title: Residential relocations among older people over the course of more than 10 years.
abstract: OBJECTIVE
  The objective of this study was to describe the rates of residential relocations over the course of 10.5 years and evaluate differences in these relocation rates according to gender and decedent status.
  
  
  METHODS
  Prospective, longitudinal study with monthly telephone follow-up for up to 126 months.
  
  
  METHODS
  Greater New Haven, CT.
  
  
  METHODS
  There were 754 participants, aged 70 years or older, who were initially community-living and nondisabled in their basic activities of daily living.
  
  
  METHODS
  Residential location was assessed during monthly interviews and included community, assisted living facility, and nursing home. A residential relocation was defined as a change of residential location for at least 1 week and included relocations within (eg, community-community) or between (community- assisted living) locations. We calculated the rates of relocations per 1000 patient-months and evaluated differences by gender and decedent status.
  
  
  RESULTS
  Sixty-six percent of participants had at least one residential relocation (range 0-12). Women had lower rates of relocations from nursing home to community (rate ratio [RR] 0.59, P = .02); otherwise, there were no gender differences. Decedents had higher rates of relocation from community to assisted living (RR 1.71, P = .002), from community to nursing home (RR 3.64, P < .001), between assisted living facilities (RR 3.65, P < .001), and from assisted living to nursing home (RR 2.5, P < .001). In decedents, relocations from community to nursing home (RR 3.58, P < .001) and from assisted living to nursing home (RR 3.3, P < .001) were most often observed in the last year of life.
  
  
  CONCLUSIONS
  Most older people relocated at least once during 10.5 years of follow-up. Women had lower rates of relocation from nursing home to community. Decedents were more likely to relocate to a residential location providing a higher level of assistance, compared with nondecedents. Residential relocations were most common in the last year of life.
authors.affiliation: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT; Department of Internal Medicine, Section of Geriatric Medicine, University of Amsterdam, Amsterdam, The Netherlands. Electronic address: Bianca.vanes@yale.edu.
authors.forename: Bianca M
authors.initials: BM
authors.lastname: Buurman
authors.affiliation: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: Mark
authors.initials: M
authors.lastname: Trentalange
authors.affiliation: School of Nursing, Quinnipiac University, Hamden, CT.
authors.forename: Nicholas R
authors.initials: NR
authors.lastname: Nicholson
authors.affiliation: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: Joanne M
authors.initials: JM
authors.lastname: McGloin
authors.affiliation: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: Evelyne A
authors.initials: EA
authors.lastname: Gahbauer
authors.affiliation: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: Heather G
authors.initials: HG
authors.lastname: Allore
authors.affiliation: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Gill
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003237:Connecticut; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011157:Population Dynamics / Q000706:statistics & numerical data* / Q000639:trends; D011446:Prospective Studies; D036301:Qualitative Research; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012112:Residential Facilities / Q000706:statistics & numerical data*; D012737:Sex Factors
keywords: Residential location; assisted living facility; gender; housing; longitudinal study; nursing home; relocations