Do health and use of services differ in residents of shelteredaccommodation? A pilot study
M. Walker
Bok Engelsk 1998
| Utgitt | 1998
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| Omfang | Side 617- 624
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| Opplysninger | Objective. To compare the rates of mental health problems, disabilityand use of health and social services of older people living insheltered accommodation with those of the rest of the community inthe same age group.Design. Door-to-door survey in randomly selected enumerationdistricts. The districts contained three sheltered accommodationcomplexes. Residents from these addresses were compared with theothers.Setting. London Borough of Islington.Subjects. 700 men and women aged 65 or over.Main outcome measures. Short-CARE depression, dementia and activityscales; the Guy's/Age Concern anxiety scale; individual itemsdetailing problems with mobility, vision and hearing; use of a numberof health and social services.Results. The only difference in mental health variables on univariateanalysis was a greater severity of cognitive impairment and dementiasymptoms in sheltered accommodation. When demographic differenceswere taken into account, the association with cognitive impairmentbecame statistically insignificant. There were significantassociations between residence in sheltered accommodation and severalof the disability variables. Increased use of health and socialservices by sheltered residents remained significant after disabilityand living alone were taken into account.Conclusions. The residents of sheltered accommodation were moredisabled than the general elderly population but, in contrast tothose in residential care, did not have a great excess of mentalhealth problems. Indeed, the possibility was raised that shelteredaccommodation may protect against depression in people who livealone. (C) 1998 John Wiley & Sons, Ltd.
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