Predictors for receiving public home help and entry into institutions : results from a longitudinal study of a Swedish urban elderly population
Kristina Larsson, Mats Thorslund, Ingemar Kåreholt
Bok Svensk 2004
| Utgitt | 2004
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| Omfang | 29 s.
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| Opplysninger | Purpose: To identify predictors of home help utilization and institutionalization.Design and methods: A community-dwelling sample (n=502) aged 81-100 was twice interviewed and assessed with medical examinations. Their eldercare utilization was studied between 1994/96 and 2000.Results: Twice the proportion of people living alone as coresiding received home help. Only 4% of people living alone and 5% of those coresiding moved to institutions without previously receiving home help. Among people living alone, Cox regression models showed that dementia and increasing age predicted home help utilization and institutionalization. Female gender, depressive symptoms, and walking limitations predicted use of home help, but did not predict institutionalization. Dependence in IADLs predicted institutionalization but not receipt of home help.Among nondemented coresiding people, depressive symptoms, dependence in ADLs, and extraresidential informal care increased the likelihood of home help utilization and institutionalization. Dementia combined with a higher educational level, increased the likelihood of institutionalization but not home help.Implications: When controlling for household composition, approximately the same factors predicted the both outcomes. Home help was commonly the first alternative, thereby facilitating "aging-inplace."
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