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The Gerontologist, Vol 32, Issue 4 527-535, Copyright © 1992 by The Gerontological Society of America

ARTICLES

Alternative sources of social support and their impacts on institutional risk

DN Pearlman and WH Crown
Brookdale Center on Aging, Hunter College, New York, NY 10010.

We examined the direct and buffering effects of different dimensions of social support on the risk of being institutionalized over a 2-year period. Multivariate analyses indicated that specific aspects of social support, such as having a spouse or adult child caregiver, or having a caregiving relationship of at least 3 years' duration, moderated the impact of one type of stress (being highly dependent on others for care) on the risk of entering a nursing home. Networks that included a paid provider modestly offset the impact that multiple IADL impairments had on being admitted at least once to a nursing home.


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