@article{c58694f95fde4f71a01501743210a189,
title = "Factors Associated With Perceived Worsened Physical Health Among Older Adults Who Are Newly Enrolled Long-term Services and Supports Recipients",
abstract = "Limited information exists on the perceived health of older adults new to receiving long-term services and supports (LTSS) compared with the year prior, posing challenges to the anticipation of health care need and optimization of wellness efforts for this growing population. In response, we sought to identify differences in perceived worsened physical health across three LTSS types (nursing home, assisted living, and home and community-based services) along with health-related quality of life (HRQoL) characteristics associated with older adults{\textquoteright} ratings of perceived worsened physical health at the start of receiving LTSS. Enrolled LTSS recipients completed a single interview assessing their HRQoL. Bivariate and multivariable logistic regression analyses were performed to determine associations in LTSS types and HRQoL characteristics with perceived worsened physical health among older adults (≥60 years old) since 1 year prior to study enrollment. Among the 467 LTSS recipients, perceived physical health was rated as worse than the previous year by 36%. Bivariate analyses revealed no differences in perceived worsened physical health across LTSS types. In adjusted analyses, religiousness/spirituality and better mental and general health perception had a decreased odds of being associated with perceived worsened physical health (P <.05). Participants with major changes in their health in the past 6 months were more likely to report perceived worsened physical health (P <.001). Findings provide information that may be used to target efforts to enhance perceived physical health and improve quality of life among LTSS enrollees.",
keywords = "aging, cross-sectional secondary analysis, health related quality of life, long-term care, self-rated health",
author = "Travers, {Jasmine L.} and Hirschman, {Karen B.} and Hanlon, {Alexandra L.} and Liming Huang and Naylor, {Mary D.}",
note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Institute on Aging and National Institute of Nursing Research at the National Institutes of Health (Grant R01AG025524 to M.D.N. at University of Pennsylvania School of Nursing). J.L.T. was supported by an award from the National Institute of Nursing Research under Grant 5 T32 NR009356-07 to M.D.N. This publication was made possible by the NewCourtland Center at the University of Pennsylvania School of Nursing, US Department of Veterans Affairs (VA), VA Office of Academic Affiliations through the VA/National Clinician Scholars Program and Yale University and by CTSA Grant TL1 TR001864 from the National Center for Advancing Translational Science (NCATS), a component of the National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, the US Department of Veterans Affairs or the US Government. Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Institute on Aging and National Institute of Nursing Research at the National Institutes of Health (Grant R01AG025524 to M.D.N. at University of Pennsylvania School of Nursing). J.L.T. was supported by an award from the National Institute of Nursing Research under Grant 5 T32 NR009356-07 to M.D.N. This publication was made possible by the NewCourtland Center at the University of Pennsylvania School of Nursing, US Department of Veterans Affairs (VA), VA Office of Academic Affiliations through the VA/National Clinician Scholars Program and Yale University and by CTSA Grant TL1 TR001864 from the National Center for Advancing Translational Science (NCATS), a component of the National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, the US Department of Veterans Affairs or the US Government. Publisher Copyright: {\textcopyright} The Author(s) 2020.",
year = "2020",
doi = "10.1177/0046958019900835",
language = "English (US)",
volume = "57",
journal = "Inquiry",
issn = "0046-9580",
publisher = "Excellus Health Plan",
}