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Care utilisation in the last years of life in Sweden: the effects of gender and marital status differ by type of care
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI).
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI).
2014 (Engelska)Ingår i: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 11, nr 4, s. 349-359Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The effects of gender and marital status on care utilisation in the last years of life are highly correlated. This study analysed whether gender differences in use of eldercare (home help services or institutional care) or hospital care in the last 5 years of life, and the place of death, could be attributed to differences in marital status and thereby to potential access to informal care. A longitudinal Swedish study provided register data on 567 participants (aged 83 +) who died between 1995 and 2004. A higher proportion of unmarried than married people used home help services; this was true of both men and women. The likelihood of receiving home help was lower for those living with their spouse (OR = 0.38) and for those with children (OR = 0.60). In the 2 years preceding death, the proportion receiving home help services decreased and the proportion in institutional care increased. Women were significantly more likely to die in institutional care (OR = 1.88) than men. Although men were less likely to live in institutional care than women and more likely to be inpatients in the 3 months preceding death, after controlling for residence in institutional care, neither gender nor marital status was statistically significant when included in the same model. In summary, the determining factor for home help utilisation seemed to be access to informal care, whereas gender differences in health status could explain women’s higher probability of dying in institutional care.

Ort, förlag, år, upplaga, sidor
Heidelberg: Springer, 2014. Vol. 11, nr 4, s. 349-359
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:su:diva-112582DOI: 10.1007/s10433-014-0320-1OAI: oai:DiVA.org:su-112582DiVA, id: diva2:779448
Tillgänglig från: 2015-01-12 Skapad: 2015-01-12 Senast uppdaterad: 2017-12-05Bibliografiskt granskad

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Thorslund, Mats
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Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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European Journal of Ageing
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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