ABSTRACT Moving into a retirement community may be precipitated by or bring about changes in health status. We hypothesized that moving into a retirement community would be associated with a decline in self-rated health (SRH), but that health-related factors would mitigate this association. We analyzed data from 58,272 participants in Cohort 3 of the Medicare Health Outcome Survey. Individuals answered questions regarding living status in 2000 and 2002. Those who moved into a retirement community were compared with those who did not. The primary outcome was change in SRH. We created adjusted and unadjusted models. A total of 2,520 participants (4.4%) moved into retirement communities between 2000 and 2002. There were no substantial differences in the mean change in SRH between those who moved and those who did not. In adjusted and unadjusted models, moving was not significantly associated with changes in SRH. In an analysis stratified by SRH, only those with the best SRH had a significant decline in SRH during the move. SRH mainly remained stable for most people regardless of moving into a retirement community. These findings argue against environmental context being a main determinant of self-perceived health status among older adults.

中文翻译：

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医疗保险管理式护理接受者向退休生活过渡期间自评健康状况的变化

摘要 进入退休社区可能会因健康状况的变化而加速或带来变化。我们假设进入退休社区会导致自评健康 (SRH) 下降，但与健康相关的因素会减轻这种关联。我们分析了来自医疗保险健康结果调查第 3 组的 58,272 名参与者的数据。个人回答了有关 2000 年和 2002 年生活状况的问题。将搬入退休社区的人与未搬入退休社区的人进行比较。主要结果是 SRH 的变化。我们创建了调整和未调整的模型。2000 年至 2002 年期间，共有 2,520 名参与者 (4.4%) 搬入退休社区。搬家者和未搬家者的 SRH 平均变化没有显着差异。在调整和未调整的模型中，移动与 SRH 的变化没有显着相关性。在一项按 SRH 分层的分析中，只有那些具有最佳 SRH 的人在搬迁期间的 SRH 显着下降。无论是否进入退休社区，大多数人的 SRH 主要保持稳定。这些发现反对环境背景是老年人自我感知健康状况的主要决定因素。