Scottish Longitudinal Study
Development & Support Unit

Current Projects

Project Title:

What predicts entry into residential care and the need for domiciliary support for people aged 65 years and older in Scotland?

Project Number:



Professor Ian Deary (University of Edinburgh)
Professor Christopher Dibben (University of Edinburgh)
Professor John Starr (University of Edinburgh)
Dorothy Helen Corby (University of Edinburgh)

Start Date:



Scotland has an aging population and so has an increasing responsibility to provide the appropriate care for these people as they lose their independence. This study aims to describe the distribution of people entering care homes in Scotland or receiving informal care from family members. The study also aims to identify risk factors for requiring either informal care from family members or entry to a care home.

The study will investigate the risk or protective nature of several factors in relation to loss of independence, these include living in an urban or rural location, owning or renting their home, marital status, cohabiting with family, socio-economic status, local health board.

This study will look at factors in 1991 and the outcome of moving from living in a private residence to being cared for in 2001. We plan a later project to look at similar factors measured in 2001 and this outcome in 2011.  Family structure is changing over time and life expectancy is increasing, so a comparison of these two cohorts is important.

This research will aim to provide an insight into the care needs of the Scottish people as they move into old age, so the appropriate care can be provided for the future. Also, by identifying risk and protective factors associated with entry to care homes or need of care/support in the home, interventions could be designed to reduce these risks and promote independence in the elderly and aid in improving their quality of life.


AARSLAND, D., LARSEN, J. P., TANDBERG, E. & LAAKE, K. 2000. Predictors of nursing home placement in Parkinson's disease: A population‐based, prospective study. Journal of the American Geriatrics Society, 48, 938-942.
BRANCH, L. G. & JETTE, A. M. 1982. A prospective study of long-term care institutionalization among the aged. American Journal of Public Health, 72, 1373-1379.
COHEN, M. A., TELL, E. J. & WALLACK, S. S. 1986. Client-related risk factors of nursing home entry among elderly adults. Journal of Gerontology, 41, 785-792.
GREENE, V. L. & ONDRICH, J. I. 1990. Risk factors for nursing home admissions and exits: A discrete-time hazard function approach. Journal of Gerontology, 45, 250-258.
HARRISON, J. 2017. Predicting discharge to institutional long-term care from the acute hospital setting: A systematic review and meta-analysis (unpublished): University of Edinburgh.
HÉBERT, R., DUBOIS, M., WOLFSON, C., CHAMBERS, L. & COHEN, C. 2001. Factors associated with long-term institutionalization of older people with dementia: Data from the Canadian Study of Health and Aging. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56, 693-699.
JETTE, A. M., BRANCH, L. G., SLEEPER, L. A., FELDMAN, H. & SULLIVAN, L. M. 1992. High-risk profiles for nursing home admission. The Gerontologist, 32, 634-640.
LUPPA, M., LUCK, T., MATSCHINGER, H., KÖNIG, H. & RIEDEL-HELLER, S. G. 2010. Predictors of nursing home admission of individuals without a dementia diagnosis before admission - Results from the Leipzig Longitudinal Study of the Aged (LEILA 75+). BMC Health Services Research, 10, 186-193.
LUPPA, M., LUCK, T., WEYERER, S., KÖNIG, H., BRÄHLER, E. & RIEDEL-HELLER, S. G. 2009. Prediction of institutionalization in the elderly: A systematic review. Age and Ageing, 39, 31-38.
LUPPA, M., RIEDEL-HELLER, S. G., LUCK, T., WIESE, B., VAN DEN BUSSCHE, H., HALLER, F., SAUDER, M., MÖSCH, E., PENTZEK, M., WOLLNY, A., EISELE, M., ZIMMERMANN, T., KÖNIG, H., MAIER, W., BICKEL, H., WERLE, J. & WEYERER, S. 2012. Age-related predictors of institutionalization: Results of the German study on Ageing, Cognition and Dementia in primary care patients (AgeCoDe). Social Psychiatry and Psychiatric Epidemiology, 47, 263-270.
SHAPIRO, E. & TATE, R. B. 1985. Predictors of long term care facility use among the elderly. Canadian Journal on Aging, 4, 11-19.
STEVERINK, N. 2001. When and why frail elderly people give up independent living: The Netherlands as an example. Ageing and Society, 21, 45-69.
TINETTI , M. E. & WILLIAMS , C. S. 1997. Falls, Injuries Due to Falls, and the Risk of Admission to a Nursing Home. New England Journal of Medicine, 337, 1279-1284.
WOO, J., HO, S. C., YU, A. L. M. & LAU, J. 2000. An estimate of long-term care needs and identification of risk factors for institutionalization among Hong Kong Chinese aged 70 years and over. The Journals of Gerontology, 55, 64-69.

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