Does use of long-term care differ between occupational classes among the oldest old? Vitality 90 + Study.
Long-term care (LTC) use increases with ageing due to an age-related increase in disability. Both the levels of disability and social resources vary among socioeconomic groups. The association of socioeconomic status with LTC use is largely unexplored for the oldest old. This study examined how occu...
| Publicado en: | European Journal of Ageing Vol. 15; no. 2; pp. 143 - 154 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Springer Nature
Jun2018
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=129812053&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 129812053 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 16139372 3RAL jtl: European Journal of Ageing issn: 16139372 maglogo: N pubinfo: dt: Jun2018 vid: 15 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 129812053 10.1007/s10433-017-0445-0 ppf: 143 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P size: 841KB tig: atl: Does use of long-term care differ between occupational classes among the oldest old? Vitality 90 + Study. aug: au: Enroth, Linda Aaltonen, Mari Raitanen, Jani Nosraty, Lily Jylhä, Marja affil: Faculty of Social Sciences (Health Sciences), Gerontology Research Center (GEREC), University of Tampere, Arvo-Building, Arvo Ylpön katu 34, 33520, Tampere, Finland UKK Institute for Health Promotion Research, Tampere, Finland su: Finland Age distribution Employment Health facilities Industrial hygiene Life skills Family relations Socioeconomic factors Confidence intervals Long-term health care Longitudinal method Comorbidity Logistic regression analysis Odds ratio sug: subj: Age distribution Employment Health facilities Industrial hygiene Life skills Family relations Socioeconomic factors Finland All Other Outpatient Care Centers Confidence intervals Long-term health care Longitudinal method Comorbidity Logistic regression analysis Odds ratio keyword: Institutionalisation Mortality Oldest old Institutionalisation Mortality Oldest old ab: Long-term care (LTC) use increases with ageing due to an age-related increase in disability. Both the levels of disability and social resources vary among socioeconomic groups. The association of socioeconomic status with LTC use is largely unexplored for the oldest old. This study examined how occupational class is associated with LTC use among nonagenarians in the context of universal care coverage. A population-based prospective cohort study with 2862 participants who answered the Vitality 90 + Study surveys in 2001, 2003, 2007, or 2010 in Tampere, Finland, was combined with national register data on LTC use. LTC use in total and separately for publicly and privately provided LTC facilities was assessed in a cross-sectional setting and during the 34-month follow-up by using logistic regression and competing-risks regression methods. Functional status, multimorbidity, family relations, and help at home were controlled. In total or public LTC use, only a few differences between occupational classes were found at baseline. However, upper non-manuals used more private LTC than lower non-manuals (OR 0.54, 95% CI 0.35-0.85), skilled manuals (OR 0.40, 95% CI 0.26-0.62), or housewives (OR 0.40, 95% CI 0.22-0.74). There were no statistically significant differences in entering any kind of LTC after adjustments for all independent variables. During the study period, the share of privately provided care out of all LTC increased and the upper non-manuals no more used private care more than other groups. This study underlines the importance of following the structural changes in LTC provision to guarantee that the need for LTC is met equally for all socioeconomic groups. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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