Racial Groups