title: [Predictors of institutionalization of elderly persons in dependency situation in Andalusia].
abstract: OBJECTIVE
  Identifying preferences regarding type of care and risk factors for institutionalization of elderly persons in dependency situations in Andalusia.
  
  
  METHODS
  The data on 200,039 persons registered in the System for Autonomy and Dependency Care over the period 2007-2012 were analysed. The study population was described in terms of: age, dependency situation, preferences, support network and clinical factors at the time of inclusion in the study. Separate analysis was made for men and women. A logistic regression model was designed to determine the risk factors for institutionalization for each sex.
  
  
  RESULTS
  87,4% of women and 85,9% of men expressed their wish to receive care in their own home. The risk of institutionalization is three times higher among men than among women. Among women, the risks of institutionalization are: level of dependency, wishing to move into a residential care home, medium consistency and fragility of support network and being diagnosed with dementia. Among men, the risks are: wishing to move into a residential care home and low or medium consistency of support network.
  
  
  CONCLUSIONS
  Care in the home is the preferred alternative for elderly persons in dependency situations. The risk of institutionalization is conditioned more by the preferences of the person and their family and the characteristics of the support network than by individual's clinical condition.
authors.affiliation: Escuela Andaluza de Salud Pública (EASP), Granada, España. Electronic address: sandra.pinzon.easp@juntadeandalucia.es.
authors.forename: Sandra
authors.initials: S
authors.lastname: Pinzón-Pulido
authors.affiliation: Universidad de Jaén, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Garrido Peña
authors.affiliation: Agencia de Calidad Sanitaria de Andalucía, Sevilla, España.
authors.forename: Víctor
authors.initials: V
authors.lastname: Reyes Alcázar
authors.affiliation: Universidad de Sevilla, España.
authors.forename: Joaquín Salvador
authors.initials: JS
authors.lastname: Lima-Rodríguez
authors.affiliation: Consejería de Igualdad, Salud y Políticas Sociales de la Junta de Andalucía, Sevilla, España.
authors.forename: María Fernanda
authors.initials: MF
authors.lastname: Raposo Triano
authors.affiliation: Agencia de Servicios Sociales y Dependencia de Andalucía (ASSDA), Sevilla, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Martínez Domene
authors.affiliation: Agencia de Servicios Sociales y Dependencia de Andalucía (ASSDA), Sevilla, España.
authors.forename: Federico
authors.initials: F
authors.lastname: Alonso Trujillo
mesh_terms: D000368:Aged; D003704:Dementia; D003858:Dependency, Psychological; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D007326:Institutionalization; D008297:Male; D009735:Nursing Homes; D012307:Risk Factors; D012944:Social Support; D013030:Spain
keywords: Anciano frágil; Dependencia; Dependency; Frail elderly; Home care services; Institucionalización; Nursing homes; Servicios de atención de salud a domicilio