title: Changes of Health Status and Institutionalization Among Older Adults in China.
abstract: OBJECTIVE
  To examine rates of institutionalization of Chinese older adults aged 65+ and the impact of changes in health status on the likelihood of institutionalization.
  
  
  METHODS
  Using data from the 2002, 2005, 2008, and 2011 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), admission rates for each 3-year interval between waves were calculated. Logistic regression models were used to assess the changes of five health status variables as risk factors.
  
  
  RESULTS
  Between the first (2002-2005) and third (2008-2011) intervals, the institutionalization rate increased from 0.5% to 0.8%. Risk of institutionalization increased 70% for respondents with declining ability to perform activities of daily living, 53% for those with declining cognitive function, and 44% for those with increasing number of chronic diseases.
  
  
  CONCLUSIONS
  Development of policies and programs to improve older adults' health status is essential to delay institutionalization. Quality of workforce is also critical in meeting the care needs.
authors.affiliation: National Economics Research Center and School of Economics, Guangdong University of Finance and Economics, Guangzhou, China.
authors.forename: Rong
authors.initials: R
authors.lastname: Peng
authors.affiliation: Duke University, Durham, NC, USA bei.wu@duke.edu.
authors.forename: Bei
authors.initials: B
authors.lastname: Wu
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D002908:Chronic Disease; D003072:Cognition Disorders; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007326:Institutionalization / Q000706:statistics & numerical data*; D008137:Longitudinal Studies; D008297:Male; D012307:Risk Factors
keywords: activities of daily living; cognitive function; health status changes; institutionalization; long-term care