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500 results on '"Pezzin, Liliana E."'

54. Stability and changes in living arrangements: relationship to nursing home admission and timing of placement

Author

Kasper, Judith D., Pezzin, Liliana E., and Rice, J. Bradford

Subjects
Nursing homes -- Analysis, Hospitals -- Admission and discharge, Hospitals -- Analysis, Health, Psychology and mental health, Seniors
Abstract

Objectives. To examine whether stability of living arrangements and changes in household composition--both types and frequency--influence nursing home placement or timing to entry among older people. Methods. Data from the first 5 waves of the Assets and Health Dynamics of the Elderly (1993-2002) on 8,093 persons aged 70 years or older at baseline are used in probit and hazard models to predict nursing home entry and time to entry. Results. Stable living arrangements carry different risks of institutionalization. Those living continuously alone or with others were at highest risk; at lowest risk were those living continuously with a spouse or the same child (lowest overall). Changes in household composition were protective against nursing home entry and slowed time to entry; types of change were not influential when number of changes was taken into account. Discussion. Results suggest that stability of living arrangements in and of itself is not protective against institutionalization. Having options that allow one to change living arrangements over time in response to changing needs for assistance is of importance if the goal is to avoid institutional care or extend community residence prior to entry. Key Words: Generational studies--Health services use--Living arrangements. doi: 10.1093/geronb/gbq023.

Published
2010

57. Parental marital disruption, family type, and transfers to disabled elderly parents

Author

Pezzin, Liliana E., Pollak, Robert A., and Schone, Barbara Steinberg

Subjects
Children of divorced parents -- Behavior, Children of divorced parents -- Psychological aspects, Children of divorced parents -- Social aspects, Parent and child -- Research, Marital status -- Influence, Marital status -- Psychological aspects, Health, Psychology and mental health, Seniors
Abstract

Objectives. The objective of this study was to investigate the effect of parental marital status, marital history, and family type on intergenerational living arrangements and adult children's lime and cash transfers to their unpartnered disabled elderly parents. Methods. We used data from the Asset and Health Dynamics Among the Oldest Old survey to estimate the joint probabilities that an adult child provides time and/or cash transfers to a parent and to analyze a five-level categorical variable capturing parent child living arrangements. Results. The estimates suggest significant detrimental effects of parental divorce and step relationship on time transfers and on the probability of coresidence with the index child. Family type, as captured by the composition of the index child's sibling network according to kin relationship to the parent, also affected transfers and living arrangement choices of adult children. Discussion. The findings that transfers from adult children to their unpartnered disabled elderly parents depend on parental marital status and kin relationship suggest that changing family patterns are altering the traditional role of the family as a support network. These findings raise concerns about the care likely to be available to future cohorts of elderly persons who will have experienced substantially higher rates of divorce, remarriage, and step parenthood than the cohort considered in this study. Key Words: Divorce--Remarriage--Family type--Intergenerational transfers--Living arrangements.

Published
2008

85. Limb amputation and limb deficiency: epidemiology and recent trends in the United States

Author

Dillingham, Timothy R., Pezzin, Liliana E., and MacKenzie, Ellen J.

Subjects
Extremities (Anatomy) -- Abnormalities -- Case studies, Amputation -- Case studies, Health, Case studies, Abnormalities
Abstract

ABSTRACT Background. The purpose of this study was to provide a comprehensive perspective on the epidemiology and time trends in the incidence of limb amputations and limb deficiency in the [...]

Published
2002

100. The prevalence of lower limb loss in children and associated costs of prosthetic devices: A national study of commercial insurance claims

Author

McLarney, Mitra, Pezzin, Liliana E, McGinley, Emily L, Prosser, Laura, and Dillingham, Timothy R

Abstract

Background: Although the incidence of major pediatric lower limb loss secondary to either congenital deficiencies or acquired amputations is relatively low, the prevalence of lower limb loss among children in the United States (US) remains unknown.Objectives: To estimate the prevalence of major lower limb loss, and the associated prosthetic services use and costs among commercially-insured children in the US.Study design: Observational, retrospective, longitudinal cohort study.Methods: The IBM MarketScan®Commercial Databasewas used to identify children (<18 years) with major lower limb loss in the US between 2009 and 2015. Descriptive statistics were used to characterize pediatric cases according to sociodemographic and limb loss characteristics. Multivariate models assessed factors associated with annual prosthetic visits, prosthetic-related costs, and overall medical costs.Results: Of the 36.5 million children in the MarketScandatabase, 14,038 had a major lower limb loss, yielding a prevalence estimate of 38.5 cases per 100,000 commercially insured children in the US during the 7-year study period. Congenital deficiencies accounted for 84% of cases, followed by 13.5% from trauma. Only 10.1% had at least one prosthesis-related visit during any 12-month period following their cohort entry. Among those, the mean annual prosthetic-related costs ranged from $50 to $29,112 with a median annual cost of $2778 (interquartile range = $4567). Annual coinsurance and copays for prosthetic services accounted for nearly half of the overall annual out-of-pocket outlays with medical care for these children.Conclusion: Pediatric lower limb loss results in lifelong prosthetic needs. This study informs insurers and policy-makers regarding the prevalence of these patients and the medical costs for their care.

Published
2024
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