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Mortality and nursing home placement of dementia patients in rural and urban areas: a cohort study from the Swedish Dementia Registry
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Jönköping University, Sweden.
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Number of Authors: 72018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 4, p. 1308-1313Article in journal (Refereed) Published
Abstract [en]

Background: Life in rural and urban areas differs in regard to social support and health care. Our aim was to examine the association between nursing home placement and survival of patients with dementia living in urban vs. rural areas.

Methods: We performed a longitudinal cohort study of patients with dementia at time of diagnosis (n = 58 154) and at first follow-up (n = 21 522) including patients registered from 2007 through 2014 in the Swedish Dementia Registry (SveDem). Descriptive statistics are shown. Odds ratios with 95% CI are presented for nursing home placement and hazard ratios for survival analysis.

Results: In age- and sex-adjusted analyses, patients living in urban areas were more likely to be in nursing homes at the time of dementia diagnosis than patients in rural areas (1.49, 95% CI: 1.29-1.73). However, there were no differences in rural vs urban areas in either survival after dementia diagnosis (urban: 0.99, 0.95-1.04, intermediate: 1.00, 0.96-1.04), or nursing home placement at first follow-up (urban: 1.00, 0.88-1.13; intermediate: 0.95, 0.85-1.06).

Conclusion: Persons with dementia living in rural areas are less likely to live in a nursing home than their urban counterparts at the time of dementia diagnosis, but these differences disappear by the time of first follow-up. Differences in access to nursing homes between urban and rural settings could explain these findings. Results should be considered in the future healthcare decisions to ensure equality of health care across rural and urban areas.

Place, publisher, year, edition, pages
2018. Vol. 32, no 4, p. 1308-1313
Keywords [en]
urban areas, rural areas, nursing home placement, dementia, SveDem
National Category
Nursing
Identifiers
URN: urn:nbn:se:su:diva-163559DOI: 10.1111/scs.12574ISI: 000454105400006PubMedID: 29656469OAI: oai:DiVA.org:su-163559DiVA, id: diva2:1279245
Available from: 2019-01-16 Created: 2019-01-16 Last updated: 2019-01-16Bibliographically approved

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Roheger, MandyGarcia-Ptacek, Sara
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CiteExportLink to record
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Citation style
  • apa
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  • de-DE
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  • Other locale
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Output format
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