Family structure and transitions into and out of homeboundness: Evidence from the National Health and Aging Trends Study, 2011–2024

Clicks: 8
ID: 330827
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #119 of 124 articles by views in the journals of gerontology series b, psychological sciences and social sciences

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 124 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Objectives Homebound status refers to needing assistance or an assistive device to leave home, being normally unable to leave home, or experiencing leaving home as a major effort. This study examines transitions into and out of homeboundness and whether family structure is associated with these transitions, with attention to gender differences. Methods Using National Health and Aging Trends Study data from 2011–2024, transition probabilities across four states—independent, homebound, nursing home residence, and deceased—were estimated using an unadjusted continuous-time homogeneous Markov model. Multinomial logistic regression models then assessed associations between family structure and subsequent transitions, including gender interactions. Results Among respondents who were independent, 84.6% remained independent, and 12.2% became homebound by the next wave. Among those who were homebound, 23.6% returned to independence, 60.1% remained homebound, 2.4% entered nursing home residence, and 13.9% died. Unpartnered older adults had higher risks of transitioning from independence to nursing home (RRR = 1.752, p <.01) and death (RRR = 1.265, p <.01). Parents had lower risks than childless older adults of transitioning from independence to nursing home (RRR = 0.523, p <.01) and death (RRR = 0.735, p <.01), and from homeboundness to nursing home (RRR = 0.574, p <.001). The association between being unpartnered and becoming homebound was significantly stronger among men than women. Discussion : Homeboundness as a dynamic and socially structured process. Family structure may shape pathways into homeboundness, institutional care, and death, with implications for aging in place.
Reference Key
openalex_W7215908765 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Yan Zhang
Journal the journals of gerontology series b, psychological sciences and social sciences
Year 2026
DOI
10.1093/geronb/gbag206
URL
https://doi.org/10.1093/geronb/gbag206
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.