Patterns of aged care use among older Australian women: A prospective cohort study using linked data |
| |
| Institution: | 1. Priority Research Centre for Generational Health and Ageing, University of Newcastle, Australia;2. Centre for Clinical Epidemiology and Biostatistics, University of Newcastle, Australia;3. Department of Statistics, Comilla University, Bangladesh;1. University of Utah College of Nursing, Salt Lake City, UT, United States;2. University of Utah Department of Psychology, Salt Lake City, UT, United States;3. School of Nursing, University of Wisconsin-Madison, 701 Highland Ave., Madiosn, WI, 53705, United States;1. Division of Health Science, Osaka University, Graduate School of Medicine, Osaka, Japan;2. Clinical Thanatology and Geriatric Behavioral Science, Graduate School of Human Sciences, Osaka University, Osaka, Japan;3. Tokyo Metropolitan Institute of Gerontology, Research Team for Human Care, Tokyo, Japan;4. Division of Health Science, Kobe University, Graduate School of Medicine, Hyogo, Japan;5. Section of NILS-LSA, National Center for Geriatrics and Gerontology, Aichi, Japan;6. Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Osaka, Japan;7. Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Osaka, Japan;8. Center for Supercentenarian Medical Research, Keio University School of Medicine, Tokyo, Japan;1. Department of Orthopaedic Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu city, Chiba, 279-0021, Japan;2. Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan;1. Department of Dental Hygiene, Graduate School of Public Health Science, Eulji University, Seongnam, Republic of Korea;2. Department of Public Health, Graduate School, Dankook University, Cheonan, Republic of Korea;3. Department of Social and Humanity in Dentistry, Wonkwang University School of Dentistry, 460 Iksan-daero, Iksan, 570-749, Republic of Korea |
| |
| Abstract: | BackgroundWomen live longer than men and have an increased need for long-term care. The objective of this study was to identify patterns of aged care use among older Australian women and to examine how these patterns were associated with their demographic and health-related characteristics.MethodsThe sample consisted of 8768 women from the 1921–1926 birth cohort of the Australian Longitudinal Study on Women’s Health (ALSWH), who had survived to age 75-80 years. ALSWH survey and linked administrative aged care and death datasets from 2001 to 2011 were utilized. Patterns of aged care use were identified using a repeated measure latent class analysis.ResultsWe identified four patterns of aged care use over time, differentiated by timing of service onset, types of service use and time of death. Approximately 41% of the sample were non-users or using basic home and community care (HACC), while 24% were at high risk of using moderate to high-level HACC/community aged care package (CACP). Only 11% had a greater risk of using residential aged care (RAC) over time. Being widowed, residing in remote/regional areas, having difficulty in managing income, having a chronic condition, reporting poor/fair self-rated health, and lower SF-36 quality of life scores were associated with an increased odds of being a member of the following classes: 1) moderate to high-level HACC/CACP, 2) increasing RAC, and 3) early mortality, compared with the non-user class.ConclusionsDistinct patterns of aged care use were identified. These results will facilitate future capacity planning for aged care systems in Australia. |
| |
| Keywords: | Older women Aged care Data linkage Latent patterns Influencing factors Australia |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
