Gender Differences in Function, Physical Activity, Falls, Medication Use, and Life Satisfaction Among Residents in Assisted Living Settings.
Barbara Resnick, Marie Boltz, Elizabeth Galik and 3 others
PMID 31584687WHAT IT FOUND
In assisted living residents, women reported higher satisfaction with activities and received more medications than men.
Function, physical activity, falls, and other satisfaction scores did not differ by gender.
Key findings
01The overall multivariate test showed a gender difference, but the significant differences were higher satisfaction with activities in females and more medications in females.
02Females were more likely than males to receive steroids (36% versus 24%), medications for osteoporosis (50% versus 34%), medications for cardiovascular disease (39% versus 29%), pain medications including opioids (30% versus 18%), anxiolytics (9% versus 3%), and antidepressants (45% versus 32%).
03There were no gender differences in falls, function, physical activity, or satisfaction with the physical environment, relationships with staff, or health care.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs
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What it does not show
This was a secondary analysis of baseline data from a parent randomized trial, not a study designed to test gender differences. Only residents who consented to the parent study and could recall at least one Mini-Cog word were included, so results may not apply to residents with more severe cognitive impairment or those who did not consent. Function was reported by the direct care worker on the day of testing, which may reflect care provided rather than the resident's own ability. Falls were based on staff report for the prior four months, not prospective fall monitoring. Satisfaction ratings may have been influenced by social desirability or fear of saying negative things about the facility. Physical activity was measured with a wrist device and one day of data, and the authors note device and count settings can affect comparisons with other studies.
Declared interests
The supplied text does not include a conflicts of interest or funding declaration. The publication types note NIH extramural research support.
The easy way to misread this
Do not conclude that female residents should receive more medications or that male residents are less satisfied overall. These are baseline descriptive differences, not tested effects, and the study did not evaluate medication appropriateness.