

@mastersthesis {6563,
	title = {Income and severity of functional impairment in functionally impaired elderly living in the community},
	year = {1990},
	note = {9238741},
	school = {The Johns Hopkins University, School of Public Health and Hygiene},
	type = {phdDr.{P}.{H}.},
	address = {Ann Arbor},
	abstract = {This thesis examines the association between income and severity of functional impairment in a national sample of community-resident functionally impaired elderly aged 65 years and over. Data from the 1982 National Long-Term Care survey were analyzed (n = 4410). The survey was cosponsored by the Health Care Financing Administration (HCFA) and the Office of the Assistant Secretary of Planning and Evaluation (ASPE) of the Department of Health and Human Services. The federal poverty index (FPL) was used to categorize the study sample into four income groups; poor (below 100\% of FPL), near-poor (100-149\% of FPL), modest (150-199\% of FPL), and high (200\% of FPL and above). Functional impairment was assessed in terms of seven"basic activities of daily living" (BADL) and ten "instrumental activities of daily living" (IADL). BADL and IADL assess functional impairment in self-care, mobility, and home-management. The study examined the relationship between income and number of BADL functional impairments and between income and probability of impairment in each BADL and IADL. Results indicated that income was not associated with severity of functional impairment among impaired elderly living in the community. The study results indicated that certain health conditions (hip fracture, stroke, and neurological conditions) and some demographic factors (living with spouse or others, advanced age, having Medicare and Medicaid health insurance, and infrequent phone contacts with friends and relatives) were associated with a statistically significantly higher number of BADL functional impairment and with a higher odds of impairment in each BADL and IADL. Results of this study are only generalizable to the population of community-resident functionally impaired elderly and cannot be generalized to the population of both impaired and unimpaired elderly. This study is based on cross-sectional data. It does not take into consideration the effects of differential institutionalization and mortality rates by income on the relationship between income and functional impairment in the community-resident functionally impaired elderly population. Further research is needed to clarify the relationship between income prior to age 65 and functional impairment after age 65. Policy implications of the study address eligibility for and program components of community-based long-term care programs.},
	keywords = {0351:Gerontology, 0573:Public health, Gerontology, Health and environmental sciences, Public health, Social sciences},
	url = {http://search.proquest.com/docview/303939353?accountid=14270},
	author = {Semaan, Salam Joseph}
}
