title: Older Adults' Residential Proximity to Their Children: Changes After Cardiovascular Events.
abstract: OBJECTIVE
  To assess changes in family residential proximity after a first cardiovascular (CV) event among older adults and to identify families most likely to experience such moves.
  
  
  METHODS
  Using a nationally representative longitudinal study of older adults in the United States, we identified respondents with no prior diagnosis of CV disease (CVD). We examined subsequent development of stroke, heart attack, and/or heart failure among these older adults and examined changes in their residential proximity to their closest child before and after the CV event. We then compared the likelihood of changes in proximity between families with and without CV events. Finally, we determined which types of families are most likely to relocate following a CV event.
  
  
  RESULTS
  Having a first CV event increases the 2-year predicted probability of children and adult parents moving in with and closer to each other (relative risk ratio = 1.61 and 1.55, respectively). Families are especially likely to move after a first CV event if the older person experiencing the event is spouseless or has a daughter.
  
  
  CONCLUSIONS
  CVD is a leading cause of disability, which in turn creates a significant need for personal care among older adults. Assessment of changes in family residential proximity responding to CV events is important to fully understand the consequences of older adults' CV events including the cost of caregiving.
authors.affiliation: Department of Internal Medicine, School of Medicine, hwajungc@umich.edu.
authors.forename: HwaJung
authors.initials: H
authors.lastname: Choi
authors.forename: Robert F
authors.initials: RF
authors.lastname: Schoeni
authors.affiliation: Department of Internal Medicine, School of Medicine, Institute for Social Research.
authors.forename: Kenneth M
authors.initials: KM
authors.lastname: Langa
authors.affiliation: Department of Internal Medicine, School of Medicine, Ann Arbor Veterans Affairs Center for Clinical Management Research, Michigan. Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor.
authors.forename: Michele M
authors.initials: MM
authors.lastname: Heisler
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010287:Parent-Child Relations; D012111:Residence Characteristics
keywords: Cardiovascular events; Intergenerational proximity; Residential mobility